Poor old Sheffield.
Lots of students but a shrinking soul.
Poor old Sheffield.
Lots of students but a shrinking soul.
Rod talks numbers, art and the imperfection of his face.
…the shape of hills, the movement of water, muscles and the eye, the mechanism of the woodpecker’s tongue, the development of the foetus, creation, innovation, perspective and momentum.
You are both more distant and more closely related to your next-door neighbour than you think.
Locked in a room, when you are 90 and if you have dementia and significant physical and cognitive impairment is horrible. It is cruel and harmful. It is what our older folk have to do, whilst we, the rest are out and about, living it up.
“whistle”… Rover, where are you? Oh, he must be upstairs on the bed, that old dog.
The guest that over-stayed its welcome.
The Waltzer that doesn’t stop.
I spend too long with the news. On my phone. On the laptop. When I have an excess of spare time, I even watch it on the TV, although only Channel 4. That is, if the downtime is between seven to eight during the week. It is hard to avoid listening to updates on theContinue reading “Nu, what about the news?”
Death – tradition – Jewishness – family – education – self-consciousness
I brought-up Bob when explaining to my colleagues the meaning of ‘happy accident’ – I was being flippant although the context was not.
For the most, this was people showing-off their successes, how many older people they had saved from peril (mostly keeping them out of hospital), how many standard deviations from the mean their intervention had generated and so on.
Although doctors are being battered over the head for not enough F2F appointments, in reality, telephone reviews are much harder than seeing a person in the surgery.
Take away, facial expression, eye contact and body-language and it is far more difficult to know or understand what is going-on.
Rod reflects on the interface between anxiety and a long-line of Jewish ancestors.
My mind has been in a Japanese meta-reality rather than on Wong Lane
‘When will I receive my Covid booster?’ Asks patient Annie, 98, unable to leave her house for the past three years.
‘We are working-our way round,’ Says the doctor.
I don’t even want to talk about the masks. We were at a cinema in Bristol this evening to celebrate my birthday. We saw The Harder They Fall. No, it wasn’t the movie that made me realise how far away I am from where I could or should be, nor the paper cups we wereContinue reading “A confrontation with the awareness of my outdateness.”
At different times I feel I am closer to gaining an understanding, at others, I have never been further away.
For all they care we could go to hell, so long as they can keep going.
It’s a bit shit.
#NHS #scapegoating #primarycare @BMA #justtryingtodoourjob
I have just watched a short video clip of a woman driving a big black land rover over a woman protesting in the street. It was one of the worst things I’ve seen. The woman whose face was blurred had long fingernails. Like a witch. I don’t remember much else about her although I amContinue reading “Woman vs Land Rover”
I read this morning about patients waiting 11 (eleven) hours outside of A&E departments.
That doctors and nurses aren’t working hard enough, that the poor are poor from choice, and, that good things come to those who deserve it or who were born lucky.
You know the game. A cryptic clue and an unexpected answer. It came to me this evening, when I was discussing my role with colleagues. I am a hospital trained doctor who works in the community and helps older people, although sometimes young ones too. Who am I? I am a geriatrician. Although I hateContinue reading “I am long and thin by the end of the summer… Who am I?”
Occasionally the nurse in attendance might advise the paramedics or the doctors, ‘He was 100 years old, he was very unwell,’
The most significant, particularly for older people (the definition of older is anyone who is older than you) when the effects of ageing can impair balance, coordination, and reflexes.
I popped into Tesco yesterday; there was no pasta on the shelves (no petrol in the pump either).
I worry that I might not have enough time to complete all the work I have planned on Monday prior to the deadline when I will be asked to present the results of the…
The PM announced a rise in NI tax this week. I understand this is to offset some of the damage they have done to the NHS over the past decade. Fantastic. (And yes, Whitey is still on the moon).
There are 8.8 million people living in Israel.
That is 0.11% of the world population.
Around 20 per cent of children in the UK’s 68 million are living in poverty.
Consider the involvement of Russia and China in perpetuating the Syrian crisis.
Sorry for the preamble.
Perhaps I’ve had too many knocks on the head.
For the first two or three weeks after she came home I had to physically drag her out of her crate to let her pee or poo – she was terrified
If you watch the Robin Williams / Oliver Sacks movie/book Awakenings you will see what dopamine can and cannot do to the brain.
No, not the climate, not the uncollected bins, the zero hours, no, not the Shitty White Men travelling on purpose-built spaceships that fly over the filth and poverty of a world falling apart, all of it together.
The misdirected guided by the uninformed.
It’s a comedy,
Although I don’t remember laughing.
We want to be associated with the best – the best team, country, organisation.
Others don’t really care.
Some see the whole of the moon.
‘She’s probably holding something in her mouth,’ I said – since the arrival of pup, she has taken to hoarding all sorts of toys and chews in her mouth.
One of those instances that over time becomes part of how you see the world.
I guess the trees were too closely packed, or, I never found the entrance.
‘Are you some sort of Communist?’ He asked.
If their lack of safety is 10 times greater than your perception of safety, are they safe? Are you?
‘Think of it as an internship.’
