Podcast appearances and mentions of Danielle Ofri

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Best podcasts about Danielle Ofri

Latest podcast episodes about Danielle Ofri

See, Hear, Feel
EP140: When We Do Harm: A Discussion on Medical Mistakes with Dr. Danielle Ofri

See, Hear, Feel

Play Episode Listen Later Nov 13, 2024 29:32 Transcription Available


In this episode, Dr. Danielle Ofri, a renowned physician and author with extensive experience at Bellevue Hospital and NYU, delves into the critical issue of medical mistakes discussed in her latest book, When We Do Harm. She provides insights into her journey of understanding the prevalence of medical errors, the emotional toll on healthcare providers, and the importance of balancing professional duties with emotional well-being. Dr. Ofri also shares personal experiences and advocates for systemic changes and honest communication to improve patient safety and care.00:00 Introduction and Guest Introduction01:00 Discussing 'When We Do Harm'01:53 Understanding Medical Errors03:50 The Human Element in Medicine07:08 Personal Experiences with Medical Errors11:35 Emotional Impact and Coping17:43 Strategies for Improvement28:29 Final Thoughts and Recommendations

Inside Medical Malpractice
Best of Inside Medical Malpractice - Part 3

Inside Medical Malpractice

Play Episode Listen Later Apr 13, 2024 56:12


This month on ‘Inside Medical Malpractice', the third in our ‘best of the best' podcast series!  Chris Rokosh ends almost every episode with the question “What is the most important thing you'd like doctors, nurses, lawyers, and the public to know about medical malpractice?” The answers are as different as our guests' unique perspectives….but always astute, insightful, and thought provoking. This episode includes a doctor, a mother who lost her son due to a medical error and 4 lawyers, one of whom shares her birth story. Listen in as guests Duncan Embury, Lelani Schweitzer, Richard Halpern, Paul Cahill, Maia Tomljanovic and Dr. Danielle Ofri share their thoughts. You're going to really enjoy this one!  For more medical legal education, visit our newly updated website at https://www.connectmlx.com/. 

The Doctor's Art
Navigating the Gaps in Patient Stories (with Dr. Ilana Yurkiewicz)

The Doctor's Art

Play Episode Listen Later Mar 26, 2024 62:39


It's a cliche to say health care is broken. However, the extent to which it is unnecessarily convoluted, inefficient, and fragmented frustrates even the most experienced clinicians each time they are forced to deal with its consequences. Medical records disappear when a patient switches doctors. Critical details of life-saving treatment plans are buried deep within thousands of pages worth of electronic charts. In this episode, Stanford oncologist and journalist Ilana Yurkiewicz, MD explores all the ways that modern medicine is riddled with gaps and the incredible strain this puts on providers, patients, and caregivers alike. She is the author of the 2023 book Fragmented: A Doctor's Quest to Piece Together American Health Care. In the first half of our conversation, Dr. Yurkiewicz shares how she connects with patients and helps them through the worst moments of their lives—often taking place after a cancer has been treated. In the second half, we discuss why electronic medical records are failing doctors and patients, how clinicians can strive to retain a sense of autonomy, and how she manages the uncertainty that this broken system frequently imposes upon her.In this episode, you'll hear about: 2:53 - Dr. Yurkiewicz's day job as a primary care physician specializing in cancer patients and survivors5:49 - The benefits that cancer patients and survivors receive in seeing a primary care provider with additional training in oncology10:34 - What initially drew Dr. Yurkiewicz to oncology 15:00 - Why helping people through times of suffering is meaningful to Dr. Yurkiewicz18:30 - How Dr. Yurkiewicz became adept at dealing with the diverse emotional psychosocial of cancer survivors 22:45 - What “fragmentation of the healthcare system” means to Dr. Yurkiewicz 24:24 - How patients expect the medical system to work versus how it actually works 34:30 - The challenges physicians face in piecing together a patient's story through medical charts39:12 - The consequences of fragmented medical records46:26 - How electronic medical records can be improved50:44 - How Dr. Yurkiewicz retains a sense of autonomy amid a fragmented system 58:11 - Dr. Yurkiewicz's approach to having difficult and high-stakes conversations with patients Dr. Ilana Yurkiewicz is the author of Fragmented: A Doctor's Quest to Piece Together American Health Care (2023).Dr. Yurkiewicz can be found on Instagram at @iyurkiewiczmd.In this episode, we discuss Danielle Ofri's 2019 New York Times Op Ed The Business of Healthcare is Built on Exploiting Healthcare Workers.Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor's Art Podcast 2024

Public Health Review Morning Edition
599: Why Patients Don't Want a COVID Vaccine, Policies to Help Young Families

Public Health Review Morning Edition

Play Episode Listen Later Feb 12, 2024 4:21


Dr. Danielle Ofri, Clinical Professor of Medicine at New York University School of Medicine, tells us some patients still have concerns about COVID-19 vaccines; Jessica Bissett, ASTHO Senior Analyst for Social and Behavioral Health, discusses several steps Colorado has taken to promote housing security; an ASTHO webinar will teach attendees how to build and retain a strong clerical workforce; and an ASTHO webinar will review new guidance on how to respond within the first 72 hours after a nuclear detonation. Danielle Ofri Webpage ASTHO Blog: Policies Supporting Young Families Can Reduce Adverse Childhood Experiences The New York Times Opinion Article: My Patients Used to Be Enthusiastic About the Covid Vaccine. What Changed? ASTHO Webinar: Planning For the First 72 Hours ASTHO Webinar: The Frontline Advantage – Discovering and Developing a Frontline Clerical Workforce

Moral Matters
Searching for Medicine's Soul - Cross Feed - Danielle Ofri

Moral Matters

Play Episode Listen Later Sep 7, 2023 52:40


Healthcare has become increasingly consolidated and corporatized over the past few decades and Danielle Ofri has written eloquently about its impact on the practice of medicine. In this episode, shared by Searching for Medicine's Soul, Aaron Rothstein talks with Dr. Ofri about the challenges to the relationship between doctor and patient: administrative creep in the medical field, nonprofit hospital (mis)behavior, and the application of the adversarial patient compensation system to unintended medical errors. Find more episodes of Searching for Medicine's Soul here: ‎Searching for Medicine's Soul on Apple Podcasts   Support Moral Matters: Get Started — Fix Moral Injury   Twitter - @fixmoralinjury Instagram - @moralinjury Facebook - @moralinjuryofhc LinkedIn - Moral Injury of Healthcare        

The Medical Protection Podcast
Dealing with Diagnostic Uncertainty

The Medical Protection Podcast

Play Episode Listen Later Aug 21, 2023 23:58


When clinicians encounter diagnostic uncertainty, they often find themselves in an unfamiliar situation, without a clear method to proceed confidently, comfortably, and safely. Join Dr Stephen Priestly and Dr Carmel Crock as they discuss dealing with diagnostic uncertainty.FURTHER LEARNINGIf you're a member of Medical Protection and want to learn more,please join us for one of our The future of diagnosis webinars: Tuesday 22 August 2023 (HK, SG, MY). Wednesday 23 August 2023 [C&B, UK, IE, ZA]. Wednesday 4 October 2023 (AU). Wednesday 4 October 2023 (NZ). Understanding and Communicating Uncertainty in Achieving Diagnostic Excellence. https://protection.pub/UnderstandingUncertainty. Danielle Ofri. https://protection.pub/DanielOfriCERTIFICATEA certificate for listening is available on PRISM. https://protection.pub/headliners3SPEAKERS Your host today was Dr Stephen Priestley. https://www.linkedin.com/in/stephen-priestley-854389246/. Our guest speaker today was Dr Carmel Crock. linkedin.com/in/carmel-crock-0661885aFor more information about Medical Protection please visit www.medicalprotection.org

Caring Greatly
The Transparency Conundrum with Danielle Ofri, MD

Caring Greatly

Play Episode Listen Later Jul 7, 2023 27:17


In this episode, Dr. Ofri and I talk about an article she recently published in the New Yorker titled, “The Curious Side Effects of Medical Transparency.” We delve into how the act of exposing medical notes to patients necessarily changes their purpose and their content, and how that, in turn, changes the thinking processes of clinicians. We talk about how art and expression are both integral to and separate from the art and science of medicine. Finally, Dr. Ofri offers advice to rising clinicians about how to separate their responsibilities from their identities to support sustainable practice. Dr. Danielle Ofri is a leader who cares greatly.

Something You Should Know
The Science of Innovation & When Doctors Make Mistakes

Something You Should Know

Play Episode Listen Later Jul 3, 2023 53:20


Did you know that all people with blue eyes are related to each other? That is just one of the fascinating things we explore as I begin this episode with a look at how your eyes work and how they help you navigate your world. http://www.buzzfeed.com/acuvue/impossibly-cool-facts-you-may-not-know-about-yo#.kjpwxlkvO It often seems that great new ideas and inventions come out of the blue. However, that's not usually true. There is actually an innovation process according to Matt Ridley. Matt is a journalist, businessman and author of the book How Innovation Works: And Why It Flourishes in Freedom (https://amzn.to/2D6syWe). Matt has studied how great ideas are created, developed and accepted and he joins me to explain the process and where the next big thing is likely to come from. Doctors are human so of course they make mistakes. However, the consequences of medical mistakes can be serious and even life threatening. Some reports have said that medical errors are the third leading cause of death in America. Could that really be true? Are errors just part of the system or could most of them be prevented? Joining me to discuss this is Dr. Danielle Ofri, clinical professor of medicine at the New York University School of Medicine and practicing physician at New York's Bellevue Hospital for more than two decades. She is author of the book When We Do Harm: A Doctor Confronts Medical Error (https://amzn.to/3hVGku9). Perhaps you have noticed that the more money you have in your wallet, the more likely you are to spend it. Actually, it is a little more complicated than that. It seems what kind of money you have in your wallet is a big factor in whether you spend it or keep it. Listen as I explain how this works and how you can use this knowledge to keep more of your own money. http://www.forbes.com/video/4061993829001/ PLEASE SUPPORT OUR SPONSORS! Keep American farming and enjoy the BEST grass-fed meat & lamb, pastured pork & chicken and wild caught-Alaskan salmon by going to https://MoinkBox.com/Yum  RIGHT NOW and get a free gift with your first order! The Dell Technologies' Black Friday in July event has arrived with limited-quantity deals on top tech to power any passion. Save on select XPS PCs and more powered by the latest Intel® Core™ processors. Plus, get savings on select monitors and accessories, free shipping and monthly payment options with Dell Preferred Account. Save today by calling 877-ASK-DELL ! Let's find “us” again by putting our phones down for five.  Five days, five hours, even five minutes. Join U.S. Cellular in the Phones Down For Five challenge! Find out more at https://USCellular.com/findus Learn more about your ad choices. Visit podcastchoices.com/adchoices

The Doctor's Art
Why It's Hard to Put Patients First (with Dr. Wendy Dean)

The Doctor's Art

Play Episode Listen Later May 30, 2023 61:12 Transcription Available


First used in the context of Vietnam war veterans, the term "moral injury" refers to the psychosocial, behavioral, and spiritual distress that comes from perpetuating or witnessing events that contradict deeply held moral beliefs. In recent years, moral injury has increasingly been used to describe one of the main challenges clinicians face in modern medicine — the challenge of knowing what care patients need but being unable to provide it due to constraints beyond the clinicians control, such as limited time or misaligned financial structures. Even more than emotional exhaustion and detachment, moral injury leads to profound shame and guilt. One of the leading voices addressing moral injury among health care workers is Dr. Wendy Dean, a psychiatrist who has written widely on the issue, most recently in her book, If I Betray These Words: Moral Injury in Medicine and Why it's So Hard for Clinicians to Put Patients First. In this episode, Dr. Dean shares her own winding journey from orthopedic surgery to general surgery and finally to psychiatry, discusses where moral injury comes from and what it looks like, and explores what clinicians can do to address it.In this episode, you will hear about:Dr. Dean's early explorations in medicine - 2:35How Dr. Dean's desire to become a surgeon was deterred by gender discrimination - 5:12What led Dr. Dean to psychiatry, and then eventually out of clinical medicine entirely - 13:22A discussion of what moral injury is and why Dr. Dean began to study it - 18:03Examples of how moral injuries occur in the day-to-day of medical practice - 24:19How physicians and hospital administrators can address moral injury, citing as an example the court case of Raymond Brovont M.D. vs EmCare Holdings Inc - 38:57Dr. Dean's advice for how navigate and push back against seemingly insurmountable bureaucracy - 42:22Moral Injury in Healthcare, the non-profit Dr. Dean founded - 47:39What setting personal and professional boundaries looks like in medicine - 53:04Dr. Dean's advice to students and clinicians about fighting burnout - 57:37In this episode, we discuss Achilles in Vietnam: Combat Trauma and the Undoing of Character by Jonathan Shay, MD, PhD, and The Business of Health Care is Built on the Exploitation of Doctors and Nurses by Danielle Ofri, MD, PhD.Dr. Wendy Dean is the cohost of the Moral Matters podcast.You can follow Dr. Dean on Twitter @WDeanMD.Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor's Art Podcast 2023

JOWMA (Jewish Orthodox Women's Medical Association) Podcast
What Patients Say, What Doctors Hear/What Doctors Say, What Patients Hear with Dr. Danielle Ofri

JOWMA (Jewish Orthodox Women's Medical Association) Podcast

Play Episode Listen Later May 11, 2023 64:07


Danielle Ofri MD, PhD is one of the foremost voices in the medical world today.  She's a primary care internist at Bellevue Hospital and clinical professor of medicine at NYU, as well as founder/editor-in-chief of Bellevue Literary Review, and her writing appears in The New Yorker, the New York Times, as well as in The Lancet, and NEJM. She's given several TED talks and performed at The Moth. Ofri is the author of six books about life in medicine; her latest is “When We Do Harm: A Doctor Confronts Medical Error.”  www.danielleofri.com _______________________________________________________ Become a JOWMA Member! www.jowma.org  Follow us on Instagram! www.instagram.com/JOWMA_org  Follow us on Twitter! www.twitter.com/JOWMA_med  Follow us on Facebook! https://www.facebook.com/JOWMAorg/ Stay up-to-date with JOWMA news! Sign up for the JOWMA newsletter! https://jowma.us6.list-manage.com/subscribe?u=9b4e9beb287874f9dc7f80289&id=ea3ef44644&mc_cid=dfb442d2a7&mc_eid=e9eee6e41e

The Doctor's Art
Self-Care, the Right Way (with Dr. Pooja Lakshmin)

The Doctor's Art

Play Episode Listen Later Apr 11, 2023 57:11 Transcription Available


The wellness industry saturates our cultural consciousness, with juice cleanses, organic skincare, and spa retreats flooding our social media feeds. But what does this plethora of dazzling — and often-expensive — lifestyle products all amount to? Not much, argues Dr. Pooja Lakshmin, a psychiatrist who specializes in women's mental health and clinical assistant professor at George Washington University School of Medicine. As she writes, "our understanding of self-care and wellness is incomplete at best and manipulative at worst. We cannot meditate our way out of a 40 hour workweek without childcare. These wellness products keep us looking outward, comparing ourselves with others or striving for perfection." She details her ideas for achieving true wellness in her recently released book, Real Self-Care: A Transformative Program for Redefining Wellness. In this episode, Dr. Lakshmin joins us to discuss how she overcame her own struggles working in medicine and details practical strategies for real self-care, which, in her words, "isn't a thing to do or buy, but a way to be." In this episode, you will hear about:How Dr. Lakshmin's rocky initial foray into medicine led her a career in psychiatry - 2:15Dr. Lakshmin's disillusionment with medicine, her two years away from the profession, and what she learned from immersing herself in the wellness industry - 5:34Reflections on the state of the wellness industry - 10:42An overview of Dr. Lakshmin's book Real Self-Care and what real self-care looks like - 15:52A deeper dive into the first principle of real self-care: boundary setting - 18:47A discussion of how the American healthcare system often exploits doctors and nurses - 24:25The second principle of real self-care: self-compassion - 32:08The third principle of real self-care: knowing your values - 38:44The fourth principle of real self-care: empower oneself to create change - 45:09Dr. Lakshmin's advice on getting control of your self-care journey - 50:43In this episode, we discussed the essay The Business of Healthcare Depends on Exploiting Doctors and Nurses by Dr. Danielle Ofri, published in the New York Times.We also discussed Dr. Lakshmin's article How Society Turned its Back on Mothers, published in the New York Times.Dr. Pooja Lakshmin is the founder and CEO of GEMMA, a women's mental healthcare education community focused on impact and equity.You can follow Dr. Pooja Lakshmin on Twitter @PoojaLakshmin.Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor's Art Podcast 2023

Inside Medical Malpractice
Communication Errors in Health Care - What Doctors Say, What Patients Hear with Dr. Danielle Ofri MD PHD

Inside Medical Malpractice

Play Episode Listen Later Jan 15, 2023 65:16


This month, Inside Medical Malpractice returns focus to one of the 5 top issues in malpractice litigation:  communication.  Listen as repeat guest Dr. Danielle Ofri MD, PhD ,one of the most thought provoking and influential voices in healthcare today, discusses her book ‘What Patients Say, What Doctors Hear'. Dr. Ofri says that the doctor patient interview remains the single most powerful diagnostic tool in medicine. But what patients say and what doctors hear are often two very different things. Listen as Dr. Ofri highlights just how powerful the doctor patient relationship is and talks honestly about the disclosure of medical error. There's a great conversation about the power imbalance that exists between doctors and patients and suggestions to avoid the underlying commonality in almost all lawsuits; a breakdown in doctor-patient communication. Listening and communicating not only makes patients feel cared for, it can improve the accuracy of the information offered, reduce the risk of medical error and result in few lawsuits. There's something valuable in this episode for everyone!

