Innovate or devolve
16 Feb 2018
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My blog represents my personal experiences and perspectives. This includes many anecdotes from my life and from my medical practice. I have been scrupulous to anonymize all medical anecdotes and to avoid ever belittling or making fun of patients. (I often make fun of and criticize myself, my colleagues, and the institutions where I have worked.)
Is preventive care cost-effective or valuable?
12 Feb 2018
It has become fashionable to assess the ‘value’ of medical care with a financial metric: Is this test cost effective? Does that intervention save money?
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Inertia
8 Feb 2018
The problem with bureaucracy is reluctance to respond to change. Its motto is 'Ready, aim, aim, aim, aim …' It just can't pull the trigger!
(Anonymous)
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Frozen pipes and PTSD
5 Feb 2018
I know when and why I developed PTSD (Pipe Traumatic Stress Disorder).
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My nightmare on snowshoes
1 Feb 2018
I love to snowshoe in the fields and woods behind my house.
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My Marlboro moment
29 Jan 2018
If you grew up in a smoking household back in the 1950s, you probably experimented with cigarettes on the sly. I know I did, in elementary school.
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Bottlenecks
25 Jan 2018
The bottleneck is always the top of the bottle.
- Peter Drucker
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Lip swelling
22 Jan 2018
The message on my door was: “Mrs. Grantham wants biopsy report sent to dermatologist. None in her chart.”
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Argument
18 Jan 2018
"The aim of argument and of discussion, should not be victory, but progress."
- Joseph Joubert
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The enemy...
15 Jan 2018
We have met the enemy...
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