#physician-patient-relationship

#physician-patient-relationship

I hate to say it, but I would not have gone to the doctor unless I had seen that comment. The process was accelerated by someone called PickleFart, what can I say?

Coping with the death of a loved one is individual and, like anything else, exemplified by what works for you. Grief rituals can be practiced alone or with others, created uniquely by you or replicated over centuries.

The HIV ward, the scene of graphically ill patients when I was training, is long closed because it's no longer needed in most rich countries. When my young neighbour had a stroke, doctors cleverly retrieved the clot suffocating his artery, not just saving his life but also returning it to its full potential.

Twenty years ago, as the top digital and innovation executive for Citi's credit card business, I led the team that spent months building what looked like a brilliant partnership. We'd found a startup with a disruptive payments platform-one that became the forerunner of what has become a new payment type used by millions of consumers today. The deal: strategic investment in exchange for access to the startup's codebase as a sandbox for innovation pilots. No more waiting in the legacy systems queue. Just rapid prototyping with leading-edge developers.

Valley has 90 medical providers including doctors, nurse practitioners and physician assistants and on-site labs, x-rays, and vision care. With tens of thousands of patients, it's become one of the largest independent practices in western Massachusetts. It forms a key part of the region's health care infrastructure yet Valley Medical has rarely been under more strain than it is now.

"Hello, how are you doing? Good to see you," says Honor Cousens, as she pushes a trolley loaded with cold drinks, sweets, biscuits, toiletries, newspapers and magazines. The volunteer at the Royal London Hospital is a familiar face on the wards, and has been supporting staff and patients for many years. She is part of the Friends of the Royal London Hospital, a charity that has been running at the Whitechapel site since 1979.

Adult literacy advocate Toni Cordell recounts the story of feeling comforted when her doctor told her that her medical concern could be solved with an easy surgery. She agreed to proceed without asking further questions and didn't understand the medical consent forms because she didn't read well. At a follow-up office visit a couple of weeks after the procedure, Cordell was shocked when the nurse asked, "How are you feeling since your hysterectomy?"

Evidence Based Medicine was formalized in the 1990s, largely by Canadian physician David Sackett. Sackett described the goal of EBM is to replace hunches and habits with data and clinical trials. Clinical guidelines were developed involving protocols that tell doctors which drug to prescribe first, what dose to use, when to escalate treatment, and when to refer a patient to a specialist.

You get sick from staying inside, breathing the same germ-filled air. Open your windows, even for five minutes, to circulate the old air out and let in fresh air. Also, if you're taking your child to the doctor, don't wait to treat their fever because you want 'the provider to see the fever.' Your child might wait two hours to be seen, meanwhile their temperature goes up, and they might have a seizure. If you say they've been having fevers, we believe you.

My dad was in the emergency room, short of breath, chest tight, upper back aching. He looked pale and confused. An ultrasound showed excess fluid between his lung and chest wall. "We'll drain it," a resident said, as if he were unclogging a sink. For the next five days, thick, red-tinged fluid filled a plastic container beside my dad's hospital bed. Doctors sent his cells for "staining," a way to identify cancer. But no one used that word.

"I grew up in a family that valued hard work and education," she says. "Starting over in a new country reinforced that nothing comes easily, but progress is always possible."

AI plays an important role-but not by fixing fragmented data on its own. The work of organizing, connecting, and interpreting healthcare information still belongs to people and the systems they build. Where AI helps is after that foundation is in place: by bringing the right information forward at the right time, reducing the effort it takes to find what matters, and supporting better decisions in the moment of care.