The only way to get through life is to laugh your way through it. You either have to laugh or cry. I prefer to laugh. Crying gives me a headache

Sunday, 31 May 2009

Alan can fix it :-)

“One coin in the money-box makes more noise than when it is full”

Like Dr Grumble, I too do not believe that a change of political party will mean a change of direction on anything. I too believe, and have been feeling this way since Mr Blair took office, that democracy no longer means two sides in 'real' oposition, thus proper debate and the resulting decisions to reflect same. I too believe that pre-determined policies will be followed regardless of who is in office .... but .. I would vote Alan Johnson anytime, if he decides to put his name for PM soon ... No Alan meanz Looney Party or no vote at all for me .. and yes, it is that bad! :-)

And I have my reasons for why I would vote for Alan:

1- After a long winter of unprecedented doom and gloom, what in effect felt and still feels like a never ending funeral procession led by the two big ones on top, who also happen to look the part of 'directors', it is time for the easy going and smiley nature of Mr Johnson .. ie, someone to give us hope!

2- I trust Alan, not only because of his background and how hard he had to work to get where he is now but because he has always been an honourable man all along, hence no surprise to me he was not involved, in any way, in the current 'open sesame' scandals re the overwhelming abuse of MP expenses

3- Alan will therefore choose good men and women like himself for his cabinet .. Good for the future of this country .. He will choose men and women of honour .. like himself.

4- People are fed up with fake! Everything around us nowadays is manufactured, everything is not natural, we live in surreal times where nothing makes sense anymore ... century old values are going out of the window and are being replaced by materialism .. Money rules! Alan does not do fake so, even if money 'has' to rule, I believe he will do it sensibly and maybe say no sometimes.

5- I am tired of the 'speeding' lot and the resulting errors of their speed .. Alan will hopefully take a bit more time but then produce better and wiser approaches and decisions ... Stability!

6- At 59 years old, he is a member of the so called 'Ageing population' or what is currently regarded as 'anyone' over 50! Only Alan would be one so called 'elderly' who would be aspiring to the highest job in the land, and rightly so .. and hence, by voting for him, I hope he would not only inspire those of us currently termed as 'ageing' simply because we dared to cross a fictitious and stupid line of our own making, but make the use of restricting and limiting terms like this illegal, thus providing equal opportunity of all members of society to aspire for higher and higher so long as they have the will and the ability regardless of the date written on their birth certificate :-)

7- 'Some' of our men at the DoH are the best, by far ... so, hopefully they will all go up one notch together .. ;-)

And you know, I never really liked, although I do appreciate, the feel of the art of 'cubism', which is what these days feel like .. being stuck in a 'cube', you're restricted and therefore, limited! .. and also because .. there is no straight lines in nature! So, 'cubism' is not natural nor was it it intended to be as it is is intended to escape from the natural by straightening lines that are never naturally straight.

And I never really liked Pablo Picasso's
reasoning for his modern art 'cubism' movement because, to me, his use of straight lines as well as sharp mathemathical looking angles look like an attempt at the restriction of speed rather than aiding reality to show that times were moving at a speadier pace. Nonetheless, Ironic if you consider that straight lines, as in our modern times artificial roads complete with their moving at speed vehicles and objects are actually mainly straight!

That said, unlike those who pull our strings and have had us
'boxed' these days, Picasso's genius is in what he actually puts inside his boxes or 'the cubes' and their sharp angles ... What a turbulence! Of passion, of all sorts of emotions .. mayhem and confusion ... everything is inside those boxes .. Stuck! That's Picasso's genius, it's not the speed of the box but the speed of what's inside the box .. while the box is static, or is it?.. art that says it all :-)

Vote Alan Johnson .. soon I hope :-)

This is Edith, singing the art of the fictitious 'cubes' of all kinds. It's la 'Polichinelle' ... or 'the marionette' .. Pull those strings .. pull those strings .. make her dance, watch her smile .. Pull, pull .. p .. Oh dear! .. the strings broke! .. in that moving looking cube that really is static! .. Maybe because even the music was also cubed!

