Category Archives: Surgery

I only shower twice a week

My favourite shower gel for the bath
Elizabeth Arden Green Tea – my favourite shower gel for the bath. Unfortunately this 500ml bottle only seems to be available at airports and in the sales or online.

I only shower twice a week because my short hair lasts about three days before it needs a shampoo and I hate washing my hair in the bath.

I take a bath on the other days because my hip is still painful, all these years after a complete hip replacement when I broke the neck of my femur, and my back is often sore. A soak at 43.6°C with just enough water to cover my legs and hips works wonders – even better than a heat pack.
I take a short shower which according to Waterwise probably uses only 32 litres while my bath probably takes about 60 litres, since I don’t have it very full.
A creature of habit – I always use Elizabeth Arden Green Tea shower gel in the bath and one of the little Body Shop shower gels in the shower – I buy them as a selection of six different flavours.

‘The checklist manifesto’

By Atul Gawande published by Profile Books
By Atul Gawande published by Profile Books

I’ve always made lists – topics to discuss lists, lecture lists, shopping lists, to-do lists, what to take on holiday lists, ingredients for a cake lists, every type of list you can imagine.
Atul Gawande’s The Checklist Manifesto charts the course of an attempt to introduce an Aviation            Pilot-type checklist into major surgery.  The results show that in hospitals from the richest, best equipped in the USA to the poorest in Africa and India, the use of a checklist before commencing major surgery saves lives and reduces complications. But there was resistance to their introduction, as there is resistance to the use of checklists in other fields.
For me, one of the most interesting aspects was the requirement to get all those involved to feel themselves a team, with input from the lowliest member. I suspect that most of us  introduce checklists top down. With more import from the most junior member of the team maybe we could have done much better – at home, in our John Dobbie toyshops, in our dental practice and in the pathology departments where I worked.