Take Turns

This is the popular right brain vs left brain test

Look at the picture. If you see the dancer turning clockwise, you use more of the right side of your brain. If you see the dancer turning anti-clockwise, you use more of the left side of your brain.

Most of us would see the dancer turning anti-clockwise and if you focus you can also change direction of the dancer.

LEFT BRAIN FUNCTIONS

uses logic
detail oriented
facts rule
words and language
present and past
math and science
can comprehend
knowing
acknowledges
order/pattern perception
knows object name
reality based
forms strategies
practical
safe

RIGHT BRAIN FUNCTIONS

uses feeling
"big picture" oriented
imagination rules
symbols and images
present and future
philosophy & religion
can "get it" (i.e. meaning)
believes
appreciates
spatial perception
knows object function
fantasy based
presents possibilities
impetuous
risk taking


What do I see?

I find this is yet more proof my brain is not like 99% of the population.

At first glance, I’m thinking….heyyyyyyyy hot heavenly honey. Okay, seriously. On second glance, I see the nubile nymphet nipples turning clockwise (hmmmmmmm imaginative fantasy based right brain for me then). But I can also make the pretty pirouetting princess pivot anti-clockwise. In fact I can literally make the lithe lap-dancing lassie loop any way I want instantly. I can force the fetching fit filly flip-flop back and forth by fluctuating the graceful glamorous girl clockwise and anti-clockwise alternately at Will without the captivating contoured chick ever circumvolve a full 360 degrees.

That to me is out-right proof that one can alter their perception at Will – but only if one wants to.

Lions For Lambs

The film was more intellectually engaging than say, The Kingdom or Rendition (but that is not saying much) yet still came across as trite…but then again Redford was deft enough to realize not to delve too deeply on the issues regarding what motivates us as individuals and on the “War on Terror”, vast topics that tends to polarise (or…paralyse) people, lest it might just alienate the movie going American public whose Friday night entertainment peaks at the level of Bee Movie…or whose general knowledge seemingly regresses to primary school level as one gets older…

The tryptich plot, if you can call it that, does not actually visually intersect but is made to intertwine like a braid by the audience’s mental participation of digesting and assimilating the staccato questions and conundrums thrown out like pretzels to the movie-goers (now…don’t choke on ‘em).

Charming Senator Irving (played by everyone’s favourite alien, Tom Cruise) announces exclusively a “new strategy” on the “War on Terror” to the veteran but seemingly naive reporter Janine Roth (Meryl Streep) as a favour, delivering neo-con sound-bites without offering any evidence and blithely admitting “past mistakes” but then goes on repeating more new ones.

Two model soldiers (played by Michael Peña and Derek Luke) who fought the much tougher war of gettin’ outta the ghetto and into higher education are shown to be lionised examples of American patriotism, honour and conviction by having volunteered to fight the war implemented by baa-aaa-ad lambs but end up just being cannon fodder.

Then you have the privileged slacker but very bright student (Andrew Garfield) being given a one-on-one sanctimonious dressing down by a Californian Professor of Political Science (Redford) in order to motivate him to…translate his apathy into action that…THIS WAR IS A TRAGIC WASTE OF HUMAN LIFE. Oh shit…I just gave away the entire plot and message.

It’s sneakily anti-Bush but plays out fairly balanced no matter what side of the political divide you happen to be in…if your whole idea of politics is from a Western centric POV. All we see are American faces. We (might) care for the American faces. We (maybe) cheer for the American faces. We (I sincerely doubt) cry for the American faces. The Afghans are reduced to mere mutterings in the snow and moving black dots on a screen…to be blown to bits by American military hardware like the hapless dime-a-dozen commie bastard Vietcong in Rambo First Blood Part II. I mean who cares on how the policies of the “War on Terror” impacts on others because as Senator Cruise explicitly states, it is the USA that has been attacked! And oh yeah, this film is hardly going to be a box-office draw in Kabul or Tehran.

