Both the aviation industry and medicine use similar systemic methods to reduce mishaps or mistakes.
They differ, however, in their approaches to improving professional performances. The medical literature use the Cognitive and Affective Dispositions to Respond while the Crew Resource Manual for Professional Pilots (CRM) focuses on the hazardous attitudes, of the crew.
It is with the dying of the evening’s light, – that the qualities, the possibilities of light are revealed. Similarly, it is in pondering our own dying that the qualities, wealth and possibilities of our living are also revealed. Three authors here write on the change that meditation upon death has on their characters. (Dostoevski’s and […]
Ivan Illyich as he is dying asks, “how have I lived?” ( We don’t have to be dying to ask this question). As he asked this question, “Pictures of his past rose before him one after another. They always began with what was nearest in time and then went back to what was most remote […]
In Tolstoy’s “the Death of Ivan Illyich” we see doctors through the eyes of the judge, Ivan, who has a mysterious illness.
Visits are described : “He (a doctor) comes in fresh, hearty, plump, and cheerful, with that look on his face that seems to say: ‘There now, you’re in a panic about something, […]
Detectives gather clues to build up the case, they do not limit themselves to one clue. Yet doctors might hobble their patients to one symptom. The story[i] below “the elephant in the dark house” also shows how a blinkered approach may not give the full picture.
“The elephant was in a dark house; some Hindus […]
In my friend, Edward Lemond’s recent book of poems, “Circadiana”[i] is one about a friend’s end of life. He titled this poem
“Suddenly she lifted her head
And looked around the room.
It was as if she had seen a ghost.
She tried to say something
But couldn’t. I leaned […]
Last week, my wife and I were awoken at 4 am by a noise, like an explosion. I dressed to see what had happened – a pipe burst, a broken window?
Checked the windows upstairs. My wife said it seemed like down stairs. (It is always reaffirming to be given the nod for some tasks […]
The ageless conquest of oneself
Before examining possible critical variables for the doctor, let’s recap Gallwey’s suggestions for the golfer in “The Inner Game of Golf.”
Impediments to a fluid swing are over-tightness due to anxiety about the swing or the score. To improve, Gallwey says play as Bobby Jones claimed to play it-a conquest […]
Gallwey in his “Inner Game of Golf” surely approaches the golf swing with more attention and rigor than we approach our patients. Why is that? He writes 200 pages on something that takes about two seconds to complete.
In this post, let’s review Gallwey’s diagnosis and treatment for the ailing golf swing. And in the […]
Here two artists advise possible apprentices:
Rainer Marie Rilke counsels a young poet, “Go into yourself…acknowledge to yourself whether you would have die if it were denied you to write.”
Nadia Boulanger when asked what advice she would give to a young musician, she replied:
“Do not take up music unless you would rather die than […]
- Your Theory of Error Matters
- Meditate on death to live more fully.
- Tolstoy’s Ivan Illyich asks, “how have I lived?” A Cautionary Tale.
- Ivan Illyich’s Doctors treat his disease but neglect him.
- The Elephant in the Dark House
- “Needless” Mr. Lemond’s reflection on end of life gasping for breath.
- We see what we expect to see.
- The ageless conquest of oneself
- The Inner Game of Golf- of Medicine
- What advice would you give to a medical student?
- “That was a curious incident – the corneal abrasion did not pain.
- Poems to jolt when humanity has flat-lined in the hosptial
- Heard at a Journal Club On “the Difficult Encounter”
- Brochure for upcoming CME event: Staying Tuned La Malbaie, May 8th, 2016
- Staying Tuned CME May 8th at La Malbaie QC
- Percocet (oxycodone): This White Collar Heroin is a dog collar. Who will escape?
- Is Cynicism pernicious to your health?
- Should the privileged get privileged care?
- Antoine Saint de Exupery (or The Carpenter and his Block of Wood)
- Heartsink is a better term than Difficult Patient?
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