The Doctor's Art
On Ending Well (with Dr. Shoshana Ungerleider)

The Doctor's Art

Play Episode Listen Later Dec 6, 2022 53:15 Transcription Available


Too often, modern medicine focuses on life-extending interventions for those nearing the end of life at the expense of quality of life. Our guest today, Dr. Shoshana Ungerleider, argues we urgently need to rethink the emphasis of end-of-life care. She's the founder of the End Well Foundation, a nonprofit that seeks to improve how doctors and patients approach issues of mortality, as well as an executive producer of the 2018 film End Game and a major funder of the 2016 film Extremis, two Academy Award-nominated short documentaries on end-of-life care. As a health communicator. Dr. Ungerleider is the host of the TED Health Podcast and has been featured as a medical expert on CNN, CBS, PBS, Fox News, and other news networks. In this episode, she discusses her journey in health care and shares her mission to transform the end of life experience of patients everywhere and make dying well a part of living well.In this episode, you will hear about:How Dr. Ungerleider found her way to a career in health care and how she pushed through imposter syndrome while in medical school - 2:23Dr. Ungerleider's formative experiences working with elderly patients in the ICU, leading her question the practices of modern medicine when dealing with seriously ill patients - 10:18How the Covid-19 pandemic has shifted public consciousness around death and dying - 15:30The origins of End Well, the conference and organization founded by Dr. Ungerleider and her colleagues in 2017 - 23:51What it would look like for there to be a shift in the cultural conversation around death and dying - 30:31A reflection on the risks of romanticizing the dying process - 36:54The recent cancer diagnosis in Dr. Ungerleider's family and how this has propelled her to proactively manage her own risks - 43:49Advice for new clinicians on dealing with patient deaths - 48:49Dr. Shoshana Ungerleider is the author of “My Dad's Terminal Cancer Diagnosis May Have Saved My Life” for Newsweek.You can follow Dr. Ungerleider on Twitter @ShoshUMDIn this episode, we discussed The Good Place, an award-winning sitcom series about philosophy and the afterlife.We discussed several articles and studies about whether physicians are more likely to choose to die at home than the general public. These articles include “How Doctors Die” by Ken Murray, “Association of Occupation as a Physician With Likelihood of Dying in a Hospital” by Blecker, Johnson, Altekruse, et al. and “Patients, and Doctors, Aren't Dying at Home” by Dr. Danielle Ofri (our guest on episode 35).Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor's Art Podcast 2022

The Doctor's Art
On Moral Injury and Emotions in Medicine (with Dr. Danielle Ofri)

The Doctor's Art

Play Episode Listen Later Nov 1, 2022 57:48 Transcription Available


As one of the most prolific and acclaimed physician writers today, Dr. Danielle Ofri is the author of seven books on the intricacies of modern medical practice and the doctor-patient relationship. Her other writings have appeared in The New York Times, The Atlantic, The New Yorker, in addition to various leading medical journals. She is also the co-founder and editor-in-chief of the Bellevue Literary Review, a literary journal that publishes works focusing on the human body, illness, and health. In her writings, Dr. Ofri uses vivid narratives to shed light on the highs and lows of being a doctor. In this episode, she joins us to share her path to medicine, how doctors can mitigate the moral injury they experience in their work, and how storytelling can comfort us in times of suffering.In this episode, you will hear about:How Dr. Ofri was initially drawn to internal medicine through the patient stories she encountered - 1:54A discussion of the tension between the business and art of medicine - 6:07Dr. Ofri's advice on how clinicians can combat the moral corrosion that broken medical systems can induce - 11:29How Dr. Ofri's medical residency during the AIDS epidemic led to her passion for writing - 16:33Dr. Ofri's writing process - 23:30A discussion of the moral philosophy of medicine and why doctors do what they do - 27:09Dr. Ofri reflections on how her writing has impacted her clinical practice - 31:47The wisdom that physicians who encounter suffering every day can share with a world experiencing collective grief from the COVID-19 pandemic - 34:38A discussion of the emotional toll on clinicians of delivering bad news and confronting grief, and an exploration of guilt and shame - 42:25Dr. Ofri's advice to clinicians on how to stay connected to meaning in medicine - 48:44Dr. Danielle Ofri is the author of the following books on being a doctor:Singular Intimacies: Becoming a Doctor at BellevueWhat Doctors Feel: How Emotions Affect the Practice of MedicineWhen We Do Harm: A Doctor Confronts Medical ErrorWhat Patients Say, What Doctors HearMedicine in TranslationIntensive Care: A Doctor's JourneyIncidental FindingsFollow Dr. Ofri on Twitter @DanielleOfri.This episode included an excerpt from Jacqueline du Pré and Daniel Barenboim's performance of the Cello Sonata No. 2 in F major, Op. 99 by Johannes Brahms, recorded live in West Berlin in 1968.Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor's Art Podcast 2022

KUCI: Film School
White Coat Rebels / Film School Radio interview with Director Greg Barker & Producer Harriet Fraser

KUCI: Film School

Play Episode Listen Later Oct 26, 2022


Director Greg Barker new documentary film, WHITE COAT REBELS, is an urgent wake-up call into the corrupting influence of Big Pharma on the medical profession and the courageous young doctors and students fighting back to improve inequities in healthcare. The film revolves around the direct actions of health professionals seeking to reform a broken health care system. Many of the film participants, including UCLA medical student Neda Ashtari, belong to Universities Allied for Essential Medicine (UAEM). UAEM is a student-driven organization working to improve access to and affordability of life-saving medicines, especially those researched and developed at universities with public funding. Other health professionals featured include: Dr. Michael Fine, Rhode Island's former Health Director, who organizes healthcare on behalf of marginalized communities; and Dr. Danielle Ofri of New York's Bellevue Hospital.  Director Greg Barker (The Final Year, The Longest War, Sergio), and Producer Harriet Fraser stop by to talk about the critically important issues surrounding the industry's profit over people ethos and the daunting challenge millions of Americans face trying to gain access to effective, affordable health care. Watch on fuse.tv/v/white-coat-rebels For more go to: rocofilms.com/films/white-coat-rebels

Searching for Medicine‘s Soul
The Heart of Medicine with Danielle Ofri

Searching for Medicine‘s Soul

Play Episode Listen Later Sep 1, 2022 52:10


On this episode of Searching for Medicine's Soul, Aaron Rothstein is joined by Danielle Ofri, Clinical Professor of Medicine at the New York University School of Medicine and founder of the Bellevue Literary Review. The two discuss Ofri's work chronicling the challenges to the relationship between doctor and patient: administrative creep in the medical field, nonprofit hospital (mis)behavior, and the application of the adversarial patient compensation system to unintended medical errors. See also: Danielle's website When We Do Harm, Danielle's latest book The Bellevue Literary Review  

The Podcast by KevinMD
Getting an appointment with primary care is the Achilles' heel of medicine

The Podcast by KevinMD

Play Episode Listen Later Aug 26, 2022 18:37


"'Doctor, it's taken so long to get this appointment with you!' This is the opening line of so many medical visits, and I find myself constantly apologizing to my patients on behalf of our system. After the pandemic-induced lull in routine medical care, we're right back where we started—doctors booked for months, patients struggling to get appointments. The difficulty with access to medical care is endemic to our entire medical system. Even before the pandemic, less than a fifth of American doctors were able to take new patients, and more than 80 percent were at capacity or over-extended. Some 16,000 medical practices closed down because of the pandemic. This is especially concerning in primary care, which is on track for a shortage of up to 48,000 physicians. It's not surprising that lack of access to primary care doctors is associated with higher mortality." Danielle Ofri is an internal medicine physician and editor-in-chief, Bellevue Literary Review, and is the author of When We Do Harm: A Doctor Confronts Medical Error. She shares her story and discusses her KevinMD article, "Getting an appointment with primary care is the Achilles' heel of medicine." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

The Nocturnists
Conversations: Danielle Ofri, MD

The Nocturnists

Play Episode Listen Later Aug 23, 2022 50:49


In this episode, Emily speaks with physician-author Danielle Ofri about the science of writing, the art of medicine, and the imperative of recognizing stories as a tool for healing. The Nocturnists is partnering with VCU Health Continuing Education to offer FREE CME credits for healthcare professionals. Visit ce.vcuhealth.org/nocturnists to claim credit for this episode. Find show notes, transcript, and more at thenocturnists.com.

Pink Collar: A True Crime Podcast
99. Hadiza Bawa-Garba - Physician Charged with Manslaughter

Pink Collar: A True Crime Podcast

Play Episode Listen Later Aug 11, 2022 50:36


On Friday, February 18th, 2011, six-year-old Jack Adcock was admitted to the hospital by his general practitioner for nausea, vomiting, and diarrhea. His doctor, Hadiza Bawa-Garba, started him on fluids and requested tests. At the time she had just returned from 13 months of maternity leave and was brand new to the hospital. Her supervisor was a town away and she was covering the role of two other doctors. Around 7PM that night, Jack's parents gave him his medication for high blood pressure, just as they would have at home. Jack went into cardiac arrest and a team immediately started to resuscitate him. However, the electronic health records system was down that day, causing Dr. Bawa-Garba to confuse Jack for a different patient that had occupied his room earlier with orders for a DNR. They resumed life saving efforts but it was too late, Jack was pronounced dead at 9:20 PM that evening. Dr. Bawa-Garba was charged and convicted with manslaughter by gross negligence. She was also banned from practicing medicine. The medical community was shocked and outraged. Dr. Bawa-Garba was able to appeal the decision and reduce the ban to one year, but the manslaughter conviction remained. Listen now for the full story! https://mediadiversified.org/2018/02/08/racism-blame-and-the-nhs/Rachel's SourcesWhen We Do Harm by Danielle Ofri, MDhttps://www.mayoclinic.org/diseases-conditions/atrioventricular-canal-defect/diagnosis-treatment/treatment/txc-20361532#:~:text=Surgery%20to%20correct%20atrioventricular%20canal,heart's%20lining%20grows%20over%20them.https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/gastroenteritishttps://thehealthcareblog.com/blog/2018/01/30/to-err-is-homicide-in-britain-the-case-of-dr-hadiza-bawa-garba/https://www.bbc.com/news/av/uk-england-leicestershire-45177024https://www.bbc.com/news/health-43610949

MPR News with Kerri Miller
From the archives: Dr. Danielle Ofri on how to communicate with your health care provider

MPR News with Kerri Miller

Play Episode Listen Later May 17, 2022 31:23


Medical technology has advanced exponentially. So why are patient-physician relationships stuck in the past? That's the heart of the question in Dr. Danielle Ofri's book, “What Patients Say, What Doctors Hear.” Enjoy this archive offering from 2017 as you get ready for Friday's conversation between Kerri Miller and author Megan O'Rourke about the difficulty of getting doctors to take chronic illnesses seriously.

Inside Medical Malpractice
The Best of Inside Medical Malpractice Part 2

Inside Medical Malpractice

Play Episode Listen Later Apr 14, 2022 62:44


Chris Rokosh ends almost every episode of Inside Medical Malpractice with the question “What is the most important thing you'd like doctors, nurses, lawyers, and the public to know about medical malpractice?”. The answers came from healthcare providers, plaintiff and defense lawyers, and a supreme court judge.  The responses are as different as their perspectives….but always honest, insightful, and thought provoking. In this episode, listen in as Dr. Michael Narvey, Former Chief Supreme Court Justice Beverly McLaughlin, Ob/Gyn Dr. Colin Birch, Internist Dr. Danielle Ofri, and lawyers Virginia May, Barb Legate and Michael Waite offer up their advice. You're going to love this episode! If you missed Part 1 of this episode, go back, and have a listen to the ‘best of the best' of Inside Medical Malpractice.  For more medical legal education, visit our website! https://www.connectmlx.com/education/connect-to-education. 

The Podcast by KevinMD
Danielle Ofri, MD on sharing stories and the emotional epidemiology of disease

The Podcast by KevinMD

Play Episode Listen Later Feb 16, 2022 20:13


"This last mile of the COVID pandemic—Omicron or not—is a painstaking one-on-one endeavor. As is most of primary care. Sadly, we now have to deal with political epidemiology as much as emotional and clinical epidemiology. We'll sit with each of our patients, listening as much as possible, attempting to understand and address their concerns. With some, the bloc of silence may be impenetrable. This is heartbreaking, especially for those of us who've penned more condolence cards this past year than we have in a lifetime of clinical practice. But such is the reality of our society's self-inflicted wounds." Danielle Ofri is an internal medicine physician and editor-in-chief, Bellevue Literary Review. She can be reached at her self-titled site, Danielle Ofri. She shares her story and discusses her KevinMD article, "Emotional epidemiology of disease is as critical as clinical epidemiology." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode. This episode is sponsored by Athelas, the number one provider of remote patient monitoring. Did you know more than 65 percent of doctors are actively investing in remote patient monitoring? That's because RPM is the fastest-growing segment in health care today. And for good reason: RPM boosts patient outcomes through preventative care. In fact, a recent study by the VA showed that implementing RPM at a practice can reduce hospital readmission rates by as much as 25 percent, saving more than $20,000 per patient in medical costs. If you're not investing in RPM, you're missing out. Luckily, Athelas can help you roll out RPM end-to-end. They provide devices to your patients, handle 100 percent of billing, and even provide a team of nurses to monitor patient vitals for you. All at zero net cost to your practice. Try out RPM for your practice by going to KevinMD.com/tryrpm. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out.

Daily Remedy
A conversation with Dr. Ofri, editor in chief of Bellevue Literary Review

Daily Remedy

Play Episode Listen Later Nov 13, 2021 37:42


We interview Dr. Danielle Ofri, a pioneer in narrative medicine and the editor in chief of Bellevue Literary Review (BLR). She transformed BLR from an outgrowth of New York University to an independent publishing house. Now BLR celebrates its twentieth anniversary. To learn more about BLR, please select the link below: https://blreview.org/

First Opinion Podcast
Episode 16: Danielle Ofri on her postmortem folder

First Opinion Podcast

Play Episode Listen Later May 26, 2021 26:32


Danielle Ofri experienced the pandemic firsthand at Bellevue Hospital in New York. As a primary care physician, Ofri makes life-long connections with her patients. She talks about the importance of recognizing the emotion that comes when a patient dies, how her experiences as a medical resident during the AIDS crisis shaped her career, and how the Covid-19 pandemic will have a similar career-sculpting effect on today's trainees. The conversation starts with Ofri's First Opinion essay, "My ‘postmortem' folder and the intensely personal nature of the latest Covid-19 surge."

Film Forum Presents
HOPE - Maria Sødahl, Stellan Skarsgård & Andrea Bræin Hovig

Film Forum Presents

Play Episode Listen Later Apr 23, 2021 49:07


In this episode, Film Forum Presents a conversation with Maria Sødahl, writer and director of the new film HOPE, and the film’s stars, Stellan Skarsgård and Andrea Bræin Hovig. Based on Sødahls’ real life experiences, HOPE centers on a couple played by Skarsgård and Hovig whose relationship is tested by crisis. The acclaimed drama was Norway’s official submission to the 2021 Oscars for Best International Feature Film. This episode’s event was co-presented by the Bellevue Literary Review, with editor-in-chief Danielle Ofri serving as moderator. HOPE is now playing theatrically at Film Forum and in our Virtual Cinema at www.filmforum.org. Special thanks to KimStim, Sasha Berman, Danielle Ofri and the Bellevue Literary Review for making this event possible. Photo by Agnete Brun.

Doctor Thyroid
Medical Error and Addressing Patient Safety with Dr. Danielle Ofri

Doctor Thyroid

Play Episode Listen Later Apr 5, 2021 49:07


Dr. Danielle Ofri is a doctor at Bellevue Hospital in New York City. She is one of the foremost voices in the medical world today, shining an unflinching light on the realities of healthcare and speaking passionately about the doctor-patient relationship. Her newest book is "When We Do Harm: A Doctor Confronts Medical Error." Ofri is a regular contributor to the New York Times and is also the editor-in-chief of the Bellevue Literary Review. She lives in New York City and is determined to get through the Bach cello suites before she kicks the bucket. In this episode: Medical error is the third leading cause of death? After heart disease and cancer. Intended audience for the book? A general audience; lay-public and medical professionals. It is difficult to define a medial error. Starting medication at wrong dose? What errors cause death? This can be vague. Hospitalized patients are different than the general public All sorts of patient harm should be brought to light — shift the medical field to “more safe” should be our goal. Once you are in the patient chair, one loses their strength and power. System flaws: more common error is a qualified professional who is burdened by design flaws — including false alarms. Collaboration and intellectual humility — recognizing we don’t know. Patients are sicker and more chronic conditions, mean collaboration helps reduce error. Denmark as an example to error response: acknowledge and apologize. The U.S. malpractice system as part of the problem. Qualifiers of malpractice: harm occurred, doctor was the cause, and consequence was big enough to make the case worthwhile. Who is making the laws about malpractice? Could be an underlining agenda. Recourse for patients: 1. Talk with doctor or nurse. 2. The hospital’s patient advocate. 3. Insurance patient advocates. 4. Local Board of Health. 5. Keep notes, and have a paper trail. The system is not designed to get information easy — take advantage of CARES Act. When transparency backfires; if a doctor is treating high risk patients, then their error will be higher. Doctors penalized for spending more time with a patient. The need for silence or time to think. The problem with the “reimbursement” model. Medical error, adverse events, and unintended consequences. Over-treating and over-diagnosis in regard to prostate or thyroid. Statute of limitations. Errors that don’t cause harm. Wash your hands and stop and think. Dr. Ofri’s Links: Bellevue Literary Review www.danielleofri.com “When We Do Harm: A Doctor Confronts Medical Error” New Yorker Covid Diary Recent events - Dr. Ofri: tinyurl.com/BLRViral  Covid Writing Goes Viral: How Literary and Social Media Writing Became a Lifeline during the Pandemic tinyurl.com/ReadingTheBody Reading the Body: Poetry, Dance & Disability Notes CARES Act Hardeep Singh, M.D., M.P.H. Doctor Thyroid Facebook Doctor Thyroid with Philip James Twitter philipjames@docthyroid.com  

Medicine and the Machine
COVID Writing Goes Viral: How Literary and Social Media Writing Became a Lifeline During the Pandemic

Medicine and the Machine

Play Episode Listen Later Mar 26, 2021 46:01


This is a special episode of the 'Medicine and the Machine' podcast, to celebrate Bellevue Literary Review's 20th anniversary -- with Dr Eric Topol, Dr Abraham Verghese, and Dr Danielle Ofri.

