Total Pageviews
Monday, January 14, 2013
Seven Ways To Ruin Your Professional Reputation
http://blogs.forbes.com/jennagoudreau/
When career consultant Emily Bennington started researching her upcoming book on women’s career success, Who Says It’s A Man’s World: The Girls Guide To Corporate Domination, she came across an interesting theme: If the choice is between being respected and being liked, it’s better to err on the side of respect. “Your reputation is everything,” Jan Fields, a 35-year business veteran and the former president of McDonald’s, told her.
Bennington says corporate reputations are typically formed from a series of successive questions: Who is she? Do I like her? Is she capable? And can she lead a team? “When you have respect, you have the ability to make people galvanize around an idea,” she says.
However, while performance may help drive a positive professional reputation, Bennington says it’s the small day-to-day mistakes that undermine it. She outlines the most common (and gender-neutral) ways people “royally screw up their reputations.”
Make Excuses
“People make excuses in part because they see themselves as un-empowered,” says Bennington. For example: But no one told me… or I couldn’t do it because I didn’t have the file. She calls people who make excuses “work victims” because they don’t take responsibility for their success. “If you don’t have answers, ask questions,” she counsels. Otherwise, you spend so much time stewing over what you don’t have that you end up wasting time that could be spent finding the resources you need. After all, “part of being great is being resourceful,” she says.
Miss Deadlines
An easy way to lose respect is to be that person who’s always late and needs reminders about upcoming deadlines, says Bennington. One of the best (and easiest) ways to project composure and control is to turn in assignments unprompted and on time. So why do people screw up such a basic reputation-builder? “Their perception is off,” says Bennington. When a worker perceives their circumstances as stacked against them, they react in ways that reinforce that perception rather than owning their own actions.
Don’t Prepare For Meetings
Meetings are the primary way people outside your immediate team are exposed to your demeanor and work. Yet Bennington says too often people prep for meetings at the last minute, making them appear disorganized and, well, less-than-brilliant. Part of it may stem from fear. “I had a Monday morning staff meeting with my boss, which I was constantly angsty about,” says Bennington. She would go into the meeting feeling constricted and expecting to fail. However, over-preparing for meetings not only helps you feel more comfortable, it makes you look better.
Be Too Tit-For-Tat
Bennington recalls one salaried sales representative who considered any work past 5 p.m. overtime that the company should make up for. Once, the rep planned to take a two-hour flight to a regional sales meeting, which would end her workday at 7 p.m. To compensate, she asked her boss if she could come in to work two hours late the next morning. “Not only did her manager flatly deny her request to come in late, but in that instance any leadership equity she had built with him was damaged,” says Bennington. She recommends taking a more holistic view of your work and what’s best for the team.
Be Unresponsive
Bennington says many workers make the mistake of thinking not responding to an email means they have said “no” or communicated that they’re unavailable. Instead, it makes coworkers wonder if you received the message at all, if you’re waiting to make a decision or if you’re just avoiding them. “It’s rude,” she says. Even if the answer isn’t what they want to hear, she recommends showing the other person the respect of responding.
Make Self-Deprecating Jokes
While appropriate humor can help facilitate relationships and make you more successful at work, frequently making yourself the butt of a joke can do two things: First, you may gain the reputation of the office clown, meaning not a serious person and a distraction to serious work. Second, you affirm your faults in the eyes of others, showing that you don’t respect yourself. It’s one thing to know how to take a joke and another thing to make yourself a joke, says Bennington.
Underestimate The Details
Don’t forget the small stuff because lots of little mistakes add up over time. “You build your personal brand through everything you do, whether big actions or small decisions,” former McDonald’s executive Jan Fields told Bennington. “That brand will stay with you throughout your career.” Bennington says sometimes workers become so focused on future goals and advancement that they don’t put enough time and effort into their current job. “Worry about the work in front of you, and do it extremely well,” she advises. “Manage experiences with colleagues and clients moment by moment.”
Saturday, January 12, 2013
Kurşun vurur, psikolojik savaş ise teslim alır
Fırsatı yakalamışken, Hasan Cemal de Kandil’in duygularına tercüman kesilmiş... Onlar olmadan ‘barış’ olmaz anlamında yazıyor ve devletin ‘sıkışmış’olduğundan hareketle tekliflerini sıralıyor: Silahların tek taraflı değil ‘karşılıklı’ susması, af, Kürtçe eğitim ve bugün KCK’ları cezaevlerine yollayan suçların suç olmaktan çıkarılması...
Eh, devlet bu derece ‘teslim olmaya yaklaşmışken’diğerleri de ağzındaki baklaları çıkarmasalar olmaz... “Neye karşılık?” sorusuna cevap aramadan, ‘barışa yaklaşmış’olmanın heyecanını paylaşıyorlar birbirleriyle... Bir yandan da endişeleri var... Daha önce de benzer süreçler yaşanmış ama ‘tam da bu zamanda’ süreci sabote eden eylemler gerçekleşmiş!.. Mesela Silvan saldırısı bu çerçevedenmiş!..
