Sometimes I ignore my blog for a while on end. Mostly its because I don"t have a ton of time (one of our fellows has been out due to medical reasons, so I"ve spent the last 3 weeks on q2 call). I live my life and a lot of times I think, "I should blog about that" or "How am I going to blog about that?". Sometimes, in the interest of patient confidentiality, I put clinical stuff on the back burner, so that the time during which I blog about a clinical matter has nothing to do with the time during which the clinical encounter happened. I think a lot about patient confidentiality and my blog. It is largely (although not entirely) my desire to preserve patient confidentiality that makes me try to obscure enough details to anonymize my blog. Also, my posts about patients and clinical situations are primarily about me and how I feel about those clinical situations, they"re not really about the clinical situation at hand (unless they"re about specific research or techniques, and I have a small pile of things I"d like to blog about sometimes). Also, I change a lot of details. I deal a lot with patients having issues of perinatal loss, and I think and blog about them a lot, but I leave out most of the specifics and I change a lot of details on the specifics I leave in, so, while my writing may be true to my purpose, it isn"t, technically speaking, accurate.
Some clinical circumstances that I find myself in are sufficiently unusual (i.e. maternal mortality) that I can"t blog about it at all, because some of those things are published and it would threaten my anonymity and it would pose a threat to the confidentiality of the patient I"m posting about.
I also just wanted to say thank you to those of you who read my blog. I appreciate your reading and your comments, and I"m sorry I haven"t gotten around to updating my links yet, but I will soon.
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