Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Article Comments

When No One Wants To See The Patient: The ER’s On-Call Labyrinth

The call schedule is hidden somewhere inside!

The call schedule is hidden somewhere inside!

Dictation:

‘The patient was seen in the emergency department by Dr. Niemans, who is the acting hospitalist on call for Dr. Whitman’s group, who usually admit for the patient’s actual primary care provider, Emily Knight, PA, who works for  Dr. Robelo, who no longer takes call, but admits his patients to the hospitalist.

Because the patient has COPD and an acute left-lower-lobe pneumonia, pulmonology was consulted.  However, no pulmonologist is available this weekend.  Pulmonary is being covered by Dr. Albertson, pulmonologist in the neighboring city.  I spoke with Dr. Albertson about this and he told me he wasn’t taking call for our patients, and why did people keep bothering him.

The patient’s cardiologist, Dr. Rease, is being covered by Dr. James.  I spoke to Edgar, PA for Dr. James who said that as of 7am, Dr. James was trading call with Dr. Housefield while Dr. James went to his son’s soccer game, but if I had any questions I should call Dr. Housefield’s Nurse Practitioner Michael, who would be rounding for Dr. Housefield, Dr. James and Dr. Josefson, at least until soccer was over or something bad happened.

The patient thought he would be seen by his primary physician and signed out AMA.’

Dr. Leap was tired; for he spent more time and energy dictating the names of physicians than actually caring for the patient.

*This blog post was originally published at edwinleap.com*


You may also like these posts

Read comments »


Comments are closed.

Return to article »

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

Read more »

How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

Read more »

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

Read more »

Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

Read more »

See all book reviews »