Killing or milking sacred cows?

Most of the breakthroughs in medical history are rooted in the willingness to challenge assumptions…to dare to kill the sacred cows. Assumptions like: Doctors could never unwittingly kill their patients (Ignaz Semmelweiss on hand washing) Bacteria can’t survive the acidity of the stomach (Barry Marshall and Robin Warren on H.pylori) Babies can only grow inside […]

Paid to stay sick

If you could be paid to be infected with a curable disease…on the condition that you did NOT use the cure, only managed the symptoms…would you do it? And if you’re quietly asking yourself “How much would they pay me” then I’ll count that as a “Yes, provided the terms and conditions are right.” But […]

How can I help you?

Image: Gapingvoid How can I help you? This is a question many people say with their mouths. But their heart and body language are yelling: So, what do you want? How can I help you is as much a question for you as it is for your patient. Because whilst she can verbalize her “presenting […]

Tiny changes add up

Big changes may grab the front page, but tiny changes over time are what transform the world. Tiny changes like the way you smile, making eye contact, taking time to disinfect your hands in front of the patient, setting your bank account to automatically save 0.25% every time you use your debit card… Drip by […]

Treating patients before they show up

Today you will see some patients. Maybe the same ones you saw last month. And probably for similar conditions because or your area or specialty. You will be judged on how well you respond to their presenting complaint, particularly if you work in Accident and Emergency. But imagine if you were paid to treat them […]

Who will you lead…and what problem will you solve today?

Image: Hugh Macleod “Go to work and do your job.” That was the industrial revolution’s prescription for work in the last century. Because in that era, your value was measured by your ability to conform to a pre-existing system…to be the best cog you could be. But now in the 21st Century, the way our […]

Of all the things to change in Medicine

This was one of the responses to the post about Upside down medical hierarchies: Why would that sort of thing be needed? Of all the things to change in Medicine, not sure the hierarchy is one of them. This comment reminded me of a line from James Clear’s book, Atomic Habits: “…the only self-improvement strategy […]

Upside down medical hierarchies

What would happen if the hierarchies in Medicine operated like the Google search engine? Right now, the hierarchies in Medicine look something like this: Image: Hierarchy Structure In other words, the more hours you put in, and the more you master the known field of Medicine, the higher up the ladder you will climb, attaining […]

Upside down medical hierarchies

What would happen if the hierarchies in Medicine operated like the Google search engine? Right now, the hierarchies in Medicine look something like this: Image: Hierarchy Structure In other words, the more hours you put in, and the more you master the known field of Medicine, the higher up the ladder you will climb, attaining […]

Upside down medical hierarchies

What would happen if the hierarchies in Medicine operated like the Google search engine? Right now, the hierarchies in Medicine look something like this: Image: Hierarchy Structure In other words, the more hours you put in, and the more you master the known field of Medicine, the higher up the ladder you will climb, attaining […]