Disconnections in time ane space.
Tag Archives: Covid
The state we are in, your future and mine. Echoing emptiness & uncertain tomorrow.
When you seek help, we will create systems of such complexity that no one who enters can ever arrive or find their way out. We will make Kafka laugh.
An unusual half hour – just a sharp scratch.
Vaccinations and Mystery photo…
Slap in the Face / To a Louse
It was a night in Dundee.
A guy whacked me in the face. I have the scar today.
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.
What have I learned, what have I seen?
We don’t really move or go anywhere.
In space and time, we stand still.
Hospital at home, virtual wards and turning care in the community on its head
The doctor calling the ambulance rationalises their actions, ‘I don’t know what will happen to their chest (NB not ‘Albert’, but his chest – a lapse into pathology and medical-speak
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.’
The week that was and was not!
Still recovering from IDLES my daughter tested positive for Covid.
Desperately seeking Sheffield’s spirit
Poor old Sheffield.
Lots of students but a shrinking soul.
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.
2022
The guest that over-stayed its welcome.
The Waltzer that doesn’t stop.
Broken hearts, or why telephone consultations are less than 35% effective (homage to Heathcote)
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.
Thinking mindful – geriatrician asks his followers to ‘get high’
My mind has been in a Japanese meta-reality rather than on Wong Lane
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.
Detour into etymology via hell and the NHS.
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
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.
Chaos theory. Calamity in action.
The misdirected guided by the uninformed.
Two worlds
If their lack of safety is 10 times greater than your perception of safety, are they safe? Are you?
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”
favourite patients
‘I’ll be along in 15 minutes.’
State of frustration
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”
Covid patients
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.
How do you reduce the risk of Covid over Christmas?
You can still hold hands if someone is wearing rubber gloves; you can still laugh or smile wearing a face mask.
So, today I was on a Cabinet Office call about care homes.
People who don’t know things, asking people who know things to tell other people who don’t know things, things.
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.
Prisoners
I know that is so very much the essence of care – understanding the language of interaction. How to approach another, how to speak through gesture, to know what to say and what not.
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.
BAME, BME and me
The colour of our skin is various, the shape of our face, head and hair, yet, our eyes, seem a constant.
He has brown eyes doesn’t mean a thing.
The last big weekend of the Lockdown*
The weather has changed; yesterday we were basking in too-hot sun, today, the wind and clouds have gathered.
Covid has made me crepuscular
It’s odd. When I was a kid this was how I used to function; it appears to be happening again. Crepuscular is the behaviour displayed by certain animals who are active at dawn and dusk; not nocturnal, I suspect because their eyesight isn’t brilliant and they like their sleep and, neither diurnal as I guess,Continue reading “Covid has made me crepuscular”
Infection then and now, the Great Influenza and Covid… lessons from the past, reflections on the present.
You wouldn’t send someone into the centre of Fukushima wearing a plastic flimsy? Well, the UK has allowed that to happen.
Do Not Attempt (Cardio-Pulmonary Resuscitation) and Advance Care Plans in the time of Covid
Well, if nothing (but everything) has changed, what is the big deal about DNACPR and ACP; what is new?
Don’t stand so close to me (some details on Social Distancing)
This will all soon be over and we can get back to huddling, cuddling or whatever.
Covid – My blog is calling (Week one, through a doctor/dad/outsider’s lens)
Fear of doing the wrong thing is a fundamental of quality improvement. If you are afraid to act because people might call you out or think you stupid, you won’t do anything, and the quality won’t improve. It won’t necessarily deteriorate either, yet, in times of radical change, that is worse.