The butterfly is a flying flower, The flower a tethered butterfly

Friday, 30 November 2007

Thank you

“It is well for the heart to be naive and for the mind not to be”

When I tried to access this blog today through Internet explorer, I found that the picture at the top was changed!! It has been cut to only show the nose and mouth rather than the full head and face as before!! However, using Mozilla, I could still see the full picture as it was before!!!

I actually quite like it, looks more 'professional', chic, doesn't it? So, I edited the new picture to fit properly as it was a little smaller than the 'altered' frame and hope those who visit here like it too :-)

And, thank you very much, whoever you are ...... ;-)

Not that I mind but, how did you get in?! ... naive to ask, I suppose!

“The stupid neither forgive nor forget; the naive forgive and forget; the wise forgive but do not forget.”

A few hours later ..... I have now found out how my 'designer' got in :-) As I sign to reply to a comment, I use my e-mail and pass word and as, for some reason, I can not sign out if using explorer, the site remains open until I sign in again using Mozilla, then sign out. So, thanks for the lesson as well designer, I will NEVER sign in again to reply to a comment but will do so as an ordinary person visiting the site. ... Opportunist :-)

.... another hour later .... ;-) I have now learned accessing this blog from explorer through the google site and a little html editing using the html editor in template. I have now removed the horrid editing tools completely and for good, I think

You learn best if challenged

Wednesday, 28 November 2007

Fidelio is real hope! ...

Prof Morris Brown

”Come hope, let not the last bright star in my anguish be obscured"

Fidelio is still fighting for British graduates. in their 'Response from FIDELIO to proposals from the MMC Programme Board', Professor Morris Brown says:

'we find it bizarre that the current proposal devotes just one sentence to the growing competition'

Obviously, better to hide things under the carpet if you want to avoid them!

' Until the MMC debacle, graduates of UK medical schools could expect a training in some branch of medicine'

Hence this propaganda about 'there has always been competition for posts' is very misleading as ALL UK graduates have always been suited into a specialty one way or anther, it may have taken more time to suit them, maybe in a different specialty other than their first choice, different region but;

Britain has never seen the discarding of 4000 fully qualified junior doctors before!

The 'incident' is unprecedented! Therefore, the 2007 competition was hugely 'unfair' because it left 4000 UK doctors unemployed; they were let down! First time this happens ever! And, unless those are suited in 2008, they face total career ruin! Again, unprecedented!

'Within two years, without discussion, we have gone to a situation where first a quarter, and next year perhaps a half of graduates will fail to enter training. Whether this is due to a deliberate strategy to weaken the power and prowess of the medical profession, or to pure incompetence.'

That is what all of us puzzled souls are trying to figure out but not succeeding at all .. :-(

'there needs to be a serious and urgent public debate – within and without the profession – about the numbers, and who is responsible.'

Hear, hear, Professor, hear, hear ...

'The DH may look enviously at areas of the labour market where an influx of workers from abroad appears to have reduced costs and increased quality. It may consider that, if the profession complains, medical schools can close and still leave enough doctors to staff the NHS.

I thought and wrote about this before, such a horrifying thought, but we seem to be heading in this direction if the current fiasco continues!

It is the responsibility of the profession’s leaders to point out that, unlike these areas, UK medicine
has been the envy of the world, but will only remain so if pursuit of excellence remains its primary goal.'

Hear, hear Professor, UK medicine Must be cherished and protected so that it will continue to be the 'envy of the world!' We must never let them dismantle a 'national treasure!'

Fidelio's proposals:

'Had we been at the table, we would have suggested that the model for designing 2008 should be the last year before the DH-inflicted catastrophe, namely the local competitions of 2006; and that discussions should focus not on inventing new procedures for competition, but on the major serious issue of the predicted 3:1 competition for places.'

Why weren't/aren't Professor Brown et al at the table?! This is the point of atmost importance; Now that they are not at the table, what will h appen in 2008?! ... Time is running fast!

'Whether Tooke will agree that MMC was a sledgehammer to crack a nut, we await to discover.'

It seems like it, doesn't it! In attempting to 'modernise' the SHO grade or what they called 'the lost tribe', they have created a bigger 'FTSTA' lost tribe that has no hope in going anywhere and ruined the careers of 4000 young doctors on the way! ALL in just One recruitment round; the 2007 recruitment session! I dread to even think of 2008 and beyond.

'most of the pain this year will be at ST1 level. So effectively the MMC Board is trying in a few weeks to improve on what MMC spent 7 years trying to do'

An irony of grandiose proportions, isn't it?

Unless the problem is tackled at the core, is improvement possible?!

Fidelio then proposes that either the number of posts be increased so that UK applicants do not lose out ..... or ..... the number of applicants is reduced and he explains how, ... , however, he stresses ONE, none negotiable, condition:

'there must be continued training for all UK graduates up to the point where rational selection can be made.'

WORLD CLASS! This is the 'only' possible solution, the 'only' possible improvement that can be implemented in a short period of time; in a few weeks!

This is the 'only' way to avert the looming disaster of 2008 and beyond.

This is the only way, if British medicine is to continue to be 'the envy of the world!'

