Author Archives: drleethegp

Diabetes and CDE and Discovery 2019


This year from around next week, the various options excluding keycare of discovery will join the CDE family. Why this is exciting is that CDE has always provided comprehensive holistic care to diabetic patients and by managing a disease like this in a team approach it is simply put better managed.

What that means “downstream” so to speak is less cost to med aid, better health to patient. Greater longevity with more quality.

We are super excited at this development and though teething problems will certainly occur the benefits will outweigh the initial stumbles.

THe swtich over for diabetics on discovery is automatic you don’t have to do anything. Ok so top 2 plans nil to do, other plans register on health ID it seems with your GP/doctor. 🙂

cde logo

 

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Today is a new day…


Chronic illness like diabetes especially type 1 diabetes where your life depends on testing your sugars and injecting insulin can become fatiguing to say the least. The drain and strain of this burden gets you down no matter how positive the patient and the family.

But what can be done?

I have a few tips for diabetes and other chronic disease burnout :

1.) Every day is a new day, forget the past, forgive yourself for the mistakes, highs lows etc and begin afresh almost like today is the first day

2.) Give yourself a mental break, have a week off mentally of driving strict control

3.) “allow” yourself to cheat now and again making sure you do it safely-ie inject to cover the carbs accurately

4.) See a psychologist or a life coach or similar profession regularly through state or privately – you owe it to yourself.

5.) Take anti-depressants where indicated, don’t feel guilt about it, if it has been prescribed to you for burnout, depression take them.

6.) Get together with other type1’s or people with a similar diagnosis both for sharing the good tips and debriefing about the bad stuff, no-one can commiserate like someone going through the same thing.

 

FEel free to add your tips 🙂 Today is a new day! Indeed

Discovery and CDE


So this year all Discovery patients(excluding keycare) with diabetes will be covered on the CDE programme. This is super exciting.

What is CDE ?

Cardiovascular Diabetes and education – the brain child of Dr LArry Distiller which has been running for many years across south africa out of Houghton Johannesburg. It is a programme by which diabetes is managed holistically and by a team of professionals each focusing on an area of speciality : feet, eyes, diet, exercise, medication etc.

What makes it great for control of diabetes and general wellness is that all members talk the same language in terms of diabetes management and work towards a goal of control individualised for each patient.

For any queries phone : Romae 0832898351 or email drleesecretary@gmail.com or drleethegp@gmail.comCDE logo.png

The CDE programme runs according to international and national guidelines to give the best outcomes longterm, that means looking to have less heart attacks, less amputations, less renal failure and dialysis, less hospital admissions for diabetes due to better control and the programme achieves it year after year.

Reasons our country is great …


1.) app of the year and its success story – well done MTN

2.) Jordan Peterson’s book – 12 rules for living and the impact it could have on us if we applied it 🙂

3.) a world widely connected and the availability of gems to all

4.) Gareth Cliff and his vision and content and joy bringing en masse

feel free to add to my list

End of year madness … or is it gladness?


Another year 2018 has come and gone in the literal blink of an eye. I find myself looking back aghast at 8 years gone by in a jack flash. So much joy and so much agony. A kaleidoscope really. A train smash storm born delight. So much and yet so little.

Life is a lesson if nothing else. And I guess right now I am just terrified that I have too little time left here, now, deep in the poison garden to borrow some words from one of my favourite poems ever ever.

To recap 2018, it started with a transkei soul filler in January at Zithulele and interestingly in november topped off with a similar soul collide. I do love it when souls collide, slip and slide and joy errupts.

February the month of love seemed full of long hard days of work and figuring out pain.

March and easter arrived too soon, a lovely camping trip with friends in the cobham berg marked the kind of first quarter’s end and did a lot to boost the love tank.

April, well a month of decisions and immense pain one I shall sooner forget.

May, my birthday month had some snippets of great support by friends and reflection.

June and July the winter of the year, also just seem to full of work. But a wonderful wonderful time in the snowy mountains learning to ski, putting a hole in a sump and finding treasures in Barkley East of all places as well as the most exquisite mountains – the guardians in Elliot of even more strange and wonderful and undiscovered unrecognised places.

August was yesterday more great work. September the air filled with spores and pollen, we sneezed and bloomed. October too.

November and here we are December!

Shoo, looking back I am excited to look forward. Right now it’s hard to lift my foot even 10 cm and I feel that a good hibernate sleep of 2 weeks would not be enough. But I vow to be back in Jan2019 rejuvenated, joyous and full of brimming life for the little bit of time (hopefully at least 50 years) that I have left :):)

At this time o’ joy – I shall be joyous

2020 vision – what is your response? South africa …


There is a goal to eradicate blindness by cataract by the year 2020. Perfect vision is 20/20 or 6/6. A world health organisation WHO initiative from 1999 that aims to address multiple issues around vision and avoidable blindness it has taken off beautifully in some parts of the world and yet is sadly lacking in others.

Interesting to me the case of the eastern cape government, happy to jump on the band wagon of an NGO like Grace Vision and “claim” it’s successes but not even vaguely interested in helping fund a very worthy and well run cause.

I used to work in the government sector for 8 years. There is every single excuse not to work thought up by the staff nursing and other -like not enough staff (they require 4 nurses in order to operate), out of stock of something, too hot, too cold etc etc. Possibly some vaguely plausible but almost always overcomeable with will.

I find it sad that as humans when we are part of a big machine like government sector the vast majority of us default to the lowest energy setting.

Challenge to government health sector – partner with the NGO’s financially and see the gain/win and delight of YOUR people – the people of south africa.

WEll done mediclinic!

A chicken in the clinic …


I spent last week doing cataract surgery MCSIS at Zithulele hospital and more specifically Grace Vision (NGO). This is an amazing NGO doing phenomenal work in a very rural and poor community. They have managed since inception to alleviate blindness in their immediate vicinity.

THis means that according to the world 2020 vision target they have already done in by 2018 !!

That is simply amazing and unheard of in this part of the world – the eastern cape.

But then Zithulele at large is not your average place either.

Run by inspirted staff at large it’s a place of many miracles daily. Zithulele is a government hospital just off the road to coffee bay, transkei, which has managed things that few such institutions have been able to through sheer hard work and lots of prayer and mindful action.

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