I could have been more understanding, especially when police brought a man I'll call Mr. Atkins to the emergency room for depression and suicidal ideation. But it was 3:00 a.m. and the ER was a carnival of disease and discontent, a parade of drunk drivers and folks who practiced conflict resolution with knives and bullets. A patient well known for her drug abuse wasn't done yelling at me for refusing to write her a narcotic script when a nurse tweaked at (...) my elbow to please come speak with Mr. Atkins, who was making a case to walk out. (shrink)

On September 1, 2005, Memorial Hospital was on “survival mode.” Hurricane Katrina had felled the levees of New Orleans, submerging a modern city with floodwaters of biblical proportions, tasking physicians and nurses to make morally sound decisions under unprecedented conditions, where, as one physician stated, “[T]he laws of man and the normal standards of medicine no longer applied” (p. 9). In Five Days at Memorial, Sheri Fink, a Pulitzer Prize‐winning journalist, resists the urge to assign easy blame or take a (...) position. Instead, she weaves together the perspectives of a cast of people tested by this catastrophe and constructs a tapestry of experiences that isn't neat and comforting but disturbing, compelling, and admirable all at once. (shrink)

I’m avoiding Mr. G’s room. I shouldn’t have read the emergency room notes from the other hospital, where this middle‐aged man raised a stink about the wait. What type of person calls the triage nurse a bitch? From the timestamps on the electronic medical record notes, he stormed from that ER and drove his abdominal pain, vomiting, diarrhea, and discontent directly across town to us.I’m reminded of this oft‐quoted aphorism from Sir William Osler: “The good physician treats the disease; the (...) great physician treats the patient who has the disease.” It’s cited by medical educators as an invocation to never forget the humanistic heart at the center of clinical care. But what if the patient is a jerk? That I haven’t met Mr. G, only read briefly about him, doesn’t stop these ugly feelings from surfacing. (shrink)