Grateful

Grateful

Last October, I saw an older man in the Emergency Department who had collapsed while surfing due to cardiac arrest; essentially, his heart had stopped in the middle of a wave.  He was rescued by some teenagers who had witnessed his fall and had the wherewithal (and...
Different Priorities, Different Results

Different Priorities, Different Results

There were two interesting articles published in the United States that highlighted the important differences I’ve noticed after a year in practice in New Zealand. Both articles are worth reading, as they highlight problems that a growing majority of US...
A Global Perspective (on Doctoring)

A Global Perspective (on Doctoring)

I’ve recently returned from a trip to Sydney Australia and SMACC, one of the premier emergency and critical care conferences in the world now in its 7th and final iteration.   It’s the first continuing education conference I’ve attended since...
Accidents Will Happen

Accidents Will Happen

It’s summer here, which means a bit of a respite from kids with respiratory illness and fever in the Emergency department, but an uptick in injuries.  Falls, motor vehicle collisions, bike accidents, and of course playground injuries have been commonplace. The...
Sharing our secret

Sharing our secret

Happy New Year everyone from the land of the first light.  We’ve had a busy summer, filled with wonderful visits from our family back home and numerous trips that the kids have reported well on.  The ocean is warm enough to swim in without a wetsuit, and the...
Whāngai

Whāngai

One of my favorite axioms of emergency medicine, and medicine in general, is that patients come for our care, not our judgment.   In times when my empathy meter is running particular low, for example during my recent string of overnights, I will actually repeat these...