Tough Times

C922E4F0-A9F9-4E23-830C-1C409B4C13F3“fear not, for I am with you; be not dismayed, for I am your God; I will strengthen you, I will help you, I will uphold you with my righteous right hand.”
‭‭Isaiah‬ ‭41:10‬ ‭ESV‬‬

Tough Times
Some days will be difficult and nothing seems good. These tough times are when we need to fully rely on God. I came into work very early on Monday after the Thanksgiving holiday to prepare for an anticipated hectic day. My computer would not work, neither would my printer. There were multiple errors on the patient charts, that I was able to check, and no one would be held accountable for making them, except me by legal default. I am exhausted from travel and stressed about the upcoming holiday madness. Another Monday in the tank! Time to hold steadfast on His promises.

Compliance

A81D3E8A-6396-454F-8A19-430D8F126432“Better was a poor and wise youth than an old and foolish king who no longer knew how to take advice.”
‭‭Ecclesiastes‬ ‭4:13‬ ‭ESV‬‬

Compliance

My friend in the insurance industry and I discussed the relatively recent emphasis on compliance in our respective businesses and concluded that all the associated added expenses of mandated compliance have added virtually nothing to society except excess costs. Certainly I have seen so much government regulation in healthcare that is just ridiculous, another byproduct of too many lawyers. We allow non-medical people to decide what is “good” medicine, which always requires excessive documentation, documenting what I call ”e-garbage”, instead of medically relevant facts. And I can’t imagine how we plan to save years of electronic health records, since computers have made it so easy to generate volumes and volumes of senseless information. Of course, the electronic health records are astronomically expensive and have accounted for an increase in medical error deaths. Finally, while we have compliance departments that make sure we practice “good” medicine, we have far too few “hands on” patient care staff. Literally patients can bleed to death without anyone noticing while in a hospital intensive care unit, while the hospital is being compliant.

Layers

EDA347EC-1A39-4ECE-A549-BCFBA50F0FDFLayers
When I think of layers, I generally think of the peeling off of layers of clothing or layers of skin. But today I read an amazing article (Physicians aren’t ‘burning out.’ They’re suffering from moral injury by Drs. Talbot and Dean) on the moral injury of physicians by a broken healthcare system. In my medical mind which has many years of experience, I believe the authors are exactly correct with their assessment. As this kind of honest information about physicians hits the media, I feel the first layers of this massive medical bureaucratic quagmire begin to peel—a glimmer of hope.