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  • 仰望蓝天

    仰望蓝天

    ...... Because medicine is a retail enterprise, because doctors provide their services to one person after another, it can be a grind. You can lose your larger sense of purpose. But writing lets you step back and think through a problem. ......

    2018-09-16 03:47

  • Sunny

    Sunny

    Suggestions for Becoming a Positive Deviant 1. Ask an unscripted question. If you ask a question, the machine begins to feel less like a machine. 2. Don't complain. You don't have to be sunny about everything. Just be prepared with something else to discuss: an idea you read about, an interesting problem you came across, even the weather if that's all you've got. 3. Count Something. If you coun...

    2018-06-10 03:19

  • Sunny

    Sunny

    It's not only the stakes but also the complexity of performance in medicine that makes it so interesting and, at the same time, so unsettling. We must grapple with systems, resources, circumstances, people - and our own shortcomings, as well. Three core requirements for success in medicine - or in any endeavor that involves risk and responsiblitiy. 1. diligence, the necessity of giving sufficie...

    2018-06-05 09:11

  • 歪尤西西诶

    歪尤西西诶 (人生没有徒劳的事。)

    - 作者去印度的医院交流。发现医生和病人比率低的惊人,一个医生三个小时门诊看了三十个病人。不仅如此,各种大小手术都要做,都会去尝试做,医疗用品不全不够只能让病人家属自己去买,买回来就算不完美也要做。在美国所有的医生都术业有专攻,麻醉要麻醉师,脑部相关的手术需要神经科医生。然而印度医生因为国情特殊,每个都涉猎面广泛,从拉肚子到癌症都要治。 - 书中讲到一个打医疗官司的律师,从前是个医生,五十岁的时候对...

    2018-01-21 14:03

  • 小小耳朵

    小小耳朵 (嗡阿吽班杂咕噜叭嘛悉地吽)

    If the bell curve is a fact, then so is the reality that most doctors are going to be average. There is no shame in being one of them, right? Except, of course, there is. What is troubling is not just being average but settling for it. Everyone knows that averageness is, for most of us, our fate. And in certain matters - looks, money, tennis - we would do well to accept this. But in your surgeo...

    2018-01-08 06:07

  • 小小耳朵

    小小耳朵 (嗡阿吽班杂咕噜叭嘛悉地吽)

    In a way, our task is to "Always Fight." But our fight is not always to do more. It is to do right by our patients, even though what is right is not always clear.

    2018-01-08 05:34

  • 小小耳朵

    小小耳朵 (嗡阿吽班杂咕噜叭嘛悉地吽)

    the easy thing for any doctor or nurse is simply to follow the written rules. But each of us has a duty not to follow rules and laws blindly. In medicine, we face conflicts about what the right and best actions are in all kinds of actions: relief of suffering for the teminally ill, provision of narcotics for patience with chronic pain, withdrawal of life-sustaining treament for the critically i...

    2018-01-08 05:29

  • 小小耳朵

    小小耳朵 (嗡阿吽班杂咕噜叭嘛悉地吽)

    It is only because the medical team took the time, despite the chaos and their fatigue, to fill out their logs describing the injuries and their outcomes. At the 31st CSH, three senior physicians took charge of collectin the data. they input more than seventy-five different pieces of information on every casualty - all so they could later analyze the patterns in what had happened to the soldier...

    2018-01-08 04:53

  • 小小耳朵

    小小耳朵 (嗡阿吽班杂咕噜叭嘛悉地吽)

    ingenuity is often misunderstood. It is not a matter of superior intelligence but of character. It demands more than anything a willingness to recognize failure, to not paper over the cracks, and to change. It arises from deliberate, even obsessive reflections on failure and a constant searching for new solutions.

    2018-01-08 04:24

  • 小小耳朵

    小小耳朵 (嗡阿吽班杂咕噜叭嘛悉地吽)

    everything from etiquette to economics, from anger to ethics can work its way into a seemingly routine office appointment. The relationships are deelpy personal, invloving promises an trust and hope, and this is what makes doing well as a clinician mor ethan a matter of outcomes and statistics.

    2018-01-08 04:19

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