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Emergency Medicine Notes
Nepenthe
May 21, 2012
A patient with chronic pain and opiate dependence reveals to the author how much pain there is in every salvation.
Fast food medicine
March 20, 2012
Hospitals are not fast food restaurants. You cannot always get what you want. But most times, if you chose to wait, you do get what you need.
Expiration date
January 24, 2012
My patient died 45 minutes after he left the ER. His death was beautiful and awful, and I remember snapshot moments that will last to eternity.
The surgeon's epic break
November 15, 2011
I am learning to roll with the punches. I am becoming more resilient, developing a degree of toughness. I hope in the process I do not forget my manners, or the tears on the face of the mother.
The butterfly effect: Beyond Dilaudid
September 08, 2011
We do not work alone: your work affects my work, and my work affects yours. A kind word, a harsh word, a procedure done well, cancer pain untreated; our practice has a ripple effect that spreads far beyond my workplace and yours.
Saving lives with popsicles and pillows
July 14, 2011
Haircuts, ice chips, popsicles, and pillows; sometimes I wonder—did I go to school for this? Yes, I think I did.
"Love the way you lie"*
May 17, 2011
Is it acceptable to sacrifice the best interests of one patient to the confidentiality rights of another? Is it ethical for a clinician not to tell the truth?
Imaging the appendix
March 16, 2011
The laying on of hands is essential to learning the art of medicine. If clinicians do not practice this art, how can they hope to become skilled diagnosticians?
Short cuts
January 19, 2011
A patient's dramatic amputation injury causes the author to reflect on the dangers of taking shortcuts, for clinicians as well as patients.
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