Medya yıllardır PKK içinden ‘iyi PKK’çıkarmaya çalışıyor ve nerede savunulamayacak bir eylem olsa onu ‘kötü PKK’ya fatura ediyor... Tam da ‘barış’ı yakalayacakken ‘kötü’nün mesaisi başlıyor!.. Buna ‘derin PKK’ bile diyebilirmişiz!.. Mesela Kandil’e gidip Karayılan’la röportaj yapanların, onun gözünde ‘barış pırıltısı’ yakalayanların, Yeşiltaş Karakolu baskınıyla ilgili işin içinde olduğunu belgeleyen telsiz görüşmelerini ısrarla ıska geçmelerini galiba görmemeliymişiz!..
Şüphesiz devletin terörle mücadelesi, dağlardan ibaret değil... Bir de ‘psikolojik ayak’ var ve handikap burada başlıyor... Şu gerçeğin altını kalınca çizmemiz gerekiyor: Kurşun vurur, psikolojik savaş ise teslim alır!..
Bugün güvenlik güçlerinin dağlarda kazandıkları zaferlerle, psikolojik savaştaki durum arasında ters orantı var... Son bir buçuk yılda PKK, tarihinin en büyük kayıplarını verdi... Sarp dağlardan oluşmayan arazilerde kıpırdayamaz hâle geldi... Hakkari başta olmak üzere arazinin mevzilenmeye müsait olduğu bölgelerde de son on yılın en büyük zayiatını yaşadı... Elbette yok olmuş değil... Ama o BDP’lilerin dile getirdiği ve kimi ‘zekâdan mahrum vatanseverler’in de atladığı ‘400 kilometrelik alan hâkimiyeti’ şeklindeki psikolojik savaş palavrası, yerle bir edildi...
Başkent’in zulalarında ise başka şeyler dönüyor... Dağlardaki başarının tersine, sanki teröre yenik düşmüşüz de, şimdi çıkış kapısı arıyormuşuz, hatta Öcalan’dan, ‘açlık grevleri’nin bitirilmesindekine benzer ‘himmet’ bekliyormuşuz gibi bir hava hâkim...
Ülkeyi yönetenlerin terörle mücadelede, güvenlik güçlerinin gösterdiği başarıya paralel bir siyaset yürütemedikleri kesin... Tam da bu noktada içimizi kemiren şüphe başlıyor... Şemdinli örneğinde olduğu gibi, PKK’nın sivil halkı yanına alma teşebbüsleri boşa çıkmışken, KCK tamamen dökülmüşken, örgüt önümüzdeki bahara çıkmayı bile ‘kâr’ sayarken, bu zamanlama ve bu görüşmeler neyin nesi?
İşin bir başka garip tarafı da ısrarla yayılan şu hava: Sanki sıkışan PKK değil, devlet!.. Zaten milletin büyük çoğunluğu da artık terörizme karşı silahlı mücadeleyle sonuç alınamayacağına inanıyor!..
Ismarlama anketlerle önce kamuoyu hazırlanıyor... Silahların tek taraflı değil, karşılıklı susturulması gerektiği fikrine insanlar ısındırılmak isteniyor... ‘Analar ağlamasın’ şeklinde kimsenin itiraz edemeyeceği sözler sarf ediliyor ve bu arada anaların asker oğluyla ‘gerilla’ oğlu, aynı kefeye konuluyor...
Psikolojik savaş taktisyenlerine göre, ‘barış’ı sabote edebilecek Türkler ve Kürtler var!.. Belli ki bu sözlerle, ‘karanlığa zar atılırken’ karşı çıkanlar itham edilecek... ‘Meçhule gidiş’e direnen bütün güçlerin aslında ‘terörün devamından yana’ oldukları, hatta ‘kandan beslendikleri’ propaganda edilmeye başlandı bile... Direnci anlamsızlaştırmaya ve değersizleştirmeye yönelik bu sinsice yöntemleri, sıkça görmeye devam edeceğiz...
İyice köşeye sıkışmış teröristi teslim almak yerine, ‘teslim olmak’ şeklinde yorumlanabilecek adımları atanlar, zordaki örgüte nefes ve zaman aldırdıklarının farkındalar mı acaba? Bu oyuna ne zamana kadar kanacağız? Havaların ısınmasıyla birlikte ilk baskını yiyene kadar mı? O vakit yine kimin sesi çok çıkacak? Bugün “Yanlış yoldasınız” diyenlerin mi, “Yok yok, bunu yapsa yapsa barış sürecini baltalamak isteyen derin PKK yapmıştır” diyecek psikolojik savaşçıların mı?
Gerçi çözüm zor değil... Yine ‘gözlerdeki barış pırıltısı’nı yakalamak için Kandil’e gazeteci gönderir, suçu da Bahozlara atarız!.. Siyasetçilerin ağzından “Kanları yerde kalmayacak” nakaratını duyar, eğer yenisi icat edilmemişse “Bıçak kemiğe dayandı” klasiğiyle idare ederiz!..
Hz. Musa tutmazsa, bir de Hz. İsa’yı deneriz!...
Cancer Survivor's 10 Tips for the Healthcare System
Pharma & Healthcare
Much has changed over the last 20 years for people with cancer. Pat Elliott describes how far things have come for patients while also shedding light on how more improvements are still necessary. With Pat’s permission, I am excerpting an email she shared with Brad Tritle who is one of my co-editors on the upcoming HIMSS book “Engage! Transforming Health Care Through Digital Patient Engagement”. The following is a brief profile of Pat:
- Professional background: Journalism, Marketing and PR Management for hospital systems, a global enterprise level EMR firm and global tech firms including Intel and HP.
