Author Archives: Brandon

I would love to read the last chapter of my life.

I am in the midst of orientation and training for a new professional role.  Over the years, I’ve used nearly ever cliche phrase associated with the start of something new: Beginning a new journey.  Typically, when setting out on a … Continue reading

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Eulogy. Marilyn Miceli Roger.

My mother, Marilyn Miceli Roger, died in March, 2012.  Our family shared our thoughts as part of her eulogy and memorial service. We each have a part of the day that we own.  For mom, it was late night.  Dad … Continue reading

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Just a thought

Just a thought….”The voyage of discovery is not in seeking new landscapes but in having new eyes.”  (Marcel Proust)

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I can’t believe I live in Indiana!

It was the best of times.  It was the worse of times in Indiana during the last couple of weeks.   The events of the last two weeks demonstrate what can be done when the big, hairy, audacious goal is the … Continue reading

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There is no procedure code for real emotion

DSM IV Code – 296.  296 is the DSM-IV code for Major Depressive Disorder. ICD-9 Procedure Code – 300.4 – Depression with anxiety. A young woman – 16 years old, that we know was found in her bedroom by her … Continue reading

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Be careful what you wish for: Is there a doctor in the house…anywhere?

The Association of American Medical Colleges recently released a statement that by 2015, there is a predicted shortfall of physician supply in the United State of 62,900 physicians.  Deemed a “critical shortfall” by the authors(1), the shortfall includes primary care … Continue reading

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Hope is not a plan; but, you can plan to hope.

But, you can plan to hope. Toward the end of the calendar or fiscal year, the phrase “hope is not a plan” echoes through conference rooms, hallways, offices, and performance review sessions.  In a world of data, analytics, predictive models, … Continue reading

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I dont know….I always felt reponsible?

It has exceptionally rare to meet a healthcare professional who didn’t feel responsible – or accountable, for their patient.  Passage of the healthcare reform act has moved the phrase “accountability” to the forefront; the Accountable Care Act final regulations from … Continue reading

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Dear Che. Your death at fourteen carries with it no rationale explanation.

Dear Che, Your death at fourteen carries with it no rationale explanation.  The journey you have been on the last few years with cancer prematurely moved the boy into a man; making decisions decision that belies the burgeoning physical change … Continue reading

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Innovation. Convergence. Data Transparency.

Innovation.   Convergence.  Data Transparency. Two articles caught my eye in the last couple of days.  One from the Washington Postand the other from a blog posting.  The first dealt with the need for data transparency and the second with convergence.  … Continue reading

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