"As much as I would like to believe I haven’t harmed patients, years of adrenaline-fueled procedures probably do cloud my judgement."
Amazingly, the man felt little pain.
I endured three more surgeries as doctors tried to save my life. After a month, I finally went home, unable to move, with
As I left the operating room to find the family and let them know all was well, I thought about that question: "How can I best help you now?" And I realized that it's a question that can be used any time we see a fellow human floundering. They can be hurting from a crisis or just wondering what to next.
There should be a statutory, civil right to die for those whose lives are made unbearable by incurable illness. It is an inherent contradiction to be both a libertarian and simultaneously against allowing others to end their lives of pain on their own terms.
You couldn't invent a worse healthcare system than the nightmare we have created in the U.S. Our medical costs are almost twice as high per person as they are in most other similar countries but produce only mediocre outcomes.
I have a friend who has lung cancer -- the "good," slow-growing kind. His doctors have been less kind than the cancer. They keep screwing up in ways that seem likely to kill my friend before his cancer does.
Last week, Senator Bernie Sanders and a Senate Health, Education, Labor and Pensions (HELP) subcommittee held hearings to shine a light on the third leading cause of death in the United States: medical mistakes in hospitals. Curious minds should ask: Where were the hospitals?
Secrecy is unraveling the fabric of the health care system. The dishonor of the deceased is taking its toll. There is only one way out. Count the dead and the injured. Honor them as we would all wish to be honored.
Physicians are human and make mistakes like everyone else. Our weakness lies in denying human fallibility. Our strength lies in acknowledging our imperfections and working together to transform weaknesses into strengths.
While I'd like to say I haven't seen among the younger generation of doctors the arrogance once taken for granted among those from my father's, and my, generation, I have had one disappointing encounter.
How do we reconcile our commitment to excellence in health care with the inevitability of medical errors? How can we be comforted while accepting our fallibility as humans? The words of Voltaire -- "Perfection is the enemy of the good" -- point to one possibility.
We sometimes forget that those great minds in medicine live in a body -- a human body. Those bodies need restorative sleep, nourishing food, stable blood sugar, exercise, and time for connection, reflection, and community.
I am heartened by the dawn of what is called "patient-centered care." This is far more than a slogan; it is a deep and abiding commitment by caregivers to put the patient first, foremost, in a medical care system too often organized for the convenience of caregivers and administrators.
There is a macabre joke about the blindness of modern medicine's reductionistic erudition, and you have likely heard it: "The operation was a great success. Unfortunately, the patient died." That would be a whole lot funnier if it weren't so close to a perilous truth.
While leaving that day I saw the director of the operating room walking towards me. What would he say? The possibilities raced across my mind.
Since January of this year, more than half a million people have seen my talk. A small number of people have (rightly) taken me to task for not doing better. But most have been incredibly supportive of my call for health professionals to talk openly about their mistakes.
It's not like keeping track of patient harm is a new idea. More than a decade ago the Institute of Medicine's landmark "To
Doctors and hospitals are finding that when they make a mistake, sharing the information with the patient isn't just the right thing and the smart thing -- it can be a money-saving thing.