{"id":9156,"date":"2026-01-06T00:01:00","date_gmt":"2026-01-06T08:01:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=9156"},"modified":"2026-01-05T12:10:19","modified_gmt":"2026-01-05T20:10:19","slug":"stories-of-gratitude-what-patients-taught-me","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me","title":{"rendered":"Stories of Gratitude: What Patients Taught Me"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me\/#A_Quiet_Night\" >A Quiet Night<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me\/#Something_Felt_Off\" >Something Felt Off<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me\/#The_Missing_Piece\" >The Missing Piece<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me\/#Why_This_Case_Stayed_with_Me\" >Why This Case Stayed with Me<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me\/#Key_Takeaways\" >Key Takeaways<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong>Dr. Rowida Kheireldin shares a story about a pediatric emergency that looked familiar, until she asked a single question that changed everything.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Every clinician carries a handful of <strong>patient stories<\/strong> that linger long after the shift ends based on encounters that remind us that <strong>clinical care is as much about curiosity as it is about competence. <a href=\"https:\/\/www.osmosis.org\/blog\/ten-ways-to-become-a-happier-person#6_Practice_Gratitude_Every_Day\">Gratitude in clinical practice<\/a><\/strong> often grows out of these moments. Not from dramatic saves, but from the <strong>quiet realization that a different outcome was possible because of asking one more question.<\/strong> Those moments of <strong>curiosity in medicine<\/strong> are hardest to find when time feels tight. At first, the following case appeared to be a <strong>textbook emergency. <a href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-2-ck-question-of-the-day-diabetic-ketoacidosis-dka\">Diabetic ketoacidosis<\/a><\/strong> was at the top of the list, shaping the early decisions and sense of urgency.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/learn\/Diabetic_ketoacidosis:_Clinical_sciences\"><strong>Diabetic ketoacidosis (DKA)<\/strong><\/a> is a <strong>life-threatening complication of diabetes<\/strong> that occurs when the body lacks enough insulin to use glucose for energy. The body breaks down fat, leading to a <strong>buildup of acidic ketones in the blood<\/strong>. It\u2019s most common in <strong>type 1 diabetes<\/strong>, but can also occur in <strong>type 2 diabetes<\/strong>, often triggered by <strong>illness or missed\/insufficient insulin<\/strong>. It typically presents with symptoms such as <strong>extreme thirst, frequent urination, nausea, fruity-smelling breath, and confusion<\/strong>, requiring <strong>urgent medical attention.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_Quiet_Night\"><\/span>A Quiet Night<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This shift appeared to be one of those calm nights, the kind where the air feels soft and cool, and you <em>almost <\/em>believe nothing dramatic will happen. Then my pager went off, noting: <strong>\u201cPediatrics resident to the emergency room (ER) for diabetic ketoacidosis (DKA).\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Whenever I hear \u201c<strong>DKA in the ER<\/strong>,\u201d I hope for a <strong>straightforward case<\/strong>: just a patient with <strong>high glucose and acidic ketones<\/strong>. We give <strong>IV fluids and insulin<\/strong>, check <strong>glucose hourly<\/strong>, and monitor <strong>urine ketones and blood gases<\/strong> every few hours. Usually, within a day, the child stabilizes and leaves the <strong>ICU<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">With that in mind, I headed to the ER, ready for what I expected to be a <strong>routine case of DKA.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A <strong>5-year-old boy<\/strong> sat on the bed, <strong>breathing fast and shallow, <\/strong>with a <strong>heart rate of 200.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The ER doctor looked at me and said, \u201c<strong>Yes, classic: rapid breathing, acidotic, and I can smell the acetone.<\/strong>\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I couldn\u2019t smell anything (my sense of smell has never been the same after multiple rounds of COVID), but I nodded.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I asked, \u201cDid you send labs?\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cOf course. <strong>His glucose is 298. And here are the blood gases.<\/strong>\u201d<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>pH 7.18 (acidic)<\/strong><\/li>\n\n\n\n<li><strong>HCO\u2083 13 mEq\/L (acidic)<\/strong><\/li>\n\n\n\n<li><strong>Lactate 12 mmol\/L (acidic)<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cOkay, what about urine ketones?\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cPending.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cAny other labs?\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cYes, I\u2019ll bring them.