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 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...
looking At The Future Through The Lense of COVID

looking At The Future Through The Lense of COVID

  How long has it been since you felt comfortable standing less than six feet from someone who is not a member of your household? As you look forward to Memorial Day this coming weekend or past that to the Fourth of July, or Labor Day, is it possible for you to...
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 May 8, 2020

Healthcare Musings For May 8, 2020

  May 8, 2020 Dear Interested Readers,   It’s a Time for Humility, Caution and Focus on Long Term Improvements. It is Not a Time for  Arrogance, Abandon, and the Pursuit of Short Term Gains.    It’s hard to know what everyone is thinking, and as a...