‘I don’t want to be a waiter,’ he says.
‘I know, you are gaining life-skills and, well… Experience.’
He doesn’t answer.
the back wings
Imagine being able to converse with a cat.
That’s what Nakata can do.
Facts can be convoluted or linear.
They can be jaggedy or zigzag.
They can be true or false.
Older people falling is often a bad thing.
Anyone who has spent much time in hospital will recognise the phenomenon of the invisible patient.
All resonating, taking me back and creating an atmosphere.
I remember experiencing a sensation similar to that which a fly must feel as it slips down the throat of a pitcher plant. Suspicion mixed with curiosity.
Me and my dog and silence.
Silence is sometimes needed to re-charge.
And yet, Freda is gone and I never really said hello.
What became even funnier was the background I occasionally use of a photo I took in the winter of a cob-web.
My teacher, R’s smile in particular, warm and proud of our academic accomplishments.
Yet, the testicle.
When I say be me, that is, have integrated all my past memories, thoughts and ideas, my behaviours, imaginings, hopes, anxieties, abilities and failings.
I am no historian. I struggle with details. Dates and times have never been my thing. I am however a reflector. I look at the world around me, absorb its colours and ponder. I was going to say ‘think’ although FEEL is probably more accurate. For once, I will not quote Bruce Lee (Google, ‘almondemotionContinue reading “Dementia, David Cameron and losing ground”
Nothing works with Florence, distraction, diversion, joking, cajoling, all the old tropes fail. You have to accept that Florence isn’t eating and leave her alone.
I don’t want to be an old man with two large books in his possession which are both half-read.
We lapsed into singing The Automatic’s ‘What’s that coming over the hill, Is it a Rabbi…”
‘I’ll be along in 15 minutes.’
Interestingly, hospital can be the least-safe place for older people, with home being what most want and with far fewer hazards such as the risk of institutionalisation, over-medicalisation, polypharmacy, falls and a host of other healthcare associated ills.
I was recently involved in the care of a patient who developed a pressure ulcer. Behind this seemingly innocuous sentence lurks a whole raft of issues, concerns and aspects of modern healthcare. More surprisingly perhaps, I have spoken with several doctors who believe that pressure ulcers, their care, treatment and avoidance are not a medicalContinue reading “Pressure ulcers (bedsores) & PCHC”
I wanted to begin by discussing my recent practice FB post. I called it >very frustrating situation<. That was the best I could think at the time. What is or has been frustrating? Well, I won’t go on too much about Covid (lie). The vaccine has been rolling out over the past month. And, inContinue reading “State of frustration”
Just finished Delia Owens’
Where the Crawdads sing.
It is a wonderful poetic chaos of characters, moods and emotions.
People say there are more bacteria in our gut than cells in our body; I am not sure how true this is – I don’t think I am ready to say I am faeces.
You can still hold hands if someone is wearing rubber gloves; you can still laugh or smile wearing a face mask.
A basic human right – the right to family life has been bolloxed.
The vet, Friendly young woman in dark blue scrubs Face mask and clipboard, Took me through The ins and outs of the procedure. Operation to render my dog Sterile. / My last dog Maisie Was also spayed Although I seem to have lost the memory. / Now, Stella, As she cowers, Under my desk, BesideContinue reading “Today they took my dog’s womb.”
People who don’t know things, asking people who know things to tell other people who don’t know things, things.
I said to him, ‘You could be a male nurse.’
He replied, ‘You mean, a nurse.’
Of the 147 initial survivors, by the time they were rescued 13 days later only 15 were still alive, the others had been murdered, cannibalised or thrown into the sea.
The joy of imagination and other worlds.
If I was in my last hours of life and the tunnel and the bright light were there
I have written a few blogs. 820 to be precise. / It makes me wonder, How people who have never met me See me. / I imagine there are two groups – Those who have met me, friends and family, who from reading, have perhaps gained some insight into who I am beyond or separateContinue reading “Online persona”
Half past six on Saturday night Fireworks are popping, Banging outside; dark and cold with mist. I liked this morning’s cobwebs; now they have moved-on. The hum of TV downstairs threatens another dancing programme I consider Netflix Or a book, Not really interested. The dog In the corner house Barks when I walk past; HeContinue reading “Lockdown Saturday”
These are not stupid people.
Often old men and women will seek human contact, particularly when feeling isolated – and when I reciprocate with my gloved hand (that they don’t appear to notice as being anomalously purple or blue) we are able to make contact, to connect.
I met an old man last week, his pants were poking out of his pyjama bottoms. They were the same as mine M&S blue stars; I was going to tell him and everyone else in the room about our shared underwear but, the facemask and the goggles, gown and gloves Got in theContinue reading “Covid, pants and barriers to communication”
I am the Lorax.
I speak for the trees
For the trees have no tongues.
IDLES shout for me.
I have become victim to the system bias of considering diagnoses and discharge destinations to be of more importance than the person I am discharging.
I see school children in groups walking around as if nothing is happening; dumb to the reality that their future is being burned through the profligate nature of government spending on failed schemes for virus control or overall chaotic mismanagement of the crisis.