Saturday, July 21, 2018

Twitter Tailwinds


Full many of gem of purest ray serene,
The dark unfathomed caves of the ocean there;
For many a flower is born to blush unseen,
And waste its fragrance on the desert air.
Thomas Gray

Twitter Tailwinds — Little Capsules of Gratitude
by Lisa Rosenbaum, M.D. 
N Engl J Med 2018; 379:209-211 (July 19, 2018)  Free Link.

The venerable New England Journal of Medicine has been published since 1812. It prides itself on being the gold standard for clinical medical periodicals,  and its stratospheric Impact Factor is the envy of all other medical journal editors. NEJM is the go-to journal for articles on the new and expensive Biologics and its clear to me, that the advertising revenue they derive from these are of vital importance to their Editors.

However, every month or two there's an article that touches on the art of medicine. These usually appear in the Perspective section.  In the current issue is one such essay by Lisa Rosenbaum, entitled Twitter Tailwinds.

Background: Lisa Rosenbaum is the granddaughter of Edward Rosenbaum, a rheumatologist from Portland Oregon who wrote the memoir, "A Taste of My Own Medicine" in 1988. It was made into the movie, The Doctor, starring William Hurt. On a visit to Portland in 1993, I met Ed Rosenbaum and he took me his favorite seafood restaurant. Later we sauntered in the sylvan Washington Park that was across the street from his home, if my memory serves.

Twitter Tailwinds is a reflective piece about some of the simple pleasures and satisfactions that we can partake of, as physicians, from interactions with our patients. Dealing as we do with burn-out, emotional exhaustion, and compassion fatigue, we need to be reminded of the good moments in our professional lives that make it so worthwhile. We all experience flashes of grace with patients but don't often dwell on them. Lisa's reflective piece is a good reminder.

In the dreasy unfathomed caverns of our scientific medical literature, one occasionally stumbles on brilliant gems. Twitter Tailwinds is one.  You can read it full text at this link.
Unseen Flowers in Martha's Williamstown Garden

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