The yoga of surgery

Early on a random Tuesday morning, I walked into the burn unit and found my 87-year-old patient, Mr. Gray, in septic shock. While Mr. Gray’s burn injury was small by our standards, it appeared that the sequelae of the injury might prove fatal. I called Mr. Gray’s wife to obtain consent for a vascular catheter through which I planned to begin continuous dialysis and was surprised when she declared, “No more lines.” The rest of my day was a blur of rounds, surgeries, and bedside procedures. I was able to temporarily stabilize Mr. Gray with antibiotics, fluids, and pressors. When his wife arrived at 3 p.m., she explained that the rest of Mr. Gray’s large family would arrive later that evening. Again, she stated, “I think it’s time to stop.” I took her hands in mine and assured her, “It’s OK I hear you. Let’s meet tonight and chat more.” Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Physician Surgery Source Type: blogs