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	Comments on: The story of my left eye – so far: Part III	</title>
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	<link>https://thenewneo.com/2022/04/28/the-story-of-my-left-eye-so-far-part-iii/</link>
	<description>A blog about political change, among other things</description>
	<lastBuildDate>Sat, 30 Apr 2022 12:59:48 +0000</lastBuildDate>
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		<title>
		By: Lee Also		</title>
		<link>https://thenewneo.com/2022/04/28/the-story-of-my-left-eye-so-far-part-iii/#comment-2621252</link>

		<dc:creator><![CDATA[Lee Also]]></dc:creator>
		<pubDate>Sat, 30 Apr 2022 12:59:48 +0000</pubDate>
		<guid isPermaLink="false">https://www.thenewneo.com/?p=116404#comment-2621252</guid>

					<description><![CDATA[Elrod Penwhistle -- I agree with you about zebras appearing more frequently than most health care professionals assume. I think that saying had morphed into medical professionals thinking, &quot;If you hear hoofbeats, it can only be horses.&quot; The practice of medicine is becoming a checklist.]]></description>
			<content:encoded><![CDATA[<p>Elrod Penwhistle &#8212; I agree with you about zebras appearing more frequently than most health care professionals assume. I think that saying had morphed into medical professionals thinking, &#8220;If you hear hoofbeats, it can only be horses.&#8221; The practice of medicine is becoming a checklist.</p>
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		<title>
		By: Gordon Scott		</title>
		<link>https://thenewneo.com/2022/04/28/the-story-of-my-left-eye-so-far-part-iii/#comment-2621227</link>

		<dc:creator><![CDATA[Gordon Scott]]></dc:creator>
		<pubDate>Sat, 30 Apr 2022 05:35:04 +0000</pubDate>
		<guid isPermaLink="false">https://www.thenewneo.com/?p=116404#comment-2621227</guid>

					<description><![CDATA[Minta@12:38: I played rugby in college. Ours was a club team, meaning one did not have to be a student to play. We had a physician on the squad. I spent part of an afternoon helping him reattach the ear of one of our players, on the sideline, as the match went on. If you see rugby players with headbands, it&#039;s not for sweat. It&#039;s to keep their ears on their head.

Let me tell you, it is some work to get a suture needle through the tissue at the base of the ear.]]></description>
			<content:encoded><![CDATA[<p>Minta@12:38: I played rugby in college. Ours was a club team, meaning one did not have to be a student to play. We had a physician on the squad. I spent part of an afternoon helping him reattach the ear of one of our players, on the sideline, as the match went on. If you see rugby players with headbands, it&#8217;s not for sweat. It&#8217;s to keep their ears on their head.</p>
<p>Let me tell you, it is some work to get a suture needle through the tissue at the base of the ear.</p>
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		<title>
		By: DisGuested		</title>
		<link>https://thenewneo.com/2022/04/28/the-story-of-my-left-eye-so-far-part-iii/#comment-2621162</link>

		<dc:creator><![CDATA[DisGuested]]></dc:creator>
		<pubDate>Fri, 29 Apr 2022 21:36:13 +0000</pubDate>
		<guid isPermaLink="false">https://www.thenewneo.com/?p=116404#comment-2621162</guid>

					<description><![CDATA[God bless Neo, I am praying for you.]]></description>
			<content:encoded><![CDATA[<p>God bless Neo, I am praying for you.</p>
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		<title>
		By: Elrod Penwhistle		</title>
		<link>https://thenewneo.com/2022/04/28/the-story-of-my-left-eye-so-far-part-iii/#comment-2621052</link>

		<dc:creator><![CDATA[Elrod Penwhistle]]></dc:creator>
		<pubDate>Fri, 29 Apr 2022 11:01:06 +0000</pubDate>
		<guid isPermaLink="false">https://www.thenewneo.com/?p=116404#comment-2621052</guid>

					<description><![CDATA[As &quot;Lee Also&quot; said (above): &quot;Part of it may have been the adage “When you hear hoofbeats, think ‘horses,’ not ‘zebras.&#039;” And ocular histoplasmosis was a “zebra” as far as opthalmologists in NYC were concerned.&quot;

I&#039;m convinced that zebras appear more frequently than many, perhaps most, medical professionals conclude. There is a reason medicine is called an art, not a science and that doctors &quot;engage in the practice of medicine&quot; rather than the &quot;performance of established perfection.&quot; Given the number of variables involved it could be no other way. 

