Guest guest Posted June 21, 2010 Report Share Posted June 21, 2010 This is both funny and intriguing and gets at what we as docs deal with all day( though my husband immediately mentioned a recenty past president) You can just picture the bank robber's second grade teacher shaking her head " I knew Bobby wasn;t going to make it " Sorry if you all read the NYT yourself.....http://opinionator.blogs.nytimes.com/2010/06/20/the-anosognosics-dilemma-1/?hp -- PATIENTS-please remember that email may not be entirely secure, and that Email is part of the medical record and is placed into your chart ( be careful what you say!)Email is best used for appointment making and brief questions Email replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org -- PATIENTS-please remember that email may not be entirely secure, and that Email is part of the medical record and is placed into your chart ( be careful what you say!)Email is best used for appointment making and brief questions Email replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2010 Report Share Posted June 21, 2010 One of the first things that popped into my mind was the fact that I once read a piece about this disorder as it might honestly relate to Bipolar Disorder and how the folks who are caught up in a bad Mania are frequently clueless to their own problem or issues even as they are getting worse and worse in behavior and the muliple problems and symptoms of their illness. But the entertaining concept of their being a certain amount of Darwin Award winning capacity (or might we say the lack their of certain critical capacities) in all of us, and some of us more than others is certainly fun food for thought. Could this lack of awareness of one's own lack of control, knowledge of knowledge, unawareness of the odds against us or the facts as they really are, be one of the better measures of intelligence or again the lack there of??? It sure made me smile today as well as refresing my memory on that other more important variant of this problem... To: < >Sent: Mon, June 21, 2010 8:12:11 AMSubject: another from the NY times This is both funny and intriguing and gets at what we as docs deal with all day( though my husband immediately mentioned a recenty past president) You can just picture the bank robber's second grade teacher shaking her head "I knew Bobby wasn;t going to make it" Sorry if you all read the NYT yourself.... . http://opinionator. blogs.nytimes. com/2010/ 06/20/the- anosognosics- dilemma-1/ ?hp -- PATIENTS-please remember that email may not be entirely secure, and that Email is part of the medical record and is placed into your chart ( be careful what you say!)Email is best used for appointment making and brief questionsEmail replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org-- PATIENTS-please remember that email may not be entirely secure, and that Email is part of the medical record and is placed into your chart ( be careful what you say!)Email is best used for appointment making and brief questionsEmail replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2010 Report Share Posted June 21, 2010 , After the mania comment, I thought for sure you were going to follow up with the depressed people are the ones aware of their own reality..... Sometimes, it's good to be a little clueless. Sharon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2010 Report Share Posted June 21, 2010 Could this lack of awareness of one's own lack of control, knowledge of knowledge, unawareness of the odds against us or the facts as they really are, be one of the better measures of intelligence or again the lack there of??? I NO.:)I t isn;t lack of control. it wasn;t lack of knowldege of the odds against us It was the idea that folks can be too incompetent to know they are incomptetnt Too imbedded in beliefs and personal ideas to have any idea that anything else could be out there.Unable to solve problems. Thinking that smearing lemon juice on your face would make you disappear from the camera to rob banks is not an evolutionary advantage. -- PATIENTS-please remember that email may not be entirely secure, and that Email is part of the medical record and is placed into your chart ( be careful what you say!)Email is best used for appointment making and brief questions Email replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2010 Report Share Posted June 21, 2010 Maybe it is an evolutionary advantage for the rest of us Just kidding! Izquierdo-Porrera MD PhDExecutive Director & Co-FounderCare for your Health, Inc --- Re: another from the NY times Date: Mon, June 21, 2010 12:14 pm To: Could this lack of awareness of one's own lack of control, knowledge of knowledge, unawareness of the odds against us or the facts as they really are, be one of the better measures of intelligence or again the lack there of??? I NO.:)I t isn;t lack of control. it wasn;t lack of knowldege of the odds against us It was the idea that folks can be too incompetent to know they are incomptetnt Too imbedded in beliefs and personal ideas to have any idea that anything else could be out there.Unable to solve problems. Thinking that smearing lemon juice on your face would make you disappear from the camera to rob banks is not an evolutionary advantage. -- PATIENTS-please remember that email may not be entirely secure, and that Email is part of the medical record and is placed into your chart ( be careful what you say!)Email is best used for appointment making and brief questions Email replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2010 Report Share Posted June 21, 2010 Sharon, You are all too right