KevinMD January 14, 2025
Pamela Buchanan, MD

As an emergency room physician with 20 years of experience, I’ve witnessed countless moments where patients come to the ER not because their symptoms demand urgent care, but because they lack understanding about their own medical conditions. These are not isolated incidents—they’re a systemic failure in communication that contributes to patient distress, health care inefficiency, and physician burnout.

This week alone, I had two particularly heart-wrenching encounters:

A 65-year-old man with metastatic lung cancer, convinced his shortness of breath was just pneumonia. When I explained the progression of his disease, he was shocked. No one had told him that his cancer was likely incurable.

A 97-year-old woman brought in for “failure to thrive.” She was frail, pale, and not eating—classic...

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