What have I learned, the 2003 version.

Ten years ago when I was considering “my future” I was encouraged by my coach to write, “the story so far and what have I learned”. I won’t share most of it (way too inward looking and indulgent). But this list I am happy to repeat.

What have I learned:

  • Dentistry is a bloody hard choice…
  • …as is any single handed professional practice.
  • You can’t hope to be all things to all men and to try will test your sanity.
  • Its way too easy to let the slowest ship decide the speed of the convoy.
  • In general, “healthcare” has little to do with care and even less to do with health.
  • The delivery system of dentistry is wrong – a lot more would best being done by more, shorter trained, people.
  • Delegation is vital but supervision more so.
  • Trust your instincts – act sooner rather than later.
  • Don’t do things because you think you ought to or because you think it’s expected of you.

The 2013 version will be along soon.

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Stafford etc

The Francis report on Stafford Hospitals has left guilty parties still in post, promoted, retired or in the case of Andy Burnham making as much noise as possible to divert attention from the fact that he was responsible for approving the Foundation Trust status. www.telegraph.co.uk/health/healthnews/9851104/Mid-Staffs-report-the-key-figures-in-the-scandal.html

Much has been written, a lot of it by people who should know better, who were aware of what was happening but were caught up in the target driven culture of the DoH. I hope a lot of them will be taking a long hard look at themselves and asking if they chose to stay quiet for an easier life – only they will know.

This piece in The Times from a few weeks ago would be almost laughable if it wasn’t so sad.

We must sell healthcare to the whole world
Dr Mark Britnell, global chairman of health for KPMG and former NHS chief executive, and director-general of the Department of Health, writes in today’s Times how the NHS can export its superiority in health and life sciences for the benefit of humanity and Britain.  He writes that the UK provides world-class treatment for injured Armed Forces personnel; has invented, among other things, MRI, CT and IVF; and has won 34 Nobel prizes for medicine, so the NHS has much to shout about and export.  Dr Britnell describes how India, over time, would need an extra 300,000 doctors and 1.5 million nurses educated and trained, and how our historic relations with India mean Britain is well-placed to export such world-class education and research on an industrial scale. He also points to China’s call for the creation of thousands of hospitals and investment at an unprecedented level as a further opportunity to sell NHS experience, as Britain has already agreed to train hospital managers in China.  Dr Britnell concludes that “A strong and confident NHS can fly the flag for Great Britain and generate much-needed health and wealth.”

As Nigel Lawson said in his memoirs, the NHS is the closest thing that the English have to a religion and to criticise any part of it from altar boy to archbishop is tantamount to sacrilege. The Olympic opening hype didn’t help. I grew up  having fear but little respect for the Roman Catholic clergy – many years later I was shown to be right to have had suspicions of the organisational denial of the church.

In the same way to criticise the NHS is seen to be wrong – why? Do the articles below suggest that all is rosey in the NHS church? I could go on but find the subject upsetting.

www.telegraph.co.uk/health/healthnews/9859100/To-fix-the-NHS-politicians-must-say-the-unsayable.html

www.guardian.co.uk/society/2012/feb/23/cynthia-bower-shadow-stafford-hospital

www.telegraph.co.uk/health/healthnews/5007652/Stafford-Hospital-execs-land-higly-paid-jobs.html

www.guardian.co.uk/society/2013/feb/06/mid-staffs-scandal-cameron-apologises

www.independent.co.uk/life-style/health-and-families/health-news/nhss-darkest-day-five-more-hospitals-under-investigation-for-neglect-as-report-blames-failings-at-every-level-for-1200-deaths-at-stafford-hospital-8482566.html

www.guardian.co.uk/society/2013/feb/06/mid-staffs-scandal-key-figures

www.dentistry.co.uk/articles/lockyer-gdc-and-illuminations?utm_medium=email&utm_campaign=Daily+Dentistrycouk+Content+Feed&utm_content=Daily+Dentistrycouk+Content+Feed+CID_2607a8959ba536db697bf2c6e94b050f&utm_source=CampaignMonitor&utm_term=Lockyer+the+GDC+and+illuminations

www.telegraph.co.uk/health/healthnews/9892647/Rural-GP-surgeries-at-risk-of-closure.html

www.guardian.co.uk/society/2012/dec/04/ann-clwyd-husband-died-hen

CBCT Training – Bristol – May 24th 2013

Slider_CBCTtraining_HeaderCBCT 3D Training CPD (BSDMFR) – Bristol May 24th 2013
Code: CBCTBRI2405
Id: 158
Price: £285.00 + VAT

