"if you build it, they will come
Note: this began as a comment reply, but I dug the idea of "build it and they will come," so here's my thoughts:
Thanks for visiting! I love your blog. From the trenches, eh?
No, no, it is true--build it and they will come. I think it's some kind of corrolary to Parkinson's rule
where work grows to fill the time alloted to it.
Bear with me for a minute here, it's like this: Long ago, I stopped beig a perfectionist. I was working for a painter, cleaning up and painting repo'ed HUD homes for the state to sell. Now, it's understandable that having your house repo'ed is not an incentive to keep it sparkling clean. But this house was a ****hole; there was a dead bird in one of the cabinets, and the grease was 2 inches thick on the kitchen floor. I started scrubbing the kitchen floor. 2 hours later, I had reduced about 1/4 of the grime coving the floor to a fine mist that was insidiously making me insane. My boss comes over, and says, "What the hell? This should take 1/2 hour, not 10! Stop being such a perfectionist, you'll never get anything done."
I realized then that "good enough" was a worthwhile goal to strive for, and now I'm realizing that it's very important in medicine. In a small and busy ER, the idea is, get them stabilized, and get them wherever the hell they're going, NOW! But in a slightly larger ER, it's "well, we're not that socked in, so I can get that CT that would make the diagnosis a slam dunk." Yes? Makes sense, yes? Is good?