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The inexorable decline of modern medicine converts doctors from professionals to automatons, hunched over our laptops, typing away not just the medical history, examination, and assessment of our patient, but all of the other nonsense required to get paid, and worse, unending clicking from screen to screen to do the clerical work of our practice. When I start at a new practice as a locums doctor, Knowing what to do for the patients is easy - I've been doing it for 30 years; learning the work flow of the clinic is easy - they show me around in an hour and tell me who does what; after but a day of seeing patients, I get it. But putting in the orders requires clicking on multiple screens that don't make sense because they have no relationship to medical care - only to billing. Modern medicine, is all about capturing charges and maximizing revenue. The nurse knew exactly how to do it all; someone one or two steps below her level of training could also become expert at it. They walk me through every detail, leaving me to stumble through it with every patient going forward, having to track them down whenever there is an order I haven't encountered yet. The fact that they can show me how to do it perfectly, proves that I should not be doing it. I should be doing the things that I was trained for: examining patients, listening to their stories and making diagnoses. Deciding which prescription medications to order; assessing the reponse to prescriptions I've ordered and whether the results are worthwhile. These are things the support staff cannot show me how to do. These are the things that take years to learn and a whole career to master. In any other industry, these are the tasks that the most highly trained and most expensive employees would be doing. Instead, time is stolen from me as I am forced into the role of data entry clerk and thousands of my comrades are turned into mindless hunchbacks. Add to this the vast number of labs and other diagnostics and notes that each take 9 clicks to approve in odd places in the electronic chart, and it becomes unbearable. Yet we soldier on, eventually becoming numb to it all and not even noticing how our status and our value has been degraded because Medicare decided that CPOE should be the law of the land.

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Adrian Rogers, 1931-2005

“You cannot legislate the poor into prosperity by legislating the wealthy out of prosperity. What one person receives without working for, another person must work for without receiving. The government cannot give to anybody anything that the government does not first take from somebody else.

When half of the people get the idea that they do not have to work because the other half is going to take care of them, and when the other half gets the idea that it does no good to work because somebody else is going to get what they work for, that my dear friend, is the beginning of the end of any nation. You cannot multiply wealth by dividing it.”

William Christopher Handy

Life is like a trumpet – if you don’t put anything into it, you don’t get anything out of it.


J.K. Rowling

“It takes a great deal of courage to stand up to your enemies, but a great deal more to stand up to your friends.
(Harry Potter and the Sorcerer’s Stone – 2001 – Albus Dumbledore)

“Now is the time that we must choose between what is right and what is easy.”
(Harry Potter and the Goblet of Fire -2005)

Abraham Lincoln

Better to remain silent and be thought a fool than to speak out and remove all doubt.

Confucius

Choose a job you love, and you will never have to work a day in your life.

Anonymous

To Kill an American

You probably missed it in the rush of news last week, but there was
actually a report that someone in Pakistan had published in a
newspaper an offer of a reward to anyone who killed an American, any
American.

So an Australian dentist wrote the following to let everyone know what
an American is… so they would know when they found one. (Good on ya,
mate!!!!)

An American is English, or French, or Italian, Irish, German, Spanish,
Polish, Russian or Greek.

An American may also be Canadian, Mexican, African, Indian, Chinese,
Japanese, Korean, Australian, Iranian, Asian, or Arab, or Pakistani,
or Afghan.

An American may also be a Cherokee, Osage, Blackfoot, Navaho, Apache,
Seminole or one of the many other tribes known as native Americans.

An American is Christian, or he could be Jewish, or Buddhist, or
Muslim.

In fact, there are more Muslims in America than in Afghanistan.Continue reading »


Alexander Graham Bell

When one door closes, another opens: but we often look so long and so regretfully upon the closed door that we do not see the one which has opened for us.

Lou Holtz

Life is ten percent what happens to you and ninety percent how you respond to it.

Barry Goldwater

A government that is big enough to give you all you want is big enough to take it all away.

Charles Kingsley

If you want to be miserable, think about yourself, about what you want, what you like, what respect people ought to pay you and what people think of you.

Cicero

If you don’t know where you come from you will always be a child.


Father Denis Edward O’Brien -USMC

"It is the soldier, not the reporter,
Who has given us freedom of the press.
It is the soldier, not the poet,
Who has given us freedom of speech.
It is the soldier, not the campus organizer,
Who has given us the freedom to demonstrate.
It is the soldier,
Who salutes the flag,
Who serves beneath the flag,
And whose coffin is draped by the flag,
Who allows the protestor to burn the flag."


Sir William Osler

The best preparation for tomorrow is to do today’s work incredibly well.

Nancy Pelosi

We have to pass the bill so that you can find out what is in it...   -- On March 9, 2010, Pelosi said of the Affordable Care Act

Robert G. Ingersoll

The time to be happy is now; the place to be happy is here. The way to be happy is to make others so.

Winston Churchill

If you will not fight for the right when you can easily win without bloodshed, if you will not fight when your victory will be sure and not costly, you may come to the moment when you will have to fight, with all the odds against you and only a precarious chance of survival. There may even be worse case; you may have to fight when there is no hope of victory, because it is better to perish than to live as slaves. 
John Brown

I am now quite certain that the crimes of this guilty land will never be purged away but with blood."


Colin Powel

Leadership is solving problems. The day soldiers stop bringing you their problems is the day you have stopped leading them. They have either lost confidence that you can help or concluded that you do not care. Either case is a failure of leadership

Eleanor Roosevelt

Great minds discuss ideas
Average minds discuss events.
Small minds discuss people.

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