Maybe Alan can fix it .. marionette .. and music ... no more cubes ... no sharp angles ..
I hope he will .... :-)




“A box without hinges, key, or lid, yet golden treasure inside is hid.”


Thursday, 28 May 2009

The 1st August is nigh ... again!

"Human beings, who are almost unique in having the ability to learn from the experience of others, are also remarkable for their apparent disinclination to do so."

Britain is around 3000 junior doctors short already, yet from 1 August 2009, Brussels says that our doctors can not work more than 48 hours! Meaning, there will be a much bigger problem as this will be like we are lots more short in junior doctors .. double the 3000 to 6000 in real terms maybe? Maybe lots more?

How to solve the problem? Ask the juniors to lie! Fascinating stuff! ... Only I don't think many young doctors will .. because they do 'genuinely' care about the safety of their patients as well as their own integrity .. and professional conduct too ...

And the DoH had 12 years to prepare for that imposition of the EWTD! Fascinating stuff!

From a patient perspective, a patient needing an operation on or after 1st August 2009, how safe will this be and who will be doing the operating? Actually, when a patient signs that consent form, will there be information on who 'exactly' will be in that operating theatre and the names of 'all' those operating on the patient? Senior or junior doctor/s? Specialist nurses .. etc ... who will be holding that knife? What are patients consenting to?

And if most European countries do not follow this silly law from Brussels, why are the Brits intending to follow it? Why jeopardise patient safety? Why aren't the junior doctors allowed to opt out en masse?

Professor Black is talking sense .. I hope the DoH is listening .. proper

... and why do 'weird things' always happen to young doctors on 1st August? :-)


"Those who make peaceful revolution impossible will make violent revolution inevitable."

The NHS, a national pride ...

Disciplining yourself to do what you know is right, although difficult, is the highroad to pride, self-esteem, and personal satisfaction.

The American Health Care system is in dire need of reform, especially because the economic downturn means more and more people will fall out of the system due to unemployment.

US health Care: Out of control "The Obama Government mission to tackle the U.S. Healthcare system is no easy project, as there are so many components that need fixing. Do you fix the increasingly high cost of healthcare, or expand the coverage to a universal system"

Although the Americans claim their system is the best in the world ..

"Michael Moore in his recent documentary “Sicko” compares the U.S. Healthcare system with that of Canada, France, Cuba, and the UK, and while I have not seen this movie, the U.S. Healthcare system does not come out well."

And so, the Americans are currently looking at other health care systems around the world, mostly at the UK since we have a 'universal system', which is a strong option being considered by Mr Obama AND, our reforms have been going on for a good while and are currently in the implementation stage, hence, are begining to show good results.

But then comes Mr Carol Sekora and presents the NHS as a system that "causes the death of thousands of patients in the UK!" .. and he claims that, not here in Britain, but in The US of A and on American national TV .. and with NHS patients who claim to have been let down by the NHS! Angered by this, blogging British doctors angerly wrote about Mr Sekora himself and about how he attaches himself to institutions that he no longer belongs to in order to give weight and credibility to his personal views .. That then was followed by this article in the Guardian Newspaper. Following this Imperial College then confirms to Dr Crippen that he is no longer a member of her staff. IMO such a reaction from Imperial can result in damaging Mr Sekora's future prospects as a whole and I was beginning to feel sorry for the man .. But then ... he started it ... he went out of boundaries .. Big, big mistake!

If Mr Sekora had voiced his views in Britain only, which he did and has been doing for a number of years now, those views would have been considered 'Freedom of speech' .. and they were, prior to him going international with them! But you don't go international and slander a British 'anything' and expect to get away with it! Because there will always be good men who will stand up and say ..

You can not do that! This is NOT allowed!

Mr Sekora has now replied in the Guardian but his reply is not very convincing because it has no logic!

There is an Arabic proverb that says:

When need be, I'll side with my brother against a cousin .. and side with my cousin against a stranger ..

