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The Monday Morning Quote #618

“The Purpose of getting power is to give it away.”

Aneurin “Nye” Bevan

The Monday Morning Quote #641

“Nothing is good or bad but thinking makes it so.” 

William Shakespeare

It does no good to overthink things, especially those things that you cannot control, yet we often do or try to. I often think about the above quote from Hamlet, coupled with the advice from Carl Richards, shown below:

Wise Words

There is no problem on this planet between human beings that couldn’t be solved with 15 minutes of considered conversation. Where I come from in the South we don’t argue to win, but to find a greater truth; we’re as proud to be right as wrong, or not know the answer. Much of the world could do with learning that.

Reginald D. Hunter

 

 

The GDC sees sense…

Regulators’ joint statement and supplementary advice

Dental defence experts MDDUS has welcomed the GDC’s acknowledgement that the broad range of Covid-related challenges and difficulties faced by the dental profession should be considered formally when it investigates any concerns about a registrant.

The regulators’ joint statement: We recognise that in highly challenging circumstances, professionals may need to depart from established procedures in order to care for patients and people using health and social care services. Our regulatory standards are designed to be flexible and to provide a framework for decision-making in a wide range of situations. They support professionals by highlighting the key principles which should be followed, including the need to work cooperatively with colleagues to keep people safe, to practise in line with the best available evidence, to recognise and work within the limits of their competence, and to have appropriate indemnity arrangements relevant to their practice.

We recognise that the individuals on our registers may feel anxious about how context is taken into account when concerns are raised about their decisions and actions in very challenging circumstances. 

Where a concern is raised about a registered professional, it will always be considered on the specific facts of the case, taking into account the factors relevant to the environment in which the professional is working. We would also take account of any relevant information about resource, guidelines or protocols in place at the time.

Full MDDUS press release with links HERE

(The more cynical amongst us wonder how enthusiastic the GDC were about embracing the decision and whether they would have made a declaration unilaterally. )

 

Some news on reinfections.

From Nature.

COVID reinfections are unusual — but could still help the virus to spread

Large study of UK health-care workers suggests that most people are immune for months after catching COVID-19 for the first time.

Most people who catch and recover from COVID-19 are likely to be immune for several months afterwards, a study of more than 20,000 health-care workers in the United Kingdom has found…The study — called SARS-CoV-2 Immunity and Reinfection Evaluation (SIREN) — concluded that immune responses from past infection reduce the risk of catching the virus again by 83% for at least 5 months.

The data suggest that natural immunity might be as effective as vaccination, she added, at least over the five-month period the study has covered so far.

The data suggest that repeat infections are rare — they occurred in fewer than 1% of about 6,600 participants who had already been ill with COVID-19. But the researchers also found that people who become reinfected can carry high levels of the virus in their nose and throat, even when they do not show symptoms. Such viral loads have been associated with a high risk of transmitting the virus to others…

 

The Indispensable Man

Sometime when you’re feeling important;
Sometime when your ego’s in bloom;
Sometime when you take it for granted,
You’re the best qualified in the room:
Sometime when you feel that your going,
Would leave an unfillable hole,
Just follow these simple instructions,
And see how they humble your soul.

Take a bucket and fill it with water,
Put your hand in it up to the wrist,
Pull it out and the hole that’s remaining,
Is a measure of how much you’ll be missed.
You can splash all you wish when you enter,
You may stir up the water galore,
But stop, and you’ll find that in no time,
It looks quite the same as before.

The moral of this quaint example,
Is to do just the best that you can,
Be proud of yourself but remember,
There’s no indispensable man.

by Saxon White Kessinger

Much shared but in case you haven’t read it, here is it is – a day late due to West Cork power probs.

The Monday Morning Quote #640

Living is an adventure and a challenge. It wasn’t about standing still and becoming safe. But I’ve always been the way I am. Been like this all my life. If anyone wants to keep creating, they have to be about change.”

