At first we thought it was funny when the doctor said, “Fatigue.  That's a tough one.  At 75-years-young, your chronic conditions are catching up with you, sapping your energy.” That was the end of exploring the presenting problem at my husband's twice a year primary care visit. On the way out to the parking lot, we said we'd like to be bugs on the wall when, 25 years from now, someone says ...

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Another disturbed and disturbing night.  It doesn't happen often three years later.  Now – when it does happen – I generally know why. I am preparing to make a presentation of a sentinel event from my daughter's final illness to a group of medical professionals and patient advocates.  Last night, I was working on key points.  What issues seem most important for hospital staffs to address after these years of reflection? I ...

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Survivors of medical error need crisis intervention When health journalist Cheryl Clark wrote about the need for crisis intervention for "second victims" of medical error, defining "second victims" as medical caretakers, she struck a nerve.  Recommending crisis intervention for staff, highlights the absence of meaningful help for injured patients and their families. In Clark's article, a hospital patient safety officer notes that medical error trauma is worse when ...

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