And, your experience demonstrates the importance of being deeply involved in one&#039;s own care and not taking &quot;maybe&quot; for an answer.  

I was in IT for 35 years and very early came to greatly appreciate what I termed the &quot;troll in the basement,&quot; that lone person who had expansive knowledge and understanding of that particular function on that particular system, or the not commonly known quirks on the component I was specifying in a design, well above and beyond what was in the documentation or what others knew, who could comprehensively explain not just the &quot;how&quot; but also the &quot;why.&quot; My bacon was saved numerous times by searching for that person, no matter how difficult it might be, asking the right questions  and heeding their recommendation. 

Medical treatment is no different. I worry sometimes about those who don&#039;t have the research, analytical and comprehension resources (or the time) necessary to keep digging for the correct answer and, for whatever reasons, are required to accept what is presented. Medicine, like IT, aeronautics or other very technical fields, is insular and resistant to outside influence, especially from Those Who Are Not Members Of The Cult. That barrier can be broken through, as you demonstrate, but often it&#039;s Real Work and sometimes more work that can be successfully accomplished.]]></description>
			<content:encoded><![CDATA[<p>As &#8220;Lee Also&#8221; said (above): &#8220;Part of it may have been the adage “When you hear hoofbeats, think ‘horses,’ not ‘zebras.&#8217;” And ocular histoplasmosis was a “zebra” as far as opthalmologists in NYC were concerned.&#8221;</p>
<p>I&#8217;m convinced that zebras appear more frequently than many, perhaps most, medical professionals conclude. There is a reason medicine is called an art, not a science and that doctors &#8220;engage in the practice of medicine&#8221; rather than the &#8220;performance of established perfection.&#8221; Given the number of variables involved it could be no other way. </p>
<p>And, your experience demonstrates the importance of being deeply involved in one&#8217;s own care and not taking &#8220;maybe&#8221; for an answer.  </p>
<p>I was in IT for 35 years and very early came to greatly appreciate what I termed the &#8220;troll in the basement,&#8221; that lone person who had expansive knowledge and understanding of that particular function on that particular system, or the not commonly known quirks on the component I was specifying in a design, well above and beyond what was in the documentation or what others knew, who could comprehensively explain not just the &#8220;how&#8221; but also the &#8220;why.&#8221; My bacon was saved numerous times by searching for that person, no matter how difficult it might be, asking the right questions  and heeding their recommendation. </p>
<p>Medical treatment is no different. I worry sometimes about those who don&#8217;t have the research, analytical and comprehension resources (or the time) necessary to keep digging for the correct answer and, for whatever reasons, are required to accept what is presented. Medicine, like IT, aeronautics or other very technical fields, is insular and resistant to outside influence, especially from Those Who Are Not Members Of The Cult. That barrier can be broken through, as you demonstrate, but often it&#8217;s Real Work and sometimes more work that can be successfully accomplished.</p>
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		<title>
		By: Lee		</title>
		<link>https://thenewneo.com/2022/04/28/the-story-of-my-left-eye-so-far-part-iii/#comment-2621047</link>

		<dc:creator><![CDATA[Lee]]></dc:creator>
		<pubDate>Fri, 29 Apr 2022 09:54:45 +0000</pubDate>
		<guid isPermaLink="false">https://www.thenewneo.com/?p=116404#comment-2621047</guid>

					<description><![CDATA[Neo, you are good to share this experience. 
Moral: do NOT assume those of you in Boston are getting &quot;the best care&quot;---  the good people of Massachusetts  lost that in the 80s, when they passed a bill limiting the money hospitals could charge to a multiple adjusted for inflation of an early 80s year.
Huge damper to innovation--like heart transplant programs  at that time--and drove truly innovative physicians away. There was no way funding could be increased to help cover costs of new programs.
Also, do NOT assume being associated with a medical school makes for a good surgeon.  The best surgeons are BUSY surgeons--volume matters. It is a manual skill as well as intellectual one. The more you do, the more variety you see, the better prepared you are to deal with problems/challenges/deviations.
By the time I was five years out of my training, I realized I had done more of the procedures in my field than the chief of my training program, thirty years my senior had, due to the busyness of my private hospital and the way we practiced allowing me to take care of six patients in a day, five days a week, as opposed to his two a day on the two or three days a week he was in the OR.