It is illegal to exclude overseas graduates from competing head on with UK graduates now that they won their appeal, but is is not illegal to 'struggle' to save British graduates from facing the abyss of 2008 and beyond! There is only ONE way to do this:

British graduates Must have the right to specialty training from medical student to consultant or GP!

“Courage is not the absence of fear, but rather the judgment that something else is more important than fear.”

Right wing agenda!

Someone I highly regard has implied that I have a 'right wing agenda.' Since I usually associate this term with 'skin heads' and 'their' agenda which I do not support in any shape of form, this really hurt. Trying to find why and where did I go wrong to warrant this accusation, I turned to Wikipedia for the term's full meaning.

The term has many not so very desirable meanings but it also means:

Traditionalism, Nationalism and Reactionism

I value and cherish the traditions of this land; liberty, fairness, security, dignity, freedom to be yourself and the pursuit of justice, so, I am a traditionalist and a nationalist and I do react when I see wrong, so, I am a reactionary.

My 'agenda' is the firm belief that we all have the right to dream, that no one will try and stop us from realizing this dream and and that if we really want this dream enough, someday it will come true.

I hope that no one will take our children's dream away, that they be given the opportunity to realize their dream and that one day, their dream will come true.'

If this means right wing, then, be it! I am! .. and proud to be too!

“I've learned that no matter how good a friend someone is, they're going to hurt you every once in awhile and you must forgive them for that.”

... and I do

Monday, 26 November 2007

Preserving British talent , the solution!

“Common sense is instinct. Enough of it is genius.”

2008 is approaching fast! The debacle of recruiting British graduates to specialty training is set to continue for 2008 and beyond with catastrophic consequences IMO, unless a radical and final solution that tackles the root of the problem is found.

IMO, the only real solution is to consider specialty training as continuing medical education that follows graduation from medical school. This means that specialty training becomes the right of British graduate in the same way as they have the right to progress from year one to year 5 at medical school, ie, medical scool would be 12 years or more depending on the speciality but with pay after passing the medical finals at the end of year 5, until candidates reach consultant level, ie, 'run through' would start from year one of medical school and up to consultant level providing the candidate maintains standards of course. However the right to train in a certain specialty would be upon internally competed for after the equivalent of the F2 year.

Meaning; university involvement in training a doctor would not stop at the end of the final year 5 but academic supervision would continue during the foundation years and up until the candidate achieves their certificate of competence; stages that follow from one to the other until a junior doctor fully qualifies as a consultant. This link may not be broken unless a particular candidate 'chooses' not to follow training for a specialty or prefers the 'trust grade' posts, even then, there should be ways for those to allow them and those who want time abroad, maternity ..etc, to join training if they decide to do so in the future.

At the end of the F2 year, British candidates, as well as British citizens graduating abroad and achieving 'proven' satisfactory levels, would compete 'internally' for all available training posts in all specialties. Existing medical schools would each supervise it's own graduates for this purpose or a national body could be established to be responsible for this duty from the F1 year onward until a British doctor fully qualifies to consultant level.

The right to specialty training should be part of the package for all UK medical students when they first start Medical School providing satisfactory progress is achieved; same as happens now with medical students progressing from year to year.

Of course this would also help solve the problems with geographical applications since graduates would first choose to apply to the region the spent 5 or six years studying in already and flow to fill the spaces in other regions if not successful with own region and/or specialty. This would also be much easier for medical schools/deaneries/new body to manage as they would be familiar with their own candidates and would not be overwhelmed by applications from outside their own region.

IMO, unless something to that effect is done, trouble will continue for the next decade and maybe beyond.

Following this, offer the remaining training places to EU and overseas graduates who would then be welcome to fill the gaps or work in career posts and achieve consultancy through route 14 and for those most able, this goal will be within reach. Of course this will also give a clear message to those graduating abroad that there is still opportunity in the UK for them up to consultant level but mostly through route 14, however other well paid 'work' mainly at 'career or trust grade level', opportunities would still attract EU and overseas doctors to come and 'work' in Britain.

IMO, those who also come to the UK to study medicine at our universities would not have an automatic right to training following graduation, so medical schools would only commit to educating them up to the existing graduation standards as with any other course in British universities, and the world for that matter, but they too would be welcome to apply to fill gaps or 'work' in Britain as with any other EU or overseas applicant.

“Common sense is the knack of seeing things as they are, and doing things as they ought to be done.”

Sunday, 25 November 2007

Even the monkeys do it!

“A person who misses a chance and the monkey who misses its branch can't be saved”

Monkeys strike for better reward

'monkeys trained to exchange a granite token for a cucumber treat often refused the swap if they saw another monkey get a better payoff - a grape.'

'much the outbursts were driven by greed, frustration that the rewards did not live up to what they had come to expect'

'the monkeys will also refuse to participate in trials after they see other monkeys receiving greater reward for making the same effort'

'the anger that human beings feel when they are cheated has a long evolutionary history, and may have helped to underpin the emergence of the cooperative societies found in many higher primates'

Well, monkeys are ... Not stupid! ;-)

“In discarding the monkey and substituting man, our Father in Heaven did the monkey an undeserved injustice”

Friday, 23 November 2007

Junior doctor VS nurse pay

“Fight about pay until somebody offers to pay”

A medical student doing his finals this year posted this on the RemeyUK forum:

Dear Remedy Uk,

While it is clear much work remains to be done to improve the situation for junior doctors entering specialty training, I wondered if I could ask you to also look in to the mounting insults to this years potential F1 doctors and medical students.

