Falls (part 1 of 2)…

In this post, I have a warning for my readers: this piece contains many clichés. In writing there are a few steadfast rules: for example, always write to your audience; if you’re composing a book on how to make paper airplanes, write for people making paper airplanes, don’t write about the physics of flight. Another such rule is to avoid clichés, not only are readers probably tired of hearing them, but they can impede the flow of your writing, making it almost unreadable. But in thinking of today’s topic of falls, I could not help but keep returning to the same clichéd themes; so for that I apologize and warn you, if you hate clichés then do not read this post. I will first briefly describe each of the falls.


—- Fall Risk? —-

When arranging my discharge from the hospital, the concern was for my physical safety, with the main risk being a fall. At that time, I was reliant on a wheelchair for transport and had difficulty with my day-to-day activities. On the other hand, I was desperate to get home, as I could not wait to return to life with my wife, elder son, and newborn child. Luckily for me, all the clinicians remained objective when assessing my readiness to go home and did not factor my preference into their decision. A fall could result in some superficial bruising; but there is also a small chance it could result in brain hemorrhage and death. In medicine, the onus of any bad outcomes falls on the shoulders of the last physician to see the patient.[1] It is for this reason that discharging any patient is the result of much contemplation. I understood the risks of my discharge, but I felt torn. My rational, physician side acknowledged that my discharge might be premature; but my emotional side that wanted to be with my family won out—I let everyone know that I wanted to leave…


[1] This is why fields such as Emergency Medicine are such litigious ones. Even if the physician advises the patient to immediately see their primary care physician, many do not, and even if a negative health-related event were to occur years later, if the Emergency doc was the last to see the patient, then he/she is on the hook.

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