Risk takers/innovators often want to be their own bosses, 
(and may not have a research interest or a teaching vocation--be more of a 
&quot;get &#039;er done&quot; kind of person. And do it my way!)]]></description>
			<content:encoded><![CDATA[<p>Neo, you are good to share this experience.<br />
Moral: do NOT assume those of you in Boston are getting &#8220;the best care&#8221;&#8212;  the good people of Massachusetts  lost that in the 80s, when they passed a bill limiting the money hospitals could charge to a multiple adjusted for inflation of an early 80s year.<br />
Huge damper to innovation&#8211;like heart transplant programs  at that time&#8211;and drove truly innovative physicians away. There was no way funding could be increased to help cover costs of new programs.<br />
Also, do NOT assume being associated with a medical school makes for a good surgeon.  The best surgeons are BUSY surgeons&#8211;volume matters. It is a manual skill as well as intellectual one. The more you do, the more variety you see, the better prepared you are to deal with problems/challenges/deviations.<br />
By the time I was five years out of my training, I realized I had done more of the procedures in my field than the chief of my training program, thirty years my senior had, due to the busyness of my private hospital and the way we practiced allowing me to take care of six patients in a day, five days a week, as opposed to his two a day on the two or three days a week he was in the OR.</p>
<p>Risk takers/innovators often want to be their own bosses,<br />
(and may not have a research interest or a teaching vocation&#8211;be more of a<br />
&#8220;get &#8216;er done&#8221; kind of person. And do it my way!)</p>
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		<title>
		By: Minta Marie Morze		</title>
		<link>https://thenewneo.com/2022/04/28/the-story-of-my-left-eye-so-far-part-iii/#comment-2621038</link>

		<dc:creator><![CDATA[Minta Marie Morze]]></dc:creator>
		<pubDate>Fri, 29 Apr 2022 04:38:46 +0000</pubDate>
		<guid isPermaLink="false">https://www.thenewneo.com/?p=116404#comment-2621038</guid>

					<description><![CDATA[I just realized I got the sport wrong in the story above. It was when my brother was practicing Spring football at UCLA, not rugby. Since he played both, I associated Spring with rugby. (And he was able to play football that Fall.) Jobe said it was the largest dislocation he&#039;d ever seen.

Anyway, the story is right. The Doctor acted immediately and with tremendous skill. YAY!]]></description>
			<content:encoded><![CDATA[<p>I just realized I got the sport wrong in the story above. It was when my brother was practicing Spring football at UCLA, not rugby. Since he played both, I associated Spring with rugby. (And he was able to play football that Fall.) Jobe said it was the largest dislocation he&#8217;d ever seen.</p>
<p>Anyway, the story is right. The Doctor acted immediately and with tremendous skill. YAY!</p>
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		<title>
		By: neo		</title>
		<link>https://thenewneo.com/2022/04/28/the-story-of-my-left-eye-so-far-part-iii/#comment-2621037</link>

		<dc:creator><![CDATA[neo]]></dc:creator>
		<pubDate>Fri, 29 Apr 2022 04:30:47 +0000</pubDate>
		<guid isPermaLink="false">https://www.thenewneo.com/?p=116404#comment-2621037</guid>

					<description><![CDATA[Minta Marie Morze:

Jobe was a rare person and a great doctor.

