I can’t deny it—I miss the mother I once had. Even at age 80, she was vibrant, loving, and independent. And she was strong………..I may miss the mother I once knew, but I have also become deeply aware of how much I love and appreciate the one I have now……..
…..……….Sometimes, it gets to be a lot. A whole lot. ……Mr. Felton smiled and shook his head. "Seem like every generation get a little more chances. Here you are a doctor, teaching me about my heart." He looked me in my glassy eyes, warm and genuine. The tears pushed out onto my lashes as I drew in a deep breath. ……….
Often a major part of a doctors job is making decisions –….. Often it's the decision of the patient and family, but needing guidance of the attending doctor, who is expected to know the best. When all goes down well – good. But what when the parties have a difference of opinion and some problems crops up. …..?Following is one such is incident, which made me ponder – where do you draw the line – of who takes the blame? …….
…………..The clear implication was that our life events clearly impact our response to injury and disease in ways that remain unknown to us. But while we may not understand the mechanism, it is evident that all health care providers have to more closely attend to understanding the lives of our patients in order to administer to their medical needs. ……………
………….And therein lies the key – the divorcement of these crucial rite-of-passage rituals from the brutal practice of female genital mutilation. ……..……
I have experience with this, from both sides. Both involve hand-washing. Still, a clean story.Washing of hands is the right thing to do for health-care providers, between seeing patients, for infection control reasons. And, I’ve gotten ‘the letter’ from a VP charged with signing them, citing me for not washing my hands between patients.Except, I did. This is the problem with observational medicine.
It's easy to say that a few hundred dollars for a test (or a few thousand dollars if people opt to get multiple tests) is far less expensive than the cost of a heart attack. But ………. This exacerbates the problem of over-consumption of health care and rising health care costs.
Next week’s Grand Rounds host will be Grunt Doc.