It is 3:00 AM. My pager vibrates with the familiar summons to the ED for yet another syncope admission. As a hospitalist, these encounters have become a scripted routine. “What brings you in?” “Did you lose consciousness?” These questions form the backbone of a mundane interview as I assess the nature of their symptoms. I […]
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The 2 AM Reality It is 2 AM at the hospital. I am processing an admission for “Mr. B,” a 70 year old with COPD. This is his second admission of 2026, and March has just begun. Mr. B is the “Gold Standard” failure: he is adherent to triple therapy (ICS/LAMA/LABA) and uses his rescue
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For years, I envisioned creating a blog. I often wrestled with what to talk about or discuss. Since high school, I have referred to myself as a poor writer. It was a self-inflicted wound. I told myself I had nothing to say or worse, that I didn’t know how to say it. Why would anyone
I earned the title “doctor” in 2005. Hearing my name—Dr. Fisher—gave me a profound sense of pride and accomplishment. It represented the culmination of years of incessant study, countless late nights, and the huge personal sacrifice it took to become a physician. Hearing that name was, in essence, a badge of honor. When patients, colleagues,
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