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I watched the video, and verified her credentials. She’s credible, and everything she is saying about mistakes are medically valid comments.

The truth is that NYC medicine is highly variable, depending on what hospital you are at and who happens to be taking care of you. The idea that ‘East Coast medicine’ is somehow superior is truly a myth - without question. Medicine isn’t ‘superior’ anywhere, sadly - and it’s getting worse.

The formula for good medicine includes some very fundamental things. You have to care about the people you’re taking care of, or at the very least feel a sense of personal responsibility to provide them the very best care. It’s easy to forget this, but it is essential.

You also have to have the ability to think on your feet, question yourself, have a high index of clinical suspicion (i.e. think of all the possibilities), and avoid being dogmatic (e.g. “Oh, this is obviously .....”).

You have to have a very good understanding of the sciences behind medicine. There is so very much we don’t know about the molecular underpinnings of health and disease, and the huge number of clinical trials and research papers that are out there do not cover a large amount you will see treating patients. You have to draw upon what you do know, and the science behind it, to be able to effectively think on your feet and make the best decision for the unique human being you are treating.

Anyway, my advice for anyone who is a patient, or who has a loved one who is a patient, is to advocate for yourself or for your loved one. Medicine can be a minefield, everywhere in the world, and if you don’t navigate it well it could cost you your life.