I will not go into more detail about this but suffice it to say, this is congruent with my values and probably my purpose.
…you see your destination and intuitively perceive that the way to arrive at that goal is not straightforward, indeed, you might learn that it is only a stepping-stone towards something else.
Take off the boxing-gloves and share a cup of tea or coffee – whatever your preference.
Quality Improvement is, fun.
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.
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?
She survived. She could have died – I never asked the question.
‘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?’
You are unconscious, the focus for the doctors and nurses is maintaining your physiology with particular attention to your brain and heart.
When you see these misshapes, it feels to me like the supermarkets are merely making a token effort to be diverse or inclusive, like having a man at a WI party; they seem out of place and, despite their lower price, tend to get left in the corner.
Nevertheless, within the dark underbelly of medicine, where geriatricians live, there are some quite stunning effects often, from stopping and sometimes starting medicines.
They aren’t diseases or malfunctioning organs, they aren’t flow or machinations of the system; they are universes unto themselves and those who love them.
What could be better – working within science and the metaphysical, the harmonious synchronicity of mindful being and state-of-the-art clinical science?
How to change the system?
This I imagine is worldview mixed with upbringing, culture and something else; in cookery, this would be the Umami.
And so, back to the junior doctors –
Our actions at times border on the holy, and we cannot allow the profane to defile the sanctity of the experience.
And so, to my colleagues, the team of Mallard, I say, here we are – we are something special, we are the exception to the exception that allows magical things to happen.
Balance is the essence of nature; winter and summer, hot and cold, dead or alive, we constantly fluctuate between these extremes.
One of Bruce’s other sayings was that JKD was ‘a circle without a circumference’ I think I might be starting to understand where he was heading with that idea.
These are questions I will never be able to answer.
Do not go gentle into that good night,
Old age should burn and rave at close of day;
Rage, rage against the dying of the light.
To a box, the world is the world, is the world.
Attribution is funny and not something I fully understand.
I have recently been asked to show what I do, to demonstrate, I guess, how much value I am for the money spent on me.
We can look at quantity of life – something we have very little influence over, or, we can address, quality – an area we can influence tremendously.
I’m sorry if this sounds a little dark, and that, is probably part of the reason most people don’t want to go-here.
I can’t imagine what modern medicine would be like without these colourful pieces of plastic.
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”
Douglas Adams & Healthcare running in circles