Category Archives: countenance

The battles we face daily …diabetes and the funders :) yeeha!


So we all know we are currently experiencing an epidemic that is about to “tidal wave” africa in terms of diabetes. And we know that world wide despite logarythmic increases over at least the last 10 years there is no stopping the tide. We love food and no exercise too much.

So we also know that the more this happens the less health wealth and happiness for society and the more sick folk get the more it costs the medical aids – so then with tears in my eyes and a brain between my ears why is it that we have a daily fight with funders to do what is right for patients and saves them hugely downstream costs ?????

To me it’s a no-brainer. I dont know.

I have been accused of being a dilly woman and yes I am a woman doctor – that does not bode well to start in the patriachy. And yes my dress sense is a bit quirky. And yes my mouth she speaks way too easily for the patriachy once again. BUT, really all I want is the best for my patients short term, long term, longevity with quality wise which adds up to a societal knock on downstream. So whilst quirky all I am actually fighting for is the greater good ????

The funders and generally brushed with a giant sweep of a brush at large seem to slowly be waking up to the multiple facts staring them down like a gun barrel as this is a very large challenge to them to. How does one solve these dilemmas as still stay top 5 profitable in south africa ??;) 😉 😉 ah em …

Just saying, there are better ways to tackle this tsunami…

I met an amazing academic yet pracitical medical advisor the other day, and my suggestion is that other medical aids follow suite – yes have your acturial scientists who make you the top JSE company when a med aid is supposed to be a med aid not a top achiever, but combine it with some sense so that you can stay there cos right now your tactic aint going to work for you on the long game.

 

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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!

Love, what is that?


Life, love, chemicals, spiritual being ? What are we?

We meet, we relate, we may even marry. We miraculously and seamlessly produce children who are part of both of us. They are quite a lot of work to bring up. Moms generally bear the brunt of this “work”. But is it work? Is it not also love, life, chemical, spiritual interaction?

We fight, we break up, we subject the parts of us to separation.

In this crazy process is there not a better way?

Communication of sorts, sharing of sorts ?LIfe, chemicals, spiritual interaction, I am sorry please forgive me, I love you. The breaking down of barriers?

Just too sad to even contemplate why not? Why it’s not possible ? Love life chemistry, spiritual connection? Perhaps if it never existed it can not be resurrected? Is that a fair way of analysis or is there a deeper thought? Love is certainly a conundrum and perhaps it is just way simpler and we make it way complicated.

The power of words


My daughter of 5 and I listened to a sermon on sunday about essentially the power of words and the impact they can have on relationship reconciliation.

It is indeed profound to me at how she just got it : “I love you mommy” , ” I am sorry, please forgive me”. So easy for a 5 year old to snap and seemingly so impossible for older folk to get this simple simple concept.

The power of the spoken word is immense. As the preacher said God said of His own son : “this is my son whom I love”. If the God of the universe and of creations feels the need to speak such an obvious statement and was able to speak the universe into being how much more should we not speak out loud affirmation and love to our loved ones.

The sermon has literally come up at least 10 x since sunday in her little head and in such a positive way.

Words are tools- power tools. Most days I really underestimate them.

Vaccinations, walls, xenophobia, fake news – cos some folk are just that stupid!


These are all things we got over like last century. I read a great article about NOT vaccinating your children – the article is tongue in cheek suggesting we go back a century and have 11 kids hoping that 3 will survive and similar suggestions.

Many years ago -like more than 100 or more (?1000) kings used to build walls to protect themselves from “baddies”!

WE are in 2017 people, get with the programme please dear my goodness gracious me!!

WE have progressed, we are an international community, we are not able to build walls for protection ? We are well able to protect ourselves from ugly diseases with vaccines developed by science.

Fake news people, absolute crap on the internet people. Get your mind into 2017 as well as into your body. You are a soul you live in a body you have a mind. Get a grip is what I mean. The world has turned upside down and it needs to be turned right side up.

Diabetes cure?


There are various teams around the world – dedicated scientists and enthusiastic people working on all aspects of diabetes – trying to find prevention, cure, treatments – better, onwards and upwards. The diabetic scientific community at large strive for better quality of life.

There are also many snake juice paddlers as there are fake news folk. Do not be duped or sucked into some scam.

It’s a pity that in the light of such a huge and devastating epidemic there would be folk peddling snake juice and basically lying to a vulnerable subset of people. But that is life and ours the task to engage the brain and always question.

New treatments, closed loop technology and cures are on the horizon and I salute the many people working around the clock to accomplish that. Please the internet if FULL of rubbish – surf wisely.

The power of the double x ;)


Do not under-estimate the power of a woman. Once activated she can be radio-active. A ball of fire. A genuine force of nature. WE are not half x and half y – we are double x or double X!

Made from Adam’s rib, created to be a help-meet. Created to bare both boys and girls. Created to create.

Women across the world have a kindred spirit – gentle, kind, strong ,powerful. We tend to “attack” problems or hiccups in a very different way to our XY counterparts. Empathy is like breathing for us. Life and it’s ebb and flow very much part of each day’s struggle to nurture our children and loved ones. A privilege we cherish yet sometimes hard to keep on keeping on.

Take Ingrid Jonker – a women whose heart literally bled for south africa. She struggled so intricately  with herself and her father’s rejection that it forced her to walk into the sea, yet the poetry she wrote was pure gold that flowed out of that tortured and tormented soul -deep so deep, squeezed and percolated through her fragile life. She leaves us with a legacy of touching tales that shake your core and leave you in awe.

Thuli Madonsela – a tribute to justice and dogged yet gentle pursuit of the truth without being rude, disdaining or plain. A strong tall tree yet softly spoken authority. A real rare gem leader. Astounding ability to hold her own self back and gently speak to a situation. She radiates, emanates peace and truth, it seeps through her pores and is heard.

There are so many examples of women through the ages. Steel women, whose hearts are so fragile and gentle they are broken by the weight of a feather, yet stand despite the brokenness. Beat despite the lack of a song to accompany the beat. Sometimes beat to the sole beat of a single drum. But pick up that pace they do.

XX a gift to us. We got double the staying power, double the gentle breeze.