“The one thing I do not want to be called is First Lady. It sounds like a saddle horse.” Jacqueline Kennedy Onassis
Jacqueline, the wife of John F Kennedy, 35th president of the USA, and in an unprecedented move by an American first lady, she probagated her more friendly 'Jackie' neck name to be used by the media and therefore the public, then said the above famous quote. That was as soon as her husband took office. It was because she wanted to draw the masses to them both and hence get their support while her husband was in office. The way to do it for her, a woman who was modern, well educated and independant, was to sound and act as modest as possible ... but make no mistake, for Jacqueline was a member of the highest American class since and by birth! Let alone the fact that John, her husband, was a member of the Kennedy family, as high a family as you can get in America. He was also a husband destined, groomed and prepared, by this family, to ensure that one day, he and/or one/more of his brothers, would become president of The US of A .. and he did!
Of course her cunning plan worked and she became the most popular American First Lady ever! Despite that elitest of elite background. And despite the not very modest but world famous elaborate life style, including the extravegant, by any means, remodelling and modernisation of the White House Jackie famously embarked upon as soon as the couple took office!
... intelligent woman ... and what a lady!
Well, as the saying goes ... "behind every great man, there is a great woman" ... only I don't think modern men think this is always the case nor should it be, for it makes men look so dependable and with limited ambitions of their own, which is not the case. That said, in many cases, having an intelligent woman, who is also an independent but most important of all, old fashioned feminine , does help. IMO, the blurring of roles never works .. in any walk of life!
And Modest Jacqueline went on to marry Aristotle Onassis, the then richest man in the world, only a few years following the assassination of her husband :-)
And it always pleasantly amazes me how 'modesty' alway seems to be a 'quality' only those who stand out, in one way or another, can afford!
And on the subject of 'Feminine values' The Independant asks:
Why can't a woman be more like a lady?
Here's a gentleman's point of view .. or is it? ;-)
“The more you act like a lady, the more he'll act like a gentleman.”
Sunday, 30 August 2009
Monday, 24 August 2009
"The quality of frontline patient care depends on the quality of the clinical and non-clinical information available"
Admittedly, it was the World Health Organisation who started and continued with the current Swine Flu hysteria, But then The WHO's new media releases depict a picture of a confused and hence, not fit for purpose efforts .. at best! Then again, where are our own Public Health 'professionals' whom we meant to trust they would vet any information before they make a decision to go ahead with the unexplained hysteria that followed this Swine Flu 'pandemic?!' Why did they allow and are still allowing this mass 'scare'm' campaign to continue?!
"The U.K. government has said it expects to receive by year end about half of the 132 million doses of swine flu vaccine it plans to buy from manufacturers GlaxoSmithKline Plc of London and Baxter International Inc. of Deerfield, Illinois. The figures assume each person will need two shots to be protected against the illness ... Family doctors and nurses administer about 13 million seasonal influenza shots a year during three-minute appointments, about one-tenth of the number that would be required to vaccinate the entire population against the pandemic virus ... “We’re going to talk about the whole of the vaccine program in probably a couple of weeks time when we’ve got a clear view about what we’re going to do about prioritizing risk groups, when we have a clearer view about what vaccine’s available and when we have a clearer view about the delivery methods,” Donaldson, England’s chief medical officer, said last week at a news conference. "
Not only is there anyone saying whether those who caught the slimy swiney disease need still to be vaccinated, or if there is any evidence to support either a yes or a no to answer this question, but I was not given 'any' evidence to convince me that I should be afraid of catching the Swine Flu virus. Equally, there is no evidence to support the mass vaccination of the whole country, an operation the adminstration of which in itself poses one of the biggest challenges ever to meet our health service!
Why do it?!
There is no clear guidance ... no evidence .. at all ... that we need that vaccine! ... to get drugs that have other side effects that maybe very harmful, even more lethal than the disease it is supposed to protect from, into our bodies! So, unless I am convinced, and this far I am not ... I won't be having that vaccine! Nor do I want it anywhere near my family, including my young doctors! ... And I also want to know why are those insisting on that vaccine for everybody allowed to do so?!
But then, see why this vaccine'm all has to work? Cos what else to keep 'them' busy instead? ... Of course 'they' could have the vaccine first, and we all wait and see what happens? A 'pilot' to get some evidence ... good idea, eh? .... :-)
Anyway, It's sunny August and I am sipping on a tall glass of ice cold Pina Colada ... and listening to the much larger than life Demis Roussos, remember him? ... Bliss!
... taaake me from beyyond imaaggeeinatiouun .... youuu're my drrreeam come trrue, my consola-atioun ...
“No matter how talented the individual, clinicians cannot do their best for patients if they are unclear about what the best care looks like (About evidence)"
Friday, 21 August 2009
This story was first reported by the BBC on 19 August 2009:
Doctors suspended over exam error
"Cardiff University Medical School has apologised after it wrongly told four students they had passed their final exams and qualified as doctors."
"The four, who had taken up their posts at hospitals in south and west Wales, had in fact failed one of their modules."
