If you have followed my blog published in june 2011 , i had highlighted the issue of sanitation or the lack of it in Trichy. I had posted a photo of central Bus Stand in Trichy where animals and men are scrounging for something from the area where things and eatables are dumped.
There is an article from the Times of India today on the issue of the title of this blog.
Fifty percent of us living in India without access to public toilet.
Worrying?
Now go back to the circle of life as depicted in The Lion King a Children's movie. Are we really in the circle of life in India with us thinking that we are the Kings of the civilised life, but in reality the bugs have always been the king of the Real World.
Remember the Bugs and insects have been living in the world long before the human being and hence will outlive us. But that does not mean that we have to facilitate our demise by providing a poor sanitation where we live.
If you really want to fight for it, please campaign for public toilets which are free for the public to use who do not have access to one in rural areas to prevent contamination of sewage with our daily consumption meaning food.
This way we can certainly stop some communicable diseases, but that does not mean that we are going to outlive the bugs!
Warm Regards
Chockalingam
Wednesday, January 18, 2012
Tuesday, December 13, 2011
Sky, Wind, Water ,Earth,and Sun.Are they Really Gods?. The trekking trip which teaches Spiritualism.
Man controls most things on the planet. Yes. He can tame an elephant, hunt a tiger [of course not now], Get a lion to a circus [ of course not now], put the snake into a park say the snake park in Chennai.
He does control other human beings, either as a business man, politician, sales man, a doctor and so on and so forth. He beats his fellow humans in sports and in war and even kill them.
He can build buildings as tall as he can at present and keeps beating the other like a game.He builds computers which are powerful and controls them to what they can do and what they should not [ of course for the time being]
He can fly [ of course in an aeroplane], swim and so on.
What is he cannot control something. They must be Gods.
When we did this 7km trekking up the hill near Thuraiyur to an altitude of one Km, you see the awe of the sun, wind, earth, the water and the sky and you really start wondering what i had titled this blog
Are they really Gods?
You may not want to name them Gods, but certainly something you can say that they have something which we cannot achieve or control or tame as you do for an elephant perhaps
Spritualistic, you may say. but does that not make you think. If you are not convinced, then take up a challenge to trek high[ of course you cannot do the same to the bottom of the ocean]
I will post some photos soon
With Regards
Chockalingam
He does control other human beings, either as a business man, politician, sales man, a doctor and so on and so forth. He beats his fellow humans in sports and in war and even kill them.
He can build buildings as tall as he can at present and keeps beating the other like a game.He builds computers which are powerful and controls them to what they can do and what they should not [ of course for the time being]
He can fly [ of course in an aeroplane], swim and so on.
What is he cannot control something. They must be Gods.
When we did this 7km trekking up the hill near Thuraiyur to an altitude of one Km, you see the awe of the sun, wind, earth, the water and the sky and you really start wondering what i had titled this blog
Are they really Gods?
You may not want to name them Gods, but certainly something you can say that they have something which we cannot achieve or control or tame as you do for an elephant perhaps
Spritualistic, you may say. but does that not make you think. If you are not convinced, then take up a challenge to trek high[ of course you cannot do the same to the bottom of the ocean]
I will post some photos soon
With Regards
Chockalingam
Thursday, November 10, 2011
Excellence is merely a habit. Accountability is the key however for this to be true.
Excellence is merely a habit. Surprised!.
suppose you need to clean the floor in the work place regularly and that is your job. Then you have the knowledge that a clean floor is beneficial to all of us and reduces problems with the health of all us. you also know which agents you use to clean and the materials you need to use to do the job well.
You have acquired the skill to clean the floor well.
the third attribute would be the right attitude. in other words if you do not feel the conscience that doing your job regularly and well is essential, then having the knowledge and the skill to do do not matter at all.
We need to add repetition of this work day and night consistently, then you are excellent. In other words doing a job once and well does not, i repeat does not denote excellence. Only if you repeat the work consistently to high standards, then excellence comes.
If one does a work consistently well everytime he does, then excellence is merely a habit, agreed!!!
But remember we need to add the responsibility that this job is our own is the key to consistency.Only when you assign responsibility to a person, one can expect consistency. However if one does not accept responsibility, then he does not take ownership.
If one does not want to take the ownership of a job or the work to be done, then it is difficult to get the consistency. In other words, if ownership is not assigned, then the responsibility is not transparent to the individual at work.
Then one cannot be made accountable for the excellence or the absence of it in that work.
Accountability has been the central theme to improvement at any work place. To be accountable, one need to do do the job well but also keep a record of this.
now how do we apply to our day to day life, you might ask
You do see that most rest rooms as they call it now a days, are cleaned regularly many times in a day and also a display is done to show that they are indeed cleaned with the name of the person who has done so with the signature. This is what is called accountability.
