America’s Pre Existing Condition

America’s Pre Existing Condition

  There is a certain wisdom in Yogi Berra’s observation that, “It is deja vu all over again.” When I was practicing I would frequently have that thought as I was trying to manage a patient with a chronic disease. Whether the problem was CHF, poorly controlled...
Healthcare Musings For May 29, 2020

Healthcare Musings For May 29, 2020

  May 29, 2020 Dear Interested Readers,   100,000 And Counting With A Very Stable Genius Leading The Way   This has been a very difficult week for all of us. 100,000 is a very large number of people. The Rose Bowl seats 92,542. I spent a long time...
Healthcare Musings For May 22, 2020

Healthcare Musings For May 22, 2020

  May 22, 2020  Dear Interested Readers:   Chaos Borne Of History, Culture, Choice and COVID-19   When I was in that phase of childhood that Erickson referred to as “Industry vs. Inferiority,” somewhere between 6 and 11, I became a student and was...
Healthcare Musings For May 15, 2020

Healthcare Musings For May 15, 2020

  May 15, 2020 Dear Interested Readers,   The Challenge: Restart the Economy Without Inducing a Resurgence of COVID-19, and Other Musings   I will begin with the “Other Musings” part of what I want to write to you:   Somewhere, from someone, I...
Building The New Normal With Lean

Building The New Normal With Lean

  As we move into an attempt to recover from the first wave of the COVID-19 pandemic, many of us have begun to think about how the delivery of healthcare will be changed by what we have experienced. Some have suggested that the pandemic has revealed serious flaws...
Healthcare Musings For April 3, 2020

Healthcare Musings For April 3, 2020

  April 3, 2020 Dear Interested Readers,   The Acute Presentation Of A Chronic Problem   In less than a month after I finished my every other night on call schedule as an intern at the old Peter Bent  Brigham Hospital and began to enjoy the luxury of...