The BBC then went on to report that it was because of a "clerical mistake" that the said doctors were told they have passed their finals and were allowed to graduate and start employment but then the said young doctors were suspended only 10 days into their employment to 'protect the public'
Picking up on the subject, Dr Grumble wrote:"Mistakes happen. Mistake happen particularly at Cardiff University .... These are not the only mistakes they have made ... "
But the 'mistakes' are not in Cardiff alone, for other medical schools whose 4th and final year students are awaiting their results of resitting just the one module too! Excellent and very academically able students who have already been told that they would be asked to leave medical school if that module is not passed in the resit!
... and it was the MTAS/MMC effect ... but now with that 'ruin'm' one module monster looming, morale is at rock bottom around our medical schools!
Then you think, what's in that module?! Why is it beyond those highly academic students to master?!
Yesterday, nobody cared how those 4 young doctors felt following their suspension after the euphoria of graduation then the utter despair they must feel now and since when they were told they did not infact graduate because of failing that module! What's the impact on those young people and their families?!
The GMC's response was only to say that it would refund there registration fees in full .. and that's it! Does failing that module justify breaking young people in this monsterous fashion?
As Dr Grumble said; some think that medical students don't have clout! Only, I think this is no more! The Guardian is here .. The Times is here ... The BBC is here .. and other media too .. and now it is time for the media to ask then report:
What's the content of that module? Does failing it justify what happened to those 4 medics? Does not passing that particular module make those 4 medics unsafe doctors? Hence, is that module a compulsary criterion that is passed by every medical graduate before they are allowed to practice?Was the module a fair assessment tool?
Was that incident unique to just one medical school? How many other medics are threatened with termination in other medical schools and why? And with the current shortage in junior doctors, is it wise that some of our medics are set to be ruined because of what looks like unfair assessment while we offer opportunity to those we know nothing about?
What is the content of that module?
Wednesday, 19 August 2009
like the moon
you are changeable,
et tunc curat
and then soothes
ludo mentis aciem,
as fancy takes it;
dissolvit ut glaciem.
it melts them like ice.
Fate - monstrous
rota tu volubilis,
you whirling wheel,
you are malevolent,
well-being is vain
and always fades to nothing,
michi quoque niteris;
you plague me too;
nunc per ludum
now through the game
I bring my bare back
fero tui sceleris.
to your villainy.
Fate is against me
michi nunc contraria,
and weighted down,
semper in angaria.
Hac in hora
So at this hour
corde pulsum tangite;
pluck the vibrating strings;
quod per sortem
strikes down the strong man,
mecum omnes plangite!
everyone weep with me!
"Now I know why tigers eat their young"
Nevermind, it's the August sun .. and dear Lord, anything is believable when simple logic goes on holiday ... dear Me, it IS hot in here! ;-)
Friday, 14 August 2009
“More people are troubled by what is plain in Scripture than by what is obscure.”
The Americans are in deep trouble with their inadequate, expensive and unfair health system which lets nearly 50 million people go without! They now want to reform but haven't a clue what to do! And so, they have been looking and listening and watching and waiting to see how our NHS works and how it will be improved more by the current reform .. and I think they like most of what they see, onlyyyyy, being who they are .. a noisy lot ... they are making a bit of a song and dance before they finally adopt our way of doing things, with a bit of tweak here n there, me thinks .. for sure!
The British way .. The NHS .. The BEST way! ....
And, if the Americans like singing and dancing .. we do tooooo ...
And I think it's only a matter of time before our NHS goes Global! .. like it's a matter of 'small' time before uncle Sam copies our 'Universal system'! Well .. almost! After all, unless you're a millionaire;
Our NHS 'is' TOPS ...
Soooo, uncle Sam .. and others .. if you just ask nicely ... :-)
“We can always lend a hand .. that's what friends are for”
.. and shouldn't Channel 4 have presented Lord Darzi as he is now? ... 'British Global Ambassador for NHS and life sciences and former Health Minister' for Quality, Innovation and Reform of English Health System ... etc ...
Monday, 10 August 2009
“Although I cannot lay an egg, I am a very good judge of omelettes”
When I was young, I always went to my mother for help with my school or university work ... last minute ;-) She had and still has this amazing ability to facilitate things by taking them back to their core components then build them up again layer by layer so that I understood. I found her way not only easy to grasp but thought provoking and fascinating too, as it depends on working the brain as well as the imagination at the same time; the best way if you want to really grasp and retain knowledge of any type .. and so, I have never forgotten her lessons and, of course, I used the technique on my own children when they were of school age too ... and they too, never forgotten the lessons, I hope :-)
One particular help to me was with understanding Micro and Macro economics. My mother, who was an accountant until she retired, used the most simple of tasks of frying eggs to simplify a subject I found quite challenging at the time .. that's how she went about it ... :-)
First step, make sure you have 1 egg, a teaspoonful of butter, a frying pan and a spatula and, of course, a heat source; a cooker. Step 2, light up one ring on the cooker, add butter and fry the egg using the spatula until ready to eat. Step 3, transfer from frying pan to serving dish and serve. Clean used utensils, kitchen area .. etc, did you like the egg? How much did it cost?