‘Liberal’ has somehow become a dirty word in American politics and I doubt Redford’s friends see much capital gain from this lite-film (check out the Celebrity Liberal (or Celiberal) Whine Rack and List!) but to be fair, as director and actor, he has done a reasonable job of avoiding the highly tempting route of providing answers but chooses instead to simply rehash the questions that many are now openly asking and is thus a useful catalyst for stoking the fires of debate and discourse before we all return to our comfortable cloistered existence.

It Is Impossible

Damn. I am still riding on adrenaline.

Just shy of midnight, 50 year-old Mr X walked in complaining of central burning chest pain for the past hour and a half rather than attend work as a taxi-driver on the night shift. I was at the fag end of seeing another patient documenting the notes and wanting some nourishment but had this chap’s ECG placed in front of my I-want-to-go-to-the-loo face for a quick opinion. The nurses are great at their job. Hmmmmm…1 mm ST elevation on V1 and an indeterminate rise on V2 with a very mild ST depression on the lateral leads. Riiiiiiight…I said he needed to be urgently seen next.

I rushed into the cubicle. He looked comfortable sitting on the trolley chatting away and his vital signs were all normal. I introduced myself. Tell me all about it I said. He had been on a proton pump inhibitor for years. He thought it was indigestion and had self-medicated with Rennies with some improvement in symptoms. The pain was almost completely gone. Well so far so good I thought. But closer probing with my rapid fire questioning in the next minute revealed that the pain had involved his left arm associated with very slight dyspnoea and brief sweatiness. Uh oh. That sounded cardiac rather than dyspepsia. And he was a known hypertensive. And a heavy smoker. And his father died in his 40s with a myocardial infarction. As far as I am concerned, that was good enough for me. We needed to get him out of the examination cubicle and move him to the resuscitation bay now.

Cardiac monitor lines were immediately unplugged. Trolley and patient rolled into Resus Bay 1. He looked absolutely fine, non-plussed and slightly amused at the fuss. Oxygen. IV access. Bloods. Sats monitor. Chests leads, BP, pulse, temp and BM. Aspirin and clopidrogrel stat. IV morphine and metoclopramide and GTN. The pain was completely gone now. Wahayy! Can we have a repeat ECG? Yes. It was completely normal. Straight-forward. So it was unstable angina +/- dyspepsia. Whatever. He needed to come in for a M.I. screen. I even weighed him myself to calculate the correct dalteparin dose. You MUST stop smoking I said. I’ve tried and I can’t – it’s impossible he said. Uhhhhhm, sure.

Instead of the regular on-call medical team, I instinctively called the on-call coronary care unit doc…that happened to be at another hospital. God knows why for it was purely a visceral instinct. They had one bed left in reserve only for a thrombolysable MI but another bed for assessment. Sure, he said, we can probably take him but could I fax the ECGs over first? He will call me back and let me know with a final answer. Sure. The ECGs were faxed over. Then the chest pain came back with a vengeance. I gave another IV bolus of morphine. The pain settled completely within minutes. Cool. Can we have another repeat ECG? Yes.

This time there was >2mm ST elevation on leads V1 and V2. Shite…this was a frank MI. I quickly checked that he had no contra-indication to thrombolysis. The call from CCU came back…I interrupted and said we now have a thrombolysable MI so you guys can actually take him. Despite being pain free, the morphine was likely masking the pain. We both agreed that he should be thrombolysed tout de suite.

And then he started gurgling and went into cardiac arrest right in front of me as I was on the phone.

