Evidence for evidence

At a recent patient safety meeting the subject of the ‘theatre cap challenge’ came up. This is an initiative that encourages all operating room (OR) staff to write their name in pen on the front of their disposable theatre cap so their identity is clear, which is especially important in an emergency. There have been... Continue Reading →

Caring and disdain: emotional juxtapositions in Adam Kay’s This Is Going to Hurt

  Adam Kay’s book really made me think. Among the gags and orifice-centred humour, examples of disdain for patients coexist with expressions of deep caring. I wasn’t sure who the real Kay was. But then I realised, he is probably all of us. In our fatigue we have all simultaneously despised patients who (we perceive) are... Continue Reading →

Get real: a conversation about alcohol

Moderate alcohol drinking is recognised as a major health issue. Although end-stage cirrhosis and liver failure are the most visible and tragic results of alcohol dependence/addiction, there are many more people out there who drink regularly to excess but who have no physical or mental problems with it... until an abnormal blood test or a... Continue Reading →

Death eclipsed

  Finding the right balance between active treatment, which may include surgical or semi-surgical interventions, and palliative care, can be difficult. The two can go on in parallel, of course, but often a full palliative care assessment and plan takes place when the primary medical or surgical team have drawn a line under their management.... Continue Reading →

The Choice, episode 6/6: Different

  Jessica watched Stackson walk away. Her head was pumping with the offense, the latent chauvinism, the hurt caused by his words. Dennis the charge nurse was at her arm trying to apologise or explain or something, but Jessica moved away from him to follow her consultant. She caught him at a turn in the... Continue Reading →

The Choice, episode 5/6: Regret

  Jessica didn’t go to the memorial. She stayed true to her initial instincts. But she did visit the hospital quite regularly, and ten years later, when she was 67, they invited her to a celebration of local doctors. For she was about to retire herself, and her contribution to the community was going to... Continue Reading →

The Choice, episode 4/6: Invitation

  So, Jeremy Stackson had died, aged 82. Well into retirement. Jessica found an envelope in her wire tray. She was invited to an event – not a memorial as such, more an after-memorial appreciation, to be held in the hospital's postgraduate centre one evening. Food, wine. As a local practice lead and administrator, somebody... Continue Reading →

The Choice, episode 3/6: Trainee

  Not all the trainees that came to work with Jessica, now 47, were good. One, Helena Banks, appeared incapable of concentrating for more than forty-five minutes, and had such a ‘direct’ medical approach she habitually missed clues given by patients. Despite all the training, she had not developed any real sensitivity to non-verbal signs,... Continue Reading →

The Choice, episode 2/6: Presentation

  Ten years later, when Jessica described her route to partnership in general practice she did not dwell on that early ambition to be a surgeon. It was almost a cliché; too tough, too competitive... not compatible with life, la la la. Perhaps it hadn’t been a true ambition, more a flirtation. GP was a... Continue Reading →

Blog at WordPress.com.

Up ↑

%d bloggers like this: