‘Sit Down, Shut Up and Sign, Don’t Make Waves’: What We Heard This Week

“Some nursing homes and chains hire medical directors who just do what I call the three S’s: sit down. Shut up and sign. Don’t make waves.” — Karl Steinberg, MD, past president of the Society for Post-Acute and Long Term Care Medicine, on a bill that would require all 15,000 Medicare-approved nursing homes to publicly disclose the name of their medical director.

“There are probably murderers out there killing people as we speak.” — Steven Marcus, MD, former director of the New Jersey Poison Control Center, on his involvement in the Charles Cullen case and the system that allowed a nurse to get away with murder.

“If you torment the dates enough, they will confess to almost anything.” — Jay Portnoy, MD, of Children’s Mercy Hospital in Kansas City, who voted against recommending approval of a fecal microbiota transfer product for recurrent disease C. diff infections.

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“I’ve said it before and I’ll say it again: Continuing with a drug development program when you don’t have an established dose is literally building a house on quicksand.” — Richard Pazdur, MD, of the FDA Center for Oncologic Excellence, about a planned confirmatory study of a cancer therapy that uses a different dose than the one in the marketing authorization application.

“It’s an unresolved issue, and I think we’ll be discussing it for years to come.” — Elmir Omerovic, MD, PhD, of Sahlgrenska University Hospital in Sweden, who is addressing the question of whether percutaneous coronary intervention is beneficial for survival coronary artery disease is better than coronary artery bypass graft surgery.

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“We have seen several patients who developed delirium after major surgery, and these patients were on gabapentin.” — Dae Hyun Kim, MD, ScD, of Brigham & Women’s Hospital in Boston, on risks associated with perioperative gabapentin older adults.

“If the government had listened to us years ago, we could be in a very different place, but they ignored us. And it’s a disaster.” — Laurie Jones, executive director of #MEAction, at a protest outside the White House over long-term COVID and other conditions.

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“Many colleagues keep telling me that they feel they cannot turn to their institution for help because they fear repercussions.” – Fay Hlubocky, PhD, MA, of the University of Chicago Medicine, discusses pandemic burnout among oncology clinicians.

“Even though we went to school every day in this horrid hellscape…our lung block didn’t cover the health effects of air pollution.” — Karly Hampshire, fourth-year medical student at the University of California San Francisco, on the need for climate and health curricula at medical schools.

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