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Nathaniel Fleming

Articles

  • Nov 25, 2024 | kevinmd.com | Steve Burgess |Nathaniel Fleming |Elaine Walizer |Hilary Hatch

    When a 26-year-old male with a history of tracheostomy arrived in our emergency department, the case appeared routine—until we uncovered an unusual detail. The patient’s sister had recently changed his tracheostomy tube at home but noticed something concerning afterward: the terminal piece, or the distal end of the tube, was missing. Despite searching, the piece couldn’t be found.

  • Nov 9, 2024 | hudl.com | Nathaniel Fleming

    Oops! It looks like AdBlock or a similar tool has prevented this page from loading. Please disable the plugin for all Hudl.com pages and refresh your browser. 5 views | 0:38 | Nov 09, 2024

  • Jan 23, 2024 | kevinmd.com | Adam Bitterman |Stephen Foley |Kristina Fiore |Nathaniel Fleming

    A recent discussion with a partner led us to list our academic goals for 2024. It’s a process many of us go through each year. What did we accomplish throughout the year? Could we have done better? Is there more to do? How could we improve? What’s on tap for the upcoming year? It’s an annual ritual, I know. We reviewed his overall plan and went through how he could accomplish his professional “resolutions.” He was focused and singular in his approach. I was impressed, proud, and concerned.

  • Dec 21, 2023 | kevinmd.com | John Corsino |Elisabeth Rosenthal |Hanna Saltzman |Nathaniel Fleming

    The eyes can’t see what the mind doesn’t yet know – an axiom to remind us not just of the value of lifelong learning, but that the answers are often in the exam room with us. Though bright and committed clinical people we may be, we’re dragged by the tendrils of a lumbering behemoth. American health care is designed to produce revenue and built to punish highly visible mistakes over more common (but less easily discerned) errors of reasoning.

  • Dec 19, 2023 | kevinmd.com | Alan Lindemann |Nathaniel Fleming |Ken Terry |Laura Spiegel

    As time passes, we have more new names for what we used to call quality assurance, but it appears to me to now be a public relations issue and have very little to do with quality. Years ago, I returned home about 10:00 p.m. on Sunday night. I had spent the weekend at my lake cabin for some sorely needed time off. As I usually do when I arrive home after a trip, I called the hospitals to be sure none of my patients had shown up there while I was gone.

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