2. Goldman tells the story of Mrs. Drucker whom he treated for
congestive heart failure. He says that he made several mistakes. What
mistakes did Goldman make?
Help ASAP

Brian Goldman, in treating Mrs. Drucker for congestive heart failure during his residency, admits to several mistakes. These include ignoring intuition, failing to seek guidance, prematurely discharging the patient, not following up promptly, delaying acceptance of the mistake, and not directly communicating with the patient's family. He emphasizes the importance of acknowledging errors, learning from them, and fostering a medical culture that encourages open discussion to prevent future mistakes.

Brian Goldman shares the story of a patient, Mrs. Drucker, whom he treated for congestive heart failure during his residency. He acknowledges making several mistakes in her case.

1. Disregarding Intuition: The first mistake Goldman mentions is disregarding his intuition. Despite a little voice inside warning him not to send Mrs. Drucker home, he ignored it. This lack of confidence led him to make a decision that later proved to be detrimental.

2. Failure to Seek Guidance: Instead of consulting his attending physician or seeking further guidance, Goldman made a decision based on his desire to be a successful and responsible resident. This lack of collaboration and communication contributed to the error.

3. Premature Discharge: Goldman admits to the mistake of prematurely discharging Mrs. Drucker. Despite her initial improvement, she later experienced a severe medical crisis at home, leading to irreversible consequences.

4. Lack of Timely Follow-up: After sending Mrs. Drucker home, Goldman did not promptly follow up on her condition. This lack of vigilance allowed a critical situation to unfold without immediate intervention.

5. Delay in Accepting Mistake: Goldman reflects on the delay in publicly acknowledging and discussing his mistake. It took him decades to be prepared to openly talk about the errors made in Mrs. Drucker's case.

6. Failure to Communicate with Family: Although not explicitly stated, Goldman admits that he did not speak directly with Mrs. Drucker's family about the mistake. Instead, the attending physician handled the communication. This might be seen as a lack of personal responsibility in addressing the consequences of his actions with the patient's family.

Goldman emphasizes the importance of acknowledging mistakes, learning from them, and fostering a medical culture that encourages open discussion about errors. He advocates for a system where healthcare professionals can share experiences, learn from one another, and work towards preventing future mistakes.

Brief Clinical History: The patient had a biopsy-proven squamous cell carcinoma of the left forearm. After explanation of the risks, benefits, and alternatives, she agreed to re-excision and closure. She understood that there would be a scar as a result.



Details of the Procedure: The patient was taken to the outpatient operating area. An ellipse was taken around the primary lesion with 0.5 cm margins for excision around the 0.8 cm lesion. The area was infiltrated with 1/2% Xylocaine with 1:200,000 epinephrine and approximately 5 cc was used. The area was prepared with Betadine paint and draped in a sterile manner. The lesion was elliptically excised. After excision, the elliptical defect was closed in layers with 4-0 OPDS totally 4 cm in length. The deep subcutaneous layer was closed separately and then a running subcuticular layer was performed. She tolerated the procedure well. She was given instructions for local care and will return in 9 days for a checkup and suture removal.



What CPT codes do you think would apply to this case?

Pace works as a technician in a veterinary clinic. He excels at preparing comprehensive reports. Which skill does he possess?
A physical stamina
OB.
detailed outlook
C.
motor skill
OD
technical skill

Your friend tells you about a tragedy that happened in her life. Explain what a situational attribution and a personal attribution is, and talk about what would cause most people to make a situational attribution rather than a personal attribution in your friend’s situation.

10) The speed of blood:
a) It decreases from the aorta to the vena cava
b) It decreases from the aorta to the capillaries and then increases.
c) It is the same in all the vascular tree
d) Increases from the aorta to the capillaries

rajeev bought a skatebord that cost 37.74 how much change did he get back if he paid with four $10 bills?

The Kings own a store in a crime-ridden section of town. As victims of break-ins in the past, they buy a guard dog to protect their store. The dog is trained to attack on command. It also stays in the store from 11 P.M. to 7 A.M. while the store is closed. One night, a man breaks into the store and is attacked by the dog. The man is caught and convicted of burglary. After the judge gives him a suspended sentence, the burglar sues the Kings for the injuries caused by the dog. How would you decide this case?

Choose the option that best matches the description given.
A relation indicating certain causes yield only certain effects is ______
system.
homogeneity
contingency
necessity ​

Which of the following is NOT a physical change associated with middle adulthood?
Select one:
a. loss of body fat
b. loss of visual acuity
c. slowing of reaction time
d. hearing loss

A resident has 5 food choices on his/her meal tray. You are
collecting the tray and need to calculate the percentage of food
consumed. The resident has eaten all of the meat, 1/2 of the brocolli, 1/4
of the apple sauce, all of the bread, and all of the potatoes. How much
has the resident consumed? *
30%
O
35%
70%
O O
50%

Which of the following describes a nuclear stress test?
a. the heart's electrical signals are traced with each heartbeat.
b. blood is drawn from an artery instead of a vein.
c. sound waves are used to see the heart.
d. a radioactive substance is injected into the bloodstream.

According to the law of conservation of mass, three atoms of calcium can react to produce six atoms of calcium.

Explain why it is important for a physician to wait for any drugs to leave a patient’s system before giving a mental diagnosis, even if the patient is displaying symptoms of psychosis.

Fill in the blank
1. Avoid touching your____,____,and___.
2.clean and _______frequently touched ___ and ____.
3.frequently ____your hands by using alcohol based___or wash your hands with___ and water (for 30 seconds)
4. When coughing or ____ cover your mouth and nose with a flexed___or use a ___ if you have a tissue,____ it away immediately
5. Avoid close ____ with anyone that has a ____or fever. And if you have cough and difficulty breathing seek medical care and share any____about any recent___with your ____care provider. If you have a mild cold symptoms and no specific medical history you need to stay ____ until you recover except to get ____ and ___.
6. also if you're sick wear a _____.
7. Avoid ___ ___ in groups more than 10 people
8. Avoid eating at _____ or food courts. Use drive thru pick up or delivery options
9. Avoid discrimination harassment shopping trips or social visits
10. Do not visit nursing homes or retirement or long-term ____ facilities unless to provide critical _____

What Animal is the best cat or dog
#Team cats