Anaesthetist |Council Member RSM | FPD| Lifestyle Medicine Physician | Forbes Coach |Keynote Speaker |Author|Ex Trustee & Council Member RCoA | Views my own
When we accept burnout as the cost of the job, we leave the job's design unexamined.
We're treating workload and recovery time as fixed.
Employers have responsibility for those conditions.
Before accepting that a clinical outcome is impossible, I examine the assumptions behind that judgement.
For patients, those assumptions affect which treatments and support we offer.
Patients need mental preparation as part of surgical care.
Anxiety and poor sleep affect recovery, yet receive less attention than blood pressure or haemoglobin.
I explored this in my piece for the Centre for Perioperative Care, which supports better care around surgery.
I set out evidence-based ways to support mental wellbeing before surgery and during recovery.
You can read it here:
cpoc.org.uk/mental-wellbeing
I wrote The Power of Preparation for Surgery for this reason.
In it, I give patients and families a clear plan for the weeks before an operation.
Alongside movement, nutrition and sleep, I include mental preparation.
You can find the book here:
amzn.eu/d/01Z3FD3k
I lived a version of this myself with my own weight.
Change arrived when the conditions around me changed, and only then.
Prescribing more effort into an unchanged environment kept failing me.
I do not expect it to work better for someone with less room to move.
So if preconception care in India is going to matter, it has to reach the household, the food environment, the workload, the recovery.
The number on the scale is a downstream signal.
Slower work than a target weight.
It tends to hold, though.