\u201d<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Something_Felt_Off\"><\/span>Something Felt Off<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Anyone who works in pediatrics knows <strong>DKA is defined by a clear triad:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>High blood glucose &gt; 300<\/strong><\/li>\n\n\n\n<li><strong>Metabolic acidosis<\/strong><\/li>\n\n\n\n<li><strong>Ketonemia or ketonuria (acetone in urine)<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">And <strong>this child didn\u2019t meet the triad<\/strong>. This was the moment the case stopped following a familiar script.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">His glucose wasn\u2019t high enough. It was the first reading, before fluids. <strong>No <a href=\"https:\/\/www.osmosis.org\/blog\/a-quick-reference-guide-to-signs-and-symptoms-associated-with-diabetes-mellitus\">diabetes<\/a> or family history. Something felt off.<\/strong> He was acidotic, but the <strong>lactate of 12<\/strong> explained that. This seemed more <strong>perfusion or drug-related<\/strong> than DKA.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Back to the patient. <strong>Potassium returned at 2.3 mEq\/L (low).<\/strong> The <strong>electrocardiogram (ECG)<\/strong> showed <a href=\"https:\/\/www.osmosis.org\/blog\/guess-the-rhythm-sinus-tachycardia\"><strong>sinus tachycardia<\/strong><\/a> (fast, regular heart rate that can be seen with dehydration or stress). He was still breathing fast, but <strong>his chest was completely clear.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"684\" height=\"678\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/12\/puzzle-piece.png\" alt=\"A single puzzle piece in shades of purple.\" class=\"wp-image-9157\" style=\"aspect-ratio:1.0088734077445272;width:343px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/12\/puzzle-piece.png 684w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/12\/puzzle-piece.png?resize=150,150 150w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/12\/puzzle-piece.png?resize=300,297 300w\" sizes=\"auto, (max-width: 684px) 100vw, 684px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_Missing_Piece\"><\/span>The Missing Piece<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">I turned to the <strong>older sister<\/strong>, who had brought him in.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cCan you tell me what happened today?\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cHe has <a href=\"https:\/\/www.osmosis.org\/learn\/Asthma\">asthma<\/a> and uses nebulizers. He was sick this morning and took nebulizer sessions, but they didn\u2019t help.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I thought to myself, <strong>\u201cOkay, but his chest sounds clear now.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cAnd then?\u201d<\/strong> I asked.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cThen he drank the whole bottle of the nebulizer solution.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I froze. <strong>\u201cWhat do you mean he drank it? He drank the <a href=\"https:\/\/www.osmosis.org\/learn\/Bronchodilators:_Nursing_Pharmacology\">bronchodilator<\/a> medicine?\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cYes, doctor. The whole bottle of the inhalation solution.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I had assumed she meant extra inhaler treatments.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cNo, he said he drank it to feel better faster.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cAnd where were your parents?\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cAt work, I did not see him do it. He told me afterwards.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cWhat happened after he drank it?\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cHis heart started beating so fast, and he said his legs felt too weak to walk. So, I brought him here.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cYou did the right thing. But why didn\u2019t you tell this to the first doctor?\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">She shrugged, <strong>\u201cThe doctor said his sugar was high, and it must be a <a href=\"https:\/\/www.osmosis.org\/learn\/Complications_of_Diabetes\">diabetic coma<\/a>. How would I know more than the doctor?\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u201cIt\u2019s okay. You did well. We\u2019ll take care of him. He just needs to be admitted until the medication wears off.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We admitted him to treat the <strong>known effects of oral intake of albuterol<\/strong> (the inhaler solution): a <strong>fast heart rate, tremors, low potassium, high glucose, acidosis of the blood, <\/strong>and even <strong>arrhythmias<\/strong> (irregular heart rate).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Thankfully, <strong>everything normalized,<\/strong> and he was <strong>discharged safely<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Why_This_Case_Stayed_with_Me\"><\/span>Why This Case Stayed with Me<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This case stayed with me not for its rarity or drama, but because it quietly highlighted the <strong>core lesson of clinical care<\/strong>. The diagnosis didn&#8217;t change because of a lab value. It changed because someone finally asked the patient&#8217;s sister to tell the story from the beginning. When we <strong>pause to question our assumptions <\/strong>and <strong>listen fully to each patient, <\/strong>we <strong>change outcomes for the better.