although I "forgot" about that point. It seems especially ponient in terms of the BP because after their Mania's crash, it is then that they are all too aware of their faults or misdeeds and tend to beat the heck out of themselves for all that they may have done back when they were "gone" out there somewhere.... But it just struck me... Think about this. Most BP's have a lot of trouble remembering what they did or the details of their deeds while caught up in the mania. Well, if they are not aware of something, then how can it get into STM, to eventually make it into LTM? And with racing, spinning conflicting thoughts is it any wonder that their memory from such time periods is so spotty at best? And in the reverse, because they don't remember all that has happened, it frequently is hard to get them to accept the fact that they really were "that" out of it, that out of control, and it frequently leads to the lack of sticking with treatment or accepting their own role in their own lives and personal issues. Now I want to know more about this particular region of the brain that is affected in some people. There is real scan proof of a loss of mass in certain regions of people who have had bad episodes as well as the healing and regrowth in the same regions on certain therapies mainly Lithium (good old Lithium still the gold standard in so many ways...), and Lamictal too I believe but not as sure of that one. There was supposedly one of the Atypicals too that showed this return of lost mass in the pre-frontal lobes area. It really gives substance to the concept of "clueless" and airhead, unawareness of unawareness... "Hey Rockie, Watch me pull a rabbit out of my Hat!!!" "Presto!!!!" "Two minds but a single thought....." To: < >Sent: Mon, June 21, 2010 3:08:13 PMSubject: Re: another from the NY times , After the mania comment, I thought for sure you were going to follow up with the depressed people are the ones aware of their own reality..... Sometimes, it's good to be a little clueless. Sharon 1 of 1 Photo(s) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2010 Report Share Posted June 21, 2010 But an unawareness of this needs to be re-evaluated, Ala Wile E Coyote and his contraptions is the person thinks they've got it all sussed out just fine, but in reality they don't... So no need to question, they think they are aware, when in fact they are not. Again they are blind to their own need to be more in the know or self aware. As far as they are concerned they are.... To: Sent: Mon, June 21, 2010 3:19:07 PMSubject: RE: another from the NY times Maybe it is an evolutionary advantage for the rest of us Just kidding! Izquierdo-Porrera MD PhDExecutive Director & Co-FounderCare for your Health, Inc --- Re: [Practiceimprovemen t1] another from the NY timesFrom: <jnantonucci@ gmail.com>Date: Mon, June 21, 2010 12:14 pmTo: Practiceimprovement 1yahoogroups (DOT) com On Mon, Jun 21, 2010 at 2:41 PM, Bleiweiss <hockeyref1yahoo (DOT) com> wrote: Could this lack of awareness of one's own lack of control, knowledge of knowledge, unawareness of the odds against us or the facts as they really are, be one of the better measures of intelligence or again the lack there of??? I NO.:)I t isn;t lack of control. it wasn;t lack of knowldege of the odds against us It was the idea that folks can be too incompetent to know they are incomptetnt Too imbedded in beliefs and personal ideas to have any idea that anything else could be out there.Unable to solve problems. Thinking that smearing lemon juice on your face would make you disappear from the camera to rob banks is not an evolutionary advantage. -- PATIENTS-please remember that email may not be entirely secure, and that Email is part of the medical record and is placed into your chart ( be careful what you say!)Email is best used for appointment making and brief questionsEmail replies can be expected within 24 hours-Please CALL if the matter is more urgent .. MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 How do you practice medicine? How do you earn a stress free living? Can you do both? Can the optimal technology improve the efficiency of IMPs so that PCMH and HYH lead to improved access, knowledge, and health for our patient's? What would the cost of developing the technology and knowledge base cost? What are the sources for the technology and knowledge base? Could we put together a proforma and attract VC capital to develop the systems that others could use? Anyone interested? Thanks Jean? Now for the answers!? To: < >Sent: Mon, June 21, 2010 7:12:11 AMSubject: another from the NY times This is both funny and intriguing and gets at what we as docs deal with all day( though my husband immediately mentioned a recenty past president) You can just picture the bank robber's second grade teacher shaking her head "I knew Bobby wasn;t going to make it" Sorry if you all read the NYT yourself.... . http://opinionator. blogs.nytimes. com/2010/ 06/20/the- anosognosics- dilemma-1/ ?hp -- PATIENTS-please remember that email may not be entirely secure, and that Email is part of the medical record and is placed into your chart ( be careful what you say!)Email is best used for appointment making and brief questionsEmail replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org-- PATIENTS-please remember that email may not be entirely secure, and that Email is part of the medical record and is placed into your chart ( be careful what you say!)Email is best used for appointment making and brief questionsEmail replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
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