In particular I would like to bring to your attention the following:
Interest rates on student loans have doubled from 2-4%
Free accomadation has been taken away
Basic salary, presently remains at 21K (although the BMA have asked for extra £400 month to cover this- we shall see)
We are faced with the real intention to deband positions next year to compily with EWTD.
Training on 48hr/wk raises real concerns over the length of training needed to become a safe and effective independant consultant.

Foundation programme organisers' have told us they cannot be sure they can offer F2 programmes for all UK graduates given unexpected number of eligible EU applicants.

These issues are causing considerable concern to both myself and my peers, more and more the conversation seems to turn to training in Australia/NZ were doctors are still valued.

I hope you take up these issues and campaign against them as they represent yet more evidence of this government/DOH despicable attitude to doctors and their training.

Despicable indeed!

This here is what a nurse with only
2 years experience earns per annum; £26,977 to £35,824; around £5000 More than a doctor who may also have another BSc; year six!

Nurses get their tuition fees paid by the NHS, doctors do not!

Nurses get a DoH grant : around £4,500 a year for all the 3 years at university, doctors get only one, the final year!

Doctors graduate with huge debt, nurses do not.

As NHS employers wriggle out of paying for doctors development courses and exams, doctors pay this themselves.

Doctors are also now required to
pay for their own hospital accommodation!

Doctors spend double the time to gain their degree as nurses; 3 vs 6 years! Nurses Never had to study as hard nor have the same scientific pool of knowledge
nor bear the same responsibility as a junior doctor!

I would say to this young medic, it is not only about accommodation money, the juniors should paid fairly; a pay that should reflect their abilities and their life-long hard work and dedication. Ever wondered why don't nurses immigrate to Australia in such large numbers as junior doctors did for the past few years and this year?! They get good training and a fair pay here!

Unison fights for fair pay and adequate training and gets results for all nurses! Why isn't the BMA fighting for a fair pay and adequate training for ALL Junior doctors and getting similar results to Unison's?!!!

I hope RemedyUK fights this injustice and win a fair pay and more training posts for junior doctors ..... for Remedy is sincere.

Otherwise, from the point of view of this hard working medic above, why go to medical school and commit to the life-long study for medicine?!

“Justice and power must be brought together, so that whatever is just may be powerful, and whatever is powerful may be just.”

Thursday, 22 November 2007

ONE application format for all please

“Wherever there is a human being, there is an opportunity for a kindness.”

The 2008 junior doctors' applications to speciality training has already started with applications to academic posts first. The main round of applications will start in January 2008

For the 2007 round 2, Junior doctors had to apply directly to the deaneries. Some allowed applications to be filled and sent electronically via the 'NHS jobs' website, while others wanted same as well as paper copies sent to them by mail. The number of copies required differed greatly between one deanery and another. Some deaneries' application form was more than a dozen pages and wanted between 0 and up to 9 copies, a CV and a covering letter with each application. Even those who allowed electronic submission through 'NHS jobs' did not have a uniform electronic application but there was, at least, 3 or 4 formats. There were also some deaneries who did not follow any specific format at all. Essay style questions also varied greatly between on deanery and another even for the same specialty.

Some deaneries advertised with impossible closing dates 'now you see me, now you don't' which made it impossible to find and 'catch' the opportunity by many juniors who were simply working or had night shifts and were not able to apply for this reason.

This year, 2007, was torture that must never be allowed to happen again. Round 2 was agony for the juniors who where chasing the crumbs left from round one and I hope the deaneries have learnt lessons from the 2007 fiasco and will do all they can to help the applicants of 2008 and beyond.

I urge all deaneries to unite in helping the 2008 applicants to specialty training by agreeing a ONE application format and allowing enough time for the juniors to apply.

I hope this all applications be done online through the 'NHS jobs' website and the online form will have an integrated CV facility. The whole application can then be submitted through the NHS jobs website making it easier for applicants who also have to work at the same time as apply.

With tougher competition predicted for 2008, this is the least deaneries can do to help. Please all deaneries, extend a helping hand to our juniors.

“Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around.”

Tuesday, 20 November 2007

Time to shun the Spine?

“It is better to keep a friend from falling than to help him up”

Of course, talking about security glitches with government IT systems is almost becoming a boring cliche, since it happens all the time now.

First, The junior doctor application to Specialty Training system going mad and crushing the hopes and aspirations of thousands of bright and dedicated doctors on the way. Then, the same junior doctors detailes exposed online because of the faulty IT system. Pensioners suffered similar, etc. etc. Now ID details of all recipients of child benefit have been lost! How can the government now expect us, the public to still be happy with the idea of an ID card or any other system involving keeping a huge electronic database?! And, isn't all this enough for patients to refuse that their life-long medical details and records being stored on The Spine?

I am glad that this poll finds that the majority of our GPs would not want to upload their patients details on this system without obtaining consent first:

"Nearly two-thirds of family doctors are poised to boycott the government's scheme to put the medical records of 50 million NHS patients on a national electronic database, a Guardian poll reveals today.