- Personal: Two time cancer survivor. Breast cancer as a young adult, in full remission. Now living with a rare, chronic form of leukemia (CML) diagnosed three years ago.
- Online bio: http://www.empowher.com/users/pat-elliott and http://www.cmleukemia.com/pat-elliott.html
As I was thinking about my own experiences, and the way healthcare professionals treat patients, I realized that most seem to think we are still in the model that existed with my first cancer diagnosis – a time when patients did what they were told and didn’t have other resources for information or support. E-Patient Dave calls that the car wash approach – you go on the conveyor belt and get shoved through, with everything happening to you as you are passively moved along. It’s a good description.With Pat’s deep experience, she made 10 suggestions for providers who want to improve that I have excerpted below with some annotation in italics.
With the second cancer I have had access to information and resources, through the Internet, that enabled me to understand my cancer and treatment options, get the follow-up information needed to recover and move forward, avoid medical mistakes, feel less isolated even though what I had was very rare (many CML patients have never met another human being with CML) and, generally, all of these things supported the healing process and a return to more of a normal life. A cost analysis would likely also show this has a cost savings benefit for the healthcare system too.
Differences with the second diagnosis include:
- Immediate ability to research the diagnosis, treatment and prognosis online from reputable sources. Current info. Books go out of date within months.
- Ability to check out a computer in the hospital and do immediate follow up, real time, on the information provided, tests scheduled, etc.
- Easily built a website (Caring Bridge) as a communications tool/relieved tremendous stress and burdens at a critical time
- Ability to tap into a site (Lotsa Helping Hands) with online tools to schedule and set up patient support
- Used a Google Group for friends to organize food support, deliveries, meals, etc.
- Providers were focused mainly on clinical aspects. Most of the information needed to process the diagnosis and live with the disease/treatment came from other patients. This gap causes a distrust of the providers and makes the information from fellow patients seem more credible.
- Providers – and the marketing firms after their business – act like social media is new. Patients have been online since the bulletin board days, before social media even had a name. Some patient communities have existed for decades, have highly credible leadership, and offer real world information. ACOR.
- New communities spring up organically through Yahoo and Google Groups and orchestrated health website platforms.
- Able to attend virtual educational programs online with world class experts in my disease, with people from around the world.
- Able to go far beyond consumer media and access clinical journals thru basic tools (journals, Google Scholar) and sites that aggregate the data (Medify)
- Because my leukemia is rare, and the treatment is new and cutting edge, it’s difficult to find a true expert. When I ran into issues I was able to reach world class experts, at no cost, through an online portal run by a nonprofit advocacy organization, to get expert advice on a medical opinion I got in Phoenix which seemed off track. The local specialist aggressively tried to push me into a transplant that I did not need. I was able to get accurate information to take back to my primary oncologist and discuss with him the course of treatment I wanted and why and back it up with clinical data. To make a long story short I achieved the best possible clinical outcome within the optimal timeframe to give me a normal lifespan, living a good life and in good health. I avoided having a transplant I did not need that had a good chance of killing me or leaving me very ill afterwards while bankrupting me. None of that would have been possible in the old days. Most examples of patient empowerment are not that dramatic, but the key thing is that empowerment is about taking responsibility for your own health and well-being, in partnership with the right medical experts.
- Have run into both pluses and minuses with electronic medical records, system still very fragmented. BUT have no records at all from first cancer.
- Encounter very sophisticated scammers with websites, social media platforms selling fraudulent cures, information, etc. Done so well that it would be easy to fool many consumers, especially people who are desperate.
- Cookies – label you as a patient, impact the ads you see, lead to things like ads for fraudulent drug sales sites claiming lower pricing – no one regulating this
- Mobile apps – Marketers keep pushing as the next big thing – Reality is that those most in need of support are being missed. Due to age/computer literacy/inability to afford a mobile device. Some cancer apps, for example, only come in mobile versions.
- Privacy – old days you could keep things private. Today it’s all searchable. Forces younger people into the closet, cuts off access to support resources. Beyond that, some sites claiming to be patient support sites are data mining sites. Needs oversight and protections.
- Include patient input in the design and development process, and build in feedback mechanisms.
- Don’t assume providers know what’s best (i.e., the old model). Sit down and talk to patients. Often we are more knowledgeable about our needs than your employees. The video in Historic Day in Open Notes put together by physicians describes the contrast between the old and new model.
- Do usability testing and such that reflects the real world of the patient user – ie: When you are seriously ill your mind works differently and tasks that were simple while healthy become much more difficult.
- Recognize that it takes a unique skill set for someone to communicate the health jargon and technology jargon in a manner that the patient can easily absorb and understand. The end user’s ability to use and understand the tools is what’s paramount. As I said in an earlier piece, Doctors are a Broken Record We Don’t Understand > 80% of the Time and so some providers are borrowing an approach from the Khan Academy.
- Figure out how to make things simpler easier, ie: getting all the medical records and testing data in one, secure place.
- Do not make everything mobile. People are still on desktops. Patients can face visual, dexterity and other problems. Mobile devices may be cost-prohibitive.
- Be transparent. IE: Hospital chain cancer support site buried their name in the Terms of Service. Fool us, and we will out you.
