Anaesthetist |Council Member RSM | FPD| Lifestyle Medicine Physician | Forbes Coach |Keynote Speaker |Author|Ex Trustee & Council Member RCoA | Views my own

Manchester & Lake District
Joined May 2011
The NASA sign about bees defying physics is a myth. I find the mistake behind it more useful for clinicians than the quote.
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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.
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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.
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Patients need mental preparation as part of surgical care. Anxiety and poor sleep affect recovery, yet receive less attention than blood pressure or haemoglobin.
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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
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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
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Obesity is rising among Indian women. The standard medical advice troubles me.
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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.
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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.
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