Patterns and pride: diary of a medical anecdote

...There is, it seems to us, At best, only a limited value In the knowledge derived from experience. The knowledge imposes a pattern, and falsifies, For the pattern is new in every moment And every moment is a new and shocking Valuation of all we have been. T.S. Eliot, East Coker (Four Quartets) Day 1... Continue Reading →

Candour crunch: being honest about risks in healthcare

The report ‘Building a culture of candour - A review of the threshold for the duty of candour and of the incentives for care organisations to be candid’ makes very interesting reading. It seeks to define levels of harm that should trigger an approach to patients and relatives, and explores how organisations can be encouraged... Continue Reading →

Two rooms

Scene from the play Two Rooms Doctors speak several dialects, and the contrast between that used with patients and that used with colleagues can be stark. I sometimes wonder how patients would react if they heard every conversation that concerned them? Such a notion seems absurd, practically, though they surely have a right to such access. We have already been... Continue Reading →

A little piece of you – care.data dialogue

This is my fanciful contribution to the care.data debate. For a more rational account please see Jonathon Tomlinson's recent blog post 'Care dot data', and Ben Goldacre's accounts in the Guardian. This article (A simple guide to Care.data by Olivia Solon) in Wired magazine is very readable too; it discusses Green, Amber and Red data, how much agencies will pay... Continue Reading →

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