- Recognize that old tricks – like best doctor’s lists – no longer work. Patient word of mouth, which is now online formally and informally, can make or break referrals. Physicians who do videos saying XYZ hospital is the best no longer work. Physicians who demonstrate expertise in their area may result in a patient travelling a long distance to get that expertise. Business is no longer just a local market decision when it comes to serious medical conditions.
- Provider messaging in social media is advertising driven in most cases, and is not helpful. Invest in people with the right skills and level of maturity for your communications programs. Too many health sites and social media platforms are handled by healthy young people who lack sensitivity to the patient population or how to discuss a serious medical condition. Walmart has made the biggest move yet in fostering domestic medical tourism. Now every cardiac or spinal specialist is competing with Mayo, Cleveland Clinic and others. This will be extended to other conditions. In the ascending “no outcome, no income” era, providers need to also recognize that Patient Engagement is the Blockbuster Drug of the Century. They also are recognizing that there’s a strong business case for patient engagement.
- Recognize patients today go to Dr. Google first for information, and it’s the “wild, wild, west” out there. New HIT tools and systems have been under development for years but there has not been a coordinated focus on the consumer side. Wikipedia is often the #1 choice of patients for information. The reality is that the #1 “patient portal” is WebMD with over 100M consumers regularly visiting their site, not the the administratively-focused, silo’ed patient portals that have been a “marketing checkbox item” for EMRs. Sophisticated patient relationship management (PRM), as outlined in the aforementioned business case article, is where patient portal technologies are going. PRM systems recognize that the most important “medical instrument” is communication. There’s no need to reinvent the wheel (a common healthcare provider ill) — they can and should curate the most useful tools they can direct patients to whether it’s ACOR or a disease-specific community if they have tools or information that will be useful. That curation process is immensely helpful for patients as they are flooded with information. Providers can help separate the wheat from the chaff.
Friday, January 04, 2013
How to deliver bad news to patients: 9 tips to do it better
My heart began pounding as I listened to the sound of the dial tone in my ear. After three rings a woman answered groggily and uncertainly, “H-hello?”
“Mrs. Peterson?” I asked. My voice trembled slightly. It was 2 a.m., and I’d awakened her from what I imagined had been a troubled sleep.
“Yes?”
“This is Dr. Lickerman. I’m calling from the hospital.” I paused. “I’m calling about your husband.”
There was silence. Then a breathless, “Yes?”
“Mrs. Peterson, I’m the resident on call taking care of your husband. Your husband—your husband’s suffered a complication. You know the heart attack he came in for was very serious. A large part of his heart had stopped working. Well, Mrs. Peterson, I just don’t know how to say this to you but…your husband passed away tonight. We tried everything we could to save him but there was just too much damage to his heart. It just couldn’t keep pumping blood. I’m … so sorry. I don’t know how—I’m just really sorry. I wish I weren’t telling you this over the phone …”
A few more minutes of silence passed, and I realized she was crying. “I understand,” she said finally. “Thank you.” Then she asked, “What do I do now?”
Relief coursed through me. “There’s a hospital administrator on the line—”
“Hello,” the hospital administrator said gently.
“—he’s going to explain everything you need to do.” I paused. “Mrs. Peterson, I am just so sorry…”
“Thank you,” she said quietly. When I hung up I found my hands were literally shaking.
I was a first year resident, and this was the first time I’d ever had to tell a family member a loved one had died. It had happened in the middle of the night so I’d had no choice but to deliver the news over the phone. Not only that, but because I was covering for another resident and had only met Mr. Peterson (not his real name) that night after his heart had stopped and I’d been called to try to resuscitate him, his wife ended up hearing the news of his death from a total stranger. It was an experience I will never forget.
Doing it better
In the years since then, I’ve had to deliver that kind of news to families a score of times and bad news of a slightly lesser magnitude hundreds of times. In all honesty—and contrary to the popular saying—it has in fact become easier, partly because I’ve learned to do it better, I think, and partly because the more you do anything the less it stirs up the emotion that initially accompanied it. What follows is the approach I’ve developed over the years to deliver bad news in the most compassionate manner possible.
Prepare yourself to feel badly. Doctors enter medicine with the hope of making patients feel better. However, when delivering bad news, that’s not what happens. No matter how people feel before I give them bad news, afterward they always feel worse. If I don’t recognize this as normal, that working hard to make people feel good about bad news is not only counterproductive to the grieving process but potentially deleterious for our doctor-patient relationship, in the long run I’ll add to my patients’ pain rather than diminish it.
Set the context. When delivering bad news of any kind, providing the recipient time to prepare themselves can be helpful. My attempt to do this with Mrs. Peterson was clumsy (“You know the heart attack he came in for was very serious”), but my intent was honest: I wanted her to realize I was about to tell her something awful. The phrase “brace yourself” carries more than a metaphorical meaning in this context. Psychologically, even a single moment of preparation can mute the pain of hearing bad news, if only a little.
Deliver the bad news clearly and unequivocally. I don’t say, “There’s a shadow on your chest x-ray” or “You have a lesion in your lung” or even “You have a tumor.” I say, “You have cancer.” The temptation to soften the blow by using jargon is surprisingly powerful but extremely detrimental. At best, it delays the patient’s understanding of the truth; at worst, it promotes their denial of it.
