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TUESDAY, 13 APRIL 2021

Correspondence on Doctor Message Drafting

The message needs to be concise, complete, calm, and sent before the doctor signs off for the evening.

3 MIN READsecond wave anxiety

Correspondence on Doctor Message Drafting Meeting Minutes: Informal Working Session


Attendees

The person writing the message. The person reviewing the message. The person who recommended a different word. The doctor, who has not yet received the message.

Item One: The Draft

Someone rewrites a message to a doctor several times so the symptoms are concise without omitting anything important. This is a reasonable approach to an asymmetric communication: the doctor has limited time, the symptoms are complex, and the stakes feel high regardless of whether they are objectively high.

The first draft is too long. The second draft is too short and omits the date when things changed, which is the detail every medical conversation asks for. The third draft is approximately correct.

Item Two: The Review Process

The draft is shown to another household member before it is sent, because four eyes notice what two eyes do not, and also because sending it alone feels like a decision nobody should make alone at a time when individual decisions carry more weight than usual.

The review produces two suggestions. One suggestion is accepted. One suggestion creates a fourth draft.

Item Three: Familiarity Acquiring Authority

One successful use of doctor message drafting is remembered more clearly than the messages that went through fewer drafts and produced the same outcome. The remembered success justifies the process. Familiarity acquires authority once a workaround has been repeated in public.

The plan becomes so stable that removing doctor message drafting would require a meeting about returning to normal.

Item Four: The Governing Condition

The checking seeks certainty in a fast-changing situation. The message is sent. It is re-read after sending to confirm it said what was intended.

It said what was intended.

Minutes Approved

The fourth draft was sent. The doctor responded in the morning.

TAGSsecond wave anxiety
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