If a toilet cleaning is made accountable, imagine all things and works which should be made accountable!!!!
Keep in Touch
With Regards
Chockalingam
suppose you need to clean the floor in the work place regularly and that is your job. Then you have the knowledge that a clean floor is beneficial to all of us and reduces problems with the health of all us. you also know which agents you use to clean and the materials you need to use to do the job well.
You have acquired the skill to clean the floor well.
the third attribute would be the right attitude. in other words if you do not feel the conscience that doing your job regularly and well is essential, then having the knowledge and the skill to do do not matter at all.
We need to add repetition of this work day and night consistently, then you are excellent. In other words doing a job once and well does not, i repeat does not denote excellence. Only if you repeat the work consistently to high standards, then excellence comes.
If one does a work consistently well everytime he does, then excellence is merely a habit, agreed!!!
But remember we need to add the responsibility that this job is our own is the key to consistency.Only when you assign responsibility to a person, one can expect consistency. However if one does not accept responsibility, then he does not take ownership.
If one does not want to take the ownership of a job or the work to be done, then it is difficult to get the consistency. In other words, if ownership is not assigned, then the responsibility is not transparent to the individual at work.
Then one cannot be made accountable for the excellence or the absence of it in that work.
Accountability has been the central theme to improvement at any work place. To be accountable, one need to do do the job well but also keep a record of this.
now how do we apply to our day to day life, you might ask
You do see that most rest rooms as they call it now a days, are cleaned regularly many times in a day and also a display is done to show that they are indeed cleaned with the name of the person who has done so with the signature. This is what is called accountability.
If a toilet cleaning is made accountable, imagine all things and works which should be made accountable!!!!
Keep in Touch
With Regards
Chockalingam
Why people do not follow rules, the psychology of anti social behaviour and its impact to a common man Part 2
We are in the process of treating a young man who was run over by a lorry. We had to amputate his leg to save his life. His leg was crushed and with in few hours, he as gone to renal failure. We had three patients in short succession of time with road traffic accidents with similar mechanism of injury. The pillion driver of the two wheeler is run over by a lorry.
When you drive in a car, you often do not give due consideration to a two wheeler on the same road. The same applies if you are a lorry driver, you do not worry about the car and so on and so forth. You would think then that the pedestrian or the person on the smaller vehicle will be very careful so that he/she does not get hurt
But the opposite is often the case. Here the person on the smaller vehicle or the pedestrian feels that he has the right of the way. Often he/she does not obey the traffic rules and still feels that what he has done is right.
Now coming back to the person on the two wheeler who got hit by the bus from the last blog. He was behind a smaller vehicle and gave due consideration to the traffic light and stopped when it was red.
The bus behind did not think it was necessary to stop at the red light and decided to drive on, but in the process hit our patient who stopped.
It does now begin to puzzle you to understand the psychology of what is right in a given situation. Should you follow rules, but might get hit in the process. Or should you follow the herd and live like a Roman in Rome.
Now what can be termed anti social. Like stopping at red light and get hit by the bus behind. it could be still within law but may be anti social. Or one might break the law like crossing a traffic light when it is red for example, but within the social norms of the day and the place you are living
Interesting
Going back to the run over incidents in India, the crush is so severe that people lose limbs. Be Very Careful if you drive a two wheeler in India, as you would not know whether the person behind the other vehicle would behave. Anti social, within the law, break the law but within the social norms of driving in India!!!!1
Hope you got the gist of it
Regards
Chockalingam
When you drive in a car, you often do not give due consideration to a two wheeler on the same road. The same applies if you are a lorry driver, you do not worry about the car and so on and so forth. You would think then that the pedestrian or the person on the smaller vehicle will be very careful so that he/she does not get hurt
But the opposite is often the case. Here the person on the smaller vehicle or the pedestrian feels that he has the right of the way. Often he/she does not obey the traffic rules and still feels that what he has done is right.
Now coming back to the person on the two wheeler who got hit by the bus from the last blog. He was behind a smaller vehicle and gave due consideration to the traffic light and stopped when it was red.
The bus behind did not think it was necessary to stop at the red light and decided to drive on, but in the process hit our patient who stopped.
It does now begin to puzzle you to understand the psychology of what is right in a given situation. Should you follow rules, but might get hit in the process. Or should you follow the herd and live like a Roman in Rome.
