Blog Articles

Primum non nocere

Lying on trolleys like some discarded sacks Waiting for a passing nurse to offer solace Patients cry for help and family stand, wide-eyed Drinking in the scene-of harried staff who Rush around - no time to stop and care, Too busy meeting targets, managing flow....

Recognising the dangers of a depleted system

I’m scared.  What I’ve seen play out before me over the last few weeks scares me as much, if not more than the events of the few short crazy weeks leading up to the first national lockdown in March 2020. Back then there was a sense of solidarity, of battle...

Recognising Patient Fears

She’d sat and waited for nearly four hours by the time it was her turn to be called through. It was late one Friday evening, and the department had been busy with what seemed like a constant stream of pre-alerts and ambulances. As a team we had dealt with a multitude...

Reconceiving the metaphor of ‘magic’ hospital curtains

I sleep with the window open, although the light, or darkness, outside is all but hidden by the blind that drapes the length of the glass panels. Recently sleep has been fitful, and often I’ve lain in silence in the small hours listening in delight to an owl quietly...
Renegotiating: When Worlds Collide

Renegotiating: When Worlds Collide

The evening started like any other, a day spent sleeping poorly, counting the hours until another long night spent in the emergency department. My disguise laid out; dark green scrubs, pens, stethoscope and an ID badge. My hair is scraped back off my shoulders and I...

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Re-levelling the hierarchy

Re-levelling the hierarchy

Do you remember.......  Three little words, but three words that can strike fear into even the most experienced of clinicians. Do remember that patient you sent home? Do you remember that patient you referred to me? Do you remember that patient you operated...

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Reckoning: hopelessness and helplessness

Reckoning: hopelessness and helplessness

She was the first patient of my 10am shift a couple of months ago but I’ve thought a lot about her and her children since then. I spent three hours talking with her and about her. Yet, in the end, I couldn’t really help her. She and her friend followed me into the...

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Re-calibrating: a different view

Re-calibrating: a different view

A failed kidney transplant patient, he had spent large part of his life in and out of hospital even though he was only seven. He knew all about doctors and nurses, blood tests and operations. He did not like being in hospital and he did not like being told what to do....

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Re-considering : Clinical decision making

Re-considering : Clinical decision making

Shared clinical decision making. A phrase I hear myself saying regularly; a concept I encourage, a principle I endorse, the backbone of my clinical practice. Or so I like to think. But in the last few weeks a couple of events have led me to question my principles, and...

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Re-awakening: grief

Re-awakening: grief

The message stopped me dead in my tracks when it came through. There, in black and white on my phone screen. In that moment, unable to un-read or no longer know. Fact, reality, life. Or rather death. What was supposed to be a joyous celebration of new life; the...

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Re-defining: lessons from the other side

Re-defining: lessons from the other side

Being ‘on the other side’ is the most valuable medical educational experience I have ever had that can never be taught in the classroom.  Having been fit and well all my life, when I started getting swollen ankles at only 19 years old I didn’t...

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