The Visible Voices
Danielle Ofri on Writing and Storytelling

The Visible Voices

Play Episode Listen Later Mar 4, 2021 20:48


Resa speaks with Danielle Ofri, MD, PhD, a clinical professor of medicine at the New York University School of Medicine. She has worked at Bellevue Hospital for decades. They discuss writing and finding one's voice through writing  Dr. Ofri recently released When We Do Harm. She is the author of many books and has regular contributions in Slate, New York Times, the New England Journal of Medicine, and the Lancet.. They discuss her June 2019 New York Times OpEd piece The Business of Health Care Depends on Exploiting Doctors and Nurses One resource seems infinite and free: the professionalism of caregivers. Listen to Dr. Ofri's TEDMED talk.  Twitter @danielleofri Website danielleofri.com

Doctors Who Create
#32 Re-imagine Notes

Doctors Who Create

Play Episode Listen Later Jan 1, 2021 60:21


Welcome to episode 2 of 3 in our Re-imagine Healthcare mini-series! This time, we'll be talking all about medical documentation. In this episode, learn how Dr. Danielle Ofri, Dr. Prashant Patel, and Dr. Ken Braslow write their clinical notes and hear their ideas on how to improve the documentation process. You can check out more of Dr. Ofri's work at www.DanielleOfri.com and the Bellevue Literary Review, www.BLReview.org. Or at the upcoming virtual screening of Why Doctors Write on January 11th, 2021: https://www.tickettailor.com/events/bellevueliteraryreview/463821#. You can learn more about Luminello, the user-friendly EHR founded by Dr. Braslow, at www.luminello.com. Stay tuned for our next episode on Re-Imagine Consults. If you'd like to share your ideas about how to improve consultations, send us an email at dwcfilesubmission@gmail.com. At Doctors Who Create, our podcasts are brought to you by Darlina Liu and Mekala Neelakantan. Music for this episode is credited to the band, Nightfloat. As always, please tweet us (@doctorscreate) with any questions, comments, or feedback!

Docs Outside The Box - Ordinary Doctors Doing Extraordinary Things
206 - End of Year Rewind - Dr. Danielle Ofri: Is our biggest strength our greatest weakness?

Docs Outside The Box - Ordinary Doctors Doing Extraordinary Things

Play Episode Listen Later Dec 31, 2020 38:47


Our 4th most downloaded episode this year was Episode 153 - Is our biggest strength our greatest weakness? It’s well known that doctors put patients first even though it may have negative social effects on doctors. Whether we call it professionalism or an edict, this way of life has allowed us to be viewed as unbiased advocates for our patients.   Dr. Danielle Ofri joins me on this episode to discuss an Op-Ed she wrote in the NY Times last year discussing if our professionalism is being taken advantage of by hospitals.  Dr. Danielle Ofri  is an internist at Bellevue Hospital and NYU School of Medicine. She writes regularly for the New York Times, Slate Magazine and other publications about medicine and the doctor-patient relationship. Dr. Ofri is the author of five books, including, most recently, “What Patients Say; What Doctors Hear.” Her TED talks include Deconstructing Perfection and Fear: A Necessary Emotion.   Transcription: (coming soon)   This episode is sponsored by Provider Solutions & Development. Experts in holistic career coaching – check them out at www.psdrecruit.org/docsoutsidethebox    

Dr. Death
Dr. Fata: How To Spot a Dr. Death | 5

Dr. Death

Play Episode Listen Later Dec 30, 2020 45:09


Imagine you're working at a hospital and you notice something isn't right: what do you do? Season One and Two of Dr Death featured medical professionals who crossed the line. Laura Beil speaks with Dr. Danielle Ofri, author of “When We Do Harm: A Doctor Confronts Medical Error.”

The Short Coat
Recess Rehash: When Doctors Do Harm ft. Danielle Ofri, MD

The Short Coat

Play Episode Listen Later Dec 3, 2020 56:07


Hippocrates set a high bar. [Hope your Thanksgiving was excellent, safe, and happy! We didn't record anything this week, so here's a rerun for you.]Dr. Danielle Ofri–NYU professor of medicine, Bellevue Hospital internist, and author of great renown–joined us this time to talk about her new book, When We Do Harm: A Doctor Confronts Medical Error.  Examining medical errors is a something all good physicians do–sometimes on a stage in front of their colleagues but often surreptitiously. However, “mistakes were made” simply isn't acceptable to most patients and lawyers. Meanwhile, the shame felt by practitioners who make mistakes is not only unhelpful but hinders their development and can contribute to burnout and depression.   Because of the consequences of shame are so dire, Dr. Ofri argues in her book that confronting mistakes in a humane, understanding, and open fashion is vital.  Not many years ago, a headline grabbed her attention:  medical errors are the third-leading cause of death in the United States.  How can that be? she wondered.  If people were dying at that rate, wouldn't physicians have noticed this earlier?  Of course, it turns out that the story of medical error is much more complicated than that headline would lead one to believe, and set Dr. Ofri on the path to this latest book.  Join MD/PhD student Aline Sandouk, M4 Marisa Evers, M2 Jessica De Haan, and M4 Anne Nora for this discussion on the sources of error, the causes, and the ways to understand and learn from the inevitable. We also discuss her and her colleagues' experiences fighting COVID-19 in New York City and learning about the disease in real time. We Want to Hear From You How'd we do on this week's show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It's always a pleasure to hear from you!…

Dr. Death Season 2: Dr. Fata
How to Spot a Dr. Death | 6

Dr. Death Season 2: Dr. Fata

Play Episode Listen Later Nov 24, 2020 46:29


Imagine you're working at a hospital and you notice something isn't right: what do you do? Season One and Two of Dr Death featured medical professionals who crossed the line. Laura Beil speaks with Dr. Danielle Ofri, author of “When We Do Harm: A Doctor Confronts Medical Error.”Listen early and ad free by joining Wondery+ in the Wondery App. https://wondery.app.link/drdeathSupport us by supporting our sponsors!Simplisafe - Visit Simplisafe.com/DOCTOR for a free security camera, plus a 60 day risk-free trial with any new system order.Zip Recruiter - Try for free at ZipRecruiter.com/DEATH.ThredUp - Get an extra 30% off your first order at thredup.com/doctor.Hello Fresh - Go to HelloFresh.com/DOCTOR80 and use code DOCTOR80 for a total of $80 off across 5 boxes, including free shipping on your first box.

Film Forum Presents
OLIVER SACKS: HIS OWN LIFE - Kate Edgar, Bill Hayes, Danielle Ofri

Film Forum Presents

Play Episode Listen Later Oct 7, 2020 61:12


In this episode, Film Forum Presents a conversation around Ric Burns’s new documentary, OLIVER SACKS: HIS OWN LIFE, organized and co-presented with the Bellevue Literary Review. The film chronicles the life and legacy of the celebrated physician, author and professor of neurology Oliver Sacks through his own work and words. We were joined by Kate Edgar, Dr. Sacks’s longtime editor and the Executive Director of the Oliver Sacks Foundation and Dr. Sacks’s life partner Bill Hayes, the acclaimed author and photographer. The discussion was moderated by Danielle Ofri, Editor-in-Chief of the Bellevue Literary Review. OLIVER SACKS: HIS OWN LIFE is now available for rental in our virtual cinema at www.filmforum.org. A portion of all rental fees support Film Forum. Special thanks to Zeitgeist Films and the Bellevue Literary Review for making this event possible. Photo by Bill Hayes.

Healthcare Rap
127 – Medical Error’s Effect On Business and Patients

Healthcare Rap

Play Episode Listen Later Sep 15, 2020 30:43


This year has brought issues of patient safety and inequities in medicine to the forefront in new ways. Dr. Danielle Ofri, author of When We Do Harm: A Doctor Confronts Medical Error, is in the house to share new ways of addressing medical error. In this episode, you’ll learn why acknowledging medical error is important for hospitals’ future business, how inequities in medicine worsen outcomes, and how to lean into the topic of patient safety. All that, plus the Flava of the Week about conveying the full value of advertising. Thanks to HCIC, Geonetric, and the Shift.Health Content Network for spreading the awesome, yo! See acast.com/privacy for privacy and opt-out information.

Inside Medical Malpractice
A Doctor Confronts Medical Error with Dr. Danielle Ofri, MD, PhD

Inside Medical Malpractice

Play Episode Listen Later Sep 12, 2020 66:03


Dr. Danielle Ofri MD, PhD is one of the most thought provoking and influential voices in healthcare today. She is a clinical professor at NYU School of Medicine, an internist at Bellevue Hospital and the author of several acclaimed books including ‘When We Do Harm. A Doctor Confronts Medical Error.’ Her discussion on adverse events in healthcare will make you stop and think for a very long time. Listen as Dr. Ofri highlights the importance of communication in health care and shares the one thing we can all do today to improve patient safety. Dr. Ofri believes that COVID-19 has shone a positive spotlight on healthcare providers, offering a unique opportunity to affect positive change. She also shares why malpractice lawyers should care about how doctors feel in the wake of a malpractice claim. Don’t miss this podcast!

Inside Medical Malpractice
Learn More About Dr. Danielle Ofri, MD, PhD

Inside Medical Malpractice

Play Episode Listen Later Sep 12, 2020 22:33


In this insightful and personal interview, Danielle Ofri talks about how much she loves the combination of medicine and writing, where she’s finds beauty, and what it’s been like to be quarantined with 3 teenagers. She shares her memory of the most harrowing experience during the COVID-19 pandemic and how ‘moral burdening’ leads to burnout. Don’t miss when she shares her thoughts on what people most often get wrong about her, where courage really lies, and the advice she’d offer her younger self if she only could.

The EPAM Continuum Podcast Network
The Resonance Test 52: Danielle Ofri, Author of "When We Do Harm"

The EPAM Continuum Podcast Network

Play Episode Listen Later Sep 2, 2020 31:35


We need to talk about electronic medical records. Dr. Danielle Ofri certainly does. Why? The physician-author of the newly published volume, *When We Do Harm,* tells our Jonathon Swersey, on the latest episode of this podcast: “I was just tearing my hair out” because a patient requested a biopsy report and she spent nearly 45 minutes trying to extract it from the EMR. When Ofri says “now it falls on the clinicians to somehow find time to customize the EMR to make it workable,” you get a vivid sense of how EMRs contribute to physician burnout. Ofri, it turns out, has all kinds of strong opinions. Listen to this episode and you'll learn, for instance, how *shame* functions in the world of medical error. (After making an error as a second-year resident, she says: “It took me 20 years till I could talk about and write about it.”) Ofri also discusses the naming of medicines, the common good and American healthcare, and what it's like to practice medicine during the current pandemic and prepare for the next one. Attend to Ofri, *Resonance Test* listeners. When she speaks, she does good. Host: Kyle Wing Editor: Kyp Pilalas Producer: Ken Gordon

HealthCare UnTold
Dr. Danielle Ofri, Clinical Professor of Medicine, Physician, and Author of the recent book: When We Do Harm A Doctors Confronts Medical Error

HealthCare UnTold

Play Episode Listen Later Aug 26, 2020 34:01


The challenge for physicians to provide quality health care in the  limited time allowed.Health Care billing and procedures that direct doctors care.Suing physicians and hospitals for medical errors  create environments of fear and intimidation  that do not support health care improvement. 

The Short Coat
When Doctors Do Harm ft. Danielle Ofri, MD

The Short Coat

Play Episode Listen Later Aug 6, 2020 56:07


Hippocrates set a high bar. Dr. Danielle Ofri–NYU professor of medicine, Bellevue Hospital internist, and author of great renown–joined us this time to talk about her new book, When We Do Harm: A Doctor Confronts Medical Error.  Examining medical errors is a something all good physicians do–sometimes on a stage in front of their colleagues but often surreptitiously. However, “mistakes were made” simply isn't acceptable to most patients and lawyers. Meanwhile, the shame felt by practitioners who make mistakes is not only unhelpful but hinders their development and can contribute to burnout and depression.   Because of the consequences of shame are so dire, Dr. Ofri argues in her book that confronting mistakes in a humane, understanding, and open fashion is vital.  Not many years ago, a headline grabbed her attention:  medical errors are the third-leading cause of death in the United States.  How can that be? she wondered.  If people were dying at that rate, wouldn't physicians have noticed this earlier?  Of course, it turns out that the story of medical error is much more complicated than that headline would lead one to believe, and set Dr. Ofri on the path to this latest book.  Join MD/PhD student Aline Sandouk, M4 Marisa Evers, M2 Jessica De Haan, and M4 Anne Nora for this discussion on the sources of error, the causes, and the ways to understand and learn from the inevitable. We also discuss her and her colleagues' experiences fighting COVID-19 in New York City and learning about the disease in real time. We Want to Hear From You How'd we do on this week's show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It's always a pleasure to hear from you!…

The Nurse Keith Show
Confronting Medical Errors With Physician Author Dr. Danielle Ofri | The Nurse Keith Show, EPS 282

The Nurse Keith Show

Play Episode Listen Later Aug 4, 2020 48:28


On episode 282 of The Nurse Keith Show nursing career and healthcare podcast, Keith interviews physician author Dr. Danielle Ofri, MD, PhD, regarding the need to rigorously confront medical errors. Dr. Ofri is one of the foremost voices in the medical world, shining an unflinching light on the realities of healthcare and the doctor-patient relationship. Nurse Keith is a holistic career coach for nurses, as well as a professional podcaster, published author, inspiring speaker, and successful nurse entrepreneur.  The Nurse Keith Show is a proud member of Ars Longa Media, a collaborative network of podcasts and media entities adding a humanistic touch to professional education, educate the public from a scientifically informed perspective, and improve lives by addressing social ills. The Nurse Keith Show is also a proud member of The Health Podcast Network, one of the largest and fastest-growing collections of authoritative, high-quality podcasts taking on the tough topics in health and care with empathy, expertise, and a commitment to excellence. Show notes NurseKeith.com Facebook.com/NurseKeithCoaching Twitter.com/nursekeith Instagram.com/nursekeithcoaching LinkedIn.com/in/keithallancarlson

Constant Wonder
Medical Error

Constant Wonder

Play Episode Listen Later Jul 27, 2020 52:47


Nursing ErrorsGuest: Danielle Ofri, attending physician at Bellevue Hospital, clinical professor of medicine at NYU School of Medicine, Editor-in-Chief of the "Bellevue Literary Review," and author of "When We Do Harm: A Doctor Confronts Medical Error"Medical errors are all statistics until they happen to someone you know. How and when do doctors and nurses screw up? And is being done to lower the odds? Dr. Danielle Ofri's new book tackles the statistics and the stories behind them, including her own near fatal mistake misreading a chart when she was a young doctor. How a Hungarian Physician Saved Women from Childbed Fever and Became the ‘Savior of Mothers'Guest: Anthony Valerio, editor and teacher, author of “Semmelweis”Long before anyone knew what a germ was, in the 1840s, a young Hungarian doctor in Vienna fought to get doctors and nurses to wash their hands. He was ignored, and ultimately driven from the profession. And unnecessary deaths continued for decades to come. We now have a term for what happened. "Semmelweiss Syndrome" happens when experts ignore evidence because it contradicts their traditions and biases.

Constant Wonder
Medical Error

Constant Wonder

Play Episode Listen Later Jul 27, 2020 52:46


Dr. Danielle Ofri plunges into the world of medical malpractice that is often the fault of the medical system, rather than individual doctors. Anthony Valerio tells the story of how doctors began washing their hands thanks to a young Hungarian doctor Ignaz Semmelweis in 1840.

Relentless Health Value
INBW27: Two Metrics to Measure the Value of Care Delivered

Relentless Health Value

Play Episode Listen Later Jul 2, 2020 18:27


This past March, I was looking forward to giving a keynote at the Arizona Technology Council. Unfortunately, that didn’t happen. COVID happened. But in the process of figuring out what I was going to talk about during my keynote, I came up with an idea and I wanted to share it. It’s the idea of how to measure value in health care delivery, because might as well go big or go home, right? The metrics that we use to measure value is critical, and not just because what gets measured gets managed. It’s because American health care is the biggest most impressive display of game theory anyone anywhere has ever seen. I am not easily impressed, and I have to say that I am unfailingly and frequently more than impressed by the cognitive prowess and sheer determination among some parties to game the system and reach as much profit as possible at the expense of patients and taxpayers. So, coming up with the right metrics is paramount. The metrics have to be unimpeachable; they have to be immune to those who have every intention of twisting them against their spirit. For more information, go to aventriahealth.com.  When not hosting the show, Stacey is co-president of Aventria Health Group, a marketing agency and consultancy. Aventria specializes in helping pharmaceutical, employer, pharmacy, and health system clients improve patient outcomes by creating and leveraging collaborations with other health care organizations. For more than 20 years, Stacey has innovated better-coordinated health solutions benefiting all stakeholders and, most of all, the patient.   01:28 Health care profiteering and the halo effect. 02:16 Dr. Robert Pearl’s book, Mistreated.02:27 “If there’s money on the table, it’s really hard to not take it.” 02:42 How Stacey came up with her first metric. 04:31 The impact of caring for the patient on patient outcomes. 06:09 The quadruple aim. 06:50 “An endgame of nouns” vs “the verbs which are going to get us there.” 07:19 How are we helping patients and providers? 09:02 Making the touchstone “helping physicians help patients.” 09:50 Gary Price, MD, on the Healthcare Strategies podcast from Xtelligent Media.10:36 Danielle Ofri, MD, at danielleofri.com.12:04 Eric Topol, MD, and “the gift of time.” 12:36 The first metric: optimizing time for patients. 14:31 Financial toxicity in health care. 15:24 Marty Makary, MD, MPH, author of The Price We Pay.17:11 Two metrics: optimal time with patients and reduction of cost for patients. For more information, go to aventriahealth.com. Check out our latest #healthcarepodcast with our host, Stacey, as she discusses two metrics to measure the value of #caredelivered. #healthcare #podcast #digitalhealth #healthtech #valuebasedcare #caredelivery #Healthcareprofiteering and the #haloeffect. Our host, Stacey, discusses two metrics to measure the value of #caredelivered. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech #valuebasedcare #caredelivery “If there’s money on the table, it’s really hard to not take it.” Our host, Stacey, discusses two metrics to measure the value of #caredelivered. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech #valuebasedcare #caredelivery The impact of caring for the patient on patient outcomes. Our host, Stacey, discusses two metrics to measure the value of #caredelivered. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech #valuebasedcare #caredelivery The quadruple aim. Our host, Stacey, discusses two metrics to measure the value of #caredelivered. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech #valuebasedcare #caredelivery “An endgame of nouns” vs “the verbs which are going to get us there.” Our host, Stacey, discusses two metrics to measure the value of #caredelivered. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech #valuebasedcare #caredelivery How are we helping patients and providers? Our host, Stacey, discusses two metrics to measure the value of #caredelivered. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech #valuebasedcare #caredelivery The first metric: optimizing time for patients. Our host, Stacey, discusses two metrics to measure the value of #caredelivered. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech #valuebasedcare #caredelivery #Financialtoxicity in health care. Our host, Stacey, discusses two metrics to measure the value of #caredelivered. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech #valuebasedcare #caredelivery Two metrics: optimal time with patients and reduction of cost for patients. Our host, Stacey, discusses two metrics to measure the value of #caredelivered. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech #valuebasedcare #caredelivery  

Radio Times
Coronavirus testing and medical mistakes under the pandemic

Radio Times

Play Episode Listen Later May 29, 2020 49:00


We get an update on COVID-19 testing and talk with physician Danielle Ofri about treating patients during pandemic and her new book, "When We Do Harm."