Now what can be termed anti social. Like stopping at red light and get hit by the bus behind. it could be still within law but may be anti social. Or one might break the law like crossing a traffic light when it is red for example, but within the social norms of the day and the place you are living
Interesting
Going back to the run over incidents in India, the crush is so severe that people lose limbs. Be Very Careful if you drive a two wheeler in India, as you would not know whether the person behind the other vehicle would behave. Anti social, within the law, break the law but within the social norms of driving in India!!!!1
Hope you got the gist of it
Regards
Chockalingam
Monday, October 24, 2011
Why people do not follow rules, the psychology of anti social behaviour and its impact to a common man
Imagine you travelling at night driving a car, you come across a red light at traffic junction. You are the only vehicle at this junction and you are tempted to stop due to the fact that it is red. You look well across all directions. Definitely there is no other vehicle. You then are tempted to go past the red light. If you know that there can be traffic cameras and you might receive a letter with fine and points on your license, then you suppress the temptation of crossing the red light, as you know it is only few seconds before it goes green.
The scenario i have given is a common sense approach. Even though the common sense tells you to override the red signal as there are no traffic, the regulatory fear of traffic camera stops you doing so.
If you had read my previous blog of hazard, risk and incident, then you understand that another moving vehicle or pedestrian is the hazard for you in the car. The risk is very low as it is middle of the night and you reduce the risk by looking well all around. you think the chance of an incident of an accident is so low that you want to take the chance and you are tempted to cross at the red signal.
As the society does not want you to take even that chance, the traffic camera makes you decide to stop.
But then this logic does not seem to work in India while you are driving. One of my patient i am treating at the moment is a handicapped polio patient who was driving a two wheeler. he came to a traffic signal where the signal was red. he duly followed the above logic and decided to stop.
He then landed at our hospital with a fracture of the leg and shoulder.
Why? Why and Why ! these are the questions he asked me and you are probably asking as well
Wait for my blog and i am sure if you are driving in India you already know why
Regards
Chockalingam
The scenario i have given is a common sense approach. Even though the common sense tells you to override the red signal as there are no traffic, the regulatory fear of traffic camera stops you doing so.
If you had read my previous blog of hazard, risk and incident, then you understand that another moving vehicle or pedestrian is the hazard for you in the car. The risk is very low as it is middle of the night and you reduce the risk by looking well all around. you think the chance of an incident of an accident is so low that you want to take the chance and you are tempted to cross at the red signal.
As the society does not want you to take even that chance, the traffic camera makes you decide to stop.
But then this logic does not seem to work in India while you are driving. One of my patient i am treating at the moment is a handicapped polio patient who was driving a two wheeler. he came to a traffic signal where the signal was red. he duly followed the above logic and decided to stop.
He then landed at our hospital with a fracture of the leg and shoulder.
Why? Why and Why ! these are the questions he asked me and you are probably asking as well
Wait for my blog and i am sure if you are driving in India you already know why
Regards
Chockalingam
Monday, October 10, 2011
Risk, Hazard and Incident, apply to your work place wherever you are!! part 2
Hazards are everywhere. A knife is a hazard. A needle in a hospital is a hazard. A gun is a hazard. Everyone of what i have given as examples are necessary in some walk of life.
In Other Words, We cannot have a hospital without a knife or a needle as they are needed to treat a patient. A Gun is an essential tool for someone working in the army or high security police for example.
However if the hazard is in a persons hand's or at a time or in an situation where it is not expected to be, then the hazard can cause an incident. For example a kitchen knife in a child's hand, a gun in the hands of anti social, or water on a mosaic or marble floor.
However not every time the hazard is in this situation will cause an incident. There you have to calculate the risk of such an incident. For example not every time you travel in a road, one is involved in an accident. you have to view every object in the line of your travel such as a bus, lorry or even a dog on the road as hazard.
When travelling, you take a risk by crossing these hazards to reach your destination. You minimise the risk by driving slowly, taking extra care at nights, not drinking alcohol before you drive and so forth.
However you do not want to take any risks in some areas such as not giving a knife to a child as the risk though may be small, is too much to take.
Back to wherever you work, you start looking at things with a note of
1. Are there hazards
2. What is the exposure
3 What is the risk
4 Should i take the risk or not
5. Can i reduce the risk or avoid the risk altogether by avoiding the exposure altogether
Hope it makes sense
It would certainly make sense if you start applying.
You then ask the cleaner to put a notice that the floor is wet when he is cleaning to warn the people walking by that there is a small risk of falling and they have to walk more carefully.
All of us would put our waste in a bin and dispose appropriately to reduce the breeding of bugs which then would cause infection and so on and so forth
Regards
Chockalingam
In Other Words, We cannot have a hospital without a knife or a needle as they are needed to treat a patient. A Gun is an essential tool for someone working in the army or high security police for example.
