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.

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Meetings: designed to create apathy

Submitted by PeterElias on Mon, 12/15/2014 - 06:00

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.

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    • Management
    • Medicine

Chart review

Submitted by PeterElias on Mon, 12/08/2014 - 06:00

Chart review is one of my occasional clinical responsibilities.  The charts I see overwhelmingly document good quality medical care. Last week I saw a chart that gave me pause. 

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    • Medicine

Guiness Book of World Stupid

Submitted by PeterElias on Mon, 12/01/2014 - 06:00

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.

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    • Personal anecdote
    • Humor

Perfect storm of discontent

Submitted by PeterElias on Sat, 11/29/2014 - 06:00

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. 

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    • Medicine

The innovator's prayer

Submitted by PeterElias on Sat, 11/22/2014 - 06:00

Words of wisdom for those who wish to innovate.

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    • Management

Workplace wellness - sense, cents, or nonsense?

Submitted by PeterElias on Sat, 11/15/2014 - 06:00

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.

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    • Medicine

Two very different cultures in medicine

Submitted by PeterElias on Sat, 11/08/2014 - 06:00

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?

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    • Medicine

The admission ticket

Submitted by PeterElias on Sat, 11/01/2014 - 06:00

Why does the ‘chief complaint’ make me think about  pancakes and fig newtons? The chief complaint may just be an admission ticket.

 

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    • Medicine

Is the patient always right?

Submitted by PeterElias on Wed, 10/29/2014 - 06:00

Patient satisfaction has become a prominent goal in health care. Is this a good thing?

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    • Medicine
    • Philosophy and ethics

The ice-pick headache

Submitted by PeterElias on Wed, 10/22/2014 - 06:00

Life is stranger than fiction. There is an entity known as the ‘ice-pick headache’ but this was different. 

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    • Medicine

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