Then imagine that you have to cook two eggs at the same time. Of course, you need to make sure you have two eggs, a little bigger frying pan, double the butter, same spatula and one cooker ring .. get frying .. this time you use the spatula to make sure one egg is ready then make sure the other egg is ready too. Two plates to serve .. did you like your egg, did your guest like theirs too? Did they prefer it runny? Or well cooked? Did you clean your workspace and utensils? How much did it cost to fry two eggs? Was it double that of frying one egg? More? Less? .. Keep frying eggs .. adding one more each time ...
Now, say you need to simultaneously fry 100 eggs, you may then still be able to do the initial preparation work of ensuring you have a source that has 100 eggs in stock and can supply and deliver, same applies to the butter and the rest of equipment and ingredients. Now one little pan is no loner enough and so you need to calculate how many pans you need and make sure those too can be delivered, is it better to use small/big pans? Why? .. then, do you need extra human help if you want to fry all the 100 eggs at the same time? .. At this point, you need to start worrying about analysing the cost and how economical is it to fry your eggs this way .. Is there any cheaper way to acquire the ingredients? Better way to streamline the operation by rearranging the kitchen work and storage places, or by, for example, cooking well/under done eggs in assigned work stations/pans/by assigned staff .. etc? How about training the 'working hands' to ensure the quality of the fried egg? That they are not under/over cooked .. etc? You also need to consider 'waste', because you can't fry all the eggs yourself and even if you can, you are bound to make a few mistakes or have some unforeseen accidents in the process like dropping and breaking a few eggs, burning oil hurting staff, cleaning standards differing from one cooking station to another .. etc ... etc ..
And there you go, keep adding one more egg after another following the same steps above until you will come to the point where it gets too big, you wont be able to manage on your own and thinks will start to get out of hand and so, you now need to find a method of control for every step on the way or frying those eggs will get out hand! .. Its time for help! .. and time for a management system!
Time to talk 'Quality', eh? .. and efficiency! ... and 'Innovation' to do things better too? .. or maybe add a new product? An omelette perhaps?
Frying eggs .. a complex operation, eh? Count how many management systems apply in this operation here, from purchase to stock and quality control to finance to customer service to health and safety .. etc .. etc
How about if you have to cook a fried egg for every citizen in Britain on day? ... Big, big operation! Even though it is only about frying an egg for each! Can it be done? ... Time for a pilot .. or two .. those would come handy here, right? :-)
and that folks is building up micro to macro .. and building up its economics too .. Of course, the 'pilots' Will be designed to answer all those questions .. then we can find out if 'anything' on a macro scale is a good or a silly idea ..
... and my mum is still a 'very' good teacher :-)
“It may be hard for an egg to turn into a bird: it would be a jolly sight harder for it to learn to fly while remaining an egg. We are like eggs at present. And you cannot go on indefinitely being just an ordinary, decent egg. We must be hatched or go bad.”
Wednesday, 5 August 2009
“One day I shall burst my buds of calm and blossom into hysteria!”
Doctors are reporting that the current swine flu pandemic is now subsiding. They also report that the illness was a mild form of flu and not as dangerous a disease as the government's continuous 'scare'em' campaign has been trying to convince the British public into believing for the past few months. Resulting in the unpresedented stampede for the newly established Swine Flu site, which is reported to have collapsed under the strain of up to 9 + Million hits per hour as soon as it was launched on 23 July 2009! ... That's the equivelent of the whole of Britain, every man woman and child, calling this line every 6 hours! Or .. scared to death people calling and visiting the site again and again in an effort to deal with their fear of the monterous disease! The killer that was supposed to kill 65,000 individual .. but never did!
This was an 'inept' campaign!
And, in times when the government is saying that the NHS needs to tighten it's belt in order to survive the current downturn, when hospitals are suffering and patients safety is said to likely to be compromised as a result of the imposition of the European Working Time Directive, when young doctors are asked to lie about their real working hours to pretend that their hospitals are now complying with the directive, resulting in those young doctors having to work the extra hours without pay, for free! One then wonders;
How much did this 'inept' Swine-Flu campaign cost?
In a strapped for cash NHS, couldn't this wasted money have been put to better use?! Not forgetting how much more it will cost to treat all those people now suffering from mental stress due to it's ill thought, ill evidanced and hence, ill founded 'fear it, it's a murderous killer' message which was pure hysteria to say the very least?!
The Times is also wondering and is asking; Who's making a profit from Swine Flu?
And it seems that everybody else is innovating to grab themselves a piece of the swine cake and eat it too! .. Everybody is benfitting and is profitting, but the British public! Or the British public purse! .. and again, it seems that nobody will be held to account for this 'inept' performance .. they never do! ... despite the 'once inept, always inept' prognosis!
And The Swine and his mild Flu will be back in the Autumn .. for a new round of public purse paid splash of ...
“The undeserving maintain power by promoting hysteria”