With suspicion rife across the profession that sensitive personal data could be stolen by hackers and blackmailers, the poll found 59% of GPs in England are unwilling to upload any record without the patient's specific consent."

Patients automatically expect their doctors to try and affect change for their benefit. So many thanks to the Guardian, the researchers and of course the GPs who found the time to participate in such 'vital' research despite their busy schedule.

However, this was only a poll conducted by medical academics to test medical opinion. Now, as a result, I hope all GPs will take this stand for real and insist on obtaining patient consent before uploading patient records on this system. I personally would not want my records to be stored on such system without my prior consent now that I am aware of these results. I am now also not convinced that it would be a good idea to give my consent and expect that the majority of people would probably feel the same. Of course, it would be a good idea if the Guardian were to conduct further research to test opinion and publish the results to help people make an informed decision.

Unless further research is done on the Spine to assure the public that it is safe then test opinion to ensure people understood and approve, how can patients be sure that their personal information and records will be safe on this IT system?!

Since this is a tall order,

Is it time to shun the spwine? .... Just do away with it and also save the money we may spend on further research?

Costing £14 Billion pounds, was the money spent on this IT system well spent?!

“In helping others, we shall help ourselves, for whatever good we give out completes the circle and comes back to us.”

Monday, 19 November 2007

Fancy this bike?

A man who had an intimate relationship with his bike had had to go to court was placed on the sex offenders' register after admitting a 'sexual breach of the peace.' He is also now on probation for 3 years.

"They knocked on the door several times and there was no reply.

"They used a master key to unlock the door and they then observed the accused wearing only a white T-shirt, naked from the waist down.

This man was at home in his private room! What I find baffling is why were the police called in the first place?! Then why did the police arrest him?! How did he "sexually breach the peace" if he was alone in his own space?! .. and, with a bike?! Why didn't the cleaners just close back the door and walk away instead of standing there and watching him? This man's privacy has been invaded by those cleaners and, IMO, he should have been the one to call the police for them because they breached his peace. The reason he probably didn't call the police was because he was drunk. That still does not mean that his privacy should be invaded in this way!

Could it be that the cleaners are used to regularly invade his privacy and this was his way to try and stop them?

Then again, to put him on the sexual offenders list for this is ludicrous; I would very much like to know the logic behind this judgment! He did not attack anyone nor hurt anyone! Does the punishment fit the crime? What is he going to lose if he went out now and attacked a woman or a child for sex? ... Mind you, this is unlikely IMO

If only all the paedophiles roaming the streets in search of opportunity would relief themselves Mr Stewart's way instead!

"Satan trembles when he sees the weakest saint upon their knees."

Sunday, 18 November 2007

Supermarket healthcare!

Fast food style health is absurd IMO! Ok, so, pharmacists work in some large supermarkets, but pharmacists just sell medicines and medical products over the counter! You do not need to undress to buy those! Nor tell the pharmacist about your most inner feelings! Nor will the pharmacist touch you in order to sell you medicine! Then again, I do not care which pharmacist is on duty to sell me the medicine! But with my doctor, I like some confidence in the relationship. How can this be obtained if I can just take my milk and my chickens and my potatoes and might as well visit the doctor before I leave the supermarket! Doctor-patient relationship is almost holy, it is a vital part of overcoming illness. This will be lost and only the patients will suffer!

Then again, did anybody consider the cost of this idea? How many 'patients' will visit the supermarket GP just because they happens to be at the supermarket? That people will just pop-in if they broke a nail while picking up a bag of potatoes? Will visit for the most minor of ailments just because the service is there?! This will open the doors wide for those who already 'use and abuse' the NHS instead of finding measures to stop them. What next?! Have an open heart operation while at the supermarket for some milk?!

Supermarket GP = Junk health care = More cost for poor NHS = Huge profits for supermarkets = Patients losing out!

“Living with integrity means: Not settling for less than what you know you deserve in your relationships. Asking for what you want and need from others. Speaking your truth, even though it might create conflict or tension. Behaving in ways that are in harmony with your personal values. Making choices based on what you believe, and not what others believe.”

Saturday, 17 November 2007

Refused entry because of her weight!

A British woman was refused entry to join her husband in New Zealand because she is obese! Yet scientists discovered a gene, shat causes obesity in some people. Mice given the gene usually lose weight as the research says. They also found a skinny gene that, if given to obese people will help them reduce their body weight. So far, all trials have been conducted on animals as the researchers say. Meanwhile, some slimming drugs that are currently being used to reduce weight have been links to depression! If obese persons have a gene that makes them obese, then it must be very hard for them to lose the weight too?!

It is good to help people lose weight if they are obese but unless science finds a safe way of reducing weight without causing other 'Costly' problems either to the individual or the state, I do not think it is fair to split families like this British woman's above and treat them as if they were criminals!

Promoting good health is brilliant but problems caused by being too skinny cost money too, so, those too need help. I suppose I am lucky I am not obese because separating families this way is a bit OTT, what next?! Those who do not conform to man-made set of measures would be put-down?!

What about her human rights?! These do not matter anymore in this and other things, or so it seems!

What will be next after weight, IQ perhaps?

“If there is anything the nonconformist hates worse than a conformist, it's another nonconformist who doesn't conform to the prevailing standard of nonconformity.”

