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.

Manor Field Surgery Blog Number 8 – Pain

Pain is one of the most common reasons for a patient seeking medical advice. It also plays a major role in the progress of all sorts of diseases and conditions, in other words, sometimes the pain is the thing, and at other times it is an outcome of the thing.

Night at the hospital

There is an assumption that when the lights go down and the night-staff appear on the scene that things become quiet and still – a little like a scene from Bambi.

Person-centred

Could you Facetime your doctor when you are on holiday in Greece rather than having to wade through the complexities of health insurance (yes, Brexiters) and a foreign health system?

Stop!  

She survived. She could have died – I never asked the question.

1328 and some

‘Did my dad die because someone didn’t follow policy, didn’t pay attention or, was the outcome inevitable?’ ‘Might my mum have survived the operation if she had a different surgeon or she was at a different hospital?’

Unnatural selection

You are unconscious, the focus for the doctors and nurses is maintaining your physiology with particular attention to your brain and heart.

Medicines, etc.

Nevertheless, within the dark underbelly of medicine, where geriatricians live, there are some quite stunning effects often, from stopping and sometimes starting medicines.

The Interceptors

The point, as is often the case, is my aversion to patients. Or rather, the existential construct that relates to the ‘patient state’ = they who suffer; with the principal goal of my life being to obviate suffering, my objective is to really stop people turning into patients.

And that is the role of the interceptors.

Complex Adaptive Systems, Steppenwolf & Siddhartha

The essence of this is not to not do nothing, but, when we act, whether that act is big – going to war, or small, deciding to smile, there is a likelihood that the effects will reverberate far into time and space.

Leaders and leadership

What does it take to make a leader? Last night I watched ‘Inside Obama’s White House’ – I guess, if you want a mould, if you want a standard by which to define a leader, it is Obama. I believe that ‘Obama’ is one of the greatest events/things/people to have happened in the 21st Century – admittedly,Continue reading “Leaders and leadership”

You don’t have ‘x’

  You don’t have ‘x’ – this can be good news for some, for others it doesn’t really help… Let me explain. If a person feels ill or has a specific symptom – (the easier ones tend to be breathlessness, chest pain or cough), there are a fairly standard set of tests or investigations whichContinue reading “You don’t have ‘x’”

John Lennon and HD TV

Life is what happens when you are busy making other plans, John Lennon sang this in 1980 in ‘Beautiful Boy’, which featured in his Double Fantasy album. Listening to it brings back memories and feelings of my life in the 80’s (a desultory Glaswegian schoolboy). I was thinking about this song on Friday when IContinue reading “John Lennon and HD TV”

Human Factors, space-time and Yiddishkeit

On Friday I attended the Yorkshire and Humber Patient Safety Collaborative ‘One Year On’ conference. A number of speakers from the region discussed the work they are doing to make predominantly hospitals, but all care in the wider sense, safer, less likely to result in inadvertent harm. Primum non nocere – first, do no harm,Continue reading “Human Factors, space-time and Yiddishkeit”