STAT February 22, 2024
One of us, Jeffrey M., is on weekend call for our office-based internal medicine practice. It is midafternoon, and a patient leaves a message with our answering service — she is concerned about her mother’s respiratory symptoms.
So, Jeffrey interrupts his late lunch and rings her back. As she explains that her 96-year-old mother has a harsh cough and nasal congestion, he hears both the facts and the worry in her voice. After a moment or two of symptom description, she says that her deepest concern is preventing a visit to the hospital that she knows will be disruptive, frightening, and risky.
Together, they create a treatment plan and Jeffrey reminds her that he is available for the rest of...