KU Med School

… It’s been a few years since I added to my ongoing list of “books I wish they’d made me read in school” … Lencioni’s Death by Meeting is a penetrating parable of management culture today.

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Pain is what the patient says it is … but not all pain is mu-opioid responsive … Bio-Psycho-Social-Spiritual assume most acute pain is predominantly “bio” assume most chronic pain has elements of “psycho-social-spiritual” + neuropathy   pain mgmt case #1 78 female severe lower extremity ulcerations – circumferential on right diabetes, morbid obesity, s/p multiple […]

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… not as a business; as a calling which exacts from you at every turn self-sacrifice, devotion, love and tenderness to your fellow-men. Once you get down to a purely business level, your influence is gone and the true light of your life is dimmed. You must work in the missionary spirit, with a breadth […]

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Curry et. al. demonstrate that an organizational culture of trust and teamwork is the foundation for high performing quality patient care. “ … achieving high performance may require long-term investment and concerted efforts to create an organizational culture that supports full engagement in quality, strong communication and coordination among groups, and the capacity for problem […]

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principles …  Standard of Care … Know your medical facts – diagnosis – prognosis – treatment. Get second opinion … go to the literature.   Substituted judgment … “If for whatever reason you are unable to make your own medical decisions … Who should make them for you?”. Put yourself in the patient’s place – […]

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… this awareness leads to an otherwise impossible capacity for relationship … with our patients. “Piccinini explained in these words how involvement with his patients had come in ‘with a crash’ from the recognition of a common need and a shared question:’Sickness, suffering, pain, and death are the normal but sharpest expressions of human limitation, […]

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… from everyone’s favorite Jesuit … 1. Allow yourself to be human 2. You don’t have to be someone else to be holy 3. You’re not married to everyone 4. Don’t let anyone prevent you from becoming the person you want to be. 5. You’re not Jesus Read Fr. Martin’s ‘The Five Best Pieces of […]

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“The ability to interact effectively with  angry  patients is a  skill  that is often  learned with  experience and  is extremely useful in both transforming the patients’ reaction into a more creative emotion and  in developing a therapeutic relationship … Almost always, anger will resolve if the patient is given time, respect, clear information and consistency […]

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NYT’s As Doctors Use More Devices, Potential for Distraction Grows a related post …

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… look for what is beautiful and true in our patients and families … Aware of an increasing dissatisfaction in the medical field, due to a reduction of the caregiver-patient relationship to a sort of mechanism, we wanted to propose a medical care that is adequate for the person with all their needs. I believe […]

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