Sometimes I wonder about the herd mentality, especially in consideration of the current "economic crisis". I also wonder how families are getting through this period of time. I also wonder how much of it is contrived, and how much of it is real.
Let me explain: I'm OK, I'm not really at risk of losing my job at any time, and I'm still earning the same salary that I was earning before this "global meltdown" occurred (note that I am "" those terms, as I am not entirely convinced of these euphemisms). However, in running regular errands over the past few weeks, namely, Drive Clean tests, plate renewals (along with that dastardly new tax Miller's introduced!), prescription renewals (no drug plan), insurance payments, dental visits (no dental plan), etc etc etc, add up to a lot of cash-ola!
I actually verged on starting to get a bit worried that I wouldn't have enough to cover all these payments this month. Then, I wondered whether I was lacking in faith, thinking that just because my balance sheet didn't look like it was evening out this month, that God wouldn't eventually make it all work out. Then, I also wondered whether I even dared worry in the first place because the media told me I should be freaking out. Then, I thought about everybody else who is not in my position, that is, regular families, and I thought, dear goodness, how are these families with no benefits covering for their children's dental visits, their medications, their vehicle registrations and insurance payments, their mortgages, etc themselves? Then, I thought about families where one parent had recently lost a job, and how they were going to do. Then, I thought, how did we drive our society to such a position where two parents MUST work in order to be able to earn enough to house and feed their family? Then, I started thinking about a few other ethical issues that have popped up internationally, and thinking about sex slaves and child soldiers, and then I thought, gosh, God, we are a sinful and stiff-necked people, and of all the things I should worry about, the least should be whether or not I can cover my bicycle repair fees...
Then, I repented of all that, am not worrying about money anymore (for now, at least), and thinking about how broken and impoverished our poor souls are...
Friday, March 27, 2009
Monday, March 23, 2009
A VERY scary picture!

I realized, after putting this picture up, that it's almost illegible, so I will also post the website address:
https://www.msu.edu/~howardp/organicindustry.html
Animal testing
My life rarely intersects that of the medical world as a patient. However, when it does, the dazzling array of options is mind-boggling, yet also adds a layer of anxiety; if I need this many tests/ medical professionals/ investigations, how sick am I?
Resolving this year to actually try to see my doctor, my optometrist and my dentist at least once every two years results in not just seeing the person themselves, but, for some reason, also involves additional visits, call-backs, X-rays, other tests, bloodwork, and more investigations! Today, I feel like there must be something wrong with me, as I was booking follow-ups, testing appointments, etc.
I half-wonder if that's supposed to be a sign of aging; the older you get, the more that your life is consumed with a never-ending cycle of going in to see medical professionals. If so, this sucks; I have better things to do with my life.
I kind of understand why some of my patients don't come to see me all that often - I imagine coming in to see me reminds them that they are aging, that they are breaking down, and that ultimately, their mortality will inevitably catch up with them. However, for the regulars, who come in every few weeks, I wonder what that does for them. Does that make them feel more secure that there is another set of eyes watching their crumbling mortality? Do they feel that, under my careful watch, that they will somehow defeat illness just by basking in my glow? If so, they are sadly mistaken; the additional poking and prodding, the investigations and interventions that we provide do not add glorious years of life. I think they rather shrivel the soul, causing us to rely on technology to keep us, barely breathing, barely alive...
Resolving this year to actually try to see my doctor, my optometrist and my dentist at least once every two years results in not just seeing the person themselves, but, for some reason, also involves additional visits, call-backs, X-rays, other tests, bloodwork, and more investigations! Today, I feel like there must be something wrong with me, as I was booking follow-ups, testing appointments, etc.
I half-wonder if that's supposed to be a sign of aging; the older you get, the more that your life is consumed with a never-ending cycle of going in to see medical professionals. If so, this sucks; I have better things to do with my life.
I kind of understand why some of my patients don't come to see me all that often - I imagine coming in to see me reminds them that they are aging, that they are breaking down, and that ultimately, their mortality will inevitably catch up with them. However, for the regulars, who come in every few weeks, I wonder what that does for them. Does that make them feel more secure that there is another set of eyes watching their crumbling mortality? Do they feel that, under my careful watch, that they will somehow defeat illness just by basking in my glow? If so, they are sadly mistaken; the additional poking and prodding, the investigations and interventions that we provide do not add glorious years of life. I think they rather shrivel the soul, causing us to rely on technology to keep us, barely breathing, barely alive...
Wednesday, March 18, 2009
Yikes!
This is just a warning shot over the heads of those of you who read this blog regularly - I am seriously considering making this blog a private one, that is to say, that readers need to sign in to read my blog.
This has only come to mind in that I've been getting more and more readers from geographical locales of which I am quite sure I don't actually know anyone. And they're reading a lot, rather than just coming to the website and then leaving right away.
It kind of makes you feel naked, really, when people you don't know, and will never meet can read so much about you. I didn't mind so much when I could identify most of all the readership, but it's becoming increasingly difficult to do this, so I think I may have to privatize it.
If you would like to get in on this before I change over, please do let me know!
This has only come to mind in that I've been getting more and more readers from geographical locales of which I am quite sure I don't actually know anyone. And they're reading a lot, rather than just coming to the website and then leaving right away.
It kind of makes you feel naked, really, when people you don't know, and will never meet can read so much about you. I didn't mind so much when I could identify most of all the readership, but it's becoming increasingly difficult to do this, so I think I may have to privatize it.
If you would like to get in on this before I change over, please do let me know!
Saturday, March 14, 2009
Too good to be true
I've been very interested in how people have reacted to Bernie Madoff's Ponzi scheme. There was a newscast on the radio yesterday that noted that people applauded when he was found guilty of all of his swindling and scheming.