Friday, 16 November 2007

Left outside alone .....

Boat in desert

All my life I've been waiting
For you to bring a fairytale my way
Been living in a fantacy without meaning
It's not okay, I don't feel safe
I don't feel safe...

Left broken empty in despair
Want to breathe, can't find air
Thought you were sent from up above
But you and me never had love
So much more I have to say
Help me find a way

And I wonder if you know
How it really feels
To be left outside alone
When it's cold out here
Well maybe you should know
Just how it feels
To be left outside alone
To be left outside alone...

I tell ya..
All my life I've been waiting
For you to bring a fairytale my way
Been living in a fantasy without meaning
It's not okay, I don't feel safe
I need to... pray

Why do you play me like a game?
Always someone else to blame
Careless, helpless little man
Someday you might understand
There's not much more to say
But I hope you find a way

Still I wonder if you know
How it really feels
To be left outside alone
When it's cold out here
Well maybe you should know
Just how it feels
To be left outside alone
To be left outside alone

I tell ya...
All my life I've been waiting
For you to bring a fairytale my way
Been living in a fantasy without meaning
It's not okay, I don't feel safe
I need to pray

Oh pray
(Heavenly father)
Ohh heavenly father
(Please, save me)
Oh save me

And I wonder if you know
How it really feels
To be left outside alone
When it's cold out here
Well maybe you should know
Just how it feels
To be left outside alone
To be left outside alone

All my life I've been waiting
For you to bring a fairytale my way
Been living in a fantasy without meaning
It's not okay, I don't feel safe
I need to.. pray

" .... People like you enrich the dreams of the worlds, and it is dreams that create history. People like you are unknowing transformers of things, protected by your own fairy-tale ....”

Whatever you do, DO NOT fidget!

No fidgeting here, Confident, assertive, looking people in the eye, knowledgeable and truthful about the subject, so, very believable. What happened here then?!
Why so many coming to the rescue?! It didn't work either as they were in the same boat! The majority of questions remain unanswered?! ...... Then again, one must admit, what a 'competent' TV presenter!

“What to do if you find yourself stuck in a crack in the ground underneath a giant boulder you can't move, with no hope of rescue. Consider how lucky you are that life has been good to you so far. Alternatively, if life hasn't been good to you so far, which given your current circumstances seems more likely, consider how lucky you are that it won't be troubling you much longer.”

Wednesday, 14 November 2007

Takes my breath away!

The amazing King Tut-Ankh-Amun, pronounced Toot- Ankh-Amoon, the son of Akhenatun of the 18th dynasty (around 1400BC) is here after 35 years. He hasn't been to London since 1972! :-) His exhibition starts tomorrow at the O2 centre, although without his famous mask as it was deemed too fragile to be transported ;-) However, many very beautiful pieces have been included, like a small wooden head and neck statue when king Tut was only nine years old, of course he died at age18 and was buried in the valley of the kings at Luxor - Egypt. People who think the mask is amazing better go visit this valley of the kings because it always takes my breath away and I have seen it 5 times! It is a 'must see' at least once in one's life time. Absolutely out of this world! Literally :)

Of course king Tut is famous because his tomb was never robbed, this is why we are able to experience the splendour of ancient Egypt because this particular story is intact. Egypt, however, has a million and one stories, all equally if not more amazing, they continue to unfold even as I write now :)

One of those is the story of the greatest engineer that ever lived (IMO), Ramses II and I always take the optional trip to see the Abu Simbel temple and the out of this world gigantic four statues at the entrance of his grand temple. Egotistic personality is an understatement for the powerful king and you have to admire his engineers brilliance at mathematics. They calculated, to precision, when the the sun rays will enter the temple at a certain angle to light the kings throne at a specific time of the year and a specific time of the day! Isn't that something. They then built this amazing structure and it works!

The boy king was buried wearing his famed mask then his body was placed inside the three coffins, one inside the other. One of those; I believe is the middle one is also included in the exhibition. This particular piece is absolutely stunning! IMO is of equal artistic value to that if the mask if not a lot more IMO. Also included, I think, are the two alabaster vases which held the kings internal organs and were placed on a pedestal next to the coffin inside the tomb.

The mask of Toya, Tut's grand mother is here too as well as incredibly elaborate jewelry of the boy king.

Of course, Akhenatun (Was married to queen Nefertiti, one of the most beautiful in history and the one I use as my profile picture ... dream on :-) Akhenatun was the first king to call for a monolithic religion, ie, the worship of one god. He then built a new city and sacked all the old priests of the many gods before. He was then banished into the desert of Sinai by those same priests who, of course, did not want the new religion that made them lose their jobs so the rebelled against him. King Tut was then put on the throne as a little boy of eight or nine years old. Those same priests gathered around him and 'advised' the boy king to start yet another religion; one that believed in the body, the soul and 'mystic power'! Al-Karnak temple at Luxor has inscriptions and drawings explaining, in detail, how the new religion must be practicedLots have been written about this bit ... and more ....... And the mystery continues ...

The king's Mummy
King had disability

Tuesday, 13 November 2007

Why Medicine?!

