So, Megen wrote this post recently about “Therapeutic Presence.” The following passage really caught my attention:
Question is: are there more things in nursing, Horatio, than science can explain? Can we touch patients and zap them with calmness or take away their pain? Can we, by our mindset during our provision of care, substantially affect our patients’ outcomes? Can any of this be taught? Can we do it on purpose? I don’t know. That situation has captured my attention, though, because the flip side must also be true—if I despise my patient, she can probably tell that too, regardless of how tightly I’m controlling my behavior.
Little backstory: A few weeks ago I had a laparoscopic cholecystectomy. Basically, a very nice surgeon made a few incisions into my abdomen, inserted a camera and some wrenches or something, and took my gall bladder out. I had never had surgery before. Never been intubated. I have been on “the bed side” quite a few times, but never for surgery.
A week elapsed between the time we decided to do surgery and the time the surgery actually happened. It was a really hard week for me as I was very anxious about the whole thing. I’m not even sure what exactly it was that I was nervous about. I Read more »
As my regular readers already know, I’ve been eagerly coaching the Boys & Girls Clubs’ Triple Play Fit Family Challenge (FFC) participants on healthy eating. During a recent phone call with the families I expressed some wistfulness about not being able to *see* what they’ve been eating (the FFC blog is filled with charming action shots of the families exercising, but almost no food cameos). And this is what the Porter family just sent me. It’s a video inviting me to a dinner of grilled tilapia, brown rice, acorn squash, mushrooms and broccoli. Tell me if this isn’t the cutest nutrition video ever?
Even doctors get sick, but there is often a difference.
I was rotating through orthopaedics and was on call that night. They tended to relegate us mere general surgeons to casualties during the calls so I was quite excited to get some theater time that afternoon, even if it was for a simple wound inspection and secondary closure and even if it meant there would be a backlog of patients in casualties for me to see afterwards. Once I had finished operating I rushed through the change rooms to get back to casualties. While I was changing I heard the unmistakable sounds of someone throwing up in the toilet cubicle. Quite soon the door opened and out came the orthopaedic registrar who was on call that night with me. He did not look good. He glanced at me but didn’t seem to see me. His face was pale, verging on grey and there were fine droplets of sweat on his brow. He was staggering slightly as he made his way to the basin to throw water over his face. I greeted him but the only reply he gave was a sort of grunt.
So, to kick off Diabetes Month here, I connected with Gwyneth’s mom, and Gwyneth emailed me her perspective on what it’s like to mark her first diaversary, which is TODAY. At the start of Diabetes Month. How’s that for timing? Read more »
*This blog post was originally published at Six Until Me.*
On September 21, 2008, 26-year old ML started feeling short of breath. It quickly got worse; she began to feel dizzy and started sweating profusely. Her family called an ambulance and she was rushed to NewYork Presbyterian’s The Allen Hospital, where her condition worsened. Her lungs were failing. Corey Ventetuolo, MD, her first pulmonologist, knew that ML needed to be transferred to NewYork-Presbyterian/Columbia University Medical Center, but feared that she would die during the brief journey. Her family decided to take the risk.
ML did indeed flatline during the ambulance ride, but she did not die. Her survival despite severe lung failure is due Read more »
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