This is a recording of Dr. Victor Montori's grand rounds presentation to Mayo Clinic Emergency Medicine challenging us to rethink the care we provide to our patients and the community as a whole. He will be discussing the movement toward careful and kind care he calls the Patient Revolution. This movement seeks to turn away from industrialized healthcare – a form of healthcare in which the care of patients is a means to an end, in which patients are processed, and in which cruelty happens routinely and care by happy accident. He challenges us to turn toward careful and kind care. Careful care is unhurried, evidence-based, safe, and sensible. It is responsive to the needs and situation of this patient rather than patients like this. Careful care, as he describes, requires that clinicians see patients in high definition, notice their problems in their biology and biography, and respond with compassion and competence by co-creating plans of care that make intellectual, emotional and practical sense to each patient. Kind care recognizes each patient as a fellow human, one of us rather than one of them. It calls for minimizing the demands healthcare makes on patients’ scarce time, energy, and attention which patients rather use to fulfill their obligations, pursue their loves, and flourish. Based on solidarity and love, health care must support the work of people who come together to give and receive care. Beyond healthcare, we need to advocate for common care and for the care of our environment. He is challenging us to create a movement for care. Contacts: TWITTER - @AlwaysOnEM; @VenkBellamkonda; @VMontori INSTAGRAM – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch EMAIL - [email protected] References: 1. Why we revolt, authored by Dr. Victor Montori, published October 2017 2. www.PatientRevolution.org, organization cofounded by Dr. Victor Montori

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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