Blissful Life

When you apply skepticism and care in equal amounts, you get bliss.

Month: June 2017

  • Why I Write

    Subtracting the dates, I have been blogging for more than 9 years as of now. That is not a big number considering how blogging was mainstream years before I began. Neither have I written a lot by quantity.

    But I have been writing. I do not remember if I had any specific idea in mind on what to write about when I began. I was pretty new to the internet when I began. And I thought everyone who used internet maintained a blog for their personal ruminations.

    I always had things to write about. Be it my take on things happening in the world, be it something new that I learned that day, be it a travelogue, be it a simple new thought. There has been times I was so engrossed in life outside that I have forgotten to write. Or times when I was too tired that I could not write. But never have I not written because I didn’t have anything to write about.

    For a long time, I did not care about the audience. My writings were mostly for myself and addressed at random strangers on the internet. I did not worry about who would be or would not be reading my posts. I was never concerned about the relevance of my posts. Because it was always relevant to me.
    Not much has changed. I now regularly post updates from me on Telegram and WhatsApp (check the sidebar on details how to join) but I am not worried about people not reading what I write. Because even today, I write for myself.

    I consider blogging to be documentation of one’s mind. In addition, I think writing helps clarify ideas for oneself. That clarity of mind is very important for me.

    A simple image I drew in Krita because without illustrations, people tend to get bored with long blog posts.

    I have been inspired by others writing. My favourite blogs had been zen habits, Scott H. Young, Study Hacks, BetterExplained, LifeHacker, Dumb Little Man, PluginID, etc. After my dad and My Experiments With Truth, I think these blogs have exerted the most influence on shaping what I am today.

    Unlike books, a blog keeps coming back at you. You read a book, you are deeply affected by it, and sometimes it stays with you throughout your life. But you start following a blog, the author keeps coming back to you with their ideas and influences forever (till you stop following). For those who read, what they read shapes them.

    And I read. I have read on the internet much more than I have read books. This could be bad. Because to write a book needs much more deliberation and therefore books by definition have more concrete ideas. But that is also a good point for blogs. Blogs are direct unfiltered thoughts from a person’s mind. They do not go through the censorship of acceptability or merchantability.

    And therefore multitudes of raw, sometimes radical, nevertheless vibrant and different ideas have entered my mind and some have stayed back.

    It is in the same spirit that I write. What use is a thought if it has not been shared? I may be redundant and be writing what others have already written about. But the collection of thoughts that I represent in my writings is unique.

    That’s the truth. I write to influence. Thoughts that aren’t expressed simply do not exist. If you care for something, you need to show that you care. And writing is my way of doing it.

  • The Sour Grape

    I have been told by at least one person (and I think many more might have the same idea) that “I have disregard for postgraduate entrance examinations and am working where I am currently working like it is something heroic because I find entrance examinations difficult to crack, because I’m incapable of getting a good rank, and I am just finding excuses that I can’t figure out what postgraduation to do, that I don’t want to lock myself in a garage to learn”.

    To them I would say, maybe you are right.

    Maybe I am an idiot.
    Maybe I barely passed MBBS.
    Maybe I should not have been a doctor on the first hand.
    Maybe I do not have the aptitude to crack entrance exams.
    Maybe I am not even smart enough to do the “right” things in life.
    Maybe I am stupid.

    But, guess what?

    I don’t care.

    My choices are entirely mine. My outlook is formed by my thought processes and I can live with the same. Maybe I don’t fit your definition of success. Maybe I don’t fit your definition of smart. I don’t care.

    It is my life. And I will choose how to tread it.

    If your idea of successful and smart is to eternally run behind happiness in a pattern that is set by the expectations of the community. Pity you. I am happy where I am. And I am confident of being able to find happy places throughout my life. I don’t need your free advice on what is the smartest thing to do.

    Do I sound arrogant? Well, that’s your problem to solve. Because if you feel like you have been smitten, it’s exactly you whom I intended to smite.

    You think I will learn myself? Yeah I will. I might some day come back and write entrance exams. But I won’t be writing it for you. I will be writing it for myself.

    I am in control of my life.
    Don’t try to wrestle that control away from me.

    You can try to unsettle me and shake my confidence.
    Well, thank you. But it doesn’t work on me.

    You know why?
    Because my strength lies in knowing what I am doing.

    My future is uncertain. But I’m comfortable with uncertainty.
    My ideas are abstract. But I can think in abstract.
    My philosophy is impractical. But I can make it work.
    You may be right. But dare you say I am wrong.

  • My Idea of a Perfect Electronic Medical Record System

    The COWs are coming to our hospital.

    No, not these. They’re getting more attention than they deserve.

    Our hospital might soon switch to an Electronic Medical Record system. And this will bring in Computer on Wheels, COW as they’re affectionately called in other hospitals.

    More like this

    While that makes me more happy about where I’m working, it also brings back a lot of ideas I’ve had during medical school. I have seen hard problems for humans that are pretty easy for computers to solve. I have seen processes that could be hastened by leaps and bounds if computers were involved even partially.

    The Perfect Electronic Medical Record System

    The perfect EMR does not just record what the physician or nurse puts in. It is an intelligent assistant that does some thinking of its own and comes back with suggestions and autofills for the physician or assistant.

    For example, when a child comes to you and her mother says she has fever, you start entering “fe…” and the EMR autofills fever. Next you can enter the duration from a dropdown menu. Also associated symptoms can be ticked “yes/no”. As you’re done and move to the next row, the computer automatically populates an entry – “Cough? Yes/No”. If you choose yes, it asks you for characterization.
    If at any point you’re in doubt or do not want to characterize a symptom, you can just delete the autosuggestion and move on to the next line.

    Once you are done with the symptoms and exhausted the negative history that the smart EMR suggested for you, you can enter the examination findings. Again the EMR will suggest for you the most important findings you should not forget to look for based on existing data on what the most common findings are for that particular set of complaints.

    Later, the computer will show you a list of provisional diagnoses based on the data you’ve entered about the patient, and the past set of data the computer has, and even the compendium of knowledge that it potentially has access to. You can reorder the diagnoses if you like.

    Accordingly the computer will suggest investigations and management plans with dosages calculated according to weight or dosage adjustments that are required for special conditions.

    The computer will always suggest and ask you for guidance when in doubt. You can always override the computer, but you can also take computers help in not missing important things.

    Such a system might not be useful for an expert clinician, but it will definitely help a new doctor in emergency rooms late night. Most importantly, the system makes sure that an exhaustive history taking and examination has been done. It also helps in making clinical decisions based on data and evidence.

    Impossible?

    Certainly not. I just discovered that Dr Lawrence Weed, MD has been saying this exact thing since years. He might even have developed such a system already. But EMR systems do not seem to have this kind of intelligence integrated yet.

    The accuracy of simple software powered by big data like Akinator is testimonial to the power of computers when it comes to problems like this.

    Clinical decision making is no holy grail and it will soon be heavily relying on, if not replaced by, artificial intelligence.

    Pictures courtesy pixabay.com