Confusion becomes frustration if we observe with judgment.

 -Roger Mignosa, DO



Medicine is vast and complex. We only grasp a small amount of this world. This is well known, and it gives us a great sense of humility.  Every decision that we will make in our life is based on our limited ability to observe and understand the world. This is an indisputable fact, yet harsh judgments among people and institutions occur on a regular basis.


Historically, judgment has been a pillar of the scientific process. When people present new ideas they are often met with shame and rejection. Einstein was not immune to judgment. At the end of his life many scientists believed Einstein to be out of touch with reality. Amazingly, decades later we are only beginning to grasp that some of his theories may be correct.


There will always be unknowns in this world. Disturbingly, there will also be unknown unknowns. The unknown unknowns are the questions that we don’t even know to ask. Unknown unknowns are not on our radar.


How can we answer the questions that we don’t even know to ask?


The answer begins within us. We cannot both judge and understand something at the same time. When we judge something we place our prejudice upon it. When we judge something we compare it to how we believe it should be.


What if instead of judging something we observed it with the desire to understand?


Medicine is often a victim of ego. Within each of us there is a battle between the desire to be understood and the desire to understand. When our desire to be understood overcomes our desire to understand our ego wins and we learn nothing. The armor against ego is humility and curiosity. These virtues seed the courage that is necessary to ask questions that will likely be met with judgment.


Knowledge and truth can come from any source. It can come from academia and from kitchen table wisdom. It can come from a clinical study and from the life lessons of a mother. In order to decide if knowledge has value we must observe it without judgment. If we are to advance the culture of medicine, we must be humble, curious, courageous, and we must be kind.


What questions will you ask today?



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