Wednesday, October 04, 2006


A letter to a junior doctor:

The joys, vagaries and risks of A&E are that it is an action driven practice. The rule is “Find it, Fix it.” It is the philosophy underlying the ABCs: First things First & Find it, Fix it. It requires that you make a decision and ACT!

The caveat is act in haste, repent at leisure.

ACS is one of the big six: appendicitis, ectopic pregnancy, aortic aneurysms, acute coronary syndromes, missed fractures, and missed foreign bodies ( Everyone needs to be especially careful of these.

And everything is ultimately a learning experience.

Keep fighting the good fight J.

Sunday, October 01, 2006

Preference articulation

We don’t start out with decided preferences; we start with affinities and then we explore and articulate and refine preferences. This blog is essentially such an exploration. Articulation is itself an act of refining.

We have preferences only about things we have experienced, whether physically or psychically.

To choose we must have appreciated choices, discrete and distinguishable.