So we were taking care of a man who happens to be a patient of one of the few original
House doctors. The man has a heart condition for which he needs blood thinners, lest he eventually suffer a stroke. He just went to surgery, which usually means bleeding, at least until everything heals. We duly weighed the pros and cons of stopping the blood thinners, temporarily; some said the risk of bleeding after surgery was greater than the risk of stroke in the perioperative period.
The House Doctor, in reply to these concerns about the dangers of blood thinners, pulled out an index card from his pocket, where it was written (in Hebrew, which he had to then translate for us Gentiles), "
The art is long but life short; the crisis fleeting, the experience perilous, and the decision difficult." And so we have to thin the guy's blood, q.e.d., even if that means he bleeds to death.
That was yesterday. Today, CODE BLUE sounds out from the man's room, where blood is literally erupting from the surgical wound like a volcano.
This Hebrew Hippocrates will one day retire, a terrible shame for posterity and a tremendous blessing for patient safety.
Ed.: The man did pull through, but I think that takes away from the story, don't you?