Medicine and the Machine
Up From the Abyss: Bellevue Starts to Reopen After COVID Peak

Medicine and the Machine

Play Episode Listen Later May 27, 2020 36:34


After a month that felt like years, Bellevue hospital staff are starting to reform their daily routines in a changed world. Dr Danielle Ofri shares her insights.

The Voice of Medicine
"A diagnosis is a moving target" The talk with Danielle Ofri, MD

The Voice of Medicine

Play Episode Listen Later May 23, 2020 30:07


What does it mean for a doctor to become the patient? How important is to posess intellectual humility? Danielle is a gifted writer and her career as a doctor gave her enough input to produce a number of great books. These books and the experience that inspired her to write them are the topic of this podcast. We speak about the necessity for emotional balance in doctors. There is a need for doctors to have enough room to be angry, sad, or happy. Moreover doctors need to be able to tend emotionally to their patients as well. Danielle explained to me that the whole topic of medical error is a complex one. Definitions and data are not conclusive and people should be careful when interpreting them. Danielle ends the interview with some great advice for future doctors. Guest: Danielle Ofri, MD Bellevue Hospital NYC Host: Michal Hulik, psychologist

Top of Mind with Julie Rose
Supreme Court, Coral Reef Forensics, Medical Harm

Top of Mind with Julie Rose

Play Episode Listen Later May 21, 2020 98:43


Renee Knake Jefferson of University of Houston Law Center on “Shortlisted: Women in the Shadows of the Supreme Court." Ken Goddard of the US Fish and Wildlife Services on coral reef forensics. Jerry Chow of IBM on quantum computers. Danielle Ofri of Bellevue Hospital on “When We Do Harm: A Doctor Confronts Medical Error.” Karalyn Joseph, C.A.S.T. founder on Neurodiverse Theater. Clinton Wright of the National Institute of Neurological Disorders and Stroke on stroke awareness.

The Visible Voices
Danielle Ofri MD Phd, Writing, and When We Do Harm

The Visible Voices

Play Episode Listen Later May 6, 2020 19:08


Resa speaks with Danielle Ofri, MD, PhD, a clinical professor of medicine at the New York University School of Medicine. She has worked at Bellevue Hospital for decades. They discuss writing and finding one's voice through writing  Dr. Ofri recently released When We Do Harm. She is the author of many books and has regular contributions in Slate, New York Times, the New England Journal of Medicine, and the Lancet.. They discuss her June 2019 New York Times OpEd piece The Business of Health Care Depends on Exploiting Doctors and Nurses One resource seems infinite and free: the professionalism of caregivers. Listen to Dr. Ofri's TEDMED talk. 

BMJ's Coronavirus (COVID-19) playlist
Feeling the fear with Iona Heath and Danielle Ofri

BMJ's Coronavirus (COVID-19) playlist

Play Episode Listen Later Apr 22, 2020 49:59


A new podcast from The BMJ, to help GP's feel more connected, heard, and supported. Subscribe on; Apple podcasts - https://bit.ly/applepodsDBI Spotify - https://bit.ly/spotifyDBI Google podcasts - https://bit.ly/googlepodsDBI This week, our topic is fear: we try to get a better understanding of fear, how it affects all of us as clinicians for better or for worse, and the impact that fear has on the ways in which we approach our patients & practice. Does fear distort our judgement, and increase the likelihood of blundering, or does a healthy dose of fear help to keep us grounded? Our guests: Iona Heath is a former GP and president of the Royal College of GPs. Danielle Ofri is an internist at Bellevue Hospital in New York, and Clinical Professor of Medicine at NYU School of Medicine. She has written several books on topics such as medical error and how doctors' emotions affect their practice. The Deep Breath Out - The bees of Brockwell Park Surgery https://www.bmj.com/podcasts/deepbreathin

The BMJ Podcast
Feeling the fear with Iona Heath and Danielle Ofri

The BMJ Podcast

Play Episode Listen Later Apr 22, 2020 49:59


A new podcast from The BMJ, to help GP's feel more connected, heard, and supported. Subscribe on; Apple podcasts - https://bit.ly/applepodsDBI Spotify - https://bit.ly/spotifyDBI Google podcasts - https://bit.ly/googlepodsDBI This week, our topic is fear: we try to get a better understanding of fear, how it affects all of us as clinicians for better or for worse, and the impact that fear has on the ways in which we approach our patients & practice. Does fear distort our judgement, and increase the likelihood of blundering, or does a healthy dose of fear help to keep us grounded? Our guests: Iona Heath is a former GP and president of the Royal College of GPs. Danielle Ofri is an internist at Bellevue Hospital in New York, and Clinical Professor of Medicine at NYU School of Medicine. She has written several books on topics such as medical error and how doctors' emotions affect their practice. The Deep Breath Out - The bees of Brockwell Park Surgery https://www.bmj.com/podcasts/deepbreathin

Deep Breath In
Feeling the fear with Iona Heath and Danielle Ofri

Deep Breath In

Play Episode Listen Later Apr 22, 2020 49:59


A new podcast from The BMJ, to help GP's feel more connected, heard, and supported. Subscribe on; Apple podcasts - https://bit.ly/applepodsDBI Spotify - https://bit.ly/spotifyDBI Google podcasts - https://bit.ly/googlepodsDBI This week, our topic is fear: we try to get a better understanding of fear, how it affects all of us as clinicians for better or for worse, and the impact that fear has on the ways in which we approach our patients & practice. Does fear distort our judgement, and increase the likelihood of blundering, or does a healthy dose of fear help to keep us grounded? Our guests: Iona Heath is a former GP and president of the Royal College of GPs. Danielle Ofri is an internist at Bellevue Hospital in New York, and Clinical Professor of Medicine at NYU School of Medicine. She has written several books on topics such as medical error and how doctors' emotions affect their practice. The Deep Breath Out - The bees of Brockwell Park Surgery https://www.bmj.com/podcasts/deepbreathin

Licensed to Lead
004 - Physician Burnout: Definition, Controversies and Etiology

Licensed to Lead

Play Episode Listen Later Apr 21, 2020 57:51


Physician Burnout: Definition, Controversies and Etiology The last episode waded into the murky waters of graduate business education. Anyone listening to that podcast should have emerged with serious doubts about whether an MBA is a desirable credential for healthcare, much less for healthcare leadership. This Licensed to Lead Podcast is the first of four episodes zeroing in on physician burnout. What is it? Why is it? And how is it that the word “burnout” has become radioactive? This episode defines the terms, takes a look at the assessments used to determine the presence of burnout, and fleshes out the controversies and the causes. Part 1: What is burnout? How is it measured? Research tells us that on day one of medical school, medical students have lower rates of burnout and depression than a matched cohort. The impending medical students are more mentally healthy and stable than their counterparts. Research also tells us that once in medical school, students develop very high rates of depression and burnout. So they go in more mentally stable than their peers, and they get sick. The “canary in the mine” analogy is apt. And everyone who’s anyone in the world of burnout agrees: The World Health Organization, Berkeley professor emeritus Christina Maslach (of the eponymous Maslach Burnout Inventory), even Pamela Wible, MD (author of “Burnout is Bullshit!”) agree that burnout is an occupationally induced syndrome. It is caused by the workplace. It’s not the doctor’s lack of resilience or predisposition to mental illness or Patchouli oil deficiency that creates a 50% burnout rate. Doctors don’t start out with it. A damaging work environment ushered in by unenlightened, unskilled, or uncaring leaders is the source. How is burnout measured? In 1981, Christina Maslach and Susan Jackson developed the Maslach Burnout Inventory (MBI). The standard 22-item questionnaire has three domains: 1. Exhaustion, typically emotional exhaustion 2. Cynicism (or depersonalization), a loss of caring about work, colleagues and patients 3. Inefficacy, feelings of incompetence There are multiple versions of the MBI which have been adapted for various groups as well as truncated versions which correlate well with the original MBI. Part 2: What’s so controversial about burnout? The word “burnout” has become radioactive. It has been co-opted by resilience consultants and administrators who prefer to “fix” doctors rather than crawl into that coalmine to eliminate the toxicity. This is a masterful sleight of hand by those who control the direction, the dollars and the microphones in our healthcare institutions. Another area of controversy is whether the “burnout” accurately captures the issue. Drs. Wendy Dean and Simon Talbot believe the term “moral injury” is a more accurate description of what happens to doctors in toxic institutions. They describe this as the trauma done to physicians who succumb to the influence of a pernicious system that doesn't share the professional values of physicians—a pernicious system that constructs barriers to doing the right thing. Pamela Wible, MD says we should dump the term burnout because what’s really going on is a systematic violation of human rights. That argument is particularly relevant to medical students and residents who are vulnerable to abuse of power by those with influence over their career options. PART 3: Physician Burnout Data and More The causes are not a mystery. The RAND/AMA survey of 2013 spelled it out—physicians are dissatisfied by: -being thwarted in their attempts to provide high quality care -the electronic health record which is dysfunctional and drives an inordinate amount of meaningless work for physicians -In addition to the above, other sources list the following elements: -high workload with long work hours and time pressure but no recovery time -chaotic work environments -lack of control over work -values dissonance which prioritizes corporate profits over care of patients A disconcerting component of all the burnout research is the serial documentation of relentlessly high physician burnout without a focus on the ultimate source of the problem: leadership. In the next episode: a summary of the harm done to physicians, patients and practices, and the enormous financial impact. Then a no-holds-barred discussion of the real issues, which are created by leadership invested in the status quo. A note from the Licensed to Lead podcast host Patty Fahy, MD: Thank you for reading and listening. Visit FahyConsulting.com to learn more about how we work with physicians and other leaders to create healthy work cultures. Also—join future podcast conversations by sending me an email or leaving me a voice message. I would love to hear YOUR voice! Show Notes The Business of Health Care Depends on Exploiting Doctors and Nurses by Danielle Ofri, MD, PhD

Docs Outside The Box - Ordinary Doctors Doing Extraordinary Things
153 - Is our biggest strength our greatest weakness?

Docs Outside The Box - Ordinary Doctors Doing Extraordinary Things

Play Episode Listen Later Mar 9, 2020 36:38


It’s well known that doctors put patients first even though it may have negative social effects on doctors. Whether we call it professionalism or an edict, this way of life has allowed us to be viewed as unbiased advocates for our patients.   Dr. Danielle Ofri joins me on this episode to discuss an Op-Ed she wrote in the NY Times last year discussing if our professionalism is being taken advantage of by hospitals.  Dr. Danielle Ofri  is an internist at Bellevue Hospital and NYU School of Medicine. She writes regularly for the New York Times, Slate Magazine and other publications about medicine and the doctor-patient relationship. Dr. Ofri is the author of five books, including, most recently, “What Patients Say; What Doctors Hear.” Her TED talks include Deconstructing Perfection and Fear: A Necessary Emotion.  

Journal of the Advanced Practitioner in Oncology Podcast
Leveling the Playing Field for Women

Journal of the Advanced Practitioner in Oncology Podcast

Play Episode Listen Later Jan 22, 2020 27:00


A. Kate MacDougall, editor and writer, speaks with Beth Eaby-Sandy, MSN, CRNP, OCN, of the Abramson Cancer Center on data showing that women still lag behind men in areas like pay and leadership positions, and the particular challenges in oncology for women. Articles referenced in this episode: Women in Healthcare Leadership 2019, Oliver Wyman. https://www.oliverwyman.com/our-expertise/insights/2019/jan/women-in-healthcare-leadership.htmlStill a Man's Labor Market: The Slowly Narrowing Gender Wage Gap, Institute for Women's Policy Research, November 26, 2018. https://iwpr.org/publications/still-mans-labor-market/ 2017 National Nurse Practitioner Sample Survey, American Association of Nurse Practitioners, August 8, 2018. https://www.aanp.org/news-feed/2017-national-nurse-practitioner-sample-survey-resultsHow Medicine Became the Stealth Family-Friendly Profession, Claire Cain Miller, The New York Times, August 21, 2019. https://www.nytimes.com/2019/08/21/upshot/medicine-family-friendly-profession-women.html Female Physicians Reject Good Enough Miriam A. Knoll, MD, Forbes, 2019. https://www.forbes.com/sites/miriamknoll/2019/08/23/female-physicians-reject-good-enough/#1664020f63caThe Business of Health Care Depends on Exploiting Doctors and Nurses, Danielle Ofri, The New York Times, June 8, 2019. https://www.nytimes.com/2019/06/08/opinion/sunday/hospitals-doctors-nurses-burnout.html What's Holding Women in Medicine Back from Leadership, Harvard Business Review, June 19, 2018. https://hbr.org/2018/06/whats-holding-women-in-medicine-back-from-leadership

Doctor Me First
128: Most Downloaded Episodes in 2019 Countdown

Doctor Me First

Play Episode Listen Later Dec 30, 2019 34:16


TOP 10 DOWNLOADED EPISODES of Doctor Me First 10. Get Coached Episode 77 is where I share a snippet of coaching with a wonderful colleague around where her life is going and what she wants from it. 9. Quitting with Dr. Lynn Marie Morski Episode 41 be inspired that quitting is never a mistake if you learned something. #quittersunite today! 8. Is this really my life? Celebrating 100 episodes We made it to Episode 100!! I share my 2 different realities of “Is this really my life” from desperation to utter elation. 7. Perspective with Dr. Christi Bartlett In episode 96, Dr. Barlett shares her side of perspective as a palliative care physician, mom and woman. She gives a great quote, “Perspective can be a prison or a passport.” 6. From Skeptic to Meditator Episode 97 is the after conversation that I have with Dr. Jill Wener after me being a meditation student, my experience and Jill’s reason for being a meditation teacher. 5. Dr. Molly Maloof explains Healthspan In episode 99, Molly Maloof, MD tells about her tech company, Nutrasense, her innovative practice focusing on healthspan and her personal journey dropping out of residency to pursue a career as a doctor in tech. 4. Talking about Imposter Syndrome, Real Burnout Symptoms & Freebie Masterclass Episode 108 solocast shares more about a recent conference and talks about Imposter Syndrome, burnout and the masterclass I had on November 3.  Catch the replay on Youtube: https://youtu.be/l5IhCZOJ9rk 3. Article Review with Dr. Errin Weisman Episode 86, I talk about a New York Times article submitted by a listener. The article’s author, Dr. Danielle Ofri, wrote a beautiful piece in The Business of Health Care Depends on Exploiting Doctors and Nurses: One resource seems infinite and free: the professionalism of caregivers. 2. Burnt-out to Badass with Dr. Errin Weisman Episode 53, I get totally real and share my personal journey of being completely and utterly burnt out, the point when I reached hopelessness, how I transitioned to a now badass life and how I can help you too! 1. From Burnt Out to Badass with Dr. Errin Weisman Episode 95, I share more about my story, the signs and symptoms I wished I had recognized/know and challenge you today to WAKE UP so you can lead a badass life too! PS: Because of the response to episodes 53 & 95 "From Burnt-out to Badass"...there's a book and online interactive space being developed based on my experience and the experience of others who have excelled through and beyond burn-out and I'm just so excited to share it soon! Happy New Year! Errin If you are ready to join the Doctor Me First Mastermind starting January 5, 2020, sign up HERE!

Talking Hart Island
Bellevue with Dr. Danielle Ofri

Talking Hart Island

Play Episode Listen Later Nov 17, 2019 30:59


Episode 12 “Bellevue”: with Dr. Danielle OfriEssayist, editor, and practicing internist in New York City.How exactly did bodies end up on Hart Island? Their first stop use to be the Bellevue Hospital Morgue.During the 19th century, the Bellevue Morgue had become the first official repository of deceased New Yorkers. If a body was not claimed by family or friends within twenty-four hours from the time of notification of death, the New York City Department of Hospitals was authorized to allow burial on Hart Island.But what is it like to work at Bellevue Hospital and the Morgue today?For the answer to that question we ask Dr. Danielle Ofri. She is attending physician at Bellevue Hospital and Clinical Professor of Medicine at New York University. She is also the author of, “Singular Intimacies: Becoming a Doctor at Bellevue”. Michael T. Keene is the author of Folklore and Legends of Rochester, Murder, Mayhem and Madness, Mad~House, Question of Sanity, and now his new book,  NEW YORK CITY’S HART ISLAND: A CEMETERY OF STRANGERS Pre-Order a signed, soft cover copy of the book: New York City's Hart Island, directly from the Authorhttps://michaeltkeene.com/hart-island-soft-cover-book/*Orders will ship on or after Oct 14, 2019 Learn more about Author / Host / Filmmaker Michael T. Keenehttps://michaeltkeene.com/about/ Send questions / comments / suggestions to:https://michaeltkeene.com/contact/ Connect with Michael T. Keene on Social MediaTwitter https://twitter.com/talkhartislandFacebook https://www.facebook.com/TalkingHartIsland/

Medicine and the Machine
Spend Money on AI or Just Give Doctors More Time?

Medicine and the Machine

Play Episode Listen Later Sep 4, 2019 26:26


Danielle Ofri joins Eric Topol and Abraham Verghese on this 'Medicine and the Machine' podcast to discuss whether technology will improve care or whether resources are better spent elsewhere.

