Tag Archives: truth

Champion the Truth

If you don’t live in the UK, you may have missed the junior doctor contract row that has been brewing for a few years but has escalated over the last couple of months. If you live in the UK and rely on major media outlets to keep you informed, you may think the dispute is about junior doctors asking for more money. I would suggest you turn to social media for more accurate information from doctors, other NHS staff and more importantly their families. Long and short of it is that the dispute is about our Government deciding we junior doctors need to work longer hours whilst our pay is cut and refusing to do the simple arithmetic that would show that if you want more junior doctors working around the clock, you need to recruit more of them because we are already working long hours and we absolutely will not do me as it would put our lives and the lives of patients that we hold so importantly at risk. I mean, how is it fair that the Government has voted to pay its MPs more and they can still claim vast amounts on expenses yet the very same Government says we have no money in the coffers to pay for more junior doctors? Isn’t that ridiculous???

I digress, please read up on Facebook, twitter and blogs writing on the issue. Plenty of truth out there is you care. The baseline is that at least half of the junior doctors who have voiced their opinions have stated either that they have made up their minds to quit the NHS or are at the very least, looking into alternate careers or going abroad. The simple truth is we as a group of junior doctors think the bottom line is that the Tories have vested interest to tear down the NHS and privatise our healthcare and hence line their pockets. There is also strong evidence out there that the current fool we call our Health Secretary has been a champion of NHS privatisation for many years and probably owns share in private health insurance conglomerates like Virgin Health.

This blog is actually about the one good thing that has come from this attack on junior doctors. We now have an online Facebook forum called Junior Doctors Forum which is by invitation only. It has 63,000 members and counting. Not all of them are junior doctors. We have consultants, medical students, nurses, midwives, paramedics and other allied healthcare professionals plus a few lawyers, journalists and even politicians about the forum. What I want to do is big up the passion of those on the forum and champion them sticking to their guns and being honest about how they feel and what this is doing to us as a group. Never has there been so much unity within the profession. Medicine is a very hierarchical and competitive profession and although we all start as one, we generally sub-divide as we become more senior and choose specialisation programmes. Our world then shrinks even further so all we know is related to the one field eventually. Our only contact with the outside specialities is if they are part of the multi-disciplinary team that we need to make sure each patient’s care is optimal with the inclusion of all relevant expertise.

So it is all good news though? No. Unfortunately when you get 63,000 opinionated voices with the top 1% in terms of IQ and ability to rationalise, debate and analyse, you get varying opinions. I am all for freedom of speech and embracing our differences. However, as with all other aspects of life, some are excessively worried about how other people interpret our opinions. An article was published based around a discussion we had on the forum and people are getting all uppity about all coming across professional and un-emotional. Why? If this was about professionalism only, we would all continue our stony silence whilst we get attacked as we give our all for the greater good. This time, we have stood up and shouted NO because not only have they attacked us (we have thick skin because of the nature of being medics who take enormous responsibilities day in, day out) but they are threatening the very fabric of the health of our nation. Their proposals are not only ensuring that many of us want to leave because we choose life and living than putting ourselves in danger from physical and mental exhaustion, they are also meaning that we are now less willing to carry on doing extra unpaid hours for no thanks.

The NHS has been running on the goodwill of its junior doctors for a very long time and things have been in a steady decline for the past decade yet this is the first year that doctors have threatened to strike. We love the NHS and have been carrying its weight to the detriment of our mental, physical and psychosocial health for far too long. This is the straw that will break the camel’s veritable back. It is because we are passionate that we are fighting the proposed changes which may start with junior doctors but we all know will extend to the rest of the hardworking staff the NHS is lucky to have as its employees. How then can anyone ask that we lie about how angry and betrayed we feel? How upset we are that we are being made to reconsider our futures? Whether we can afford to have children and continue to be there for our patients? How the lies of Hunt et al are demoralising us? How we don’t feel it is worth it anymore to carry on in the NHS when all we get for breaking our backs for a pittance (£11/hr 6 years after graduating for me compared to a plumber who can earn up to £50/hr) is abuse and an Etonian ignoramus vilifying us for caring.

Well, I am here to say that no. I will not be unemotional. If I didn’t care for the NHS, I would have quit after my first foundation year when I became a fully licenced medical practitioner. If all I care for was the money, I would be abroad today with a private clinic, dictating my hours and pay. If I didn’t care, I would not be attending protests and spending what little I have left over after my living expenses and medicolegal expenses on supportive merchandise. I care and I am not afraid to show it.

