Genetics — Principles of inheritance MCQs 1. Plant anatomy MCQs 2. Photosynthesis MCQs 2. Photosynthesis MCQs. Pedigree Analysis MCQs. Genetics — Molecular basis of inheritance MCQs 1. Genetics — Molecular basis of inheritance MCQs 2. About Contact Forum. Mnemonics Respiration. Ramneet Kaur Ramneet Kaur is professor of Biology.
You may also like. Animal Kingdom Mnemonics 3. Animal Kingdom Mnemonics 2. Animal kingdom Mnemonics 1. Genetic diseases — Mnemonic. Trick to learn examples of Solanaceae. Trick to learn examples of Liliaceae. Once we hit the wards and started taking care of patients, a lot of this stuff faded into the background, and we began to see how clinical care was provided.
Talking to patients, examining them, putting things into a clinical context, reviewing labs and imaging, collaborating with colleagues. Today there is also a push towards abandoning some of the things that we as a generation of providers used to glean the most information from our patients.
The history and the physical examination were the tools we used more than the Krebs cycle, and more than any high-tech artificial intelligence algorithms, implanted sensors, or personalized genomic medicine. I remember standing in the CCU for bedside rounds early one morning after admitting a patient overnight with the cardiology fellow, an elderly gentleman with a severe exacerbation of his congestive heart failure set off by a salty holiday meal and a few days of missed medications.
I had given my presentation, and the fellow and senior resident had chimed in some extra things that they wanted to point out, and the final plan was to get a repeat echocardiogram that morning.
The attending, who had patiently listened to our presentations, walked over to the patient, asked him a few questions, laid his fingers on the patient's wrist to feel his pulse, examined his neck veins, listened to his heart and lungs, all the while calling out his findings and showing us with our own hands and ears how to capture this data, and then asked the fellow what we had learned from the history and physical exam.
While we learned that the patient was in heart failure, the attending knew enough from his exam skills to know pretty much what the patient's ejection fraction was, and by teaching the fellow how to do this, he showed that there was really no need for another test.
As we moved away from these "days of the giant" medical maneuvers, it feels like we've created a healthcare system with the patient funneled in at one end, chopped up into little pieces which are fed into the electronic medical record, run through another computer system that finds out what their insurance will cover in terms of labs, imaging, and treatments, and out the other end pops a final state of sickness or health. We are all spending so much time satisfying the hungry gods of the electronic medical record, the bureaucratic requirements layered on top of us, and the endless measures we need to satisfy, that we've lost those important central tenets of taking care of our patients.
There has to be something between the Krebs cycle and some computer algorithm telling us how to provide care. Things have gotten so complicated, that the patients and the providers are no longer at the center of care. It's no surprise that our patients feel like the healthcare system isn't listening to them, and isn't really taking care of them.
And it's no surprise that the doctors trying so hard to work in this system don't really feel like they're getting to do what they so very much want to do.
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