Postcall Podcast
Dr. Danielle Ofri, plus Emi returns

Postcall Podcast

Play Episode Listen Later Aug 30, 2019 43:36


New York Times contributor Danielle Ofri, MD, PhD, joins the show to talk about writing, the clinic, the system, and the Bellevue Literary Review. Emi Okamoto, MD, is back on the program.  Time Stamps: MDedge Quiz (01:18) Checking in with Emi (08:19) The WHO and Malaria (13:19) Interview with Dr. Ofri (19:00) Relevant links: Weekly Quiz The following links lead to the articles that are referenced in the answers to the MDedge MD-IQ weekly quiz. Question 1 Question 2 Question 3 Question 4 Question 5 The WHO and malaria Danielle Ofri, MD, PhD Website Biography (Wikipedia) Twitter TEDMED Buy her books New York Times op-ed    

Medicine and the Machine
AI May Save Some Time, but It Can't Listen to a Patient

Medicine and the Machine

Play Episode Listen Later Aug 22, 2019 31:44


Danielle Ofri joins Eric Topol and Abraham Verghese on this 'Medicine and the Machine' podcast to discuss whether AI can offer clinicians, and ultimately patients, more time, a scarce commodity.

#AmWriting
Episode 173, #LiteraryMagsandPopularAcademics

#AmWriting

Play Episode Listen Later Aug 22, 2019 41:01


Medicine, literature, academic writing, submitting to literary journals: we wander all over the map with guest Danielle Ofri. Funny thing—writers for popular pubs tend to see literary magazines as an unsurmountable challenge (I know I do) and vice versa. Danielle Ofri, though, straddles both worlds as the Editor-in-Chief of the Bellevue Literary Review and a regular contributor to the New York Times and Slate as well as journals like The Lancet and The New England Journal of Medicine, making her the perfect person to talk to about that crossover, as well as the crossover between a career with confidentiality at its core, and one where telling the whole truth is key. Episode links and a transcript follow—but first, a preview of the weekly Top 5 for Writers that will be dropping into #AmWriting paid subscriber inboxes on Monday, August 26, 2019: Top 5 Questions for Your Novel's Main Character. Not joined that club yet? You’ll want to get on that!Got a friend who needs more #AmWriting? As always, this episode (and every episode) will appear for all subscribers in your usual podcast listening places, totally free as the #AmWriting Podcast has always been. Find us on iTunes, Stitcher, Outcast, Spotify and everywhere else. This show notes email is free, too, so please—forward it to a friend.To support the podcast and help it stay free, subscribe to our weekly Top 5 email.LINKS FROM THE PODCAST#AmReading (Watching, Listening)Danielle: Ragtime E.L. Doctorow and Little King, Salmon Rushdie's short story excerpt in the New Yorker from his book, Quichotte.KJ: Deep Work: Rules for Focused Success in a Distracted World, Cal Newport#FaveIndieBookstoreThe Strand again! We don't mind repeating a good one.Our guest for this episode is Danielle Ofri, the author of What Patients Say, What Doctors Hear; Singular Intimacies ; Incidental Findings;  Medicine in Translation; Intensive Care; What Doctors Feel;Best of the Bellevue Literary Reviewand the forthcoming When We Do Harm, a Doctor Confronts Medical Error.She is also the Editor-in-Chief of the Bellevue Literary Review, a journal that explores issues of health and humanity. fiction and non-fiction and poetry. Find their submission guidelines here. Find out more about at Danielle at DanielleOfri.com, and Listen to her TEDMed Talk: Deconstructing Perfection, here. You can listen to her TEDMed talk Fear: A Necessary Emotion here.This episode was sponsored by Author Accelerator, the book coaching program that helps you get your work DONE. Visit https://www.authoraccelerator.com/amwritingfor details, special offers and Jennie Nash’s Inside-Outline template.Find more about Jess here, and about KJ here.If you enjoyed this episode, we suggest you check out Marginally, a podcast about writing, work and friendship.TRANSCRIPT (We use an AI service for transcription, and while we do clean it up a bit, some errors are the price of admission here. We hope it’s still helpful.)       KJ:                                I'm KJ Dell'Antonia Jess: and I'm Jess Lahey. KJ: And this is #AmWriting Jess: with Jess and KJ. KJ: #AmWriting is the every week the podcast about writing all the things that you might be writing, fiction, nonfiction, short pieces, long pieces, essays, pitches, humor, proposals. And most of all, this is the podcast about sitting down and getting the work done.Jess:                             01:52                I'm Jess Lahey and I'm the author of the Gift of Failure and a forthcoming book on preventing childhood substance abuse. And I had to think about it for a second. What am I writing? And you can find my work. Let's see. Pretty soon in air mail, but I generally am in the New York Times, Washington Post, places like that.KJ:                                02:11                It must be August. I am KJ Dell'Antonia. I am the author of How To Be a Happier Parent. I'm the former editor of the Motherlode blog at the New York Times where I still contribute occasionally. I'm also the author of a novel that will be coming out next year and you can find my work most often at the New York Times. But just incidentally, just by the way, pretty soon you'll also be able to find a little something by me and Wendy Aarons at the New Yorker.Jess:                             02:42                I mean I did not know if you were going to announce this today, but I am like burst rocketing bursting. This is a bucket list thing. This is huge and big bucket. Oh yeah. We'll be talking about that more because there's, it's cool and there's a lot to talk about there, but we have a guest, our guest today I'm so excited to talk about because my husband came home from work and he said, Oh my gosh, there's this woman you must talk to. I heard her speak. She's incredible. Her name is Danielle Ofri. She is a physician. She's at Bellevue hospital and is a writer of lots of different things. She writes for sort of traditional publishing about she has a forthcoming book on medical error.Jess:                             03:31                She has a book that I have been enjoying very much called What Patients Say, What Doctors Hear. And she also writes for the New York Times and Slate and a bunch of other places. But she's the co-founder and editor and chief of the Bellevue Literary Review, which coincidentally was the present you gave Tim last year, KJ. You gave Tim a subscription to the Bellevue Literary Review just last year, which was so cool. And this sound really fancy, but the truth is that I wrote for Danielle at the Bellevue, right. And they gave me a couple of subscriptions. All right, well I passed one on to Tim as someone I thought would deeply enjoy it. And that was, that's how that came about. So, so often we have guests who have at some point been edited by me. I have been edited by Danielle, a little little flip around. It's so cool. And actually speaking of bucket list, check this out. Her essays had been selected by Stephen Jay Gould, Oliver Sacks, Susan Orlean for best American essays, twice, best American science writing. And she, yeah, she got, she's just all over the place with all these buckets, things that we would be honored to have on our resume and our CV. So Danielle, welcome to the show and thank you so much for joining us today.Danielle:                       04:49                Thank you guys. It's really fun to be here.Jess:                             04:52                We get so many questions about academic writing and obviously at some point we want to spend some time talking about that. But really what I'd love to do is start with you and how you got started as a writer. Did the doctor part come first or did the writing part come first?Danielle:                       05:09                Well, I, you know, as a little kid, I love to write books, but that got pushed by the wayside and I was a doctor first. I did a sort of a long route. I did an MD PhD program or did research that I ended up in a lab did a residency at Bellevue fell in love with internal medicine, but I trained in the 90s during the height of the AIDS epidemic. And if you remember that time, it was a fairly brutal time, a lot of death and destruction and very exhausting. And so when I finished my decade of training there, I took a year and a half off and I just needed to get away. So I, and I must say my, all my supervisors said, that's a terrible idea. You'll forget all your medicine. You'll never get back into academic medicine. You'll lose all your connections. But someone else said, you know, I think they might be jealous. You know what, maybe so. So, off I took to just support myself. I worked for, for eight weeks in various clinics around the country. There's a whole system for temporary doctors to fill in. And I did that. And then I would go to South America, traveled to the money, ran out, and then call, collect from Wahaca, say, what do you got next? And then ended up in New Hampshire. And so during that year and a half when I learned nothing to do in these small towns, I began to write down the stories of my medical training with no intention to, you know, write a book. I just needed to write them down because at the time I remember thinking this is singular. I will never be so up-close to such a monumental moment. I think every month I should be writing this down. But of course who has time then you're so busy. You know, a patient would die in the bed or be filled in five minutes. But I think it was also too close to the emotional bone at the time. So I needed to really be physically away and I wrote them down, not as a way to process them or do therapy, but I just needed to give them their due cause they had to go somewhere. And so I spent a year and a half writing. I eventually came back to Bellevue, which is where I always wanted to be. At the time there was an economic crisis and a hiring freeze. And when a spot finally opened up, there was only a part time position available, 60% time, which I'd never imagined. But you know, I had student loans so I took it. And so one of my days off I picked up a writing book off the street and one of those yellow you know, Gotham writer's workshop boxes on second Avenue degrading class. And that is how it started. And so I began working on these stories with different writing teachers and sending them out to a little, you know, literary journals was some, you know, subscriber base was smaller than my medical school class were ashore. And then eventually one running, he just said, you know she, she missed her subway. Stop reading a story to that, that needs time to get an agent. So I got an agent pulled together my first collection of essays called singular intimacies becoming a doctor a, Bellevue, which all my friends thought was about French lingerie, but it was about these relationships that doctors and patients have and that's kind of how the writing began.Jess:                             08:02                Well, so let me stop you for a second. So these are the nitty gritty is this is really what our listeners adore. So how did you go about getting your agent?Danielle:                       08:11                So I looked in a book on how to find an agent and they said, look at other books that like yours. So I went to the acknowledgement section. I also got a book on agents I think was by Jeff Herman maybe, and we'll do their personal interests and those interested in medicine. I send out sample chapters and I finally got an agent, although I will say I did not close my book, deal with the agent. My agent sent my collection out and I got turned down by 13 of New York city's finest publishing houses. And then one day I had a piece of peer, I think in Tikun magazine and the director of Beacon Press called me and said I read your piece. And do you have any interest in writing a book. I say, Oh, do you have one? Have I got, have a book right here. And I confess, I committed my one act of theft and I borrowed, I'll say in quotes, eight prepaid, FedEx labels from my chairman's office because I didn't have time to get the FedEx. I'm working all the time and sent my manuscript to Beacon Press, which they took. And so I get rid of my agent and I've published, now we'll going on my sixth book with Beacon Press without an agent.Jess:                             09:16                Okay. So that, that's really interesting. So how did that go down with your agent? I've never heard of that specific situation where an agent has submitted everywhere and had no success and then you go ahead without your agent. So did you just mutually part ways with your agent at that point?Danielle:                       09:32                I told her, you know, I have been approached and through that she hadn't gotten it sold. And so it, you know, it was a little awkward, but I think she understood and we, you know, parted amicably and I've had agents approached me since then saying, well, and I say, I don't really need an agent because I have a publisher. Oh, but we can negotiate you a better deal. But I don't want that. I really, Beacon Press is an incredible press to work with it and it fits in that little niche. It's not a big house, but it's not a small indie houses having a medium size press and that feels like kind of three bears just right. So I'm fortunate that my, my editor is the director, so I feel like I have the ear of the director as well as my editor. And in my five books, I've have no turnover of my editor, the publicity person or the marketing person.Jess:                             10:20                Oh wow. That is so unusual.Danielle:                       10:23                I know, because I'll tell you, we plan first book, we sold the paperback rights to one of the big houses, which I was really excited about. And every six months I did a letter saying, hi, my name is Jane, I'm your editor. Hi, my name is Joe, I'm an editor and I had no idea every six months it was a new person. And so the difference is so palpable and every book, my husband's, Oh, you should really try for a bigger publishing house. And I don't think I want to because I, I've had friends with, with very mixed experiences. You know, you have one big as great and you're the prince for the, you know, six months, then your next book fails. And yet no one answers your calls.Danielle:                       10:57                And I have no trouble with that. My team always answers my calls. We talk on the phone for an hour. I really feel like they're interested in my career. And I remember what my editor said on the first day before I signed it. She said, we never let our books go out of print. So we only publish books that we want to keep on even in small print runs. And this was sort of pre, you know, E readers, what really mattered. And that kind of commitment meant a lot to me. And I'd much rather have a smaller print run, you know, smaller finances that if the exchanges that you know, stays in print and treated respectfully because I'll tell you that big house, let my book go out of print the paper back and never told me. And so I had the humiliating experience of going into a, an appearance. He said, we want to get you a book, which book? I told a bunch book and they said, Oh, we called the publisher, it's not in print. And boy with that, that was awful.Jess:                             11:50                That would be a really embarrassing...Danielle:                       11:51                Beacon Press took the rights back and we publish their own paper back. But that was the case. They didn't even give me the courtesy of letting me know they're dropping it. So that's a difference I think between working with a medium sized press versus a big house and listen to the big houses are wonderful and they lots of great stuff. But for me I couldn't, I think stomach is ups and downs that a big house offers.KJ:                                12:12                So I want to come back to the question of how your professional colleagues received the idea of you as a nonacademic writer, because that feels in so many settings, and medicine is definitely one of them. It feels like that could be very fraud.Danielle:                       12:32                Well, I would say my immediate colleagues who are largely clinical and their academic in that they're all teaching, but most aren't doing research and research papers.KJ:                                12:41                Right. And I also want to note that this sort of predates the era of, you know, doctors write for the New Yorker and that makes, you know, and that's what they do and we love them. This was, you know, you were one of the early ones.Danielle:                       12:55                Yeah. So I would say my clinical colleagues actually find a lot of recognition in the writing and largely, you know are supportive because they see their own experiences reflected, which often don't get airtime any place else. I mean, academically I see where that plays a role is, you know, do I get promotion based on that? And that's definitely been a little bit fraud, your tenure, that kind of thing. Because that kind of running doesn't really count.KJ:                                13:21                No. Cause people read it. I mean, why would that, yeah. Right.Danielle:                       13:28                And it doesn't bring in grants and grant money. And so although lip service is paid to, you know, international recognition, yada, yada, yada. If it's not bringing in grant money and it's not the traditional publishing. No, I've published a lot in academic journals, but essays, so New England Journal of Medicine and the Lancet, all these big medical journals, but in their sort of essay perspectives in fact, the first time the New England Journal ever did it perspective, they refuse to do that sort of, you know, namby pamby you know, type of writing for the longest time. I was actually the first one they published, so it really took quite a risk with them. And so for the readership who would never seen that in those pages, that was a completely new piece I type of writing. And now that section is probably their most popular section. So I think it's been received well clinically, academically, probably not gonna get me tenure or promoted, but that's okay.Jess:                             14:22                One of the things I would love to know is where, how the Bellevue Literary Review got started and how you got involved in that, how you decided to start that and how it came about.Danielle:                       14:32                Well after I got back from my, you know, year and a half of traveling and started to write when I started back in the clinic, I really wanted to bring some of that writing in. Now what we do is as academics as, as teachers is we the students, medical students hand in their writeups about the patients, the history and physical. It's very, very jargony. And you know, once you've read 10 or 20 or 50 or a hundred, they all kind of start to sound the same. So I find, send them, listen guys, you're killing me from one of your write-ups in this semester. Just tell me the patient's story. Ask the patient, what's it like that emphysema, what was it like when the doctor first told you that diabetes? And I started getting these really fascinating essays that people would turn in. Really interesting and they were sort of stacking up on a file cabinet at the same time we did a new chair of medicine come in Marty blazer and he was having the students on the hospital awards write a 1000 word essay on anything. Philosophy, pathophysiology, economics along as inspired by patient, just kind of heretical for medical students writing an essay. Oh my goodness. You know, he started having his little stack of essays and the student colleagues that you guys ought to meet. He just come on. I just started working there. So we met and we had a respect of stack of essays and we thought, you know, we should make a journal. We thought about, you know, an in-house mimeograph student journal. But as we talked more, it became apparent that issues of medicine and health are really universal. And then you listen, you can get by in life and never need a plumber or an accountant or a lawyer if you're lucky, but you're never going to get by without interfacing with the medical system. And even if you are perfectly healthy, you care for a child, an elderly parent, you have a job visible, you will never get by without it. And I think that that also in genders a real existential fear in people that their body or their mind might betray them, you know? And they can't control that. And when you're in the medical system, you are, you're powerless. Many times you don't know often what's going on. You can't speak the language, you're freezing cold in a gown, you don't know what's going to cost and you're in pain or worried about your family members. So it's very hard to sort of hold onto yourself. And so we thought maybe it makes sense to have a journal that allows you to creative way to address this because you know, the top 10 tips or that bending osteoporosis doesn't really, I think address that kind of things. So we put out a two line call for submissions for poetry fiction, nonfiction on health and healing. And we've got a thousand submissions right off the bat.Jess:                             17:02                Wow.Danielle:                       17:03                We knew we tapped a nerve and they were not from medical people, from ordinary writers and now we get 4,000 submissions a year, all walks of life all over the world. And as our publisher likes to say, it's hard to be published in the BLR now than in the New England Journal of Medicine because we only can print, you know, a few of them. So I think there really isn't. And I think creativity and vulnerability really overlap and that great Venn diagram of how we write. And so it's not surprising that brushes with mortality and death and fear and worry help ignite some kind of passion, creativity and that comes out and poetry and fiction and creative nonfiction.Jess:                             17:40                I have a question that's actually related to what KJ used to do, which is you're dealing with these really grave, you know, many moments of mortality, these moments that are huge events in people's lives. And when you write about them, it can become incredibly precious to you. It can become so important to you that when, when/if you get rejected, it's not just a blow to your writing, it's a blow to like this experience you had in your life. And KJ used to get, you know, submissions about, you know, the death of a child or you know, these incredibly moving experiences. But for some reason or another, they're just not a great fit. How do you balance, you know, how do you go about communicating with your writers about the importance of an event and the way you write about it and creating sort of pieces that are not just people's therapy but that are really great works of writing.Danielle:                       18:41                It's a very interesting thing in particular that comes up in the realm of nonfiction because people are ready about their real experience and it is painful to reject a piece about their mother's Alzheimer's disease. And you know, when I, when I talk about this on panels, there's a difference between a moving experience and a moving piece of writing. They're not the same thing. And also it has to be more than just the particularities of here. I went to the doctor. This is what happened. It has to be transcendent. It has to rise above what actually happened to something that can connect to others. And so I do suggest that people, you know, read other things we've published or other, you know people who have written about enlist in a way that brings it beyond just the nuts and bolts of what happened. I also stressed that using the techniques of fiction is very helpful in terms of, not in terms of making things up