“Uhmmmm…he’s just gone off so I’ll call you back okay?” I put the phone down. The crash team was called. Everyone and their dog ran to the resus bay. WTF. It was ventricular fibrillation. The first shock was delivered after I tried to hop, skip and untangle myself from all the bloody wires. His body convulsed violently with the shock. His face turned a ghastly blue. Chest compressions and bag mask ventilation was resumed. A second shock was delivered at the second cycle. Then the rhythm changed…yaaaaargh. Still no palpable cardiac output. Probable pulseless electrical activity or low cardiac output. Continue CPR and IV adrenaline. Then the rhythm changed to VF. Right…charge, clear, check and shock! Whump…his body convulsed violently. CPR was resumed and intubation attempted. And then a sinus rhythm appeared and he was self-ventilating. Bloody hell. Poised with the prepared tenecteplase in her hand the medical team member asked Was there a contra-indication to thrombolysis? No, I said. He had the green light for it. And the IV bolus was given.

And then he went into VF and a fourth shock was delivered. CPR was resumed. Then he suddenly struggled, sat bolt upright and spat out the Guedel airway. Everyone around him took a step back, with him and us looking at each other collectively with a massive WTF-is-going-on on all our faces.

He wondered out loud if someone could please contact his workplace.

Errrrrrrr. We all looked at each other and collectively spontaneously laughed as the intense tension of the last few minutes just vapourised. Phew.

Repeat ECG showed a massive antero-lateral MI across all chest leads. Arterial blood gas showed only a very mild acidosis. He needed a CCU but should he undertake the long journey to the regional specialist hospital where rescue angioplasty was available should the tenecteplase not achieve reperfusion? After a phone call with the cardiac specialist it was settled that the ECG should be repeated at 90 minutes post thrombolysis. If no improvement occurred by then, then IV tirofiban should be commenced and the patient transferred for emergency coronary angioplasty. Everyone and their dog dispersed to their usual work places.

Mr X was sat upright talking, comfortable, pain free and he was…alive. His concerned work mate came in to chat and joke with him. I went away and resumed whatever I was originally doing after the documentation was completed.

Then the crash team alarm bell was activated. Bloody hell. Whaaaaat now? Reperfusion arrhythmia?

Everyone and their dog ran to the resus bay. Mr. X looked fine and dandy. Mr. X’s concerned work mate lay collapsed on the floor like a star fish. Apparently he gurgled, went pale, unconscious and fell backwards off from the stool he was sitting on…but was now awake whilst a nurse held his legs up. It looked like a vasovagal syncope…a simple faint. A formal examination and check ECG supported that.

Mr. X’s family arrived and came round, chatted and joked with him. At 90 minutes the repeat ECG showed complete resolution of the MI for him. Absolutely amazing. I told him if he had originally chosen to go to work he would have definitely died tonight.

Transfer arrangements were formalized with the ambulance crew and receiving CCU. He thanked me as he realised how close to death he was.

"Look, you MUST stop smoking okay?"

“I already gave up an hour and a half ago!” he said.

Strange Meeting

"I am the enemy you killed, my friend.

I knew you in this dark; for so you frowned

Yesterday through me as you jabbed and killed.

I parried; but my hands were loath and cold.

Let us sleep now . . ."

- Wilfred Edward Salter Owen 1918

Depeche Mode - Enjoy The Silence

The whole synthesizer approach sounds horribly dated yet it gives Enjoy the Silence that undeniable charm as the best example of its genre with its beautiful melodies and concise lyrics that never tires my ears no matter how many times I listen.

Simply one of the best songs ever written by a British group

Words like violence

Break the silence

Come crashing in

Into my little world

Painful to me

Pierce right through me

Can't you understand

Oh my little girl

All I ever wanted

All I ever needed is here in my arms

Words are very unnecessary

They can only do harm

Vows are spoken

To be Broken

Feelings are intense

Words are trivial

Pleasures remain

So does the pain

Words are meaningless

And forgettable

All I ever wanted

All I ever needed is here in my arms

Words are very unnecessary

They can only do harm

All I ever wanted

All I ever needed is here in my arms

Words are very unnecessary

They can only do harm

All I ever wanted

All I ever needed is here in my arms

Words are very unnecessary

They can only do harm

Enjoy the silence

Down In Dundee And Dad

I just got back from Dundee…it tends to be a place I usually rapidly pass by but I liked it at first impressions from up close…it has a noticeably high student population with its two large universities, a rich cultural and scientific patina which I have yet to imbibe, and the city is negotiable on foot with a pedestrianised city centre and the usual shopping trappings to cater to the most essential needs of the inane modern lifestyle. It also seems to be randomly peppered with cemeteries but I think the city just gradually grew around them over time, rather than have the burial places erased away for development.