Hunt is only the face of the Tory campaign to break the NHS and leave privatisation as its only viable option. The Tory Government is libellous, dishonest, spineless and un-democratic. If the general public continues to buy the bullshit the Government is peddling, it will be the British public who will pay the price in the next few years. So unless you are all dying with something that will kill you with certainty in the next couple of years, wake up and realise facts. Fact is the NHS as we know it will be no more unless the whole of the British public fights this. Just google how much it’d cost you to pay for your health insurance in the US and imagine the UK going the same. Doctors are in hot demand the world over. We can and will be forced to leave the UK and the NHS is this horror continues and we will be fine. I assure you. So the fact that I am getting emotional is not because I am a greedy lazy overpaid privileged posh kid as Hunt and co would have you believe. It is because I care and I am not afraid to show it. Fact!

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When You Argue with a Fool

Have you ever had an argument that goes round and round in circles, never-ending with no point to be made? Where the person you are arguing with seems to be in a monologue? Where their comebacks are so off the mark that it feels like you are in a different time-zone? Where hitting your head hard against a concrete wall might be more productive?

I have and it used to annoy me so much that I’d get really upset and want to stamp my feet. And I used to try and reason with them and try to get them to see that the argument was entirely useless and was going nowhere. Now that I am older and wiser and my fuse less short, I deal with it in one of 2 ways. Either I say ‘look this argument is going nowhere and I don’t have the time for this’ or I just say ‘we will have to agree to disagree’.

I will confess something. I copied that 2nd response off somebody older who I admired when I was teenager. I remember the first time someone used it on me and back then, I couldn’t handle the maturity of it. Back then I thought everything was black or white. I thought every argument had to end with a winner and a loser. Now I know that there are many shades of grey in between (no, not 50 shades child!). Knowing that the world isn’t so binary makes arguments less upsetting for me.

I can now acknowledge what is fact for me is not necessarily fact for another because we are all shaped by different factors. We are shaped by our genes, our environment, our family, our friends, the media, our education, our beliefs, our religion, our culture and much more. Most important of the factors that shape how we view the world is our experiences. Hence, some of the things I would have argued successfully so passionately for 10 years ago, I am not so sure now are as I argued. Yes I enjoy a good debate but I am the sort that will not be dragged into an argument unless I have strong views on the subject and I have very solid reasons to back up my views. Fact is, I do not back away from an argument and I am often successful in getting my point accepted or at the very least acknowledged by my debating partner. But I choose what I will be sucked in by. And more importantly by who.

Which brings me neatly to the quote I have used as inspiration for this blog…‘don’t argue with fools, people passing by won’t be able to tell who is who’. It is my belief that arguing with someone who you know is arguing for all the wrong reasons is a complete waste of your life. This wrong reason might be that the arguer loves the sound of their voice and they are using you as a sounding board. Or they want to impose their beliefs on you because they do not think yours are important enough. Or they say things they don’t believe in order to shock or upset or entertain the passers-by. Or they want to score points. Or they are angry or upset or stressed about something or over someone and they want to take it out on a scapegoat. Or they are arguing for the sake of it, not because they believe in what they are trying to convince you is true.

These days, with my adult hat on if I spot the arguer with these wrong reasons and they ask an opinion so they can start a diatribe, I simply say: ‘oh good question but I am afraid I don’t know much about that. I’ll pass.’ Or ‘how about you tell me what you think’ or ‘I would be lying if I said I care about that matter’. Then I listen until my patience runs out and I find an excuse to not be in the same space anymore.

If it is a proper friend and they pick an argument over the littlest thing, I will usually get worried and ask if they are okay…really ok or if there is something they need to get off their chest? You know the saying ‘when you ask a woman what’s wrong and she says it’s nothing…’ Well fact is, when your sister/mother/husband/friend who you usually get on with great starts to conjure up arguments from the most innocuous conversation, then they are asking for help. Something is up and they want permission to spill. They want you to listen. So please, instead of entering into a slanging match, give them a hug and invite them to tell you what’s really bothering them. Chances are that they do not really think George Bush was a good president or Apartheid wasn’t all that bad.

