Satori in the quicksand, the dimishing returns of a hospital admission

Thus, one doctor might say ‘chest infection’ another ‘bronchitis’ another ‘pneumonia’ and a fourth, ‘chest clear, probable urine infection.’

I write with no agenda, let’s see what happens. Epstein, Maxwell & Gasprom effects on Yoda the tortoise.

I worry I shouldn’t have fed him (hibernation begins on an empty stomach) and yet, he appeared hungry.

Dickens speaks to Marx who is in discussion with Harry Leslie Smith. They reach a compromise.

Yes, the NHS and the Tory.

Sure, the Tory has never liked the NHS, it is too leftie, too socialist, democratic, and yet, it is central to UK political debate; it is locked-in to our psyche.

Squeeze the capsule and empty the contents on to their sugar puffs. The 21st century balm.

If you open the capsule and sprinkle, everything will be ok.

Crisis, alert, no beds!

Many are unaware of the pain and sometimes indignity facing the patients (as Old Adam waits on that stretcher, in hospital gown, bottom or testicle peeking-out, he needs the toilet, ‘Just go in your pad,’ he is told.)

Anxious Jew Redux, Professor Ian Robertson & Blindboy

Doctors are great at diagnosing or assigning diagnoses. It is something that makes many of them very happy. It provides the doctor with certainty, a finite box in which to insert their patient and to focus treatment – antibiotics, pain killers or anti-depressants. (I am sure there is a dopamine release every time a doctor signs a prescription).

Cognitive dissonance, the NHS, Virtual Wards, and the rest of the shit that is going down

I even recently read in a patient’s notes the following:

‘Called patient for telephone appointment. There was no answer. Patient has not attended the appointment. See again in six months.’

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.

Elephants, walruses, and forlorn carpenters

Freya probably spent her days swimming between Shetland, Norway, and Holland because of Global Warming; another shitstorm caused by us, people.

I was taken aback yesterday (Human Factors, Elaine Bromiley & your local medical school)

Yesterday, Friday, I was out and about visiting some of our patients. We have an odd or you might say unusual model of healthcare provision in the surgery, I, as a geriatrician, not a GP don’t see a significant number of the ‘regular’ patients, instead I focus on those who are older or living withContinue reading “I was taken aback yesterday (Human Factors, Elaine Bromiley & your local medical school)”

Person-Centred Teams & People

Originally posted on Dr Rod’s Odd Blog (almondemotion):
Before I say anything, I’d like to begin by thanking the Elizabeth Garrett Anderson Programme for starting me along this journey, and, Helen Sanderson for making it meaningful. If anyone is interested in reading more, please check-out Helen’s books or Helen Sanderson Associates’ website. I have written…

Florence Nightingale, Florence Synagogue, Dali and palpitations

‘Diagnosis – Florence Syndrome’

‘Treatment – avoid visiting Florence and/or trips to art galleries. Watch more TV’

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.

Safety netting – to net or not?

Sure, some readers will think, ‘Honestly, this isn’t nannyworld, people have some responsibility, they should use their common sense.’

It’s worse than it’s ever been. Just kidding… Not.

‘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.

Woman vs Land Rover

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”

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.

Shady Towers, Social Care, Nora and Whitey on the Moon.

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).

To stop or not? (Jerzy Kosinski, Oliver Sacks & other ideas)

If you watch the Robin Williams / Oliver Sacks movie/book Awakenings you will see what dopamine can and cannot do to the brain.

You get what you pay for. (this is not a happy one)

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.

If I told you I’m good, you would probably say I’m boasting & Teamworking

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.

Others Brigadoon.

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.

Dementia, David Cameron and losing ground

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”

Function versus behaviour

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.

Little hands, absent feet and beautiful people

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.

How long until I die? (Locked down and out in 2020)

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.

Covid, pants and barriers to communication

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”

this is me, again, and what you and i want or do not want when the ambulance is on the way.

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.

opposite the optimism / down stream

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.

Two roads, fever, speculation and biases

Heuristics are the pathways or grooves laid down in our subconscious that make us behave in a certain way; habit. Something works this way, I will do it again, and again and so long as all things are equal, I am ok. If a variable changes and I don’t notice, I can be in trouble.

Transactional and transformational healthcare

  In life There are 2x of interaction;   The first, transactional. I give, you take.   Quid pro quo.   A pound of wheat purchases half your chicken.   Transactions are the basis of life, they are the mechanics; the organ-grinders the fuel.   Transactions aren’t bad, nothing good or bad, just, difference.  Continue reading “Transactional and transformational healthcare”

daydream believer, this can’t be a second-wave; i haven’t had my summer holiday yet.

And, yes, those bureaucrats, the apparatchiks who felt things were returning to normal will be once again on the back-foot and find themselves redundant, scraping the earth with their over-long arms, their Neanderthal gait giving it all away.

A long line of worriers and wear a facemask?

I come from a long line of worriers, which is apposite as the subject of this blog relates to discussions with my brother about Covid. You see, he has been a mask wearer. He also has asthma like me and the combination of worrier, asthma and the time of Covid is a toxic cocktail forContinue reading “A long line of worriers and wear a facemask?”

Thursday morning. Not another blog about advance care planning!

If this narrative has held together, my point is, we can offer just as good, if not better care, treatment and support for particularly older people in their own homes than is available through high-tech medical interventions.

Waterstones – family trip to Sheffield, book buying and a form of review

After that last election, the one which brought the clown and his Merry Pranksters to power I deleted news and Social Media apps from my phone; it was only with the arrival of Covid that I allowed them back in.

Charles-Bonnet Syndrome and other thoughts about physical and mental illness

Out optic blind-spots continuously adapt to provide us with a seamless sense of reality, only becoming real when we reverse into a wall that we didn’t see.