The history and physical exam are firmly established methods in the practice of medicine, with an ancient pedigree. Their origins can be traced 2500 years ago to Hippocrates, who naturalized the concept of disease and introduced the methodology of the history and physical exam. Diseases no longer needed divine explanations, but could be studied like… Continue reading The History and Physical
Tag: Emergency Department
Fluency and Its Illusions
Although we think of information overload as a contemporary phenomenon, throughout evolutionary history organisms have always had to grapple with a world brimming with noisy data. Ever present and life threatening features such as camouflaged prey, lurking predators, strategizing competitors, invasive species, weather changes, and insecure food supply have always been part of the challenges… Continue reading Fluency and Its Illusions
Fisheries, Forests, and Emergency Care
In my last essay, I made the case that emergency care in the United States is better classified as a common rather than a public good. Due to the passage of the Emergency Medical Treatment & Labor Act (EMTALA), emergency care became non-excludable and because it is resource constrained, it is rival. Patients are streaming… Continue reading Fisheries, Forests, and Emergency Care
Quality Detector
“Data is the new gold” is the mantra of our age. The data scientist has been termed the “sexiest job of the 21st century.” Every industry is driven by the impetus to acquire, curate, and analyze all aspects of their business. We measure and quantify everything with the promise of utilizing this data to drive… Continue reading Quality Detector
The Map is not the Territory
It is hard to even fathom let alone comprehend the size, scale, and complexity of the universe. It takes light 91 billion years to traverse the diameter of the observable universe. That is approximately six times longer than the age of the universe itself. Similarly, the amount of information in the world vastly overwhelms the… Continue reading The Map is not the Territory
The Suitcase of Empathy
Marvin Minsky called words that carry a variety of meanings "suitcase words." Empathy is such a word. Over the last ten years, research into empathy has exploded. The number of research papers in psychological journals, on the topic, has increased dramatically and popular interest in the concept matches what is found in these journals. A… Continue reading The Suitcase of Empathy
Stereotypes
Humans are natural pattern recognition machines. We have an evolved instinct not only to recognize different patterns but also to categorize and store these patterns in order to make future predictions. In fact, this ability to recognize and represent patterns to draw a variety of intuitive inferences could be the defining and most original characteristic… Continue reading Stereotypes
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