Friday, 31 August 2007

Unhappiness Breeds Intense Negativism

I know it sounds really un-empathatic to say "try to be happier". It is not easy to have a chronic disease. Everybody knows that. However, the act of just being unhappy will breed self-pity, discontentment, dissatisfcation, frustration, anger, depression, denial of pleasure and anything else except happiness. Of course anyone also have his/her own right to be unhappy.

Being happy is not easy for someone with chronic diseases or chronic pain. Thus the act of just smiling even with pain is seen as courageous to those people whom you have touched along your way. I'm constantly amazed and filled with awed that at times I might even hide a tear, when someone with such great pain or misery enter the consult room with a smile. Being unhappy takes away everything, it's like a wallowing mud of unhappiness and discontentment. I met a really unhappy patient today, just hope he can take a look and appreciate the beautiful blue sky one day.

Thursday, 23 August 2007

HbA1C%

HbA1C% has always been to used to guage patient's control of glycemic control. This clinical measurement has also guided a lot of practitioners in managing the diabetes condition. When medicine and nursing moves towards evidence based practice. This indicator is used once again to prove if certain interventions in the area of education, self-management, medicine etc is effective. In quality measurement of medicine and nursing services, this indicator is also a popular one to have on board.

HbA1c% a good estimate of glycemic control yet is complex in its nature. It is definitely worth pondering next time if this indicator is used. Is it appropriate for what it is going to reflect on?