
How to make the world a better place, that's the main question. Accentuate the positive and eliminate the negative, that's the plan. That means praising and promoting things that I think are good and being critical and sometimes worse about... well that should emerge.
Wednesday, 23 March 2011
Book, books, books

Saturday, 19 March 2011
Why am I not blogging?
Friday, 25 February 2011
St Ives in Winter
Saturday, 8 January 2011
Another Year, another film
Monday, 3 January 2011
Forensic trousers
My Mum who is 87, was hit by a car, broke a few bones and ended up in hospital. Once there, her trousers were seized by the cops as forensic evidence.
I should say that mum is in good spirits and seeing the funny side of all this, but I think I might be spending some time helping with rehab. It's not really a good idea to have an accident over a bank holiday, it makes it harder to find anyone who can give some indication of how the next few weeks will unfold, so for the moment, we still have little idea how it will go from here.
No doubt it will all provide useful material one day, but for the moment there is less time for writing.
(Written from my iPad)
Thursday, 30 December 2010
Home births
I heard a piece on the Today programme about home births. It was a follow up to a statement from the Royal College of Midwives. According to these various reports, only 2.4% of women in England have home births, because they are being scared out of it.
It made me think back to a period when I used to do night calls for a GP locum agency. At the time I also worked as a GP part time, but I didn't do home births. One night I was called up by the agency and asked to see a woman who needed sutures, having delivered a baby at home. I protested somewhat, on the grounds that I didn't sign up for that sort of thing, but they insisted that no one else was available. In the end, I went to the agency to collect a suture kit.
I found the house OK and was shown into a bedroom upstairs where a woman was lying in a big double bed, with a small baby lying in a little cot. The lighting could best be described as romantic, certainly not bright. There appeared to be no way of getting it to be any brighter. Luckily, I had a big torch. Usually I used it to be able to see house numbers from the car. It is surprising how small some people make their house numbers. No doubt they are discrete and artistic, but damn hard to see from the road.
Any way, there I am staring at this woman lying in a double bed that sags a lot in the middle. If she moved, it sagged wherever she lay.
I'm not going to go into the gory details as to exactly what has to be sewn to what, but it needs both hands to do it, and you can't hold a huge spotlight in your teeth.
With the torch balanced on the bed, I started off by putting in as much local anaesthetic as I had, because the last thing I needed was the poor woman to feel anything as I worked.
Of course, the main effect of the local was to remove any anxiety from the woman and transfer it to me.
Cold beads of sweat really do run down your back.
It all went together very well; maybe it was a good thing that I did more than 80 episiotomies when I was a medical student. I also worked Monday nights in a busy casualty department for five years and learned a few plastic surgery techniques. So, as far as I could see by the light of a powerful torch, it all looked beautiful.
That's when the really scary thing happened. As I was clearing up, and to the accompaniment of a very small gurgling baby the lady said, 'I had my last baby in hospital and it was awful, and really painful being stitched up. This time it's been lovely and I didn't feel a thing when you did the stitches. I'll definitely have my next baby at home.'
That woman was making a rational choice, based on the information that she had; information seriously distorted by all the local anaesthetic that I had available.
She wasn't scared - I was.
I’m not sure whether it is mothers who are scared into hospital delivery or doctors who are scared out of home births.
I am sure there are midwives who will say that doctors are not needed for childbirth, which may be true enough so long as all goes well. The real problem is that a whole system is needed and successive governments seem to be doing their best to break everything up into little pieces that are bought and managed separately.
If we really want to know the right number of home births and give mums and families the choice they should have, then we all need to work together. Any chance of that in 2011?
Sunday, 26 December 2010
Bob Dylan 1966 - a piece of nostalgia
Despite my reservations about Rupert Murdoch, there is something wonderful about Sky Arts. This morning I accidentally listened to Mickey Jones, Bob Dylan’s drummer on the 1966 tour talking about that tour and showing bits of his movies taken at the time.
It took me right back. I was at the concert at the Odeon in Birmingham, not the one where someone shouted Judas - that was Manchester.
The first half was Dylan doing an acoustic set, pretty much like the previous tours, except better sound than the old town hall in Birmingham.
When the curtains came back for the second half there was a massed bank of amplifiers and speakers, and I mean a massed bank. From where I was sitting, it looked like a ten-foot high stack, and it may have been bigger than that. The band rolled in with isolated twangs and strums, almost as if they were tuning up.
Gradually the isolated notes begin to pick up, one guitar, then another and then the organ and more instruments coming in and gradually coalescing into a rhythm and then a massive crash on the drums that almost hit you off your seat, with everything else coming in at the same time in a huge wall of sound - probably the loudest that any band had ever played in Britain at that time.
‘Tell me Momma.’
I can still hear that crash now.
Then they just slammed on, weaving complex, intricate and very, very loud, melodic, intoxicating, rhythms around Dylan’s words. I remember being completely blown away from the first note.
The audience fragmented into two groups, or maybe three - if you count the ones who started walking out as a group. Among the rest there were many who boo-ed, some standing on the seats to boo louder. The rest, like me were clapping and cheering. I think maybe the boos won; but I knew was that I was hearing the best music ever. All the wild and rebelliousness of rock and roll woven together with the poetry of Dylan’s words.
By the end of the concert, I was exhausted and flying high at the same time, without the aid of any illegal substances, I might add. Back then I was an impoverished medical student living in a little flat, and the only sound system I had was an ancient portable record player. For days I sat and played my old Dylan records, over and over and over. I only had the acoustic albums, because the electric ones had not come out. Listening to those tracks with the concert still pounding in my head, I could imagine that sound in Dylan’s mind all along. I think it was always there, in the cadence of the words, the strumming and picking on the guitar and the harmonica breaks.
I watch as Mickey Jones talks about how the audience didn’t get it at the time and I’m almost shouting at the TV.
‘I got it.’
I got it from the first note.
A note added afterwards - the programme is actually incredibly boring, as a programme, and Mickey Jones is a somewhat self indulgent commentator, but none of that matters if you were there.