BOSTON—Maybe the greatest lesson that Al Sacchetti, MD, FACEP has learned in 35 years of emergency medicine is duality.
Emergency physicians need the empathy to understand a patient’s fog of fear and the heartlessness to immediately stab them with a needle because it’s the correct clinical call. They must accept the black hole that is, “I feel dizzy,” while being supremely confident that the pain of hyperpronation is the best way to fix that nursemaid’s elbow.
The sadness of death in Exam Room 1, the joy of a benign tumor in Exam Room 2.
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