The guest that over-stayed its welcome.
The Waltzer that doesn’t stop.
The guest that over-stayed its welcome.
The Waltzer that doesn’t stop.
I spend too long with the news. On my phone. On the laptop. When I have an excess of spare time, I even watch it on the TV, although only Channel 4. That is, if the downtime is between seven to eight during the week. It is hard to avoid listening to updates on theContinue reading “Nu, what about the news?”
Death – tradition – Jewishness – family – education – self-consciousness
I brought-up Bob when explaining to my colleagues the meaning of ‘happy accident’ – I was being flippant although the context was not.
For the most, this was people showing-off their successes, how many older people they had saved from peril (mostly keeping them out of hospital), how many standard deviations from the mean their intervention had generated and so on.
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.
Rod reflects on the interface between anxiety and a long-line of Jewish ancestors.
My mind has been in a Japanese meta-reality rather than on Wong Lane
‘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.
I don’t even want to talk about the masks. We were at a cinema in Bristol this evening to celebrate my birthday. We saw The Harder They Fall. No, it wasn’t the movie that made me realise how far away I am from where I could or should be, nor the paper cups we wereContinue reading “A confrontation with the awareness of my outdateness.”
At different times I feel I am closer to gaining an understanding, at others, I have never been further away.
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
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”
I read this morning about patients waiting 11 (eleven) hours outside of A&E departments.
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.
You know the game. A cryptic clue and an unexpected answer. It came to me this evening, when I was discussing my role with colleagues. I am a hospital trained doctor who works in the community and helps older people, although sometimes young ones too. Who am I? I am a geriatrician. Although I hateContinue reading “I am long and thin by the end of the summer… Who am I?”
Occasionally the nurse in attendance might advise the paramedics or the doctors, ‘He was 100 years old, he was very unwell,’
The most significant, particularly for older people (the definition of older is anyone who is older than you) when the effects of ageing can impair balance, coordination, and reflexes.
I popped into Tesco yesterday; there was no pasta on the shelves (no petrol in the pump either).
I worry that I might not have enough time to complete all the work I have planned on Monday prior to the deadline when I will be asked to present the results of the…
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).
There are 8.8 million people living in Israel.
That is 0.11% of the world population.
Around 20 per cent of children in the UK’s 68 million are living in poverty.
Consider the involvement of Russia and China in perpetuating the Syrian crisis.
Sorry for the preamble.
Perhaps I’ve had too many knocks on the head.
When I say be me, that is, have integrated all my past memories, thoughts and ideas, my behaviours, imaginings, hopes, anxieties, abilities and failings.
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”
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.
I don’t want to be an old man with two large books in his possession which are both half-read.
We lapsed into singing The Automatic’s ‘What’s that coming over the hill, Is it a Rabbi…”
‘I’ll be along in 15 minutes.’
Interestingly, hospital can be the least-safe place for older people, with home being what most want and with far fewer hazards such as the risk of institutionalisation, over-medicalisation, polypharmacy, falls and a host of other healthcare associated ills.
I was recently involved in the care of a patient who developed a pressure ulcer. Behind this seemingly innocuous sentence lurks a whole raft of issues, concerns and aspects of modern healthcare. More surprisingly perhaps, I have spoken with several doctors who believe that pressure ulcers, their care, treatment and avoidance are not a medicalContinue reading “Pressure ulcers (bedsores) & PCHC”
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”
Just finished Delia Owens’
Where the Crawdads sing.
It is a wonderful poetic chaos of characters, moods and emotions.
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.
You can still hold hands if someone is wearing rubber gloves; you can still laugh or smile wearing a face mask.
A basic human right – the right to family life has been bolloxed.
The vet, Friendly young woman in dark blue scrubs Face mask and clipboard, Took me through The ins and outs of the procedure. Operation to render my dog Sterile. / My last dog Maisie Was also spayed Although I seem to have lost the memory. / Now, Stella, As she cowers, Under my desk, BesideContinue reading “Today they took my dog’s womb.”
People who don’t know things, asking people who know things to tell other people who don’t know things, things.
I said to him, ‘You could be a male nurse.’
He replied, ‘You mean, a nurse.’
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.
The joy of imagination and other worlds.
If I was in my last hours of life and the tunnel and the bright light were there
I have written a few blogs. 820 to be precise. / It makes me wonder, How people who have never met me See me. / I imagine there are two groups – Those who have met me, friends and family, who from reading, have perhaps gained some insight into who I am beyond or separateContinue reading “Online persona”
Half past six on Saturday night Fireworks are popping, Banging outside; dark and cold with mist. I liked this morning’s cobwebs; now they have moved-on. The hum of TV downstairs threatens another dancing programme I consider Netflix Or a book, Not really interested. The dog In the corner house Barks when I walk past; HeContinue reading “Lockdown Saturday”
These are not stupid people.
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.
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”
I am the Lorax.
I speak for the trees
For the trees have no tongues.
IDLES shout for me.
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.
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.
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.
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”
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.
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.
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?”
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.
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.
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.
Ignaz might not be happy, but Donne would be chuffed.
Thanks Jane for allowing me to continue today’s blog; that was about the ways in which Covid has forced a change in my behaviour (likely, yours too) which in turn has led to changes in my brain. It is along the lines of the blog I wrote ages ago after reading a Stephen King bookContinue reading “Covid, my brain and the computer interface”
Serial processing; switching backwards and forwards from concentrating on Word to Outlook to Chrome uses mental energy;
I have always accepted this concept; it has taught me humility.
A drooling, dribbling, stuttering, stumbling, drug-addled bully, we express our love through brutality.
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.
The weather has changed; yesterday we were basking in too-hot sun, today, the wind and clouds have gathered.
Our growth, our evolution has happened unconsciously, at an intuitive, human level – we have been feeling not thinking, reacting not planning, doing what feels right rather than what we are told is right.
Imagine the harm done to those people previously ‘living well’ with dementia who for six weeks have had a dramatic reduction in visitors and day-centre attendances; even the bitter-sweet routine trips to GP surgeries or hospitals have been done away with.
‘Will my mum be recorded within the statistics?’
I haven’t been asked that yet.
All we can do in the Time of Covid is to do our best and act in good faith.
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”
We have closed schools which has reduced transmission; we can’t close care homes.
You wouldn’t send someone into the centre of Fukushima wearing a plastic flimsy? Well, the UK has allowed that to happen.
The slower we move now, the more people will become ill or die.
Well, if nothing (but everything) has changed, what is the big deal about DNACPR and ACP; what is new?
This will all soon be over and we can get back to huddling, cuddling or whatever.
I sometimes think of an unusual title for my blogs to draw people in. I was actually going to call this one ‘facemasks’ but thought that would do the opposite. I’ll keep going. Well, yes, it does relate to facemasks. In the past week I have said ‘facemask’ and ‘PPE’ (Personal Protective Equipment) often. AContinue reading “Infection – (My thoughts on what people should be doing in relation to PPE).”
I feel awful. The message came through that the care home I support was opening for an hour to allow relatives to see their mums. Just an hour, strict hygiene, in the resident’s bedrooms. I asked the manager to stop. ‘If one person gets Covid, many will die.’ I said. It is almost impossible toContinue reading “In a few hours it will be Mother’s Day.”
How do we cope with Covid when we want to minimise clinical examination?