A friend of a friend phoned today because her son received an invitation for an interview at a top medical school. I didn't think it was right to warn them about the current situation since the lad has already applied but he is predicted 4 A grades at A level besides another A level in a foreign language which he took at year 10 and achieved a high B for it as his mum told me. He also has an array of voluntary work, music awards, sports ... etc, impressive young man by any standard. One must not forget good parenting when young people turn out to be like that. She wants to bring him to us so that one of my children; doctors and a senior-ish medic can give him a mock interview. My daughter, an F1 doctor didn't mind and he will be coming at the weekend to be grilled by her. His mum was also asking if there are certain interview questions that come up all the time? Of course they always ask you, why medicine? From my experience with my children, this is always the first question a would be medic gets asked at interview; why medicine?

Seeing what is happening to medicine and doctors young and old-er these days, if I was a candidate myself and my interviewers asked me this question, I would say; you tell me!

Give me ONE good reason why should I go to medical school!

Why should I go into a school that doesn't relent in it's hunger for continuous study of the highest possible level? endure rigorous periodical verbal and written testing ending in having to pass the most notorious of exams? Having to still juggle other social and more academic activities and maybe a little job on the way including obtaining yet another scientific degree at the highest possible grade? Lose out on enjoying the 'university of life' with it's ups and downs like everybody else does but me? Spend six of the best years of my life with disease and those afflicted with them? Why should I do all this then graduate to the current situation medicine and doctors are in today?!

Apart from the rotten pay IF I get a job, I graduate to find out that I am not needed; that somebody else made a mistake in predicting how many young doctors we need! Then, to add insult to injury, rather than try and fix their mistake, they also give the work I should be doing to those much less qualified than me and 'invent' ways for them to progress but not for me! They then tell me that if I want a career in the profession I qualified for, I have to endure unfair competition with others who were 'invited' to come and help when there was a shortage, loads and loads of them! That if I don't manage to 'win' a place, then tough luck! No rationale at all, it's about how lucky you are and nothing else! That if you are not so lucky to do what you really like to do, you will get a job that goes nowhere! Otherwise, I am afraid, you have to be contended to just sit at home and do nothing!

The dole queue awaits you!

Even if I get lucky and 'catch' me one of those elusive jobs somewhere in the middle of nowhere, I may still end up at home doing nothing after a few more years when I am fully qualified! If I become a radiologist, well, radiology is sourced out and we do not need as many! A Gynaecologist, many parts of this were already given to nurses, anaetheasists now have assistants so do other specialties where lots of work have been given to nurses and nurse quacks, they examine, diagnose and prescribe, even decide who lives and who dies! Surgery also has changed and, as well as also giving surgical procedures to nurses, some specialties are dying out completely including vascular, urology, thoracic .. etc, etc!

If you have super powers, not necessarily to do with medicine, extreme luck and can jump all those hurdles, you will at the end become a semi-specialised practitioner working on a patient 'production belt' somewhere with no chance in hell of making it to a proper expert in your field! Even if you can achieve this amazing of all dreams, you will be suspected, accused and harshly fought for daring to earn a decent living suitable for a life-long hard work, expertise and effort! Isn't it easier to learn playing golf at 18?

Since 'they' commissioned you to work for the NHS, you can't go anywhere else either!... End of! Might as well sit at home now and enjoy life at 18 because, if I am 'very lucky' indeed, the chances are, at the end of all of the above;

I may just end up working for Tesco's!

That's where 'aspiring to excellence' gets you nowadays!

Now, you tell me;

Why Medicine?!

“Stress: The confusion created when one's mind overrides the body's basic desire to choke the living daylights out of some jerk who desperately deserves it”

GPs at Tesco, a reality!

GPs surgeries could be run by Tesco or Virgin

'Every GP surgery in the centre of England's second largest city will be scrapped and replaced by franchised health centres run by private companies such as Tesco or Virgin under proposals published by its primary care trust.

The plans, described as "the most frightening document I've ever read" by a senior GP, include abolishing the 76 existing practices in Birmingham and replacing them with 24 branded primary care units, each predicted to see up to 15,000 patients a year.

The Heart of Birmingham health trust's corporate franchising strategy has been presented to the board and already approved by its professional executive committee. The trust aims to have the first "super-surgery" open within the year.'

I would like these new centres to become - a visible brand associated with a practice that provides good quality services

instead of the current situation of "Victorian terraces where people are practising medicine in the back room".

Too spooky, No comment!

Curvaceous is beautiful ... again?

So, men like curves and have always preferred them from as far back as the beautiful queen Cleopatra of ancient Egypt:) great! But we all knew that! Nonetheless a research into women's proportions was commissioned and conducted by scientists from the USA, where else!

The scientists, from the University of California at Santa Barbara and the University of Pittsburgh, concluded that women with lower waist-to-hip ratios (WHR) produced children with better intellectual abilities.

That's what I've always tried to explain to my husband, where the children's IQ came from! :)

The research finds that there is correlation between the children's IQ and whether a mum has a small waist and fuller thighs; so the children of a pear shaped mum are more intelligent than the children of an 'apple shaped' mum. The reason is because the Omega 3 acids in The fat from the thighs is better than the Omega 6 fatty acids from fat around the waist! So, if Marilyn Monroe had children, they would've equaled Einstein's intelligence! What a load of rubbish! .... Or, maybe!