Stop. When a person receives bad news, they always have some kind of reaction. Some cry. Some get angry. Some sit quietly in numbed shock. Some refuse to believe what they’ve been told. My job at that point, however, isn’t to clarify, mollify, restate, or defend the diagnosis or myself. My job is to respond to their reaction and help them through it. I vividly remember the first time I had to tell a patient and his family he had lung cancer, some time after my late night call to Mrs. Peterson. I came into the room to find ten or so family members gathered around my patient’s bed. I set the context, I delivered the news clearly, and then I launched into thirty minutes of clarifying explanation. When I finally paused to take a breath and to allow my patient to react to what I’d told him, he only looked at me with a sad expression and mumbled in a subdued voice, “I thought I had more time.” He hadn’t, of course, heard a word I’d said after I’d said the word “cancer.” The only person I’d been attempting to treat with my soliloquy had been myself.
Ask for questions. Once a person’s reaction has run its course, or at least paused, I always ask if they have any questions. Often they don’t, at least at first. But often they do. I answer them all as honestly and directly as I can. Surprisingly, or perhaps not so surprisingly, people rarely ask the questions doctors dread most: Is this terminal? How long do I have? How likely is the treatment to cure me?
But sometimes they do. When patients ask if their illness is terminal, I tell them the truth: the percentage of people who survive any illness breaks down into two groups, those who survive and those who don’t. The percentage may be dramatically and tragically skewed toward those who don’t, but I emphasize that no one can predict into which group any particular patient will fall. One thing I’ve learned in my years of practice, both as a doctor and a Buddhist, is that nothing is certain…
Never destroy hope … except for one thing: if you destroy a person’s hope for a good outcome, they’ll suffer far more on the way to whatever bad outcome may be in store for them than if they’d had the opportunity to approach it full of hope. Especially when the quantity of life left may be short, the quality of life becomes even more important, and I’m convinced that nothing lessens the quality of life more than living it without hope. How do you prevent hope from failing when the outcome is so likely grim? I have no ready answer. I often make statements about the frenzied pace with which new knowledge and treatments are discovered and once or twice have even seen a new discovery make a difference in a person’s prognosis. But often it’s what I don’t say that allows people to continue to hope. It’s every person’s natural tendency to continue to hope even in the face of terrible odds, and whenever I believe I need to say something that risks interfering with their belief that things may somehow work out all right, I think very carefully before I speak. I never lie, but neither do I automatically verbalize everything I’m thinking. In general, I try not to enable false hope, but I always wonder if that does more harm than good. I honestly don’t know.
Express your commitment of support. I always make a point to say to every person to whom I deliver bad news, “I will not abandon you.” I am continually amazed at the level of relief this provides. Just knowing there is someone in a position of confidence and authority who genuinely cares about what happens to them, who can explain the things that occur during the course of their illness and simply be available to them, is enormously relieving to most people. I also add, if it applies, “I will not let you suffer.” Adequate training in pain relief is woefully sparse in most medical schools and residency programs, but the technology exists to mitigate, if not completely control, the pain of most (though not all) illnesses.
Make a plan. I always give patients a series of instructions at the end of a visit in which I’ve delivered bad news. I tell them:
Write your questions down. Once the shock of hearing the bad news wears off—usually after they’ve returned home—many questions typically arise. I promise to answer them all, either on the phone or at our next visit, which I always schedule before they leave my office.
Tell your family. People frequently struggle with this, often thinking first of the impact their illness will have on their loved ones rather than themselves, and seek to insulate their family—or specific members of it—from the news. I am convinced this does more harm than good in most situations: it prevents damaged relationships from having a chance to heal and often creates more angst than it resolves, not to mention cuts off critical avenues of support. People who choose to die with secrets often leave wounds in survivors that never heal.
Prepare yourself for what comes next. It may be more testing. It may be treatment. It may be both. It may be neither. The last is the hardest to bear, I think. At least while you’re engaged in treatment you’re doing something active, fighting the diagnosis in a concrete way. Many people become inconsolably anxious once their treatment stops because at that point all they have left to do is wait for a relapse.
Finally, follow up. Whether by phone or in person, I always talk with the person again within a week. Often, the person will have made surprising progress in coming to terms with the news that’s been delivered. The human mind has a remarkable capacity to adjust to tragedy, and in fact I believe begins to cope with bad news the moment it’s delivered. Many people agree that the wait for bad news is almost worse than actually receiving it. At least once you receive it—even if it’s the worst you feared—you can begin to take action to deal with it.
The importance of caring
All of us will receive bad news—devastating news—in the course of our lives, if we haven’t already. Studies have shown patients and their families remember the way bad news is delivered—the exact words doctors use, how they looked, and whether they seemed to sincerely care—for the rest of their lives.
Which is why every time I’m about to enter a patient’s exam room to deliver bad news myself I pause and remember Mrs. Peterson, a woman I’ve never seen or heard from since, but whose life I irrevocably changed in the middle of the night while she lay at home in bed without her husband next to her—as she would from that point forward—all those years ago.
