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We let our professionalism suffer when faced with a difficult patient

Briana Buckner, MD
Physician
June 6, 2016

“Be careful. He’s violent.” That was the way sign out began for Mr. T. The intern continued, “He has been in the hospital forever because he was kicked out of his nursing home. Good luck. And, oh yeah … he’s blind.” Puzzled, I looked at my list of patients and, not sure whether I should write “violent” by this patient’s name, I decided instead to write “blind.” I paused. The …

Read more…

We let our professionalism suffer when faced with a difficult patient

Young doctors need to spend time in Veterans Affairs hospitals

Briana Buckner, MD
Physician
March 14, 2016

For most of residency, I missed the opportunity to care for veterans — mainly for selfish reasons, including my unwillingness to learn a new EMR and hospital. Once I became a chief resident, I realized that I would be spending four months at our local VA hospital. When I first came to the VA as a chief, my goals were similar to that at any other site at which I work: Get …

Read more…

Young doctors need to spend time in Veterans Affairs hospitals

Doctors are growing uncomfortable with procedures. Is training to blame?

Briana Buckner, MD
Education
December 2, 2015

It’s 2 a.m., and the patient’s blood pressure is beginning to rapidly decrease. Every IV line is occupied by an antibiotic or IV fluids, and we are in need of a vasoactive medication. The nurse comes to my computer and sternly states, “We can no longer avoid it. I think the patient needs a central line.” I quickly say “OK,” but I don’t move. I am momentarily frozen by my …

Read more…

Doctors are growing uncomfortable with procedures. Is training to blame?

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  • Most Popular

  • Past Week

    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • The handwashing standard nobody finished. Until now.

      Bernadette Burroughs, RN | Conditions
    • Your doctor saved your life but won’t return your call [PODCAST]

      The Podcast by KevinMD | Podcast
    • How corporate medicine is eroding truth and patient dignity

      Ronald L. Lindsay, MD | Physician
    • Why bipolar II is not just a milder version of bipolar I

      Ethan Evans, MD | Conditions
    • You can’t stent a capillary: Why aging starts in your smallest blood vessels [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • When shared decision making gives way to medical paternalism

      DeAnna Pollock, MD | Physician
    • How xenotransplantation could finally solve organ shortages

      Rafael S. Garcia-Cortes, MD | Conditions
  • Recent Posts

    • You can’t stent a capillary: Why aging starts in your smallest blood vessels [PODCAST]

      The Podcast by KevinMD | Podcast
    • Psychiatric polypharmacy is a reassessment failure

      Carrie Friedman, NP | Conditions
    • Doctors with mental illness need our care, not silence

      Michael F. Myers, MD | Physician
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • Physician autonomy and the hidden curriculum of medicine

      Gus W. Krucke, MD | Education
    • A Medicare for All alternative that keeps insurers in

      Ken Terry | Policy

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