Though a hospitalist doesn't do surgery... sometimes surgery won't happen until we call for it. That's where couch medicine comes in! From the comfort of your own home, you can peruse approximately 1000 details about your patient in near real-time. Then, telemedicine style, you can be the coach at the sidelines calling the plays! Unfortunately surgeons are not easily swayed. So you have to be persuasive... sometimes getting other opinions to make your case. In any case, last night a patient I had would have died had I not spent nearly 30 minutes on the phone for a total of 8 calls with a nurse and 4 physicians in order to get my patient in the OR, under the knife of a highly skilled surgeon who threw the touchdown pass for the last second victory over a necrotic bowel!!!! Another life saved!! David