In Response

Abstract

Letters to the Editor than recharging our biological batteries. It includes meaning-and mindful psychological self-care. In the absence of a personal search for meaning as ultimate level of profound self-care, patient care likely remains an energy-consuming, thus exhausting extrinsic demand. 2 Mindfulness develops through the interplay of time and space and can be trained in any situation, no matter how simple, at the very moment at hand. 3 Such practice raises awareness that you are not your thoughts and that you are not reliant on your not-conscious behavioral "default mode networks." 4 Finally, this practice nurtures compassionate awareness of oneself and others, 4 and thereby to take benevolent responsibility for decisions and relationships alike. 5 As highlighted by Dr Ashok, the amazing adventure of leadership is not only about managing people and systems but also about practicing profound selfcare. 6 As we learn from Viktor Frankl, how we react to any external or internal stimulus is a free choice. By learning to pause upon any trigger, we learn to wait for mindfulness to set in, enabling compassion for ourselves, our patients, our teams, and our health care systems.Finally, we will be able to understand Taoist philosopher Lao Tzu, who coined the phrase: "true selfinterest teaches selflessness."

Ambulatory anesthesia: restructuring for success

“…Factors affecting patient related outcomes such as patient satisfaction are mostly dependent on nontechnical skills of the staff. Trust, reduction of anxiety [62], getting personal needs met or having a feeling of responsibility [63] and shared decision making [64,65] are key determinants if not the most important components for patient reported high quality of care [66][67][68]. While ambulatory anesthetic care represents a high stress work environment due to efficiency as a key driver of success, it is also a high-risk environment [69][70][71].…”