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Wallace Monument, originally uploaded by bobsee.

What can I say?
I’m happy with this.

Winter mist Glasgow

A couple of evenings ago on my way home from work, George Square in the centre of Glasgow looked like this

Glasgow december

George Square Glasgow December

George Square Glasgow Lights

Every Christmas issue of the British Medical Journal, now known simply as the BMJ, has some really fun articles. I haven’t opened this year’s issue yet but when I picked it up from behind my door just now a study from old BMJ Christmas issue came to mind. It was a systematic review of the evidence base for the use of parachutes. In the introduction they say –

The perception that parachutes are a successful intervention is based largely on anecdotal evidence. Observational data have shown that their use is associated with morbidity and mortality, due to both failure of the intervention1 2 and iatrogenic complications.3 In addition, “natural history” studies of free fall indicate that failure to take or deploy a parachute does not inevitably result in an adverse outcome.4 We therefore undertook a systematic review of randomised controlled trials of parachutes.

The authors completely failed to find a single randomised controlled trial of parachute use! This article is typical of the BMJ Christmas editions. It’s funny, tongue in cheek, but thought-provoking and makes serious points through the use of humour. I love their conclusion –

Only two options exist. The first is that we accept that, under exceptional circumstances, common sense might be applied when considering the potential risks and benefits of interventions. The second is that we continue our quest for the holy grail of exclusively evidence based interventions and preclude parachute use outside the context of a properly conducted trial. The dependency we have created in our population may make recruitment of the unenlightened masses to such a trial difficult. If so, we feel assured that those who advocate evidence based medicine and criticise use of interventions that lack an evidence base will not hesitate to demonstrate their commitment by volunteering for a double blind, randomised, placebo controlled, crossover trial.

Any volunteers? (and, no, you’re not allowed to volunteer anybody else!)

Wired magazine has an article about a Japanese architect and photographer, Kazuhiko Kawahara, who goes by the name of Palla, and who creates amazing mosaics of photographs on his website. He twists the images using symmetries and the results are very reminiscent of Escher prints.

One of my main treats is to browse in a “Maison de la Press” in a French town and sit down in a cafe with a new purchase or two. I have certain favourite French magazines. One of them is called Senso. It is beautifully produced. I love the illustrations and there are really interesting articles about literature, movies and all aspects of cultural life. But one of the most enjoyable things is the French language itself. It’s a wonderful language for playing with words. Here’s an example –

Elle me donne les larmes aux mes yeux, parce que je suis epuisee.

This is by Nina Bouraoui, a writer. Translated, it says “She brought tears to my eyes, because I was exhausted”. The other meaning of the word “epuisee” is “out of print” – for a writer that’s a really clever word to use and conveys quite a special sense of exhaustion, doesn’t it?

Physics-envy?

The slowleadership blog has an interesting post today. It’s about management and sales methods, but in particular it’s about an obsession with what can be measured –

For over a century, many academic disciplines — including business, more recently — have had a case of “physics-envy.” They believe that only “real” data is meaningful, only particles and precision make for real “science.”

The writers make the point that relationships are more important –

Selling is not at root, despite what web-searches will tell you, about process. It is about people and relationships and trust.

Well, it’s interesting isn’t it? You could say the same about health. Health care is ultimately about people and relationships and trust – not either only, or even primarily, about what can be measured. We’ve really forgotten that though in modern health care management. There’s been an obsession with targets and not only targets but targets of what can be measured. And in the midst of all that we’ve lost sight of the fact that medicine is a caring profession. It’s about people, it’s about relationships and it’s about trust.

The Roads to Modernity

This is the title of a book by Gertrude Himmelfarb. Why did I try to read it? Well, it’s subtitle is “The British, French and American Enlightenments” and the phenomenon of the Enlightenment fascinates me. I have an anthology of Scottish Enlightenment writings edited by Alexander Broadie and I enjoyed Arthur Herman’s “The Scottish Enlightenment” and Christopher Berry’s “Social Theory of the Scottish Enlightenment”. The idea of Modernity is also fascinating and I thoroughly enjoyed Stephen Toulmin’s books on that (“Cosmopolis”, and “Return to Reason”). But the other reason was that I read in a newspaper that Gordon Brown, our PM, is a big fan of Himmelfarb’s work and has this particular work on his bookshelf. I’m not sure what makes Gordon Brown tick but he strikes me as a thoughtful man and I wondered what it was about this book that he found appealing.