Three Resolutions for Every Leader
Listen more: I’ve written previously about our tendency to be poor listeners citing the sorry statistic that we listen at about a 25 percent comprehension rate. Two recent events brought this home to me on a very personal level. The first was a thirty minute so-called “exchange of ideas” meeting with the CEO of a company with whom I was considering a partnership. He spoke for at least twenty-seven of those thirty minutes, with no regard whatsoever for my input. Some exchange! More like a verbal tsunami. Not long afterward I was on the phone with someone who also graduated from the machine gun school of conversation. At one point, when I was able to squeeze a word into this ‘conversation,’ I mentioned the importance of listening in successful consulting engagements. He immediately broke in saying, “You’re right; I used to talk a lot, but now I mostly listen.” It was everything I could do to withhold my laughter. Not only is this behavior impolite, it’s counter-productive. We spend seven out of every ten minutes communicating with someone, and fully 45 percent of our time at the office is spent listening. If just a quarter of that information is getting through, think of the knowledge and productivity we’re squandering.
Connect the dots: The CEO of a utility company asked his workers why they get up at 2:00 a.m., go out in the snow and risk their lives climbing a pole to get the electricity back up and running. Not a single one said it was because of the extra overtime money he’d receive. Instead, they replied that they did it because of the feeling they get upon seeing that cascade of lights come back on across the community. They know there are a lot of happy people there, and that provides them with a feeling of deep satisfaction. That’s connecting the dots between a job and the outcome it produces for a customer, and it doesn’t take a power outage to produce it. What can you do to make that connection for your employees?
Question “expert” advice: I recently had the chance to hear a well-known business guru address an audience on a number of topics, including talent management and how to successfully negotiate change. His advice for talent? Hire all the 23 year olds you can because they’ll ask questions ‘older’ workers are too hardened to ask. Huh? This flies in the face of most thinking about maximizing human capital and harnessing employee knowledge. And it’s ridiculous to suggest that ‘older’ people don’t want to learn. Later, on the subject of change, he suggested that when people criticize the case for change ask them why five times and you’ll eventually get to something that’s embarrassing to them. I question this as well. Why would you try to humiliate someone to get them to support your change agenda? Surely there are better, more humane and dignified ways. There is so much advice out there these days, and in order to stay relevant and create attention for themselves in an increasingly crowded market, it seems some so-called experts feel they have to constantly push the envelope of accepted practice. However, in doing so their advice sometimes roars past the respectable label of iconoclastic and simply doesn’t fit with the reality on the ground. So listen to the experts (couldn’t resist another listening plug), but be sure to bring in your own unique blend of knowledge and experience when assessing their guidance and its relevance for your organization.
Thursday, January 03, 2013
Tarihi Çarpıtanlar- Sinan Meydan
Bunların dışında Cumhuriyet tarihi yalanlarına sıkça başvuran ve Başbakanı etkilediğini düşündüğüm belli başlı yazarlar şunlardır:
* Cemal Kutay, “Çerkez Ethem Hadisesi”,
* Ahmet Kabaklı, “Temellerin Duruşması”
* Hasan Hüseyin Ceylan, “Din Devlet İlişkileri”,(3 cilt).
* Mustafa Müftüoğlu, “Yalan Söyleyen Tarih Utanasın”(10 cilt).
* Nihal Atsız, “Türk Ülküsü” ve “DalkavuklarGecesi”
* Vehbi Vakkasoğlu, “Son Bozgun” ve “BuVatanı Terk Edenler”
* Mustafa Armağan, “Yakın Tarih Küller Altında”(3 cilt)
* Sevan Nişanyan, “Yanlış Cumhuriyet”
* Emre Aköz, “yazılarında”
* Prof Mümtazer Türköne, “yazılarında”
* Ayşe Hür, “yazılarında”
* Prof Murat Belge,”yazılarında”
* Engin Ardıç, “yazılarında”
A Flowchart for Choosing Your Religion
Looking for a JOB - How to Be the Next Hire
Being flexible, creative and adaptable in today’s economy is the cornerstone to survival. The job search is no different and, with unemployment rising, requires just as much vigilance. One way you can keep your options open and make yourself even more marketable is by considering Consulting in addition to your quest for full-time employment. Often perceived as an “either-or” scenario, Consulting offers you just as many benefits as it does your “would be” employer:
Track record of Fixing Problems?
Career wise, people typically fall into one of two categories: those who thrive on problem solving and the prospect of a new challenge –or- someone who is exceptionally good at steering the ship once it is on course. If the thought of fixing something that is broken appeals to you (versus has you thinking about reaching for the Tylenol), then Consulting might be an avenue to explore.
A More Flexible Interview
Quite often, what a company needs is someone to tackle a specific problem, not a new full-time employee. Identifying this in the interview and being able to present yourself as the solution to their problem (at a lower cost), can ultimately create a job tailor made for you and your skill set. No one can compete against that.
Dating Before Marriage
A consulting engagement can give you the opportunity to see if this company is a nice place to visit or a great place to live. The only thing worse than a prolonged job search, is ending up in a position that results in you being unemployed again in 6-12 months. Consulting lets you do more due diligence than you could ever accomplish in an interview.
“Consulting” on Your Resume
To many recruiters, seeing “consulting” as your current role without any clients/engagements is just a way to dress up being out of work. But, with a list of key accomplishments at those engagements, you show that you are in demand, have more control over your search and are broadening your experience. The latter is extremely important if you are looking to transition industries.
Change Agent
For companies looking to make some sort of change internally (and you should like this if you have a track record of fixing problems), consulting is a more preferred approach versus hiring a permanent employee. It is much easier to come in as a consultant, effect the course correction and then hand it off to the internal leadership.
