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Deadly obsession – out tomorrow!

19 Oct

Deadly obsession – out tomorrow!.

Is it SMART to use Social Media?

11 Mar

Terms behind the letters

There is no clear consensus about what the five or seven keywords mean, or even what they are in any given situation. Typically accepted values are:
Letter Major Term Minor Terms
S Specific Significant, Stretching, Simple
M Measurable Meaningful, Motivational, Manageable
A Attainable Appropriate, Achievable, Agreed, Assignable, Actionable, Ambitious, Aligned, Aspirational, Acceptable, Action-focused
R Relevant Results-oriented, Realistic, Resourced, Resonant
T Timely Time-oriented, Time framed, Timed, Time-based, Timeboxed, Time-bound, Time-Specific, Timetabled, Time limited, Trackable, Tangible
E Evaluate Ethical, Excitable, Enjoyable, Engaging, Ecological
R Reevaluate Rewarded, Reassess, Revisit, Recordable, Rewarding, Reaching

Choosing certain combinations of these labels can cause duplication, such as selecting ‘Attainable’ and ‘Realistic’, or can cause significant overlapping as in combining ‘Appropriate’ and ‘Relevant’ for example. The term ‘Agreed’ is often used in management situations where buy-in from stakeholders is desirable (e.g. appraisal situations).
[edit] Developing SMART goals

Paul J. Meyer describes the characteristics of S.M.A.R.T. goals in Attitude is Everything. Meyer, Paul J (2003). What would you do if you knew you couldn’t fail? Creating S.M.A.R.T. Goals. Attitude Is Everything: If You Want to Succeed Above and Beyond. Meyer Resource Group, Incorporated, The. ISBN 9780898113044

Good question on #hcsmanz made me ponder on the question of why using Twitter and other social media is attractice way to learn and interact with people removed from my immediate local circle of contacts.

The S.M.A.R.T. framework does seem to hold the answer. And I am grateful to the team from #hcsmanz for indentifying this concept here.

I have learned much more from social media interactions in the past 6 months than from other sources of information. And here is why.

The topics which matter are SIGNIFICANT to me. The format is MANAGEABLE and MEANINGFUL. The concepts are ALIGNED (not least because social media does tend to herd like minded people together) and APPROPRIATE for the moment. The sentiments are RESONANT with my own. Twitter chat sessions are TIME-BOUND and TIMETABLED, while many of the ideas are TANGIBLE. The crux of the discussion today is “evaluation”, and it feels to me that most discussions do meet goals for learning for the aforementioned reasons. But there is more to social medial chat too: I find the discussions ENJOYABLE, ENGAGING, and ETHICAL. Finally, after the event, I have discovered that the discussions are RECORDABLE (transcripts often available soon afterwards), and REWARDING because some ideas and suggested actions can be used in my clinical work or interactions with colleagues soon after.

It will be a shame if bureaucrats impose more concrete evaluation on the social media discussions because, in my opinion, the unstructured nature of the social media discussion would lose something precious if the conversation were reduced to measurable outcomes. David Haslam, former RCGP Chief Examiner once stated, that not all that is measurable counts while not all that counts is measurable. It is worth keeping this in mind when thinking about evaluation of social media.

Defining A Life

14 Dec

Defining A Life by Nicole  Rushin

So good I had to post the whole poem...

People and events can sweep over you like a slow moving rain cloud.

After a while you get so used to the rain you no longer notice the mist.
No longer notice your feet are wet.

Unfortunately we can become addicted to negative energy and have a hard time letting it go.

Why do we so easily become co-dependent and accustomed to the manipulation?

I have been dealing with some drama produced by people I thought stood for good things.

At first I was angered  and then let down and finally relieved!

Relieved because I could feel the bad energy moving away from me.

Is it possible to ever really know someone?

In light of this I thought I would share some things about myself because I want my readers to know I am real.

I want you to know what I stand for and I want you to leave freely if you don’t like any of it.

I never want to be a rain cloud in anyone’s life.


I was born in Ohio and moved to Georgia when I was eight.
My parents are still together ~ rare birds it might seem.

I have no children and I knew I did not want to have any at a very early age.

I was introduced to poetry when I stumbled upon a collection of Robert Frost poems when I was young.

As a child, people who loved to read fascinated me.
How could they focus so intently and finish a whole book in a short span of time?
That was amazing to me. I admit, I have always been more of a writer than a reader.

One day I was climbing a tree – I was young – around 10 or 11 years old.
The sun was coming through the leaves and there was a still voice or an urge that I instantly understood.
And even if I could not understand the simple complexity of what Robert Frost was saying –
I understood the urgency beneath his words that day.
I understood that I suddenly had something to say.

