There is analogy between best outcomes in war and best outcomes in fighting chronic disease. If there is a tough mission in the American military that must be accomplished, most often they call on a special operations team like the Green Berets or the Night Stalkers. These people all get the same basic training as recruits, but once they come together as a team they may train for weeks for the specific mission. They carefully analyze the factors required for success. What transportation will we need? What weapons? What systems will we use? Night-vision? Drones? Satellite images? Then they practice the mission for weeks until it becomes second nature. Those units using that approach are much more successful on these missions than a platoon from a standard infantry division with the usual systems and equipment would be.
Well stated! The more of your posts I read the more it makes me wonder why this obviously excellent methodology is not the central piece of practice for IM and primary care in general.
It is the usual thing. Change is hard and money gets in the way. We have powerful evidence that special operations teams can take a high-value target like Osama Bin Laden with no casualties. There is a equally impressive body of evidence proving special operations primary care teams are equally effective. That is why I write on the topic. Providers and patients need this information to demand better care at lower cost.
I have written about my neighbor Jean Hopkins and her heart artery disease as a great example of the special issues that women face. She sent me this information about her best friend who was a founder of the Night Stalkers.
This is so timely and right on!
Thanks Jerry. Your military career put you in contact with people like this. If you think it is right on, that is encouraging
Excellent analogy!
Thanks Jean. You are always so supportive!
Well stated! The more of your posts I read the more it makes me wonder why this obviously excellent methodology is not the central piece of practice for IM and primary care in general.
It is the usual thing. Change is hard and money gets in the way. We have powerful evidence that special operations teams can take a high-value target like Osama Bin Laden with no casualties. There is a equally impressive body of evidence proving special operations primary care teams are equally effective. That is why I write on the topic. Providers and patients need this information to demand better care at lower cost.
Agree. And thank you for your tireless efforts in doing so!!
Great information! Perspective changes everything!
Thanks Bekki. I am delighted that you liked it.
https://www.nsa160.com/media/files/files/ed0ba12d/crumley-cw2-bobby_fkb58OM.pdf
I have written about my neighbor Jean Hopkins and her heart artery disease as a great example of the special issues that women face. She sent me this information about her best friend who was a founder of the Night Stalkers.
May he rest in peace.
https://www.linkedin.com/posts/joseph-thomas-shen-md-b01760106_fat-fiction-full-movie-free-activity-6937076812489379840-glWJ?utm_source=linkedin_share&utm_medium=ios_app Have a wonderful Memorial Day!