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The Narrative Arc

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How I Pissed Off Six Separate Medical Specialists During One Emergency Department Encounter

If I’m the point of the spear someone is going to get poked

9 min readSep 21, 2023

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A caveman-looking guy with a spear and a briefcase appearing ready for battle.
I’m simple but effective. Photo by Crawford Jolly on Unsplash

In 2003 I was the only Board-Certified Emergency Physician in Holland, hired as a change agent, the so-called point of the spear.

Evolution of the questionable decision to hire me

Although I worked as an academic Emergency Physician (EP) at a University Hospital physician training program, I’d had an interest in International Emergency Medicine (EM) for a long time.

I’d already done several international medical missions, each about a month in duration, in Honduras, Brazil, and Kenya. I’d also staffed a medical clinic in Belize, again for about a month.

What I desired though was an international posting at the intersection of meaningful longitudinal involvement, education, and innovation. Throw in a dash of adventure, or the unexpected, I always thought, and I’m yours.

Then I saw it.

A small ad in an International EM newsletter.

Are you a culturally sensitive, experienced academic EP interested in…

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The Narrative Arc
The Narrative Arc

Published in The Narrative Arc

Medium’s best creative nonfictionā€Šā€”ā€Šmemoirs and personal essays. Eclectic, nuanced, entertaining. Follow us, or join our writers’ collective.

Michael Burg, MD (Satire Sommelier) 😬
Michael Burg, MD (Satire Sommelier) 😬

Written by Michael Burg, MD (Satire Sommelier) 😬

The ā€œMDā€ & ā€œumā€ in Medium, and the ā€œerā€ in wisenheimer | Doctor Funny editor/czar | Sultan of satire | Party Pooper - Mostly on Trump's party

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