Wednesday, October 13, 2010

Commander-In-Defeat?


American soldiers fight and die in Afghanistan because they believe they’re defending our country and our way of life. It’s disturbing to read in Bob Woodward’s recently-published book “Obama’s War” that their commander-in-chief doesn’t see it the way they do. Woodward’s account leaves the impression that President Obama only wants to appear that he shares our soldiers’ beliefs, but that he really sees the war as a political problem to rid himself of before reelection time.

As a US senator and presidential candidate, Obama said over and over that President Bush’s Iraq War was a distraction and that the important was was in Afghanistan. Enough Americans believed him to put him in charge as president. His generals believed him too, so when the newly-elected Obama asked them at strategy meetings what his options were, they laid out various plans to win. Obama got exasperated because he didn’t really want to win. He wanted to get out.

As Woodward puts it:

President Obama was on edge. For two exhausting months, [Obama] had been asking military advisers to give him a range of options for the war in Afghanistan. Instead, he felt that they were steering him toward one outcome and thwarting his search for an exit plan. He would later tell his White House aides that military leaders were "really cooking this thing in the direction they wanted."

If Obama’s generals were wrong about anything, it was believing what their commander-in-chief said. It’s clear after almost two years in office that although he was great at campaigning, he has little idea about how to govern. It would be one thing if he believed a ground war in Afghanistan wasn’t the way to defeat our enemies and was looking for a different strategy. There’s enough historical precedent given England’s and the former Soviet Union’s experience in Afghanistan to support a re-thinking. If he asked for ideas about a covert, unconventional, low-intensity conflict together with a world-wide anti-jihad propaganda campaign that might be more effective at defeating our enemies, people might understand. But he’s not doing that. He just wants out.

Obama refuses even to define our enemy as Radical Islam. What does he think might be a common factor with al Qaeda, the Taliban, and Hezbollah? Why is he eliminating references to “Islamic Radicalism” and “jihad” from key national security documents? What’s going on? Does President Obama think he can bring his teleprompter over there and charm them out of their intentions to bring down western civilization?

Key military advisors Woodward mentions in “Obama’s Wars” are resigning, including Obama’s National Security Advisor James Jones, a retired Marine General who is quoted in an interview with Der Spiegel on Obama’s approach to the war: “Hope is not a strategy.”

That we have men and women willing to die in combat assures the survival of our way of life. They’re not suicidal as our enemies are, but they’re willing to risk their lives to defend our country against those enemies. Their ideals are among the greatest any of us possess and they deserve our highest respect. Because, after all, it’s all about ideals. It’s about their belief that America is exceptional. It’s the best country in the world and the last best hope on earth, as Abraham Lincoln described the United States of America. It’s about believing that our country is greater than we are, that what it represents is worth dying for. The men who volunteer for combat are proud of their country, and that’s why they do what they do. It’s becoming painfully apparent, however, that their commander-in-chief who orders them into battle doesn’t share their ideals. That’s bad. That’s very bad for all of us.

I wonder how our combat soldiers felt when, only after her husband won presidential primaries, they heard Michelle Obama declare: “And let me tell you something -- for the first time in my adult lifetime, I am really proud of my country.” The first time? Was that a clue that the man who went on to become their commander-in-chief might have similar feelings? It would seem so given that he sat in the pew of the Reverend Jeremiah Wright’s church listening to his anti-American rants for twenty years and launched his political career in the living room of left-wing terrorist Bill Ayers who attempted to violently overthrow the US government.

It’s consoling for families who lose loved ones in combat to believe they died defending their country. How will those fathers, mothers, sisters, wives, and children feel when they read evidence in Woodward’s book that their president is only using our soldiers for his personal political purposes?

Tuesday, October 12, 2010

Like ChickenMan.... We're Everywhere!

