The room is half-lit from the sunset. Crowding around the bed, in almost saint-like postures, is the family of our patient who is in her last moments of life. I do my best to console the family, a light touch on the shoulder, and honest stare. Then, th…
I was a brand-new intern in the intensive care unit, and Cassandra was the very first patient I saw there. A petite, slender woman, she was rolled in on a stretcher, accompanied by her tall, athletic husband, Jack. Cassandra was in her 20s, like me — b…
I woke up to him, pacing the bedroom. Within an hour, I was pacing the ER at his bedside. Our experience at one of the country’s best-ranked hospitals lasted only three days before we were discharged home. What led us there will last a lifetime i…
I read Samuel Shem’s House of God twice — once in my late college/early med school years and another sometime during my pulmonary/critical care fellowship. The first time, I recall thinking it was drop-dead hilarious. I eagerly shared it with fri…
For what seemed like an hour, I stood staring at the flat lines scrolling endlessly across my monitor in the OR. The once pulsatile waves, rendered useless and flat due to the absence of a beating heart. After a frenzied six hours of pouring blood into…
All of us nurses and physicians in the ED and ICU knew him well. He was a young, 21-year-old. A smart, articulate guy who kept going from one hospital to the next. He had a system down … almost. This young man was a drug seeker. He knew all about…
“I just don’t know what to do, how to help.” My patient’s wife was slumped in the plastic chair by her husband’s side, fatigued and beleaguered. She had been there for hours, days, as we waited for antibiotics to start fighting back against the infec…
Perfect nurse. Perfect manager. Perfect puppet. An ICU physician once told me: Nurse managers have a life cycle of a mosquito. Fast and furious And then gone. Deleted until the next one shows up. It was the perfect ICU. Twenty-five beds. Dynamic intens…
We had just exchanged “I love yous” about 15 minutes before the intercom blared: “Code blue.” Just like that, my sister was gone — all from what seemed like a simple knee surgery. Simple in the fact that the type of surgery my s…
I recently had the pleasure of participating in an administrative law judge (ALJ) hearing. Novitas, the Medicare administrative contractor had denied the E/M code 99291, critical care. The case was appealed to the qualified independent contractor, who …
