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When Your Significant Other Overrides Your Living Will

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He knew she was angry with him.

“Whenever I come to see her, I reach out and take her hand, but she looks away.”

Husband and wife for well over 50 years, they had been through a lot.  They met in another country in another time, and to hear him tell it, it almost seemed fated that they’d end up together.  Since then, they’d moved many times, raised a family, supported each other through myriad illnesses.  They were growing old together.

Unfortunately, “growing old together” doesn’t always work out like we hope it will.  Diseases and illnesses ravage our bodies; dementia ravages our brains.  She’d long ago given up on their little garden in the backyard.  It was her favorite hobby, but she couldn’t manage it anymore. Read more »

*This blog post was originally published at code blog - tales of a nurse*

More Care Can Lead To More Complications

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I have a patient that comes in every so often that demands a PICC line (peripherally inserted central catheter).  PICC lines are convenient for patients and nurses and doctors because they can be used to obtain blood without needing to stick the patient on a daily basis.  They can be kept in for weeks and weeks and weeks with proper care.  They can maintain adequate IV access when old ladies and drug addicts present with poor veins.  Often they save the patient during acute decompensations of their critical illness.  However, they come with frequent complications.  I have had my share of patients return to the hospital with sepsis from their PICC line. Read more »

*This blog post was originally published at A Happy Hospitalist*

Pitching Tents For Pandemic Flu

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I walked out the back of the ER tonight to see this in the ambulance bay:

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Uploaded with plasq‘s Skitch!

And this inside: Read more »

*This blog post was originally published at Movin' Meat*

Nurse Kim At Blog World Expo

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meandhughFirst day of the general BlogWorld sessions and as usual, I came away with renewed energy, a plethora of ideas and a dramatically decreased bank account! No, not on gambling – I hit the Barnes & Noble on-site kiosk.

God, I love books!

But the highlight of the day? I met my Blogfather! Meet Hugh Hewitt, talk show host extraordinaire! I think if you did a “paternity” test on every blog online today,  75% of them would be related, in some way, to Hugh’s influence.

Blog World CEO Rick Calvert was interviewed by Hugh, and he mentioned the medblogger track! Read more »

*This blog post was originally published at Emergiblog*

Medical Bloggers Frolick at Blog World Expo

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I am sitting now in the medical blogger track at the Blogworld Expo.

As is generally the case, I got here too late to bum around with the med bloggers last night.  It happened when I went the the “Putting Patients First” summit in DC as well.  I just seem to have that kind of luck.

Anyway, the medical bloggers are forgiving and did not think I was being snooty.  They also didn’t mind it when I missed breakfast with them.  Why did I miss breakfast?  I was being interviewed by Ira Glass from NPR.  For some reason, this little ol’ blog got the attention of the producer from This American Life, the show that Ira hosts.   They are doing a series on health care costs being out of control, and read the post I did in January about the insanity of medical codes.  She felt that I would be a good person to discuss the reality of medical codes in the daily life of a doctor. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

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…

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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…

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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…

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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…

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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…

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