Category Archives: dancing with obstacles

Suicide, yes I said suicide


A subject we all seem to shy away from. And yet I am guessing it has been around for a long time and seems in my observance to be on the increase. Certainly amongst the medical field.

The root word is from latin sui – self and cidiim – killing, not even really a fair description.suicide

What bugs me more is the judgement. The condemnation, never mind of some. I feel that to a large degree is it because we are not connected any more and that the lack of true “support” across the board reigns. It seems we are all islands.

And yet it could be different. We could “support” people at large more and actually “be” there for people at large.

We have become shallower in our dealings with humans. Human to human is a connection we don’t seem to have anymore. And it is sad.

Suicide is a comment on our society and it is sad.

Not long ago I thought it was dentists that had the highest rate of all professions, medical doctors seem to have taken the lead and how very very sad this is. The healing profession seems unable to heal itself and yet is it as simple as that? What lurks beneath the murky surface of this awful predicament that has surfaced. Ego ? Burn-out? The eternal yearning to be the best? Denigration ? Putting people down? Army style? Again and again? Relentless hours? Death witnessed firsthand uncountable times and the expectation that you walk out the room and have a cuppa????

Many things.

Surely we can find the roots, and deal with them? Academia at large are seemingly unaccountable – should that not change?

Lives being lost as we speak – fathers, mothers, sisters, brothers.

Sad, sad. Is there something YOU can do today? Or will you choose to remain silent and impotent.

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Silent heart attack


What is a silent heart attack. An acute myocardial infarct where the patient feels no pain whatsoever. Diabetics are very prone to this. Particularly poorly controlled diabetics. If the average sugar is consistently above 10 mmol/l then the nerves to the various organs actually stop working. Which means in essence you don’t feel pain like you should.

The problem with not feeling the pain is that you don’t realise what is happening. So generally the patient presents later. Sometimes with confusion (acute), sometimes with electrolyte disturbances or unfortunately death.

Control of sugar is key.

A1c – three month average of the glucose must be performed in diabetics at least every 6 months and attended to if too high.

Controlled sugars prevent heart attacks. Controlled blood pressure prevents them too 😉

Diabetes college …


Should we open up a college to teach folk about diabetes. The diabetes man. Yeah.

A touch of sugar, my doctor says I have a little bit of sugar.

So much of confusion out there. Yes diabetes is here in a big way. Yes it’s logarithmically growing. Yes is perfectly preventable (type2). Yes there are massively big differences between being insulin dependant (type 1) and insulin deficient (varying degrees) type 2.

So yes maybe we need diabetes night school or even day school to tutor folk.

Yes you can not stuff endless amounts of carbs in your mouth. Yes that includes beer. It’s a carb. Yes it is.

Whiskey and water is better but in the quantity of one drink.

Yes fruit is full of carbs – sugar. Yes it is. No it is not great for diabetics. Does that mean you can’t eat fruit at all? No but the quantity and the type count.

Can a dietician help you ? Yes very much so.

Will exercise help ? Indeed, at least one hour though and a few times a week.

Do you have to run ? No, walking is actually better exercise.

Bottom line when your sugar goes above 10 in the blood stream things stick together. A Sticky mess.

Comrades – the real joy of south africa


Oh to sit at the half way mark and watch both the beauty of south africa as well as the glory of our people both running and spectating. We are in truth a rainbow nation that deeply cares for each other across colour and culture and language and on comrades this is on display for the whole world to both see and experience. What a spine chilling, tingling and emotional few hours that really filled my tank with pure joy.

I then went and had lunch with my folks and watched some of the live footage on tv. The interview with Bruce Fordyce about Ann Ashworth was so heart rending. They were only expecting/hoping for the last gold medal and on the day she came out guns blazing and surprised even herself. To see his enthusiasm for her race and the joy of what transpired on the day, beautiful.

Our country is amazing and whilst we still have a lot to work through we are actually working through it. We are not pretending there is no elephant in the room. We are tackling daily life in south africa on a daily basis and working for the good of all.

Comrades day is our commitment to that process in action. Proud to be south african. And wow what a lady is our Ann.

 

 

Diabetic feet …


So what a hugely ignored region of the body feet are. The very base of us. The very instrument of motion. Disregarded at large by most. Diabetic and non-diabetic.

Why do some diabetics have problems ? The long and the short is that largely this area can be protected, well taken care of as well as preserved.

Diabetes is a systemic disease that affects the whole body, including the feet. The blood vessels and nerves going to the feet are tiny calibre vessels, easily damaged. Think of coke rushing through your arteries and veins and what stickiness that would cause?

An ulcer on a foot is a serious thing. In fact any break in the skin is something that has to be dealt with asap. The thing with diabetic feet is that often the nerves are damaged first and there is no proper feeling and damage occurs much more easily and worse damage due to no feeling.

The human body is an amazing thing and can do spectacular processes of healing.

There are so many awesome wound treatments these days, no amputations should be taking place if the correct care at the correct time takes place.

If in doubt ask a caring practitioner to take a look.

Don’t leave a foot injury even for one day.

0832898351

2 Quarry road

Eva Mackenzie : Prins Alfred street and in hilton

Gut microbiom and diabetes – of cats, kefir and insulin :)


I have a patient who is a type 1 diabetic and that patient has a cat who is also type 1. Needless to say they are both on insulin. Now if you thought that is it hard to dose a human try dosing a cat or a dog with insulin. It’s so hard and the margin for error is SO big.

These 2 patients have cut their insulin dose by half and halved their hypos by having kefir three times a day.

Then I came across an article in the Journal of Diabetes (South africa) about the gut bugs and diabetes. It mentions how important gut bugs are in terms of metabolic functioning – normal functioning as well as disease. It concludes by saying that “gut microbiota represents an exciting field with novel therapeutic potential”.

I say you have nothing to lose. Give it a try.kefir.jpg

A peace poem


some times frogs boil

some times minds foil

sticks and stones can not hurt nearly as much as words, ever

some times I wish I lived in the land of never never

hearts beat strong

lives live long

and actually sometimes there is even a king kong

world’s collide

sometimes divide

the crashing waves of hurt subside

and peace can become the normal tide

life is a pulse

a heart beat or two

so simple yet so complex

rather not be constantly vexed

peace is a path

chosen

on purpose

our lives a tapestry recorded and finite

choices all ours and have an impact into eternity

weird to think

sometimes a heart sink

and yet a choice

let peace be your choice