Favorite Quotes
"For every complex problem, there is a solution that is simple, neat, and wrong." - HL Mencken
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"I hear and I forget. I see and I remember. I do and I understand." - Confucius
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"The good physician treats the disease; the great physician treats the patient who has the disease" - Sir William Osler
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" The best test of a person's character is how he or she treats those with less power." - Bob Sutton
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"Those are my principles, and if you don't like them - well, I have others." - Groucho Marx
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"The difference between genius and stupidity is that genius has its limits." - Albert Einstein
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"It is hard enough to remember my opinions, without also remembering my reasons for them" - Friedrich Nietzsche
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"Anyone can make the simple complicated. Creativity is making the complicated simple." - Charles Mingus
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"Not everything that can be counted counts, and not everything that counts can be counted." - Albert Einstein
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"A foolish consistency is the hobgoblin of little minds, adored by little statesman and philosophers and divines. With consistency a great soul has simply nothing to do." - Ralph Waldo Emerson
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"This ain't no party, this ain't no disco, this ain't no fooling around." - Talking Heads, Life During Wartime
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"What is hateful to you, do not do to your neighbour. This is the whole Torah; all the rest is commentary. Go and learn it." - Hillel, Talmud, Shabbath 31a
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"You will never understand bureaucracies until you understand that for bureaucrats procedure is everything and outcomes are nothing." - Thomas Sowell
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"An idealist is one who, on noticing that a rose smells better than a cabbage, concludes that it will also make better soup." - HL Mencken
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"If you only have a hammer, you tend to see every problem as a nail." - Abraham Maslow
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"A great teacher is one who realizes that he himself is also a student and whose goal is not to dictate the answers, but to stimulate his students creativity enough so that they go out and find the answers themselves." - Herbie Hancock
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"There are no facts, only interpretations." - Nietzsche
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"An education isn't how much you have committed to memory, or even how much you know. It's being able to differentiate between what you do know and what you don't." - Anatole France
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"In character, in manner, in style, in all things, the supreme excellence is simplicity." - Henry Wadsworth Longfellow ====
Nov - 15
Dec - 19
Jan - 21
Feb - 8
Mar -
17 days at the VA – day 15
29 Nov2009
Long morning, we were post call and had 8 new patients. The team did a great job!
I saw one patient whom I had seen in 2000. The VA EMR is a wonder, I could read my old notes.
New patients on Friday have longer length of stay. Our VA is excellent, but we still cannot get much done on the weekend.
Infections dominated our admissions. Antibiotic decision making is challenging, and a skill that hospitalists must constantly develop.
Several days ago we admitted a patient who I transferred to the ICU within a minute of seeing him. He did require intubation and pressure support. We still do not know why he has a septic presentation – all cultures are negative thus far. The good news is that our unit team has done a wonderful job, and the patient is recovering. We just do not know what he is recovering from!
We internists love making precise diagnoses. We praise internists when we call them "great diagnosticians". This patient may represent an undiagnosable success. While we would love to have a precise diagnosis, our highest priority is helping the patient recover. Some patients become very sick, yet we do not know why. If they recover, we are very happy.
Related posts:
- 15 days at the VA – day 10
- 17 days at the VA – Day 1
- 17 days at the VA – Day #7
- 17 days at the VA – Day 6
- 17 days at the VA – Day 3
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