The Game Part 2

JOHN SHUFELDT, MD, JD, MBA, FACEP I used to love to watch Raymond Burr in “Perry Mason.” He would get some poor witness on the stand and, in the middle of her testimony, look at the jury while he handed the witness an incriminating document and say very loudly, “What about this?” At which point the witness would dissolve into tears with her head in her hands and confess to basically everything including the crime …

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The Game Part 1

JOHN SHUFELDT, MD, JD, MBA, FACEP In the movie The Game, Nicholas Van Orton (played by Michael Douglas) is a very wealthy and successful businessman. Unfortunately, his successes come at the cost of his family life and close, personal relationships. His brother, Conrad (played by Sean Penn), gives him a gift on his 48th birthday. The gift is enrollment into a live-action game where Nicholas is the principal player. This game initially consumes then seemingly …

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It Seemed Like a Good Idea at the Time

JOHN SHUFELDT, MD, JD, MBA, FACEP Have you seen poster with the phrase, “IT COULD BE THAT THE PURPOSE OF YOUR LIFE IS ONLY TO SERVE AS A WARNING TO OTHERS?” Have you ever had “one of those days” where you believed the poster was a sign from God directed only to you? Over the years I have heard hundreds of patients and numerous friends and acquaintances mutter the phrase, “It seemed like a good …

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Et tu, Brute?

JOHN SHUFELDT, MD, JD, MBA, FACEP In the past, when I have broached the topic of employee theft with urgent care owners, their typical, somewhat indignant, response is, “My employees would never do that!” I really like this answer because I really value loyalty – more than anything. In the film Ides of March, campaign manager Paul Zara (Philip Seymour Hoffman) proclaims: “I value loyalty over everything.” Of course, he completely gets screwed (by his …

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Continue CPR! or How to Save the Patient and Screw the Pooch1

JOHN SHUFELDT, MD, JD, MBA, FACEP So there I was (all good stories start this way), having just participated in saving a 58-year-old guy who collapsed while playing golf with his buddies. It was a classic v-fib arrest—dropped after hitting a great drive right down the middle of the fairway. The man’s friends started CPR, paramedics arrived and shocked him out of VF into a sinus rhythm and intubated him. While in the emergency department …

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