{"id":818681,"date":"2026-07-22T13:41:08","date_gmt":"2026-07-22T13:41:08","guid":{"rendered":"https:\/\/www.newsbeep.com\/ca\/818681\/"},"modified":"2026-07-22T13:41:08","modified_gmt":"2026-07-22T13:41:08","slug":"physician-takes-readers-inside-the-realities-of-emergency-medicine","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ca\/818681\/","title":{"rendered":"Physician takes readers inside the realities of emergency medicine"},"content":{"rendered":"<p>&#8216;We can do more, but we don&#8217;t have the time to do more,&#8217; said Dr. Brian Goldman about his new book, The Casino Shift<\/p>\n<p>Despite incredible advances in technology, emergency rooms are busier than ever \u2013 and Dr. Brian Goldman digs into the unique challenges doctors face today in his newest book.<\/p>\n<p>The Casino Shift is an hour-by-hour account of the unrelenting pressure doctors face in the emergency room, and the acclaimed author and Mount Sinai Hospital emergency physician visited Sault Ste. Marie last week to speak about his book and work on the front lines of emergency medicine.<\/p>\n<p>\u201cThere&#8217;s no question that today&#8217;s young emergency physicians can do more, can diagnose more,\u201d Goldman told SooToday.<\/p>\n<p>\u201cAt the same time, we&#8217;re dealing with constant stressors like hallway medicine, waiting room medicine. We have to try to see people who have incredibly complicated illnesses, complicated by the fact that they&#8217;re living longer.\u201d<\/p>\n<p>Although doctors now have access to groundbreaking tools, such as portable handheld ultrasound probes that connect to a smartphone \u2013 which provide on-the-spot details for an array of potential ailments \u2013 they also carry out their work under ever increasing pressure as emergency rooms fill up.<\/p>\n<p>\u201cI could spend 45 minutes with the patient, except I don&#8217;t have 45 minutes to spend with the patient. I often have 10 minutes,\u201d Goldman said.<\/p>\n<p>\u201cWe can do more, but we don&#8217;t have the time to do more.\u201d<\/p>\n<p>Goldman\u2019s book takes readers on a tour of the time-crunched decision making process emergency physicians face as they visit a cast of patients in emergency rooms to ambulance offloading bays, and it also delves into heartbreaking emergency room scenarios like telling a twenty-something patient they have cancer.<\/p>\n<p>It also reflects on the current state of things in the health care system.<\/p>\n<p>\u201cIn the last chapter, I talk about the moment that we&#8217;ve reached. We&#8217;re in a moment of crisis. We&#8217;re in a moment when you know healthcare health care funding is not keeping up with the demand for hospital services,\u201d Goldman said.<\/p>\n<p>\u201cIf you compare us to other industrialized nations, we&#8217;re kind of mediocre in terms in terms of resourcing, and we&#8217;ve reached a point where a lot of\u00a0my smart colleagues refer to this as a time of collapse of the health care system, of the emergency system, and I try to define what that means.\u201d<\/p>\n<p>Goldman\u2019s talk took place before a packed house at The Loft last Wednesday, organized by the Sault Area Hospital Foundation.<\/p>\n<p>Copies of The Casino Shift are available at the foundation office, located inside Sault Area Hospital just off the main lobby, between 8:30 a.m. and 4:30 p.m. from Monday to Friday.<\/p>\n<p>Proceeds from book sales will support the purchase of new medical equipment for the hospital.<\/p>\n","protected":false},"excerpt":{"rendered":"&#8216;We can do more, but we don&#8217;t have the time to do more,&#8217; said Dr. Brian Goldman about&hellip;\n","protected":false},"author":2,"featured_media":818682,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[49,48,286966,84,392],"class_list":["post-818681","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-ca","tag-canada","tag-doctorsnew-bookemergency-roomsdr-brian-goldman","tag-health","tag-healthcare"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/818681","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/comments?post=818681"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/818681\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media\/818682"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media?parent=818681"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/categories?post=818681"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/tags?post=818681"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}