because nonfiction is truth. But in terms of developing character and voice and setting and in drama and and pacing, you know, so often in nonfiction people are very, they applaud right along the way things go, but they don't have to be that way. It's still truthful if we cut back and forth in time and we have flash powers and flashbacks and we stretch moments and compressed moments because that's makes for more dramatic writing. In the actual rejections, I tried to be very gentle and we try when we can to offer feedback. Of course at that volume we can for everyone. So if you do get a fun letter, please forgive us. We're all volunteers, but we do try, we do have some that we think could be helpful. We'll include that in the rejection letter.Jess:                             20:11                That's incredibly generous of you given the volume, but also as you well know, incredibly helpful for a writer. I mean we, we cling to these pieces of, you know, even if it's just a one line piece of you know, this is promising, but you might want to whatever, those are pieces of that's feedback that we hold onto with great hope.Danielle:                       20:34                Yeah,I stress that a lot of it's subjective. And I have my own story. I had a piece that was ended up in the Missouri Review and went on to being the best American essays. Which was a huge honor. And so I got a letter from a professor of English in the Midwest and he's complimented in essence that he uses it in his teaching. And I was very honored and I look at the bottom of his email and his, you know, so-and-so pH D department, English editor of their, you know, literary journal. So I went back to my nice, huge rejection folders. I kept every rejection and in fact I submitted the very same piece to that journal. No, he wasn't then. He wasn't the editor then, but, and it stood out because that came back with post-it stuck on the thing. This is so dull, boring. You know. Again, it wasn't him, but it came back when someone left on those really negative projections and it was the same piece. So you know what, don't worry, it's not, it's like dating. You just gotta visit the numbers and someone's going gonna connect. And so it may not be, the is not good. It didn't fit in for me on this day. But try other places, you know, play the numbers game. Hold on. I just have to back up for a second. You got a rejection with actual post it notes from the person who read it and rejected it with the actual notes of what they said. I don't know if that was intentional, but there were, ah, and then the, the current editor stains are allowed to compliment me on this piece and how he uses it in his teaching. That's all a little satisfying. Oh, that's amazing. It didn't work at that moment. Just keep submitting.KJ:                                22:10                Now you're an editor yourself. So you know, you,Danielle:                       22:13                You got my other thing I do mention is you please do read the submission guidelines. If it says max 5,000 words, don't send a piece of 8,000 words. Yeah. Because it will be rejected. If it says we don't take PSI Phi, don't submit PSI Phi, you would be amazed. You know, we now have to charge a small reading. No, I wouldn't know. We wouldn't have to charge it a $5 meeting fee by our higher ups. We don't have to do, but we have to. Okay, so now you're paying $5 a submitted. Don't submit a piece that we rejected out of hand, you know. But it is all, all in is so common. Maximum three polling people send 10 poems and so I feel terrible. But you know, you do have to, with the submission guidelines, that's your end of the bargain as a writer.KJ:                                22:57                I know that our listeners are now going to be sort of madly Googling Bellevue Literary Review so talk to us about what you guys do publish, what your mission is, and how that has evolved.Danielle:                       23:15                Yeah. So we're looking for, to explore, you know, the issues of underlying health and illness and failty of the body and mind. We call it the journal of humanity, human experience and we interpret that loosely. So topic wise weren't fairly wide ranging, but the writing has to be excellent. That's our first thing. So fiction wise, we are fairly traditional. We do not do genre fiction, romance. We don't, we rarely do flash fiction. We stay away from gimicky writing things that have lots of, you know, 20 different kinds of headings and numbers. You know, I feel like the writing should stand on its own. It has to read like a great short story and it has to be character driven. I've got to feel a need to want to follow this character. So our, our that's our fiction or nonfiction has to be more than just what I did when I went to the doctor.Danielle:                       24:10                It has to rise above that and somehow and, and be applicable to other people or it has to have the same beauty of writing a fiction does it. And it's not academic. We don't take things with footnotes or extensive quotes from 20 different sources and we want your thoughts and your exploration of an issue. And for poetry, we prize accessibility. So again, we do not do, while the experimental stuff, you know, as a unusual literary journal, for many people, we're the only literal journal they've ever read because a lot of our readers are not English lit people. They don't subscribe to 20 literary journals, but they have an interest in medicine and that's how they come to us. So for this audience, we weren't poems they can read and not be intimidated by it. So we tend to stick again a little more traditionally on the poetry that someone who's not an English lit major can read and say, Oh, that, that connects to me.Jess:                             24:59                What I would love to know is how you balance you obviously do your own writing, your working as a physician and so how do you balance these two things and what is your daily or weekly routine look like?KJ:                                25:13                And she's reading all these submissionsJess:                             25:15                and reading all this review.Danielle:                       25:17                That's exactly right. And I will say we also have reviewers who help us weed through the initial slush pile because we can't read all 4,000 ourselves.KJ:                                25:26                That's almost worse because then you're left with you know, 40 things that are all good enough to be in there and the process of figuring out which eight to put together. .Danielle:                       25:36                Exactly. But so anyway, so back when I started, as I mentioned, I ended up on a part time track because that's all that was available. So the full time slot eventually opened up and I said that actually get married and I thought long and hard about going full time, my salary would double because part timers are prorated on the shabbier side of things as you probably know. But I've thought about what would I do if I had twice as much money tomorrow? Well I still couldn't afford an apartment in New York city. You know, I couldn't buy anything. I don't need a car. I have clothes such as they are. And I recognize that the one thing I'd want is that one thing money really can't buy and that's time. So I feel like I kind of bought time by turning down the full time offer and to this day or made 60% off, not happenstance on day one.Danielle:                       26:21                If they sit here and go sign up for the full time as everyone else does, this wouldn't have happened. So I'm 60% of my time in the hospital the equivalent of of six half days, you know, strangely abortion. And then my other time is writing legal. Of course I had three kids in there. So, you know, taking them to the dock, doing everything else in life ends up in that time. So often, you know, your writing time gets eaten away cause you don't leave work to do these things. You take it out of your own time. But I try to, if I can get one or two snippets of writing for an hour or so a week, I'm happy that that's success. And then, you know, the BLR and, and everything else. I took up cello lessons about 13 years ago and that's my will.Danielle:                       27:06                The one thing that I pursue outside of all of this, you know, because I just, I can't, I'm too embarrassed show up to my teacher without having practice. So I'm the goody two shoes, medical student and I practice every night, but I'll go to the gym. I don't see anything else. And I don't watch, I haven't watched a TV show since ER you know, all of that. So I leave pop culture, I leave up to my kids, but so that's, that's kind of how I do it. And then, you know I get rid of everything else. Like my goal in life is to never set foot in a store unless voluntarily. So I ordered it line. I don't want to spend any time shopping unless I want to. So I don't spend my weekends ever going to, you know, stores. I don't really care about my clothes are 20 years old. That's fine, you know, unless I feel like doing it, but not for for necessities.KJ:                                27:56                But you're writing what feel like these densely researched they're interview intense books where you really both telling your own story and telling a thoughtful story about what's happening in the medical profession and wrapping that within the, you know, the story often of a particular case or a particular doctor, one to two hours a week. My mind is boggling, does that include the research?Danielle:                       28:28                Yeah. Everything that, it also depends. I mean I do a lot of traveling, so airplane time is writing time, airport time. You know, often I'll get more writing time in there. But my goal was to have like at least choose two to three sessions where I gets a, you know, a little time of writing. And hopefully more than that, it can be two or three hours, but sometimes it's not. I also did two years that I took off from work. So I took off a year, let's see, my daughter, youngest is 13, so 13 years ago we went to Costa Rica for a year. I quit my job. We took our two kids at the time. I actually had my baby there and we've done a novel, which then turned into a book instead of a novel. And then six years ago we took a year and went to Israel and I worked on what doctors feel and that was really wonderful. I'm gonna talk about a luxury of having, you know, be able to write five days in a row and keep a train of thought. That was, I would love to do it again, but I think I would lose my job.Jess:                             29:28                That's actually what I was gonna mention when KJ said the thing about two hours for me. If I don't have more time than that, I find it very difficult for them to pick up where I left off to continue a train of thought to, you know, continue forward knowing where I'm headed next. So huge respect for being able to pull this stuff together cause your writing is so lovely and your narrative is so seamless. It doesn't, it feels like you're fully immersed in your writing. So I don't know. I'm so impressed.Danielle:                       29:56                Thank you. It's short pieces for that very reason. You know, to write the larger thing takes a chunk of time. Sometimes I will try to block out, you know, for the next month, try to schedule nothing on my writing time so I can write for four hours, you know, several times a week.KJ:                                30:11                Well that's what I was going to ask you. Do you schedule the writing time? Like do you know when your next sessions are going to be? Do you sit down at the beginning of the week or the end of the week and figure out when that's going to fit in?Danielle:                       30:21                No, I mean I know when I'm not in the hospital so that's my starting point. But then things, you know, things fill in. But I try to, each of my time, not in the hospital, at least have some time toward writing. But of course writing also involved, you know, social media and publicity that you have to do a lot on your own and a lot of that, you know, work these days is on, on the writer. So there's that part as well.KJ:                                30:43                Well, and you have a, I mean, you have a new book coming out this spring that you did not get to take a break to write. And I'll just, we'll, we'll put it on our website of course, and talk about it more, but it's called When We Do No Harm, a Doctor Confronts Medical Error. And I'm just taking, you know, a wild swing at the idea that that was not easy to research or write, it's not something people want to talk about.Danielle:                       31:06                Yeah. That is true. That, that it's been several sorts, taken several years to, to write. But people were also remarkably generous, you know, once you find someone who likes to talk and just get on those interviews, you know, am I a non-hospital afternoons or mornings or days? Yeah. and then I try not to do it on weekends, but really when I do a lot of travel, I catch up a lot on writing it, you know, even five hours on a plane, I couldn't ask for anything more. Now some people hate it. I think it's the most ideal luxury.KJ:                                31:39                Yeah, that's, that's the way it works for me too. I have to agree. I just spent intentionally seven hours on a train on Monday and Tuesday for exactly that reason. I mean, I was going somewhere that I wanted to go, but I wouldn't have gone if it wasn't also for that seven hours.Danielle:                       31:54                I've gone there and back to California in two days and I don't give, it isn't all, I'm like, I don't mind that all, man. I have two days in a row to have all this time, you know, with no one bothering you. It's wonderful. So I would fly back and forth across the country if someone would would fund me on that.KJ:                                32:07                There's a story in Deep Work about someone who took a flight to Japan, drank a cup of coffee, got back on the flight and then flew back because he had like, you know, a massive deadline to complete an entire book. And I felt such sympathy. I was like, yeah, yeah, I could do that. That would be a good way to do it.Danielle:                       32:35                Yeah, I do really, I would say Amtrak up and down the East coast. Yes.KJ:                                32:40                I want that Amtrak residency. There you go. That's exactly, yeah. That's exactly where I was for my seven and a half hours. DSLR Boston, New York, New York to Boston.Jess:                             32:52                Alright. You're all helping me reorient my thinking about all the travel and how I'm going to get all the work done. So now, now that it's clear that my,KJ:                                32:59                Well, you're getting ready for what you do when you get there, it is different.Jess:                             33:03                At the same time, I do tend to think of airplane time as, Ooh, I get to listen to an audio book for two whole hours, but now I'm going to reorient and think of it as two hours that I can be spending writing.Danielle:                       33:15                I don't have as much time to read novels. I mean that, that I do have to say between writing manuscripts and writing and listening to audio books, I have to, you know, shelve a few things and unfortunate that often gets shelved. Yeah.Jess:                             33:29                Yeah. Well actually speaking of which we love to spend some time at the end of each podcast talking about what we've been reading. Do you have something you've been enjoying recently?Danielle:                       33:38                So we did have a weekend away and I was in a thrift store and I saw for $1 an EL doctor's book, Ragtime, which I had never read it. You know, I should really read that and I paid my dollar and read it cover to cover in a weekend and just loved it. What am I, I know he's a master, but to sort of be in the clutches of someone who just puts you through that story, no holds barred, it's an amazing experienceJess:                             34:02                That's going to have to go on my list because I have to admit I haven't read that one either. It's one of those books that sort of sits around on the periphery of my consciousness and I've never picked it up so I will have to read that one too.Danielle:                       34:13                Yeah, it goes by very quickly.Jess:                             34:14                KJ, what have you been reading?KJ:                                34:17                I also haven't had, I've been doing pretty intense writing so I haven't had a lot of reading time and I have spent what I have rereading Deep Work by Cal Newport, not Rivkin, although I'm sure he's written something maybe. And you know, it's just, it's one of those books that keeps it, you know 10 minutes in there keeps me focused when I'm you know, when I put the book aside. So I've been rereading it, we've recommended it a zillion times and here I am shouting it out again.Jess:                             34:51                I talked about Deep Work on a podcast with someone else yesterday. It, it comes up all the time for me. I love that book. I am reading, I'm reading two very interesting things. I I was, did an interview in which I punted a question back to the host who asked it of me because I was not up on all of the research on marijuana use and mental illness. And there is now a new book. It just came out by Alex Berenson who writes for the New York Times and various other outlets and it is a book called Tell Your Children the Truth About Marijuana, Mental Illness and Violence. And I'm sure there is going to be a lot to argue about with this book, but it's a really interesting perspective on Alex Berenson had a conversation with his spouse about the, of marijuana use and said, you know, sort of led him down the rabbit hole as it so often does and he decided to write an entire book about it. So now I at least don't have to punt that question. Next time I get asked about marijuana use and mental illness on a podcast because I've now read an entire book about it and it's really interesting and in the same vein, I'm just starting and it's great. Ben Westhoff's new book, Fentanyl, Inc and that one I believe is just about to come out. It should be out by the time this podcast airs. And it's for those people who don't know what fentanyl is, it's the drug that's causing so many drug overdoses because it's sneaking in to so many other drugs, usually heroin. And it's the story of how fentanyl ended up in the drug supply. And it's a fascinating story. I highly recommend it.Danielle:                       36:28                Yeah, just add, I read the recent a New Yorker story by Salman Rushdie calls Little King and he has a new book coming out. This is an excerpt, but fentanyl and the opioid crisis are woven into his story in a remote essay. And so I can't wait for that book to come out.Jess:                             36:45                Oh, I'll have to check that out. Absolutely. do you have an independent bookstore that you love and would love to give a shout out to?Danielle:                       36:53                Oh, I just love The Strand.Jess:                             36:55                You and me and KJ, all of us, we love The Strand. What do you love about it?Danielle:                       37:00                Well, as a student I would pass by there my bike on the way to medical school all the time and pick up those $1 books, you know, all the time. So I just love being able to afford the books. But then I as an author experience the effect of independent bookstore when for what doctors feel my book once death, never put it out as a staff pit and left it out for a year. And we sold copies in that one bookstore than any bookstore in the entire country. It was more than a thousand copies in one store because one staff member put it out there. And I so appreciated that personal touch was all it took. And so I did the opening of my next book at strand. Because I was so happy to be part of that kind of community.Jess:                             37:45                It makes such a huge difference. Our local bookstore did the same thing for the Gift of Failure. It was on a book, you know, it was sort of on the, it wasn't like, Oh, here, here's a little charity for our local author. It was like, we love this book. Here it is. You should read it. And that makes such a huge difference in book sales because the, you know, independent booksellers really have power to move books. It's amazing.Danielle:                       38:06                Oh yeah, absolutely. And so in a BLR, we try to also give shout outs to our authors who have published books. So anyone who's been in the BLR, and that includes you, KJ, if you have, you know, new book coming out, let us know. We will not run on social media and send it around, including on newsletter because we, we know how much those little, you know, boosts help and every little bit helps in today's publishing world.Jess:                             38:28                That's incredibly generous of you. And it means so much to writers to get a shout ou like that. All right. If people would like to find your work. And I do have to mention, you have a wonderful Ted med talk on sort of deconstructing our perceptions of perfection that I think could also be really helpful for writers. I really enjoyed it from the perspective as a writer and thinking about perfection. But if people want to find out about your books, about your Ted, talk about the articles you write, where can they find you?Danielle:                       38:59                My website is just Danielleofri.com. I keep all my writings there on my Ted talks and various things. I also send out a newsletter once a month with new articles. I have a new piece coming out in a week or so, kind of writing about the experience of doctors and nurses in the hospital and, and their perception of their own profession and how it may have not upheld its ideals. So I send that out to non-commercial. And I also talk a little about the Bellevue Literary Review. So if you want to hear that, you know, give me a shout.Jess:                             39:28                Well, and that was what I was going to ask next. If someone wants to find the Bellevue Literary Review either to read or subscribe or to submit, where would, where would we send people for that?Danielle:                       39:38                The blreview.org. Although in the past, a new website coming. So if you get on there now, you might your old one, but the new one is coming soon. So but if you're on my newsletter, you'll hear, you'll hear about it also.Jess:                             39:52                Fantastic. All right, well thank you. This has been incredibly enlightening. This is also been a big hole in our knowledge of the whole, you know, academic and I'm just so grateful to you for all of your knowledge and for the writing that you do, so thank you.Danielle:                       40:06                Well, thank you. It's been a pleasure.Jess:                             40:08                All right, all of our listeners, until next week, keep your button, the chair and your head in the game.KJ:                                40:21                This episode of #AmWriting with Jess and KJ was produced by Andrew Perella. Our music aptly titled Unemployed Monday was written and performed by Max Cohen. Andrew and Max were paid for their services because everyone, even creatives, should be paid for their work. This is a public episode. 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Practical Insights for Leaders to Bring Listening Into Their Organizations That Have Real Impact with Corine Jansen (Part 2)

