Topic: Provider-Patient Relationship
When drinking ruins your liver - should you qualify for a transplant? When patients develop alcohol liver disease, they are often forced to wait 6 months to prove they can abstain from alcohol before they will be considered for a transplant. Is that a fair amount of time? Is that a fair practice at all?
Withholding surgery: How gaps in policy fail people who inject drugs A recent New York Times article described a harrowing situation faced by some people who inject drugs and develop endocarditis, a life-threatening infection caused by bacteria that enter the bloodstream and settle in the heart. The article described doctors in Tennessee deciding whether to perform repeat costly heart surgeries on patients who were re-infected with endocarditis as a result of ongoing illicit drug use—and at times declining to operate. There are policy failures that are to blame, too, for how and why resources are allocated this way. This looks at those failures and how our bias influences both the policies and how they are applied.
Injecting Drugs can ruin a heart - how many second chances should a user get? A life-threatening heart infection afflicts a growing number of people who inject opioids or meth. Costly surgery can fix it, but the addiction often goes unaddressed.
Dying Well Is there a way to talk about death candidly, without fear ... and even with humor? How can we best prepare for it with those we love? This hour, TED speakers explore the beauty of life ... and death. When you click on the link, you can see all the little segments or listen to the whole thing. It's lovely. Why Perfectionism is a 20-ton shield (~3min) Why we are driven by 'what people think'?
Contributor: Francesca CiminoOctober 1, 2018Topics: Communication / Empathy&Sympathy / Guilt & Shame / Mistakes / Perspective / Provider-Patient Relationship / ResilienceKeywords: Guilt / mistakes / perfectionism / shame
Medical charts may be biased a quick article about how subtle differences in descriptions may convey bias from one provider to another. Is it time for different questions? a report on what REALLY matters about caring for patients.
What happens when a patient says, "Doc, help me die." Mercy, compassion - does this fade at the end of life? Does ending a life conflict with our values as physicians? Read for one physician's perspective.
The first time I hated a patient a raw reflection on internal and external conflict in medicine