Archive for March, 2009

Just keep on running???

Posted on March 12, 2009. Filed under: Apply topically |

That’s it I quit….I started running at the end of last year, and have been doing so every week since. (I come home at the end of each run, otherwise I’d be nearing Scotland!!)

 

Why do I run? (apart from to get away from my lovely wife??)  Exercise… I thought it was good for me.  Now they change their minds about whether drinking red wine will keep us alive longer or kill us quicker. But exercise?  Surely that’s a fixed certainty. The more exercise you get, the longer you live…right??

The BMJ have published research at the end of last week saying exercises is good for us (no surprises…right?)

It concludes that: “Increased physical activity in middle age is eventually* followed by a reduction in mortality to the same level as seen among men with constantly high physical activity. This reduction is comparable with that associated with smoking cessation”.

*Eventually is apparently 5 – 10 years after starting exercising.

I’m now in my (early to) mid 30′s and run at least once a week. This surely increases my chances of osteoarthritic knees and need for knee replacements. (or should that be “kneed for a nee replacement”?)

Right! That IS IT…I’m going to stop running for 10 years, decrease my likelihood for osteoarthritis and start running when I’m in my mid 40′s, by which time I’ll have long enough to avoid heart disease in my 50′s.   Better still I’m going to stop running and take up smoking, then when I reach my mid 40′s stop smoking and run.   That makes good sense right??

The down side is of course, if I stop running…they may eventually catch me!!

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My 2nd WordPress blogiversary…

Posted on March 5, 2009. Filed under: Benign, Elsewhere in the blogisphere, In the beginning... |

Blimey – a year has flown by already!

I’ve two blogiversary presents for you, one is a link to another site that’s nothing to do with me, but just more silly medical stuff.  The other is a few good tracks to accompany this posting.

As far as my blogiversary goes I have little to say that I didn’t say last year…  A few things have changed. I do think I’ve become a little more insular!  Much more benign stuff about my day to day bits and pieced and less topical stuff, perhaps I should start reading again!

On the subject of  potential change and me just jabbering on about things that happened at work….

A young lad presented today and during our chat, I noticed that he had stopped taking his antidepressants. He felt he was ready to stop at the time, but things where getting a little black again…

We discussed whether restarting the anti-depressants was the way forward, to which he said:  “I don’t want to take tablets I just want you to tell me to go and sort myself out”.

I laughed and duly did as my patient asked…I also gave some self help literature. I shared my thoughts on this with the patient…

It would be a great catch phrase for me. “Just go and sort yourself out”.

I could cut my appointment times down to about 3 minutes. That’s 2 minutes and 54 seconds, to listen to the patients problem and 6 seconds to say : “Just go and sort yourself out” and open the door.

Pt: “Help, I’ve got this terrible crushing chest pain…”

Max “Just go and sort yourself out”.

It really is the ultimate in holistic care, taking into account physical and mental aspects and if the patient successfully “sorts them self out”, it surely has to be good for their self esteem and a greater sense of well being.   I’ve often thought patients need to take more responsibility for themselves rather than expecting the health care service to manage their poor dietary habits, lack of exercise and 1 day old sore throats.

Quite frankly after the last few days I could well do with taking up this approach. A few things I’ve wanted to say this week but didn’t have the nerve to (incidentally these are all things I would have said to different patients…yes it’s been one of those weeks).

1: I can not resolve your marital problems you’ve been married 27 years. It’s your spouse you should talk to not me. (Actually I did say this to her after 25 minutes!!)

2: If you’ve tried counselling, psychotherapy, every antidepressant known to the human species and still have no clinical signs of depression but feel you need help…please don’t expect me to sort you out in a 10 minute appointment.

3: It’s flattering, but please don’t come and see me every time you sniff, just so you can flirt outrageously with me and then be happy when I say you don’t need any medication or advice you don’t already know, and just because I’m male and a nurse doesn’t mean I am gay…and even if I was…YOU wouldn’t be my type (real gay men don’t wear eye shadow and their mums perfume!!)!!  If I was gay I’d be a lesbian!!

4: How do you expect me to know what is genuinely going to kill you and needs medical intervention when every time you come you tell me of 5+ unrelated problems?

OK I’m off to lay in a darkened room…really I need to this week!!  Cue soothing music…

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