Outside Hospital

The following video came up on rounds yesterday, so I’ve posted it below for the benefit of those who haven’t seen it.

For the record, I think that our institution has generally excellent relations with our referring hospitals and docs. Telestroke, eICU, ImageShare, and other initiatives are only making it better.

Our ED and community-based colleagues have a tough job in figuring things out when they’re undifferentiated and mixed in with a bunch of other cases. We look at our patients with a whole different mind set and skill set. As one of my mentors used to say, “The animal is much scarier in the jungle than it is in the zoo”.

Nonetheless, this thing never ceases to make me laugh, and I don’t want the blog to be a bastion of political correctness . . .

About Justin A. Sattin

I'm a vascular neurologist and residency program director. I created this blog in order to share some thoughts with my resident and other colleagues, and to foster my own learning as well.
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One Response to Outside Hospital

  1. Vikas Singh says:

    This exemplifies and brings to fore the problem with our current fragmentary healthcare model and expectations which emphasizes the “need to always do something, regardless of indications or futility”, reimbursement models, malpractice codes, patient and family expectations, lack of transparency or better stated, lack of knowledge to the ordering provider (students/residents/physicians/NP) about the actual cost of care/procedures/tests to the system and the patient. Much has been made about evidence based medicine but it can only be as useful as we make it to be. Don’t want to sound so cynical but night float and OSH don’t go so well together. Ah, well…….

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