Who Was Caring for Mary?
Authors: Frederick Southwick
Journal: Annals of Internal Medicine (1993)

On Being a Doctor15 January 1993Who Was Caring for Mary?Frederick Southwick, MDFrederick Southwick, MDUniversity of Florida College of Medicine, Gainesville, FL 32610.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-118-2-199301150-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail An academic physician gives a personal account of his wife's progressive deterioration during her hospitalization at a university medical center. He encounters physicians who are too distracted by other academic pursuits to care adequately for his wife. Her hospital course is complicated by bilateral pulmonary emboli, which occur during inadequate heparin therapy and are followed by myocardial infarction, shock, and the adult respiratory distress syndrome. His experience exemplifies the importance of closely supervised care. He calls on the leaders of academic medical centers to make excellence in patient care a top priority and recommends that clinical as well as research ... Author, Article, and Disclosure InformationAuthors: Frederick Southwick, MDAffiliations: University of Florida College of Medicine, Gainesville, FL 32610.Corresponding Author: Frederick Southwick, MD, Infectious Disease Section, University of Florida College of Medicine, Box 100277, Gainesville, FL 32610. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCare Fragmentation, Faulty Communication, and Documentation Lapses Derail a Treatment PlanHow care decisions are made among interdisciplinary providers caring for critically injured patients: A qualitative studyTreatment of thrombosisTeaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production SystemSupporting the Physician-Scientist in Clinical Practice in Infectious DiseasesIt's My Fault: Understanding the Role of Personal Accountability, Mental Models and Systems in Managing Sentinel EventsThe Stanford Prison ExperimentA patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and familiesHealthcare-Patient InterfaceFamily Caregivers, Patients and Physicians: Ethical Guidance to Optimize RelationshipsCommentary: "Who Was Caring for Mary?" Revisited: A Call for All Academic Physicians Caring for Patients to Focus on Systems and Quality ImprovementIncreased Faculty Presence on Inpatient Teaching ServicesProtected timeEND-OF-LIFE CARE FOR SENIORS: PUBLIC AND PROFESSIONAL AWARENESSThe oslerian triple-threat: an endangered species? a survey of department of medicine chairsWhen Too Much is Too LittleWhen the pen is mightier than the RCTRetooling academic internal medicine: The challenge to departmental leadership 15 January 1993Volume 118, Issue 2Page: 146-148KeywordsAcademic medicineChildrenHeartHeparinIntensive care unitsLungsMyocardial infarctionNervesPatientsPenicillin ePublished: 15 August 2000 Issue Published: 15 January 1993 Copyright & PermissionsCopyright © 1993 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...