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Barry J. Goldlist's blog

Summer Revery

Author(s): 
Deck: 
I have spent the summer trying to avoid working, a noble endeavour.
Teaser: 

I have spent the summer trying to avoid working, a noble endeavour. However, in 34 years of medicine I have never before been as successful in work avoidance as I have been this summer. 

I have spent the summer trying to avoid working, a noble endeavour. However, in 34 years of medicine I have never before been as successful in work avoidance as I have been this summer. Most people would assume that the reason is that I am becoming smarter (or sneakier) with advancing age; after all, doctors are like wine, they improve with age (or so I like to believe). 

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Casting my vote

Author(s): 
Deck: 
Casting my vote on the tentative OMA agreement
Teaser: 

I have just come back from a vacation in Florida, just in time to vote on the tentative OMA agreement with the government. While on vacation I had several long walks on the beach with a famous market researcher who had just completed some research on primary care physicians in the United States...

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Gauging the Availability of Home Care Services

Author(s): 
Deck: 
Gauging the Availability of Home Care Services
Teaser: 

For much of the summer, medicine was the farthest thing from my mind. I was visiting my daughter and her family on the west coast, and playing with my twin grandchildren was at the top of my mind. My wife and I did take a few days to travel in southern British Columbia and visited Whistler and the Sunshine coast. The proprietor of the Bed and Breakfast we stayed in on the Sunshine coast had a mother-in-law in Vancouver who was not in great health. She complained about the difficulty in accessing home care in BC, and the limited hours available. It sounded just like Ontario.
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For much of the summer, medicine was the farthest thing from my mind. I was visiting my daughter and her family on the west coast, and playing with my twin grandchildren was at the top of my mind. My wife and I did take a few days to travel in southern British Columbia and visited Whistler and the Sunshine coast. The proprietor of the Bed and Breakfast we stayed in on the Sunshine coast had a mother-in-law in Vancouver who was not in great health. She complained about the difficulty in accessing home care in BC, and the limited hours available. It sounded just like Ontario.

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Reflections on 2011

Author(s): 
Deck: 
Most year end reviews come at the end of December. At that time I was...
Teaser: 

Most year end reviews come at the end of December. At that time I was working full speed as an attending physician on our hospital’s general medical service and never saw the light of day. Immediately afterwards, I took over an extremely busy geriatric consult service. However, I am now back from two weeks of rest and recuperation in the sun and once again capable of stringing words together.

Most year end reviews come at the end of December. At that time I was working full speed as an attending physician on our hospital’s general medical service and never saw the light of day. Immediately afterwards, I took over an extremely busy geriatric consult service. However, I am now back from two weeks of rest and recuperation in the sun and once again capable of stringing words together.

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There is always something to learn in medicine

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I have been in practice so long, that I sometimes get the illusion that I actually know...

I have been in practice so long, that I sometimes get the illusion that I actually know what I am doing.  Big mistake!  Despite my long experience in geriatric medicine, one family this month has outwitted me continuously in keeping their mother in hospital.  The number of family meetings to discuss disposition seems to have hit double figures.  Each ends with a decisive and reasonable plan that the family is able to sabotage the next day.  Perhaps this week’s meeting will produce some results!

Attending on General Medicine

Author(s): 
Teaser: 

As is my usual pattern, this December I am attending on a general internal medicine unit rather than...

As is my usual pattern, this December I am attending on a general internal medicine unit rather than my usual geriatric service.  Usually there is scant difference in the age distributions of the two services, but this year our general medical service has admitted mostly young or very young patients.  I use the standard definitions of young and very young:  very young means younger than me, young means less than 10 years older than me (note:  my oldest son disputes these definitions and even has the nerve to call me old!).

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