Miles Davis

Via MBS

 

“Some very good reasons why you should not be blasé about Covid”

From The New Yorker (via the essential John Naughton), Lawrence Wright: The Plague Year. it’s a long read but essential in my opinion. This is an excerpt.

“There are three things this virus is doing that blow me away,” Brooks told me. “The first is that it directly infects the endothelial cells that line our blood vessels. I’m not aware of any other human respiratory viruses that do this. This causes a lot of havoc.” Endothelial cells normally help protect the body from infection. When SARS-CoV-2 invades them, their powerful chemical contents get dumped into the bloodstream, resulting in inflammation elsewhere in the body. The rupture of individual endothelial cells coarsens the lining in the blood vessels, creating breaks and rough spots that cause turbulent blood flow.

The second surprise was hypercoagulability—patients had a pronounced tendency to develop blood clots. This reminded Brooks of Michael Crichton’s 1969 novel, “The Andromeda Strain,” in which a pathogen causes instant clotting, striking down victims in mid-stride. “This is different,” Brooks said. “You’re getting these things called pulmonary embolisms, which are nasty. A clot forms—it travels to the lung, damaging the tissues, blocking blood flow, and creating pressures that can lead to heart problems.” More puzzling was evidence that clots sometimes formed in the lungs, leading to acute respiratory distress. Brooks referred to an early report documenting autopsies of victims. Nearly all had pulmonary thromboses; until the autopsy, nobody had suspected that the clots were even present, let alone the probable cause of death.

“The last one is this hyperimmune response,” Brooks said. Most infectious diseases kill people by triggering an excessive immune-system response; COVID, like pneumonia, can unleash white blood cells that flood the lungs with fluid, putting the patient at risk of drowning. But COVID is unusual in the variety of ways that it causes the body to malfunction. Some patients require kidney dialysis or suffer liver damage. The disease can affect the brain and other parts of the nervous system, causing delirium, strokes, and lasting nerve damage. COVID could also do strange things to the heart. Hospitals began admitting patients with signs of cardiac arrest—chest pains, trouble breathing—and preparing emergency coronary catheterizations. “But their coronary vessels are clean,” Brooks said. “There’s no blockage.” Instead, an immune reaction had inflamed the heart muscle, a condition called myocarditis. “There’s not a lot you can do but hope they get through it.” A German study of a hundred recovered COVID patients with the average age of forty-nine found that twenty-two had lasting cardiac problems, including scarring of the heart muscle.

Even after Brooks thought that COVID had no more tricks to play, another aftereffect confounded him: “You get over the illness, you’re feeling better, and it comes back to bite you again.” In adults, it might just be a rash. But some children develop a multi-organ inflammatory syndrome. Brooks said, “They have conjunctivitis, their eyes get real red, they have abdominal pain, and then they can go on to experience cardiovascular collapse.”

The Weekend Read – Not Invented Here

A lovely, useful and stimulating little book. Compact in size but large in ideas. Its premise is to give the reader ideas to look at other industries and see what they might borrow. We are all encouraged to think out of our box, this has ideas for thinking from further afield.

Easy to read and rich with excellent illustrations if you are feeling stuck or stale this will help and provoke you.

The authors, Ramon Vullings and Marc Heleven, have identified many ways to take examples from other contexts and apply them to your situation.

From The Book Depository

 

Every little thing helps…

A Christmas card arrived today from an old friend who was a patient before she and her family became firm friends. The fact that she called my successor by my name 15 years after I moved on made me smile.

Marketing and the wisdom of Seth Godin

Marketing Driven Vs Market Driven

When you’re marketing-driven, you’re focused on the latest Facebook data hacks, the design of your new logo, and your Canadian pricing model. On the other hand, when you’re market-driven, you think a lot about the hopes and dreams of your customers and their friends. You listen to their frustrations and invest in changing the culture. Being market-driven lasts.

From This is Marketing…

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