Where perfection is the only acceptable goal.

4OurElders' key Takeaways  (with some personal commentary thereon in bold) from the recent book Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care by Marty Makary, MD (Highly Recommended) (Dr. Makarty also is the author of a chilling feature article in the September 24, 2012 issue of Newsweek entitled Hospitals Can Kill You (also has appeared in The Wall Street Journal); and he has a website at www.TransparentHeathcare.org).

 

Well, the subtitle could be a clue—a takeoff on Henny Youngman’s famous line “take my wife...please!”; this book is not for the faint of heart.  A perusal of the table of contents—Chapters like “If It Isn’t Ten Things-It’s Twenty,” “Honey I Blew Up the House,” “Jacqueline, You Ignorant Slut,” “In A Oh-My-Goddadivida, Honey”  and “To Be Demented or Deceptive?  That Was the Question” provide no clue about the serious nature of the book and the invaluable contribution it makes for so many people caring as best they can for their spouses, parents or other loved ones suffering from dementia.  Despite the numbers and trends and despite the fact that so many of these relationships, like Ms. Marcell’s, have difficult family pasts,  there are only a handful of relatively good books written on the subject by those actually on the front line of the struggle with dementia.   This is a worthy contribution to the subject and we highly recommend this book, particularly for anyone dealing with a loved one with dementia.

4OurElders' Takeaways From Another Recent Read-The Power of Habit: Why We Do What We Do in Life and Business by Charles Duhigg

The Habit Loop-Starts with a "cue," followed by a "routine" that is propelled by a craving for the "reward" it receives, which loops back so that the same cue will trigger over time the same actions/routines. (Compare Covey's definition of a habit in his seminal book The Seven Habits of Highly Effective People-the intersection of What To Do with Want To Do and How To Do something).

4Our Elders'  Specific Takeaways from a "Recent Read"-What Got You Here Won't Get You There by Marshall Goldsmith with Mark Reiter

*The authors are NOT trying to fix flawed skills, flawed intelligence or flawed but unchangeable personality traits-instead they focus on "challenges in interpersonal behavior, often leadership behavior." And they conclude that the higher you go and the more important things you do, the more the problems that hold us back are behavioral and often CAN be fixed with lots of work. Of course, this work must be preceded by a recognition of the flaw and a willingness to invest the effort to change it.

Monday Mornings—Sanjay Gupta (CNN Chief Medical Correspondent)
• Look at, study and learn from your mistakes and then move on
• Beware of the “smartest guy(s) in the room”
• “Lone Wolves” are dangerous for everyone in healthcare
• Arrogance precedes every fall
• Watch out for those who always want to blame something or someone else
• Bad outcomes always have a reason—find it or wait to repeat it
• Don’t always be in a hurry—Pace Yourself
• Not everything is funny (humor is too often used in healthcare to avoid or hide the “hard stuff”
• We CANNOT do the BIG Things until we can do the small things PERFECTLY
• NOTHING should EVER be left undone when someone’s happiness, health, safety, and life itself are under your control—there is no greater point in life with greater responsibility
Coming soon—The Art of Being Unreasonable by Eli Broad, What Got You Here Won’t Get You There by Marshall Goldsmith with Mark Reiter and the Power of Habit by Charles Duhigg

4OurElders ...where perfection is the only acceptable goal

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