A Piece of My Mind (Jama & Archives Journals) by The Journal of the American Medical Association Jama,

By The Journal of the American Medical Association Jama, Roxanne K. Young

Reflections and insights on wellbeing and fitness, ailment, and healingNow in paperback for the 1st time, a section of My brain brings jointly revealing own essays that first seemed within the magazine of the yank clinical organization (JAMA). those engrossing, relocating vignettes--written by means of physicians, sufferers, relations, scientific scholars, and others--offer a distinct glimpse into the standard reviews and relationships within the clinical world.Baring their souls and commencing their hearts, the authors percentage their such a lot own moments, tales, and observations. you will listen from the intern who couldn't cover her feelings, incomes reprimand from her supervisors yet appreciation from her sufferers . . . meet an alcoholic whose indomitable spirit helped her defy the entire odds . . . event the heartbreaking comedy of a Monday morning HIV health facility . . . be encouraged by means of the oncology social employee who chanced on a brand new love of existence in the course of her personal fight with breast melanoma . . . and research from the doctor who learned that via witnessing her sufferers' braveness she grew to become a greater physician.Compelling, touching, and every now and then funny, a bit of My brain bargains a deeper knowing of physicians, sufferers, drugs, and the easy human act of assisting one other person."These tales, established in technological know-how, are transmitted to readers . . . after filtering via a human middle . . . regularly succeeds in bridging technological know-how and the humanities."--William H. Foege, MD, Emory collage

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On a snowy day in my third year I was again called to the ER. The helicopter was to land in just a few minutes and the PICU team had been requested. As we made our way to the pad, the dispatcher gave me the scant available information. “Lethargic 2-year-old boy with fever and rash. Blood pressure is better after fluid bolus but perfusion is still poor. One peripheral IV. We’re the nearest PICU with any bed space. ” As the chopper landed, the team rushed to the small child. He was minimally arousable, hypotensive, and tachycardic.

We’re the nearest PICU with any bed space. ” As the chopper landed, the team rushed to the small child. He was minimally arousable, hypotensive, and tachycardic. His airway was patent but he was tiring. Once in the ICU he was intubated and received the necessary lines. Bags of IV fluids, antibiotics, and inotropes took their place beside the ventilator. As the labs returned and the numbers deteriorated, it became clear his chances were bleak. I hoped we could support him at least until his family traveled the 90 miles between hospitals.

I asked as I put the angiocath in. She pulled away slightly. I wasn’t getting any blood return. I retreated and tried to advance the catheter again. Nothing. ” Her eyes were fixed on her hand as I kept poking. She continued with her story: she had lost 15 pounds over the past month and had found a lump in her right axilla. Three days later her left calf had become swollen and red. (There we go—a flash of blood in the IV. Now advance the catheter. Damn. ” “Oh really? ” I asked in a friendly tone, hoping I could distract her from my fumbling with a little small talk.

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