Dr Murphy WeightLoss

The dating is (below) unequivocal. How do we encourage mankind to break out of this spell and start thinking? We have to quit having our thinking handed to us on a silver platter. AI was not doing this to us, WE are doing this to oursevles.

There is a tax on American medicine that appears in no budget. It is one second long. Click delay. The pause between a physician’s action and the EHR’s response. Order entry that takes two seconds to open. Pull-down fields that hesitate. And worse: one major EHR I work in daily freezes for five to ten seconds, sometimes longer, when I expand a diagnosis list. Not occasionally. Routinely. No exaggeration. Do the arithmetic with me, because nobody ever does. The classic time-motion study of community ED physicians counted roughly 4,000 clicks per 10-hour shift. Now assign a delay to some fraction of those interactions. Suppose only a quarter of them carry a one-second lag, a conservative figure for anyone who has used these systems. That is 1,000 seconds. Seventeen minutes per shift, per physician, spent watching a screen think. Across a five-physician ED, an hour and a half of clinical attention daily. Across a thousand US emergency departments, thousands of physician-hours every day. Millions annually. Paid to no one, for nothing. And the seconds are the smaller cost. Every freeze is an interruption, and emergency medicine has an entire literature on what interruptions do to clinical reasoning. The delay does not just steal the second. It breaks the thought that was in progress at 2 AM on patient seventeen. Here is the analogy I keep returning to. Imagine McDonalds ran its kitchens this way: food cooked only after each customer arrives, never prepared for the lunch rush everyone knows is coming. Asked why, they explain that anticipating demand would require both technical skill and an understanding of their customers. We would call that organization broken. Every EHR that generates a summary only when clicked, loads a screen only when opened, and computes nothing in advance is running exactly that kitchen. Anticipation is not exotic. Consumer software has prefetched and prepopulated for decades. Your phone does it a hundred times a day. The reason this persists is not technical difficulty. A one-second interaction delay is an afternoon of engineering. It persists because the physician’s time is the one resource in the transaction that the vendor does not pay for. Latency is free to everyone except the person practicing medicine and the patient waiting behind them. Speed is not a convenience feature. In clinical software, speed is respect. And the bill for its absence arrives every single shift, unitemized.

Physician Unions are the only option available to doctors who have been battered over decades of incremental financial and work oriented abuses by insurers and government. The system of checks and balances have failed doctors as they have been herded by plan into employment. Attempts at destroying their importance by renaming them as “providers” and clumping together with nurses and physician assistants has failed. Every other option to obtain leverage has been illegally eliminated for employed physicians making unions inevitable as work increases and salaries fall. We now enter a new era where the public is able to circumvent a doctor and purchase GLP-1 medications online. A clinical nurse, pharmacist, and PA have replaced doctors in many circumstances but the USA is little prepared for a day when doctors strike and the event is fully legal. Who will do the appendectomy?

What plots better against the rise in obesity than the vitamin D gorging supertrend?