Word: patients
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...plan for that understanding. We don't prepare people for the idea that you really work in teams nowadays. [In medical school] you learn the physiology of the body. And then you learn the diagnoses and the treatments. You could get all of those first steps right and your patient will still die. Because you weren't able to get the radiologist and the nurse and the rest of your team working in sync. Who's going to teach that? We don't have the senior medical people who really understand how to do this...
...failure to stanch the anti-Shi'ite bloodshed has drained ordinary people's faith in the government. In its place, there is now raw anger. After ambulances rushed the dead and wounded to hospitals, some of the marchers defiantly continued. Less patient ones lashed out at government officials and journalists in the area, local media reported. Across Karachi, large buildings and more than 15 cars were torched. The fear is now that the city may see more such attacks and tit-for-tat reprisals. "I want to appeal to the people, to my brothers, my elders, to stay calm," said...
That was a very distant time. Today, film directors prefer to make movies based on old movies, not plumb the pools of their own artistry. Hollywood looks back, not inward. Nine, directed by Rob Marshall (Chicago) and scripted by Anthony Minghella (The English Patient) and Michael Tolkin (The Player), wants to do both: engage in a little navel-gazing while summoning the glories of Italian cinema in the Cinecitta era of the 1960s. Find a role for Sophia Loren! Cast Kidman as an amalgam of Claudia Cardinale and Anita Ekberg! And, just as anachronistic, have people sing their troubles...
Even then surgery is usually out of the question. Many of our local patients are in their 80s and still working. Our patient Tony, 82, is a gardener. He looks like a root: strong hands, twisted by arthritis, five-feet-nothin' and bowlegged. He's been listening to me recommend knee replacement for 10 years, but would never have the surgery. He takes the arthritis pills I give him, but leaves my physical therapy prescriptions on the counter ("Don't need no exercise, Doc. I work."). At most he'll take an injection when it gets bad. Even when...
...expectations of America's medical future are now the rule in my patient population. Not with all the patients; the very well-to-do still show little concern for the future availability of care or what it will cost. But this group generally means business anyway; they've looked me up and are usually ready for an operation when they first come. The lawyers and teachers, similarly, don't seem too worried about losing access to my services anytime soon. And some fraction of patients always seems clueless about the world beyond the tips of their noses: they...