Not only has this become a worldwide protocol in diplomacy but it is also a lesson for anyone who thinks they can say what they like where they like about a national institution such as the NHS which may bring it into disrepute abroad. Anyone who dares to do so will always find that their behaviour will not be tolerated or allowed!

Each one of us has a responsibility to protect Britain .. anywhere in the world!

It's called National Pride! .. and The Brits are a proud lot! .. and we can help the Americans too ... and maybe we will, who knows! ...

... and that was a brilliant piece of 'Teamwork' doctors .. keep up the good work :-)


You can't give people pride, but you can provide the kind of understanding that makes people look to their inner strengths and find their own sense of pride

Saturday, 16 May 2009

New Look :-)

Pegasus

Quality has to be caused, not controlled.

Lots of things to read, learn and do on this new top notch Our NHS our future website. Full of information on the implementation process of the Next Stage Review, an up to date blog, media articles, presentations, videos ... you can even follow boss on Twitter! ..

Dynamic stuff! .. and very enjoyable too ... and it seems that boss is becoming a household name tooo ...

That's STAR Quality! :-)









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The qualities of a great man are vision, integrity, courage, understanding, the power of articulation, and profundity of character.


Friday, 15 May 2009

Misleading!

How often misused words generate misleading thoughts.

The Independent, a paper that I regularly read and admire, has published this article entitled Starting salaries: What the future holds. The article compare graduate earnings and goes to say:

"It should come as no surprise that vocational degrees give graduates the greatest employment opportunities. Medicine and dentistry have the highest rates of employment – 87 and 83 per cent of students respectively go straight into work and earn more than other graduates. Medics start on a salary of £30,492 ..."

Which makes graduate doctors the heighest earners of all professionals! Of course this is not true as F1 doctors in reality earn way below the national average! Hence, this is misleading article as graduate F1 doctors start on a basic salary of £21k and a few pence and that is it! Those who reach the £30K mark have to work overtime for the extra money, which of course, anybody could do anywhere to earn extra money! Even this extra overtime is no longer guaranteed, hence, the terms 'banded' and 'unbanded' to mean one 'with' and another 'without' overtime.

Therefore, for an 'unbanded' graduate doctor, and after a life long of continuous hard work and record of excellence and achievement followed by 6 years studying the tough and fully cramped science as well as art of medicine AND integrating yet another science degree at perhaps a 1st or 2:1 at first attempt and taking only one year to complete, the reward is then the most notorious, most despicable, most disgraced pay of £21k, full stop!

That £30k figure is for pay inclusive of 40-50% overtime. Of course, come August 2009, when the European Working Time Directive is fully implemented, no junior doctor will be able to work more than 48 hours per week, hence this 'banded' scenario will also end unless Britain opts out of the directive meaning, all juniors will only be earning a figure roughly the same as their basic pay .. and no perks! ..

This will apply to all juniors and not just the newly graduated F1s.


Not only that, but recently, the 'luxury' of having a 'room' in the hospital was removed from the F1s, meaning they now have to pay around £5000 +++ to hire a private room elsewhere for the F1 year! This, in effect, means at least a 20% ++ cut in real earnings! Not forgetting of course, that young doctors are REQUIRED to register with professional bodies as well as take tests to prove they are 'always' striving to 'continue their professional development' or lose 'it'; their career .. forever! ..

Young doctors should get trained to eat 'peanuts' only .. because that's all they're getting .. and all they can afford!

Then you read that an 'economy' graduate earns £24,466, approx £3,000 more than an F1 doctor! This £24k figure is also the national average for graduate earnings! .. and only after 3 years of 'light' study for many! Those graduates may even be on £50K plus by the time they are of the same age as a graduate doctor because of the extra time it takes for the rigour of medicine to be learned! .. then 'some' of the economy graduates, for example, or the lucky 'ex-perts', do go on to do wonderful things in their careers too .. and can aspire to the most handsome of pensions! .. this one in the link doesn't even have the degree .. or so I think ...

