The key thing I learned in doing my interviews for #BeingMortal: People have goals and priorities for their care besides just living longer. We have to ask what they are and align our care with them. When we don't ask what's important to them, the result is profound suffering.
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Sleep goes out the window during a hospital stay which is unfortunate since it plays such an important role in healing. I remember hating vitals checks during postpartum stays. There has to be a better way.
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Totally agree! It also goes out the window for the
#caregiver who waits endless hours so they can talk to the doctor who "might" be in after 7am (but shows at 4pm). -
Waited 12+ hours after my father's 4 vessel CABG, surgeon visited while I was in the bathroom. I literally never talked to him during the hospitalization.
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My word! What a challenge.
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As a Program Director I was so touched by these meaningful insights of a new trainee. We must remember to always help our patients and their families to be informed. That is why we wrote this book.
@Saramerwin1@KarenFriedman9@CornellPresspic.twitter.com/Qs7f3R0ieo
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When patients have the information they need to partner with physicians, they can participate in the movement to humanize medicine. Our book "The Informed Patient: a complete guide to a hospital stay" empowers and prepares patients and families.
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I have spanned this timeframe in medicine where we have gone from Dr Marcus Welby to Dr House to soon the use of AI making the job even more analytic and robotic. But it isn’t hard or time consuming to connect with patients, listen more and show empathy. Prevents
#burnout tooThanks. Twitter will use this to make your timeline better. UndoUndo
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most frustrating part of hospitalization as a parent & then a patient - all these computers everyone is using don't "talk to each other" - We repeated basic health history dozens of times, gave "why are you here" statements over & over. Felt like it was all about data entry
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I understand your frustration. When you are unwell/tired the last thing you have energy for is telling your 'health history' ad nuseum
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For my daug, I was always afraid of "what if I forget something for this Dr/Nurse/Specialist". For myself, I felt like we never got past the data collection even at discharge. Both instances I had written everything down on a 3x5 index card that evolved to 3or4 over the stay
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Maybe next time, write it out once, photocopy 50 times, then hand them out to each person who asks for info....
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they won't take the paper - they wouldn't read the cards - I had to read them to them. It was just my way of making sure I didn't forget anything as I got tireder, and tireder.
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In Toronto at Toronto General, patients can not sleep well because the nurses keeping waking them up, the level of noise is almost inhuman and they have to pay to watch TV
@HamHealthSci@SickKidsNews@StMikesHospital@UofT@UofT_dlsph@CBCToronto -
The calm on the wards at
#Oban Hospital is palpable in comparison with the Piccadilly Circus like melee of the wards at Worthing Hospital that I have just left Calm is a power for healing@McCabeC_IHE
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A core belief that animates my medical practice is that the patient and his immediate caretakers are the world’s experts on his body. We visit it, they live it 24/7.
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I often say that if I’m a patient in hospital I would ban anyone from entering my room from 11pm to 7 am
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I tried that - after a healthy birth, second go around, so very low risk - and they LAUGHED at me.
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We have created unrealistic expectations for patients.
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