Tell Your Truth  

I quoted Clint Smith’s comment about fear in an earlier blog and this one here is inspired by the something else he said on the same YouTube video. He is an American who lectures in the States and he says in the video that the only thing he asks of his students when they are in his class is to tell their truth and that nothing leaves the room without their permission. This got me thinking about truth and its importance. I know everybody lies sometimes and actually sometimes a lie is the kinder thing to say. However, I do think these days too many people lie willy-nilly for no good reason and it baffles me why.

My mama and I (in case you haven’t realised it yet from the number of times I mention her in every blog) are very close and I think one of the biggest reasons why that is with each other, we tell our truths. My sister and I never went through ‘teenage rebellion’. We didn’t have anything to rebel about because everything in my home was out in the open. My mama has always been truthful when asked anything directly. Of course, there are things she held back from us when we were too young to understand but as long as she thought we would understand the answers and that it would teach us something, we were told. I knew about the birds and the bees from very early on and so it was never a big deal talking about sex in our home. Because my mama is a feminist and part of her NGO work is empowering women and girls, I attended a workshop she organised in the early 90s back when HIV and AIDS were in the headlines. So before I was 10 years old, I knew about safe sex, condoms, how to put them on and dispose of them safely. Even before that, I knew all about periods and puberty and everything else that was necessary to face growing up.

In the same vein, whenever I made friends with anybody, I would invite them to our home at the earliest opportunity so that my mama could meet them. I knew that if my mama was okay with such a friend, then they were good enough to keep as friends. I could rely on my mama to be truthful. So over the years, we have talked about friends, boys, men, sex, drugs, alcohol, travel, homosexuality, religion, war, the potential for an apocalypse, death and anything else I was ever curious about. We are so comfortable and open that people often get surprised by how much my mama knows about the exact things people would try to hide from their parents. It is only as I have got older that I have started to edit what I tell my mama. This is mainly to do with my significant other relationship and I keep things from her not to withhold my truth but so as not to sour the relationship between my husband and his mother-in-law. After all, ‘they’ say that if you tell your parents about the ‘bad things’ that your spouse does to you, they will harbour it for aeons whereas you might forget it the very next day or week. I am a very lucky girl because in my home telling my truth was not only actively encouraged, it was expected. I am now trying to teach my husband the same and I hope to emulate the same culture with my future children.

In my profession, telling your truth is a GMC requirement and it is set out as part of the duties of doctors which we are sent in paper copy periodically to remind us of our oath. I am a paediatrician and definitely not a surgeon. However as the cookie crumbles, I happen to be doing a surgical rotation (which is ending today. Hoorah!) currently and I have had major issues because of a lack of truth and the surgical culture of aggressive competitiveness and subtle bullying. I particularly had a problem when my father-in-law was taken ill and I was delayed going in for a shift. Long story short, I couldn’t leave him until he was safe and so I was going to be late for handover. The doctor that was meant to handover offered to swap shifts. I thought how lovely, swapped shifts and thought nothing more of it. Then rumours started to fly after I was late for another shift about how I was so late I didn’t turn up for my shift. After a couple of weeks of ignoring the immaturity of it all, I found the senior doctors involved and asked if they had a problem with me particularly if swapping that shift was a problem. They all denied having any issues but I had heard enough to take it to the top consultant and my supervising consultant. They were both lovely and reassured me. I thought ‘Great. All sorted and I’ll put it all behind me’. The rumours continued and I eventually found the source of it all. Disappointingly, it was a registrar senior to me who always made out we were cool. So I had it out with him and asked him to be professional. I am pleased to say once I confronted him, he has behaved in a more professional manner but I must say I will be glad not to have to work so closely with him anymore. I just think that there is no place in a professional setting for lies – everyone is there to do a job and if you are not interested and focussed in the job, maybe you should quit and go do something else.

I have a confession to make. I am rather feisty and not afraid to speak out in most situations. Even as a child, the worst thing you could do to me was lie about me. I remember way back in primary school, someone jealous of me for something or the other said to one of my friends that I had said something about her behind her back. My friend promptly told me because she didn’t believe I would do such a thing but I was so mad that the girl had accused me wrongly that I cried. Unfortunately, in these situations, I still get so angry that I often end up crying because I feel helpless to do anything else. I am getting better at dealing with the anger though so hopefully by the time the kids come along, their mummy won’t go round embarrassing them with her tears. As far back as I remember, I made a vow to myself. Unless there is an absolute need to hide the truth, I shall always tell my truth. And honestly, it feels great!