My telephone was cradled between my left ear and my shoulder, as I pounded the keyboard of the sluggish rural county computer with one of the requisite patient visit fill-in-the-blanks atrocities — er, I mean “reports.” Finally, I heard the person I was waiting for pick up the other end.
“Hello,” I said. “Is this doctor A…….(name unpronounceable to native speakers of English)?”
-“Yes,” he answered, “I am the only doctor here.”
“This is Doctor Goldstein. I am one of the psychiatrists at the county mental health clinic.”
-“Really? And you call me?” Read more on The County Mental Health Clinic’s Referral…
One of the themes that keeps coming up in those little “newslets” for 15 minutes of Continuing Medical Education each is that systematic screening for several serious diseases, like cancers, is simply not as efficient as one wishes it were. At the very least, in terms of cost, it rarely pays. Sometimes people try to identify a subset of people who should be screened; but all too often, even that is a daunting task.
Some stalwart and doubtless realistic physicians sometimes suggest–screen patients who ask for it. This seems strikingly similar to the young doctor in Amiens who told me, that if he wanted to build a practice and feed his family, he had to give everyone antibiotics. It is that ancient trend of anti-intellectualism, patients who second-guess the doctor, people who are worried about their health– And yet, these people could argue that (they have paid their health insurance and earned what they think is good care), and they are individuals and not statistics. Read more on When To Screen For Things Medical That Could Kill…
“Bureaucracy” is a word that comes from the French, which I suppose means that moi has a greater understanding of it than most folks who have never lived in France. Literally, “bureau” means “desk.” So “bureaucracy” is “rule by desk” in the same way that “democracy” is supposed to be “rule by the people” since “demos” in Greek is “people.” Problems already. There is considerable debate possible about how much representative government can even be a democracy. I mean, do so-called “Public Servants” vote for what their constituencies want, or for what they really believe? Desks have no soul. Here, we are on a little firmer ground, for bureacracies have not much in the way of souls, either. The word “bureau” itself originally meant the cheap green cloth used to cover the tops of desks. More like the felt of blotters, the coarsely woven green dyed stuff is used to cover gaming tables and such.
The Brits use the word for this sort of cloth as a metaphor for “snooker” (the billiard table game with all of those confusing balls and rules). Read more on Bureaucracy, What It Is And Why I hate It…
I started researching workplace stress more feverishly and with fewer records of sources than usual for me, as the patient was — and still is — me.
I have practiced in every setting I can imagine a psychiatrist being in — public and private, government (from federal to county) solo and institutional, whatever.
But now I have more physical and emotional fatigue. More struggle getting my work done in the timely manner I expect from myself. More need for (albeit, sounder) sleep. And more “Sunday Night-it is” — for who has not complained about job stress? Read more on Sunday Night-itis — AKA Job Stress…
Maybe if it’s “all in your head,” it’s in your brain chemistry
We women have spent so long and worked so hard for equality in rights, in education, and at work, that it may actually be hard to talk about how we are different.
The World Health Organization has been working on this, and knows a lot about what is going on. Illnesses of the mind, problems with thinking and feeling and living, are only identified by doctors less than half the time. Three out of five people who have this kind of problem wait less than a year before seeing a doctor. This is true of both sexes. Read more on Mental Health In Women…
Only 16% of all murder victims are members of the defendant’s family?
That’s according to the PDF file that pops open (or opens in your browser) when you click this link – and you must have the free Adobe Acrobat reader to see it. (Fortunately, it is included with most computers nowadays).
Actually, I am surprised to see the number is so small.
I am a little bit heartened to learn that only 20% are strangers.
This leaves 64 % that are friends and acquaintances. Read more on Your Family Really Can Kill You…
For most of my life I have been more or less overweight. I figured my body was just something I used to carry my brain around.
Tentatives at presentation (clothes, makeup) were just not as serious as with my women-friends. I mean, it was just not as important to my identity as “smart” was.
Back then — only a few years ago — I actually had a mental health worker (therapist) who allegedly had a particular interest in eating disorders ask me how I got through life without being ashamed to go places because I was fat.
I shrugged my shoulders and told her I lived in a world where it simply did not matter. The only place it kept me from going was mixers — and as I had determined men were a waste of time and I actually believed I would never marry, what did it matter anyway? Read more on Act Like Wonder Woman And Become Wonder Woman…