I worked briefly at Ninewells Hospital the last few days in my time off, more as a fact-finding mission for myself to see how another place operates. It’s not the largest hospital I’ve been to but with it’s expansive multi-storey layout, the place felt like an interior of an aircraft carrier when trying to negotiate my way through the labyrinthine corners, stairs and long corridors, nimbly dodging staff, students, trolleys and vehicles in a hive of industrious activity. I was amazed at the number of people whom I randomly bumped into who have seen me or think they’ve met me or know people who know me (!) I didn’t have time to meet up with Reem but she promised to cook me some food the next time I drop by…plus she’s tempting me further with green tea. How can I refuse an offer like that???

Halloween at Edinburgh tonight was awash with randy Roman centurions, not-so-little Red Riding Hoods, pasty pirates, card-board cowboys, naughty nurses, dastardly doctors and other similar ghoulies and ghosties. And twats, you may be dressed like that guy with a big “S” on his chest and tanked up with alcohol, but please look carefully both ways before crossing the busy road or you’ll end up in Scotland’s busiest A+E department covered in a different type of red and blue.

I’m not feeling too good atm. With my lack of internet access at times for days and my mobile being off when at work, I only just literally got news my Dad has been hospitalised with massive bleeding. It doesn’t help that I know the differential diagnosis inside out. And I was due to see him next month. It’s eerie that for some inexplicable reason at the same time I couldn’t sleep last night and I lost my house keys – something that has never happened to me.

Youth Is Wasted On The Young

I need to find me one of these for Halloween

I’m currently sipping my astringent jasmine green tea all warm and cuddled as the winter season starts to settle in. I’ve found meself a clinically neat tea-house to feed my green tea addiction even though the prices are twice that of Aberdeen (bah!). It’s becoming a seasonal habit of mine…dark winter nights means an emo-leaning towards moody classical music and warm pots of green tea...sound and taste being the two senses strongly associated with memory for me (my sense of smell is not as powerful as the other two)…after all, winter time in the UK can get fucking boring when soulful reflection can surprisingly be a major activity, as waking up and coming back from work means hardly being greeted by the DNA destroying rays from our friendly yellow ball of gas in the sky.

Ahhhhh, green tea and no sun – just some of the secrets to my disarmingly youthful appearance. Yes, I genuinely confound people. First, after having long ago shaved my oh-so-cool moustache (on the advice of a girl…err, I concede she was actually right) people now think I am much younger than I am actually…from, “Soooo….what are you studying now?” (uhmmm, I’m waaayyyyy past post-graduate)…to the classic…“Can I see some I.D. please?” (uhmm, not only do I not drink, I often treat these drunk and/or assaulted fuckers much younger than I, thank-you-very-much)…to the extraordinary…“Are you old enough to watch this DVD?” (paying for a copy of “Léon” at the till – one of my all time favourite films I can near quote verbatim)…to being flirted by teenage girls young enough to be my daughters. It’s so Nabokovian. I don’t mind though as people younger than me collapse with acute myocardial infarction and it’s me ending up treating them.

And then I open my mouth and from a few choice words they rapidly realise I’m not fresh out of kindergarten...“Sorry, what does that mean?” (NB to self: desist enunciating archaic iambic pentameters)…

…but then I get the second confounding classic, “…that accent…it’s not Scottish…where do you come from…which part of England…it’s so region-less”…to the improbable but already occurring several times, “South Africa? Australia?” (NB to self: WTF??!?).

Nobody guesses correctly I’m from Hong Kong. Not even people from Hong Kong. Not even when I am in Hong Kong. And then their mandibles plunge when this “gweilo” reply in Cantonese. And eyeballs extrude, expand and explode when they hear me colourfully swear in Cantonese.

