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One of my patients today told me a terrible story of her experience undergoing surgery. I’m not going to recount any of that here of course, but she made such a good point to me I thought I’d share it with you. Maybe you agree?

She said, whenever a drug is prescribed, even if the doctor doesn’t go into a lot of detail about the possible benefits and potential harms, when you pick up the medicine from the pharmacy, the packaging contains a pretty comprehensive description of the product, including a list of the known, potential harms. This, she said, allows a person to make a fairly informed choice about whether or not to take the drug. However, there don’t seem to be any such leaflets available about surgical procedures.

Why not? she asked. There are “generic” potential harms – anaesthetic risks, infection risks and so on – which could easily be desribed, and then, surely there are known “specific” risks related to the intended procedure. Couldn’t the Royal College of Surgeons organise its members to develop comprehensive written information to be given to any patient before an intended procedure? Wouldn’t that allow a more properly informed consent?

I think this is SUCH a good idea. I’m not aware that such a thing exists at the moment. If it does, could you point me to it?

Thank you

Here’s an astonishing calculation. In England, in 2006, there were 16 million admissions to hospitals. That’s an astonishing number for a population of about 50 million!

As if that’s not astonishing enough, 6.5% of those admissions were for patients who were suffering from the bad effects of prescribed medicines. That works out at 1,040,000 patients!

At an average of £228 per day as the cost of a hospital stay and and an average of 8 days admission for each of these patients, the cost to the NHS in England in 2006 was £1,896,960,000.

Compass, the organisation which made this calculation concludes –

“Now is the time for a debate about costs and policies about which drugs the healthcare service can afford as people are paying infinitely higher prices – the drugs bill to the NHS now stands at £11bn – for increasingly marginal rewards and higher risk from adverse drug reactions.”

These figures are part of a trend. Every year the drugs bill gets higher and every year the cost of treating people for the adverse effects of prescribed drugs goes up. This isn’t a sustainable path. Is anybody thinking we need a re-think about health care?

daffodils

daffodils, originally uploaded by bobsee.

Walking to the railway station from home yesterday I stopped to capture these daffodils.
I love this outburst of yellow and cream which lines the main road into Stirling at this time of year

coffee
I recently posted about the claimed health benefits of tomatoes, and continuing in that vein………something else I really enjoy is my daily coffee.

Apart from enjoying it, can I add a little health-benefit smugness to my mug? Turns out I can! Recent research has shown that caffeine protects the “blood brain barrier” from the damaging effects of cholesterol. One of the many ill-effects of cholesterol is damage to the tissues which protect the brain from toxic substances circulating in the blood. The researchers believe this may explain the potential for a coffee a day to reduce the chances of getting Alzheimer’s Disease.

Like with the tomatoes, I don’t really need other reasons to enjoy coffee, but it’s good to know I can consider it part of my healthy lifestyle!

symmetry of land and sea
Off the coast of southern France, I took a boat trip and from the boat, I took this photo, back over the wake we were leaving.
On the horizon there was this island.
What strikes me now, looking at the photo, is the similarity of shape between the island and the waves of the Mediterranean.
Two thoughts came to my mind.
First, how lovely! I love that kind of reflected symmetry between land and water.
Second, I’m reading a book about physics at the moment and yesterday I read the story of Einstein’s breakthrough thought that energy and matter are interchangeable. OK, this might be a bit of artistic license here, but there does seem to be a continuum from the energy-shaped waves, to the matter-shaped island.

for the roses

for the roses, originally uploaded by bobsee.

I saw these at the flower market in Aix recently
Aren’t they lovely?
Which flowers are you favourite flowers? Do you ever try to send somebody a message by choosing particular flowers?

Mmmm….delicious

Mmmm….delicious, originally uploaded by bobsee.

Who would have thought that tomatoes could be controversial?

Well, if you agree with this person – you’ll think they are fabulously health-giving (offering all kinds of protection against cancers)

But, if you agree with this person – you’ll think they are some kind of abomination  (because they are from the nightshade family)

Me? I think they look and taste delicious! Insalata Caprese is my favourite. I first tasted this on the Island of Capri and it was very simple there – tomatoes, mozarella and basil drizzled with olive oil. Mmmmmmm (psst – heard about mozarella?) Ho, hum…..is nothing safe any more?

 

Reflected freedom

reflected freedom, originally uploaded by bobsee.

What is it about boats? So many people have such a fascination for them. These ones in the harbour at Cassis were such beautiful colours. Aren’t they lovely?
How about you? Do you like to be beside the seaside?
What do boats mean to you?

Celebration

There’s something going on in the garden……
the floor
the canvas
tightening the canvas
the roof
finished marquee
marquee at night

What do you like to celebrate? And how do you do it? What would you celebrate in a big tent like this?

What do you like to do with your time off if you’ve busy and working all week? Do you like to slope off somewhere with friends?
sloping off to the beach

Or do you prefer to slope off alone?

sloping off alone

Or with that someone special?

sloping off together

What works best for you?