Ephemeral

Burning incense.

September Aspens

Almost all the leaves have fallen from the local aspens in the past week (I keep wanting to refer to them as "my" aspens I feel so bonded to them).  Tall and majestic their nearly-bare silver branches reach high and wide to touch the sky.  My heart lifts when they come into view. 

We slide definitively into autumn, but here at its true onset it is a kind season.  A warm west wind, high clouds and the bluest of blue skies. I generally meet at least one dog walker on my morning walk but today I was almost alone. Just a solitary jogger in the distance on the cycle path alongside the railway.  So I could take  photographs without feeling too conspicuous since I'm shy about snapping in public. 

There has been a shift in my recovery recently. For the better. The details aren't for the blog - at least not yet - but something has changed.  It will still be slow though.  Quietly hopeful.

New times demand new skills

Doctors ....... struggle to find the time—or lack the skill or motivation—to listen to patients, elicit essential information from them, and fully understand what matters to them.

Patients and their families are often frustrated by this. Most “get” that there are constraints under which doctors and public health systems work. But when the stakes are high, they will—and surely have the right to—seek other options in or outside their own country, and to expect their doctors to listen and discuss their findings and viewpoints sensitively, however well or ill informed they may be.

Tessa Richards
Senior Editor, British Medical Journal
 
 Dr Richards' complete post is definitely worth a read and rings all sorts of bells with me, given my mixed experiences with the NHS over the years and my now regular online searches for information on own health issues.  Like most of the country I have been following the sad and worrying Ashya King controversy where it would seem the boy's father's searches on the internet for information on the best post-operative treatment for his small son's cancerous brain tumour brought him into a breakdown of communcation with the doctors.  He fled the country with his family in order to access the treatment for his son he wanted in the Czech Republic, fearing that the hospital would invoke an emergency protection order taking away his control over the boy's treatment.

Ashya King’s father scoured the internet and challenged the Southampton doctors’ decisions. It’s a scenario that health professionals have got to get used to. Information is being democratised, and suggesting patients should not access it on the grounds that it may mislead them is absurd. The new reality for doctors, as the jargon puts it, is to “act as guide, not God,” and to avoid branding patients who do their own research as difficult..............

Ashya King’s case raises many questions. Among them, what price should impeccable professional credentials command if a doctor can’t win the trust of patients and their families, and agree a way forward? New times demand new skills.

19 Words that mean something totally different on the London Underground.

Ah, The Tube!  This made me chortle and then I turned wistful. Memories of another very different life and of countless commuting days. Can you miss that time and yet positively sag with relief that you don't have to do it any more - day after day after day?