Word: anna
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...most influential work, “The Strategy of Conflict.” “As a probable economics major, it was really interesting for me to get a feel of the application of economics in the realm of political processes,” said observer Anna Y. Zhang ’10. “I’m really curious about game theory now. I can’t wait to read Schelling’s books...
...thank you" said Anna. A chiropractor and an acupuncturist have not helped. Her medical doctor put her on a diet and she did feel good about losing some weight - but the pains continued. She even went to a famous back doctor in the city who told her the problem was actually in her head; not surprisingly, this information also failed to relieve the pain. And so she finally made it to the "most famous orthopedic surgeon" - in my house at dinnertime anyway - trembling with the expectation of my bold new treatment plan and a rapid cure...
...today I am the "best doctor" for Anna and her family, so we go through her long and detailed history, her unremarkable physical exam, all her films and reports. I don't really disagree with anything the other doctors have had to say about her and there's been no major screw-up in her treatment. I am amazed at how little Anna (and her family) actually understand about what's wrong with her though. We spend a long time discussing arthritis, stenosis and pain. The only addition I can make to her treatment is a basic explanation...
...Nobody much wants to be Anna's doctor. Her problem is not readily solved - at least in the way she would like it to be. She has the usual (bad) insurance which doesn't pay enough to cover expenses for the time it actually takes to educate and satisfy her. She has therefore been to at least six other doctors without learning what's wrong with her; she still thought the problem was in her legs. The "bend your back" advice must have been given to her by at least a few of the other docs...
...unhappy about marketing forces shaping the world of medicine - a world which for most of us, at least in some part, is truly as sacrosanct as the life and health it aims to protect. Anna's case is an example of the new medical entity called "patient driven medicine." Patient driven essentially means it doesn't matter what we do or say to patients as long as they feel satisfied by their interaction with us. When the problem is complex and the best treatment mediocre, it's far more profitable to smile, cajole and refer on to the next...