Monthly Archives: January 2019

Annie Dillard’s Fierce Arithmetic

In 1999 Annie Dillard published For the Time Being, her most enigmatic book to date, where she layers statistics in a chilling attempt to pierce the mystery of who we are, as individuals, as humans, and about what matters and … Continue reading

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The long shadow of mental illness and substance abuse comorbidities

My physician neighbor works in several urban emergency departments where mental illness and substance abuse cases run rampant. When I ask him about the impact on readmissions, he lights up: “Are you kidding? It’s off the charts!” He tells me … Continue reading

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Why you can’t win without teamwork

You’ve probably noticed it’s been a bumpy regulatory ride for bundled payments of late. On November 30, 2017, CMS cancelled two “mandatory” bundled payment programs that targeted cardiac and joint replacement care episodes. Then, on January 9, 2018, they announced … Continue reading

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When hospital-acquired infections hit close to home

Late one night in April 2018, my good friend and work associate finds it so difficult to breathe she wakes her husband to drive her to Emergency. One day she’s on her feet at work, the next she’s in the … Continue reading

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Artificial Intelligence and Clinical Data: Finding Patterns Now to Shape Our Future

My oldest son is on the autism spectrum which brings him both challenges and unique skills, such as perfect pitch and encyclopedic memory. One of his gifts is an ability to see patterns that most of us miss. At least … Continue reading

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