And much as I like as well as respect The Independent, I am sure the paper meant to publish basic graduate pay across all professions and not a pay that includes 40 -50% overtime as it did when it published the earnings of a newly graduated medic. To allow it's readers proper and accurate comparison, the paper should be uniform in publishing such information to indicate the basic pay only without overtime additions because anyone can work extra hours to boost their income. Hence, I believe the paper has made a mistake that should and must be corrected.

The Independent, or any media, has a duty to check the information it prints before it publishes what can, in effect, be a deciding factor for many aspiring youngsters when choosing a future career. Medicine is indeed a calling, but doctors do still have to eat, have a roof over their heads and have families too .. like the rest of us. But, they are currently grossly underpaid in comparison to most other professions ...

I hope the paper will now correct this misleading information about the F1 junior doctor pay as well as highlight this injustice.

IMO, young doctors are 'intelligent', some can even be described as 'genius'! BUT, they are 'wet behind the ears' and work in a monopoly on which they also depend on for their training, which is a must .. and the monopoly knows that! So, they don't get the reward they are due .. disgraceful if you also consider the responsibilities they take with this 'our lives in their hands' scenario .. which will never change!

Then again, maybe all youngsters should strive to become MPs ... eeeasy living .. and the 'clever' thing to do too, eh? :-)

Reward achievement and excellence .. reward dedication, integrity and honesty .. if only for the benefit of those whom the young doctors serve .. their patients .. real people with real lives and real livelihoods! ...

Doctors ARE trust worthy after all ... :-)


There are few things more dishonorable than misleading the young.


Wednesday, 13 May 2009

No title!

“Never be below the title.

I can feel it coming in the air tonight, oh lord
Ive been waiting for this moment, all my life, oh lord
Can you feel it coming in the air tonight,
Oh lord, oh lord

Well, if you told me you were drowning
I would not lend a hand
Ive seen your face before my friend
But I dont know if you know who I am
Well, I was there and I saw what you did
I saw it with my own two eyes
So you can wipe off the grin, I know where youve been
Its all been a pack of lies

And I can feel it coming in the air tonight, oh lord
Ive been waiting for this moment for all my life, oh lord
I can feel it in the air tonight, oh lord, oh lord
And Ive been waiting for this moment all my life,
Oh lord, oh lord

Well I remember, I remember dont worry
How could I ever forget, its the first time,
the last time we ever met
But I know the reason why you keep your silence up,
no you dont fool me
The hurt doesnt show; but the pain still grows
Its no stranger to you or me

I can feel it coming in the air tonight, oh lord
Ive been waiting for this moment, all my life, oh lord
Can you feel it coming in the air tonight,
Oh lord, oh lord




I have been wounded but not yet slain. I shall lie here and bleed awile. Then I shall rise and fight again..


Saturday, 9 May 2009

Broomstick :-)

Good habits, once established are just as hard to break as are bad habits

Witch doctor was down in memory lane last week remembering her mother and bits and pieces from her childhood .. and 'Ballet'?! .. I could never do that! .. Too strict .. and so, like medicine, I greatly admire those who can endure the ballet disicpline. But, I like the post because it reminded me of similar times during my own childhood, albeit, I was a bit, well, not the most placid if you like :-)

Unlike witchdoc, I grew up in Cairo, Egypt .. but I was in English schooling until university. We had Fridays off because it was the Muslim day off and Sundays off because it was the Christian day off and that was lucky because children attending Egyptian state schools only had the one day off; Friday.

We had to work all day Saturday from 7.30am to 3pm .. But then Saturday was a special day because we only had one maths lesson in the morning followed by sports activities, then lunch followed by another maths lesson in the afternoon then that was followed by music and dance activities .. which I really loved ... not bad! Only I couldn't jump the horse in the gym and fell every single time I tried .. and I didn't want to learn how to jump it either because I hated the awful thing so .. after registration I always bonked the session but stayed within the school itself because we had guards and closed gates so there was no way out. I usually hid myself with a book of some sort in the girls 'vestiaire' as it was called in French because it was rude then for girls to say 'toilet' in front of little boys or even the adults in the school. I did not like it but I did that hiding anywhere act for a long time until one day, a really nice teacher found me out and put me in the first girls basket ball team the school ever had .. and did I fit in! I played 'Basket' as we used to call it until I went to university and I was 'good', actually the whole team was good and we won many national prizes .. well, national as in Cairo only .. but they called them national anyway. 'Basket' is my most favourite game to this day even though modern 'ball' is hardly similar to the basket I knew :-)

