The death spiral of the clerk. [Kipple]

The clerk thinks that what he says or writes is of eternal significance. It is not. People can vote with their feet. People do vote with their feet. As there are more forms of entertainment, the old models become... outmoded. Telling those who leave they are stupid, leads to you being ignored. Sure. Of course. … Continue reading The death spiral of the clerk. [Kipple]

Frustration ain’t no sin.

One of the demands that some place on clinicians is that we are always "professional". That we never use dank humour, or bad memes. That we do not get tired. That we are always polite, cheerful, and do what the patient requires, respecting their autonomy. I'm calling this bullshit. There are ethical limits. I will … Continue reading Frustration ain’t no sin.

Daily Meme War: Unite the families.

Shot. Chaser. There are many wars and many people starving. There is no people in this world that have not had periods where the four horsemen -- famine, plague, war and death -- have not reaped. But the way to help them is close to their land. Do not bring them into your land. They … Continue reading Daily Meme War: Unite the families.