Category Archives: knowledge

Semantics and sperm and Gigantics


Words, wordsmiths, gaslights and gobsmacking delights.

Semantics rhymes with pedantics and that’s pretty much how I feel about that.

Sperm : the yin and the yang can not exist without each other, so the sperm be a very critical element in the recipe for a child. The world can only go on with the birth of babies, it’s imperative to survival.

The truth of life though, what is that, the crux of the matter. That’s the giant question. Some folk ignore this their entire life and press on with the daily grind.

mmmm ….

Words, gnirps, Esio Trot and epis glott…

little folk and big folk – who is so bespoke…

Scraps of affirmation…


Peter and John went to pray one day, they met an old man on the way ay ay, silver and gold have I none said he, but such as I have give I unto thee. Rise up and walk.

Yesterday I was privileged to listen to a sermon on this very encounter. The man in the story did not have faith for healing. He had faith for what he had encountered for many years -scraps. Scraps of money, time, affirmation, food.

And yet that day he was healed. Leaping and jumping and praising God.

So much of many of our lives are lived much like this. Hoping for scraps. And really that is not what we were destined for.

There is so much more.

We have a mindset sometimes that we lock into for years and years. And then all of a sudden sometimes the light breaks in. And we can see.

And there is a time of feasting.

Being lame is innate to my name, Claudius – the lame one. Wounded healer.

What an absolute joy and jump to be able to gift healing in the physical sense. And sometimes even the emotional.

But true healing is a much deeper process that requires divinity.

And the amazing thing is that it IS available. And also one does not have to be ok with scraps, now put that in your peace pipe and take a long hard inhale.

Claudius was a very interesting fellow, conquered Britannia – the UK basically. To sojourn from Rome to Britannia in those days was quite a sojourn.

 

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.

Type 1 managed at home from the start


Outside of a patient arriving in a DKA (diabetic ketoacidosis) one can actually manage them at home from the offset. Yes this may well be a bit controversial, however, in my opinion subjecting a whole family to hospital admission of 10 days at the start of such a huge ordeal is controversial too.

There are many arguments for both sets of management.

My personal feeling is that a hospital is a very traumatic place to be. To subject an entire family to 10 days in an institution with bad food and light far away from home is akin to a concentration camp.

Trauma is also about how it is managed and the calmer, better slept “managed” parents and children do better I believe.

Type 1 diabetes is an absolute lack of insulin. There need to be multiple mind shifts that occur and this requires calmness and astuteness. It is very easy to manage in this day and age what with excellent new insulins as well as cheaper CGM availability.

We currently have an epidemic of type 1 diagnoses. If I learnt anything from Larry Distiller (guru and endocrinologist) it was step back, take a deep breath and apply the knowledge you have calmly. This is the dictum I follow with great success.

type1diagram

Venus and Mars and the stars beyond thars,…


So I feel that I should have a little say about the whole Serena debacle which is far from Serene to say the least.

There is unfairness for sure.

There is discrimination for sure.

Osaka is both gracious and amazing to have beaten Serena.

Trevor Noah hits it on the button – watch his clip on this.

Google it on YOU tube …:) go on I dare you

 

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.

MOVE – Dr Lee THE GP …0832898351


Dr Lee is moving to The Ellenbird in hilton – 2 Quarry road, New phone number : 0832898351, we are relinquishing telkom. We have to pay them 30k to go away. And trust me this is the “cheap” option. IN a nutshell, don’t sign a contract with telkom.

NUFF said!

Fran Steart, Michele Albets, Fiona McRimmon and Elze Scheepers will join us at the Ellen Bird. Fran and Michele are dieticians specialising in diabetes and eating disorders. Fiona is a life coach and Elze is a laser and PRP practitioner.

Pop in – coffee at the coffee shop, gifts and the gift shop and medical help including speech therapy etc all available.