<\/strong> A child recovered, a family learned, and <strong>a dangerous situation was avoided<\/strong> because <strong>one question led to the real story<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">My patients remind me that <strong>gratitude in medicine comes from these moments<\/strong>, when <strong>curiosity and careful listening<\/strong> make all the difference. The <strong>true lesson<\/strong> is to <strong>never let a familiar diagnosis keep you from listening<\/strong> for what you might otherwise miss.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Key_Takeaways\"><\/span>Key Takeaways<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Not all acidosis with high glucose is diabetic ketoacidosis.<\/strong><\/li>\n\n\n\n<li><strong>Careful history can reveal unexpected causes like medication ingestion.<\/strong><\/li>\n\n\n\n<li><strong>Albuterol overdose can cause tachycardia, hypokalemia, and acidosis.<\/strong><\/li>\n\n\n\n<li><strong>Listening closely to patients and families improves diagnosis.<\/strong><\/li>\n\n\n\n<li><strong>Curiosity and questioning assumptions save lives in clinical care.<\/strong><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2020\/09\/Blog_Display_Ads_MD1_2023.png?w=700\" alt=\"ad\" class=\"wp-image-5904\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2020\/09\/Blog_Display_Ads_MD1_2023.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2020\/09\/Blog_Display_Ads_MD1_2023.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Try&nbsp;<strong>Osmosis from Elsevier<\/strong>&nbsp;today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/plans\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>free trial<\/strong><\/a>&nbsp;and discover why millions of current and future&nbsp;<strong>clinicians&nbsp;<\/strong>and&nbsp;<strong>caregivers&nbsp;<\/strong>love&nbsp;<strong>learning by Osmosis<\/strong>.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A pediatric case initially thought to be diabetic ketoacidosis reveals a rare cause after thorough history-taking, highlighting the importance of clinical curiosity and listening.<\/p>\n","protected":false},"author":259,"featured_media":9158,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[27,10,12,30,16,37,43],"tags":[2590,649,489,1131,440,882,2591,2594,2593,2541,1963,2592,717,1331,315],"class_list":["post-9156","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicine","category-clinical-skills","category-communication","category-np","category-do","category-pa","category-residency","tag-albuterol-overdose","tag-clinical-diagnosis","tag-clinical-reasoning","tag-diabetic-ketoacidosis","tag-emergency-medicine","tag-hypokalemia","tag-lactate-acidosis","tag-listening-skills","tag-medical-curiosity","tag-medication-error","tag-patient-history","tag-pediatric-asthma","tag-pediatric-care","tag-pediatric-emergency","tag-tachycardia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Stories of Gratitude: What Patients Taught Me - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Stories of Gratitude: What Patients Taught Me - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"A pediatric case initially thought to be diabetic ketoacidosis reveals a rare cause after thorough history-taking, highlighting the importance of clinical curiosity and listening.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me\" \/>\n<meta property=\"og:site_name\" content=\"Osmosis Blog\" \/>\n<meta property=\"article:published_time\" content=\"2026-01-06T08:01:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-05T20:10:19+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/12\/Stories_of_Gratitude_What_My_Patients_Have_Taught_Me.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1080\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Rowida Kheireldin, MD, FAAP\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":[\"Article\",\"BlogPosting\"],\"@id\":\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me\"},\"author\":{\"name\":\"Rowida Kheireldin, MD, FAAP\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/c8056694790a53a6e04c63dfc70027d9\"},\"headline\":\"Stories of Gratitude: What Patients Taught Me\",\"datePublished\":\"2026-01-06T08:01:00+00:00\",\"dateModified\":\"2026-01-05T20:10:19+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me\"},\"wordCount\":1028,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/12\/Stories_of_Gratitude_What_My_Patients_Have_Taught_Me.png\",\"keywords\":[\"albuterol overdose\",\"clinical diagnosis\",\"clinical reasoning\",\"diabetic ketoacidosis\",\"emergency medicine\",\"hypokalemia\",\"lactate acidosis\",\"listening skills\",\"medical curiosity\",\"medication error\",\"patient history\",\"pediatric asthma\",\"pediatric care\",\"pediatric emergency\",\"tachycardia\"],\"articleSection\":[\"Allopathic Medicine (MD)\",\"Clinical Skills\",\"Communication\",\"Nurse Practitioner (NP)\",\"Osteopathic Medicine (DO)\",\"Physician Assistants\/Associates (PA)\",\"Residency\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me\",\"url\":\"https:\/\/www.osmosis.org\/blog\/stories-of-gratitude-what-patients-taught-me\",\"name\":\"Stories of Gratitude: What Patients Taught Me - 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