Loading ...I picked up one of his critical care books and this message seems kinda funny in relating to his book where someone said basically his writing didn’t fit the English writing protocol fixing things. Maybe because their mind is working fast and focused on patient care not the writing.
For more than thirty years, I practiced medicine within the American healthcare system. Like many physicians, I believed that despite its imperfections, it remained fundamentally committed to the well-being of patients. Only after stepping away from the system did I begin to appreciate how profoundly dysfunctional it had become.
What we now call “healthcare” has increasingly evolved into a financially driven sick-care system, where administrative metrics, reimbursement, and protocol compliance often take precedence over thoughtful, individualized patient care.
Today’s young physicians are being trained in an environment that increasingly rewards adherence to protocols, checklists, and electronic prompts rather than independent clinical reasoning. As a result, many become highly proficient at following algorithms but have fewer opportunities to develop the critical thinking, physiological understanding, and bedside judgment that distinguish truly exceptional clinicians.
At the same time, hospitals—while indispensable for many life-threatening conditions—have become places where patients face significant risks from preventable medical harm, hospital-acquired infections, medication errors, unnecessary procedures, and fragmented care. My advice is simple: do everything you reasonably can to stay healthy enough to avoid hospitalization whenever possible.