CH-ch-changes. Time to make some considerations.

Don't worry if people laugh at you because you're wobbly or look funny. You are strong and secure and can do anything you want. Everybody that is important to you loves you.

Remember to relax and not overdo it.

Balanced thoughts, 80:20 rule.
  • Current Music
    Strange Talk - Cast Away

Roped in.

When you are at the end of your rope, tie a knot in it and hang on. - Franklin D. Roosevelt  
  • Current Music
    Narnia credits

A consult begins and ends with the history.

I think that history taking is truly a lost art, as is examination and combining that information to come up with a diagnosis. And even if the diagnosis is still a list, it's better than jumping the gun and immediately tacking a disease/disorder/illness on a patient. Most importantly, use a pathology result to *confirm* what you have gotten from the history and/or examination - never ever ever to make a diagnosis first up. That's just weak and inadequate medicine.

At the first approach of a diagnosis, treatment is best if it is symptomatic (with the least amount of side-effects and focusing on stabilising the patient) and can help rule out or rule in diagnosis on real vivid signs and symptoms.

Unfortunately, I believe that the adoption of 'screening' programs is hampering true medical progress. I know it may be useful and help catch things early but the results should only be used to diagnose if the other observations from first principles coincide with the screening program results. Not to mention screening ranges differ between countries - this shows just how you cannot possibly rely on them alone.

Modern medicine it's time you looked back to the beauty of what you can learn from your patients (and their carers). Maybe it takes more time, but it can make a difference; either between life and death or even the vital emotional health.

Lastly, don't forget the importance of including some clinical reasoning in your decisions - this includes a good understanding of physiology (and the other basic medical sciences). If all this doesn't add up - don't torture your patients. Remember, do no harm.
  • Current Mood
    quixotic quixotic

He can fly.

When there's a smile in your heart
There's no better time to start
Think of all the joy you'll find
When you leave the world behind
And bid your cares goodbye
You can fly
You can fly
You can fly
You can fly
You can fly
  • Current Mood
    hopeful hopeful

What's on my wall.

Taken from sunhawk.

Anyone who looks at this entry is welcome to post this meme and their current wallpaper in their LiveJournal. Don't change your wallpaper before doing this. The point is to see what you had on!

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  • Current Music
    Seven Year Itch

10 random things to keep moving forward.

This list may not be something you're interested in, but who cares what you think right now, I'm doing this for me. But if you are interested, let me know what your 10 (5, 7, 13) things are or how you fill in the list (all of it, some of it, one of it). I want to know.

This is why.

The external world can be a dark place. You turn on the TV and all you see is war, poverty, crime. The internal world can be darker and prevent you from seeing the light. It's not only physical disease that requires preventative measures.

This is a simple list of things to do to kick at the darkness till it bleeds daylight. For best results try to complete it in a day, a week, or any period of time. When done, rinse and repeat. So even if you feel the light right now or you achieve the light, do it anyway or do it again (and again). Do it everyday in any way that you can.

The five senses (if any of these isn't quite up to scratch - believe that you can anyway...just try it):
1. See the light. View objects of beauty. Whatever is beautiful to you. For me, it's the sky, clouds, plants (flowers, trees, grass), animals (dragonflies, dolphins, dogs), people (like someone helping out someone else or smiling for no reason).
2. Sense of smell. Whatever turns you on. For me, these can be perfumes (no it's not cheating just because someone created it and it doesn't happen to be lying in your natural path), flowers, a box of chips, skin.
3. Touchy, feely. Keep the memory in your finger tips. Skin (human or non), petals, grass, hair, clay, the wind.
4. Listen to the sound. Whether it's music or a voice or sound that is music to your ears (even without the straightforward notes).
5. Flavour indulgence. Taste what you love. Try a new flavour of ice cream. Taste someone you love. Indulge.

The five thoughts, feelings, movements, actions, states of being:
6. Vent, drift and share, release - you have a voice/communicate. Write dorky lists. Call up a mate. Speak "in real life". Speak to yourself. Sing. Hum. Tap your fingers.
7. Expect less. Things are overrated. Don't believe the hype. Come in with low expectations and allow yourself the chance to be pleasantly surprised.
8. Believe. Whatever it is you want to believe. Faerie dust, higher power, morning dew, tomorrow - you decide. Change your mind. Challenge your beliefs. Explore.
9. Dare to be different. Examine the crowd. See how you can non-integrate. It can even be as small as being the only one smiling. Randomly.
10. Smile. Whenever, wherever, for whatever the reason. Just cause it looks good to some people (refer to number 1).

(11. Be selfish. Not in such a way that you crap on someone else's day. More within yourself. Yeh you are special, appreciate that. There's noone else like you and there won't be and there never has been. You are entitled to fulfill dorky lists. You are worth it. You are worthy of giving someone else a hand. Don't stick to defined limits.)

When the road gets dark
And you can no longer see
Just let my love throw a spark
And have a little faith in me
  • Current Mood
    awake awake