Who's we ( If you have to ask who ChickenMan is, clearly you didnt listen to the radio as a kid... )? We is us, the mentally ill. The one's who have depression, anxiety disorder, PND, schizophrenia, multiple personalities. We're everywhere and everyone, and i wanted to take this chance during National Mental Health Week to let the rest of you in on a secret - we're not crazy. Or dangerous. As Matchbox Twenty once put it " I'm not crazy, i'm just a little unwell ". Kudos to you Rob Thomas and band - that sums it up pretty damn well.

I've posted about it on here before a bazillion times but i'm not ashamed to say it again - i have previously suffered from clincial depression and social anxiety disorder. I say previously because i'm not in that dark place anymore, but i know and appreciate that there is always a chance i could succumb again at some stage. If i do it will be okay, because i know i'll have the strength to come through it again. I suffered for a long time, but with a lot of hardwork, great support, and an eventual break in those pyschological barriers, i've gotten better. I've achieved a few personal milestones that in my darkest times i though could only be found under a pot of gold at the end of the rainbow. Or, in other words, in a fantasy land that i just wasnt every going to get to. But here i am, living the dream, or at least parts of it.

So i'm living proof that mentally ill people are:
a) everyday people. The people you know, the people you meet on the street, the people who work at the mall.
b) not always going to be mentally ill. Just because they're living in the darkness or in a muddled foggy cloud, doesnt mean they wont ever find the sunshine again. Be patient. Be supportive. Be there.
c) not a scourge on society. I couldnt be a scourge if i tried!

I know some of you out there have current mental health issues that your fighting and to you i say - be strong. You CAN do it. In the spirit of Mental Health Week i'm sending you positive vibes and all my cyber love. To those of you are mentally fit and competent i say - congratulations! Oh, and could you please spare some good vibes and cyber love and send it out to everyone under a black cloud this week?

Monday, October 11, 2010

Operation Slimdown, Mach 2 - Week 3

Its Tuesday again ( funny that, we have one every week... ) which means today is the day i take stock of the weeks eating and exercise and see where i've ended up. To tell you the truth, i wasnt exactly looking forward to weighing myself in and taking my measurements this week - last week down at Tresillian was a bit of a write off, what with the hospital food and the rain and no access to my exercise dvds. I did manage to get out for a few walks with Flynn, but only around one city block - though i suppose thats better than nothing right ? I got myself back up on the bandwagon yesterday - Monday is the traditional day of starting stuff! - by going back to eating smaller portions. I didnt really get any exercise in ( Mick came home sick so i was a bit consumed with looking after the poor little fella... ) but its only 10:30am and i've already been for a walk. Jog. Sort of. What i mean is that i've been out and done a hybrid walk/jog - i didnt jog too far for too long ( it felt my lungs were going to burst out of my chest ! ) but i know with time and patience i can get back to jogging again. If i push myself. Which i will.

So - now to the juicy stuff! Where is my bootylicious body at this week?
Weight - 77.1kgs. I've lost 700g in two weeks: not exactly the result i was hoping for but after last week i'll take it.
Bust - 97.5cm. Thats down by 1.5cm - why is that my boobs are always the first to go?
Waist - 84cm, down 0.5cm
Hips - 102.5cm, also down 0.5cm
Bum - 108cm, no change.
Thigh - 66.5cm, down ( would you believe it? ) 0.5cm

So i guess i've shrunk just a teeny tiny fraction in the past fortnight - all except my bum. Damn you bubble butt! Good news is, it also looks like i'm shrinking in proportion - except for my boobs. Can i get my baby boobs back and just sacrifice everything else? Ah well - on to next week!

Sunday, October 10, 2010

I Needs Some Good Ideas!

Hello there, and welcome to another ( and long overdue ) Blog This! challenge. Its not that i havent been regularly participating, but rather that the sites admin was going through a little bit of a change up and there were no challenges posted. However, challenges are back and this week:
Do you have a problem or is there something you're struggling with? Small or big, something that just won't go away? No matter where you look you can't find the solution?

This week's challenge is to share a struggle or problem you're currently facing and ask other Blog This members for advice and suggestions!

