Posted by denitzablagev on October 27, 2014 · 2 Comments
“If I get a call about smallpox from the ER I’m not coming in,” an Infectious Disease doctor said to a colleague in the hospital where I was working. It was the early days of 9/11 and anything seemed possible. “Are you all OK with providing care for Ebola patients?” our section chief asked. Our ICU is the … Continue reading →
Category 9-11 New York, Denial, doctor, medical decisions · Tagged with 9/11, AIDS, Doctors, Ebola, ethics, flu, H1N1, HIV, ICU, job, pulmonary, showing up, work, WTC
Posted by denitzablagev on October 5, 2014 · 5 Comments
“They need you in room 13” she said when I answered the phone and I ran back to the ICU. The patient was coding and for each minute that felt like an hour, we tried, and failed, to save her. She wasn’t breathing, her heart wasn’t working, and despite the 30 people gathered in the room, … Continue reading →
Category doctor, dying · Tagged with code, code leader, code status, death, DNR/DNI, doctor, dying, epinephrine, ICU, patient, running a code, Thank you
Posted by denitzablagev on August 4, 2014 · Leave a Comment
My post on the changing culture of medicine as reflected in the way we talk about our errors in M&Ms is up at kevinMD. http://www.kevinmd.com/blog/2014/07/time-bring-back-morbidity-mortality-conferences.html
Category doctor, KevinMD, medical decisions, medical education, Published Elsewhere · Tagged with conferences, days of the giants, Doctors, errors, healthcare, M&M, model of error, morbidity and mortality, swiss cheese
Posted by denitzablagev on July 19, 2014 · 2 Comments
When things go wrong in medicine, as they invariably do, we try to figure out what went wrong, and why. We try to learn if there’s anything we could have done better and what we should do next time. It used to be, in the days of the Giants, that the physician responsible for the patient … Continue reading →
Category doctor · Tagged with health, healthcare, M&M, medical error, medical errors, medical student, medicine, morbidity & mortality, Pavlov, quality improvement, swiss cheese model of error
Posted by denitzablagev on April 6, 2014 · Leave a Comment
My post on Bronchial Thermoplasty, a new treatment for asthma, and evidence in medicine is up at KevinMD.com today. http://www.kevinmd.com/blog/2014/04/bronchial-thermoplasty-asthma-widely.html
Posted by denitzablagev on March 21, 2014 · Leave a Comment
I first met Carol* (name and identifying details have been changed) when she came to my clinic after a severe asthma attack had sent her to the Intensive Care Unit. After a few days, she had been extubated and had acquired a new diagnosis, asthma. When she saw me in clinic, she felt better than … Continue reading →
Category doctor, evidence in medicine, medical costs, medical decisions, quality improvement · Tagged with acid reflux, airway muscles, American Thoracic Society, asthma, asthma exacerbation, bronchi, bronchial thermoplasty, doctor, Emergency Department visit, European Respiratory Society, evidence, evidence-based medicine, GERD, Guidelines, inhalers, lack of evidence, medical decision making, medicine, new therapy, patient, prednisone, procedure, pulmonologist, Recommendations, risk of harm, severe asthma, uncertainty in medicine, unproven benefit
Posted by denitzablagev on March 14, 2014 · 2 Comments
“You have gotten the best rejections this week,” my friend says. True that. Editor 1 not only wrote back, but thanked me for submitting and said my piece is “very well written,” but, alas it was “not quite right.” Editor 1 then suggested another major outlet for which it would be a “good match.” [Said … Continue reading →
Posted by denitzablagev on March 8, 2014 · 1 Comment
“I get annoyed with [my husband] when I overreact to something and he retorts: ‘are you getting your period?’” my friend says. Just imagine what it would be like if we treated men the same way. “You’re only mad because you have blood dripping from your penis. Not because of what I did.” “You always … Continue reading →
Category doctor · Tagged with depression, hormones, irrational, men, menstruation, misogyny, overreaction, period, pheromones, sexism, women
Posted by denitzablagev on March 6, 2014 · 4 Comments
On February 24, 2014 Dr. Robert C. Moellering, Jr. passed away. And then the class emails and Facebook comments flew. We couldn’t believe it. We were all saddened. We had such great memories of him. We knew him so well. And he us! Every one of us. Dr. Moellering was the physician-in-chief and chair of … Continue reading →
Category doctor, dying, medical education, women in medicine · Tagged with BIDMC, chief of medicine, housestaff, housestaff party, in memoriam, internal medicine, Jr., mentoring, physician scientist, resident report, Robert C. Moellering