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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Making a difference

It was my day to see ‘acutes’ - patients who call with issues that need to be seen that day. A day to be prepared for anything.

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Monthly Mangled Medicalese (MMM)

The language of medicine is highly evolved and complex and allows clear, detailed, specific and unambiguous descriptions. Except when it’s not.

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Stupidity

When I saw Josh on my morning schedule for a college physical, I was surprised. Pleased, but nonetheless surprised. Josh was a good kid with a quick intelligence for things he could touch or build, who always made it clear he didn’t care for school, but who had never been in academic difficulty, getting by with mostly Cs and occasional Bs. He worked some in his uncle’s electrician’s business, and I had always thought this was a good match for him. College was something he had never expressed interest in.

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My approach to medical blogging

I have been blogging at PeterEliasMD.com for almost 6 months and have learned a great deal.

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The grand bargain

Today’s mail included a note from a grateful mom and dad. It had a vintage car on the cover, and the message made me smile:

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Not walking the walk

Many organizations talk about and attempt to use quality improvement management tools, such as those drawn from the Toyota TQM, Lean, and other recent popular management paradigms. 

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The car payment

I’d been seeing Derek for just under a year. He was 29 and told me he had moved here from Oklahoma to help care for his aunt when she was diagnosed with cancer. He was not married but had a child ‘back home’ in Oklahoma, about whose mother, a former girl friend, he had nothing good to say. He came with a thick stack of records and several disks with MRIs, which told a history of a fall at work resulting in severe back pain with radicular symptoms (pain and some numbness into his right foot and little toe).

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Marginalized

Beginning at least as early as the pre-Socratic era around 6 centuries BCE, it was assumed that the earth (and therefore humanity) stood at the center of the universe. It was all about us - and only about us. 

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Dehydration and tachycardia

Bob was 18, a high school senior, a good student, played soccer and ran track, excelling at the 400. He was in the office with his mother to follow up after an ED visit and brief hospital stay earlier in the week. The discharge sheet they brought in noted that he had responded promptly to treatment for a viral illness with vomiting, diarrhea and dehydration (VDD), but because of an unexplained tachycardia he was advised to be seen ASAP to obtain a referral for cardiac evaluation.

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Monthly mangled medicalese

The language of medicine is highly evolved and complex and allows clear, detailed, specific and unambiguous descriptions. Except when it’s not.

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