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"Getting the patient's full agenda early in the visit, before attending to the doctor's agenda, may reduce the risk of last-minute questions. " “Wring out the towel” by asking several times for other agenda items.
Promptly and empathically respond to any such expression with a method called NURS. If the patient doesn't demonstrate an emotion or volunteer a feeling, ask “How are you dealing with this?” or “How does this make you feel?”
They may attribute medical complaints to an irrelevant issue or a medication. It is extremely important to grasp the patient's own understanding to address issues appropriately. Respect the patient's opinion and reassure that she has been heard (even if you do not fully agree).
Summarizing your history and examination findings may provide an opportunity for the patient to amend or volunteer more information. Explain the diagnosis and plan of care.
Be straightforward even if the patient is not doing well. Be sure to ask the patient if he or she is ready for the discussion, though.
Ask if the patient wants a family member to be present for the discussion or the information to be shared with any family members.
Assure the patient that the information will be conveyed to the primary care physician
Would you mind telling me what you understand about the diagnosis and plan of care? I just want to ensure that both of us are on the same page.”
“Mr. Jones, if your wife asks you ‘What did the doc say?’, what are you going to tell her?”
Provide the patient with the opportunity to ask more questions.
Say goodbye and walk slowly while leaving the room.
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"When a teacher can't see why a student is stuck, or when an interface designer dismisses the 12% of the users who can't find the 'off' switch... we're seeing a failure of empathy, not a flaw in the user base."
persistent effort to understand how other people see the world, and to care about it.
purpose of the story isn't to describe psychopathy, but to entertain a demographic that has nothing else to do on Sundays now that Desperate Housewives has been canceled.
when it's suggested by a deranged Manhattanite with no understanding of who "they" is, but everyone gets all Founding Fathers when George Bush tries it. "What gives him the right?!" Duh, you did.
lets you know it only happens to certain kinds of other people, your patronizing condescension is encouraged. "It is terrible, isn't it, but I guess it's true that other people are different from me."
I will observe that no one feels bad for Michael even though this is supposed to be genetic= "not your fault" and he hasn't actually hurt anyone, which is precisely the kind of psychopathic prejudice I expect from the NYT and its deranged readers.
The kid is nine. You derangetons are 40 and still shamelessly retain the fantasy that your decaying mind and body will someday pull something off, meanwhile you're wrapping up shooting on his movie before puberty even hits.
one of the most significant causes of psychopathy is being told, at age 9, that you are a psychopath, and that the New York Times Magazine wants to do a ten page story about you.
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" Neither ascetic deprivation nor withdrawal from productive activity is necessary for leading an Ethical Life. Oppressive injunctions such as these which religions are replete with, all too obviously hinder rather than help the realization of human potential."
Marriage as a human institution of civil union must be one which any pair of mutually consenting adults has the freedom to solemnize without needing approval from or facing persecution from any religious authority enforcing its own writ upon this fundamentally private communion.
Great caution and prudence ought to be exercised while entering contractual obligations and unilateral commitments without taking all stakeholders into confidence must be eschewed. For any kind of leader, a corporate or a Head of State, assuming the consent of the team before briefing them of risks amounts to a breach of trust and abuse of power.
Obligations towards one’s parents are matters best left to the conscience of the persons concerned and not topics of jurisprudence.
Persons in a leadership role are not always entitled to the luxury of doctrinaire posturing at the cost of pragmatic decision-making, especially when the imperative of welfare of the very people whose trust vests the powers in the leader dictates otherwise.
Declining political office that comes one’s way in the fitness of things, is an act that is often glorified with de facto sainthood, when all that this decision maybe is a heeding of the dictates of prudence based on a reading of the public mood. Conferring sainthood upon political renouncers in a modern democracy is fraught with the risk of creating an unaccountable, extra-constitutional power center.
The traditional marital setting where one spouse lives in a state of financial dependence on the other for their every need, is anachronistic in contemporary societies, where every individual should be entitled to pursue their aspirations as professionals, consumers and citizens in a personal capacity irrespective of their marital status.
In much human communication there is difficult tradeoff between frankness and mindfulness to the sensibilities of others, and it seems unconvincing that readings of epics are sufficient to cultivate such prudence.[sita to lakshmana's objection to follow the cry]
Crimes against women occur most in a society that tacitly through a conspiracy of silence and winks allows the conditions for such crimes to thrive, by encouraging opportunity denial, commoditization and perpetuation of exploitative institutions.
Centuries of banishment and exclusion are not magically undone overnight by carefully orchestrated visits by high-profile politicians to dwellings of the underprivileged in a media blitz of the ‘politics of inclusion’.
Servility and obsequiousness to uphold and flaunt a fetishized modesty hinder professional accomplishment in the workplace in all sectors and have the risk of creating personality cults sustained by sycophancy.
Dignifying opportunistic alliances in the shadow of which connivance is facilitated thanks to diluted responsibility and plausible deniability, remains the refuge of a political class which remains indifferent to much wrongdoing in the name of ‘coalition dharma’.
