EBM and CQI Article of the Week 2.5.2021

Two requests from friends:  a) a useful shared decision-making review, b) a poem.

Shared decision-making is akin to Bayesian-thinking,……we do it every day naturally in healthcare, unaware at times, often skillfully, sometimes not.  Stiggelbout et al expertly summarize a confusing literature for us (attached).  I especially appreciate their 1-2-3-4 summation,……bless their avoidance of overwrought constructs. 

#1 (a decision must be made) is the snafu/rate-limiting enzyme of SDM in emergency and intensive care, more so than acknowledged,……and manipulated by participants in various fashion.  That would be my opinion.

I agree with Arthur Schopenhauer, music should not be categorized with the other arts, it is a separate realm entirely.  Music is ante-language, pura-emotion, primal impulse,..……sorry, can’t find one word.

So, is poetry the purest art?

I have read “13 Ways of Looking at a Blackbird” many times and still cannot fathom its grip on me,…….a different stanza vaults out each time (attached).  If someone told me an enlightened Japanese Zen master wrote this poem I would say “of course she did.

Wallace Stevens was an insurance agent who lived a fairly quiet life (by today’s measure) in suburban Connecticut.  A consummate craftsman of language precision, obscure allusions and history-particulars,……..an exemplar of why some believe “Poetry is the purest art.”

Joe Kaempf, MD
District VIII Oregon Representative
Portland, OR

Volume 13, Number 5

https://pubmed.ncbi.nlm.nih.gov/26215573/

https://www.poetryfoundation.org/poems/45236/thirteen-ways-of-looking-at-a-blackbird

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