Now, I admit, it's rough when you lose your entire life savings, and in the case of charitable foundations, losing all of your capital. For those who were living off of their investment returns, now to find they have nothing, and having to return to work well past their prime, it is a very scary and bleak time.
However, on the radio, some of his "victims" were stating that he didn't "deserve" to be put into a white-collar prison, that what he did deserved to be put in with the murderers and the rapists and the pedophiles. Excuse me?
I think this demonstrates two very disturbing tendencies in our society. 1. Listening to people's commentaries about how Mr. Madoff should burn in hell, etc etc, shows me that people care very very much about money. We seem to care more about money than we do about people. I think this is demonstrated in the equivalency that some people have made that the loss of their money is equally as bad as sexually assaulting a small child. 2. That when we are gullible fools, we will immediately turn around and blame as many other people as possible. Come on now, how many times have we heard if an opportunity to make money sounds too good to be true, it likely is? Apparently people who invested with Madoff had consistent returns, year after year, irrespective of how the rest of the economy was going, irrespective of how banks were posting their prime rates, irrespective of how markets were going. Somehow that didn't trigger with anybody that it wouldn't make sense to make the exact same return every year, despite market fluctuations. So, if you're dumb enough to fall for that, frankly, the adage that 'a fool and his money are soon parted' fits the part well...
Now, I admit, it's rough when you lose your entire life savings, and in the case of charitable foundations, losing all of your capital. For those who were living off of their investment returns, now to find they have nothing, and having to return to work well past their prime, it is a very scary and bleak time.
However, on the radio, some of his "victims" were stating that he didn't "deserve" to be put into a white-collar prison, that what he did deserved to be put in with the murderers and the rapists and the pedophiles. Excuse me?
I think this demonstrates two very disturbing tendencies in our society. 1. Listening to people's commentaries about how Mr. Madoff should burn in hell, etc etc, shows me that people care very very much about money. We seem to care more about money than we do about people. I think this is demonstrated in the equivalency that some people have made that the loss of their money is equally as bad as sexually assaulting a small child. 2. That when we are gullible fools, we will immediately turn around and blame as many other people as possible. Come on now, how many times have we heard if an opportunity to make money sounds too good to be true, it likely is? Apparently people who invested with Madoff had consistent returns, year after year, irrespective of how the rest of the economy was going, irrespective of how banks were posting their prime rates, irrespective of how markets were going. Somehow that didn't trigger with anybody that it wouldn't make sense to make the exact same return every year, despite market fluctuations. So, if you're dumb enough to fall for that, frankly, the adage that 'a fool and his money are soon parted' fits the part well...
Tuesday, March 10, 2009
Running to Stand Still
No, I am certainly not saying that I'm a heroin addict, if that is the automatic connection that came to mind with this blog post. However, I think there is something about the irresistible, addictive nature of being busy, or at least being perceived that way.
I know many people think I'm relatively lazy, when they compare some of my work weeks to their own. Or they assume that I must have heaps of free time to sit and daydream. Or they wonder why I don't have time to watch TV every night, like themselves.
Maybe I am very inefficient at my tasks, that I don't know. Maybe I have way too many different things on my plate. That, I think is also a definite possibility. The reality is that on average, I actually work more than the usual 40 hour-work week. There, I said it. My choice to seemingly work less hours than you think a physician should work actually leaves me with working just a bit more than the average worker. If I did work "full time" (whatever the heck that means), I suspect my work schedule would look similar to as it did when I was a resident, and that is an untenable situation.
Carrying much on one's plate inevitably gives one indigestion. In my spare brain moments, I'm thinking briefly about what items on my plate are so important to me that I still want to keep nibbling at them. Problem is, like a really good potluck, you actually want to make sure you keep a bit of everything on your plate. Sigh. Perhaps if I did become a heroin addict, picking and choosing would become rapidly a moot point...
I know many people think I'm relatively lazy, when they compare some of my work weeks to their own. Or they assume that I must have heaps of free time to sit and daydream. Or they wonder why I don't have time to watch TV every night, like themselves.
Maybe I am very inefficient at my tasks, that I don't know. Maybe I have way too many different things on my plate. That, I think is also a definite possibility. The reality is that on average, I actually work more than the usual 40 hour-work week. There, I said it. My choice to seemingly work less hours than you think a physician should work actually leaves me with working just a bit more than the average worker. If I did work "full time" (whatever the heck that means), I suspect my work schedule would look similar to as it did when I was a resident, and that is an untenable situation.
Carrying much on one's plate inevitably gives one indigestion. In my spare brain moments, I'm thinking briefly about what items on my plate are so important to me that I still want to keep nibbling at them. Problem is, like a really good potluck, you actually want to make sure you keep a bit of everything on your plate. Sigh. Perhaps if I did become a heroin addict, picking and choosing would become rapidly a moot point...
Monday, March 02, 2009
No repeating last year's travesty!
One of the surest signs of spring, to me, is the Seedy Saturday phenomenon. It's been crossing the country over the past few weeks, with people busily exchanging or buying seeds, and learning from others about various aspects of growing food. It's fabulous! This year was even nicer, with knowing quite a lot of people from the booths, so it took me a good 1 1/2 hours just to go around, chit-chatting with everyone!
But what's even more promising is the fact that I have started my winter seedlings. Yes, indeed, they are incubating on top of my refrigerator, waiting for spring. They've been given the very best start (yum! worm casings!), and will hopefully germinate, and do much better than last year.
This year, I've resolved to start everything myself from seed. No seedlings from people I don't know, as that got me into great trouble last summer. But, I am going to vary my crop a bit: a few beans, a few peas, a bit of kale, different lettuces, better canning tomatoes than what I grew last year. I think I'm looking forward to entertaining people this summer with the tasty goodies coming from my garden!
