Shared decision-making is when a clinician and patient work together to make decisions based on the best available clinical evidence while balancing risks, expected outcomes, patient preferences, and persona values. As we have discussed in previous blog posts, the COVID-19 mRNA vaccine is highly effective in preventing severe COVID-19 infection. Viruses, especially the common cold-causingContinue reading “Shared Decision Making: COVID-19 Bivalent Vaccine”
Category Archives: Thoughts
Path to Homestead: Part 4
The Winter Solstice is the shortest day of the year with only 8 hours and 33 minutes of sunlight in our region. For our homesteading community, it is also a time of celebration. Traditionally, the last veggie harvest is done, the food is all preserved and stored, the wood is dry and prepped, and theContinue reading “Path to Homestead: Part 4”
Lessons From Covering Down
These days, this is considered Extreme Leadership: If the team is failing, the leader is failing. As one watches support dwindle, you begin to cover down. To cover down means to taking on the duties of your fallen teammates. In medicine, our medical assistants assist the physician in multiple tasks. Prior authorizations, durable medical equipment,Continue reading “Lessons From Covering Down”
Sitting With the Enemy
A day in the life with “The Administration” So here I am, day 2 of a 5 day conference for strategic planning for a giant of healthcare. Most of the folks here are not providers. I am keeping an open mind; these are the movers/shakers of healthcare. These are the decision-makers for future changes. DiscussionsContinue reading “Sitting With the Enemy”
When is it Too Dangerous?
Across the United States in academic, military, and private clinics, we are experiencing a healthcare worker shortage. Clinical staffing ratios were ‘streamlined’ and ‘optimized’ over the last decade in an effort to decrease overhead to maintain profitability. At one point, we argued that anything less than a 2:1 clinical staff-to-physician ratio is an unacceptable patientContinue reading “When is it Too Dangerous?”
National Health Awareness Month: November 2022 – Alzheimer’s and Family Caregivers
I hope that November is treating you well. This month includes Thanksgiving and I remain thankful for my readers and your continued interest in this content. November has multiple medical conditions that we are meant to be aware of. Diabetes, bladder health, COPD, diabetic eye disease, lung cancer, Alzheimer’s, epilepsy, family caregivers, healthy skin, hospiceContinue reading “National Health Awareness Month: November 2022 – Alzheimer’s and Family Caregivers”
Teacher, Mentor, Physician… Attending
In the beginning, we are all ignorant, carefree, and selfish infants. Through adversity, struggle, and learning, one slowly makes their way through life. If we do not share the lessons from our lives, the next generation will be destined to meet the same adversity, struggles, and are doomed to face the same lessons over andContinue reading “Teacher, Mentor, Physician… Attending”
Path to Homestead Part 3 (House and Barn Stuff)
Part 3 of the Path to Homestead series has been split between the housework in this post and the food-related work in last week’s post. While I was writing this post, it was clear that there was a lot of content to be covered. Though this trip was the most relaxing and fun so far,Continue reading “Path to Homestead Part 3 (House and Barn Stuff)”
Path to Homestead Part 3 (Garden and Harvest Stuff)
This first post is both for my own reference and to chronicle the thought processes, events, choices made, and lessons learned while developing our garden and livestock. The next post in a week will detail the home and barns. There are a million ways to plant crops from raised beds and direct sowing to aquaponics.Continue reading “Path to Homestead Part 3 (Garden and Harvest Stuff)”
When Asking for Help, Appeal to People’s Self-Interest, Never to Their Mercy or Gratitude: 48 Laws of Power in the Business of Medicine
It has been a terrible day in the clinic- to top off a month of resignations of clinical staff. You finally sit down at your desk to complete a mound of paperwork, patient notes, and unread results only to find an email from the business department regarding your RVUs. The meeting goes sour as theyContinue reading “When Asking for Help, Appeal to People’s Self-Interest, Never to Their Mercy or Gratitude: 48 Laws of Power in the Business of Medicine”
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