Mea sententia...

Mea Sententia translates roughly as 'My Opinion' and has been my intermittent blog since 2011. Much of my writing is about medical issues, but my topics range through philosophy, behavioral and decision making, management, humor, and personal/family anecdotes.


Powerpoint and forgiveness

Quote: “I went to a PowerPoint presentation one day and a speaker showed up.”

Read the exciting conclusion on Michael Wade’s Execupundit blog.


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Two different decisions

Evidence based medicine has much to offer, but one has to remember Einstein’s famous remark: “Not everything that counts can be counted, and not everything that can be counted, counts.”

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Therapeutic myopia and the EMR

“Therapeutic myopia” is the term coined in this insightful post for one of the drawbacks of the EMRs as currently used. If you are a clinician, you should print this and give it to your leadership and management to read, and send a link to your IT department.  If you are a patient, you should print this and bring it to you providers and tell them it really concerns you, and ask them how they cope with this risk.

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Listening to patients

One morning, in response to my question about how things were going, a young and first-time mother said that everything was fine but that it really hurt when her son nursed because of his tooth. I assured her that it was normal for the nursing to be uncomfortable in the beginning but that newborns do not have teeth. She insisted that her son did. One tooth. Left lower front. Sharp.

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In praise of the PITA

You know who I mean. We've all had to work with (or around) the guy everyone calls the pain in the ass.

He is not the person you would choose to make the decision, but he is a person you definitely want in the room when the options are being explored.

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I was struck last week by a remark in a discussion of patient-centric care: “...patient empowerment is probably beyond the reach of individual doctors/nurses to easily provide...” Two questions come to mind: who ‘owns’ the power, and what does it look like?

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Thought for today

“The saving of our world from pending doom will come, not through the complacent adjustment of the conforming majority, but through the creative maladjustment of a nonconforming minority.”

(Dr Martin Luther King)         

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Over the hill?

The leadership and management techniques that still dominate in the early 21st Century remind me of the mediocre and aging rock bands so common in local and regional venues: neither group has realized they are past their prime. Change is inevitable. Success is not. Mark Twain wrote that sacred cows make the best hamburger. We shouldn’t be adding spices to stale recipes or spoiled food. We should be designing a new menu.



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The Collaborative Approach to Patients (CAP)

Several recent events make this a good time for me to start posting intermittently on what I see as the collaborative approach to patient care.

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No wrong door

“The name of the game in this economy and this health care climate and this political world is exclusion. You know it and I know it. We just don’t want to talk about it.”

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