Then thirdly, the inevitable…“What are you?”…and some inexplicably, for lack of an imagination, settle on something that may just cover it:… ie. ----> “Are you…American?” (Oh the ignominy)

Well, I’m Eurasian if you must know, the next stage in human evolution…


So seriously, how does one go someway in maximising their chances of staying youthful and healthy? Of course where you live and other environmental factors can have a huge impact – poverty, pollution, poor sanitation, crime, ignorance, gamma radiation and inane reality TV shows can really be harmful. But reflecting on my habits the following Ten Commandments is what I actually do and may go some way to explain my Peter Pan appearance:

1) Do NOT smoke.

2) Do NOT consume alcohol.

3) Enjoy life but don’t purposefully spend unnecessary amounts of excessive time in the sun.

4) Plenty of water. Or green tea (heh).

5) Eat plenty of fresh fruits and vegetables – there are onions, garlic, tomatoes, carrots, ginger, pulses, cereals, apples, bananas and EXTRA virgin (heh) olive oil and vinegar somewhere in my diet everyday. Oh yes, I eat rice everyday too – potatoes can do as well (I neeeeeed my fuel). Consume lean meat and oily fish. Limit amount of red meat. I allow myself copious amounts of chocolate (gotta treat yourself every once in awhile) but other than that I generally avoid junk food.

(This is not for everyone since for some their genetic make up can’t handle it but I drink lots of whole fat milk (never with green tea) and consume cheeses every bloody day and it’s the high calcium intake that is one of the reasons that keeps me thin. I also eat chillies everyday but that is just a “me” thing of loving spicy food – it’s not for everyone)

6) Hygiene – brush your bloody teeth at least twice a day, wash yourself etc. It’s bloody common sense.

7) Exercise and stretch regularly. Some yoga it or tai-chi it or martial arts it. Whatever works for you. I just walk briskly (I’m %^&*£)£ late for work) at least one hour every day. Occasionally I'm even known to jog. As a bonus, performing salah five times a day, every day actually exercises every joint in the body.

8) Get enough sleep.

9) Be spiritually content (that is totally different and separate from being happy but if you are happy too, then lucky you). Have at least one passion in life (not just mere interest although that is a start!). Exercise, challenge and stimulate the mind mentally with cerebral gymnastics. Be interested in family and people. Love and be loved. Where possible, avoid negative souls who tend to bring out the worst in people. Basically, try to %^&*£)£ minimise stress.

10) The rest is random genetic lottery.

My Overused Quotes

Chance observation in town the other day:

A man started to cross the road at a zebra crossing and the blonde woman with him followed rapidly behind. The cars and trucks all lined up at the edge of the zebra-crossing were revving their impatient engines and suddenly started to accelerate as per traffic light instructions. Caught off guard and realizing his miscalculation, the chap decided it was safer to back track before being squashed to smithereens. The blonde also had no choice but to retreat with the bloke. She was sooo annoyed.

He purposefully cracked a joke to his mates that the difference between him and her is that he at least always looked where he was going and that she did not and just follows blindly. Laughing ensued. She said nothing and fumed.



I saw the whole thing.


This is what ACTUALLY happened:

The chap did NOT look where he was going when he crossed the road. He just assumed the whole world would revolve around him regardless. This time he did make a mistake until it was almost too late and had no choice but to retreat or risk being seriously hurt.

The woman DID look where she was going before crossing the road. She realised her chap ahead of her was taking a huge risk as she hesitated to join him at first. But she DID choose to join da man eventually…because well, God knows why.

When the mistake became inevitable, both of them had no choice but to retreat.

In order for him to divert attention away from his own stupidity, he chose to crack a joke in front of other males at the expense of the woman to salvage his brittle tumescent ego and sacrosanct pride. She knew the joke wasn’t true but in order to say so, she would have had to admit to her own stupidity of making a bad judgement call of following a stupid man.


