“A Quarterly
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one might as well set sail as it is tide
and no matter wind is up and no matter for that
but sun and spray or eventide and starspray
and the moonwrack given in the lighted cabin
I live in an era in which people take photographs of puddles. Do you realize how sensitive and profound is my era? And what have I done for it? How, Muse of Dialectical Abruptions, have I come to not catalogue it? Depressed llamas court all over the plain. You and I shop for jeans, while Mila, our bronzed compatriot, Traces the footsteps
Since the establishment of the Patient-Centered Outcomes Research Institute, shared decision- making (SDM) has been receiving increasing research attention. SDM has been heralded as a framework to improve care and reduce overuse by engaging patients and improving transparency. This essay identifies and describes a gap in the SDM conceptual framework. Refining the current SDM conceptual framework to better address the management of uncertainty has the potential to improve the patient experience while simultaneously helping to repair some of the greatest problems with the current American healthcare delivery model.
Not yet bent by
gravity, the idle foul lines
First memories are moving targets—
what the four-year old recalls,
the ten-year-old may have forgotten. {Con't.}
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