A blog about the inner workings of the field of medicine and its theoretical, practical, and ethical complexities.
By: Aaron Rothstein
April 5, 2021
She looked her age — 27, startlingly close to my own age. Did we share acquaintances or friends of friends? She fixed her hair in a ponytail and wore jeans and a collared shirt with a sweater, a preppy and youthful fashion statement consistent with her budding career as an architect. Polite but slightly withdrawn she looked...
March 29, 2021
“I am departing totally convinced,” the great Russian playwright Anton Chekhov wrote to a professional acquaintance in March of 1890, “that my trip will yield a valuable contribution neither to literature nor to science.” Chekhov prepared to leave for Sakhalin Island, a distant part of the Russian Empire north of Japan filled...
March 22, 2021
Her oncologist sent her in to the emergency room. The diagnosis was metastatic gallbladder cancer aggressively invading her liver, resulting in liver failure. I went down to the emergency room to see her. She only spoke Bengali, so every conversation required a phone interpreter. As I walked up to the patient’s bed I immediately...
March 15, 2021
In war, those with their lives yet to be lived are also those most urgently needed to fight. It is one of the tragic ironies of conflict. In the U.S. Civil War, the average soldier was 26 and approximately 620,000 soldiers died. In World War I, over 2 million German soldiers died, and 40 percent of German combatants were between 21 and...
March 8, 2021
At the beginning of the Covid-19 pandemic, hospital administrators behaved as cautiously as possible to avoid transmission and dissemination of the virus. They strictly limited or eliminated hospital visitors. This was one of the most devastating policies enacted by healthcare institutions. As a consequence, not only were patients left...
May 21, 2020
The effervescent rays of sunshine spread their warmth across my back as I walk along Omaha Beach in Normandy. French children kick around a soccer ball, shouting and giggling across a fifty-yard stretch of sand. A tranquil ocean extends into the horizon, effortlessly mingling with the sky making it impossible to tell where one starts and...
April 30, 2020
“I just want to run this case by you,” the emergency room doctor at the other hospital told me on the phone. We frequently get these calls from other hospitals. Smaller emergency rooms with fewer resources often don’t know what to do in complex situations. After all, scientific literature in medical subspecialties changes rapidly...
April 15, 2020
From 1665 to 1666, the Great Plague spread through London. Caused by a bacteria transmitted by the bite of a rat flea, it killed nearly a quarter of London’s population in the span of 18 months. Such a deadly conflagration must have seemed strange and terrifying to its victims; there was no germ theory to explain its spread,...
February 26, 2020
We admitted the patient to our service from the emergency room to treat her for thrombocytopenia (an abnormally low platelet count) and spontaneous bruising. The patient, in her fifties, was otherwise healthy. True, she had been treated for stomach cancer nearly seven years ago, but it was in remission and had been for a while. She had...
June 4, 2019
I remember my first encounter with great literature. Before bedtime, my father would read Great Expectations to me, using different voices for different characters. I remember Pip and Miss Havisham, though I don’t think I fully understood Miss Havisham’s peremptory and eery commandment to Pip to love Stella. I remember the stygian...