Here begin the tri­als and trav­ails of that one known as The Bat­man” “The That Damned Sniper Girl” in the col­lec­tion of cit­ies known as “greater” $ydney– sworn arch-enemy of $mell­bourne, and much out­rank­ing the crop circle/roundabout known as “¢anberra”.

$ydney is in fact a city par excel­lence, fit­ting the defin­i­tion by the fol­low­ing char­ac­ter­istic that is found in Lon­don and other great world cit­ies: If one is lost and con­fused and asks for help, one is inev­it­ably going to be ask­ing someone in exactly the same boat as all you can find are tourists.

Such cases are not isol­ated to the gen­er­ous beaches of Bondi and Manly. Wit­ness this fol­low­ing event that I exper­i­enced at work:

Me: I’m sorry to ask, but I’m from Mel­bourne and I don’t know my way around– I was won­der­ing how we go about organ­ising X?

Other regis­trar: I’m sorry to tell you this, but I’m from Edin­burgh via Singa­pore and I have no idea!

In fact, such an exper­i­ence is not lim­ited to fel­low staff mem­bers. It seems that even patients’ fam­ily mem­bers often know as little as I about the patients’ pre-existing state of being:

Me (while see­ing patient whose only verb­al­isa­tions are word­less groans): So, your mother, is she nor­mally quite with-it? Does she know what is going on? Is her mind usu­ally ok?

Patient’s daugh­ter: Oh yes! She is usu­ally very sharp, knows what’s going on around her…

Me: What other med­ical prob­lems does she have?

Patient’s daugh­ter: Dia­betes, blood pres­sure, some dementia…

And in another case:

Me (dur­ing fam­ily meet­ing): So I under­stand your mother has been rather unwell for the last few months, and has had increas­ing prob­lems with her memory?

Patient’s daugh­ter: Oh no, she has abso­lutely no prob­lems with her memory, all she has is some forgetfulness.

Where is my mind”, indeed? Dur­ing such con­ver­sa­tions I cer­tainly feel way out in the water, though not quite as out of my depth as the above fam­ily mem­bers, it seems!

My only Mel­bourne example that I can add to such things is a recent time on the Sur­gical ward late at night (while appro­pri­ately wear­ing my “Fol­low me in case of Zom­bie Apo­ca­lypse” T-shirt)- a patient sneezed quite loudly and all the deli­ri­ous patients woke up with a start and called out sim­ul­tan­eously in response!

As I said today to my consultant:

Me: I’m sorry I’m from Melbourne…

Him (inter­ject): So am I!

Approx­im­ately exactly my point!

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Dear All,

I have a new love. There is some­thing about Dr Liara T’soni that I can­not resist.

Is it her intel­lec­tual nature? Her intens­ity? The com­bin­a­tion of naiv­ety and know­ledge? Her blue skin?

Rar.

Yours,

Deutschy.

Zug.

A meta-post to say that some­times we have to throw out what we no longer need or use.

When I say that I am pretty sure that I know who was read­ing my blog(s) and try­ing to break into my email, I say also that I am highly, highly dis­ap­poin­ted, and really quite hurt.

Everything that I have done, whether right or wrong has been in good faith.

I do think that I have a sim­ilar right for what I do and who I am to be some­thing that is treated, whether rightly or wrongly, by oth­ers with good faith. And being stalked and har­assed does not fall under the cat­egory of “in good faith”.

Appar­ently, in the regen­er­a­tion and death and divi­sion of our cells, pretty much all of our atoms have been replaced com­pletely after 7 years. I am not quire sure where this “7 years” fig­ure has come from but per­haps it is a nice ana­logy. After 7 years we are com­pletely dif­fer­ent from who we were in terms of struc­ture. Our outer lay­ers peel away. We grow older. Sim­il­arly we buy (and then dis­card) our cloth­ing; we make (and lose) friends. Even fam­ily is not always immutable.

I feel pretty sad, and old.

Here’s to things improv­ing, then.

Yours,
Deutschy

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Dear ,

It was a hot night, a wet night. The damp of fog. A dark night. The smell of grass and dust. A feel­ing a little like pet­rol. Volatile.A breeze lightly stirred. Every­one was asleep, every human. Here and there someone would stir in the mug­gi­ness, yawn and fall back asleep, com­pletely unaware that they had woken. The occa­sional one who was aware of wake­ful­ness would feel a strange, ill feel­ing in the air. A sense of keenness.But things were almost com­pletely still.A wolf pad­ded around the city, del­ic­ately. It sniffed at the air and moved only when it was sure. It was a hungry, scrappy, fierce creature covered in scars. It was largely silent, tent­at­ively flit­ting between elong­ated, shift­ing shadows.