Although it can be viewed as a one-off joke about the eternal battle of the sexes, I had a sneaking suspicion that this was a recurrent pattern in their particular interactions when viewing their unspoken body language, which made me think if they will ever learn. This naturally made me think of Santayana’s famous quote:

“Those who cannot remember the past are condemned to repeat it”

I actually first came across Santayana in Billy Joel’s “We Didn’t Start the Fire” (yet another fellow admirer of history and a song written after a conversation with Sean Lennon) and then again in Dachau, outside Munich when I visited the first German concentration camp opened by the Nazis, where his famous quote displayed prominently at the end of the museum held particular poignancy. It’s a quote I am guilty of using frequently since. The other one I use often is:

“The like stick with the like”

This all goes through my brain in a matter of seconds and then I go off on another cerebral tangent…and another…and another. Frequently when people see me pondering and asks me to explain what I am thinking I find it easier to just say….“Oh…nothing much” than to go off on an exhaustive spiel. Heh.

Eid Mubarak

Satellite image of Earth from space

“He created the heavens and the earth in true proportions. He coils the night upon the day and He coils the day upon the night. He committed the sun and the moon, each running for a finite period. Absolutely, He is the Almighty, the Forgiving.” (Qu’ran 39:5)

"Thou causest the night to merge into the day, and thou causest the day to merge into the night" (Qu’ran 3:27)

"It is God Who alternates the Night and the Day: verily in these things is an instructive example for those who have vision" (Qu’ran 24:44)

"And a sign for them (human beings) is the night. We strip it of the day and they are in darkness." (Qu’ran 36:37)


Thanks to Reem and Rana for the Ramadan greetings and the homemade card, and Mohammed for iftar with his wonderful family. Ramadan always goes by soooo fast and it’s such a refreshing month spiritually. In many ways it’s better than Eid.

And ooooh, Christmas reminders on the importance of retail therapy were already up and running since August. Better hurry or you will miss out on the world biggest religion!: consumerism.

Good Grief!

I don’t normally read Newsweek but I chanced across an interesting interview of Charles Schulz’s biographer, David Michaelis, offering insights on the life of the phenomenaly succcesful Peanuts comic strip creator.

I love reading biographies. Biographies can be potentially unfair (for the subject and reader unlike) as it is still only a point of view as the subject of the biographer is often at the mercy of the memories of others and varied documents, and the incentive, insight and skill of the biographer in being able to get beneath the skin of the subject. Still, when a timeline is constructed and various sources collated, biographies can afford tremendous insight into the lives and times of others that may allow readers to know the person (only in some ways) better than the person may know themselves.

If the charcater of Charlie Brown is anything to go by, I don’t think anyone should be remotely surprised that the author was a sensitive, anxiety filled, lonely, insecure soul. Authors and artists draw on what they personally know. The enduring popularity of Peanuts touched millions around the world because it expresed much of the human condition.

Reiterating what I had posted in an earlier entry, Charles Schulz sounded typical of the kind of person who refused to change, prefering to remain in their own bubble and happy (ironically) being depressed. Despite being married and surrounded by five children, he constantly mentioned in interviews how he remained lonely, and was emotionally distant, with nagging self-doubts of whether he was loved.

“On his honeymoon [with his first wife, Joyce Halverson, in 1951], he said to Joyce, “I don’t think I can ever be happy.” It wasn’t so much a prediction as a choice.”

Fancy expressing that sentiment, of all times, on your honeymoon! And that was exactly correct – a choice. It’s a perceptual framework. Some people, no matter how much blessings may be bestowed on them can never be happy, making their life a self-fulfilling prophecy, and unwittingly causing discomfort on those immediately around them. He was happy (perhaps “comfortable” is a better word) remaining depressed, even though it made him…errr, depressed.

