What About Me?
It’s Monday morning, and I’m the attending physician starting a week of inpatient service in the hospital. On my patient list is a man named Earl, age ninety-one. He’s outlived his siblings, his first and second wives and all of his peers. After seven decades of smoking, his lungs are failing; he carries a diagnosis that reads “severe emphysema.”
The sign-out note from Earl’s previous doctor reads, “Daughter and son-in-law met multiple times with the team last week.” As his medical decision-makers, they’ve been waffling about what to do for him. Last week they said, “Do everything,” then “Take a comfort approach,” only to wind up back with “Let’s get him strong enough for rehab.”
I’ve been putting off rounding on Earl: I’m afraid that these two will hijack rounds by changing their minds again.