Cybernetics, the scientific study of control and communication in the animal and the machine, used to be the stuff of science fiction. Today, thanks to a Faustian bargain between corporations, regulators, and politicians, it is defining medicine.
Every day, the exponential explosion of data entry and regulatory requirements doctors endure boggles the mind, all in the name of “health care.”
He left a little early to stop by the cath lab to see his patient before her procedure. Cordial “Hello’s” and “Good mornings” and “Any last questions?” were mentioned before she signed her consent. The team was working feverishly to prepare her for her procedure. “Have you met the anesthesiologist yet?” was next, and almost on cue, the anesthesiologist arrived and took over for a bit.
As I begin another year teaching EKG’s to our new residents, I find I am increasingly asking myself “Where to teach?”
A few from above, from Saurabh Jha, MD (Twitter: @roguerad):
The biggest trade-off is between a constitutional republic, with all its checks and balances, and a centrally-planned healthcare. The two are fundamentally incompatible. The future will yield many more convulsions. Many more Halbigs.
The dark underbelly of health care is becoming all too visible now.
Fresh faces in neatly pressed white coats are in the halls. Eager. Enthusiastic. Clearly very bright. All hoping for a moment, an experience, an encounter that makes all their hard work worth it. Surely they’ll have one, but not before the thousands of keyboard clicks, the mandatory lectures, rounds and lots of lengthy, lonely call nights.
I just returned from the American College of Cardiology and wanted to write down a few of my 50,000-foot impressions from the meeting for, as the song goes, the times, they are a-changin’.