However if the hazard is in a persons hand's or at a time or in an situation where it is not expected to be, then the hazard can cause an incident. For example a kitchen knife in a child's hand, a gun in the hands of anti social, or water on a mosaic or marble floor.
However not every time the hazard is in this situation will cause an incident. There you have to calculate the risk of such an incident. For example not every time you travel in a road, one is involved in an accident. you have to view every object in the line of your travel such as a bus, lorry or even a dog on the road as hazard.
When travelling, you take a risk by crossing these hazards to reach your destination. You minimise the risk by driving slowly, taking extra care at nights, not drinking alcohol before you drive and so forth.
However you do not want to take any risks in some areas such as not giving a knife to a child as the risk though may be small, is too much to take.
Back to wherever you work, you start looking at things with a note of
1. Are there hazards
2. What is the exposure
3 What is the risk
4 Should i take the risk or not
5. Can i reduce the risk or avoid the risk altogether by avoiding the exposure altogether
Hope it makes sense
It would certainly make sense if you start applying.
You then ask the cleaner to put a notice that the floor is wet when he is cleaning to warn the people walking by that there is a small risk of falling and they have to walk more carefully.
All of us would put our waste in a bin and dispose appropriately to reduce the breeding of bugs which then would cause infection and so on and so forth
Regards
Chockalingam
Thursday, October 6, 2011
Risk, Hazard and Incident, apply to your work place wherever you are!!
Incident is an event or occurance. We talk of incidents as unplanned or unexpected events in a hospital set up. We record them diligently and analyse them to ensure such events do not recur for improvement of patient care.
Patients in India always ask me one thing when i suggest a treatment say for example surgery. It is this " risk onnum illiye" meaning "there is no risk in this, is there?". Once i had explained infection as one of the risks in treating a fracture to one of the wife of a patient who had treatment under me.
At two weeks when the sutures were being removed, the wife asked me with real worry "there is no infection, is there?". One has to remember that this wife was one of the staff member of my hospital itself. Now the point of matter is no one wants to take a risk in undergoing a treatment.
Yet treatment has risks. If someone tells you that there is no risk, what they are really doing is to reassure you as an worried patient or relative. They cannot really mean it. Yes this is true.
It is true in real life in all walks of life and in all situations. If you look at travelling in a road in India, you carry huge risk of having an accident. Does this mean that you do not travel and stay in the house all the time. No you do travel and you take risks.
But what then is the issue. It is in knowing the risk analysis of a situation. In other words, if somehow you know how much risk you are taking, then you may decide, yes it is worth it or not.
Is quantification alone enough?. What would you accept for example, one percent, five percent or less? Because the reason you are taking the risk may push you to take a larger than five percent risk as opposed to taking less
Say for Example, one has cancer and the surgeon says, have surgery. The surgery carries risk, but then not having surgery carries far greater risk. Hence one goes with the option of having surgery.
But what can everyone do in a place wherever they are. You control the risk by being aware of the hazards and avoid the exposure. If you cannot avoid then control the dose of exposure
Stay with me and
I will post in my next blog
Regards
Chockalingam
Patients in India always ask me one thing when i suggest a treatment say for example surgery. It is this " risk onnum illiye" meaning "there is no risk in this, is there?". Once i had explained infection as one of the risks in treating a fracture to one of the wife of a patient who had treatment under me.
At two weeks when the sutures were being removed, the wife asked me with real worry "there is no infection, is there?". One has to remember that this wife was one of the staff member of my hospital itself. Now the point of matter is no one wants to take a risk in undergoing a treatment.
Yet treatment has risks. If someone tells you that there is no risk, what they are really doing is to reassure you as an worried patient or relative. They cannot really mean it. Yes this is true.
It is true in real life in all walks of life and in all situations. If you look at travelling in a road in India, you carry huge risk of having an accident. Does this mean that you do not travel and stay in the house all the time. No you do travel and you take risks.
But what then is the issue. It is in knowing the risk analysis of a situation. In other words, if somehow you know how much risk you are taking, then you may decide, yes it is worth it or not.
Is quantification alone enough?. What would you accept for example, one percent, five percent or less? Because the reason you are taking the risk may push you to take a larger than five percent risk as opposed to taking less
Say for Example, one has cancer and the surgeon says, have surgery. The surgery carries risk, but then not having surgery carries far greater risk. Hence one goes with the option of having surgery.
But what can everyone do in a place wherever they are. You control the risk by being aware of the hazards and avoid the exposure. If you cannot avoid then control the dose of exposure
Stay with me and
I will post in my next blog
Regards
Chockalingam
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