Absurd Change

Absurd change is a high-risk procedure: A doctor gets frustrated with her clinic, hospital or LHIN.

She decides to fix it. She attends all the right meetings. She writes letters and calls important people.

After 6 months, she quits in frustration.

She then shares her experience at medical staff meetings: The system was too corrupt. No one wanted to change. No one would listen.

Farson and Crichton wrote a great little book called, Management of the Absurd. Chapters include: “Big changes are easier to make than small ones”, and “Planning is an ineffective way to bring about change”.

After many attempts, false starts and unexpected successes, I offer the following absurd advice to fight for change.

Absurd Change

Experts say, “Start with a vision”. They are right, but we misinterpret what they mean in two ways. Continue reading “Absurd Change”

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Simply Overwhelmed

Dr. Lynsey Bartlett made national news when she let 100 patients go last week.  CTV reported it as 200.

She was charting until midnight, spending 1/3 of her day with complex mental health patients and could not afford to hire more staff to help out.

She was simply overwhelmed.

Many docs do what Bartlett did, but they go quietly. They trim office hours or join larger groups.

Patients wait longer for next-available appointments. But no one sees it in the news. Access changes like the tide, quiet and slow.

The tide has shifted, in Ontario. Continue reading “Simply Overwhelmed”

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Weekend With Bernie While Canada Waits

Toronto swooned over Senator Bernie Sanders last weekend. He came to visit Canadian healthcare.

He came, ostensibly, to learn.

He visited three of the shiniest, most advanced hospitals in Canada. Each of them fundraises more money than the total budgets of many smaller hospitals.

Wealthy people donate hundreds of millions to fund hospitals close to wealthy neighbourhoods. Sanders saw only the best, and he liked what he saw.

After his tour, he said Canadians were too quiet about our system. Continue reading “Weekend With Bernie While Canada Waits”

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