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24 Hours On Call

MON 2:30PM Keeping their voices low, since quiet hours are still in force, Ryder and care management nurse Lory Grimes quietly discuss a patient. The nurses, social workers, and other professionals in DHMC's Office of Care Management work closely with physicians and other clinicians to arrange for follow-up care after patients are discharged from the hospital, help patients and families cope with the emotional impact of illness, advocate for the needs of patients and families, and negotiate on patients' behalf with insurance providers and managed-care companies.

MON 3:19PM "The patient I'm a little concerned about is Mr. C—," Ryder has just explained to attending physician Brooke Herndon, who's been on the faculty since 2001. "I'm not quite sure what's going on." Attending physicians supervise the work of residents and are authorized to bill for the hospital's services. "The attending [goes on] rounds with residents and later in the day touches base with the team about patients as scans, etc., are coming back," explains Ryder.

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