So appreciated @StephVSherman reflection on today's @CPSolvers VMR.

So much stigma comes w/ pts described as someone who always leaves "AMA."

Will never forget seeing an overnight consult in the ED - mother w/ newly discovered monochorionic monoamniotic twins (rare & dangerous) https://twitter.com/sargsyanz/status/1273380318939099138

2nd trimester. Obgyn resident wanted to admit her until she delivered.

She was w/ her husband but they needed someone to care for their toddler son. And the husband works.

So they left the hospital & would try to go to the clinic the next day.

When her story was told to the other residents it ended with: "And... she left AMA."

*laughter*

It sounded as if they were enjoying a joke. And the laughter really haunted me.

Thank you @sargsyanz for this thread.

Hopefully we can try to stay mindful and keep working on our "diagnostic schema" for patients who want to leave.

#MedTwitter #WordsMatter