This tweet from a pediatric play therapist found its way into my feed. And it stopped me in my tracks. Children isolated during XRT therapy remain connected to their parents by a spool of string. Child holds one end and the parent holds the other. Magic string. Beyond appealing to the concrete developmental place where kids are at it serves to remind us that the ... Continue Reading about String as the Technology That Connects
In clinic I do my best to run on time. I bend every which way to see on time patients on time. It drives my staff crazy. Consequently, I prefer that my patients arrive in a reception area rather than a waiting room. The space is the same but the intent is different. Language is powerful in healthcare. If you like this post you might like the 33 charts ... Continue Reading about The Waiting Room
In 1994 when I was a first year gastroenterology fellow cell phones were expensive and scarce. When I was on call I stayed close to the house and my personal land line phone. If I was paged out at dinner I used a pay phone or begged the hostess to borrow the house phone. So we petitioned our division chief to buy a cell phone for fellow use during weekend call. It ... Continue Reading about Who Owns a Physician’s Smartphone?
Some doctors don't like being referred to as a provider. I’m not crazy about it myself but I can’t help but think that the doctors spawned the term. Take anesthesiologists, for example. Some got in the game of outnumbering themselves with nurse anesthetists. Neonatologists learned that nurse practitioners could do their bread and butter. And it’s all fun and ... Continue Reading about Provider is as Provider Does
CYA is one of the most dangerous acronyms found in a hospital. It’s not in my vocabulary. I don’t copy everyone in my organization on email responses. My notes lack pages of boilerplate language. I responsibly cover what I do without the assumption that something sinister is on the horizon from my patients or peers. And ugly things have happened. I’ve been ... Continue Reading about CYA
The question’s important because it wasn’t long ago that doctors couldn’t say much. They could publish only in filtered places where the barrier to publication was high. Now publication is a button (credit Clay Shirky). You can’t control what someone publishes any more than you can control what they say. And with the immediacy and availability of modern ... Continue Reading about Are Hospitals Responsible for What Doctors Say?