The difficult conversations physicians have with patients

A 60-year-old lady came for follow-up after a recent stay in the hospital. She was diabetic — horribly uncontrolled — the result of which was that she had already been on dialysis for four years. She ended up in the emergency room with chest pain. Diabetic patients are at higher risk than the general population of having heart attacks. She underwent studies to evaluate for blockages in her heart. The cardiologist found a significant blockage, but a stent could not be placed because of tricky anatomy. She was started on medicines for the blockage and for blood pressure. At first glance on meeting her, I would never have guessed that she was a lady who had gotten sick. She was incredibly put-together with a vibrant personality. Her hair was dyed and styled. She wore makeup and red lipstick. Her clothes were colorful and matched her jewelry. Her shiny, crimson nails matched her lips. 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: General Medicine Authors: Tags: Physician Hospital-Based Medicine Nephrology Source Type: blogs