International Lymphoedema Framework – Uganda Framework

There is excitement in the world as the ILF begins an epidemiological (for those of you who do not understand that word, let Coco stand alongside you) study to ascertain the prevalence of lymphoedema in Uganda.

It is well known that lymphatic filariasis is endemic in tropical countries, alongside other mosquito borne diseases, but the real extent of the problem and its expression among the people is not properly understood.

Continue reading

Venn diagrammed

Venn diagrammes often convey important information in quite straightforward, easy to understand ways. Take this one from TR for example, it illustrates clearly some of the issues and benefits of a mixed work-life pattern that involves working from home and in the office. They call it hybrid working:

Continue reading

Debate and dogma

Debate is valuable. Debate and disagreement are necessary in science. Debate is dangerous.

Three statements and it may surprise you, or else it may not, that these statements are not incontrovertible; indeed, they provoke as much controversy as these:

Dogmatism is valuable. Dogmatism is necessary. Dogmatism is dangerous.

Continue reading

International Lymphoedema Framework

I have just returned from the International Lymphoedema Conference 2023  #ILF which was held in Nottingham. It was a wonderful scientific, medical and therapeutic conference for any who would have any interest at all in lymphoedema in its many and varied forms. Much of the science went over my head, especially when presented by the Dutch, but it was still possible to detect some conflicting hypotheses and the robust debate among and between the participants. Such debate demonstrates a very healthy environment for the development of sound science based upon real-world evidence. Among the participants were the #theila the International Lipoedema Association whose stall was well worth the visit. What has lipoedema to do with lymphoedema? You may well ask, but I shall offer no explanation here for fear of misleading you, save to say that those who know know. Do visit their websites:
International Lymphoedema Framework
International Lipoedema Association

Continue reading

Abyssal

I came across a new word today and thought to look it up. Well, it is not exactly a new word, but it was used in quite an unexpected context. The abyss is what we expect it to be, a deep, unfathomable hole, pit, mine labyrinth or whatever else may have the physical quality of depth, such as the sea. We speak of the abyss for depths beyond the fathoms we can count on two hands. So what is abyssal?

Continue reading

Health Care or Profit

I am astonished. I find myself in agreement with a sociologist. ‘The market in health care is not a means of achieving competitive efficiency but a pseudo-market for creating private value at public expense.’

But I suppose agreement comes in that he is speaking to the least favourite part of my education in accounting, economics. Now when a sociologist speaks to economics one would wonder whether you need to find a pinch of salt, but then you already know that you need more than a pinch when you read any of my comments on economics, so my agreement with the man does not lend any support to what he wrote.

Continue reading

Evil: the problem of it

You will have heard it said: I cannot believe in God. Look at the evil in the world! Or perhaps more personally: I saw how they treated each other even though they believed in God. I cannot believe in that.

I should like to show that the very reason that is given for not believing in God, is the very reason that says you must believe in him. Now this is a short article and will not necessarily answer all the questions you may have, and certainly will not be an exhaustive description of all the possible understandings of the problem.

Continue reading