Hughesair (Inflection Point)

Retired physician and air taxi operator, science writer and part time assistant professor, these editorials cover a wide range of topics. Mostly non political, mostly true, I write more from a lifetime of experience and from research, more science than convention. Subjects cover medicine, Alaska aviation, economics, technology and an occasional book review. Globalization or Democracy documents the historical roots of Oligarchy, the road to colonialism and tyranny

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Location: Homer, Alaska, United States

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Thursday, January 05, 2023

Treatment Guidelines

 “There are more things on heaven and earth, Horatio, than are dreamt of in your philosophy.”

       The new medical student might learn that clinical judgment demands the physician as a scientist, to look far beyond the guidelines, algorithms, or demands of a medical bureaucracy. Start with diagnosis and the onion. Peal away the layers. Know that multiple problems often conflict with protocols. 


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