Bob Arnold
speaker
679 appearances
4 recordings
1 series
first heard Oct 2021
last heard Oct 2023
Bob Arnold’s voice in public audio — every appearance, attributed to the second.
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Appearances
Great to be here.
It's your shirt, the fish.
You have
to
I haven't been quiet for six whole minutes probably since Jackie has met me.
First, let me point out there's a long history.
James Tolsky did a study in the late 80s looking at how residents at UCSF talked about code status, where the paradigmatic way was if your heart stops, do you want us to resuscitate it?
20 years later, Wendy Anderson did exactly the same study and found that residents at UCSF used exactly the same language.
We haven't done a good job of teaching people how to think about these conversations.
The problem is, I think, that we are so scared of our powers, clinicians, and we've been so taught that we need to respect autonomy that we leave people, as Sunita pointed out,
lost in the woods.
No one wants CPR.
I've been a doctor as long as all of you put together.
I have never had a patient come into the hospital and say, doctor, regardless of what you do, do a little CPR.
That'll make me feel better.
The problem is that we've reified CPR and we've been afraid to give our opinion based on where people want to end up.
And so having a conversation about what's important, telling people how often it works,
And then making a recommendation are all okay things for doctors to do.
And the problem is that we've stopped teaching doctors how to say, given what's most important, here's what makes sense and here's what probably doesn't make sense.
Were doctors ever good at that?
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