Despite being the tallest of the team, I was a defender and was never an attacker, never that good at making the basket itself .. But, nobody could get that ball out of me once I got it, no one. Anyway, when you are a defender, you tend to bend your knees and your back a little and it becomes a habit. So, by the time I was about 13 and was beginning to show signs that I was actually a girl, I used to intentionally bend my back and my knees a bit to hide this change in physique, which I found very embarrassing then as I was a leader of a boys gang during play time .. and they were beginning to notice I was becoming a bit weird too, not nice if you want to show authority, eh?! .. and when my mother couldn't get me to 'stand tall' simply by ordering me to do so, she named me 'Hunchback' .. and that was when 'my' first broomstick appeared :-)

My mother, who was the kindest but at the same time the strictest ever when needed was never going to allow me to stoop or bend as I did. So, she went and got a new broom stick especially for me .. she removed the head and every day before school, I was forced to eat breakfast with that stick put horizontally behind my back, a little higher than my waist. Then both my arms were wrapped round it to hold it in place ... I was then allowed to eat .. and it wasn't easy but you do get used to it quickly. You can wrap your arms around the stick twice for a better result, if you're not intending to eat at the same time of course.

I had to repeat the exercise again in the evening for about 15 to 20 minutes and had to do it everyday at least twice. It was hard to start with, walking around and eating with a stick behind my back and my arms used to get a little tired, even sore sometimes but I enentually got used to the idea, even used to do it more than twice a day sometimes. I have since always had good posture, stood tall and looked straight ahead . I have also never ever had fat around my tummy regardless of how heavy my body gets. People used to be surprised when I told them I had just had a baby 2 - 3 weeks before .. Broomsticks really are magical.

I still have my own broomstick (without the broom :-) and do use it. My daughter now has her own too .. and the boys when they were younger .. and you can still occasionally see them walking around the garden with the stick behind their backs.

Happy, healthy .. and it does wonders to your back as well as to how other people see you when you know how to look the look, talk the talk and walk the walk .. and does it pull you up! :-)

Posture all natural, all holistic and all theraputic using only the humble broomstick .. give it a try and have a look sideways at the mirror, you'll be surprised how amazing your posture will look .. and that's as soon as you put that stick behind your back .. and in no time at all, you will also lose this belly fat if you have it because it strengthens your abdominal muscles and teaches you how to always pull them in a little when walking ..

Thanks mum :-)

... and my mum still has her 'singer' sewing machine to this day and she too doesn't use it anymore. Instead, it too is stood at the hallway since my mother had it inlaid with mother of pearl .. something mothers in Egypt do as is a sign that the machine is no longer in use but is now considered a family heritage .. and relatively speaking, it is not that expensive to have it decorated that way in Egypt either. It is replica of Witchdoc's mum's machine and it too does look beautiful!

Small world! ... and you can sit tall and fly around it all .. on a broomstick!

Time to take off :-)




“All human actions have one or more of these seven causes: chance, nature, compulsions, habit, reason, passion and desire.”

Wednesday, 6 May 2009

Swine Farm ... :0)

Think P.I.G. - that’s my motto. P stands for Persistence, I stands for Intense persistence, and G stands for Going the full mile regardless."

CMP - "Piglets, pigs and swines, as your Chief Medical Pig, I gathered you all here today because of a matter of utmost urgency"

Pigs - "Oink"

CMP - "As you are aware, the humans have blamed us for what we pigs consider a very minor ailment that affected the very few them. Nonetheless, the humans, as habitual, went absolutely mad and are still making a song and dance of the trifle incident. We, are wiser. We, are saner. We, chose not to react to their accusations for the time being. Instead, we decided to be patient and wait until the storm in their tea cup passes peacefully, so long as their disease posed no danger to our population"

Piglets - "Oink, oink CMP! We won't make song and dance like humans! Patient we will be!"

