Dr. Hill just called to let me know my labs, while still not perfect, are moving in the correct direction. My platelets were 30 too low last check, now they are 15 too low so--progress. We're going to recheck in 10 to 14 days and hopefully they'll be all back to normal.
I had an interesting experience at the POLST training session yesterday that I wanted to get your opinions on. We were role playing and a pretend patient asked me how likely it was that I would not be able to get his symptoms under control at the nursing home he lived at, how likely it would be that he would have to transfer to a hospital for symptom control. I told him that I had only had one patient in the ten years that I worked there who had had that problem. Afterwards, he told me that that method of expressing a very low probability (which is what I was trying to do) was actually anxiety provoking and that I should find a different way. I thought that was interesting because I have used that method a lot and have not noticed anyone seeming to be made more anxious by it. What do you think?
We also talked a little bit about the studies that have shown people have a harder time understanding 5% than "1 in 20." People who study these things say that your average person gets what 1 patient of every 20 means better than they understand 5% and that it is not obvious to many (most?) that they are the same. For this reason, people recommend that you give numbers as proportions rather than percents. For events that are much less than 1%, it seems that saying "one tenth of one percent" or even "one in one thousand" are hard to wrap your head around. My "happened once in ten years" was an attempt to say essentially, "it happens, but is pretty rare." How else could I say that?
Otherwise, today was a fairly normal day. I was not as tired from eight hours of education yesterday as I feared I might be, but I felt not quite 100% today. Sorry, I felt not quite 1 in 1. I felt more like 4 people out of 5 people. (as long as all five were silly)
For me, for tomorrow, I will hope for back to normal energy. For you, I will hope for the energy to do what you want to.