Wednesday, May 13, 2009

Follow up

Swam at Nitro next to Chuck and Anthony, Lynne and David. Had my own lane as the age groupers do not swim on Wednesday mornings. Trying a "drop" taper for Belton this weekend. The pool was set up short course yards. Tom coached. Chuck, who has swapped his board shorts for a pair of jammers, has "arrived", posting a 6:02 500 and a 2:14 200. Like Steve, David, Greg, Mark Doyle, and others before him, he has caught me, but of course he is not swimming with a piano on his back.

400 swim, 200 kick, 400 pull breathing 3/5/3/7
4 x 100 @ 2:00, held 1:09 comfortably, HR 140s
6 x 50 @ 1:00 race pace, held :32s, HR in the 150s
200 easy

An EEG performed on the patient from the other night demonstrated a postictal state and a low threshhold for seizure activity. In the locker room Larry and I spoke about the current state of health care and the role that hospitalists have assumed in the management of patients. Back in the day, the primary care physician developed relationships with his or her patients that continued for decades. When a patient was hospitalized, he or she was then treated by the very same physician, ensuring continuity of care and, perhaps more importantly, a sense of comfort and reassurance at the time of a potentially life threatening illness. Today, upon admission to a hospital, a patient is assigned a hospitalist who typically works 12 hour shifts, rotating with other hospitalists, none of whom have ever met this particular patient before. What have we created?

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