''Everything has to end,'' Schulz once said. ''This is my excuse for existence. No one else will touch it.'' In November 1999 he was hospitalized for colon cancer and started chemotherapy. On 14th December he announced that his strip would end. But thoughts of death had long since seeped into his strip. ''After you've died, do you get to come back?'' Linus once asked Charlie Brown. He replied, ''If they stamp your hand.''

Donna Mae Johnson, the (real) Little Red Haired Girl who broke Charlie Brown and Schulz heart said, “I'd like to see Charlie Brown kick that football, and if he gets the little red-haired girl, that's fine with me", Donna said around the time Schulz announced his retirement in 1999.

As far as I am aware that never specifically happened. It would go against Schulz’s nature; a nature he refuses to change and break out of for it can take a lot of courage and time to open up at a personal level. His comics was the closest he came to do doing so, which gave pleasure to millions.

One may not be able to change the past, but one can certainly learn from it and live for the future.

''You can't create humour out of happiness,'' Mr. Schulz said in his 1980 book, ''Charlie Brown, Snoopy and Me.''

The superb obituary of Charles M. Schulz by Sarah Boxer.

Suffer Little Children To Come Unto Me

Walking to work yesterday before my shift started a curious thing happened to me.

I saw an adorable blonde little girl near a very busy traffic roundabout looking rather forlorn. She flagged my attention and I approached her wondering what the matter was. Cars and trucks thundered past us. She had a significant amount of glistening green snot hanging from one nostril in this cold morning but otherwise neat in her school uniform with her tiny school bag. She diffidently expressed that she wanted someone to help her cross the busy roads so that she could attend her school nearby. I was taken aback. This was just shy of 09:15 and there were no other school children and the lollipop lady had long gone. Where’s your mummy or daddy? He is dead she said sadly. He died choking on a pizza. And mummy told me to go to school. She is sleeping at home. This little girl had made it as far as she could go. She was only 4 years old.

After explaining to her that she shouldn’t really be talking to strangers and that her mother should have been with her, I accompanied and navigated her across the roads explaining how traffic lights worked. She became grateful that finally there was help and started to talk in that animated way 4 year olds do. It was just only another 5 minutes walk to her primary school but it might as well have been another universe to her. I escorted her across the empty concrete playground towards the main entrance. She was safely taken in by two members of the teaching staff. I showed them my ID and explained whom I was. I explained I was rather disturbed at this highly irregular set of circumstances and pressed home that this should be investigated and that she must be looked after. They readily agreed to look into the matter.

It was that she was so vulnerable and utterly lovely that it hurt me to see her like that. What the hell was wrong with mother for leaving her own little daughter unsupervised like that? I genuinely feared for her that some other unscrupulous stranger could have easily taken advantage of her if I hadn’t chanced across her.

I had no legal obligation as she was not my patient but ethically and morally I found I could not ignore her plight. I had to be sure she was safe. Once at work it was luckily only a simple matter of knocking a nearby office door of the Child Protection Services and a quick word to get the ball rolling. I have seen too many vulnerable children at risk before and I know if you miss that one window of opportunity to intervene, they could come to serious harm or even be dead the next time. Phone calls were made and the child quickly identified and the school authorities and social services contacted. It turned out it was the right thing to do. Father had indeed died recently and there were bereavement issues at home that I won’t go into.

Oh yes, it’s been über busy for me as usual. I aced the European Paediatric Life Support course in Edinburgh last week (98%). It was an excellent gentle introduction to the management of potential and actual life threatening conditions for children using logical and well-tested principals (there was a DVD too!). Bravo for the faculty for taking the time to share with us candidates their skills and experience. Now I want to up the ante and complete the Advanced Paediatric Life Support course next (!)

Talking about abducted children, and with the Madeleine McCann case still making the media rounds, this has reminded me of Ian McEwan’s novel, The Child in Time (winner of the Whitbread Prize), a remarkable examination of one man’s grief and coping of his faltering marriage after the abduction of his 3 year old daughter one busy Saturday morning. Again, the psychological inhabiting of the non-linearity of Time is a major theme where the past, present and future criss-cross each other. I liked how the emotional pay back of the novel’s ending was pitched at just the right level considering the rather melancholic tone of the whole work. There is an interesting side story of his friend Charles’ descent into manic-depression. The devastating analysis of his plight by Charles’ wife Thelma near the end of the novel was dead on what I would have said.

