First and foremost, I’d like to thank all the leadership, instructors, and patient families for having me and taking the time out of thier busy schedules to share with us their valuable information and experiences. I will echo what Rick said yesterday in that this conference definitely re-ignited that fire in me to change our culture in Medicine and put the focus back on patients and their safety and well-being. When I go back to my slightly younger self to think of how I expected to be as a physician, I never thought of the negative effects I could have on patients, I only thought of myself as a healer. Then I said to myself, “OK, I can change my ways and improve myself so that I am better aware of errors around me or because of me, and correct them before they do real harm to… Continue reading
This post will be relatively short. I spent time writing a rather lengthy post about the healthcare story of someone close to me with her blessing. However, when I read what I had written back to her, after telling me to make a couple changes, she decided that she did not want me to post the story anymore. I respected her wish, but asked her why she changed her mind. After all, I had not included names. She said that she felt bad that some of the healthcare providers in her story looked bad and could maybe somehow figure out the story was about them. I think there was something to be learned about the premature closure, lack of informed consent and shared-decision making, and lack of respect for the patient’s perspective on her illness that led to harsh complications, but I realize that we have already had this opportunity… Continue reading
I made the mistake of thinking that as a well-seasoned runner, the altitude wouldn’t dare touch me. I was wrong. It wasn’t a mile in that I started gasping for air and didn’t seem to be catching any. Apparently one is expected to ‘acclimate’ before these runs become enjoyable. This information was provided post-run, of course!
I knew Colorado was beautiful. I’ve been here before. But I have never been to Telluride. And let me just say- it brings a whole new meaning to the word Beauty with a capital B. Mountains stretch on for miles and miles and the view from just about any point is spectacular. I keep finding myself fiddling with my camera and my smartphone camera trying to capture just a glimpse of how incredible it is here, only to be disappointed. The lighting is off, the flash doesn’t capture it correctly, a gondola passes by… Continue reading
I am now back in Seattle, home from the Telluride Patient Safety Roundtable & Summer Camp. I am very thankful I had the opportunity to participate. It was emotionally exhausting (I cried the first three of the four days), but I have a sense of hope. I met leaders in patient safety—some of whom I had seen in online videos, others I had not heard of. But the message from all of them was clear: There is no compromise in patient safety. No compromise in disclosure. No compromise in informed consent. Safety and transparency must underlie all of healthcare.And that is a very different perspective than my family has encountered in Kansas, at both the local hospital we are dealing with and at the state level. So today I feel hope knowing that my family is not alone, but I also feel overwhelmed knowing that those… Continue reading
The theme for Day Two in Telluride brought home the value of conversation and communication. Shared decision-making and the process of informed consent once again provided fuel for a robust conversation following Day Two’s viewing of the educational documentary film, From Tears to Transparency–The Story of Michael Skolnik. One student’s comment, “We can’t expect the patient’s family to know they need to be informed,” was a good reminder that keeping patients and families at the center of the solutions being generated in Telluride is again why we are all here.
A second student commented that after the group’s conversation, she now feels “unqualified to get an informed consent,” sharing that she always refers to the risks and benefits of a procedure, but has never discussed alternatives to the procedure. Like the family, unaware of what they need to be informed about, how will medical students know what the informed… Continue reading