Sam Slishman, MD
Sam Slishman is an emergency physician.
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Latest articles
Physician voices
A number of people have asked my take on Plandemic and a viral interview of a couple of docs in Bakersfield who challenge conventional wisdom on COVID. Part of me feels like I shouldn’t amplify the chatter. But maybe I…
A number of people have asked my take on Plandemic and a viral interview of a couple of docs in Bakersfield who challenge conventional wisdom on COVID. Part of me feels like I shouldn’t amplify the chatter. But maybe I can type something slightly antiviral. As usual, I land in a boring, neutral, barely worth a “like” position.
For starters, I’ll admit to being a fairly agnostic conspiracy curious skeptic for …
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Please avoid getting sucked into polarized binary thought
Physician voices
Yes, we think it does. And the time to act has come. The time is now. We -- physicians and nurses -- work side-by-side caring for patients, every single hour of every single day. But we don't often talk to…
Yes, we think it does. And the time to act has come. The time is now.
We — physicians and nurses — work side-by-side caring for patients, every single hour of every single day. But we don’t often talk to each other about the (seemingly insurmountable) deep and serious issues and challenges we as clinicians face, practicing in today’s broken health care system. That has to end. We must unite.
We are …
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Burnout vs. moral injury: Does it matter what we call it?
Physician voices
The U.S. rings the bell on health care spending, and some point fingers at patients themselves. But why do patients choose the paths they choose? Just about every shift, I and my coworkers shake our heads, and wonder what may…
The U.S. rings the bell on health care spending, and some point fingers at patients themselves.
But why do patients choose the paths they choose? Just about every shift, I and my coworkers shake our heads, and wonder what may be driving our patients’ decisions. Parents who haven’t yet tried a drop of acetaminophen bring kids in at 2 a.m. with fevers. Patients show up with nose bleeds that …
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How much are patients to blame for ER overuse?
Physician voices
These seem unrelated, but give me a chance. I was eating outside at a restaurant with my 5 month old, Max, and a car with a modified muffler hit the gas right in front of us. In Australia, you'd call…
These seem unrelated, but give me a chance. I was eating outside at a restaurant with my 5 month old, Max, and a car with a modified muffler hit the gas right in front of us. In Australia, you’d call the driver a “hoon.” The noise terrified my boy, and I felt something I’m not used to: protective rage. When Max stopped crying my mind went to struggling families, kids, …
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Foreign policy through the lens of an emergency physician
Health technology
Adding “electronic” means sortable, searchable, bigger attic, more junk. Unfortunately, no one has the guts to actually clean it. Are urinalyses from the 90s still important, or are we just being sentimental? For everything we do in medicine, there are…
Adding “electronic” means sortable, searchable, bigger attic, more junk. Unfortunately, no one has the guts to actually clean it. Are urinalyses from the 90s still important, or are we just being sentimental?
For everything we do in medicine, there are intended effects and side effects. During my emergency medicine residency there was a mandate that attending physicians had to see each patient cared for by their residents. While a hard transition, …
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This is what a physician wants in an EMR. Please build it.
Physician voices
“There’s such an issue of privacy in health care, and yet they let all the patients walk around with their derrières sticking out.” This quote within an article by the National Post got me thinking about HIPAA. The Health Insurance…
“There’s such an issue of privacy in health care, and yet they let all the patients walk around with their derrières sticking out.”
This quote within an article by the National Post got me thinking about HIPAA.
The Health Insurance Portability and Accountability Act of 1996 is a big flat hammer with excellent intentions. Like EMTALA, however, it too has its side effects. Along with many other ER docs …
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I wish HIPAA had privacy settings
Physician voices
Every law, like every drug, has its intended effects and its side effects. EMTALA is a law you perhaps couldn’t care less about, but one that’s kept many a hospital manager awake at night. I’m not a lawyer, politician or…
Every law, like every drug, has its intended effects and its side effects. EMTALA is a law you perhaps couldn’t care less about, but one that’s kept many a hospital manager awake at night. I’m not a lawyer, politician or administrator and can’t claim expertise on EMTALA subtleties. But I thought I’d touch a couple ways it has shaped our medical lives.
The …
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You have a right to be seen in the ER, but beware of the side effects
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