So, mine isnt exactly a huge problem, and its not exactly a struggle ( i've already blogged the whole sleep issue thing to death, and Operation Slimdown is its own kettle of fish ) but here' what i want to put to you guys: my gorgeous Flynn is now 9 and half months old, which means his first birthday is slowly creeping up on me, and no doubt time will fly in the lead up to Christmas. I'm already starting to think about his first birthday party which i'd love to be a small, simple, fun affair for everyone involved. Bearing in mind the majority of guests will be adults and family ( i'm going to invite a few of his little friends from mothers group though ) i'm thinking a barbecue at Grandma and Poppys place is the best way to go. However, their is still the matter of the most important part ( for me ) of the whole shebang -
What in the hell crap am i going to make for his first birthday cake?!?
I want something thats going to be cute and look good in photos, so we can look back and say " Look at that cool cake Mummy made you when you turned one! ". I have a few ideas - maybe i could do a caterpillar, cutting five "rounds " from some larger cakes and spell out his name on the body using Smarties; maybe i could make a puppy dog face because he really likes his " Woof Woof! " book; Maybe i could just make something yummy and stick Elmo's face on it. But thats all i got people - i needs some suggestions!
Things to bear in mind - he's turning one; his birthday is December 27th so he's pretty much a Christmas baby; he's good with motor skills and Sesame Street seems to be his favourite tv show.

So go to it ladies and (possible ) gents - do you have any suggestions for a cute 1st birthday cake?

Saturday, October 9, 2010

Memories of Singapore, Liberating Durham, and THAT Milk Advert

This time last year I was in Singapore. It was hot, humid and exciting. I was attending the inaugural meeting of the Cochrane Nursing Care Network. Unfortunately, since then it has been difficult to encourage colleagues to participate in exploring the numerous systematic Cochrane reviews, in order to identify what the nursing in-put might be. I think this is an important aspect of developing an evidence base for nursing practice. I also understand that such an approach is not going to be for everyone. Singapore is one of my favourite places to visit. Whenever there I always try have a drink in the Long Bar at Raffles, and that ice cold beer always tastes as good as it did the first time I went there many years ago.

I also recalled that the last time I was in Singapore I was only on my 8th blog! Those were early days and unlike last week (and the numerous comments around nurse uniforms – and there is a Polo connection) way back then, I wasn’t always sure what I wanted to say. However, I do remember that it was World Mental Health Day on the weekend I was away, and today, the 10th October 2010, it is once again World Mental Health Day. Achieving good mental health is a global concern. The World Health Organisation estimate that more than 450 million people suffer from mental illness. Many more have mental problems. In the UK, one third of all people visiting GPs will have a mental health problem. Every day, 1 in 6 of us experiences mental ill health. 1 in 5 consultations in primary care are for physical illnesses, but many of these conditions, (stroke, coronary heart disease, diabetes) will often give rise to related mental health problems (depression, anxiety and so on).

World Mental Health Day is a day aimed at raising awareness about mental health issues. The day aims to promote more open discussion of mental illness, mental health and wellbeing. The World Health Organisation describes mental health is being an integral part of health; indeed, there is no health without mental health. As part of the awareness raising aims of World Mental Health Day, the School of Nursing & Midwifery is displaying posters and papers that present some of the work being carried out by colleagues into different aspects of mental health and well being. This work can be seen in the Allerton Concourse. If you are unable to come along, more information about this work, and other work in this area from across the College of Health and Social Care can be obtained by emailing nmresearch@salford.ac.uk Use this email address to learn more about what you can do to promote good mental health and well being.

I was in Durham on Thursday, which although less exotic than Singapore, has its own attractions. I was attending a Council of Deans of Health Meeting. One of the opportunities we had was to engage in was some quality analysis of the Liberating the NHS White Paper. We were helped in this work by Karen Middleton, Chief Health Professions Officer at the Department of Health.