I was introduced to the works of Joseph Campbell when I was around 16 and he later came to me in a dream.
I was trying to move away from some people in my life who were taking over my energy.
In my dream there were two couches.
My couch sat facing his and he sat on his couch with many other scholarly looking people.
He looked up and waved me over and said, ‘We want you on our side.’

I still think I am in the middle of the floor trying to get to that couch.
Maybe it was my calling, my hero’s journey.
I take another step every day.

I am not religious.
I am spiritual and don’t hold to any specific doctrine aside from what I feel to be true.
I believe that everyone is in the exact place they need to be to learn what they need.
God might be found when you realize this, not only about yourself but about others.
So who am I to criticize anyone’s truth?

I believe in the power of dreaming and daydreaming.
Daydreaming is essential to our health.
And I know it to be the seat of creativity.

I don’t meditate and therefore I will never tell you how.
I take a Yoga class once a week.

I love Coffee with cream, no sugar and I never stir –
Pepperoni and Cheescake and rainbows after a sudden rain.

I am divorced.
I don’t believe in relationships that don’t allow people to grow.
That was my reason for leaving.

I am now in another relationship.
His wife passed away in April of 2010 and I consider her to be one of my many angels.
I am grateful beyond words to be walking and living in this space she once graced.

In my vision story, over a year ago, I asked for a quiet space in the country to write.
I wrote about simplicity, a place for my dog, where she could run and sleep on the couch in the evenings.
The universe answered and strangely enough when I first moved in I did not recognize I had been given exactly what I needed and exactly what I had asked for.

I am here with my Great Dane, Mackenzie and one of my cats, Tavi.
My other two cats stayed behind with my ex-husband. I miss them – all of them.

My heart has now been snagged in this place by a dog named Daisy, an Otter Hound mix with deep dark eyes and ears made for rubbing.
And a Jack Russel Terrier named Ruby who knows the real meaning of power napping ~ no pillow is too small or too large for her.

I am not complicated – I like simple things.
I would love to travel more, but I also love having a place to call home and being surrounded by dogs, cats, chickens, books and familiar smells.
Hotel pillows get old after a while.

I want more than anything to make a living from my writing, but I know it is not as simple as that.
I know that words and poetry merely open doors.
Writing is not a finite craft – it leads you places and I am willing to go where the words take me.

On the wall of the Yoga room where I take classes are these words by Gary Kraftsow,
“Yoga is a process of transformation, a system for shedding dysfunctional patterns and activating our untapped potential.”

What is your Yoga? Mine is Dreamwork.
I love the mysterious, metaphorical language of dreams.
It is a language we have forgotten.
It is the door that I most want my writing to open.

My dreams inspire me, they ask me to grow, they ask me to stretch to my edge, to feel my way and trust.
Every night I shed layers and layers of skin I wear through the day.
I come back humbled, happy, fearful yet wiser for listening.

The winter Beech – the shimmering leaves –
These are the dream languages we have taken for granted –
And the urgency beneath – the urgency by which they speak
This is the real thing.

When I leave this plane I would just want one person to say,
‘She taught me how to dream. She taught me how to read my own book.’

I am blue jeans and agates not diamonds.
Garden dirt beneath my feet and fingernails.
I love these lessons we un-earth in the garden.

I have a horticulture degree.
I spent some time managing a garden center and ran my own for a while.
But it was the esoteric side of gardening I loved so much.
Our spirits come alive in nature.

I am 38 years old.
My birthday is in March.
Winter is not my season.

One day I will live in a place where the winters don’t dip below 60.
In a beach cottage, with a sleeping loft and a view of the moon kissing the sea.
And I know this – I know I won’t be there alone.

I spoke of my beach cottage dream to a Law of Attraction Group about two years ago.
They all asked me, ‘Who is there with you?’
Even though I was married at the time I just didn’t know.
My answer was, ‘Well, he is making me coffee.’

Am I spoiled? Is it irony? Or synchronicity?
Because now, every morning ~
My coffee is brought to my bed.

One thing in my life I regret is this;
On a beautiful summer day my Grandmother and I visited a local botanical garden.
It started to rain. We ran under a tree and then to the car and left.
We should have stayed, got wet, watched for rainbows, watched pearls of rain fall off the Annabelle Hydrangea blossoms.
There was a Dogwood and River Birch Trees taller than I had ever seen.
We didn’t stay – we left – this is one thing in my life I regret.

Some things I have learned this past year;
Gratitude feels like a million hearts singing your name, but it only happens when you have the humility to hear and accept the voices.
I have learned to take but yet appreciate.
I learned this from a Cedar Wax Wing.

I learned the importance of vulnerability and that in order to feel joy you have to be willing to feel some of the pain.

I learned that it is okay to cry if it makes you feel alive.

