I think the original definition of “evidence based medicine” was a good one – EBM is the integration of clinical expertise, patient values, and the best evidence into the decision making process for patient care. Clinical expertise refers to the clinician’s cumulated experience, education and clinical skills. The patient brings to the encounter his or [...]
Archive for May, 2010
Evidence based medicine….with the human beings stripped out
Posted in from the consulting room, from the reading room, health on May 28, 2010 | 5 Comments »
listening to the grass grow
Posted in from the dark room, photography on May 26, 2010 | Leave a Comment »
When was the last time you just stopped, sat yourself down in some grass, and listened to the sound of wind swishing through lush, swaying, blades? Can’t remember? Do it soon. (What’s that? It’s only grass? Have you ever really looked? Have you ever really taken the time to listen?)
sewing machines, sewing machines, sewing machines…
Posted in from the dark room, photography on May 24, 2010 | 3 Comments »
I walked past the old Borders store in Glasgow the other day and had to stop when I saw all the windows lined with hundreds of sewing machines. The shop is being converted into a clothes store. I don’t know if the sewing machines will stay, or if they’re just a screen while they set [...]
Bird on the wire
Posted in from the dark room, from the viewing room, music, photography, video on May 22, 2010 | 1 Comment »
What’s that I hear? Stop. Look up. Zoom in. Bird song……..little birds, big sounds, instantly……..I hear this……. Sometimes when the past comes crashing into the present it’s a wholly pleasant experience.
Bird flight
Posted in from the dark room, photography on May 22, 2010 | 1 Comment »
Do you ever look up for a moment and watch a bird flying? It’s amazing how fast some of them can fly….. If you can capture one midflight with your camera you can see the incredible positions of their wings as they beat the air.. Then, look at this one, HOVERING! Just hanging there way [...]
Joined up thinking
Posted in from the consulting room, from the reading room on May 21, 2010 | Leave a Comment »
One of the main problems of reductionist thinking in health which considers each disease as complete and separate entities is that the real world is a joined up one. What changes you make in one place ripple through the networks and produce a wide range of unpredictable changes. Here’s a recent rather unexpected story illustrating [...]
Connected
Posted in books, from the reading room, life, psychology on May 15, 2010 | 2 Comments »
Connected, by Nicholas Christakis and James Fowler, (ISBN 978-0-00-734743-8) is a fascinating study of social networks. In the Preface they write To know who we are, we must understand how we are connected. This is what Clay Shirky says in Here Comes Everybody, it’s what Johansson says in The Medici Effect, Andy Clark says in [...]
Empathic civilisation
Posted in from the viewing room, life, neuroscience, video on May 14, 2010 | 1 Comment »
This is superb – a short talk by Jeremy Rifkin illustrated fabulously by the RSA – please, take a few minutes and watch it. I think you’ll be inspired
See the light
Posted in from the dark room, photography on May 13, 2010 | 1 Comment »
I know…..it’s an odd concept to actually see the light. We see what the light illuminates, but it’s quite hard to say we can actually see the light itself. C S Lewis wrote a story about a blind man who begins to see and goes around asking people to show him the light he’d kept [...]
Volcanoes and sunsets
Posted in from the dark room, photography on May 12, 2010 | 1 Comment »
That pesky Icelandic volcano’s ash might be causing huge and recurring disruption of air travel, but it’s bringing us some spectacular sunsets. Here’s one
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