Now, I must admit, I am dreaming of a backyard, or a certain plot of land in merry 'ol England (you know who you are!) that would let me grow corn and onions and house a few chickens. As that is not my lot (literally), I will have to make do with my balcony. But that doesn't stop me from dreaming of all the farming I could do...
But what's even more promising is the fact that I have started my winter seedlings. Yes, indeed, they are incubating on top of my refrigerator, waiting for spring. They've been given the very best start (yum! worm casings!), and will hopefully germinate, and do much better than last year.
This year, I've resolved to start everything myself from seed. No seedlings from people I don't know, as that got me into great trouble last summer. But, I am going to vary my crop a bit: a few beans, a few peas, a bit of kale, different lettuces, better canning tomatoes than what I grew last year. I think I'm looking forward to entertaining people this summer with the tasty goodies coming from my garden!
Now, I must admit, I am dreaming of a backyard, or a certain plot of land in merry 'ol England (you know who you are!) that would let me grow corn and onions and house a few chickens. As that is not my lot (literally), I will have to make do with my balcony. But that doesn't stop me from dreaming of all the farming I could do...
Friday, February 27, 2009
FFT
Unlike most people, Thomas Homer-Dixon doesn’t think today’s world economic crisis is very complicated. He thinks it’s very complex, which makes for a world of difference in understanding which government anti-recession programs will fail (most of them) and deciding which ones can help.
Homer-Dixon, who chairs a centre for global systems analysis at the University of Waterloo, is one of the world’s leading thinkers in the field of “complexity theory,” and the author of several international bestsellers, including The Ingenuity Gap and The Upside of Down. He brings a missing dimension to thinking about remedies to the looming economic collapse that that’s so far been excluded from public and media debate. “If ever there was a case of experts not knowing what’s happening, it’s this economic crisis,” he says.
Hang in for the introductory lecture on Chaos Theory 101, and you’ll be able to follow and lead the economics debate in fresh ways.
Homer-Dixon is the first to admit he has no straight-ahead answers to a downturn that’s much more challenging that the Great Depression of the 1930s, to which it’s often unthinkingly compared. “We’ve never seen a collapse on this scale before in an environment of such enormous complexity and such a huge number of unk-unks,” he says, in a reference to the term used during his days working with Pentagon analysts who referred to unknown unknowns.
The way in which a relatively small proportion of mortgage defaults in one country during the fall of 2008 precipitated the collapse of a global economic house of cards expresses a telltale, if seemingly illogical, sign of complex systems in crisis – a very small cause leading to a very huge result, like the final grain of snow or shift of wind that produce a mountain avalanche.
But in Homer-Dixon’s view, that small cause, and even slightly bigger versions of that small cause – the breakdown of integrity in the global financial system, or the inequality that put home purchases beyond the reach of typical families, for example – is only a small part of an overall mix of “cascading failures.” His list of factors converging into a catastrophic perfect storm include intensified inequality, increased global warming, rising resource prices, and the “sheer productivity of capitalism – in many ways the deepest of all causes,” he says, since it produces chronic gluts in desperate search for markets. Together, they overloaded a rigid and “tightly coupled” global financial system that spread uncontrollable wildfires.
“Multiple stresses that reinforced each other” led to “a collapse of assets greater and faster” than anything witnessed during the simpler days of the Great Depression, he says. That’s why simplistic and one-dimensional rhetoric from politicians and pundits about fixing the problem, putting the pieces back together, and managing the crisis betrays a failure to understand what’s going down, he says. “Complex problems require complex solutions. It’s the law of requisite variety. We need a repertoire of responses as complex as the environment. “We must move from management to complex adaptation.”
Just as bodies under stress require core strength in the lower abdomen, economies and societies under shock require sources of core strength, what hip policy experts increasingly refer to as “robustness” and “resilience.” Government policy makers need to focus their view on the prize of supporting resilience in the population. Failure of governments to be on constant alert for the pitfalls of economic giantism or to be on guard for stresses in social resilience “is like not requiring cities to be earthquake-proof,” he says.
“Resilience means helping people to take care of themselves better in tough times,” rather than relying on specialization and expertise, he says, a guideline that puts a community’s ability to feed itself and care for each other at the top of his to-do list.
Here’s how I simplify Homer-Dixon’s analysis, in ways that he may or may not agree with.
When public money is used to keep enterprises afloat, the public has a right to demand that public benefits be spread among the general public. In my opinion, a longstanding (if best-kept secret) of Canadian employment insurance policy should be extended to all public enterprises and bailed-out private enterprises, including car companies and banks. Canada’s federal government allows workers at a company facing lay-offs to opt for everyone sharing the layoff by working a four day week, and everyone sharing the employment insurance by being covered on their one day a week of unemployment. This measure does not cost the employment insurance system a dime, since five people taking a payout for a day is the same as one person taking a payout for a week. It allows a workforce to stay intact for better times, maintains morale among workers and within a community, and protects younger workers with families, a group unlikely to enjoy high seniority.
This simple measure would abolish unemployment overnight, maintain purchasing power in the community, and buy people the time to become more resilient and self-reliant in their own lives, by gardening, cooking from scratch or insulating their walls, for example. It would even give people some time to sleep, the least acknowledged of the crucial determinants of health and well-being.
Only the epidemics of workaholism and every-man-for-himselfishism have kept this obvious low-pain remedy off the agenda for so long.
