Sunday, January 24, 2010

Multitasking



See: I'm already making no effort with my pics (the one above is the first that comes up on a Google image search for 'multitasking').

Crap, isn't it?

Anyway, this year, now that I'm a bit settled / stuck in a rut, and what with the economy improving and all, I've started to take on a bit of work based on my previous experience. A bit of cash will be nice and it makes me feel like a grown up again. I've snagged a chunk of research work as a visiting fellow in the local university and am working with a professional services firm (as it were) to help out with a few management consulting projects in the CBD. Not sure whether this work will detract from my strict flash card-based exam technique, but so far I've gone well enough and frankly I quite like having a CV without a four / five year medical school-shaped gap in it.

I've also had conversations regarding going back to the bench for some wet science. I'm in two minds about this. On the one hand, it would be nice to maintain a bit of momentum on the (hard) science side: may help my clinical career although I have published ok over the years so I'm not sure what that would prove. On the other, it was my dislike for bench science (or rather, the crap career structure surrounding bench science) that led me to leave altogether ten or more years ago.

The clincher may be how much time I can spare. There's also a financial consideration of what is the best use of time plus the fact that I would like to use this highly unusual career break to see as much of my family as possible.

We'll see... perhaps the two small roles are fine as they stand.

Deja Ecoute

A Facebook friend was tagged in a photo last week, looking all proud in his A&E gear having spent his NYE rotation there. Thing is, he started med school 18 months after my first go in the UK and he now seems to be racing ahead which triggered a bit of (yay) reflection.

Some of the delay in my training is clearly my fault for messing around changing countries after my first year, deferring my Australian start date due to commitments made prior to receiving the offer etc. However, some of it is due to the structure of this course, which is beginning to get me down a tad.

On this course, the first two years are combined which means that, save for some exams and, of course, the actual content, the second year is largely a carbon copy of the first. Although it's nice to be in a routine, it's taking all of my gumption to maintain a high level of enthusiasm for undertaking ten or so more reflective paragraphs, five more examinations with the same format, working in groups doing largely interchangeable tasks with the same people, etc.

I'm not looking for endless variety, but this next year is going to lack the novelty of the last which probably was last year's saving grace given the other hassles associated. On the other hand, there is a degree of comfort to be gained from not having to go through all the same crap with a new bunch of people, explaining why I'm so old etc.

So perhaps, on balance, yr 2 will be less uncomfortable than yr 1.

Saturday, January 23, 2010

Changing views

Worryingly, and from what I can see, typically for a med student, I'm having people asking my opinion on medical matters a task for which I am singly not qualified and tell them so, pointing them in the direction of Wikipedia (joke). Here are some of the complaints I've had to avoid professing an opinion on so far other than go to the doc's ASAP (there are more but I forget):

- Any number of rashes. Nowhere embarrassing yet, though.
- Whether a US based relative should ditch his expensive heart pills and buy some generics. Different formulations, not quite the bioequivalent formulation. Crikey - it's your heart for God's sake, why are you cutting costs there! Buy one fewer watches or go skiing less or something.
- Chest pains (chest pains!).
- Rectal bleeding (proper blood in the water, not the tissue) lasting for a couple of years (years!). I did have a clear recommendation this time: get to the bloody doctor; why are you sat here in a pub quiz night when you could be having this problem looked at?!
- Something that looked like a BCC.

Some if not all of these could well be serious - go to the GP if you have these problems rather than relying on some part qualified idiot like me. Goes to show, perhaps, the importance of trust between the advisor and advisee in a clinical relationship I suppose.

Sad and obsessive behaviour

I must admit to being a bit of a Joy Division tragic. Although I was very young when they turned into New Order, the re-release of their albums in the late 80s found me at an impressionable age and an indie kid to boot. The only JD you would hear typically came at an "alternative" dance night when you'd badgered the DJ for hours to put some on then yo'd be treated to Love Will Tear Us Apart... and a largely empty dance floor.

The sad and frustrating story of the lead singer Ian Curtis' suicide is part of popular culture now having been turned into a film on at least two occasions quite recently (C0ntrol, 24 Hour Party People) but when I started listening to JD it was all very confusing adding to the mystique of the band (give me a break, I was an adolescent...) Living within driving distance of Manchester meant that I could head over to visit the town regularly which cemented a love of the city's music that began with the Smiths and continues to this day. It was an odd experience to walk through Afleck's Palace, loading up with JD posters and a copy of the Komakino flexi disc to take off to college and stick on the walls (the posters, not the disc) . Felt like proximity to the band. Hard to explain but strongly remembered times for me. Probably due to me being 17.

Anyway, this Christmas I received a copy of Who Killed Martin Hannett? , a painfully complete description of the relationship between the man who produced their albums and the band seen by his "best friend" (it says here). The full story of Martin Hannett would take a book to go through (as you can see from the fact that someone has written one) but suffice to say he was credited with the band developing a unique sound, of being a control freak / perfectionist and being increasingly fond of heroin as the albums progressed. Martin H died in 1991 and his story reads like Wired, the John Belushi biography where, even if you didn't know the Belushi story and question the veracity of Woodward's account, you just know the guy has to die soon the way he's going on. I had the same vibe about the author of the Hannett book whilst reading it... imagine my lack of surprise when I found that he had passed away in September last year, poor guy.

Leaving this ghoulish aspect of the Factory story, this brings me to the album of Martin Hannett's Personal Mixes, the cover of which is at the top of this piece. Browsing through a vinyl shop in the CBD, I came this vinyl (mmm... 180g) and having heard about it elsewhere, I laid out the frankly painful $39.98 to buy it. The music here falls into three categories: different mixes, some sound effect recordings (interesting.... having heard them so often as part of a JD song) and a couple of interview snatches (not worth discussing). This album has had mixed reviews, but for a sad man like me it's been an insight.

Basically, it looks like Hannett's reputation for a love of delay and treble is well founded. What is more surprising is the amount of bass that is in the front of the mix. Almost capable of causing nausea. The top end hiss on the recordings of Autosuggestion plays from left to right and causes more disorientation. Two of my favorite tracks on Closer, The Eternal and Decades (which I used to listen to so much as a teenager it still causes my father conniptions) are provided in mixes which only show their differences if you've heard them a thousand times before. The sounds seems comprised of only top and bottom end (bass drum and snare, bass guitar and strange trebly jangling guitar parts) which may have been the idea: to let the singer's voice stand alone in the middle ground with only the sibilants venturng out of this territory.

At the end of side four comes a probably intentional piece of iconoclasm added to provide some contrast: someone telling Ian Curtis to "F*ck off".

Monday, January 18, 2010

Summer is a bummer


Halfway through the summer break here. I have to say, I wasn't looking forward to it a much as my younger colleagues were. I can't help but see these two big breaks in the first two years as being two three month delays in getting through the course. Due to having Christmas away from home, it's tricky to get a chunk of work during this time too so probably the best thing to do is to sort out the odd jobs around the house.

Not sure I have six more weeks of them left in me, though.

Big return

Things that stopped my blogging:

- having to find a relevant image to illustrate a posting
- excessive quality control re referencing my posts
- general busyness

Well, I can rectify the first two and we'll see how the third goes.