Skip to main content

Can Anyone Perform an Appendectomy?

Editor’s Note: For 16 years, I've published weekly essays here on Blogspot, which will continue. I’ve now begun publishing my work on a new blogging platform, Substack, and I hope you’ll join me there. Please enter your email address at this link to receive my posts directly to your inbox.

In the olden days, purchased products were accompanied by instruction manuals. I realize that this anachronistic item will be unknown to today’s technophiles who direct Alexa to turn up the heat or play Sinatra songs during dinner.  Permit me, as a courtesy to them, to offer a working definition.

Instruction Manual:   A printed document that explains how to operate and maintain the new item.  I realize this sounds quaint to the Gen XYZ crowd, but we antiquarians relied upon these instructions regularly.  Yes, there was overkill.  We likely didn’t need to be advised that to make toast, we should simply slide a slice of bread into either of the two designated slots. But often we did need an operational road map.  If you bought a lawn mower or a power tool, and you were a novice, then you needed to understand what the different controls and settings were used for lest you end up in the emergency room. 

All of this was LBY, aka Life Before YouTube, if you can even imagine that such an era actually existed.

A few days before writing this, my new watch was delivered to my front door.  I had decided to break out of my bland comfort zone by selecting a jazzy metal band instead of a traditional leather strap.  Clearly, no instruction manual would be necessary.  After all, I’ve owned dozens of watches and already knew how to tell time quite well.  I placed the watch on my wrist eagerly and discovered that it was too loose.  As a watch maven, I knew what needed to be done.

Problem:  Watch band is too loose

Solution: Tighten watch band.

I studied the band closely paying special attention to the moving parts of the clasp, but alas, the solution was out of reach. I recruited the assistance of my partner, who is more mechanically skilled than I, but she, too, was not equal to the task.  We brainstormed and reviewed our options.

Option 1:  Return the watch, which is clearly defective.

Option 2:  Regift the timepiece to a young person who would likely crack the watch band code instinctively.

Option 3:  Call the customer service 1-800 number.  (Okay, stop laughing now.)

Option 4: Consult the internet.

We pursued the last option and watched a 1-minute video that explained the metal watch band adjustment process.  I can state with unwavering confidence that without internet assistance, I would have never have been able to divine the solution.  With this on line assist, the mission was accomplished.  I was so proud of this mechanical tour de force that you might have thought I had split the atom in my garage.

I am now ready to extend this personal growth to my professional arena.

Whistleblower: “Jim, I think your appendix needs to come out.”

Jim:  “Okay, are you going to refer me to a surgeon?’

Whistleblower:  “No, I can handle it myself.”

Jim:  “Really?  But you’re not a surgeon.  Have you ever done one?”

Whistleblower:  “Not yet.  No need to worry.  I’ll be using Option 4.”

Comments

Popular posts from this blog

Stop Medical Malpractice: The White Coat Wall of Silence

Photo Credit Leisure Guy, one of my most faithful commenters, opines that I am omitting an important aspect of the tort reform argument. He has implored me repeatedly to read a particular book that I suspect buttresses his views, but this worthy pursuit is simply not near the top of my priority pyramid. Since he’s retired, he enjoys the luxury of burrowing deeply into the base of his priority pyramid. With 4 tuitions to go, retirement is a distant mirage for me. I’m can be a ‘leisure guy’, but only in my dreams. I have written throughout this blog and elsewhere that there are too many frivolous lawsuits against physicians. I have admitted that caps on non-economic damages are not ideal, because they deny some worthy plaintiffs of complete compensation, but I support them because I believe they serve the greater good. I have ranted that there is no effective filter to screen out physicians who should never be invited to the litigation party in the first place. I believe that the...

When Should Doctors Retire?

I am asked with some regularity whether I am aiming to retire in the near term.  Years ago, I never received such inquiries.  Why now?   Might it be because my coiffure and goatee – although finely-manicured – has long entered the gray area?  Could it be because many other even younger physicians have given up their stethoscopes for lives of leisure? (Hopefully, my inquiring patients are not suspecting me of professional performance lapses!) Interestingly, a nurse in my office recently approached me and asked me sotto voce that she heard I was retiring.    “Interesting,” I remarked.   Since I was unaware of this retirement news, I asked her when would be my last day at work.   I have no idea where this erroneous rumor originated from.   I requested that my nurse-friend contact her flawed intel source and set him or her straight.   Retirement might seem tempting to me as I have so many other interests.   Indeed, reading and ...

Prostate Cancer Screening: Stop The PSA Train!

About 10 years ago, my dad was to see his general internist. I have always refrained from giving medical advice to my family, for all of the reasons why doctors should not treat or advise their relatives. But, on this occasion, I did give Dad some unsolicited advice, particularly as I knew that his physician fired the diagnostic testing trigger readily. “Dad, please make sure that he doesn’t check the PSA (prostate specific antigen) test.” Dad indicated that he would convey my concern to his doctor, who ran the test on him anyway. Apparently, he includes the PSA test as a matter of routine on all men over a certain age. Twenty-five years ago as a curious, but skeptical medical student, I learned about prostate cancer. I learned that every man will develop it if he lives long enough. I learned that most cases of prostate cancer remain silent and never interfere with the individual’s life. I learned that the treatment for these cancers involves either major surgery or radiation, both of ...