Having bolstered purchasing power in the community-at-large, the multiplier effect of that purchasing power needs to be captured for public benefit by requiring all government and publicly-bailed-out institutions to purchase local and local-sustainable food, recognizing that the food industry already produces almost as many jobs as the auto industry and can directly employ local people. Since one job for a local farmer commonly leads to five jobs producing farm inputs or off-farm processing, this doable measure is an employment bonanza that also yields major health and environmental benefits. This also fulfills Homer-Dixon’s call for self-reliant and unplugged systems that remove essentials of life from the vagaries of uncontrollable forces.
This depression does not have to hurt. Get beyond the complications into the complexity, and discover what Homer-Dixon calls “the upside to down.”
- Wayne Roberts
Homer-Dixon, who chairs a centre for global systems analysis at the University of Waterloo, is one of the world’s leading thinkers in the field of “complexity theory,” and the author of several international bestsellers, including The Ingenuity Gap and The Upside of Down. He brings a missing dimension to thinking about remedies to the looming economic collapse that that’s so far been excluded from public and media debate. “If ever there was a case of experts not knowing what’s happening, it’s this economic crisis,” he says.
Hang in for the introductory lecture on Chaos Theory 101, and you’ll be able to follow and lead the economics debate in fresh ways.
Homer-Dixon is the first to admit he has no straight-ahead answers to a downturn that’s much more challenging that the Great Depression of the 1930s, to which it’s often unthinkingly compared. “We’ve never seen a collapse on this scale before in an environment of such enormous complexity and such a huge number of unk-unks,” he says, in a reference to the term used during his days working with Pentagon analysts who referred to unknown unknowns.
The way in which a relatively small proportion of mortgage defaults in one country during the fall of 2008 precipitated the collapse of a global economic house of cards expresses a telltale, if seemingly illogical, sign of complex systems in crisis – a very small cause leading to a very huge result, like the final grain of snow or shift of wind that produce a mountain avalanche.
But in Homer-Dixon’s view, that small cause, and even slightly bigger versions of that small cause – the breakdown of integrity in the global financial system, or the inequality that put home purchases beyond the reach of typical families, for example – is only a small part of an overall mix of “cascading failures.” His list of factors converging into a catastrophic perfect storm include intensified inequality, increased global warming, rising resource prices, and the “sheer productivity of capitalism – in many ways the deepest of all causes,” he says, since it produces chronic gluts in desperate search for markets. Together, they overloaded a rigid and “tightly coupled” global financial system that spread uncontrollable wildfires.
“Multiple stresses that reinforced each other” led to “a collapse of assets greater and faster” than anything witnessed during the simpler days of the Great Depression, he says. That’s why simplistic and one-dimensional rhetoric from politicians and pundits about fixing the problem, putting the pieces back together, and managing the crisis betrays a failure to understand what’s going down, he says. “Complex problems require complex solutions. It’s the law of requisite variety. We need a repertoire of responses as complex as the environment. “We must move from management to complex adaptation.”
Just as bodies under stress require core strength in the lower abdomen, economies and societies under shock require sources of core strength, what hip policy experts increasingly refer to as “robustness” and “resilience.” Government policy makers need to focus their view on the prize of supporting resilience in the population. Failure of governments to be on constant alert for the pitfalls of economic giantism or to be on guard for stresses in social resilience “is like not requiring cities to be earthquake-proof,” he says.
“Resilience means helping people to take care of themselves better in tough times,” rather than relying on specialization and expertise, he says, a guideline that puts a community’s ability to feed itself and care for each other at the top of his to-do list.
Here’s how I simplify Homer-Dixon’s analysis, in ways that he may or may not agree with.
When public money is used to keep enterprises afloat, the public has a right to demand that public benefits be spread among the general public. In my opinion, a longstanding (if best-kept secret) of Canadian employment insurance policy should be extended to all public enterprises and bailed-out private enterprises, including car companies and banks. Canada’s federal government allows workers at a company facing lay-offs to opt for everyone sharing the layoff by working a four day week, and everyone sharing the employment insurance by being covered on their one day a week of unemployment. This measure does not cost the employment insurance system a dime, since five people taking a payout for a day is the same as one person taking a payout for a week. It allows a workforce to stay intact for better times, maintains morale among workers and within a community, and protects younger workers with families, a group unlikely to enjoy high seniority.
This simple measure would abolish unemployment overnight, maintain purchasing power in the community, and buy people the time to become more resilient and self-reliant in their own lives, by gardening, cooking from scratch or insulating their walls, for example. It would even give people some time to sleep, the least acknowledged of the crucial determinants of health and well-being.
Only the epidemics of workaholism and every-man-for-himselfishism have kept this obvious low-pain remedy off the agenda for so long.
Having bolstered purchasing power in the community-at-large, the multiplier effect of that purchasing power needs to be captured for public benefit by requiring all government and publicly-bailed-out institutions to purchase local and local-sustainable food, recognizing that the food industry already produces almost as many jobs as the auto industry and can directly employ local people. Since one job for a local farmer commonly leads to five jobs producing farm inputs or off-farm processing, this doable measure is an employment bonanza that also yields major health and environmental benefits. This also fulfills Homer-Dixon’s call for self-reliant and unplugged systems that remove essentials of life from the vagaries of uncontrollable forces.
This depression does not have to hurt. Get beyond the complications into the complexity, and discover what Homer-Dixon calls “the upside to down.”
- Wayne Roberts
Thursday, February 26, 2009
Which is why I wear a bike helmet...
I think if I lost my mind, I would go crazy (well, no duh, of course I'd be crazy if I had no mind - ha ha). But seriously, I think if I was to have a significant head injury, or a stroke, or early dementia, something that would seriously limit or eliminate my ability to reason, to remember, to express myself.... gosh, I would go mad. Having to go around and excuse myself because I couldn't explain myself well or remember things appropriately, or to have a goofy grin on my face all the time, because I wasn't able to distinguish sarcasm or ill-will from well-wishers, or to be unable to put together a sentence, let alone a recipe.... I think that would be worse than malignant metastatic cancer, to be honest.
