It Has Been A While

I appreciate the concern about my welfare, especially since it's been nearly a month.

I could tell you about my current company's soap opera, but I would rather maintain my anonymity for the time being... The hostility between administration and the physician staff was greater than I originally thought and some mis-steps are pretty much inevitable under the circumstances. Organizations don't become dysfunctional without a long history of mis-steps, reactions, conflagrations and anxieties that the same cycle is being played out.

This kind of thing takes a long time to fix. Moreover, writing an anonymous blog can become a liability. In the past, I maintained anonymity so I can be a little more blunt, controversial and entertaining in my writing. Fact is, I have said things I would groan to have to defend over wine and cheese. The positions are defensible in my opinion, but were written with the intention of provoking discussion and attracting attention.

Right now, the last thing I need is more attention. There is a lot acrimony, hostile press and plenty of reason for someone to mis-characterize my intentions. Machiavelli is not dead, contrary to rumor. I have floated the idea of starting a new blog, under my own name, or one jointly written by various members of the management team.

Paul Levy at BIDMC has successfully utilized new media as a means to get important messages into the public eye. If one believes in transparency, an open blog is a great way to put your money where your mouth is.

The dust has not yet settled back here -- and let me tell you, it is really dusty in the desert. I've been too busy to write, too stressed to think and too unstable to consider events as they relate to my readers' interests.

Thanks for following this blog, thanks for thinking about me, thanks for your prayers (I need them) and stay tuned. I will share more when I can...