The Remote World

As we all agree,  we are  a part of the big remote world .We as humans gave it its identity and there was a big explosion of advancement of technology and now it is giving  the real world a  tough competition .

Our comfort level is great in our remote world .Anonymity and the choice of interaction is ours .There is no compulsion  of any kind .

But where is all this leading to ?

Drones are becoming your preferred mode of combat .Robotics are your preferred mode of surgery . Siri  could be your best friend . Telemedicine   would soon be the future of medicine and future cars would be all  sans driver .We are working real hard to make Virtual world  a big success .

We are yet to make a connection with the alien world as I was told that they have a higher IQ and they are not very interested in this alliance as it would not benefit them a lot .

We are moving towards  a time where there would be minimal human interaction and our children would inherit a world where Homo Sapiens would be most redundant .We are racing towards our own Nemesis .

 

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Transitions

Insights From My Topsy World

Transitions are always bitter sweet  and never  seamless .Currently the country is preparing for a national transition at the Presidential level .We all are closely following the journey and rooting for one or the other candidates .

With transition , we are hoping a change for better . First lady , who is an excellent orator ,urged the people to change their views about the other “America “, which  is  very much a part of the” Big America” , on the other hand , GOP’s  too envision an America , which should be very different  from the present America .

There is a constant parallel play and never the twain seem to meet .

America was conceived with  very distinct values and ideologies and as long as they are upheld , the country would continue to progress in its path of excellence and beyond .

As we currently witness transitions…

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Transitions

Transitions are always bitter sweet  and never  seamless .Currently the country is preparing for a national transition at the Presidential level .We all are closely following the journey and rooting for one or the other candidates .

With transition , we are hoping a change for better . First lady , who is an excellent orator ,urged the people to change their views about the other “America “, which  is  very much a part of the” Big America” , on the other hand , GOP’s  too envision an America , which should be very different  from the present America .

There is a constant parallel play and never the twain seem to meet .

America was conceived with  very distinct values and ideologies and as long as they are upheld , the country would continue to progress in its path of excellence and beyond .

As we currently witness transitions all over the world  , at some places  with greatest upheaval and with most unfortunate results ,we pray that the present Presidential transition should be democratic and peaceful .

We could be hacked or rigged , swayed by populism or troubled by our emails but at the end of the day , we vision an America where people together are ready to walk the peaceful middle path to transition . 

Meaningful use in Behavioral health

Insights From My Topsy World

behavioural-models-in-health-promotion-27-638There was a very disturbing revelation in the media that State of Washington tops the list of teen suicides and it has been the statistics for the last three decades . Among the top causes sited were , substance abuse , poverty and of course mental health issues

Behavioral health facilities have always been  found lacking in tackling mental health issues . There has been a drastic cut in  Federal funding since 1981 . In the face of ever increasing demand , specialized help is never ever received in time and specialists are far and few in between as the compensations are not very great as compared to other specialities .

EMR and meaningful use has been enforced  so that there  is a better justification of federal funding and medicare and medicaid payments . Physicians are  incentivized  and now there is a direct association of physician’s efforts to indicators of…

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Demise of straight things

Insights From My Topsy World

As the Presidential race gains  momentum , so does confusion galore .Every kind of media is spewing out their own statistics and in the process veering us away from making informed decisions . Its come to a point where the future electorate is like playing a Roulette . If you choose the right number , you are a winner otherwise , sorry . you loose .

The same questions stare at us , what we started the race with .

Are these promises for real? Are we  deciding for collective good ?Should be practice segregation or integration ?Does diplomacy give optimum results ?Would war bring peace ?

And so many more questions 

All we have is huge amount of unconfirmed data with no straight answers 

As my  gym instructor says – Dear , There are very few straight things left in life . But one of them has to be…

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Sabbaticals

Insights From My Topsy World

Most of the physicians in their later part of careers have been known to take sabbaticals . It prevents an early burn out and also helps them to extend their working years .One is supposed to come back rejuvenated to face the future challenges . One can spend their sabbatical in various ways ;Most commonly one does a mission trip or a teaching assignment in another country ;You can do exotic holidays or learn new skills or some times just introspect about your life choices .

Its presumed sabbaticals are intentional and not forced .

But what happens when its a  forced sabbatical ?

Like a job termination ,medical issue or a family necessity . Does picking up the thread is as easy even if financially you are not burnt .Are you emotionally stable and strong ?Do you have the same amount of enthusiasm ?Are you ready to fail one more time?

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Enablers

The present election campaign of GOP took an unimaginable twist and it seems to be descending its free fall .No amount of experience , qualifications or logic could make it happen in the past  , to the dismay of democrats . But when the  courageous women shared their experiences with a certain powerful person , without caring about consequences , it touched the right chord .

All of us, as women, in our life time have experienced these unfortunate incidents in various severity .Sometimes it could be a family member, sometimes a stranger on the street , sometimes a  fellow traveler and surprisingly sometimes a patient walking into  the doctor’s office  and defying all forms of decency 

Hardest part is the aftermath when you want somebody to believe you , to empathize with you and agree with you that at least you deserve some form of justice delivered .

Enablers are   a huge obstacle in the  above mentioned process .The fellow travelers in the plane who choose to ignore such incidents ,the people who think that women are supposed to take these things in stride and are just minor aberrations of day to day routine or  even your female bosses when you want to discharge such erring patients .

People who do not vote , are they some form of enablers too ?

Think so