Wednesday, February 25, 2009
FFT
When I think of Jesus, I think of the mystery of divine personality, the startling coalescence of contrarieties that I see in Him. He was the meekest and lowliest of all the sons of men, yet He spoke of coming on the clouds of heaven with the glory of God. He was so austere that evil spirits and demons cried out in terror at His coming, yet He was so genial and winsome and approachable that the children loved to play with Him and the little ones nestled in His arms. His presence at the innocent gaiety of a village wedding was like the presence of sunshine. No one was half so kind or compassionate to sinners, yet no one ever spoke such red hot scorching words about sin. A bruised reed He would not break, His whole life was love, yet on one occasion He demanded of the Pharisees how they were expected to escape the damnation of hell. He was a dreamer of dreams, and a seer of visions, yet for sheer stark realism, He has all of our self-styled realists soundly beaten. He was the servant of all, washing the disciples' feet, yet masterfully He strode into the Temple, and the hucksters and moneychangers fell over one another to get away in their mad rush from the fire they saw blazing in His eyes. He saved others, yet, at the last, Himself He did not save. There is nothing in history like the union of contrast which confronts us in the Gospels. The mystery of Jesus as steward is the mystery of divine personality.
- James Stewart
- James Stewart
What next?
I was inspired today. I've been tugging at the ear of any number of mentors that have even dared cross my path to ask them, "What next? What next for me?". Now, I've had a multitude of different answers, depending on how well they know me, and, thankfully, offers for people to pray for me as well, which, I think, will be the most powerful determinant of all.
Today, I'd finagled my way into meeting with a world leader in an area I would certainly like to head into, and he advised me to stay put (argh!!!!), but.... also offered a way to enter into this new world. I have been tossing around ideas of more schooling, drastically changing my career trajectory, etc, but, though he'd never met me before in his life, actually advised me to do something that has been percolating around in my head for a while, though I'd never had a target to aim for specifically. Until today.
Now, I'm not entirely sure how I'm going to go about this, and I'm not entirely convinced I'll be good at it either. Actually, I think I'm more concerned, that having been trained in one particular specialized domain, that I may not be very good at most anything else, actually. Well, we shall see how that goes; in between all the other issues and things I participate in, this will be definitely a challenge. However, the suggestion resonates with me somehow. It certainly seems more appealing than going for a Master's degree...
Today, I'd finagled my way into meeting with a world leader in an area I would certainly like to head into, and he advised me to stay put (argh!!!!), but.... also offered a way to enter into this new world. I have been tossing around ideas of more schooling, drastically changing my career trajectory, etc, but, though he'd never met me before in his life, actually advised me to do something that has been percolating around in my head for a while, though I'd never had a target to aim for specifically. Until today.
Now, I'm not entirely sure how I'm going to go about this, and I'm not entirely convinced I'll be good at it either. Actually, I think I'm more concerned, that having been trained in one particular specialized domain, that I may not be very good at most anything else, actually. Well, we shall see how that goes; in between all the other issues and things I participate in, this will be definitely a challenge. However, the suggestion resonates with me somehow. It certainly seems more appealing than going for a Master's degree...
Monday, February 23, 2009
I walk like I drive
I was musing on how we walk on sidewalks today. Not that this is a particularly new observation, but I find it interesting how we tend to walk on the right side of sidewalks. When trying to pass by slower moving people, we tend to walk by on their left, and then merge back onto the right side of the street. Furthermore, when we are passing oncoming pedestrians, we tend to pass each other on the left side.
In addition to this, when on escalators, standing people stay on the right, whereas walkers move on the left side of escalators.
This is particularly striking when you go to countries where they drive on the left side of the road; there, pedestrians walk in the exact opposite manner that I just described, and when you're walking by them, they get very confused when you try to walk by them on their left side.
This makes me wonder as to how we conditioned ourselves to walk like CARS! Humanity has walked on its own two feet for millennia, yet our conventions as to how to do so over the past century have been defined by machines. I find that disturbing, that we have modified our natural habits to be in harmony with the machinations of industry. I mean, not that we haven't sacrificed much already, but for something as natural and mindless as walking, it is odd how we have narrowed the expression of how we ambulate.
Perhaps, then, that Monty Python's famous "Silly Walk" sketch is not so much comedy as it is manifesto. A call to take back our own feet and to move in ways that please us, not in ways that simply conform to the miles of highways that our cars sit upon.
In addition to this, when on escalators, standing people stay on the right, whereas walkers move on the left side of escalators.
This is particularly striking when you go to countries where they drive on the left side of the road; there, pedestrians walk in the exact opposite manner that I just described, and when you're walking by them, they get very confused when you try to walk by them on their left side.
This makes me wonder as to how we conditioned ourselves to walk like CARS! Humanity has walked on its own two feet for millennia, yet our conventions as to how to do so over the past century have been defined by machines. I find that disturbing, that we have modified our natural habits to be in harmony with the machinations of industry. I mean, not that we haven't sacrificed much already, but for something as natural and mindless as walking, it is odd how we have narrowed the expression of how we ambulate.
Perhaps, then, that Monty Python's famous "Silly Walk" sketch is not so much comedy as it is manifesto. A call to take back our own feet and to move in ways that please us, not in ways that simply conform to the miles of highways that our cars sit upon.
Thursday, February 19, 2009
In stark contradiction to the last post...
If there is one thing I'm convinced of (though there are many), it is this: If it seems that the whole world is against you, and that everybody is hateful and wrong, and that nobody is being nice to you, and that everything is not going your way, I can only see one common denominator in all of this: YOU.
