The Seven Minutes I Did Not Have
I used to think the pressure of a busy clinic was a scheduling problem. Then a patient waited until I had my hand on the door handle to ask the only question she had come to ask.
Topic
10 stories: 6 from doctors, 4 from patients
This collection has the same experience described from both sides — worth reading as a pair.
I used to think the pressure of a busy clinic was a scheduling problem. Then a patient waited until I had my hand on the door handle to ask the only question she had come to ask.
Door to balloon, fifty-one minutes. A textbook result and I was pleased with it. Then he came back to clinic six weeks later, physically well and quietly falling apart, and I realised I had treated an artery and discharged a person.
We were managing her daughter beautifully. It took eleven days for anyone to work out that she had not been home in that time, and that the person we were about to discharge a baby to was closer to collapse than the baby was.
His bloods were excellent. His fluid balance was textbook. He was also about to lose the job he had held for nineteen years, and I had never once asked him what our schedule was doing to his week.
The note read: "denies low mood, no active plans, appropriate to discharge from our care." Every word of that was accurate. I had asked closed questions in a shared bay for eleven minutes and recorded the answers as a finding.
Our goal was independent transfers and modified diet. His goal was to say her name. It took us five weeks to find that out, and it was the only thing that made him work.