I wrote about him previously in some detail &lt;a href=&quot;https://www.thenewneo.com/2010/10/15/the-lost-art-of-the-physical-exam/&quot;&gt;in this post&lt;/a&gt;.]]></description>
			<content:encoded><![CDATA[<p>Minta Marie Morze:</p>
<p>Jobe was a rare person and a great doctor.</p>
<p>I wrote about him previously in some detail <a href="https://www.thenewneo.com/2010/10/15/the-lost-art-of-the-physical-exam/">in this post</a>.</p>
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		<title>
		By: neo		</title>
		<link>https://thenewneo.com/2022/04/28/the-story-of-my-left-eye-so-far-part-iii/#comment-2621036</link>

		<dc:creator><![CDATA[neo]]></dc:creator>
		<pubDate>Fri, 29 Apr 2022 04:15:33 +0000</pubDate>
		<guid isPermaLink="false">https://www.thenewneo.com/?p=116404#comment-2621036</guid>

					<description><![CDATA[Eva Marie:

Not really in this case. Both doctors were supposedly experts. They agreed on the diagnosis and what needed to be done. The Boston doctor conveyed the idea that he wouldn&#039;t be able to do it, however.]]></description>
			<content:encoded><![CDATA[<p>Eva Marie:</p>
<p>Not really in this case. Both doctors were supposedly experts. They agreed on the diagnosis and what needed to be done. The Boston doctor conveyed the idea that he wouldn&#8217;t be able to do it, however.</p>
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		<title>
		By: Eva Marie		</title>
		<link>https://thenewneo.com/2022/04/28/the-story-of-my-left-eye-so-far-part-iii/#comment-2621035</link>

		<dc:creator><![CDATA[Eva Marie]]></dc:creator>
		<pubDate>Fri, 29 Apr 2022 04:11:08 +0000</pubDate>
		<guid isPermaLink="false">https://www.thenewneo.com/?p=116404#comment-2621035</guid>

					<description><![CDATA[Cicero, Neo: Isn’t this just another side of the Covid argument? Do we leave the decisions up to the experts or do we non experts make the final evaluation of which expert advice to follow?]]></description>
			<content:encoded><![CDATA[<p>Cicero, Neo: Isn’t this just another side of the Covid argument? Do we leave the decisions up to the experts or do we non experts make the final evaluation of which expert advice to follow?</p>
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		<title>
		By: Minta Marie Morze		</title>
		<link>https://thenewneo.com/2022/04/28/the-story-of-my-left-eye-so-far-part-iii/#comment-2621034</link>

		<dc:creator><![CDATA[Minta Marie Morze]]></dc:creator>
		<pubDate>Fri, 29 Apr 2022 04:07:10 +0000</pubDate>
		<guid isPermaLink="false">https://www.thenewneo.com/?p=116404#comment-2621034</guid>

					<description><![CDATA[Neo, how interesting you went to Dr. Frank Jobe! My brother Mark was practicing rugby at UCLA and dislocated his elbow in a freak accident—a four-inch dislocation. A man who was visiting the university was watching practice and came running over and had Mark carried to the training room where they used huge scissors to cut the pads off and he set the elbow right there. 

Mark was told the guy was the greatest sports orthopedic surgeon in the world, Dr. Frank Jobe. He saved my brother from years of misery with his quick actions and not caring that he was just visiting the practice field.

Mark was injured in the Spring, and he actually played rugby that Fall. (And it was world-class rugby—National Championships, rugby tours of Great Britain and Australia, etc.)

Jobe was wonderful. He was taking a big chance to help that afternoon.

I was excited to see his name here.]]></description>
			<content:encoded><![CDATA[<p>Neo, how interesting you went to Dr. Frank Jobe! My brother Mark was practicing rugby at UCLA and dislocated his elbow in a freak accident—a four-inch dislocation. A man who was visiting the university was watching practice and came running over and had Mark carried to the training room where they used huge scissors to cut the pads off and he set the elbow right there. </p>
<p>Mark was told the guy was the greatest sports orthopedic surgeon in the world, Dr. Frank Jobe. He saved my brother from years of misery with his quick actions and not caring that he was just visiting the practice field.</p>
<p>Mark was injured in the Spring, and he actually played rugby that Fall. (And it was world-class rugby—National Championships, rugby tours of Great Britain and Australia, etc.)</p>
<p>Jobe was wonderful. He was taking a big chance to help that afternoon.</p>
<p>I was excited to see his name here.</p>
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