Trust me! (no explanation required)

In Commentary, Opinion by Nadim LalaniLeave a Comment

Two stories: ONE Yesterday I had a patient come to the ER because she didn’t trust the family doctor she had just seen at the clinic who “gave me a prescription for puffers worth hundreds of dollars without even listening to her chest!”‘ I did my usual and diagnosed the child with reactive airways (likely asthma due to positive family history) … I told the parent that I agreed with the original diagnosis, …

Courage to Make Lemonade

In Commentary, Opinion by Nadim Lalani3 Comments

I just found out that a colleague and mentor [to whom I owe much] had a skiing accident in which he broke his neck. It’s early days, but the outcome may not be so good. From what I hear he was joking around before going in for an 11-hour spine operation. He was joking about trying to take down a tree with his head [and was haggling a  price for the skis he …

Thou Shalt Not Oompa-Loompantasize Children

In Commentary, Opinion by Nadim Lalani2 Comments

Got a letter of praise forwarded to the ER manager by the Patient Advocate Office the other day … ZZZZZT! Wha? Did he just say “praise” or did he say “complaint” … [re-read … no it says “praise”]. Staggering! Furthermore it came from a patient encounter that I had in paeds ER. Hmm … I thought about posting a screen-capture of the letter, but it’s honestly embarrassing to receive such praise [and I’ve …

Reflections on Efficiency

In Commentary, Opinion by Nadim LalaniLeave a Comment

I was at a great conference on Emergency Medicine in San Francisco. My wife and I went to a diner for breakfast. While there I was struck by how efficient the whole experience was. I think that things that made this experience really efficient were: Enough space so we didn’t wait in line Menu’s already on table Menu itself was stuff that they were really good at  and relatively simple to create – …

Reflections on Stewardship

In Commentary, Opinion by Nadim LalaniLeave a Comment

I came across this posting from one of my fav blogs  [here’s the original link]. It made me think about stewardship. What is stewardship and why is it important? So I did a quick lit search and came across an article from PubMed. The article talks about how to start good stewardship regarding antibiotics in the ER. In fact most of the literature seems to centre around antimicrobial stewardship. I was reflecting on …