Christopher Johnson, MD is a leading pediatric intensivist, based in Santa Fe, New Mexico, but practicing in pediatric intensive care units all across America. So far, he’s put out two excellent guides for parents, simplifying the critical knowledge they need to get the best care for their children, in both routine care and in life or death situations. I’ve done podcast interviews with Dr. Johnson about both his books, YOUR CRITICALLY ILL CHILD: LIFE AND DEATH CHOICES PARENTS MUST FACE and HOW TO TALK TO YOUR CHILD’S DOCTOR and found that the information therein is fascinating to anyone with an interest in why and how doctors do what they do.
We’d like to thank him for taking the time to be part of our “5 Minutes Alone” interview series.
AuthorScoop: What was your very first publication credit?
Chris: Before I started writing for general readers I was a medical researcher and professor at Mayo Medical School. Over a couple of decades I wrote sixty or so scientific papers and textbook chapters, mostly about an infection of the heart called infective endocarditis. My first one of those came out in 1980, and I still remember how excited I was to see my name in print. Now I suppose that paper is gathering dust on medical library shelves along with all the other ones I wrote. In spite of that, though, I enjoyed writing them and I think I did advance our understanding of that disorder just a smidge.
AuthorScoop: Tell us about your latest release.
Chris: My latest book, my second (the third is in preparation), is called How To Talk To Your Child’s Doctor.
My reason for writing it was my observation, after thirty years of practicing pediatrics, that most parents have no idea how doctors think, how we conceptualize problems and then go about solving them. Because parents don’t know how we do that, they can easily get frustrated and confused. The fact is, we physicians live in our own mental universe when it comes to framing and answering questions. As I point out in the book, this has good aspects and bad aspects, but generally there are good reasons for proceeding the way that we do.
One particular thing I stress is that most parents don’t know that about ninety percent of all diagnoses are made through what we call the history: what the symptoms are, when they started, what you did for them and if that helped. Medical diagnosis is largely a matter of good detective work, and all good detectives, before they do anything else, try to get the sequence of events straight. Of course we use lots of fancy tests, scans, and whatnot, but the history is the most important thing. A wrong history sends us down all sorts of useless and potentially dangerous pathways. More than a few parents become annoyed at what can seem to them to be a string of pesky questions, but I wanted to show them why we ask them in the precise form that we do.
I also have a couple of chapters that are sort of anthropological in nature, like a field guide to doctors observed in their native habitat. I explain how we got to be this way and how some of the common annoying traits most physicians have to one degree or another (even me!) came to be. These are things like arrogance, a controlling nature, defensiveness, and a feeling of entitlement. I have a chapter with my own taxonomy cataloging about ten varieties of difficult doctors (e.g. poor listeners, judgmental, poor examiners, a bunch of others) with suggestions about how to handle these folks to get the best care for your child.
The book’s guiding notion is that the encounter between parents and their child’s physician ought to be a conversation between equals, with both sides contributing useful and important parts. What I wanted to give parents was a sort of users’ guide to physicians by explaining how we think. No conversation goes very far if the two participants speak (and think) using different languages.
AuthorScoop: Aside from your own hard work, who else do you feel has contributed to your success?
Chris: I had some excellent teachers early in my career who taught me how to write grant proposals. That was great training because, when you’re writing grants, you’re explaining things to people who don’t know the ins and outs of what you’re doing. One of these teachers was a Nobel Prize winner and in fifteen minutes he could explain what he did to anybody in very understandable terms. The other thing that has helped me a great deal is that little of my premedical training was in the sciences. This was not uncommon thirty-five years ago when I went off to medical school. Of course I took some chemistry, biology and the like, but mainly I studied religion, history, and philosophy, with a strong dose of literature. I also went to graduate school in history for a time. These days medical school admissions committees don’t like that sort of background very much, although they deny this — I know because I spent four years on the Mayo Medical School admissions committee and I was always arguing the point. I’d have serious difficulties getting into medical school if I applied today. I think my own particular background conditioned me to regard medicine as at least as much an art as a science. That has had a huge impact on my career, and on my life generally.
AuthorScoop: At what time of day or night do you do your best writing?
Chris: I practice pediatric intensive care, which means I spend my days (and nights) in a pediatric intensive care unit. There is an ebb and flow to the work there, and I mostly write when I’m there and waiting for something to happen, not happen, or whatever. My job is much like that of a fireman, waiting around the firehouse for the bell to ring. I mostly write between the fire calls. Often I have no time to do that, but over the course of the year or so it takes me to write a book I find the time, especially during the nights.
AuthorScoop: Finally, what advice would you give to new or unpublished writers?
Chris: I write nonfiction, although my agent just sent out to publishers a novel I wrote (a paranormal medical mystery) and we’ll see how that goes. A nonfiction writer these days does need some kind of a platform of expertise in their subject. It’s not entirely fair, but there it is. So if you want to write nonfiction you need to acquire some expertise or team up with somebody who has it. As far as the actual writing goes, my other bit of advice is to read closely the work of accomplished essay writers. The essay form forces you to make your argument quickly and cogently and not ramble. I learned some of my best tricks, however, from humor writers. Study how they get punch to their sentences with unexpected turns of phrase and surprising and apt word usage.