My father – part 2

I saw him yesterday prior to flying home. He is unfortunately confused, but remains comfortable. The hospice team seems wonderful.

Palliative care, hospitalists and outpatient physicians

We admitted my 87-year-old father to the hospital last night. He has what many physicians call the “dwindles”.

Will he make his decisions based upon analyzing pilot data or as Bob Wachter brilliantly wrote 2 years ago:

I believe that the patient actually has two primary conditions – an increased anion gap acidosis and a respiratory alkalosis.

These articles do not include enough patients to really know about complications due to steroids masking worsening symptoms.

The sleep researchers have overinfluenced the conclusions. But read the article from FutureDocs to really understand.

If we fix the job, we will have full residencies, and hospitalists leaving their jobs to come back to primary care.

The quote envisions a medical system where doctors input patient symptoms into a database, data-driven guidance for diagnosis.

Every times I read one of these stories my heart breaks. The reporter interviewed me extensively and quotes me accurately.

I estimate that I have done over 100 months of ward attending during this time. I find ward attending energizing, enjoyable and rewarding.