Some tips for effective infectious disease consultations DO be courteous and appreciative no matter how ridiculous you think the consultation is. Consults are your lifeline. DO identify the question(s) asked of you. DO answer the question(s) asked of you. DO try to change a curbside into a formal consultation. You’ll be amazed at what was […]
How to Consult Infectious Disease
As an infectious disease specialist I often help in difficult medical and surgical cases. I am the Gregory House, M.D. of medicine, the expert diagnostician who knows the nuances of various antibiotic treatments and the varied processes of infection. My skill is a cognitive one. Unlike House, real infectious disease specialists do not tend to […]
Patient Satisfaction Linked with Higher Healthcare Costs and Mortality
The other day, a few physicians were discussing frequent fliers, patients who when discharged from the hospital find their way back to an inpatient status within days and sometimes within hours. Such patients are notorious for threatening to sign out of the hospital AMA (against medical advice) when refused pain medications for example, despite having […]
Happy 200th Birthday to NEJM
200 years ago today, January 17th 1812, the New England Journal of Medicine and Surgery and the Collateral Branches of Science was born. The oldest continuously published medical journal in the world adopted its current name, the New England Journal of Medicine, in 1928 and has remained one of the most authoritative medical journals with […]
Medical Futility: When Does Death Occur?
When does death occur? I wish I knew honestly. In cases of medical futility, it’s always heart-wrenching to be faced with a patient in whom medical interventions amount to maintaining the status quo which is already not good. A patient whose family members don’t seem to understand that there is no going back to better […]
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