Just because technology

helps us solve a “problem,”

does not mean it was a

problem in the first place.

Fortune 100 CEO’s used their gut feeling as much as complex Data Analytics

----- meditation encourages divergent thinking (coming up with the greatest number of possible solutions to a problem), a key component of creativity

“ -------clearly shows that emotional intelligence is the sine qua non of leadership. Without it, a person can have the best training in the world, an incisive, analytical mind, and an endless supply of smart ideas, but he still won’t make a great leader -----”.

The Empathising Clinician

Communicate, communicate, communicate

Clinical judgement &

Wisdom

No intervention,

Delayed / Less aggressive

Intervention

Treat the family, treat

the individual with the Sol,

not the SoL or the image

2008 2016Hearing preserved

6/1998 VA VF

Illustration of Clinical Judgement

Wisdom

Primum non

nocerum

Giant Cerebral AVM partial SRS in 7/99. 2nd stage in 2001. Followed up June 2016 still has giant residual AVM – only occasional headache - Paracetamol –Excellent QoL resist temptation to use Technology for management

1999 1999

2016 2016 2016

Do we want to know if our unborn children will develop Alzheimer’s @ 70

Insurance discrimination ? Is ST too much of a good thing

Don’t trouble trouble, until trouble troubles you - still an option ?

Where is the patient and this was in a NNICU in 2012

Essay Sequence Template

We are in a stage of Transition

What is normal (biological parameters, images) 70 to 100 y unknown

Diagnostic technology so advanced outliers picked up

Management decisions should emphasise CLINICAL, CLINICAL

natural history

Not use a Bell Curve used for younger previous generations

Technology for Healthcare , a means to achieve an end, not

an end by itself

Technology should not go in search of an Application

The Ideal Clinician in 2020

The Future of Health Care – A Big Thank You from the Unborn

Balance Good & Evil not get rid of all evils - Evil required to do Good

Management plan customised, factoring History, Geography, socio economic status, natural history vis a vis different interventions and clinician competence

EBM, Algorithms, Flow Charts, Protocols, SoP, Big Data Analytics, access to Dr Watson gives suggestions – to be used by an empathising clinician who alone should take the final call - EQ programmed in AI, can never ever substitute the God given Limbic System

The Yunkap Kwankams of the future while necessary, cannot, should not and will not replace the Ganapathys trained primarily as clinicians with some exposure to technology

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