Follow-up appointments at my continuity clinic have given me the opportunity to look at my clinical judgment in snapshots. Unlike on my inpatient rotations, where I see the same patients every day, I have to wait for a month or two to see if a medication is working, or if a patient is satisfied with their progress in physical therapy. Sometimes I have a crisp memory of my clinical decision-making …
Mr. B shook my hand as the paramedics got the stretcher ready to send him to a nursing home. His firm grip punctuated the end of a long hospitalization, which had been characterized by several decisions to leave the hospital against medical advice into extremely unsafe situations, leading into complex capacity evaluation decisions.
It was a pleasure to take care of you, I told him. He smirked back at me and …
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