Anyway, knowing the fickleness and nastiness of the media and human nature, I was fascinated right from the very start of Madeleine McCann’s disappearance in guessing how long the publicity engine would last. Regardless of all the inherent privileges Madeleine’s parents already possess, I think they have done remarkably well in harnessing whatever resources they could access in order to locate their missing daughter.

I am surprised the lactic acidosis of media fatigue in the UK has not developed to toxic levels but snipping at the peripheries from other parties and media abroad have also been on-going, with criticisms and gossips fuelled by personal and institutional politics, attention seeking, frustration, boredom, idleness and jealousy at the excessive attention bestowed on this one child. Of course, a child that means the world to its parents, just like the multitude of other missing children to their parents around the world.

Reportage had veered from the positive to downright nasty. Nevertheless, the worst that can happen for Madeleine’s parents in their quest to locate their missing daughter is that she would be forgotten. To not know is already pure torture and although there is a significant chance Madeleine is dead, I still think the correct course is to never give up hope. To forget someone you loved is to spiritually bury and live a life bereft of beauty.

Bring Madeleine Home Website

“Children are the living messages we send to a time we will not see” ~ John W. Whitehead, The Stealing of America, 1983

Alcohol Anonymous

Yet another case of alcohol abuse

Alcohol is the single most destructive drug in the world – not so much an opinion as plain simple fact, causing more morbidity and mortality than any other substance used by humans - COMBINED. Tobacco does not even come close. It does not register with most people because of the simple matter of perception, stubbornness and the need to satiate our pleasures regardless – alcohol is “legal” and “socially acceptable” in most places of the world and hey presto! It must ergo be okay. Alcohol is a toxin and has to be broken down by the body in order for it to be excreted. Without even beginning to touch on the long list of diseases it directly causes and contributes, alcohol reaches in indirect ways on societies and individuals that tobacco can barely begin to match – such as direct and indirect causes of accidents, family and relationship conflicts in subtle and overt ways, days lost from work and other employment issues, compounding and causes of psychiatric issues, legal issues and crime, effects on children…abuse – sexual, emotional, spiritual, physical, psychological….reproductive…

There are benefits to drinking alcohol too. It’s use as a social lubricant (it’s entertaining!), delivers great taste (in some cases), a multi-billion ££$$ industry, impetus for great art and some medicinal benefits had been touted. Uhm. That’s it. On the great balance sheet of life, the negatives of alcohol outweigh the positives by a long shot. That is the objective stance using any criteria one cares to choose. I mean, without alcohol, how WOULD we possibly entertain ourselves? How would we ever get great TASTE again? How would the economy SURVIVE? How could we ever harness our creative juices to BEGET great art? I mean, how would we attain great HEALTH? Surely the mind boggles. But we humans are subjective illogical stuborn sensual creatures and cannot deny ourselves pleasure. So we pay the price even if it is incredibly steep. Except the fact we can’t afford it doesn’t factor into our ways of thinking.

Seeing the umpteenth head injury, road traffic accident, broken limb, psychiatric breakdown, acopia, rape, and death usually dulls your senses but things can get a little colourful and entertaining like when a guy last week volcanically exploded into an ^($&*% argument with the floor and went nuclear on the A+E staff necessitating security, police, cuffs and sedation. Just another ho hum Saturday night. Yes, I am pissed off, NOT pissed! Huge difference! Oh yes, if it wasn’t for alcohol, I wouldn’t be gainfully employed too! How the hell can I forget that??

Cheers!

"They ask you about intoxicants and gambling: say, 'In them there is a gross sin, and some benefits for the people. But their sinfulness far outweighs their benefit.'" Qur'an 2:219