The patient-centered medical home (ain’t what it used to be)

Advocates of the patient-centered medical home tout the desirability of having all of this information in a central repository, readily accessible, complete. Supposedly, such a system will drastically reduce duplication of services, reduce the likelihood of medical error, and subsequently cut the cost of medical care. Conceptually, it all sounds so good—too good, as the adage goes, to be true. more»

Read more in my latest entry on the Musings blog of the JAAPA Editorial Board here.

JAAPA is the official publication of the American Academy of Physician Assistants.

Advertisements

Milestones

Be they birthdays, graduation days, or anniversaries, we tend to mark our lives by milestones, those significant dates and times that help to define who we are and give meaning to our existence. more»

Throughout 2017 Physician Assistants have been celebrating the 50th anniversary of the profession.

Interested readers can peruse my latest entry on milestones at the Musings blog of the JAAPA Editorial Board here.

JAAPA is the official publication of the American Academy of Physician Assistants.

Sights & Sounds

Leaning in, I listen.
The whoosh resounds in my ears,
Pulsating with each regular beat,
As though an elf were clearing his throat:
Harsh, holosystolic, grade 4 of 6,
A VSD most assuredly:
But this ventricular septal defect
Is coupled with infundibular stenosis,
An over-riding aorta,
And right ventricular hypertrophy.
It takes an echo to follow the flow of Fallot.

Leaning in, I listen.
The whirr-buzz sounds in my ears,
Repeated ad infinitum from the bush.
I scan the wood, raise twin prisms,
Peer toward the sound.
A blue-winged warbler
Drops off a high branch,
Disappears behind spring leaves.
Momentarily I catch
His sine qua non:
The black eye streak;
The whirr-buzz echo
Of his call.

2017©Brian T. Maurer

Digital media use: Updated guidelines for busy clinicians

If you’ve got a moment to spare in your typical 24/7 online presence, consider perusing Licata and Baker’s timely JAAPA article “Updated guidelines on digital media use by children.” (Disclosure: It’s only available online, so access is limited through your digital smartphone, electronic tablet, notebook, laptop, or desktop device.) more»

Licata and Baker provide the busy clinician with an overview of the American Academy of Pediatrics updated guidelines for counseling parents and children on the judicious use of electronic devices.

Read more about these updated guidelines in my latest entry on the Musings blog of the JAAPA Editorial Board here.

JAAPA is the official publication of the American Academy of Physician Assistants.

The Present

The present arrived at Christmas,
Bound with bow,
A white ribbon tied just so,
Caressing the slender tome
Of Emily Dickinson poems.
Carefully, I undid it,
Teased the knot free,
Tossed it to the
Back of the bookshelf,
Out of sight,
But not
Out of mind.

Months later I searched
For a sash to bind up
A bouquet of white roses,
A gift for the grandmother
Of a 10-year-old boy now dead.
The white ribbon lay
Exactly as I had left it.

Gently, I wrapped the roses,
Bound with the tie that binds,
Placed the bouquet
In the grandmother’s arms,
Where it rested like a newborn
Now fast asleep.

Later, I let the gift giver know
I had recycled the bow,
Passed the tie on to the next in need.
When my text came through,
They were steeped in
Multiple trauma cases in the ED:
A motor vehicle accident victim;
Two gun shot wounds, both children.
“Your anodyne arrived when most needed,”
She said.

We hand each other along in life
Until the circle completes itself,
And we recognize the ribbon
For what it has become.

2/20/2017

white-roses-on-red

“Daisy, no!”

New puppy pounces on tossed toy,
trots it back,
paws pounding on wooden floor;
mouths, chews, searches for squeak;
dashes behind sofa—
head protrudes below skirting,
upside down!
disappears, darts out,
gnaws the wooden foot;
launches herself
onto the white pillow at my wife’s feet;
tracks the single strand of yarn
dancing to the crochet baton above;
barks;
attacks ball in basket and sprints,
paws thumping on rug;
suddenly somersaults
bumoverteakettle,
intertwined
in a woolen mesh.

2/18/2017

daisy