You and I probably have a different definition for the word “care.”

For me, care is not an attitude.

It’s not an intention.

It’s not even measure in time of effort.

For me, care is a result, not a plan. I can tell what I care about ~only in review~. 1/10
The things I care about, I change. 2/10
I can tell what I care about by looking back at the things I did. Successfully altered. Nurtured to fruition.

It doesn’t matter what I thought. It doesn’t matter what I said. It doesn’t matter what I planned to do.

Unless I did it, I didn’t care. 3/10
I care about my garden. I started seed in the winter. I planted them in the spring. Some didn’t sprout and others didn’t live but I had a plan and did the work and I have some peppers and pumpkins in the garden.

I review my garden and I can say “I care about it.” 4/10
I set the bar very high for myself for caring. Not just rubber hits the road but trip completed. 5/10
I don’t care about global warming by my own standard.

I see the problem, I have searched for ways to slow the warming of the earth. I ride my bike to work. I drive 7500 miles a year.

But I’ve had no effect on the Earth’s temperature. I don’t care enough to change things. 6/10
One room away my wife the construction lawyer is arguing with someone. She works for a company that has build <<< 10’s of thousands >>> of wind turbines around the world.

Probably enough to reduce change global warming by 0.000001°C.

My wife cares about global warming. 7/10
One of my 4 daughters is a poor communicator. If I don’t reach out I will never hear from her. Our relationship is not deep and rich, but what we have we have because of my intention, planning and effort.

Therefore, I care about my daughter. 8/10
You might say I could care about her and just never text or call. Never reach out at all.

I could tell everyone “I care about my daughter but it’s too hard to always be reaching out.”

To me, this is dishonest. I would have to say “I don’t care about my daughter.” 9/10
I don’t recommend my definition. It’s brutal. I am sometimes very unpopular when I say “I don’t care if some people don’t get vaccinated.”

I’m honest though. Unless I am driving a van around vaccinating strangers, I don’t care. I don’t care enough to do the actual work. 10/10
It’s not all pain though. There is some relief too.

I don’t have to allocate time every week to think and worry about stuff that I’m never going to get off my ass and do anything about. 11/10
So I can use the time I save to actually DO SOMETHING about the stuff I ACTUALLY CARE ABOUT. 12/10
What about new projects? Do I not care until I get results?

Yes. Starting projects is not caring. FINISHING projects is caring. 13/10
In case you aren’t convinced, look at these words I have written here.

I thought they were important to me and maybe helpful to you.

I planned to write them, then I wrote them when I could have been doing something else.

I may fail to convince you, but I care about you.
(I mean not a ton. Don’t make it weird. But I like you enough to spend some time tapping the screen of my cellphone.]

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More from @medicalaxioms

21 Sep
Like most doctors of my vintage, I was taught to be two doctors.

Doctor One was for innocent victims of their disease. Good, respectable people who took their medicine and had a ride home at discharge. 1/20
Doctor One was textbook perfect. He took everyone at their word. Two beers a week meant 2/wk. Complaints of pain were taken at face value and met with concern and treatment. Intentions were never questioned. Extra time was given. 2/20
Doctor Two was for bad people. These patients had made themselves sick with character flaws and bad judgment. This doctor was a skeptic and doubted ever word. 2 beers per week meant 6 per day. “Pain” meant “drug seeking.” Visits were quick. And painful. 3/20
Read 20 tweets
20 Sep
When I hear about people who are not vaccinated against COVID,
Personally, I reserve hatred for people I know.

It’s too much energy to expend on a stranger.
“Between these two reactions lies the “neutral” box. Here we place the experiences that are neither good nor bad. They are tepid, neutral, uninteresting.” 1/3
Read 5 tweets
20 Sep
If you set your mind to it, and you really want to hate your job and the patients you care for, you can blame almost every patient who comes in the hospital for making your day worse by making you work hard to take care of them. 1/10
If you want to get burned out and quit in disgust, look hard for patients who
- don’t take their medicines
- make bad life choices
- engage in high risk behaviors
- don’t invest the time and effort to exercise
- take dangerous jobs
- run with dangerous crowds 2/
If you want to be sad and hurt at the end of the day, think of all the hard work you put into people who “won’t put the work into caring for themselves.” 3/
Read 20 tweets
19 Sep
If you are burned out, tired, angry or exhausted I want to help you.

I’d like to help you suffer less.

Let me offer you a suggestion that works for me. 1/15
You need to match your sphere of concern to your sphere of influence. 2/15
You need to match your responsibility to your agency. 3/15
Read 15 tweets
17 Sep
This is what it looks like to me when people say “masks are good” or “kids need to wear masks at school.” 1/10
The answer to both questions depend on a lot of factors.

- What water/mask are we talking about?
- What’s the alternative?
- What else do you have to drink/what else can you do to mitigate your risks?
- How thirsty/immunocompromised are you? 2/10
If the choices are wear a cloth mask that doesn’t work into a crowded indoor space or avoid the space altogether, I’d skip the crowd. 3/10
Read 10 tweets
17 Sep
Do N95s protect the wearer from COVID?
Do paper surgical masks protect the wearer from COVID?
Do woven cloth masks protect the wearer from COVID?
Read 4 tweets

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