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Aula Ramo is an internal medicine resident.

A physician who knows the power of listening and teamwork

Aula Ramo, MD
Physician
July 10, 2020

Standing in the hallway, I look attentively to the computer screen while the attending skims the records. “This is a longstanding patient of mine.  I’m just going to have you listen while we do a visit with our psychologist,” he says. With the paucity of chairs, I stand. I wondered if it would add an unnecessary sense of urgency to the seemingly comforting timelessness to my attending and psychologist’s voices, …

Read more…

A physician who knows the power of listening and teamwork

What happens when patient capacity and autonomy diverge?

Aula Ramo, MD
Physician
July 6, 2020

“I can’t take this, doc. It’s gonna kill me. I can’t. I just can’t,” exclaims my patient with persistent refusal of his medication. My frustration is met with my patient care team’s hesitation to give him the medication with fear of further conflict and possible escalation to violence.  But who’s at fault? Any of us? All of us?

My second patient, lying on the MRI table, shaking his head swiftly in …

Read more…

What happens when patient capacity and autonomy diverge?

A new ICU reality that may not disappear soon

Aula Ramo, MD
Conditions and Diseases
June 23, 2020

Barriers. Barriers of yellow tape and plastic mark our makeshift rooms. Red zippers define the “ENTER” and “EXIT.” In the middle is a window of still clearer plastic, partially obscured by taped ECGs. Barriers are put up to keep us safe, but they can do so much more, if we let them.

A tap on the plastic window has become the universal command of attention from the nurses, residents, and respiratory …

Read more…

A new ICU reality that may not disappear soon

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  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
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      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
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    • Cited but never checked

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