Doctor of the Heart: My Life in Medicine

The human person at the heart of medicine: Reflections of a physician with lymphoma

For him, it was sick children, especially those in cancer wards. Rather, doctors emerge from their cocoons in residency and practice. He explains that your first years in medical school are more about learning the scientific foundations of medicine, which lays the groundwork for the rest of your training. He explains that it typically requires four years of medical school, three to five years of residency, and one to four additional years of fellowship, if that route is chosen.

Medical students with close connections to doctors, either through friends or family, have a unique, invaluable advantage. These individuals can provide a wealth of wisdom and be confidants, listeners, and voices of reason throughout the strenuous process of becoming a doctor. Medicine is a field that will keep you on your toes, with each day bringing the unexpected. As confident as you are going into a situation, you must always expect the unexpected, according to Dr. Ryan Polselli , a Diagnostic Radiologist. He recalls a time early on in his residency when he was asked to obtain a medical history and physical exam for a new admission.

After a few failed attempts at speaking back and forth, Dr. Polselli opted to grab a pen and paper and communicated that way. You know that a career in medicine is definitely no walk in the park. These doctors have made it clear that not everyone has what it takes to become a doctor.

So did their insights alarm you or excite you? This behind-the-scenes look is valuable in helping determine if you want to pursue a career in medicine. Reverse Heart Disease Now: The Simple Heart Cure: Sponsored products related to this item What's this? Never Binge Again tm: Mini Habits for Weight Loss: Change Your Lifestyle W Achieve lasting weight loss with mini habits. Change at the natural pace of your brain and body.

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Doctor of the Heart: My Life in Medicine Hardcover – October 26, An autobiographical account of Dr. Isadore Rosenfeld recounting his most memorable experiences as America's Doctor and Doctor to the Stars. Dr. Rosenfeld has authored more than a dozen books for the layperson. Dr. Isadore Rosenfeld, a cardiologist, author and Fox News host, in in his memoir, “Doctor of the Heart: My Life in Medicine” ().

Please try again later. As an emergency physician I read this book with dismay, if too many of you take its advice, it will drastically decrease my income!

12 Insider insights about pursuing a career in medicine

Masley does a masterful job of explaining why most of us aren't really very healthy and then plots out a reasonable, entirely doable program to remedy that. Weaving in fascinating vignettes from his patients and family, he artfully explains the rapidly evolving science of staying healthy. Most similar books advocate changes in diet so radical, that they are absurd and patently unrealistic - not this one! It explains in plenty of detail how to reasonably modify our diets in order to have marked effects on those diseases that rob us of our health and vitality.

In addition to his dietary counsel, Dr. During that hospitalization a lymphoma expert recommended splenectomy cancer cells were in my spleen and marrow. The surgeon was able to extract my spleen laparoscopically even though platelets were dangerously low at 10,! After the surgery my cell counts were normal, could it be that simple? Just days later my neutrophils fell back to zero.

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Early-onset cyclophosphamide-induced interstitial pneumonitis. I regard with awe the wonders of creation: Get fast, free shipping with Amazon Prime. Learn how a simple anti-procrastination framework can help you master those difficult tasks you keep putting off. The book is really terrific.

Your cell counts are normal! No more chemo until such time as the cell counts dropped. Blood counts were taken monthly, then quarterly.

Doctor of the Heart: My Life in Medicine

In October , I received the disappointing news that my lymphoma recurred and now owned 90 percent of my marrow. My first round of bendamustine and rituximab had no impact, and my blood counts dropped. My doctor wanted to try cyclophosphamide—vincristine—prednisone. Not long after a single dose of cyclophosphamide, I was breathless and could not finish a sentence.

Lying in bed I could hear, without a stethoscope, fine crackles echoing in my trachea from my crispy-fried lungs. Providentially, specialists diagnosed my cyclophosphamide-induced interstitial lung disease Spector, Zimbler, and Ross and swapped cyclophosphamide for a month of high-dose corticosteroids, the medication for which Mayo Clinic researchers received the Nobel Prize in Lantz ; Hillier Happily this was a cure for my lungs, but now diabetes required insulin.

The lymphoma continued to occupy the majority of my bone marrow. By September my platelets had fallen back to a hazardously low 7, requiring platelet transfusions. My family flew to Minnesota when I explained my ongoing risk of sudden hemorrhage or sepsis. My sister, who arrived on the next flight, was amazed I did light work. I was not in the critical condition she expected. Such are the incongruities of a rapidly changing serious illness.

Do you have what it takes?

In October , two years from my recurrence date, my hematologist recommended a new approach: The following Sunday at Mass, Ezekiel 47 resonated: I recall that digoxin derives from the foxglove leaf, and now realize that medicines, as this twenty-five centuries-old text claims, are gifts of the Creator. Giving thanks I echo the Liturgy of the Eucharist and recognize the origin of this amazing pharmacologic gift: I was approved for ibrutinib and tolerated its gastro-intestinal adventures and migratory tendonitis. On daily ibrutinib my cell counts have returned to normal for the past 12 months.

Flow cytometry detects malignant lymphocytes still floating in my peripheral blood which I apprise to be refugees escaping my marrow's smoky battleground. Gratefully, since my initial diagnosis in early , I have been able to continue clinical work as a hospitalist, albeit intermittently at times. I make greater effort to understand the patient as person with unique relationships, passions, background; the per se unum— the one who is different from all others—the subjective person.

Fecund queries regard bedside tokens or gifts: How do you live? Who is in your life? What plans or aspirations of yours have been threatened by this illness? How can I understand your suffering, not just your pain? How can we help restore your wholeness, vitality, roles, relationships, and vocation, as best we can understand them, with your permission?

One medical professor, Dr. Desmond O'Neil, a geriatrician at Trinity College, Dublin, asserts the uniqueness of every elderly person. When I walk with a cane due to the migratory tendonitis from Ibrutinib , I acutely regard my sisters and brothers with walkers, canes, and wheel chairs.

Few traverse our purgatory solo. Its Latin root is passio to suffer. Because, the only proof of love is the willingness to suffer for the beloved, as do caregivers. Cancer deepened my appreciation of life as a gift, and all five transcendent desires of the human person described by Plato and Aristotle: Amazingly, at the center of every human heart, as if to fill a void, is the anatomical landmark of the heart's fibrous skeleton known to cardiologists as, and aptly termed, the cardiac crux —the cross Connolly and Oh , , fig. Behind the mask was the character of the individual who was both unique and skillfully portrayed the subjective, or person.

In the face of illness, every person is unmasked, revealed and appreciated deeply. Every kindness is savored. Every clever diagnosis or assessment is applauded.