Sam K. Saha: When Doing Everything Isn’t Enough
Sam K. Saha, VP of Medical Operations and Technology at Sevaro, shared a post on LinkedIn:
”I’ve lost patients I did everything to save. Training taught me to bury it and move on, and that worked until it didn’t.
Bad cases don’t actually leave, they accumulate.
The 58-year-old with the massive basilar occlusion who came in too late. The borderline imaging where you made the call and still wonder. They go somewhere quieter inside you.
What I’ve learned is to separate two questions that used to blur together: did the patient have a bad outcome or did I make a bad decision?
Medicine is probabilistic. You can do everything right and still lose. Mixing outcomes with decisions is how physicians become either paralyzed or callous, both are dangerous.
The hardest cases are the ones where you did everything right and it still wasn’t enough.
Those require something medicine doesn’t train you for, the ability to sit with limits. To accept that this work has a ceiling, and that the ceiling isn’t your fault.
I haven’t fully mastered that, but I’ve stopped pretending the weight isn’t there.”
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