We need the time to apply our noticing skills to our patients

Noticing.

If you think about it, that’s really a lot of what we do a lot of the time. As clinicians, we are trained as observers to notice, to use our eyes, our ears, our hands. To notice.

We notice that our patients seem different today. More tired. A little pale. Notice a change in their gait. Notice they are in pain.

We notice swelling in their legs, a new heart murmur, a telltale rash, subtle changes in the texture of their skin or hair.

We notice a gradual decline in their functional status. Less attention paid to their appearance, how they dress, their personal hygiene, how they interact with the world.

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