Welcome to this week's edition of Dear Dr. Horton. Send the anonymous questions that keep you up at night to a real former Dean of Medical Student Affairs, Dr. Jillian Horton, and get the perspective you need with no fear of judgment. Submit your questions anonymously through this form, and if your question is appropriate for the column, expect an answer within a few weeks!
Dear Dr. Horton,
I've experienced the death of patients before — but this one feels different. I can’t help but think of small things we spoke about, like their dogs and their season tickets to the theatre. How do you navigate the intersection of professionalism and mourning another human you felt connected to?
Mourning in Secret
Class of 2018
Charcoal on paper.
This drawing was inspired by recent discussions with classmates on achieving balance during medical studies.
Bruce Arroll is a Professor of General Practice at the University of Auckland and a GP at the Greenstone Family Clinic in Manurewa Auckland
My first clinical impression of primary care was of lots of symptom clusters that did not appear in Harrisons Textbook of Medicine. These symptoms would fluctuate and I would investigate some and often find no satisfactory answers from my investigations and referrals. I gradually learned to use time as my diagnostic test and some of these symptoms would disappear while others would stay. Many of them did not follow any anatomical or physiological pattern. I now prefer the term illness without disease1 as Medically Unexplained Symptoms (MUS) sounds like if you did just one more (or the right) scan/xray/referal/consultation you'd find the answer. There was a qualitative study on what patients liked when they had MUS. Their preference was for some sort of explanation ...continue reading
Erin Russell is assistant editor for CMAJ and CMAJ Open
I first heard the expression “FoMo” (Fear of Missing out) about a month ago in a blog post written by Dawn McIlvain Stahl, a copy-editor lamenting having to miss this week's annual American Copy Editors Society (ACES) national conference in Pittsburgh. According to Wikipedia, FoMo is "a pervasive apprehension that others might be having rewarding experiences from which one is absent." The term immediately resonated with me, but the difference is, I suffer from FoMo while attending the conference. ...continue reading