Advice is like snow - the softer it falls, the longer it dwells upon, and the deeper in sinks into the mind.Samuel Taylor Coleridge
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A physician friend commented recently that he was being ‘meeting-ed to death’ and wondered if it was intentional. It turns out, he was on to something.
You can’t make this stuff up. I pulled into our local BJ’s gas station on a recent rainy morning. It was quite busy and I looked around for the shortest line to join, Seeing a woman in her early 20s who appeared to be finished fueling as she re-holstered the nozzle in the pump and returned to her car, I pulled in behind her, expecting to promptly be able to pull up and buy gas. A car pulled in behind me, so I was now committed.
A friend recently explained why he retired from a long and rewarding career in medicine and medical education, despite still loving his one-on-one interactions with patients.
Workplace wellness and chronic disease management programs (now encouraged by the ACA) are quite common, but being a $6 billion dollar industry doesn't make them useful. Recent personal experience with one such program has led me to look more closely at the topic.
Was the surgeon a princess, complaining about a pea under her mattress? Or am I a sheeple, accepting a woefully inadequate system? What do you think?
Patient satisfaction has become a prominent goal in health care. Is this a good thing?
I love children. I won’t claim to ‘understand’ them, but I am comfortable with them, and happy to work in their universe rather than asking them to be part of mine. I find them easy to work with. The ED nurses occasionally referred to me as the “child whisperer.” I am often asked by friends and colleagues why I did not become a pediatrician.
As a child, I looked forward to the infrequent family outings that involved a restaurant. As the eldest of three, it gave me a chance to strut my stuff in front of my sisters: I was allowed to order without much interference, so it was a rare opportunity to have a cheeseburger, fries and the most chocolate item available for dessert.
“Just keep doing tests. Eventually you are bound to find something.” She was right, of course. But not in the way she meant.
After decades of hiking, camping, canoeing, kayaking and swimming in various back country environments, it finally happened. I have been colonized. Beaver fever, also known as giardiasis, caused by the protozoan Giardia lamblia. Enjoying my metronidazole.
I find myself a stranger in a strange land, or (more prosaically) a square peg being forced into a round hole.
I was recently told that ‘the problem’ underlying my often strained relationship with the institution where I work is that I am a revolutionary working in an institution committed to incrementalism.
Forty four good years, with more to come. I’ll honor it with some words we started with…
I don’t consider myself a laborer, though I surely work very hard. I work because I love to.