I have a simple rule that guides me more than any other. I don't know why this came to mind today, but now I wonder if others have such guiding rules, philosophies, or whatnot as well. Mine is:
On second thought, I do know what brought it to mind; it was a quote from Lewis Thomas, author of The Lives of a Cell, but I don't know what brought that to mind.
This seems like the application to medicine of my more general statement: most things get better by themselves, so reserve medical interventions for those few things that are not (or surely will not be) better by morning.
Most things don't matter. So save your energy for those few things that do.
----------------------On second thought, I do know what brought it to mind; it was a quote from Lewis Thomas, author of The Lives of a Cell, but I don't know what brought that to mind.
The great secret, known to internists and learned early in marriage by internists' wives, but still hidden from the general public, is that most things get better by themselves. Most things, in fact, are better by morning.
This seems like the application to medicine of my more general statement: most things get better by themselves, so reserve medical interventions for those few things that are not (or surely will not be) better by morning.