“If you are not innovating, you are deteriorating.” 

― Ifeanyi Enoch Onuoha

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? 

I know when and why I developed PTSD (Pipe Traumatic Stress Disorder).

I love to snowshoe in the fields and woods behind my house.

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.

The bottleneck is always the top of the bottle. 

- Peter Drucker

The message on my door was: “Mrs. Grantham wants biopsy report sent to dermatologist. None in her chart.” 

We have met the enemy...

“There’s no virtue in being old, it just takes a long time.” — Robert A. Heinlein

Recent events and commentary have led me to revisit and reprocess my personal experience of being the target of sexual harassment, something I have not spoken of for a quarter century.