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The Doctor's Art

Purpose and Justice on the Pandemic Frontlines (with Dr. Thomas Fisher)

The Doctor's Art

Henry Bair and Tyler Johnson

Medicine, Society & Culture, Health & Fitness, Philosophy

52.1K Ratings

🗓️ 16 August 2022

⏱️ 49 minutes

🧾️ Download transcript

Summary

Imagine showing up for work every day for a year, knowing full well that each day you risk contracting a potentially devastating disease with unknown long-term consequences. That's exactly what Dr. Thomas Fisher went through, as he documents vividly in his recent book, The Emergency: A Year of Healing and Heartbreak in a Chicago E.R., which delves into what it was like fighting COVID-19 on the frontlines in 2020. Dr. Fisher, an emergency physician at the University of Chicago Medical Center, former healthcare executive, and former White House Fellow, has dedicated his life to caring for his community, the black population of Chicago's South Side. In this episode, he recounts harrowing stories from the emergency room, gives an impassioned critique of a health care system with too little space for doctors to provide the care their patients need, and shares a renewed vision of healthcare as a foundation of social justice.


In this episode, you will hear about:

  • What motivated Dr. Fisher to write his book, The Emergency, a riveting first-hand account of the first year of the COVID-19 pandemic - 2:09
  • The uncertainty and terror physicians faced at very beginning of the pandemic - 5:29
  • An intimate picture of how emergency physicians approached the first COVID-19 patients - 9:45
  • How an upbringing in Chicago’s South Side propelled Dr. Fisher into a career in healthcare, and how the reality of inequitable systems has shaped his medical practice - 13:10
  • A discussion of the concept of “heroism” in the context of frontline healthcare workers - 20:35
  • How Dr. Fisher used letters addressed to patients as a narrative device in his book to explore social injustices that affect individual health - 30:50
  • Dr. Fisher’s reflections on maintaining a connection to the meaning of his work despite the seemingly insurmountable systemic challenges that he recognizes - 35:57
  • Practical advice for clinicians on making space for patient care within a rushed healthcare environment - 42:28


Dr. Fisher is the author of The Emergency: A Year of Healing and Heartbreak in a Chicago E.R.


Follow Dr. Fisher on Twitter @TFisherMD.


Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.


If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to [email protected].


Copyright The Doctor’s Art Podcast 2022


Transcript

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0:00.0

Hi, I'm Henry Bear.

0:03.4

And I'm Tyler Johnson.

0:04.8

And you're listening to the Doctors' Art, a podcast that explores meaning in medicine.

0:09.9

Throughout our medical training and career, we have pondered, what makes medicine meaningful?

0:15.2

Can a stronger understanding of this meaning create better doctors?

0:18.8

How can we build healthcare institutions that nurture the doctor-patient connection?

0:23.1

What can we learn about the human condition from accompanying our patients in times of suffering?

0:28.0

In seeking answers to these questions, we meet with deep thinkers working across healthcare,

0:33.1

from doctors and nurses to patients and healthcare executives, those who have collected a career's worth of harder and wisdom.

0:40.2

Proving the moral heart that beats at the core of medicine, we will hear stories that are by turns heartbreaking,

0:45.6

amusing, inspiring, challenging, and enlightening.

0:49.3

We welcome anyone curious about why doctors do what they do.

0:52.9

Join us as we think out loud about what illness and healing can teach us about some of life's biggest questions.

1:04.1

Imagine showing up for work every day for a year, knowing full well that with each day you risk contracting a potentially devastating disease with unknown-long term consequences.

1:14.4

That's exactly what Dr. Thomas Fisher went through, as he documents vividly in his recent book, The Emergency,

1:20.8

a year of healing and heartbreak in a Chicago ER, which delves into what it was like fighting COVID-19 on the frontlines in 2020.

1:30.0

Dr. Fisher is an emergency physician at the University of Chicago Medical Center, and was previously a healthcare executive,

1:36.9

White House fellow, and a Robert Wood Johnson Foundation clinical scholar.

1:41.5

He has dedicated his life to caring for his community, the black population of Chicago's south side.

1:47.9

In this episode, he shares harrowing stories from the emergency room, gives an impassioned critique of a healthcare system that allows for too little space for doctors to provide the care their patients need,

1:59.0

and discusses how healthcare inequities are a manifestation of entrenched social injustices, from redlining, to employment, and discrimination, to biases in city surfaces.

2:09.8

Dr. Fisher, welcome to the show.

...

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