April 21st, 2011 by RamonaBatesMD in Health Tips, True Stories
Tags: Colonoscopy, Communication, Empowered Patient, ePatient Dave, Gastroenterology, Medical Practice, Medicine, Nurse, Nursing, Rudeness
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My husband had a screening colonoscopy last Friday. His nurse in the recovery is the only one I had issues with. I, not my husband.
All went well, but let me tell you he is not an ePatient Dave. He did not read his instructions about when to quit eating and the prep. I did. I then reminded him along the way: “Only clear liquids today.” “You must take the Ducolax at 3 pm. Do you want me to text you a reminder?”
Sometimes the instructions we give patients are clear, but not always read.
The staff at the front desk were very kind and organized. Calls had been made the day before and I had insured the insurance information they had was correct. I did not tell anyone I was a doctor. I’m not sure if my husband did later or not.
…..
When I was called back by the nurse, she mispronounced my name calling me Rhonda (which I forgave easily). She did not introduce herself to me.
As we entered the recovery area, she did not take me to my husband and assure me he was okay. She took me to the desk and abruptly said, “You need to sign this.” Read more »
*This blog post was originally published at Suture for a Living*
April 21st, 2011 by AndrewSchorr in Opinion, True Stories
Tags: Medical Advice, Patient Advocates, symptoms, The Web Savvy Patient, Worry
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It is happening several times a day now. The phone rings. I get stopped at Starbucks, or at the dog park, or at the supermarket. “My friend may have a brain tumor,” “I have been short of breath,” “I am tired all the time.” Then come the questions: “What do you think I should do? Who should I see?” I am not a doctor, but people are increasingly looking to me as if I were one. It’s a little daunting.
As you may know, I’ve been producing and/or hosting programs on medical topics for patients since the mid 1980’s. First it was erectile dysfunction, then breast surgery, then multiple sclerosis, cancer, diabetes – you name it, I’ve interviewed someone about it. Town meetings, live audio webcasts, radio shows, and videos. I feel like I’ve gone to med school two or three times. And like a med student I’ve worried common symptoms could mean the worst diagnosis. That headache could be too much coffee OR it could be a brain tumor. Feeling tired could be you are snoring and have sleep apnea OR you have leukemia.
A number of years ago, having just moved from Los Angeles to Seattle, Hollywood called. A friend sold a 5 day a week medical show to MGM and he needed wife/partner Esther and me to be producers. We were the ones who wrote what flashed on the screen when a patient described their symptoms to one of the real docs who were stars of the show “Group One Medical.” “I have had some blood in my stool, the patient would say. Flash on the screen: could be hemorrhoids. Could be advanced colon cancer. We walked around the home/office worrying about every ache and pain. I am told that’s just what med students do. The most mundane could be life-threatening. Read more »
*This blog post was originally published at Andrew's Blog*
April 20th, 2011 by Dr. Val Jones in Humor, True Stories
Tags: AAA, Anticoagulation, Arrhythmia, Atrial Fibrillation, Cardiology, Clinical Exam, Diagnosis, Hug, Pradaxa, The Hug That Saved A Life
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Every once in a while we physicians make an astute (or perhaps lucky) observation that becomes a turning point in a patient’s life.
I’ll never forget the time that I placed a hand on an elderly woman’s belly after she said that she felt a little bit dizzy – the pulsatile abdominal mass that I discovered set in motion a cascade of events that resulted in life-saving surgery for an disecting abdominal aortic aneurysm (AAA). It was incredibly gratifying to be involved in saving her life – and now anyone who so much as swoons in my vicinity gets a tummy rub! (Yes, Dr. Groopman I know that’s not necessarily a rational response to one lucky “exam finding.”)
Last week I made a fortunate “catch” on the order of the AAA discovery from years ago. I was giving a close friend of mine a hug (he’s significantly taller than I am) when I noticed that his heart was beating rather quickly through his shirt. I instinctively grabbed his wrist to check his pulse, and voilà – it was irregularly irregular. My friend had new onset atrial fibrillation – and although he was initially resistant to my idea of going straight to the ER, I eventually convinced him to come with me. An EKG confirmed my clinical diagnosis, and blood thinners (with Pradaxa) and a rate control agent were administered. He will undergo cardioversion in a couple of weeks. We were both relieved that our intervention may well have averted a stroke, heart failure, or worse.
My peers at the hospital have been poking fun at me for my hug diagnosis, and my reputation as the “hug doctor” now preceeds me. I continue to protest that I do know how to use a stethoscope – but alas, there have been more requests for stat hugs from me than cardiopulmonary exams.
I don’t know if I’ll ever be able to top this clinical diagnosis, but a life of trying to find my next case of atrial fibrillation through hugging will likely make a few people smile.
April 19th, 2011 by Michael Kirsch, M.D. in Health Tips, True Stories
Tags: ePocrates, iPhone, Mobile Apps, Physician, Technology, technophobic
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Your humble Luddite Whistleblower has leapt across the sea to reach the Isle of Technology. I now own and operate an iPhone, which identifies me as groovy, hip and cool, three adjectives that none of our 5 kids ever use to describe their technophobic father. I’m told that my text messages are too long and too frequent. I am admonished that it is not necessary for me to photograph moments of high drama, such as a kid eating breakfast, and then to disseminate the image to my contact list. I am reminded often that I am slow to grasp the mechanical intricacies of the device, such as switching from ring to vibration mode.
You may wonder how it was possible that I, who consider using an ATM to be a high level computer operation, could make the iPhone, my phone. I knew I couldn’t fail, despite my trepidation of all things cyber. I had a secret weapon, a ‘Plan B’. Actually, I had Plan Z, the most powerful asset that anyone in my situation could hope for. Z stands for Zachy. One sentence will explain all and may provoke screams of envy from those who have no available similar resource. Read more »
*This blog post was originally published at MD Whistleblower*
April 17th, 2011 by Linda Burke-Galloway, M.D. in True Stories
Tags: Carolyn Savage, Dr. Linda Burke-Galloway, Embryo, High Risk Pregnancy, Hospitals, Infertility, IVF, Labor And Delivery, Medical Error, Miscarriage, OB-GYN, Patient Care, Pregnancy
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Olympic winner and motivational speaker, Jim Stovall once said “Integrity is doing the right thing, even when no one is looking.” In September 2009, I wrote about a blog about Carolyn Savage, a 40 year old woman with a poor obstetrical history. Savage married her college sweetheart and had an uncomplicated first pregnancy. However, her second child was born prematurely. She had 4 subsequent miscarriages and ten years later she became pregnant through in-vitro fertilization (IVF). Because the Savages wanted a large family, they tried IVF again. Unfortunately, Savage was impregnated with the wrong embryo. To their credit, everyone rose to the highest level of integrity. The infertility clinic informed the Savage family as soon as the mistake was discovered and then gave them the option of terminating the pregnancy or continuing it. The Savage family then had to inform the rightful parents of the embryo that were not expecting to have a baby any time soon but was now faced with that dilemma. Savage ultimately delivered the baby and then handed it over to its rightful parent, the Morrell family. Read more »
*This blog post was originally published at Dr. Linda Burke-Galloway*