It is fatiguing to hear people rail about how their family, their employer, their medical providers, absolutely everyone is incompetent/ uncaring/ unreasonable/ etc, while they are the poor victims of everybody else's sadistic and heartless actions. How everything negative going on in their life is everybody else's fault, and they cannot accept any of the responsibility themselves. When it becomes that extreme, I can't help but point out that there is only one thread that binds it all together.
One of my patients, for whom my patience is starting to run thin, regularly comes in every few weeks to yell and rant at me how everybody is letting them down, how nobody is recognizing their needs, how we're all out to get them, medical personnel, friends and employer alike. How I am complicit in all of this, as I have not fixed all their myriad of problems, and have done 'absolutely nothing' to help them. Is there ever any point, that every time, I point out how they have refused to see consultants, how they have refused to take medications, how they have refused to do testing that others have suggested, how they have refused to participate in work rehabilitation, how they have refused to ever be just plain nice? After which, without fail, they state that their problems are actually mine to fix, and I am not taking my responsibility to fix their life seriously. Excuse me?
Let's be clear: I am not your babysitter. I am not your nanny. I am not your mommy. My job is not to fix your life for you when you have broken it yourself. I make strong suggestions and recommendations, and you can take it, or leave it. I will not fight you if you disagree with everything I say, but I certainly would question why you'd bother to keep coming back...
It is fatiguing to hear people rail about how their family, their employer, their medical providers, absolutely everyone is incompetent/ uncaring/ unreasonable/ etc, while they are the poor victims of everybody else's sadistic and heartless actions. How everything negative going on in their life is everybody else's fault, and they cannot accept any of the responsibility themselves. When it becomes that extreme, I can't help but point out that there is only one thread that binds it all together.
One of my patients, for whom my patience is starting to run thin, regularly comes in every few weeks to yell and rant at me how everybody is letting them down, how nobody is recognizing their needs, how we're all out to get them, medical personnel, friends and employer alike. How I am complicit in all of this, as I have not fixed all their myriad of problems, and have done 'absolutely nothing' to help them. Is there ever any point, that every time, I point out how they have refused to see consultants, how they have refused to take medications, how they have refused to do testing that others have suggested, how they have refused to participate in work rehabilitation, how they have refused to ever be just plain nice? After which, without fail, they state that their problems are actually mine to fix, and I am not taking my responsibility to fix their life seriously. Excuse me?
Let's be clear: I am not your babysitter. I am not your nanny. I am not your mommy. My job is not to fix your life for you when you have broken it yourself. I make strong suggestions and recommendations, and you can take it, or leave it. I will not fight you if you disagree with everything I say, but I certainly would question why you'd bother to keep coming back...
Tuesday, February 17, 2009
Disease and dis-ease are two different things...
I think I need to actually write this down: I liked being at work today. I'm only saying that because that's a fairly radical thing for me to say.
The only thing that leads me to say that particularly today is because I felt a bit more useful than I usually do. Let me try to explain: sure, a good portion of my job is to look at medical stuff, diagnose a problem, give somebody medicine or something that will make it go away, problem solved, whoopee. To me, that's a bit mechanical, a bit simplistic, a bit too square and logical.
What an even bigger chunk of my job involves is looking objectively at people's life circumstances and diagnose what's holding them back. That is to say, look at their relationships, their marriages, their work lives and point out what's really wrong with them. Now, it is frustrating to do this with individuals who, for various reasons are not able to listen or hear anything I have to say, let alone internalize it and do something productive with it. However, when it is with people who have the wherewithal to make some positive changes in their lives, and accept help to direct them to make good choices, then it's very satisfying.
I had a few of those today: a distraught wife, desperately unhappy in her marriage. A man being harassed by an ex, causing him great anxiety. A wife, struggling with the aftermath of her husband's affair. A woman deciding whether to continue her affair with a married man or not. A girl feeling guilty about break-up sex. And on and on it goes (and people wonder why I'm a bit cynical about how deliriously happy marriage can really be). And that was just today.
Helping clarify the underlying issues that resulted in the situations that they are in, that their situations are manifestations of other deeper needs in their lives, and watching a small lightbulb go off in their head, is satisfying. Sometimes it makes me feel a bit like Dr. Phil somehow. Well, like, the old Dr. Phil, not the current one. This is not to say that it's easy to implement life change at all, nor do I think it's as easy as swallowing a pill. However, it is nice to know that a lot of what I do doesn't involve pushing pills or opting for medical, physical explanations for dis-ease, in both body and soul...
The only thing that leads me to say that particularly today is because I felt a bit more useful than I usually do. Let me try to explain: sure, a good portion of my job is to look at medical stuff, diagnose a problem, give somebody medicine or something that will make it go away, problem solved, whoopee. To me, that's a bit mechanical, a bit simplistic, a bit too square and logical.
What an even bigger chunk of my job involves is looking objectively at people's life circumstances and diagnose what's holding them back. That is to say, look at their relationships, their marriages, their work lives and point out what's really wrong with them. Now, it is frustrating to do this with individuals who, for various reasons are not able to listen or hear anything I have to say, let alone internalize it and do something productive with it. However, when it is with people who have the wherewithal to make some positive changes in their lives, and accept help to direct them to make good choices, then it's very satisfying.
I had a few of those today: a distraught wife, desperately unhappy in her marriage. A man being harassed by an ex, causing him great anxiety. A wife, struggling with the aftermath of her husband's affair. A woman deciding whether to continue her affair with a married man or not. A girl feeling guilty about break-up sex. And on and on it goes (and people wonder why I'm a bit cynical about how deliriously happy marriage can really be). And that was just today.