Listen IN

Play Episode Listen Later Aug 11, 2019 30:40


Corine Jansen has been Chief Listening Officer for different organizations in the Netherlands and has experienced the value of listening. She says, "We often make the mistake that we think listening costs a lot of time. But listening is creating an encounter and that encounter is made in a few seconds." Corine Jansen is a Certified Listening Professional and Certified Practitioner of ECHO Listening Intelligence.  She is specialized in opening conversations with people who have a broad, non-directive invitation to speak. She is currently the founder and Chief Listening Officer of JoConnect, and the co-initiator of Nederland Luistert (Netherland Listens). This is part two of the interview. Corine shares very practical ideas on how leaders and doctors can listen with impact in just a short period of time. And even better, how there were lasting effects on business outcomes. If you haven't listened to part one yet, check it out and be inspired by Corine's personal story. She shares about how listening for survival as a young person changed to listening for transformation in organizations.  Enjoy listening in.    “Listening is creating an encounter. And creating an encounter is sometimes not just holding hands or making eye contact. It's a matter of interest and respect for the person in front of you.” – Corine Jansen   Shownotes: 00:00 – How the secondary purpose of listening of Corine made more impact 02:43 – Great advice on listening in the healthcare field 07:28 – What physicians need to know when talking to patients during appointments 11:17 – Corine tells a lovely story depicting narrative medicine and how it can be helpful to change the way we treat patients 14:59 – How narrative medicine helps in the healing 17:03 – She explains how she works with medical teams and how listening can also be fun and light 25:38 – A golden nugget of advice from Corine – “Listening in dialogue is listening more to meanings than to words.”   Key Takeaways: “We can all experience what listening means to us and what it will bring us. It makes people feel valued and respected.” – Corine Jansen “Don't interrupt after 12 or 18 seconds, instead let them talk for two minutes because in those two minutes you will hear much more....” – Corine Jansen “Listening is about being there, being present for the other. It will become very difficult being present with another person if you don't want to change YOUR perspective on things.” – Corine Jansen “Listening in dialogue is listening more to meanings than to words.” – Corine Jansen   Resources Mentioned: Narrative Medicine: Honoring the Stories of Illness by Rita Charon Look for research journals on Listening here What Patients Say, What Doctors Hear by Danielle Ofri   Connect with Corine Jansen corinejansen.com LinkedIn   Connect with Raquel Ark www.listeningalchemy.com Mobile: + 491732340722 contact@listeningalchemy.com LinkedIn

biobalancehealth's podcast
Healthcast 454 - The Business of Healthcare Depends on the Exploitation of Doctors and Nurses

biobalancehealth's podcast

Play Episode Listen Later Jul 18, 2019 20:47


See all the Healthcast at https://www.biobalancehealth.com/healthcast-blog/ According to a recent New York Times article there are now 10 administrators for every doctor working in hospitals in America. The number of administrators has increased over 3000% between 1975 and 2010.  Please read that again! Do you wonder why health care costs so much and where does the money go? Think about what the increase in administrative and support staff has added to the cost of any procedure or hospital stay. With increases in administration come increases in unpaid mandates for physicians and nurses. Meetings that must be attended and committees that have to function for the structural operation of the hospital are required activities for the medical staff. Many of the doctors are not paid by the hospital for their participation on these committees or for their compliance time for learning to operate the different EMR systems of the hospitals. Doctors are paid for their medical intervention with patients. Their income derives from direct patient care, not from hospital management. Your bill covers all of that, hospital maintenance and staffing as well as medical care. What portion of your cost of treatment do you think goes to the physician or nurse who provides the care directly to you? How much of the cost goes to the hospital and or insurance administrative system and how much to the person who does the work directly on or for your health care? This week we are speaking about an article published in the New York Times on June 8th of this year. It was written by Dr. Danielle Ofri and her primary contention is that there is a burgeoning burn out issue among physicians and nurses that can be directly attributed to the increasing burden of administrative practice and required paperwork that take away from actual medical care of patients and add hours to the working day of the medical professional without regard to its impact on their stress levels or exhaustion. Dr. Ofri also contends that there is an imbalance in pay when the actual medically qualified interventionist (the Nurse or the Doctor) receives little or no pay for their administrative time spent rather than for their medical care of patients AND for the imbalance between what the providers get paid compared to the bean counters and administrators who run the system! The author contends that if Doctors and Nurses clocked out when their shift ended like administrative staff are allowed to do that it would result in a calamity in terms of health care for the patients and that the system would crash. Many doctors are not paid by the hospital, they tender their bills directly to the patient and have to help the patient process this with their insurance if they have insurance, which is also a free time commitment by the physician and takes time that they do not then have for the practice of medicine. Nurses are required to stay until their paper work is completed and updated no matter when their actual shift ended. Many administrators work banker's hours and their staff work set clock hours. The question begging to be asked is: what will the accumulated impact of all this stress and these demands on the time of the health care practitioners when they burn out?  Increasing numbers of physicians are retiring because the stress of the system and their frustration with it are making them not want to continue swimming against the tide as they try to improve the health of patients while fighting off increasing demands on their time by the administrative and bureaucratic requirements regulating the practice of medicine. Listen to Dr. Maupin share her own experiences with this system and her thoughts about how to correct the problems that she sees with it.

Healthcare Communication: Effective Techniques for Clinicians
What Patient Say, What Doctors Hear: How to Improve Listening Skills

Healthcare Communication: Effective Techniques for Clinicians

Play Episode Listen Later Jul 13, 2019 24:37


Well-known book author Danielle Ofri, MD, PhD, discusses how listening affects the quality of what patients say, the golden minute, full frontal listening and how listening impacts diagnostic error and burnout.

Doctor Me First
86: Article Review with Dr. Errin Weisman

Doctor Me First

Play Episode Listen Later Jul 8, 2019 7:48


In this episode, Dr. Weisman talks on a New York Times article submitted by a listener. The article’s author, Dr. Danielle Ofri, wrote a beautiful piece in The Business of Health Care Depends on Exploiting Doctors and Nurses: One resource seems infinite and free: the professionalism of caregivers. Take a listen and let me know what you think. Have a Coaching Discovery Call with Errin

Postcall Podcast
Burnout, Danielle Ofri, MD op-ed, and 5 things to think about with Ed DelSole, MD

Postcall Podcast

Play Episode Listen Later Jun 14, 2019 30:31


Show Notes: The first ever Postcall Lounge with Emi Okamoto, MD, and Ed DelSole, MD.  You can contact the show at podcasts@mdedge.com and you can find Nick on Twitter at @tribnic. Dr. DelSole is an orthopedic spine surgeon with the Rothman Institute in Philadelphia, PA soon to be in practice in Scranton, PA. He and Dr. Okamota know one another from their med school days. Topics this week include an op-ed by Danielle Ofri, MD, published in the New York Times in early June 2019 which addressed how business exploits healthcare workers, especially doctors and nurses. Emi also opens up about how she and her colleagues address burnout in her workplace, Dr. DelSole gives five tips that have helped him stay optimistic throughout med school, training and into his career.  Time Stamps: Dr. Ofri op-ed - 05:05 Dr. DelSole's op-ed on the biggest problem in medicine - 09:01 Burnout in Emi's clinic - 12:55 How internal medicine residents spend their days - 13:58 "You have more power than you think" - 16:53 5 things that keep Dr. DelSole optimistic - 20:49 Book recommendations about the life of doctors and surgeons - 25:40  Outline and Links: Danielle Ofri, MD, NYT op-ed from June 2019. Ed DelSole, MD, op-ed. Assessment of Inpatient Time Allocation Among First-Year Internal Medicine Residents Using Time-Motion Observations JAMA Internal Medicine(Krisda H. Chaiyachati, MD, MPH, MSHP; Judy A. Shae, PhD; David A. Asch, MD, MBA) Dr. DelSole's 5 things: Don't do it for the money. The core of the profession is the relationships that you have with patients. The profession is grounded in service; there's going to be sacrifice: be cautious of your online voice Don't be afraid to get paid. You Deserve it.  Book recommendations about being a doctor: On Doctoring Letters to a Young Doctor When Breath Becomes Air

RoS: Review of Systems
Danielle Ofri – Communication Between Patients & Doctors

RoS: Review of Systems

Play Episode Listen Later May 24, 2019 21:23


This week, we are joined by Danielle Ofri. Danielle is a primary care physician at Bellevue Hospital and a prolific essayist and author. We start out talking about her most recent book, What Patients Say, What Doctors Hear. We talk about communication between patients and doctors and why it can be so challenging, and how physician communication can be evaluated and more effectively taught to trainees. Danielle talks about the power dynamics of the medical interview and how it can be uncomfortable for us as physicians to have the tables turned when the patient is more empowered in the conversation. We also talk about the campaign that Danielle has spearheaded to get physicians and other medical professionals involved in the health care reform efforts of the last few months in Washington DC with her House Calls Campaign. Danielle is a physician at Bellevue Hospital and associate professor of medicine at NYU. She writes about medicine and the doctor-patient connection for the New York Times, Slate Magazine, and other publications. Danielle is co-founder and Editor-in-Chief of the Bellevue Literary Review, the first literary journal to arise from a medical setting. She is the author of a collection of books about the world of medicine. She’s given TED Talks on Deconstructing Perfection and When Doctors Face Fear, and has performed at The Moth. If you enjoy the show, please rate and review us wherever you listen, and share us on social media. Tweet us your thoughts @rospodcast and check out our facebook page at www.facebook.com/reviewofsystems. Or, you can email us at contact@rospod.org. We’d love to hear from you, and thanks for listening.

For The Love With Jen Hatmaker Podcast
Healthy Connections for a Healthy Life: Dr. Danielle Ofri

For The Love With Jen Hatmaker Podcast

Play Episode Listen Later May 14, 2019 52:58


With the second episode of our For the Love of Health & Wellness series, we’re taking a deep dive into physical health—but this is not a “go get your annual physical” guilt trip. We’re talking with a doctor who’s taking a refreshing “body and mind” approach to looking at health, a physician who started a literary journal and decided to learn how to play the cello because she wanted a little more beauty and learning in her life. Dr. Danielle Ofri is a general physician at Bellevue Hospital in New York City, the oldest public hospital in America, and today she brings us into life inside the white coat as she and Jen discuss some of the HUGE changes the medical world has seen over the last few decades, what we really need to do to stay healthy (hint: make friends, get a hobby, and drink lots of water), and some of the exciting medical breakthroughs we might see in our lifetime. Equal parts art and science, Dr. Ofri emphasizes that better and more frequent communication and connection is at the heart of what will keep us healthy in the long run, which she talks about in her latest book What Patients Say, What Doctors Hear.

The Freedom Formula for Physicians | How Doctors Cut Debt & Slash Taxes |  Business Of Medicine | Financial Education
[Throwback] S1, Episode 7- Danielle Ofri, MD- Critical Thoughts on Cost Reduction for Medicine and How to Become a Physician-Writer- [DanielleOfri.com]

The Freedom Formula for Physicians | How Doctors Cut Debt & Slash Taxes | Business Of Medicine | Financial Education

Play Episode Listen Later Feb 22, 2019 24:39


This podcast features an interview with Dr. Danielle Ofri, MD. I've been working on networking with other authors and experts who can speak to the issues that physicians face every day. For example, what can we do to make primary care more attractive? How can we lower the debt load that many medical students face? That's why I thought I'd bring a special guest to the podcast, Dr. Danielle Ofri, MD, PhD. Dr. Ofri is a physician at Bellevue Hospital, the oldest public hospital in country. She writes about medicine and the doctor-patient connection for the New York Times, and other publications. Her lectures to medical and general audiences are renowned for her use of dramatic stories (and avoidance of PowerPoint). This interview reveals the following: –  Learn about the amazing path of a combined PhD & MD program (& why Dr. Ofri decided to focus on one of these paths) – Check out her views on the waste within the healthcare system & the one idea that could save our healthcare system billions of dollars! – Her secrets of engaging articles & blogs & what kind of opportunities to look for – Her key advice on how to become an awesome writer and what she did before she ever wrote a book For the show notes, a full transcript, and tons of free resources, visit the podcast webpage at: http://doctorfreedompodcast.com/dr-danielle-ofri-md-critical-thoughts-on-cost-reduction-for-medicine-and-how-to-become-a-physician-writer/  

Deep Listening - Impact beyond words - Oscar Trimboli
Why your doctor needs to listen deeply

Deep Listening - Impact beyond words - Oscar Trimboli

Play Episode Listen Later Oct 18, 2018 32:36


Danielle Ofri, MD, PhD, is a physician at Bellevue Hospital, the oldest public hospital in the USA, and a faculty member of New York University School of Medicine. She writes about medicine and the doctor-patient connection for the New York Times, Slate Magazine, and other publications. Danielle is co-founder and Editor-in-Chief of the Bellevue Literary Review, the first literary journal to arise from a medical setting. She is the author of a collection of books about the world of medicine. Her most recent book is, "What Patients Say, What Doctors Hear." Danielle highlights just how vital good communication is in the world of medicine. The great majority of malpractice lawsuits stem from miscommunication, far more so than actual errors in clinical practice. This is communication between doctors but importantly, between doctors and their patients. There is an enormous cost of not listening in medicine. Danielle shares one particular study in which an extra twenty minutes spent between doctor and patient prior to a surgical procedure went on to save those patients from an additional three days in hospital, and reduced the amount of opioid painkillers they required. Leaving aside the health outcomes, the financial impact illustrated by this study is substantial. Before a patient consultation, Danielle makes sure she has read up on all the relevant notes and charts. In this way she can listen undistracted while they talk, focused and looking at the patient, not looking at charts or a computer screen. Danielle's research finds that doctors tend to interrupt their patients within eight to ten seconds of their speaking. She also notes that if left uninterrupted, patients will only speak for a minute to ninety seconds - a length of time Danielle thinks we can all aim to listen for! Dedicate a minute to undistracted, 'full frontal listening', and the speaker will give you the information they want to share and that you need. Danielle thinks of it as an investment in the future relationship. Danielle shares a story of her father's experience in hospital, and how accompanying him gave Danielle a patient's perspective on things. It's very easy for a doctor who sees many patients every day to not listen deeply in each and every interaction, because there are so many. For the patient, however, this time is precious.   Tune in to Learn How to get around technology, to listen undistracted Why Danielle asks her patients "how much do you want to know?" How listening to a patient reduces anxiety How Danielle is teaching new doctors to listen About listening to the unsaid for life-threatening issues

MedPEP
Episode 16: What Patients Say, What Doctors Hear — Danielle Ofri, MD, PhD

MedPEP

Play Episode Listen Later Aug 28, 2018


Dr. Marie Curious and MedPEP host Dr. Schwab have a rich and engaging conversation on the doctor-patient relationship with primary care physician and writer Dr. Danielle Ofri. The discussion contains numerous clinical pearls, some of which are drawn from Dr. Ofri’s experiences learning to play the cello as an adult. She reflects on her own frustrations with electronic medical records in a way that steers Marie in the direction of valuing and savoring the time she spends with patients, attentively listening to their stories, while judiciously and productively managing the visit length. Dr. Ofri urges physicians to utilize the first few minutes of each outpatient visit for “full frontal listening.” This helps to win the patient’s trust while providing hard data that reveals the patient’s most pressing health concerns. She links this technique of active, empathic listening to two of the holy grails valued by health care business leaders: patient satisfaction and patient safety. Dr. Ofri encourages physicians to adopt a mindset of continuous learning, growth, and professional development, and views this stance as an antidote to personal and professional burnout. And finally, Dr. Ofri advises that “if you really want to feel rejuvenated about medicine, make a house call to one of your frail patients. It makes you feel good about what you are doing.” Drs. Curious and Schwab concur with the importance of reconnecting to the essence of clinical medicine: the doctor-patient relationship.

AMA Doc Talk
The placebo effect

AMA Doc Talk

Play Episode Listen Later Feb 12, 2018 21:28


A sugar pill isn’t the only placebo that works on patients. How you speak to your patients can affect their outcomes. What you say—and how you say it—can help position your patients for success. We’ll hear from Danielle Ofri, MD, PhD, Bellevue Hospital, and associate professor of medicine, NYU. Dr. Ofri’s recently published book shows how refocusing conversations between doctors and patients can lead to better health outcomes. In addition, Adrienne Boissy, MD, MA, chief experience officer, Cleveland Clinic, will share her perspective. Active in the Office of Patient Experience since its inception, she led the development of its Center for Excellence in Healthcare Communication.

Book Club
What Patients Say, What Doctors Hear: A Guide to Improving Patient Communication

Book Club

Play Episode Listen Later Aug 25, 2017


Host: Maurice Pickard, MD Guest: Danielle Ofri, MD Despite modern medicine’s infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion’s share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Host Dr. Maurice Pickard chats with Dr. Danielle Ofri, Associate Professor of Medicine at NYU and author of What Patients Say, What Doctors Hear. The two discuss ways in which refocusing conversations between doctors and their patients can lead to better health outcomes.

Book Club
What Patients Say, What Doctors Hear: A Guide to Improving Patient Communication

Book Club

Play Episode Listen Later Aug 25, 2017


Host: Maurice Pickard, MD Guest: Danielle Ofri, MD Despite modern medicine’s infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion’s share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Host Dr. Maurice Pickard chats with Dr. Danielle Ofri, Associate Professor of Medicine at NYU and author of What Patients Say, What Doctors Hear. The two discuss ways in which refocusing conversations between doctors and their patients can lead to better health outcomes.

Top of Mind with Julie Rose
GOP Healthcare, Unopposed Elections, Harry Potter's 20th

Top of Mind with Julie Rose

Play Episode Listen Later Jun 26, 2017 99:55


NYU's Dr. Danielle Ofri reveals what doctors think about GOP healthcare plan. Melissa Marschall of Rice Univ on why so many mayoral candidates run unopposed. Harry Potter's 20th anniversary with Jon Ostenson of BYU. Langston Hughes affected daily lives of African-Americans says Kristin Matthews of BYU. Movies with Shawn O'Neill - Book of Henry and 47 Meters Down. George Donohue of George Mason Univ discusses privatizing air traffic control.

