Doing the right thing can be costly.

There are few decisions in life that are black or white.  Our entire society seems to live in shades of grey.  At some point in every physician’s career one must decide which shade of grey is most comfortable for him or herself.  It is actually impossible to do “the right thing” everyday and with every [...]

Does it really need to be this hard?

I saw a patient today who has become a semi-frequent flyer.  She has been in for chest pain, had MI’s ruled out, received, narcotics, reassurance, the run around, etc on several occasions.  When I first saw her come in I was planning to do more of the same. 

A C-Booth Tale……

At 3 AM a man presented to C-Booth (the critical care section of the Emergency Department) vomiting massive amounts of blood and nearly choking to death.  He was going downhill fast, and needed to be intubated (placing a breathing tube).  The intubation was not going well, and his blood-oxygen levels were dropping as repeated attempts [...]