What is more important is that nowadays we see the media sending out one message to young teenage women; the skinnier you are the better! Those young women then starve themselves to death to achieve the skinny look of the cat-walk girls in order to look like them and fit in the skinny designer clothes that are marketed only for thin women. Women so thin that you can see their rib cage and shoulder blades sticking out every time she walks, or rather, jumps! That is not beauty but an open invitation to so many physical and psychological eating disorders, some so miserable like anorexia, a disease so vicious, it takes hold of the young women affected and makes their lives not worth living, and on many occasions, ends in killing them! So, if this research means that the media; news papers like the Telegraph publish articles like this one, then this is good. Maybe then young women start to believe that curves, in moderation, are natural, beautiful and healthy.

Curves are fashionable ladies, enjoy your food

Of course, curvy women are more prone to obesity in later life, so ...... Back to running up and down the stairs 25 times! :-)

“Pretty is something you're born with. But beautiful, that's an equal opportunity adjective.”

Monday, 12 November 2007

Unless you have the best, people die!

Dr Rant and his team

His, is not just a vocation, total dedication and commitment; his is 'passion!' He uses explicit language and equally explicit thought to convey his message to his large audience, and he always succeeds because he says what his audience want to say and hear, the truth!

Dr Rant is angry. He rejects the dismantling and the eminent privatisation of a much loved national institution; the NHS. He is angry about the ongoing efforts to downgrade British medicine. Angry about constantly being attacked for earning a decent living while those who attack him choose to ignore his hard work and total dedication to his patients and the profession he loves and is committed to. He is angry for his 'empowered' patients, who, through this fake empowerment, are left to fend for themselves in a maze of incompetence and bureaucracy.

Dr Rant, and his team, are representative of the feelings currently held by British GPs while Dr Grumble's views are Representative of our consultants, when not on the golf course of course. Another dedicated doctor angry for the same reasons as doctor Rant and for the current ongoing efforts to strip him of his autonomy and the 'tick box' culture that is set to replace his expertise, if this mess is allowed to continue.

The ferret fancier is a junior doctor who feels cheated and betrayed by the current reforms. He endured a lifelong commitment to the study of medicine and is 'aspiring to excellence' but on graduation, rather than being rewarded and encouraged to reach his goal, was faced by MMC, a new system that hinders him from reaching his potential. A system set to discard him in favour of 'empowering the ignorant!' No one warned him that he must kill his dreams and maybe abandon ship to save himself and, he won't. He has every right to scream, to say NO!

Women doctors are angry too, they feel under valued, put there to fill gaps in the future when the desired total control of their profession is achieved. Part timers juggling families and jobs with no aspirations allowed. The job is only there to help make ends meet, 'use and abuse' but nothing else. So, women doctors too are also saying NO! Rightfully Witch doctor! Now, tell black cat to put a spell on 'them', ... make 'them' disappear .....

British medicine is 'world class' because of these people and their teachers before them. They are angry because they want to preserve the standards. A noble intention indeed. Isn't that what 'aspiring to excellence' is all about?

The whole profession is nearing boiling point ....

Is anyone listening out there? ..... Before it is too late!

'Doctors are elite 'academically and clinically' for a reason - unless you have the best doing the job people die.' Dr Rant

How right you are doctor Rant

Sunday, 11 November 2007


Picture from 'I Love the NHS' rally, 3 November 2007

Here is the reason for the war on obesity, why there will be war on alcohol shortly, why the ban of smoking in public places. Although all sound good, they are not really noble in their intentions at all. Of course the diseases they cause cost a lot of money to manage and treat, something you would want to minimise if you are running a business for profit!

This also explains the war on medicine. Autonomous doctors are the patient's advocate, no good if you want to run a viable profitable business! Best remove all autonomy and turn doctors into subservient production line tick box practitioners with no brain and no voice, then you would not face any resistance in whatever you want to impose to maximise the profitability of your business!! Diabolical!

Some extracts from the article:

"Milburn and Stevens broke what they saw as the surgeons' private cartel' by bringing in independent surgical centres to lower the waiting lists."

'Now Stevens is to play a crucial role in presenting the more responsible face of American healthcare and in persuading the key players in Britain that they need to allow companies such as his into the NHS. Recently UnitedHealth's European division won the right to take over two GP practices'

Professor Allyson Pollock, public health expert at the University of Edinburgh and a key critic of private compani
es in the NHS, said: 'In the UK we don't think of healthcare as a business.'

'But this year there has been much criticism of the insurance companies, at home and worldwide, and the future is not easy for American medicine. Across the US, there is a growing clamour for a universal system of healthcare. Even those who do have a health plan find that they are denied care for which they thought they were eligible. Premiums are rising fast and last year half of all bankruptcies in the US were due to patients being unable to pay medical bills.'

The article says that Sir Darzi is a 'big' admirer of this man; Simon Stevens! Maybe they can both stay in the USA where they can both work in harmony of thought and big bux together and leave our much loved, valued and cherished NHS alone :(

I would rather pay a little every time I needed to see a GP or hospital doctor rather than let man run our NHS for his benefit and not the benefit of the British people.

“You're in the midst of a war: a battle between the limits of a crowd seeking the surrender of your dreams, and the power of your true vision to create and contribute. It is a fight between those who will tell you what you cannot do, and that part of you that knows / and has always known / that we are more than our environment; and that a dream, backed by an unrelenting will to attain it, is truly a reality with an imminent arrival.”

