This article by Lee T H in the recent issue of the NEJM actually discusses “the word that shall not be spoken”, i.e. “suffering”. What is even more interesting is that he describes this in the context of a healthcare company’s business strategy – to reduce suffering from disease, from complications and from dysfunction of the delivery system.

It is an interesting thought and an article worth reading.

If you would like a copy, please email a request.


The Master Surgeons

Dr. Pauline Chen as a piece in the NY Times about how the skill of a surgeon makes a huge difference, but has always been difficult to measure.

And yet, by word of mouth, it has always been possible to know of surgeons who are “amazing”, “lightning fast” and “gifted”. The anesthetists, nurses and resident surgeons are in the best possible position to compare and evaluate, along with the surgical ICU doctors. This knowledge obviously rarely gets passed on to patients.

It is the same in radiology. All radiologists are not and can never be the same, which is why radiology cannot be commoditized or “teleradiologized”. And over a period of time, everyone in the community knows who the brilliant ones are, both from a diagnostic as well as an interventional perspective. The patients may never come to know.

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