Helping clarify the underlying issues that resulted in the situations that they are in, that their situations are manifestations of other deeper needs in their lives, and watching a small lightbulb go off in their head, is satisfying. Sometimes it makes me feel a bit like Dr. Phil somehow. Well, like, the old Dr. Phil, not the current one. This is not to say that it's easy to implement life change at all, nor do I think it's as easy as swallowing a pill. However, it is nice to know that a lot of what I do doesn't involve pushing pills or opting for medical, physical explanations for dis-ease, in both body and soul...
Thursday, February 05, 2009
Elegy
Some very good friends of mine were dealt a fairly devastating blow, being told that their child was, indeed, diagnosed with a significant developmental delay. It was not a particular surprise, as there had been much indication that there was much not right with the child for quite some time. Nonetheless, the finality and permanence of a diagnosis leads one down the path of an inexorable, unalterable future.
I don't know what to say; I cannot know what to say. I am sad for what future dreams and hopes they had counted on would happen, should happen, for normal, regular families. I am troubled about potential pictures of the future that this entails: for their relationship, for the needs of the whole family, for the child's future. I am sorry for the heartbreak and tears and questions that flow upwards, whose answers may seem eerily silent. I do know that this child is desperately loved and, though they may never know or appreciate it fully, could not have been found in a safer and caring place than in their parents' arms.
I must confess, I am struggling with, why them, of all the people in the world? There are so many additional factors to this story, that this seems like yet another nail in the cross that they have been called to bear. So very many nails, each piercing their hearts...
I don't know what to say; I cannot know what to say. I am sad for what future dreams and hopes they had counted on would happen, should happen, for normal, regular families. I am troubled about potential pictures of the future that this entails: for their relationship, for the needs of the whole family, for the child's future. I am sorry for the heartbreak and tears and questions that flow upwards, whose answers may seem eerily silent. I do know that this child is desperately loved and, though they may never know or appreciate it fully, could not have been found in a safer and caring place than in their parents' arms.
I must confess, I am struggling with, why them, of all the people in the world? There are so many additional factors to this story, that this seems like yet another nail in the cross that they have been called to bear. So very many nails, each piercing their hearts...
Musing on pomegranates
I've spent the past hour or so fumbling through a pomegranate. I still have another half to go. Yes, I'm eating a whole pomegranate for dinner - it takes so long to eat one, you hardly have the energy or desire to actually chew anything else afterwards.
I remember as a child being given a pomegranate, split between my sister and I, in order to keep us out of our mother's hair for an hour or so, as we took our grubby little fingers to pry out each small morsel of delight on hot summer days.
A pomegranate is a beautiful thing; a plump, rose-coloured urn, encasing millions of glistening rubies inside! Each piece of fruit, bursting with juice with a slightly crunchy core. Careful dissection of the paper-thin membranes, releasing even more treasure in each portion of pomegranate. Yum!
I remember as a child being given a pomegranate, split between my sister and I, in order to keep us out of our mother's hair for an hour or so, as we took our grubby little fingers to pry out each small morsel of delight on hot summer days.
A pomegranate is a beautiful thing; a plump, rose-coloured urn, encasing millions of glistening rubies inside! Each piece of fruit, bursting with juice with a slightly crunchy core. Careful dissection of the paper-thin membranes, releasing even more treasure in each portion of pomegranate. Yum!
When it rains...
I don't think people seriously take into consideration, well, consideration for other people. I can see how, over time, if you receive very little consideration, you'll dish it out in much the same manner. It's only Thursday, but this week alone, I've already gotten a relatively real threat of being sued (which, being entirely frivolous and without basis, doesn't particularly bother me; if they would like to waste their money, they can go right ahead), was physically threatened by another patient and had to call 911 for police to escort them from the clinic. Super.
I suppose it comes with the territory - whenever you deal with other people, who make overwhelmingly ridiculous demands that you cannot fulfill, they get angry. Now, fortunately, the literature points to very few physician fatalities over the years (thank goodness), but, despite the relative respect and authority that they are granted, it is not uncommon for physicians to get verbally assaulted, spat upon, slapped and punched. I don't think people get the fact that when they do that, it makes it even more unlikely to have the physician want to help them.
I guess it's also like customer service; I would imagine if a customer is going ballistic on the phone, the customer service rep tunes out, and becomes even more unlikely to want to provide good customer service.
Same here; the likelihood I would actually want to help someone, instead of punching them in the face, when I've been threatened becomes vanishingly small.
I suppose it comes with the territory - whenever you deal with other people, who make overwhelmingly ridiculous demands that you cannot fulfill, they get angry. Now, fortunately, the literature points to very few physician fatalities over the years (thank goodness), but, despite the relative respect and authority that they are granted, it is not uncommon for physicians to get verbally assaulted, spat upon, slapped and punched. I don't think people get the fact that when they do that, it makes it even more unlikely to have the physician want to help them.
I guess it's also like customer service; I would imagine if a customer is going ballistic on the phone, the customer service rep tunes out, and becomes even more unlikely to want to provide good customer service.
Same here; the likelihood I would actually want to help someone, instead of punching them in the face, when I've been threatened becomes vanishingly small.
Friday, January 30, 2009
I hear there are three greenhouses available...
OK, that's it: I am tired. I've been back in the country less than 10 days, and I'm already tired of being here. Tired of being guilt-tripped. Tired of having unreasonable demands being made of me. Tired of having to catch up with everybody else's expectations.
