I ran into a consultant and he was upset by the amount of work he was doing.
“I have so much stress when the pager goes I wonder what is it now? And when the pager is not ringing I am expecting it to ring. When I am sleeping I think of patients I […]
Why do I not particularly care if I “look good at whatever I do”? The following anecdote will provide some context.
I was going into a big book store when I encountered a colleague I had not seen for a few years. He was carrying a cup of coffee, his only acquisition.
“Have you retired?” I […]
The emergency physician may be tending four or more patients at any one time. Also interruptions are unrelenting and numerous. A physician’s mind can easily become cluttered and distracted. Dr. Croskerry,[i] in his seminal article, “Avoiding Pitfalls in Emergency Medicine” depicts how the emergency physician is surrounded with sources of information. He depicted this by […]
What did Louis Pasteur mean when he said “Discovery favours Prepared Minds”?
I believe by discovery favours prepared minds, Pasteur was emphasizing the self-awareness and personal knowledge (particularly in the practice of medicine) that one requires to make the best possible decisions and perform one’s tasks to the best of one’s ability.
Mr. Harold Jarche, independent consultant […]
Until we have sensors to alarm us when we doubt, we need to study and watch for signs of our doubting. To improve our sensitivity to doubting we can videotape some of our consultations and watch for gestures and signs of our doubting, signs like:
a snag in our verbal flow, such as a hesitancy […]
On June 30th 2013, I posted a blog called “Everything is worth a little effort.” In it I had recounted that a secretary strove to find the name of two beautiful trees out side the Sackville Memorial Hosptial. and when I thanked her for here efforts she she replied with words that were as beautiful as the […]
How can we overcome the forty plus cognitive and affective dispositions to respond[i] and how can we overcome the error-prone ambient of the ED? Daniel Kahneman [ii] thinks that we can’t. “the short answer is that little can be achieved without a considerable investment of effort. As I know from experience, System 1 is not […]
- 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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