I think it is now established that the only way to meaningfully achieve anything new or novel, at scale, is through networks. One person going it alone, battling away at whatever is not enough to change the world or create a movement; equally, although there are some very bright, creative people out there, the onlyContinue reading “What makes networks work?”
Monthly Archives: July 2017
Planet
I just read Planet of the Apes By Pierre Boulle, Written in 1963 originally as La Planete des Singes And released in ‘73 as the movie with Charlton Heston (Now deceased, gun lobbyist). I had read it many years ago And returned to the novel After my recent confusion over the War for theContinue reading “Planet”
99 +
Today, I met an old lady. To say old Is no exaggeration she is one year off 100. She was lying in bed, in blue and white hospital gown, crumpled, her skin soft, fingers delicate – shaped into a century-old pattern. She struggled to hear or perhaps better Understand What I was saying.Continue reading “99 +”
Teach thy tongue to say I do not know.
Ignorance is not bliss.
Pillars of the Earth
This book was a gift six or seven years ago. Given to me by someone Insightful and Wise who cared & saw through the tangles of organisational politics. For, the book is about monks vying with abbots who are battling with bishops in a hierarchical mess within the church. All taking placeContinue reading “Pillars of the Earth”
System
Every system is perfectly designed to achieve the results it gets/ So, said Deming. Or, it might not have been him, but some other American. The recipe: Take a group of likeminded people, same visions values personalities & likes & avoid – diversity at all cost; those who disagree are not likemindedContinue reading “System”
Suffering
We suffer more in the imagination than in reality So, says Seneca. This was perhaps, a premonition of Mindfulness. It is the mind which leads to our suffering, Not the world. The world is our idea, our construct our creation. We make-up what we feel and see and hear; Slaves toContinue reading “Suffering”
Forest
Manoeuvring at speed, through a forest of at times sweaty or overwhelmingly pungent people. It is the Kiddush. The serving of ceremonial wine, diluted orange and kichels after The Saturday service, before heading home, Up Church Road, for lunch, which is invariably chicken soup and roast chicken and oftentimes Lokshen Kugel – theContinue reading “Forest”
A bit about Buurtzorg
Originally posted on Dr Rod’s Odd Blog (almondemotion):
I spent yesterday with Madelon and Lies, two nurses working for (with?) Buurtzorg. This is a Dutch home-care organisation that is hoping to spread internationally in coming years. I’ll start by explaining for those of you who haven’t heard about Buurtzorg – what it is and,…
Length of Stay
Humans tend to be as unsophisticated in their analyses of systems as the systems themselves are complex.
Here is the place
Here is the place we set-off. Feral pack Looking for adventure along the dirt track which in rain would become red mud; Past the orchards and strawberry fields That are a story for another day. Right, then left past the thistles and rusting fence, dried-out & dusty along the path. We find aContinue reading “Here is the place”
My old headmaster Moshe
Moshe Ganz, sweeping the leaves, or ankle-high in flood-water, with Kippah hanging from thinning hair. Wry smile, Ginger moustache and freckles. On Fridays and other occasions he would get-out his accordion and play Klezmer. I remember his expression – ‘yofi’ and punch on the shoulder. All these, components of leadership, broughtContinue reading “My old headmaster Moshe”
Why I’ve been so upset (& dumplings)
Who have slipped from, Jean in the corner, retired postmistress from Fife, to bed 12;
Nemo (Wannahockaloogie)
It is a manifestation of all that it is to be a doctor or nurse or clinician.
It is the interaction, the therapeutic fix.
My fish, what do they know, beyond bubbles and algae?
Values
Thank you, Wendy for the comment to yesterday’s blog. You mentioned the close-shave in my awakening to the values. And, you are one hundred per cent correct. If the values are at odds, you can’t go anywhere. It is ironic, for within the NHS, values are so pivotal to everything that happens – the goodContinue reading “Values”
Dad, did you get the job?
No. It didn’t work-out again. I only had to wait three days to learn that the appointment was not mine. I am sure I could have been made to hang-on longer. But no; Monday until, today (Weds). And, The other guy got the job. Did better in the interview; Maintained his calm under fire. UnlikeContinue reading “Dad, did you get the job?”
Working 9 to 5
I just popped downstairs – my phone was ringing (Acker Bilk, 1030, Saturday evening). It was the ward. One of my patients had unexpectedly become unwell. I felt touched and relieved that the on-call doctor felt comfortable ringing me, out of hours. This is one of the hardest things to square-away when working as aContinue reading “Working 9 to 5”
Dentures, specs & hearing aids
Originally posted on Dr Rod’s Odd Blog (almondemotion):
Amongst the piles of lost-and-found that accumulate in wards, care homes, clinics and hospital laundries across the UK, surely the missing dentures, spectacles and hearing aids point to something wrong with the way care is operating. ‘I’m fine, thank you,’ smiles Mary. ‘Do you know where…
Safe, comical moment.
& This is how you do it… Think of something odd; most unlikely combination – Whether too tiny to perceive or beyond our imaginings. Something unpredictable chimerial Shimmering; Iridescent; Glowing. Pixels collapsing down the screen odd gesture whether hand-holding or reassurance by other means Human mixing with the mechanical, translated intoContinue reading “Safe, comical moment.”
Person-Centred Care – Why? Why not?
The technical is finite, the person, their wishes, hopes and ideas are infinite. The team, the dream collective is limitless.
Do NOT resuscitate
We used to call the forms DNR, that is, ‘do not resuscitate,’ this was changed approximately 10 years ago into DNAR, then DNACPR – do not attempt cardiopulmonary resuscitation; the reasons for the change of mnemonic related to confusion over what do to if someone say, chokes: If one of my patients (who has suchContinue reading “Do NOT resuscitate”
You don’t live here any more
The pain or care home relocation after a period of notice can often be avoided by the skilful use of person-centred techniques.
Patients in pyjamas
Originally posted on Dr Rod’s Odd Blog (almondemotion):
Patients in pyjamas – it might sound a little flippant, but I think this is something that is very important. I cannot comment on the behaviours of other patients outside of the UK – we, in Britain, approach hospital attire in a special way; pyjamas. I don’t…
Decisive Moment
Cartier-Bresson’s Decisive Moment, my patients falling, examining life and projecting forwards.