Pharmacy Future Leaders
Pharmacy Future Leaders - Danielle Ofri, MD, PhD - Pharmacy Podcast Epsidoe 441

Pharmacy Future Leaders

Play Episode Listen Later Jun 21, 2017 35:56


#PharmacyFutureLeaders Today we're speaking to Danielle Ofri, MD, PhD is an Associate Professor of Medicine at New York University School of Medicine but her clinical home is at Bellevue Hospital, the oldest public hospital in the country. She is a founder and Editor-in-Chief of the Bellevue Literary Review.  Her newest book is “What Patients Say; What Doctors Hear,” an exploration of doctor-patient communication and how refocusing the conversation between doctors and patients can improve health outcomes. Everyone's leadership road is a little different, how did you become a leader in the Patient / Doctor relations space? As a bestselling author, many think that your life is perfect, what was your most difficult moment as an author that might help others understand the struggle to get to where you are? We'll talk about your other books in a little while, but tell me about this newest book, it in some ways seems like a culmination of some of what you've learned in other works. You are the author of four other books about life in medicine, can you tell me how these work together as either a journey or cohesive whole? What Doctors Feel: How Emotions Affect the Practice of Medicine. Medicine in Translation Incidental Findings Singular Intimacies: Becoming a Doctor at Bellevue Danielle was also editor of a medical textbook—The Bellevue Guide to Outpatient Medicine—which won a Best Medical Textbook award. Danielle Ofri writes regularly for the New York Times about medicine and the doctor-patient relationship. Her essays have also appeared in the Los Angeles Times, the Washington Post, the Atlantic, Slate, the New England Journal of Medicine, the Lancet, CNN and on National Public Radio. How do you get a review from Lancet and other high end publications like these? How do you balance literary writing and popular writing? Very few people move into both. Her essays have been selected twice for Best American Essays and also for Best American Science Writing. She is the recipient of the McGovern Award from the American Medical Writers Association for “preeminent contributions to medical communication.” She has given TED talks on Deconstructing Perfection and Fear: A Necessary Emotion for Doctors, and has also performed stories for the Moth. She is featured in the upcoming documentary: “Why Doctors Write.”   See omnystudio.com/listener for privacy information.

Pharmacy Podcast Network
Pharmacy Future Leaders - Danielle Ofri, MD, PhD - Pharmacy Podcast Epsidoe 441

Pharmacy Podcast Network

Play Episode Listen Later Jun 21, 2017 35:56


#PharmacyFutureLeaders Today we’re speaking to Danielle Ofri, MD, PhD is an Associate Professor of Medicine at New York University School of Medicine but her clinical home is at Bellevue Hospital, the oldest public hospital in the country. She is a founder and Editor-in-Chief of the Bellevue Literary Review.  Her newest book is “What Patients Say; What Doctors Hear,” an exploration of doctor-patient communication and how refocusing the conversation between doctors and patients can improve health outcomes. Everyone’s leadership road is a little different, how did you become a leader in the Patient / Doctor relations space? As a bestselling author, many think that your life is perfect, what was your most difficult moment as an author that might help others understand the struggle to get to where you are?

Pharmacy Podcast Network
Pharmacy Future Leaders - Danielle Ofri, MD, PhD - Pharmacy Podcast Epsidoe 441

Pharmacy Podcast Network

Play Episode Listen Later Jun 21, 2017 35:56


#PharmacyFutureLeaders Today we're speaking to Danielle Ofri, MD, PhD is an Associate Professor of Medicine at New York University School of Medicine but her clinical home is at Bellevue Hospital, the oldest public hospital in the country. She is a founder and Editor-in-Chief of the Bellevue Literary Review.  Her newest book is “What Patients Say; What Doctors Hear,” an exploration of doctor-patient communication and how refocusing the conversation between doctors and patients can improve health outcomes. Everyone's leadership road is a little different, how did you become a leader in the Patient / Doctor relations space? As a bestselling author, many think that your life is perfect, what was your most difficult moment as an author that might help others understand the struggle to get to where you are? We'll talk about your other books in a little while, but tell me about this newest book, it in some ways seems like a culmination of some of what you've learned in other works. You are the author of four other books about life in medicine, can you tell me how these work together as either a journey or cohesive whole? What Doctors Feel: How Emotions Affect the Practice of Medicine. Medicine in Translation Incidental Findings Singular Intimacies: Becoming a Doctor at Bellevue Danielle was also editor of a medical textbook—The Bellevue Guide to Outpatient Medicine—which won a Best Medical Textbook award. Danielle Ofri writes regularly for the New York Times about medicine and the doctor-patient relationship. Her essays have also appeared in the Los Angeles Times, the Washington Post, the Atlantic, Slate, the New England Journal of Medicine, the Lancet, CNN and on National Public Radio. How do you get a review from Lancet and other high end publications like these? How do you balance literary writing and popular writing? Very few people move into both. Her essays have been selected twice for Best American Essays and also for Best American Science Writing. She is the recipient of the McGovern Award from the American Medical Writers Association for “preeminent contributions to medical communication.” She has given TED talks on Deconstructing Perfection and Fear: A Necessary Emotion for Doctors, and has also performed stories for the Moth. She is featured in the upcoming documentary: “Why Doctors Write.”   See omnystudio.com/listener for privacy information.

Pharmacy Future Leaders
Pharmacy Future Leaders - Janine Kelbach - Pharmacy Podcast Episode 433

Pharmacy Future Leaders

Play Episode Listen Later May 30, 2017 28:19


#PharmacyFutureLeaders Janine Kelbach, RNC-OB is a Cleveland, Ohio resident, freelance writer and owner of WriteRN.net. Janine has been an RN since 2006, specializing in labor and delivery and ventured into writing in 2012. Her mission to help other writers build their businesses as she did with her 2 kids and a husband. Everyone's leadership road is a little different, how did you become a leader in a nurse writer and coach? What kind of degree or writing experience did you have before you launched? As a writer and nurse, many think that your life is perfect, that you have the best of both worlds every day and all the time. what was your most difficult moment as writer that might help others understand the struggle that a coach might help them get through? Can you explain the difference between what you do as a business writing coach or a writing coach and we think of athletic teams as needing coaches, how does a writer need? Can you talk about how writing fits into your schedule of sometimes you have a shift available and sometimes you don't based on the hospital census? Can you take us through a day in your life, most recently I spoke with Danielle Ofri, who recently published “What Patients Say; What Doctors Hear,” and to paraphrase, she is ruthless with her time turning down activities that take her away from writing, her family, and her Cello she has no TV in her life or the news … Why do you think there's a non-clinical trend for health professionals? To contact Janine: Not sure if you need a coach? No problem! Let's do a 15 minute intro call! It's free to you, no strings attached, to see how I can help you out! Topics we can touch on: - Goal setting - Accountability - Social Media Guidance - Work Feedback - Setbacks - Productivity - Ramping Up your Professional Presence - Establishing your rates Connect with me on LinkedIn and Twitter Website: WriteRN             See omnystudio.com/listener for privacy information.

Pharmacy Podcast Network
Pharmacy Future Leaders - Janine Kelbach - Pharmacy Podcast Episode 433

Pharmacy Podcast Network

Play Episode Listen Later May 30, 2017 28:19


#PharmacyFutureLeaders Janine Kelbach, RNC-OB is a Cleveland, Ohio resident, freelance writer and owner of WriteRN.net. Janine has been an RN since 2006, specializing in labor and delivery and ventured into writing in 2012. Her mission to help other writers build their businesses as she did with her 2 kids and a husband. Everyone's leadership road is a little different, how did you become a leader in a nurse writer and coach? What kind of degree or writing experience did you have before you launched? As a writer and nurse, many think that your life is perfect, that you have the best of both worlds every day and all the time. what was your most difficult moment as writer that might help others understand the struggle that a coach might help them get through? Can you explain the difference between what you do as a business writing coach or a writing coach and we think of athletic teams as needing coaches, how does a writer need? Can you talk about how writing fits into your schedule of sometimes you have a shift available and sometimes you don't based on the hospital census? Can you take us through a day in your life, most recently I spoke with Danielle Ofri, who recently published “What Patients Say; What Doctors Hear,” and to paraphrase, she is ruthless with her time turning down activities that take her away from writing, her family, and her Cello she has no TV in her life or the news … Why do you think there's a non-clinical trend for health professionals? To contact Janine: Not sure if you need a coach? No problem! Let's do a 15 minute intro call! It's free to you, no strings attached, to see how I can help you out! Topics we can touch on: - Goal setting - Accountability - Social Media Guidance - Work Feedback - Setbacks - Productivity - Ramping Up your Professional Presence - Establishing your rates Connect with me on LinkedIn and Twitter Website: WriteRN             See omnystudio.com/listener for privacy information.

Frankly Speaking About Cancer with the Cancer Support Community

Every day, patients meet with doctors to discuss their health and wellness. Yet, these meetings can be frustrating and unsatisfactory for both patient and doctor alike. On this episode of Frankly Speaking About Cancer, Dr. Danielle Ofri brings special insight on this topic, having recently written the book “What Patients Say, What Doctors Hear.”

Library Talks
What Patients Say, What Doctors Hear with Dr. Ofri and Mary Harris

Library Talks

Play Episode Listen Later Mar 21, 2017 61:39


Modern medicine is infatuated with high-tech gadgetry, yet the single most powerful diagnostic tool remains the doctor-patient conversation, which can uncover the lion’s share of illnesses. Dr. Danielle Ofri speaks with WNYC host Mary Harris about her new book, What Patients Say, What Doctors Hear, which proves that medicine doesn’t have to work that way, and how better communication can lead to better health for all of us.

Top of Mind with Julie Rose
Patient-Doctor Miscommunication, Cultivating a Garden Ethic

Top of Mind with Julie Rose

Play Episode Listen Later Mar 4, 2017 103:04


New York University School of Medicine's Danielle Ofri, explains the dangers of patient-doctor miscommunication and how to overcome them. BYUradio's Marcus Smith and Matthew Gowans of Snow College talk about why the world really needs more serious gardeners now more than ever.

Only Human
Patients and Doctors Fess Up

Only Human

Play Episode Listen Later Dec 22, 2015 29:24


This episode originally aired October 20, 2015. Back in October, we asked you to share your health confessions with us. The secrets about your health, or the gambles you take. Many of you tweeted your confessions using #OnlyHuman, and you can see them in a gallery we’ve created here.   It turns out you guys have all kinds of vices. Some of you eat the wrong things, some of you use drugs, and some of you are guilty of sins of omission: details you’d rather not tell your doctor. Debra told us that she did not tell anyone when she bought a plane ticket to Tijuana to get a gastric sleeve, a weight reduction procedure, because her American doctor refused to do it. Christian (not his real name) called to tell us that he feared losing his driver’s license if he was honest with his doctor about his seizures, which are starting to increase in frequency. When we first aired this episode, some listeners expressed concern that Christian’s secret might put others in harm’s way. So we asked two neurologists: is it reckless for a person with Christian’s condition to drive? They both suggested that probably not — but he could be putting himself at risk. They told us poorly controlled seizures can increase the risk of memory problems, and of a condition called Sudden Unexpected Death in Epilepsy. When we hide things from our doctors, are they onto us? “I wouldn’t call it lying,” said Dr. Henry Lodge, an internist at Columbia University Medical Center. “It’s very hard to share things that we feel uncomfortable about.”  In this episode, we go to that uncomfortable place, and hear stories from patients — as well as doctors — as they discuss the mistakes, mishaps, and near fatal errors that happen between doctor and patients. This episode features: Dr. David Bell, Dr. Christine Laine, Dr. Henry Lodge, Dr. Owen Muir, and Dr. Danielle Ofri.   What are you afraid to tell your doctor? Is there something about your health that you keep from your family and friends? Comment below, send an email to onlyhuman@wnyc.org, or leave us a voicemail at (803) 820-WNYC (9692).  

Academic Life in Emergency Medicine (ALiEM) Podcast
ALiEM Bookclube- What Doctors Feel by Danielle Ofri

Academic Life in Emergency Medicine (ALiEM) Podcast

Play Episode Listen Later Dec 14, 2015 19:02


Dr. Jordana Haber and our ALiEM hosts discuss 'What Doctors Feel', written by Dr. Danielle Ofri. The book explores the importance of emotions in the field of medicine, and how it affects doctor-patient relations, and the efficiency of medical professionals.

Only Human
Patients and Doctors Fess Up

Only Human

Play Episode Listen Later Oct 20, 2015 28:02


A couple of weeks ago we asked you to share your health confessions with us. The secrets about your health, or the gambles you take. Many of you tweeted your confessions using #OnlyHuman, and you can see them in a gallery we’ve created here.   It turns out you guys have all kinds of vices. Some of you eat the wrong things, some of you use drugs, and some of you are guilty of sins of omission: details you’d rather not tell your doctor. Christian (not his real name) called to tell us that he feared losing his driver’s license if he was honest with his doctor about his seizures, which are starting to increase in frequency. Debra told us that she did not tell anyone when she bought a plane ticket to Tijuana to get a gastric sleeve, a weight reduction procedure, because her American doctor refused to do it. Do doctors know we’re not always telling the truth? “I wouldn’t call it lying,” said Dr. Henry Lodge, an internist at Columbia University Medical Center. “It’s very hard to share things that we feel uncomfortable about.” In this episode, we go to that uncomfortable place, and hear stories from patients — as well as doctors — as they discuss the mistakes, mishaps, and near fatal errors that happen between doctor and patients.  This episode features: Dr. David Bell, Dr. Christine Laine, Dr. Henry Lodge, Dr. Owen Muir, and Dr. Danielle Ofri.   What are you afraid to tell your doctor? What do you keep even from your own family and friends? Tell us. Comment below, send an email to health@wnyc.org, or leave us a voicemail at (803) 820-WNYC (9692).  //

You Are Not So Smart
045 - Doctors - Danielle Ofri

You Are Not So Smart

Play Episode Listen Later Mar 12, 2015 56:09


In this episode, we talk to Danielle Ofri, a physician and author of "What Doctors Feel" - a book about the emotional lives of doctors and how compassion fatigue, biases, and other mental phenomena affect their decisions, their motivations, and their relationships with patients. You'll also hear Ofri discuss emotional epidemiology, the viral-like spread of fear and other emotions that can lead to panics like those we've seen surrounding Ebola, the Swine Flu, SARS, and other illnesses. See omnystudio.com/listener for privacy information.

The Premed Years
98: Time to Get Touchy Feely - Let's Talk Physical Exam

The Premed Years

Play Episode Listen Later Oct 8, 2014 35:18


Dr. Danielle Ofri has a great piece in the New York Times titled "The Physical Exam as Refuge." Allison and I discuss this and give our thoughts for the premed. Links and Other Resources:https://medicalschoolhq.net/mshq-098-time-to-get-touch-feely-lets-talk-physical-exam/ (Full Episode Blog Post) Check out my https://medicalschoolhq.net/books (Premed Playbook) series of books (available on https://medicalschoolhq.net/books (Amazon)), with installments on https://amzn.to/2EhxhRf (the personal statement), https://amzn.to/2lHXoux (the medical school interview), and https://amzn.to/2vVQpU5 (the MCAT). Related episode: https://medicalschoolhq.net/mshq-037-welcome-to-your-3rd-year-of-medical-school/ (Welcome to Your 3rd Year of Medical School). Related episode: https://medicalschoolhq.net/prescription-writing-101/ (Prescription Writing 101 (with Example Prescriptions)). Need MCAT Prep? Save on tutoring, classes, and full-length practice tests by using promo code “MSHQ” for 10% off Next Step full-length practice tests or “MSHQTOC” for $50 off MCAT tutoring or the Next Step MCAT Course at https://medicalschoolhq.net/nextstep (Blueprint MCAT (formerly Next Step Test Prep))!

The Premed Years
98: Time to Get Touchy Feely - Let's Talk Physical Exam

The Premed Years

Play Episode Listen Later Oct 7, 2014 35:18


Dr. Danielle Ofri has a great piece in the New York Times titled "The Physical Exam as Refuge." Allison and I discuss this and give our thoughts for the premed. Links and Other Resources: Full Episode Blog Post Check out my Premed Playbook series of books (available on Amazon), with installments on the personal statement, the medical school interview, and the MCAT. Related episode: Welcome to Your 3rd Year of Medical School. Related episode: Prescription Writing 101 (with Example Prescriptions). Need MCAT Prep? Save on tutoring, classes, and full-length practice tests by using promo code “MSHQ” for 10% off Next Step full-length practice tests or “MSHQTOC” for $50 off MCAT tutoring or the Next Step MCAT Course at Next Step Test Prep!

The People's Pharmacy
Show 960: Mastering the Maze of Health Care Bureaucracy

The People's Pharmacy

Play Episode Listen Later Sep 6, 2014 58:02


Most of us have experienced the frustration of a phone tree that seems designed to keep us from speaking to the person who could actually do what needs to be done. Have you ever considered the impact of an insurance pre-authorization requirement on a physician’s work day? We speak with Dr. Danielle Ofri about a […]

History & Physical: The Official Medical Student Podcast of in-Training

This week on History & Physical, Kevin Wang interviews Dr. Danielle Ofri. Dr. Ofri is the author of The New York Times best-seller "What Doctors Feel," editor-in-chief of the Bellevue Literary Review, contributor to The New York Times, associate professor of medicine at New York University School of Medicine, and internist at Bellevue Hospital. The post Interview with Dr. Danielle Ofri appeared first on in-Training.

Newman Library
Danielle Ofri: Singular Intimacies: Becoming a Doctor at Bellevue

Newman Library

Play Episode Listen Later Aug 14, 2012 29:04


Friends of the Newman Library and the Postgraduate Center for Mental Health (PCMH) sponsor the third annual Evening in the Oak Room to celebrate the affiliation of the PCMH with the Newman Library. The event features a reading by Danielle Ofri followed by a dialogue with the audience led by psychoanalyst and author Dale Mendell, PhD. Dr. Ofri, an attending physician at Bellevue and editor-in-chief of the Bellevue Literary Review, reads a chapter from her book Singular Intimacies: Becoming a Doctor at Bellevue.

Newman Library
Danielle Ofri: Singular Intimacies: Becoming a Doctor at Bellevue

Newman Library

Play Episode Listen Later Aug 14, 2012 29:04


Friends of the Newman Library and the Postgraduate Center for Mental Health (PCMH) sponsor the third annual Evening in the Oak Room to celebrate the affiliation of the PCMH with the Newman Library. The event features a reading by Danielle Ofri followed by a dialogue with the audience led by psychoanalyst and author Dale Mendell, PhD. Dr. Ofri, an attending physician at Bellevue and editor-in-chief of the Bellevue Literary Review, reads a chapter from her book Singular Intimacies: Becoming a Doctor at Bellevue.

US News | Health Check
Do Doctors Speak Another Language?

US News | Health Check

Play Episode Listen Later Feb 3, 2010


Senior Writer Deborah Kotz gets Perspectives on Health from Danielle Ofri, M.D. on solutions for patients to decode the medical-speak in her new book, Medicine in Translation.