Yesterday I once again showed a total disregard for the laws of the alarm clock, getting up a good 3 hours after I'd woken up. Part of me (the neurotic part) thinks that I have chronic fatigue syndrome, or a melatonin problem. But most of me knows that I'm just lazy. Anyway, the second half of SBOM was average. The radiology section was fairly good, but the video about breaking bad news was just another piece of commumication skills rubbish that treats us like we're all sociopaths.
Wasted another lunchtime on stickcricket.com, and scrounged money from mates for the second day in a row because the only 2 cash machines in the whole hospital (and one of them charges £1.85) are out of order.
My new student selected unit, "Global Health", was thought provoking. It turns out that it's not based on tropical disease as such, but about the political, ecomonical, and sociologial aspects of the state of world health. Puts Beckham's new salary of $1 million a week at LA Galaxy into perspective. But you'd have to pay me more to play with ex-Coventry players, in America. This week's session was based on Globalisation. The course co-ordinator was extremely well travelled, and also a consultant. Confirmed my beliefs that medicine and globe trotting are compatible.
Pub golf in the evening, but I called peri-birthday privelige and turned up in normal gear. Quickly tried to catch up with everyone else, seeing as I arrived one hole late. By the third hole I was happily playing golf with a tennis ball and miniature plastic club like everyone else. I ingeniously stood as the "pin", about ten metres away, only expecting putts. The first shot nearly took my head off. When it was my turn, I swung the club back and the head came off, hitting someone on the table about 5 metres behind us. Luckily I knew him from the poker society and he didn't need our medical attention. After that, the rest is blurry, but I remember two of us carrying one of my mates down the road until she screamed to be let down, and chatting/dancing in Jesters until about one o'clock. I also remember the pineapple burger and chips I ate on the way home. Beautiful. The CD in my CD player had been changed as well, so I must have switched it and listened to it before I got to bed.
Missed karate this morning. At first I thought it was because I was being lazy again, but when I tried to get up realised that my head did actually ache quite badly. Am still in bed now, at 4.30pm, watching the darts. Nothing better to do (that's a lie).
Had an idea, but probably too busy to implement it- drive a few medics up to Ben Nevis and climb it for charity. It's all walking rather than actually climbing per se, and we could check in to a B+B the night before. I'll do a quick scan to see who's interested and if it's worth my time.
I always save loads of little jobs for the weekend, and none of them ever get done.
At the risk of inoriginality, I found this slice of The Guardian on another medical blog site, NHS Blog Doctor. GPs make virtually no clinical decisions. "Their job is to act as gatekeepers on the medical service and refer patients to a real doctor. There is no reason why this should require an expensively trained professional and as this anecdote shows most of their job can be done by a competent clerical worker." I can say from more than a little personal experience hat GPs have a more rounded and hence more generally useful medical knowledge than any other type of doctor. Their knowledge is, for the most part, astounding.
Saturday, January 13, 2007
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1 comment:
hehehe...that could cause some fireworks...
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