Subjecting military personnel under his or her command to additional avoidable combat risks by withholding, in deference to ‘international opinion’, options that could have concluded the mission, remains a tough call and a major occupational hazard for any Commander in Chief.
Obligations of marital fidelity rest equally on both the spouses and they are entitled to a withdrawal of such obligation with mutual consent, without either spouse being entitled to unilaterally ‘issue punishment’ as it were, on grounds of unmet obligation.
"Lakshmana remains the voice of reason. His reasoned arguments suggesting to Rama not to pursue an apparent illusion, or to Sita to not get worked up over what he felt was a mischievous ploy, all fell on deaf ears. Up to this point in the story, Rama gives the impression of having a strong grasp over what is right and wrong, and comes off as being anything but rash. Yet, during this crucial situation, the crisis of the story, he makes the mistakes of a rookie hero."
That Rama got involved in a fair fight and blindsided Vali and killed him was an act uncalled for and showcases his moral and ethical grey areas. Here was a man, who was clearly thinking only of his ends and needs, those being the help he needed to regain his wife.
in putting her to the test, wasn’t Rama undermining his wife and hurting her pride?
One would expect that her passing the test of fire with flying colors would have been sufficient validation of her chastity. One would also expect the noble king to not be swayed by mere public opinion when he knew the truth of the matter. Yet here we see a man still seeking the approval of the world which clouds his judgment and makes him err in his ruling.
it is true that it does demonstrate the unsustainability of the varna system, it also surfaces the dangers of moral absolutism. Surely, for a person hailed to be the best judge of morality, he could have easily reversed this doctrine. He had the authority to dictate whats right and wrong and presumably the understanding as well, yet he was once again a victim of societal pressure. A wise ruler would be expected to change the law to keep in tune with the moral relativism and value the life of a human being greater than that of a harsh doctrine.
The basis of faith is in the infallibility in one’s deity and any attempts to question the actions of the deity amounts to blasphemy.
"Science isn't easy to understand. And yet millions of school kids understand it. Because an effort has been made to teach them. Ancient India was pretty rich. Setting up schools where kids of all people are taught a variety of subjects couldn't have been that difficult. But in reality, education was hereditary. "
governments basically do three things: "Medicate, educate and incarcerate."
"When we shrink investments in higher education and research, "we shoot ourselves in both feet," remarked K.R. Sridhar, founder of Bloom Energy, the Silicon Valley fuel-cell company. "Our people become less skilled, so you are shooting yourself in one foot. And the smartest people from around the world have less reason to come here for the quality education, so you are shooting yourself in the other foot." " I can lose weight quickly if I cut off both arms, but it will surely reduce my job prospects.
"Empowering the individual and underinvesting in the collective is our great macro danger as a society," said the pollster Craig Charney. Indeed, it is. Investment in our collective institutions and opportunities is the only way to mitigate the staggering income inequalities that can arise from a world where Facebook employees can become billionaires overnight, while the universities that produce them are asked to slash billions overnight. As I've said, nations that don't invest in the future tend not to do well there.
To win today you need a culture and an environment where the unreasonable power of creativity thrives. Ideas are today’s currency not strategy. Being a Chief EXCITEMENT Officer would be better, don’t you think? The role of a good CEO is to get people to buy into their dreams and their company’s dreams
Get lots of small ideas out there and then let the people you INTERACT with FEED those ideas and they will make it big.
rational thinking leads to conclusions and meetings and more meetings. Emotional thinking leads to action.”“There are three secrets to emotional thinking – MYSTIC STORIES, EMPATHY and INTIMACY.
Speed and velocity is everything today. Marketing’s jobs is to create movement and INSPIRE people to join you.
"strategy is dead, the big idea is dead, management is dead and marketing, as we know, is also dead."
chance of making at least one or two fewer mistakes than the previous generation in the time that remains.
"These sectarian divisions have prevented national leaders from emerging - and no Arab Nelson Mandela or Martin Luther King Jr. has been able to rise above them to heal the rifts. Without such leaders there is too little trust in the room to do big, hard things together, and everything that these Arab societies need to do today is big and hard and can only be done together. Who will tell the people that Arab societies have no time anymore to be consumed by these sectarian divisions, which just drive everyone into their own ghettos or out of the region altogether?
The Arab world has steadily been losing its diversity, "and without diversity there is no tolerance," And without diversity, new ideas are harder to spark. "
Education reformers will tell you that three consecutive years of a bad teacher can hobble students for years, while just one year of a highly effective teacher can catch them up or vault them ahead. The same is true of leaders.
Unless the rich and poor encounter one another in everyday life, it is hard to think of ourselves as engaged in a common project. At a time when to fix our society we need to do big, hard things together, the marketization of public life becomes one more thing pulling us apart.
“Democracy does not require perfect equality,” he concludes, “but it does require that citizens share in a common life. ... For this is how we learn to negotiate and abide our differences, and how we come to care for the common good.”
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