Speaking Up in a Meeting:
We all have different meeting personalities. There are some who feel comfortable chiming in whenever and wherever possible and then there are those who over-think their good idea, question, or quandary until it’s no longer relevant to the conversation. A quick way of knowing what’s appropriate meeting speak is to consult your gut. Most times if it’s not hurtful, unproductive or off-topic, it’s okay to bring it up in a meeting.
Next, making a big life decision
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I had a strong feeling one night approx 7 years ago in a small rural hospital on the med-surg unit . This patient was in for azotemia. He was hemodynamically stable and the only thing that was “out of sorts” was his cognition which goes with the territory.
I went out on a limb and called his doc about 1am on this gut feeling that this patient was circling the drain. I anticipated a butt chewing because I had nothing on paper to go by.
He was obviously very skeptical and just said if I started to see any clinical signs of deterioration to call back.
So after that phone conversation, I continued to do 15 min checks because of this gut feeling. My co-worker was understanding how I was feeling and was hoping I was wrong but was starting to feel the same way. On my 45 min. check post phone call , I walked into the patients room to recheck v/s and see if I was missing something and I witnessed his “arrest”.
Because I was in the room when it happened and proper ACLS algorihthyms, we saved this patient’s life that night. He went on to live a few more months and succumbed to liver failure. but not before he had the opportunity to say good bye to his family.
And after that incident, I bonded very much with that doctor, and he believed and took serious every phone call I ever made to him in those dreaded early hours. This was one of those “remember when” ‘s !