España XXI

Proyecto de interacción cultural transfronterizo


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Letters from the moon. Chapter 6 (2.2, 5bis)

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(Listen while you read (new window): Dave Matthews Band –  Two steps – Live – Central Park – Peripatetic sounds 2014)

Hey kid/s,

here I am again with my boring odd stories that however help you sleep a bit. Today in a hurry. I have been doing quite a bit of nothing the whole evening long but still I feel unease to see the clock figures fading away the very few occasions I look at the upper left corner of the screen.

I shall well tell you nothing interesting about the jour, we just surfed pass it, But many things happened despite none of them might fit the desire of your ears.

I had strong memories of Talavera this morning, I’d better say recurrent feelings and, as it couldn’t be less, most of them were linked to the amazing medical experience I had there. Despite Pio Baroja would had include it in his «Arbol the la ciencia» without a blink, the real experience was at the same time less gross and more deep.

I would definitely recommend you to follow the way of our latin-american colleagues and their «rural stage», but at the start of your specialist practice. It is not that Talavera was a little village at all. Not only you’d find an «El Corte Inglés» on it’s city center, you’ll find a capital city of a hugely diverse region framed beyond political borders by geographical accidents will. I don’t want to go too deep on the description of the place that urbanists of the time called «the ugliest city ever». One day you should visit, just as any other place. Let me just tell you: from La Vera to the lake, having madrilean Gran Vía as your holiday escape, on that way to Lisboa that you could theoretically sail, you would have to make a big effort not to feel as a king on its domain. Beware, there are as many kings as citizens, you’d better not forget.

 

Enough Talavera for the day.

I have doubts about the next bit. I was part of a quite remarkable surgical hit today. You would think I got to solve a difficult technical problem, or I managed through a mess of clinical information and images through to a brilliant diagnosis. None.

I had the opportunity to be a real assistant to a new surgeon on is very first solo on a particular type of procedure. It is not that I assisted with the tools, not even much with the strategy, none with the planning. Still it made me remember of so many previous OR assisting experiences, since Medical College to the day: the thrill of performing the intervention with all the time and energy devoted to your brain, none wasted on your hands, the huge power given by being an (almost) mute support. Could seem boring or lame to you as a young doctor but realize you have all the advantages, the perspective, the lack of stress… and none of the risk. You have much more time to think about different possibilities, gestures, tools… Of course you shouldn’t make those preferences too public or you’ll never get to be a first operator yourself. Yes, being first operator is also quite an important way to learn ;).

Any case, remember nephew, in case you choose to get into this path: no time in an OR is wasted while your brain is awake and calm.

 

As said, not much to give a damm. The water yesterday was a pipe leak that someone enjoyed to crack. Today the windows are trembling and it’s as much impossible to explain. Each day in this moon of ours is one step deeper on the sand of a desert that we can’t just picture as a whole. Hope to read you soon.

 

 

Have a rest now nephew. Be prompt later.

Big hug.

J.

 

 


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#Chicago #Ciencie #Life #Friends #2012

 

ChicagoCience

 

humanbody1959


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Time to step forward.

humanbody1959

humanbody1959

Soundtrack: Do we only see the stars when they fall like rain?

So, it might be the right time now.

The universality of illness and medicine has been obvious for radiologist since long time ago. As anyone who practices would know, the task of systematically analize humans from an anatomical perspective does push very much to recognize the very dominant “same” among the many “different ones” we are.

Time has changed. Nowadays, not only we are able to recognize ourselves as persons and patients in any Other across-the-world, but also we have the tools to know about ones clinical history, read their imaging studies and deliver a report with no such a great interobserver variability. Across the globe, I must insist.

So, even when regional/national regulations are vital to try to keep medical practice closer to its best and regulate professional conditions in different geopolitical enviroments, it is probably the moment to move forward as to improve our availability to the patients, worldwide.

I would say the only, or best, way for that has to be a “trans-legal” approach, meaning, we can’t wait for international regulations to make all the counterparts get to agree on other interests but we (as professional fellows, better said doctors) should be able to use the tools we have to empower the practice of a better medicine as soon as possible.

How? From my personal point of view, this transverse-regulatory debate focused on ethics, quality and fair trade must be lead by professional associations. Many of them have already, or are on the way to have, white papers or general recommendations for tele-radiology best-practice. It is a fair effort and might (should) be the seed for the debate and later development of a much wider global debate, that should be faced on the behalf of stablishing a minimum common core of agreements applicable as to, at least, be able to clearly and frontally oppose some of the risks of teleradiology.

Who to lead?: International Society of Radiology. If for anyone it felt as if this Society or its board has not earn the credit to lead such a process, the renewal of the persons that sustain it may be opened for so called better candidates to face this historical moment.

One way or the other is time to recognize reality as it is today and allow it to permeate our more traditional focus on the profession. It is not only we have the opportunity to make a great difference in millions of patients health, as radiologists, as doctors, we are clearly meant to be pioneers on this next millennium approac

banderafuturoJC


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Radiology Lego in Radiopaedia

Radiology Lego

Would it be nice to that easily create diagnostic facilities… By the way, not protection for technicians? I guess plastic resists radiation better than flesh

https://m.flickr.com/photos/lgorlando/