Save the NHS

Saturday, 10 November 2007

Obesity gene

British scientists find obesity gene link

In the UK it is estimated that 20 per cent of men and 25 per cent of women are obese, and that as many as 30,000 people die prematurely from obesity-related conditions every year. At the current rate of increase, three-quarters of the UK population could be overweight by 2025.

Obesity-related conditions are expensive to treat and cost the NHS at least £500m a year.

Bad diet 'causes night binges'

"We found that as an animal on a high-fat diet gains weight it eats at the inappropriate time for its sleep and wake cycle all of the excess calories are consumed when the animal should be resting.

"For a human, that would be like raiding the refrigerator in the middle of the night and binging on junk food."

Make fat people use the stairs, architects told

Around 65?per cent of women and 76?per cent of men fail to meet the Government's "national guidelines" for exercise. Ministers want people to exercise for 30 minutes, five times a week. According to the Office for National Statistics, the average person now walks 192 miles in a year, compared with 255 miles in 1972. The number of miles cycled per person fell from 51 to 34 in the same period.

In the Telegraph alone, there were more than 10 articles on obesity written within the past 3 days!

Well, although not obese as such, I can do with losing some weight, so, time to run up and down the stairs 25 times again :)

Friday, 9 November 2007

Bapio wins the appeal

Remedy UK site

The British Association of Physicians of Indian Origin were exuberant after the judgement was handed down today (9th November 2007) at the High Court upholding their appeal that advice given by the Department of Health to NHS employers regarding doctors on the Highly Skilled Migrants Programme (HSMP) was not lawful. The appeal was heard by LORD JUSTICE SEDLEY, LORD JUSTICE MAURICE KAY and LORD JUSTICE RIMER. The Lord Justices were unanimous in agreeing that the guidance issued by the Department of Health on treatment of doctors on HSMP was wrong.

....Dr Satheesh Mathew, Vice Chair BAPIO (Operations). "This judgement will mean that Indian doctors and other International medical graduates in the UK will not have to pay the price for the poor workforce management of the Department of Health." He added " However we also believe that all UK graduates must be guaranteed postgraduate training."


"We see BAPIO's role as one of advocacy for international medical graduates and ethnic minority doctors

Does Bapio mean those who are her members? International medical graduates? Or does she mean Brits who were born and educated here but have an ethnic origin? I am not aware that any Brits suffered any discrimination during the 2007 recruitment nor asked for Bapio's help. Bapio should represent its members and not speak for anyone else without the authority to do so. Unless of course, some of her members are British graduates. In which case she should represent them and not make such sweeping generalisation. Otherwise this advocacy should be for everybody based on the 'united we stand' principal of course..

Of course the DoH will now turn around and say that it did all it could for British graduates, including a consultation as well as going to court with all the costs involved. It will not care now what will happen to all applicants from 2008 onwards! I sincerely hope I am wrong! (It did!)
And in the BBC

The Department of Health said that the ruling was was 'disappointing'
"The issue is not, and never has been, whether they can continue to work as NHS doctors - which they can - but whether the taxpayer should be investing in training them instead of UK medical graduates."

What to do now? Will the BMA, Remedy UK and Bapio be able to force the DoH to increase training posts for 2008? Or, will the year mark the murder of thousands of careers for UK graduates? And IMGs?

Dum spiro, spero

The result of the appeal of Bapio VS DoH is out today at 2pm.

“In any moment of decision, the best thing you can do is the right thing, the next best thing is the wrong thing, and the worst thing you can do is nothing”

Wednesday, 7 November 2007

when in Britain, don't do what Americans do

“One must never set up a murder. They must happen unexpectedlly, as in life.”

4000 of our fully qualified, professional and highly dedicated junior doctors were not able to get training posts this year. Those are now officially unemployed. The 2008 recruitment to specialty training is due to start January 2008. It is expected that many more of our young doctors will also be thrown to the skip. Their numbers will be much higher than this year. The trend is expected to continue for the foreseeable future! We are discarding our doctors while 'this' and 'this' and 'this' and many more like them are being groomed, promoted and paid nearly the same to take over from doctors! This 'vision for the future of 'our' NHS is a 'copy and paste' idea that we pinched from the USA, as always! The USA has a shortage of doctors, we don't! .... But, as the Americans would say, "what the heck,!" So ......

No more doctor lead health service! 'This' and 'this' and 'this' will take care of you and me because 'they' are convinced patient safety will be achieved through team work, the members of which are 'this' and 'this' and 'this' above of course! ....... 'They' say that " local patient safety action teams will be accountable for safe care." and that there will be a 'Patient Safety Direct' hotline for frontline professionals ('this' and 'this' and 'this') to report 'safety incidents' ... does 'safety' have 'incidents?!' .... No wonder the line is hot!

See, 'our' health service is changing. 'They' say it is going to be 'patient led!' I tell you what sir;

Take your 'vision' and your 'hotline' and.....

Stay clear!

Your 'vision' means many more of ... that patient up there!

“Maybe this is why so many serial killers work in pairs. It's nice not to feel alone in a world full of victims or enemies.
It just seems natural. You and me against the world...”