Money
Besides the obvious benefit of having income during your search, it also gives you breathing room to be more objective in selecting your next job.
It’s Easier to Find a Job When You Already Have One
So much of what makes this true is that fact that when you are employed, you tend to be a bit more objective because you have a “bird in hand.” Consulting (in addition to easing that financial strain, which helps here) can provide the self-assurance that comes along with being employed, which can get whittled away while unemployed.
Presenting yourself as a viable consultant or full time employee isn’t mutually exclusive. Rather, they are simply two sides to the same coin. For the companies where you interview, this will only make you more viable and versatile in your eyes. For you, there is nothing to lose. The worst thing that happens here is you generate some income to inevitable financial strain of your job search. On the other hand, you might just find through this process that you discover your next career move.
Bağdat Caddesi
1960'lı 70'li yıllarda köşkleriyle, bahçelerinden salkım salkım sarkan ortancalarıyla, billur gibi denizliyle, 'sayfiye' yeri olmasıyla meşhur Erenköy, Suadiye, Caddebostan.
Dükkanların az, ağaçların çok olduğu, bunca yıl geçmesine rağmen hala güzelliğini koruyan Bağdat Caddesi. On, onbir yaşımdan itibaren yazlarım geçti oralarda. Sokaklarda oynanırdı o zamanlar, öyle pek araba filan geçmezdi. Doyasıya bisiklete binilir, el birakarak gitmek büyük marifet sayılır Erenköy, Saskınbakkal, Göztepe bisikletle rahat rahat gidilir dönülürdü. Deniz için bazı sokakların denize vardıkları noktalarda bulunan kayıkhanelerden saatlik ücretle kayık kiralanır, kadın erkek kürek çekmeyi bilir, kayıktan denize girilirdi. Bazı gençler dalıp iskele ayaklarından midye toplar bazıları ise sığ kumda zıpkınla vatos avlarlardı. Sokaklardan dondurmacılar geçerdi o zamanlar. Simdiki gibi binbir çeşit ne gezer 'Dondurma, Kaymaaak' diye bağıran dondurmacının küçücük arabasında sadece kaymaklı ve limonlu dondurma olur, bazen ise çeşit olsun diye vişneli bulunurdu.
Caddebostan Plajı'nın yanı sıra bir de üyelikle girilebilen klüpler vardı. Marmara Yelken Klubü başta olmak üzere, Balıkadamlar, Caddebostan Yat Klübü ve İstanbul Yelken. Eğer bunlardan birine üyeyseniz veya üye bir arkadaşınız varsa bazı sporları yapma veya izleme olanağınız olur, voleybol, ping pong oynar, kıyıdan yelkenlilerin yarışlarını izlerdiniz. Denizin ortasında ise köfteciler vardı. Bunlardan aklımda kalanı ise mayomuzun kenarına sıkıştırdığımız parayla yüzdüğümüz, veya kayıkla yanaştığımız 'Fıştak'tı. Dönerken yüzülüyorsa demirlemiş kayıklara tutuna tutuna, dinlene dinlene yüzülürdü.
Akşamüstüne doğru herkesi bir 'piyasa' heyecanı alırdı. Saçlar yıkanır, bildiğımız ütüyle ütülenerek düzeltilir, ve (Bağdat) Cadde'ye binbir tur atmaya çıkılırdı. Bir aşağı, bir yukarı. Parkur ise genellikle Santral Durağı'ndan Saşkınbakkala kadardı. O zaman 'cafe' adeti bir elin parmaklarını geçmez, 'Borsa'da yer bulabilmek için hızlı davranmak gerekir, 'Divan' ise gençlere çok pahalı geldiğinden ancak hafif 'yaşı geçmiş'lerin duraklama mekanı olurdu. Hali varaba sahiakti oldukça yerinde olan birkaç genç ise bir aşağı bir yukarı arabayla giderek Mustang veya Corvette'leriyle gelene geçene hava atarlardı.
Geceleri ise açık hava sinemalarının keyfine doyulmazdı. Caddebostan'daki Ozan Sineması'nda genellikle Türk filmleri oynar, çıkınca biraz aşağıda, Caddebostan Maksim Gazino'sunun (MIGROS)yakınındaki büfe'de 'zümküfül' yenirdi (Bir çeşit sosisli sandoviç ) Yabancı filmlerin mekanı ise Budak Sineması'ydı (Şimdiki CKM). Yastıgını kapıp tahta iskemlelere yerleştirdikten sonra, çekirdeğini çıtlatarak izlenirdi filmler. Bazen bu sinemalarda Cem Karaca gibi o zamanın ünlü sesleri konserler verir, bazıları ağaç tepelerinden konser izlerdi.
Sonra sonra o köşkler birer birer yıkılmaya, yerlerin uzun uzun binalar dikilmeye, Cadde'deki evlerin yerlerini dükkanlar almaya, arabalar çoğalmaya, faytonlar yok olmaya, tekerlekli dondurmacıların yerini Algida'cılar almaya başladı. Ama ne mutlu ki tüm büyümeler, kalabalıklaşmalar rağmen 'Cadde'yi bozmayı başaramadı! O hala 'Cadde', İstanbul'un ,Türkiye'nin en güzide caddesi hala boydan boya yürümekten zevk aldığım, bir yerde oturup geleni geçeni izlemenin keyfini her yıl bir iki hafta yaşayabildiğim bir yer.