CMP - " Yes! Thank you, thank you wise swines. However, the situation has now changed! The humans seem to be disappointed that none of them has died of 'the disease' in this country! As you know, they usually act irrationally when they reach that desperate mode and ya never know what they will do next! They now say that the so called 'swine flu' moves from human to human! Of course, we will never know if this is true! But ... we can't keep quiet about that because this is a grave threat to ourselves!

All the swines - "Oink, Oink CMP! Grave threat! Grave! Grave!"

CMP - "If that human disease can move from human to human and if it really came from swine to human in the first place, then, this means that it can move again from human to swine, right?!"

All the swines - "Yes CMP, it will move from human to swine and we swines will most definitely perish! Most definitely!"
(Loud grunting noises everywhere .. and some piglets sobbing profusely)


CMP - " No, we will not perish! Watch my lips! WE, WILL NOT PERISHSHSH! We, are cleverer than that! We, will do better than them crazy humans. We, will act more prudent. We, will scare them more and more! Grrrunt, grrunt, ooooink, oink! And ... we, will wait until their chiefs then scare the lot of them dead! .. And they keep on scaring them ... more and more .. and more .. because they are too far in 'it', they can not afford to let goooo"

Piglets - "Oink, oink, wise CMP (sobbing and grunting dying down) ... and then?"

CMP - " And then my dearest little ones, the humans will happily have their pandemic and happily wear their own masks .. then drink their own medicine .. then hide in their own big boxes .. while we, we will have no human to swine flu pandemic .. and we, we will be safe here ... safe and free .. in Swine Farm"

Piglets, pigs and swines - " Long live our CMP, long live our CMP"


Always remember, a cat looks down on man, a dog looks up to man, but a pig will look man right in the eye and see his equal.












The song believes the swine flu virus is man made but then the song was made in the USA , where everything always end up in a conspiracy
;-)

Tuesday, 5 May 2009

Eyes :-)

For I dipped into the future, far as human eye could see, Saw the vision of the world ...


The eye sees a thing more clearly in dreams than the imagination awake.


There is a road from the eye to heart that does not go through the intellect."


Those true eyes Too pure and too honest in aught to disguise ...


Eyes R us .... and them ...



Own 'art' above :-)

Sunday, 3 May 2009

You're sultans :-)

You are among Life's precious jewels, Genuine and rare.

I've just read Dr Crippens post on 'clinical dashboards, empowering the monkeys' and The Witch Doctor's post 'All tangled up'

As for Dr Crippen's, I can't see what is wrong with teaching 'all' frontline health staff new technology that will minimise error and ensure more safety for the patients? I too found out about these dashboards and thought what a good idea! I am sure doctors will be the main initiators of those .. and why not train other health staff too for patients sake? But, I too do not like the idea of giving doctor's work to other unqualified as doctors staff because I do not like blurring roles and never will. I believe you only get what you pay for and on the long run this practice will prove costly .. as cost cutting measures like that always do.

As for 'all tangled up' of course there is currently a shortage of junior doctors and it seems this will lead to many other problems in the near and not so far future and that, of course, needs addressing.

That said, I sense a tone of pessimism here, not only from those two doctors above but in general. Even the young medics are begining to think that 'doctor' will soon become an obsolete term! ... Although I do think there is need to restore confidence in a career in medicine, I also like to ask you all;

You are not 'a crowd of young boys', you're 'the' sultans! Can The Sultans be replaced?!

See, you're precious .. because you are the real thing ...

And .. why am I not a sultan?! .. I suppose you do appreciate the value of some things more when you don't have them ... and you wish you did ..

Enjoy your song
... and swing with it :-)


Ordinary riches can be stolen, real riches cannot. In your soul are infinitely precious things that cannot be taken from you.