I'm tired of having to feel like I have to join yet another committee, about joining another Board, of being made to feel badly enough to almost change travel plans I had made over one year previously, of not doing 'enough' for one organization, of fishing through old files to give to other professionals, of leading another Bible study, of providing money to people just because they ask for it, of unreasonable demands of my time to do battle with companies that I don't give a shit about, of having to provide my 'expert opinion' on various subjects, of being berated multiple times for even leaving the country in the first place, of being poked fun of (or, as someone else has put it: getting my pony tail yanked on a regular basis by the bully), of never hearing 'thank you' from anybody.
This is pretty much the same sentiment from the recent post, but even more accentuated. This funk better lift soon, otherwise I'm just going to start being nasty and selfish...
I'm tired of having to feel like I have to join yet another committee, about joining another Board, of being made to feel badly enough to almost change travel plans I had made over one year previously, of not doing 'enough' for one organization, of fishing through old files to give to other professionals, of leading another Bible study, of providing money to people just because they ask for it, of unreasonable demands of my time to do battle with companies that I don't give a shit about, of having to provide my 'expert opinion' on various subjects, of being berated multiple times for even leaving the country in the first place, of being poked fun of (or, as someone else has put it: getting my pony tail yanked on a regular basis by the bully), of never hearing 'thank you' from anybody.
This is pretty much the same sentiment from the recent post, but even more accentuated. This funk better lift soon, otherwise I'm just going to start being nasty and selfish...
Tuesday, January 27, 2009
Hoping my diagnostics heal, not hurt
One thing that I've been semi-wrestling with over the past week has been how to approach people.
That's vague: my main job, in the real world, is to see a person whole, make a diagnosis as to what is hindering them from better health, and suggest therapeutic approaches to improve the situation. This is not necessarily exclusively in the domain of the physical either; certainly emotional, relational, and familial issues are also part and parcel of my job on a regular basis. My training teaches me to look objectively at the holistic situation, and make suggestions. Kind of like an advice columnist, but I get paid more.
However, what happens if you see this in a friend, not a patient? It is far easier for me to look at a patient, who, for all intents and purposes, I don't know and I don't love, and say quite objectively what I believe the fundamental problems to be in their lives. Not so easy when it is someone you know and someone you love. I have noticed some massively large obstacles that are hindering a friend from really and truly fulfilling their entire God-given potential, and it hurts me to see that. It bothers me greatly when giants of our age can so easily be felled by a stone to the forehead. However, some of those obstacles are building barriers from me being able to point this out in any way that would be constructive.
So how does one do this, without making them hate you afterwards? I haven't been able to figure this out. Is it worse to ignore the fact that your friend's fly is down, or for embarrassing them by telling them they need to fix their pants? Sigh. I'm hoping they read this (though I doubt they will) in order to perhaps start opening the communication channels...
That's vague: my main job, in the real world, is to see a person whole, make a diagnosis as to what is hindering them from better health, and suggest therapeutic approaches to improve the situation. This is not necessarily exclusively in the domain of the physical either; certainly emotional, relational, and familial issues are also part and parcel of my job on a regular basis. My training teaches me to look objectively at the holistic situation, and make suggestions. Kind of like an advice columnist, but I get paid more.
However, what happens if you see this in a friend, not a patient? It is far easier for me to look at a patient, who, for all intents and purposes, I don't know and I don't love, and say quite objectively what I believe the fundamental problems to be in their lives. Not so easy when it is someone you know and someone you love. I have noticed some massively large obstacles that are hindering a friend from really and truly fulfilling their entire God-given potential, and it hurts me to see that. It bothers me greatly when giants of our age can so easily be felled by a stone to the forehead. However, some of those obstacles are building barriers from me being able to point this out in any way that would be constructive.
So how does one do this, without making them hate you afterwards? I haven't been able to figure this out. Is it worse to ignore the fact that your friend's fly is down, or for embarrassing them by telling them they need to fix their pants? Sigh. I'm hoping they read this (though I doubt they will) in order to perhaps start opening the communication channels...
Thursday, January 22, 2009
Retreat! To yonder castle!
One of the biggest problems of going away anywhere is the coming back. Not only do I feel like I was just getting a groove on, a rhythm of living in the fairy tale castle, lured by the possibilities of just staying (I can't believe how tempting it actually was), but then I abruptly had to leave. That sucks.
However, what has an even higher suckage factor was coming back. I walk into my house with a mail stack about to topple over, full of bills, notices, assessments, medical journals, government forms, etc etc etc, and neglected chores that I'd forgotten to do prior to leaving (no worries; nothing like forgetting to take out the garbage). Then, at the office was an inbox stuffed full of insurance forms, disability claims, pregnancy ultrasounds... a pile a foot high! Furthermore, having to deal with several email inboxes (along with one new one!), meetings that are being planned for the end of February and into March, realizing I already do not have a free weekend for another four weeks is enough to make one give up being a responsible adult.
That's it. I don't want to be a grown-up anymore. At times like this, I really do want to opt out, have someone take over and do all these tasks for me, to tuck me into bed, kiss me on the forehead and just tell me everything will be alright...
However, what has an even higher suckage factor was coming back. I walk into my house with a mail stack about to topple over, full of bills, notices, assessments, medical journals, government forms, etc etc etc, and neglected chores that I'd forgotten to do prior to leaving (no worries; nothing like forgetting to take out the garbage). Then, at the office was an inbox stuffed full of insurance forms, disability claims, pregnancy ultrasounds... a pile a foot high! Furthermore, having to deal with several email inboxes (along with one new one!), meetings that are being planned for the end of February and into March, realizing I already do not have a free weekend for another four weeks is enough to make one give up being a responsible adult.
That's it. I don't want to be a grown-up anymore. At times like this, I really do want to opt out, have someone take over and do all these tasks for me, to tuck me into bed, kiss me on the forehead and just tell me everything will be alright...
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