Lightning Does Strike

September 16, 2017 // 0 Comments

The fact that unexpected outcomes and rare events occur is one of the realities of medicine that is difficult to comprehend, until you have personally experienced it. There [...]


July 25, 2017 // 0 Comments

Before you dive into post below, here is a short EMTALA reference card for those accepting or sending transfers. My hope is that you will find it to be a useful [...]

What is your time frame?

June 29, 2017 // 0 Comments

This week I had a unique experience. I was discussing a case with a neurosurgeon by phone when he said “I think I should just admit this patient. He will need an MRI and [...]

Standard Work

May 1, 2017 // 0 Comments

“Standard work” is a lean concept. In short, it refers to standardization of the work that one will perform. Once it is established, it allows all future [...]


April 17, 2017 // 0 Comments

If you have been working in healthcare for the past 15 years, regardless of your position, you have likely felt it. Something has changed. It may seem intangible, something [...]

Inspired Or Defeated ?

March 31, 2017 // 1 Comment

The last few days have been rough. The emergency department is overcrowded and patients have been VERY sick. Treatments were labor intensive and patients holding in the ED [...]

You Are Being Sued …

February 22, 2017 // 1 Comment

I cannot recall a feeling more dreadful than opening up a thick packet from an unknown attorney’s office to discover that I had been named in a medical malpractice [...]