I have to say that at the end of the session I was excited by the possibilities the White Paper proposal presented, but I was in awe of the challenges involved in achieving these. Whilst superficially at least, some of the proposals take us back to the Margaret Thatcher dream of a NHS delivered through the use of market principles, structures and processes, the new opportunities take this dream to a new level.

Ambiguity, uncertainty, not knowing and an absence of rules and regulations, at least in the Focauldian governance sense, lie at the heart of the White Paper. Strangely I felt at home with the context and vision looking forward. This was the subject of my PhD all those years ago, and in any event I have long held the belief that as nurse educationalists we need to find ways to better prepare our students for the challenges of the unknown, embracing the ambiguous, and recognising the difficulties involved in becoming and being a person centred practitioner.

I don’t underestimate the difficulties involved in embarking on this journey. In think about these difficulties, I have taken inspiration from that MILK advert. Clearly I cannot mention the company by name, but getting a bunch of rappers to extol what’s involved in milk production, to sell the health message, and to widen the appeal of mild across generations was brilliant. The break dancing tractors were a stroke of genius.

The advert appealed to my creative side, and reinforced my commitment to keep pushing at the boundaries of what we might be able to do as educationalists.

Fall is in the air...

Everyday but today.
This past week has been seasonably cool ( maybe a little too cold) but it has been glorious. I've been able to wear a hoodie or sweater and not be too hot. The leaves are changing color beautifully. Everything is great and pretty.
Except today. It went from a high for past week of mid 70's to today which was 85.
That's Tennessee for you.
Weather changes like a hormonal teenager.
I'm not complaining. It's just how it is.
How's the weather where you are?

Friday, October 8, 2010

We're Back!

Why hello there loyal reader types! Flynn and I are finally back from Tresillian and, i got to admit, i'm feeling pretty good. I thought i might feel a little apprehensive coming home, away from the nurses and the encouraging words of other mums, but i'm feeling confident that we're going to have our whole new routine downpat in no time at all. Granted, Flynn didnt have an afternoon nap this afternoon but, after a 6 hour car trip home, you cant blame him for feeling a little muddled. So what did we learn at this "sleep school "?

* Nothing is miraculously fixed overnight - at Flynns age, it can take up to 6 weeks for a new routine to be learned and settled into comfortably ( not the usual 2 suggested by most literature i've read ).
* Consistency is key. This one i already knew but found hard to stick to, especially when i was trying to get him to sleep when i was home alone.
* Watch the clock. It may feel like they've been screaming " for ages " and that they've been in bed long enough. In reality, its probably only been about 10 minutes.
* Bub should be having, at the very least, a 1 hr nap. If he wakes before that ( say, after 45 minutes ) i need to leave him in his cot ( going back in to check and calm ) for another FULL SLEEP CYCLE. Which is another 45 minutes....sometimes it takes that long for a baby to fall back to sleep.
* Dont stand and pat your baby until he falls asleep - be hands on to calm him down, but once he's calm, leave the room. Patting til he's asleep might help him drift off, but it doesnt teach him to drift off ON HIS OWN.
* No matter how hard they cry and how much it hurts, they will stop sometimes. Eventually. Really, i promise.
* Also, the whole " baby cant self settle " thing is just bad habit, not bad mothering. Phew - so i can stop torturing myself over that one.

Honestly? I think it was a definate help going down there. Yes, they (generally ) use a controlled crying technique but i was ok with that because i'd tried everything else and nothing had worked. Plus, its not a horrible, parental abandonment type of controlled crying - its reading tired signs and listening to the cry and going back in at short intervals to calm bub down and reassure him he's tired and needs to go to sleep. Its the same kind of thing i was trying to do at home, i just needed a bit of guidance. I'm grateful to the nurses for sharing their knowledge with me, for answering my stupid questions, and for calming ME down when i cracked and burst into tears on the first day.

I'm actually looking forward to the challenge of implementing and sticking with the new routine ( which is only slightly tweaked from our old one ) and seeing how long it takes to be entirely successful. With no afternoon nap its only taken Flynn 10 minutes to fall asleep for the night so thats a good start!