A moment in Madrid Pedro Rudolfo Maria Jesuitical monk Prayer gown\ Cassock I stand in the sunshine And appreciate every ray As it falls onto my skin Sparrows are listening And An old man drops A wrapper Dyed black hair Scraped backwards, Glistening In the artificial light Truncheons OldContinue reading “Agus dei”
He had a room, a bed, chair and view of Maxwell park.
I didn’t realise the impact of my actions. Well, it wasn’t quite my actions, more my thoughts, followed by a question and the actions of others. I was called to see a patient; he had a temperature of 38.9, was listless and not his usual self; a little disorientated, he couldn’t pinpoint the cause ofContinue reading “I caused a mini flu-scare this week”
It is funny however when people consider the fevered hospital atmosphere where cries of ‘discharge!’ often ring-out on Monday afternoon as the system like the mind of the poor doctor or nurse is sludging-up, a fat-ball of actions and risk mitigation.
Inspection does not engender a feeling of trust; even when you have little trust in the people in your organisation responsible for your welfare, better usually, the devil you know.
‘We are starving; let’s try vegetables,’
‘The last time it upset my tummy,’ and, the rest is history.
I still haven’t accepted the standard of not writing clinic or outpatient letters to patients, or at the very least copying them into the correspondence. e.g. Dear Mr J, Thank you for attending my clinic this afternoon. It was a pleasure to meet you and… Here is an example: Dear Dr Mulberry I saw yourContinue reading “My medical record…”
Norma is going nowhere.
Five months later.
Norma’s bungalow is sitting empty. Dust gathers on the kitchen-tops.
Old man. In his nineties, he fell. He fell again after arriving in hospital. What to do with him? He wants to go home; we risk and capacity assess. Determine what is right, good or not and let things happen. We tried to get him home. I can tell you something; he’ll fall again. WeContinue reading “Today there was a thing about falls.”
I remember the good-old-days, before the NHS began its process of reverse-engineering into a singularity.
When I say negative, I mean urine that has been analysed and found to be normal; just the right level of sugar, protein or salt; not too much or too little. Goldilocks pee.