“Let’s all be palm trees together” in facing COVID-19

A guest post this week from Walk With A Doc* – because this says what I’ve been trying to say about feeling helpless and worried during the COVID-19 viral outbreak.
Unprecedented suckiness going on right now, there is NO doubt.
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We’re all seeing the same news and it’s shocking us all, every hour.
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When things go sideways, it never hurts to receive a care package.
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We tried to throw one together for you.     .

Is it finally time to change the name ‘heart FAILURE’?

by Carolyn Thomas      @HeartSisters

When McMaster University cardiologist Dr. Harriette Van Spall asked her Twitter followers recently to offer topic suggestions for the upcoming Heart Failure Summit, I responded with a suggestion of my own:

“Please please please can we STOP calling this condition heart FAILURE?”    .

Continue reading “Is it finally time to change the name ‘heart FAILURE’?”

Signals, noise, context – and your doctor’s brain

    Emergency physician, professor, author, and patient safety expert Dr. Pat Croskerry

by Carolyn Thomas      @HeartSisters 

Emergency physician Dr. Pat Croskerry tells the story of the day he misdiagnosed a patient who was experiencing unstable anginachest pain caused by coronary artery disease, and often a warning sign of oncoming heart attack. But this is what he’d said before sending that patient home:

“I’m not at all worried about your chest pain. You probably overexerted yourself and strained a muscle. My suspicion that this is coming from your heart is about zero.”

In a later interview with Dr. Jerome Groopman (author of a book I love called How Doctors Think), Dr. Croskerry explained how easily that misdiagnosis happened: Continue reading “Signals, noise, context – and your doctor’s brain”

Stents vs. bypass surgery vs. TRUST

by Carolyn Thomas        @HeartSisters

In 2018, Dr. Dhruv Khullar warned his colleagues at an American Board of Internal Medicine conference that patients need answers on three dimensions of trust:

  1. Competence:Do you know what you’re doing?”
  2. Transparency:Will you tell me what you’re doing?”
  3. Motive:Are you doing this to help me or yourself?”        .     .

Continue reading “Stents vs. bypass surgery vs. TRUST”