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Showing posts from May, 2019

Memorial Day 2019 - Let's Pause in Gratitude

I have never worn the uniform.  My dad joined the Navy during World War II and served for 39 months.  He was never deployed beyond our borders.  One of his brothers signed up for the Army and the other brother joined the Marines.  They were all the children of immigrants.  They didn't expect any recognition for their service.  This is simply what everyone did.  While I do not advocate resuming the military draft, I would support every citizen performing some manner of compulsory service to the nation.  It would devote massive human energy to unmet needs. It would establish a culture of service that this country sorely needs.  It would bind us closer to each other and to the nation.  Imagine the experience of young citizens across racial, gender, religious and socioeconomic lines collaborating together on a worthy endeavor. Can you propose a legitimate argument against such a proposal? I'm so grateful to all who serve and have served and I meditate over the incalculable sa

Why Patients Avoid Colonoscopies - A Plea to Choose Wisely.

                                                             Exercising good judgement can mean the difference between life or death.  Life can be unforgiving of the choices me make.  As we all know, many life events are beyond our control and understanding.  But, there is much we can do to shape our personal paths to a brighter destination. Consider some of the choices listed below that many folks make every day.  Are any of them familiar to you? Texting while driving. Riding a motorcycle. Riding a motorcycle without a helmet. Lifting an object that we know is too heavy for us. Getting into a car when the driver has had one too many. Driving a car when we have had one too many. Giving your social security number to a caller who is promising you a tax refund. Responding to an email from Nigeria alerting you to a wad of cash waiting for you. Using your date of birth as your password for your on-line bank accounts. Rushing through a yellow light so we won’t be late

Charity Encourages Generous Donations - New Standard for the Industry?

This really happened.   The vignette I present now occurred 3 days before its posting on this site.   My good friend Bill invited me to a fundraising dinner to support a Jewish organization.   I declined the invitation, but told Bill that I would be pleased to make a donation to support a cause that was important to him.   I connected to the website which led visitors quickly to the Donate page.   Charitable enterprises want to make it as easy as possible for you express your generosity and separate you from your funds.   H aven’t you noticed that every museum visit leads to the gift shop?   I quickly filled in the credit card information and then scrolled down and typed $50 in the Customized Donation window.   This box allowed donors to designate their own amount, bypassing the default listed uber high dollar amounts that appeared higher up on the page.   The entire process expended about 3 minutes and ended when I clicked on the Donate Now button.     It’s the same process that

Why Smart Doctors are not Enough

I’ve delved into the issue of medical judgment more than once on this blog.  I have argued that sound judgment is more important than medical knowledge.  If one has a knowledge deficit, assuming he is aware of this, it is easily remedied.  A judgment deficiency, per contra, is more difficult to fix.   For example, if a physician cannot recall if generalized itchiness can be a sign of serious liver disease, he can look this up.  If, however, a doctor is deciding if surgery for a patient is necessary, and when the operation should occur, this is not as easily determined or taught.   Medical judgment is a murky issue and often creates controversies in patient care.  Competent physicians who are presented with the same set of medical facts may offer divergent recommendations because they judge the situation differently.  Each of their recommendations may be rationale and defensible, which can be bewildering for patients and their families.  This is one of the dangers of seeking a s