Fluid Day

One of those fluid days, literally and figuratively.  Sipping my second cup of herb tea, one of the varietals that has a more inviting picture on the box than taste.  Spiced cider earlier today.  Reached my daily three cup ration of coffee long before it could affect my sleep.  Maybe some sherry before dinner.  And a beverage of some type with shabbos dinner, at least kiddush wine.

As of this morning I had no appointments other than having dinner ready before candle lighting, an easy task with all dinner defrosted and microwave suitable, except the broccoli crown.

An enticing AJC seminar came my way, following a similar themed The Forward seminar last night on addressing the robust presence of antisemitism on the internet.  My professional writing has to go through an editor.  I cannot just submit something to a print or broadcast publication and demand its appearance, though forums like my blog do not have a barrier to deter their appearance in cyberspace.  Eventually the online platforms will either need better accountability for what appears there, much like broadcast media's enforceable standards or they will need to be broken up by anti-trust law, which may have an undesired consequence of their competing with each other to see who is most accepting of submissions they receive.  At the very least, a regulatory agency and regulatory laws have to emerge.  Nobody addressed the elephant in the room, the use of these platforms by sovereign foreign governments to disrupt America.  You can negotiate a solution, but ultimately a credible threat of the military protecting American interests affirms that we mean business on this.

I had intended to do my writing and thinking today.  Medscape topic selected a month ago, a difficult one.  Did some of the background reading and pretty much decided how to package and present my essay.  KevinMD was a little harder.  Three false starts on Consult Maven. 

My medical subjects could include my alma mater's establishment of a business ethics program with a Sugar Daddy to support it.  This would mandate its inclusion in the curriculum starting with the first year.  We had such a project called Community Medicine which, while well intentioned, diverted us from the hard science that dominates early medical school.  It was obvious to us that the requirement was imposed by somebody who had the means to impose it, not because it was essential to study at that stage of training in the format offered.  I suspect the same now with the Business Ethics initiative, more predicated on its availability and authority of its funding source than its essential nature.  It is a very important issue, though, one that impacts every physician from medical school through retirement. My entries into the blog rambled in thought.  I could restrict the focus better, finish the blog entry, and repackage the thoughts for KevinMD.  Aborted effort on how Covid-19 effectively diverted endless essays about how badly our employers treat their physicians or autonomy lost to more noble subjects that make our obligations to our patients worth the travails of our EHRs, intrusive administrators, and burnout.  I scrolled back to pre-Covid KevinMD publications.  To my surprise, the focus on our professional troubles had seemed to be on the wane before Covid-19 captured the American medical conversation.  Finally, I settled on something separate from Covid, but an unsaid part of medicine, the lack of pricing transparency.  We all know the stories of insane itemized markups and providers and payers who concur that it is too disruptive to fix.  A TED talk from a journalist who compiles real pricing information from real patients documents the lunacy.  Whether the cure is worse than the condition makes for a good discussion.  Put in Consult Maven first, then repackage.  This one seems to be going well.

Was hoping to do more around the house but haven't.  And I still want to get my monthly Jewish donation to its destination before shabbos.