A wolf ran through human hab­it­a­tion, past the smell of ker­osene lamps and refuse, past cool­ing food, over pain­ful, hard cobble­stones, past the smell of sweat and urine.

A wolf stood and stared at my house. It ran circles around it. And howled.

I know this because I dreamt it.

In the morn­ing, it was gone.

Yours,
Deustchy

 

 

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80s rock hair gave them all whip­lash- the neck injury and the Whip-Style Hair Injury (WSHI).

The answer? Whip-Style Hair Injury Treat­ment, or WSH-IT.

The neck braces involved are avail­able for $20 a pop with a WSH-IT sticker attached.

The pur­veyor?

The “Make A WSH-IT Found­a­tion”.

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Another new year, a new dec­ade in fact, and in much the same way as I usu­ally do things, I seem to have new host­ing, a new domain name and yet another new blog. I don’t do things by halves here, I have a blog for every occa­sion, it seems. This will prob­ably be the “news” blog of the site– else I may in fact use this as the base for all blogs I want associated.

All I can say is…

… stay tuned.

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Dear All,

A piece of “con­cep­tual art”, then, per­haps. A strange men­tion of the con­scious, sub­con­scious minds of indi­vidu­als, and per­haps the col­lect­ive sub­con­scious.

Frag­men­ted Mind.

Fragmented Mind

Yours,
Deutschy, Friend of Tiny Carl Jung

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If this out­go­ing dec­ade is “the Naugh­ties”, then I declare the next dec­ade to be…

“The Tweens”

Kind Regards,
For­sooth,
The Oracle.

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Smog and air pollution in Pasadena Highway, do...

Image via Wiki­pe­dia

Dear All,

This idea is prob­ably not prac­tical, but it is, how­ever cool.

Our cit­ies cause a great deal of local weather changes; the roads in par­tic­u­lar retain heat, tall build­ings cre­ate wind tun­nels

One could ima­gine some sort of way of embed­ding the very large urban road net­work with ways of col­lect­ing this heat energy and con­vert­ing some of it to elec­tri­city. Thus cool­ing the city, gen­er­at­ing elec­tri­city and being envir­on­ment­ally friendly to boot!

Wind gen­er­at­ors on tall build­ing does not sound like a bad idea to me either…

Yours,
Deutschy, pro­vider of energy friendly car­bon neut­ral coal trains since 1842.

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Dear All,

Medi­cine is in an uncom­fort­able, nas­cent stage. None of us like to admit it, but we do not prac­tice evid­ence based medi­cine. At times we prac­tice intu­ition or logic but not in any sort of sys­tem­atic man­ner. We deal with our patients’ prob­lems intel­lec­tu­ally the way a trades­man does, rather than an engin­eer. This des­pite our train­ing, des­pite advances in stat­ist­ics, com­pu­ta­tional bio­logy, bioin­form­at­ics, engin­eer­ing and a mul­ti­tude of other disciplines.

Why is this? I think part of it is the idea that if we take away the mys­tery then we are no longer magi­cians. We are just ordin­ary people per­form­ing unusual but mundane things, but in a top hat and tails.

Ideas often develop such:

  • The­ory A explains some of reality.
  • The­ory B dis­sents against the­ory A’s incom­plete explan­a­tion and invokes a reac­tion­ary the­ory that revolves around the oppos­ite idea. How­ever, this the­ory is also incomplete.
  • People real­ise that both the­or­ies have their mer­its and com­bine them into an integ­rated The­ory C.

Cur­rently in medi­cine we can say that “treat­ing patients based on exper­i­ence and intu­ition as all patients are unique” is The­ory A. Evid­ence based medi­cine evolved out of a need to stand­ard­ise care and base it on some sort of empir­ical sci­ence- a lot of “intu­it­ive” ideas were total crap (e.g. bleed­ing people for no good reason). So what is The­ory C? Well the prob­lem of course is that all patients are dif­fer­ent how­ever we need to val­id­ate their ther­apy based on sci­ence. So per­haps it is what onco­lo­gists and infec­tious dis­eases spe­cial­ists are doing now– tail­or­ing medi­cine accord­ing to genet­ics, gene expres­sion and other patient/disease spe­cific characteristics.

How­ever, there are prob­lems with this approach too. Another the­ory will react to the first. Even­tu­ally The­ory E will sup­plant them both.

While this is all lovely, unfor­tu­nately we are still stuck with sci­ent­ists in either The­ory B or C and most clini­cians back at The­ory A (some at The­ory B and occa­sion­ally a The­ory C– most but not all are physicians).

Pro­gress is slow, and under­stand­ably no-one wants to “gamble” any sort of unproven “new” approach on their patients at first, I suppose.

Yours,

Deutschy, now com­plete with casino carriage!

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