Ganesh Asaithambi, MD, MBA
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Tech
I will never forget the look on his face. He wasn't frightened. He wasn't uncertain. He came into the hospital the way people used to come into courtrooms: with evidence already assembled, a verdict already reached, and very little interest…
I will never forget the look on his face. He wasn’t frightened. He wasn’t uncertain. He came into the hospital the way people used to come into courtrooms: with evidence already assembled, a verdict already reached, and very little interest in hearing otherwise. He had consulted an AI program before arriving, which had given him a diagnosis. He had read it, believed it, and arrived not as a patient seeking …
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When the AI diagnosis arrives before the patient does
Conditions
During the first months of COVID-19, the threat was unmistakable. Hospitals were stretched to capacity. ICU beds were made wherever space could be found. Frontline staff worked on adrenaline, obligation, and the unspoken recognition that at any second the whole…
During the first months of COVID-19, the threat was unmistakable. Hospitals were stretched to capacity. ICU beds were made wherever space could be found. Frontline staff worked on adrenaline, obligation, and the unspoken recognition that at any second the whole thing could collapse. It was defined by volume that was relentless, tangible, and measurable. But the crisis today is different. It is much quieter. It does not announce itself with …
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The quiet hospital financial crisis threatening health care
Physicians
If you have watched Stranger Things, you know the premise: A quiet town appears functional on the surface while a darker, parallel world creeps into everyday life, or the Upside Down. The true danger is not just the monsters but…
If you have watched Stranger Things, you know the premise: A quiet town appears functional on the surface while a darker, parallel world creeps into everyday life, or the Upside Down. The true danger is not just the monsters but also the refusal of adults in power to believe what is directly in front of them. Modern health care is living in its own Upside Down.
The metric trap
In my practice, …
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Health care’s Upside Down: Addressing systemic dysfunction and burnout
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