Well, dear reader, I failed! I gave up. Here’s why………

In the prologue she goes to great lengths to diminish the French. In particular she attacks their Enlightenment agenda of reason, and is quite, quite scathing about Diderot and les philosophes. I found that pretty irritating. OK, I thought, it’s refreshing to read such a different and skeptical view of the French Enlightenment project, but as the pages turned it felt increasingly like she just dislikes the French and French thought and culture. Well, I don’t. I enjoy French thought and culture and their philosophes, but you don’t have to agree with everything an author writes. We can all have different opinions. But then she laid into the Scots, going to great lengths to try and make the case that the Scottish Enlightenment was really just a part of the British Enlightenment (whatever that was!) and going to even greater lengths to claim that the great Scottish thinkers of that time didn’t like to be known as Scots at all but preferred to downplay their Scottishness and claim Britishness instead! (now I see why Gordon Brown likes this!). OK, so she was really losing me now, and we’re still in the Prologue! I kept going though, but didn’t feel any greater affinity with the text.

However, I finally gave up when I got to the American Enlightenment and read –

America was, however, saddled with two problems that Britain was happily spared, the Indians and slavery, both of which proved to be very nearly intractable.

Ouch! Is it just me, or is there something very uncomfortable about that sentence?

She goes on –

For economic if for no other reasons, the displacement of the Indians was the precondition for the very existence of the settlers.

and

What they did have [the settlers] in addition to a clear recognition of their own interests and needs, was a strong sense of their superiority, as human beings, as Christians, and as citizens. “Savages”, in popular parlance, was almost synonymous with Indians….

Is she just unemotionally describing how things were in those days? Or is this a justification for these attitudes?

The problem of slavery was even more formidable than that of the Indians

There was a widespread and deeply held conviction of the ineradicable differences of the races and the inferiority of the blacks.

Now I don’t know if it’s just her style to write in this matter of fact way, but I found this whole section deeply disturbing. And I don’t get it either…..this is a description of some kind of “Enlightenment”? Some kind of “politics of liberty”?

However, I did find her very neat summary of the British, French and American Enlightenments very appealing –

The sociology of virtue, the ideology of reason, the politics of liberty – the ideas still resonate today.

I like that little phrase. I just don’t like this book. I didn’t finish it.

Shape and colour

shape and colour, originally uploaded by bobsee.

Ester once told me that her eye notices lines and shapes and until she said that I hadn’t considered the possibility. Instead I tend to notice colour.
When I saw this staircase in Nice I thought of you, Ester.

The effect of colour

wall colour Nice, originally uploaded by bobsee.

I wonder how much we are unconsciously affected by the colours around us. I know that here in Scotland a blue sky has a very different effect on people from a grey one.
I heard Annie Lennox talking on the radio today and she said one of the things that gave her feelings of belonging in relation to her home town of Aberdeen was the colour of the light, the sea and the granite buildings.
Well, here’s a building in the old town of Nice – I think these colours around you make you feel good – well, ok, let me be more precise – make ME feel good!

I have so enjoyed the series on Scotland’s Music with Phil Cunningham on BBC. The final part in the series is called Home and Away and traces some of Scottish music’s origins and its influences around the world.

Well, Tommy Bibey, imagine my surprise when Phil’s journey from Scotland took him to Cape Breton then down through Appalachia to the home of bluegrass music! Bluegrass has just been a name to me really but when Dr Bibey connected to me through this blog I got more interested – really because I enjoyed his writing so, and he’s impressed me as the kind of doctor, doctors should aspire to be – caring, passionate and humble. He told me his favourite bluegrass had its origins in Scotland and Ireland. It made more of a connection between us. The Scotland’s Music series (by the way, it looks like the BBC has now removed all the video clips from the earlier parts of this series – boo!) was something I recorded on my hard drive and I just got round to watching the last episode yesterday. I watched in anticipation and sure enough he made the link with bluegrass and with Alison Brown in particular (whose album ‘Stolen Moments’ is on my pod – the track ‘I’m naked and I’m going to Glasgow’ always brings a smile to my face on the Stirling/Glasgow Scotrail train!). So, it turns out I had some bluegrass in my collection after all!

I have a very diverse musical collection, and that shouldn’t surprise anyone who reads this blog – I am a great fan of diversity. Neither uniformity nor conformity appeal to me. Why is that? What is it about diversity that I find so appealing?

Two things spring to mind –

first of all, Deleuze has a great concept which he terms “lines of flight” – it’s the idea of not thinking of anything as having fixed co-ordinates, not seeing anything as existing as a point, but instead seeing all points as lines, so that a point is just a cross-section through a line or a thread or even a vapour trail

vapour trails

I love that idea of seeing whatever it is you’re considering in its origins and its becoming (see that subtitle at the top of the blog? “Becoming not being…….”) It makes everything dynamic, changing, moving, developing and it connects what is both to what was and what is to come.

Secondly, I love the idea of connections, seeing patterns and resonances. I think that’s why ‘Linked‘ appealed to me so much.

Amy, has a lovely post about ripples of connection and what a good metaphor that is for blogging…..and there we go…..a whole other set of paths to follow…..the threads that connect us…….and the stories that weave us together.