“Doctor, what did you need to take out during the surgery?”  

“Let me show you.”

I pull out a dry-erase pen. During the post-operative discussion in the Family Center, I often draw out the procedure on a white board. I sketch the basic relationships between the structures and show what was removed and what was preserved.
 
“We removed this area and the lymph nodes from these areas of the neck." I erase the structures that were taken out. "When you see him he will have an incision here.”

The drawings serve as an additional communication technique. The families seem to appreciate and understand them and they are usually much simpler to interpret than photographs.   

Early in my practice, I developed a series of quick line drawings that depict the regions where I spend my professional time: the oral cavity, the pharynx, the larynx, and the neck. I use the pictures in my office notes and in hospital charts and almost all of my notes have at least one drawing. They serve to remind me what I saw and what I need to check at the time of the return visit.  

Believe me, I am no artist. Nevertheless, every few years, my residents ask for a demonstration of how I create my drawings. I am gratified when they discover this simple means of communication. I think some of them enjoy it as much as I do.

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About the Author

Bruce Campbell, MD, grew up in the Chicago area, graduating from Purdue University and Rush Medical College. He completed an otolaryngology residency at the Medical College of Wisconsin and a head and neck surgery fellowship at M.D. Anderson Cancer Center. He was a faculty member, ENT specialist and surgeon with Froedtert & MCW health network from 1987 until his retirement in 2021.