AN idea of the feeling you get at our new practice :

Tips for appearing at the CCMA


First things first,

1.) They generally run on time

2.) A matter generally takes ball park 1-2 hours to “settle”

3.) They ALWAYS “settle”

4.) Arbitration is a myth that hardly happens

5.) Be prepared to settle

6.) IN pmb park in Chapel Street as close to langilabelle as possible and walk it’s your best bet – no parking closer and you will just get frustrated

7.) There really is not much point in taking anyone with you as they will almost always attempt to get you to settle, I suggest you learn the labour law and ask as many questions to your legal buddies

8.) In the first place put things in place so that you never land there it is awful and a process that makes you grey

9.) Conciliation is a process whereby the commissioner urges you as the employer to “settle”, this is NEVER in your interest and always in the employees

10.) anyone with questions or needing advice (non-legal) is welcome to email me : drleethegp@gmail.com

Celebrate and live each minute


Our time on earth is limited by a number none of us know. The quality that we experience depends almost entirely on us – each one, in our own capacity.

Life is very short for some and interminably long for others. The enigma is that there is no way of knowing.

Where does that leave us each, individually?

Life is a strange bag of tricks and boils down to little more that about 40-60 years on average of a daily slog : waking, working, paying for things, sleeping. And yet it can be so much more. It can be.

It depends entirely on your own self. The quality of each minute. The minutes add up and create memories. But essentially if you are not present in the present and enjoying that very minute wholeheartedly it may be a wasted minute, hour, life.

I wish we knew in a way. The hours we each had and the moments that we should make count.

But we don’t.

Perhaps only when you lose a loved one do you re-evalute life on a minute to minute basis.

Today actually counts for more than you think and if you understand that in the realm of time and space we are each such a small inconsequent speck that may or may not live another day, surely it’s worth making this very minute worth it.

Sorrow and sadness fill my being for the loss of a life so huge at some moments and so full of the very essence of life. He lived indeed and took the time to make it special. I so hope that one day I will understand the reason we have a this life and a “death” or after life. I certainly don’t today.

Tidal wave required


Ok so life is interesting in south africa. I would like the kind of money that Manyi ┬áhas, 450 million? was it. I would use it to “fund” my patients needs.

Diabetics, type 1’s in particular have many needs. Most of these are not taken care of by their medical aids and despite the fact that patients pay a LOT of money for the privilege of being on one.

Type 1’s require tight control of glucose above a certain range and below a certain range and everything including the weather impacts on blood sugar. Thus continuous monitoring is a tool that can make a very very big difference in a patient’s life – it can also make such a difference that the medical aid is spared costs of admissions for highs and lows, for amputation, renal dialysis, heart attacks as well as costs attached to being blind.

However medical aids at large do not seem the slightest bit interested in saving themselves money.

Far rather milk the patient for all they are worth and at the same time provide the minimum service and complain about any request made by the health care provider who has studied long and hard and has a passion to save the medical aid costs.

Yes I am angry, perhaps at this time of day I am even h”angry”.

I am tired of begging, pleading for minimum standards of care.

I am tired that overseas things get “accepted” years before they do in south africa. Are we really 3 rd world? Despite having the “Manyi’s” ???

We require a tidal wave of protest in the form of intelligent debate with the stakeholders that matter in the realm of diabetes. I am just so tired of fighting.

Please from far and wide across  this beautiful country we call home join me, join the debate, write to your medical aid. Email me : drleethegp@gmail.com.

Please.

Continous monitoring is available in 4 forms in south africa : dexcom G5 and G4, libre flash abbott, medtronic standalone CGM and most new to the scene : ever sense.

Coming in at the lower end is the abbott flash R990 once off and R990 every 2 weeks. Dexcom is a cost upfront more than about 25k and then monthly around 4 k, medtronic around 15 and 2k per month and ever sense brand new so not too sure but in the ball park for the last 2 mentioned.

What is boils down to is MARD and quite frankly this is the bottom line with CGM is accuracy. The lower the MARD the more accurate. There are really only 2 in the market that a great on MARD : dexcom G5 and ever sense, however for the cost the libre is actually a very good value for money.

The other thing that helps me as a practitioner is a trend and all of the devices are good for this.

What we need is for the medical aids to realise that CGM is a tool they their patients can NOT afford to be without! FOR THEIR own sakes – the medical aid’s sakes.

Please tsunami arrive and let’s flood the medical aids with the truth.

Alternatively could the guptas or the Manyi’s or maybe Grace Mugage give me 450 million to spend on my very deserving patients.

Thanks ;).

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