DNGILB: Trust me, I'm a doctor.

When I was in medical school, rotations were usually 4-8 weeks long. Each time we started a new one, we were meeting new residents and attending physicians, trying to understand their expectations, personalities, new environment, sometimes new EMR, new clinics or hospitals. Everything was new all the time. Figuring things out was a constant.  Once I graduated residency, new was infrequent. Same EMR, same consultants, same hospital system, and things became familiar. I adapted to the environment more fully. It feels comfortable like home. But... nothing lasts forever. Change has come. Our group is employed by the owner of the hospital, AMG. Our boss is a hospitalist who works in our system. Our group was created to be lifestyle friendly. Out by 4 pm or so. Pager stops going off at 5pm. But AMG has now contracted with Sound Physicians to take over our group. What will this mean?! Change. Forced change seems to inspire fear. Many are fearful. Forced change seems to inspire non-rational th

It's now been greater than two years since my wife was afflicted by bad health. It's not been one event, it's been an ongoing unfolding of calamity. First the ulcerative colitis (UC) flare, started new immune suppressant. When it failed, she opted to go for the surgery which is a cure for about 99% of UC sufferers. But she was in the 1% who still had some residual disease. "Cuffitis" is  what it's called. The  last few centimeters of the colon have to be spared to create the surgical connection after the colon is removed, and in a few people this area still has some inflammation. "But its usually easily controlled with occasional medications." Not so with Vanessa. Very resistant. Required further surgery to strip away the layer of mucosa. Then this caused scarring that created a severe narrowing. Which required another surgery. Then required manual dilations which were excruciating. There was a degree of pain that persisted beyond the typical post-op