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On Continuity

Sinsky, Christine A

Annals of internal medicine, 2017-10, Vol.167 (8), p.600-600 [Periódico revisado por pares]

United States: American College of Physicians

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  • Título:
    On Continuity
  • Autor: Sinsky, Christine A
  • Assuntos: Continuity of Patient Care ; Delivery of Health Care - organization & administration ; Humans ; Models, Organizational ; Nostalgia ; Physician patient relationships ; Physician-Patient Relations ; United States
  • É parte de: Annals of internal medicine, 2017-10, Vol.167 (8), p.600-600
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: I think back 5 years to sitting at the bedside with a 56-year-old man, both of us knowing that he would be dead by morning, and remembering the hundreds of daily hospital visits, surgical recoveries, and outpatient appointments that we had shared over a decade as widespread vascular disease marched up his extremities, claiming more and more of his mobility until bilateral above-the-knee amputations eventually left him in a wheelchair. I think back 20 years to the nun who had been my patient for nearly a decade, through multiple hospitalizations and numerous outpatient visits. I think back 30 years to one of my first patients, a single woman in-her 80s. She wintered in Portugal, and we came to realize that she returned every year with pneumonia manifested not by fever and cough but by a subtle drop in energy and appetite, symptoms that for her heralded dehydration and infection and that we both learned were not to be ignored. Older physicians carry a candle from the past to illuminate the future, highlighting a wider scope of what is possible--not to return to the past, but to bring the best of the past forward.
  • Editor: United States: American College of Physicians
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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