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My next move should have been to listen, learn from him, affirm his position and then (perhaps – if he was in a position to learn from me ) offer my perspective so that we could think together about how we might solve public health problems. Of course he doesn’t want people to be unhealthy so that they go to the hospital.
As we began to examine patients in their home, it was obvious: why do we wait for the patient with congestive heart failure to come to the hospital? If wed been able to pick this up a week earlier, we could have prevented the acute admission to the hospital. It dawned on some of us that home is where the exam room has to be.”
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