WesElyMD Profile picture
Husband & Dad. ICU Doc. Vanderbilt. @CIBScenter studies Covid & Long Covid, ICU Survivorship, PICS, Dementia, Delirium. Tweets my own. Still learning.

Jul 6, 2020, 6 tweets

The ERROR: @stevenspohn TY immensely for exposing #COVID19 Michael Hickson interaction. Hospital released letters, internet blew up 💣 & ethicists commented. Read👂learn. I wasn’t there but audio reveals cardinal error: DOCTOR ASSUMED HE KNEW QOL. I’m guilty too #medtwitter 1/

The ERROR: Hickson’s medical details are not known to me, but we can ALL RECEIVE CALIBRATION:

Projecting our desired QOL onto another is a grave mistake. We have to ASK & LISTEN to know if pts “QOL-gap” is narrow or wide. 2/

#Palliativecare 101: bit.ly/38t5aNY

The grave ERROR Michael Hickson’s Doctor made was not understanding the QOL-GAP. Data from 1984 Oncology literature first revealed it: bit.ly/3iygpJu. NARROW GAP = good. Adaptable.

I am guilty & wrote 📝 about it in Pulse Voices true story: bit.ly/3f3AFAG

3/

Back to @stevenspohn & this spectacular leadership on #medtwitter.

Disability does NOT = bad QOL.

Listen & Silent have same letters! That’s not a coincidence. We 👩‍⚕️ 👨‍⚕️ Docs must shut up &👂to hear.

Read @danielleofri to get better! It’s why we call it “doctors practice!” 4/

The Error: NYTs 2012 Ben Mattlin w neuromuscular dz wrote: “you can’t truly conceive of the many subtle forces—invariably well meaning, kindhearted, even gentle, yet as persuasive as a tsunami—that emerge when your physical autonomy is compromised.”
nyti.ms/2ZFAe9b
5/

The Conversation: main error by Hickson’s Doctor (IMO) in 5 min audio we can hear👂bit.ly/2NXG7ca is lack of 2-WAY CONVERSATION. He’s telling not asking. Learn from Harvard’s Dr. Angelo Volandes’s book: bit.ly/3iydXmn
6/Fin

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