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

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

Medically Fit – 2020

Maybe we should call it ‘hospital check-out’, to get away from the nonsense of fitness, when many of the people described are actually quite sick and are often even dying, it is just that their death need not require a bed on a hospital ward.

Flow; best left to plumbers.

It perhaps has something to do with my internet settings or preferences, I don’t know; you see, I get a number of emails from different national and international health organisations informing me of conferences and award ceremonies taking place in the realm of Quality Improvement. This is the science of doing things better in healthContinue reading “Flow; best left to plumbers.”

Why are you here?

Leaving blue-tits to one side and, getting back to my main focus… A frequent question I ask my patients, usually when trying to establish their orientation, but also to clarify their understanding of the situation, is, ‘Do you know why you are here?’ I leave the question purposefully vague – ‘here’ – where is here?Continue reading “Why are you here?”

Medically fit – today and tomorrow (3)

You hear this term all the time nowadays, at least, if you work in an NHS hospital, are an inpatient or carer or relative of someone who is occupying a hospital bed. Most often… Are they medically fit? When will they be medically fit? If they are medically fit, have you done the take-home medicines?Continue reading “Medically fit – today and tomorrow (3)”

Acute

You can’t lie in the same hospital bed for more than the average length of stay which in your case, for your disease, disorder or condition is 3.76 days.

Not many years left

I had another interesting discussion with a colleague today. She had heard about my plans to move hospitals and she wished me good luck. ‘I thought about leaving, but as I only have a few years left I am going to stick it out. I understand you have much longer… Go for it.’ This wasn’tContinue reading “Not many years left”

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.