Person-centred care and self-love

I, as a doctor might know all about diabetes or asthma, you as the person with the condition know all about you. What you know about you is always far more than I can know about the dry technicalities of disease, even with a lifetime of experience.

Winter cannibalism, a theory of economics, healthcare, and D:Ream

Healthcare staff working in the late 90’s and early 00’s will be familiar with the airplane analogy. Sometimes a double-decker bus was used. This supposedly equated either (depending on who was talking and their level of cynicism) to the numbers of patients harmed or killed in US and UK hospitals every day. The UK planesContinue reading “Winter cannibalism, a theory of economics, healthcare, and D:Ream”

Thirty years ago and counting. 90’s reminiscence.

He has a glass that is so half-full that the Kool-Aid is spilling over the rim.

Where have all the bibles gone? (Can be sung to the melody of ‘Where have all the flowers gone? By Peter, Paul and Mary.)

Where have all the bibles gone? It used to be a thing I saw When staying at Hotels and hostels & similar types of places. In every Bedside drawer There would be a brown or blue Gideon Bible. ‘Look,’ I said to my daughter, ‘In your bedside drawer!’ ‘It’s empty,’ she replied. They seem toContinue reading “Where have all the bibles gone? (Can be sung to the melody of ‘Where have all the flowers gone? By Peter, Paul and Mary.)”

Today is the day of Elizabeth’s funeral. A rethink.

I keep thinking Land Rovers.

I think Dutchy Organics.

Purveyors of fine foods to HRH.

It’s a jumble.

Deceased albatrosses, dog companions and other thoughts and travels.

Michael was a true rambler, born in Russia he migrated to Glasgow then fought in Egypt and Palestine in the First World War then back to Glasgow and then off to Australia via Ceylon.

Free-association, mind-wandering, existential worries, and Yoda’s gender

Is the recession upon us? What I think about my tortoise, what do they think about me?

Weight loss junkie (the pitfalls of too much safety)

Family-doctor-dietician and still losing weight; you must be failing the person, not meeting their needs, not creating innovative or adequately tasty food, not supporting mealtimes, not doing your job.

The Sailor from Dinnington

It was a few weeks ago. I was logged-on to a meeting. Locked, stock to the computer screen, my face flickering at 60Hz, my fingers dancing over the keyboard, and, me, for the most pretending to eye-contact, whilst reading the Guardian. During these times I exist in a split reality. My focus switching between theContinue reading “The Sailor from Dinnington”

A dying breed. Knock, knock, It’s the doctor.

What makes a GP special is their knowledge of a patient, their insight over months, years, even decades into a person’s life. The bond that continues after the acute illness has passed, the person recovered, perhaps passed through school, left for college and returned, married then divorced, raised children.

Long distance relationships

It was a toughie. It took me an hour to unravel what was what, which medicines were which, what had been stopped, started, changed, what he could and couldn’t do, what he understood, what the family understood, the plans for further tests and follow-up.

My mum – for International Women’s Day 8 March 2022

My mum Would pass thread through the eye of a tiny needle and perform what she called invisible stitches. It was what all the ladies wanted. The middle-aged women would call-in at our house Requesting alterations to aid their spread, their girth expansion from the time in-between diets. Mum would sit at her Singer sewingContinue reading “My mum – for International Women’s Day 8 March 2022”

The cost of loneliness (Roubles, dollars or robots?)

One patient recently attempted to resuscitate her (toy) baby when the batteries ran-out.

The week that was and was not!

Still recovering from IDLES my daughter tested positive for Covid.

Innovation, oranges and the impossibility of happiness (Monday imaginings)

…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.

Should I or he or she or they stay at home or go into care?

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.

Thinking mindful – geriatrician asks his followers to ‘get high’

My mind has been in a Japanese meta-reality rather than on Wong Lane

A confrontation with the awareness of my outdateness.

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.”

Caveat emptor – learner beware.

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.

Israel / Sheffield / Palestine & Stone throwing

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.

Klara, digital capital, Superman and me

When I say be me, that is, have integrated all my past memories, thoughts and ideas, my behaviours, imaginings, hopes, anxieties, abilities and failings.