Who Should Attend This Course

HPA-CRCE-010 – ‘Guidance on the Safe Use of Dental CBCT Equipment’ outlines the specific training requirements for anyone using Dental CBCT, with a detailed curriculum compiled by the British Society of Dental and Maxillofacial Radiology.
The guidelines suggest that attendance is deemed a regulatory requirement for all users of CBCT systems, including those who are simply referring patients for acquisition of a CBCT image.
But feedback from our research suggests there is a much wider need beyond the regulatory minimum, so this course is for you if you are:

  • A New or Existing CBCT Owner
  • A Practitioner referring patients for third-party imaging
  • A Radiography Nurse wishing to take CBCT images
  • Anyone planning clinical cases with 3D Software

Through theoretical groundwork, case-study presentation and a practical hands-on workshop, our intensive one-day course supports many of the theoretical and practical aspects of the BSDMFR curriculum, whilst aiming to develop much greater confident in the use of CBCT systems and associated reporting software.
Delegates will leave with a comprehensive understanding of this increasingly indispensable technology, plus:
6 hours Verifiable CPD
Free 3D Planning Software from Carestream Dental.
Reserve Your Place

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The Monday Morning Quote #205

“Anything one man can imagine, other men can make real,”

Jules Verne

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Kolbe – “Glop Shop” in Action

From Kathy Kolbe – a great demo of “Glop Shop” & Kolbe A in action.

“I have been working closely with Thomas P Seager, PhD in the ASU Engineering department.

This is an excellent description of Demonstrating Conative Theory with Glop Shop videos. I encourage you to use them and pass them on!”

sustainableengineeringsystems.com/2013/02/12/glop-shop-demonstrating-conative-theory/

The Monday Morning Quote #204

“Never take a mean advantage of anyone in any transaction, and never be hard upon people who are in your power.

Try to do to others, as you would have them do to you, and do not be discouraged if they fail sometimes.”

Charles Dickens in a letter to his son – 25th December 1868

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Raise a glass to someone other than St Valentine.

14alexAlways make space for heroes in your life.

Via “Today in Literature”

Sir Alexander Fleming announced his discovery of the mold by-product “penicillin” on this day in 1929. Fleming’s scholarly paper only tentatively suggested that penicillin “may be an efficient antiseptic” against some bacteria — his department head at St. Mary’s Hospital, London even wanted this speculation edited out — and his experiments over the following decade arrived at nothing close to an eureka! Unable to move much beyond his initial discovery, and with few other scientists interested in penicillin’s potential, Fleming all but dropped his research on the topic. In 1938 a team of Oxford researchers lead by Howard Florey and Ernst Chain took interest in Fleming’s 1929 paper; by 1940 they were able to produce penicillin in a pure and stable form, suitable for antibiotic applications; in 1945 Fleming, Florey and Chain all shared the Nobel Prize for Medicine.

Fleming always tried to dispel the myth, still persistent today, that he discovered one of the century’s most important drugs. Nor did he mind telling, even in his Nobel Lecture, the now-famous story of how his first batch of penicillin resulted from a messy lab, the mold found growing in an unwashed petri dish. In The Mold in Dr. Florey’s Coat, an account of the wider serendipity that surrounds the “The Discovery of the Penicillin Miracle,” Eric Lax describes Fleming as a man with “a frolicsome mind” and a talent for “play with microbes”:

Fleming well knew that different bacteria take on different hues as they grow, and he was adept at carefully planting various microbes on a plate of agar—the waxy, gelatinous laboratory food trough for bacteria—so that when they bloomed, the plate turned into a colorful painting of, say, a ballerina in a red skirt or a mother nursing her baby with a bottle.

14flemLax notes that Fleming became so adept at his microbe art (some samples at left) that he displayed it at science conferences — raising eyebrows among those colleagues who felt that “this whimsy lacked the dignity and seriousness appropriate to the high-minded work of science.” But a lot of good science can come from playful creativity, says Lax:

When a visitor to the lab of the Danish physicist Niels Bohr [Nobel, 1922] told him with some disgust, “In your institute nobody takes anything seriously,” Bohr answered, “That’s quite true, and even applies to what you just said.”

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