I learned that words spoken and written have more power than any person can ever know.

Words teeter at the end of our thoughts and all life hinges on this moment of what is yet to be spoken.

I hope 2012 becomes the year we can all just be ourselves, get real, and get on with the things that really matter most.

What are these things?  Who are they? Speak their names gently lest they not get away.
Let it be a year of really defining the things that matter most.


Nicole Rushin signature - displayed as a pic

Introducing Amazon Silk

2 Oct

Introducing Amazon Silk.

“The Battle for Tomorrow” Novel Review

20 Sep

“The Battle for Tomorrow” Novel Review.


A book which will be essential reading for GPs and social workers and anyone else involved the wellbeing of teenagers.

It is not u common general practice to have disabled adults as patiens while forgetting about the needs of their teenage children.  These kids are often the main carer and because they are healthy are not thrmselves the focus of healthcare services.

Marfan Syndrome

14 Sep

Marfan Syndrome.

Superb personal view suffering this inherited condition.  And the author is a great wildlife photographer so check the rest of the blog for some great pictures.

Motorola Atrix Review

30 Aug

NHS should be more switched on about apps, says Lansley | The Times

22 Aug

Another idea from UK Health Secretary Andrew Lansley published today in The Times. This from a government with lots of ideas which sound great until the proposal is dissected.

I am a great lover of social media and mobile technology. These innovations can be force for good. Yet away from the headlines, the latest proposals for encouraging increased use of smartphone apps to improve health of the national are unlikely to be effective.

1. Increased disparity between healthy and unhealthy, and between the haves and have not. Smartphones cost money. A lot of money. Money better spent on food and clothes and utility bills and rent, especially in the current financial climate.
2. Good use of smartphone apps assumes numeracy and literary skills are adequate. This is a big assumption with so many adults and young people failing to achieve minimum standards of reading and maths skills. The very same population which predicted to have the greatest health needs.
3. Healthcare professionals do not wholeheartedly use smartphones to their fullest potential. How can political desires be fulfilled if the healthcare providers have yet to use smartphones and the many apps already available to improve quality of clinical decisions? The absence of leadership from family doctors in this area is a barrier to widespread use in my opinion.
4. The citizens with the most to gain because they have the greatest disease burden are the older people, and say over 65. Failing eyesight, deterioration in manual dexterity, reluctance to embrace new technology even if it was affordable are all significant barriers to successful implementation of Lansley’s proposals today.

How could they proposals succeed? I think that improved uptake of smartphones may succeed if the politicians facilitate increased use of mobile technology by healthcare professionals. The technology must be seen as much a part of healthcare as the stethoscope. Mobile technology is never going to be the panacea the loudest fans claim. What should not happen is dismissal of currently great applications which already exist to improve the way healthcare providers can work now. There is not space here to enumerate the many great apps already available. I will mention one: Mediquations. This the most comprehensive collection of formulae for clinical care and available for Android and iPhone devices. The programme was created by a neurosurgery resident. It has proved itself countless times in my own practice. It is cheap, it is easy to use. In my opinion every clinician should own and use it as regularly as stethoscope and sphygnomanometer. Clinical teachers will need to be familiar with mobile apps in order to introduce students to them. Medical schools, pharmacy colleges, nursing training and other centres for health professional training must embrace the new technology to ensure students learn to view mobile apps as integral to healthcare delivery. Only when the current ambivalence if not downright antipathy to mobile technology in healthcare is overcome can the vision in today’s proposals be realised.

GoFileDrop now works with Gmail accounts (via GigaOM)

1 Aug

Looking forward to trying this

GoFileDrop now works with Gmail accounts GoFileDrop (previously called GoDropBox) is an app that adds a public mailbox to your Google Docs account (s goog), enabling anyone with the appropriate link to upload files to your account. It was previously only available to Google Apps customers via the Google Apps marketplace, but it can now be installed by users with regular Gmail accounts. To install it, just head to the GoFileDrop site and hit the button to add the service to your Gmail ac … Read More

via GigaOM

Look Ma, now the Alive Web is an infographic (via GigaOM)

1 Aug

Look Ma, now the Alive Web is an infographic As you all know, I have been harping on about the Alive Web for a bit — you know the web that goes beyond web pages and events to occurrences and interactions. And I am glad to see the phrase spread, thanks to folks such as Namesake. Rounds, a Facebook video app company has come up with an infographic that illuminates the Alive Web from the chat perspective, something I wrote about earlier. Check it out! … Read More

via GigaOM

Illusions of Autonomy

Where medical ethics and human behaviour meet, by Dr Philip Berry

Enjoying every second

Cada lugar, cada rincón, cada momento compartido arreglando el mundo entre imprescindibles

The Commonplace Book

blogs on public health, science, books, theology and more