Galata' ya dogru...
The best way to improve health care requires physicians and other stakeholders
ULTIMATE RESULTS
Ilhan Arsel
BJK FOREVER
Karga kartalların sırtına oturur ve boynunu ısırır. Kartal cevap vermez, kargayla savaşmaz; kargaya zaman veya enerji harcamaz, bunun yerine sadece kanatlarını açar ve göklerde yükselmeye başlar. Uçuş ne kadar yüksek olursa, karganın nefes alması o kadar zor olur ve sonunda karga oksijen eksikliği nedeniyle düşer. Kartaldan öğrenin ve kargalarla savaşmayın, sadece yükselmeye devam edin. Yolculuk için gelebilirler ama yakında düşecekler. Dikkat dağıtıcı şeylere yenik düşmenize izin vermeyin....yukarıdaki şeylere odaklanmaya devam edin ve yükselmeye devam edin!! Kartal ve Karga dersi
For the city I love...
Far and away...
Cardinal Health Professional Practice Experience
Aşık Veysel’in Cumhuriyet destanı şiirinden:
Bir takım millete fesat verdiler
Her biri bir yerde hep geberdiler
Onlar kurtulmadı toplarımızdan
Aklı başında olan düşünür bunu
Şeriatçı oldu tüketen onu
Dağda belde fukaraya soygunu
Verenler onlar idi vatanımızdan...
PEZEVENK
Sohbeti din ile açar pezevenk
Komşusu aç iken kendisi toktur
Sanki melek olmuş uçar pezevenk
Karanlık işlerde zıplama ister
Evine granit kaplama ister
Dünya mektebinden diploma ister
İnsanlık dersinden kaçar pezevenk
Herkesin kabına çeşmesi akmaz
Erkek sinekleri hareme sokmaz
Fakir komşusunun yüzüne bakmaz
Selâmsız sabahsız geçer pezevenk
Sanırsın Allah'la akde oturmuş
Cennete giderken macun götürmüş
Hûriler'i dizip işi bitirmiş
Şimdi gılmanları seçer pezevenk
Aydınlığa düşman yobazın dölü
Hû çekerken şişmiş ağzında dili
Erbâbi, ülkede bunlardan dolu
Durmadan zehrini saçar pezevenk
Âşık Erbabi
by Erdem Asma on Thursday, August 5, 2010 at 11:05pm
Mission of working together to achieve a common goal
To get to know the person better you are going to marry
Rejected on a Job Application due to being Overqualified
Have you ever thought about this?
Yasarken Neler Yapmali ;-)
1. Çok su için.
2. Kahvaltıyı kral, öğle yemeğini prens ve akşam yemeğini de dilenci gibi yiyin.
3. Ağaçlarda ve bitkilerde yetişen yiyecekleri çok ve fabrikalar da üretilen yiyecekleri az yiyin.
4. 3 E ile yaşayın -- Energy, Enthusiasm, and Empathy (enerji, heyecan ve duygu paylaşımı).
5. Kendinize zaman ayırın
6. Daha çok oyun oynayın.
7. 2008'de okuduğunuzdan daha fazla kitap okuyun.
8. Her gün en az 10 dakika sessiz olarak oturun.
9. 7 saat uyuyun.
10. Her gün 10–30 dakika yürüyüş yapın ve yürürken gülümseyin.
KİŞİLİK:
11. Hayatınızı başkalarınınkiyle karşılaştırmayın. Onların seyahatinin ne hakkında olduğu belirsiz....
12. Kontrol edemeyeceğiniz olumsuz düşüncelere veya şeylere sahip olmayın. Bunun yerine enerjinizi olumlu şekilde şu an için harcayın.
13. Kendinizi fazla abartmayın; sınırlarınızı bilin.
14. Kendinizi çok da ciddiye almayın; kimse yapmıyor.
15. Kıymetli enerjinizi gevezelikle, dedikoduyla boşa harcamayın.
16. Uyanık iken daha fazla hayal kurun.
17. Kıskançlık, çekememezlik zamanın boşa harcanmasıdır. İhtiyacınız olan her şeye sahipsiniz.
18. Geçmiş meseleleri unutun. Partnerinizin geçmiş hatalarını hatırlatmayın. Bu durum mevcut mutluluğunuzu bozar.
19. Hayat, birisine kin duyarak zamanı boşa harcamak için çok kısadır.
20. Geçmişinizle barış yapın ki, şimdiki zamanı bozmasın.
21. Senden başka hiç kimse senin mutluluğundan sorumlu değildir.
22. Hayatın bir okul olduğunu ve öğrenmek için burada o lduğumuzu unutmayın. Problemler, cebir dersi gibi gelip giden, ancak aldığımız derslerin bir ömür boyu devam ettiği eğitim programının bir parçasıdır.
23. Daha fazla gülümseyin ve gülümsetin
24. Her tartışmayı kazanmak durumunda değilsiniz. Aynı fikirde olmamak için anlaşın.
SOSYAL YAŞANTI:
25. Ailenizi sık arayın.
26. Her gün diğerlerine iyi bir şey verin.
27. Herkesi her şey için affedin.
28. 70 yaşından büyük ve 6 yaşından küçük kimselerle vakit geçirin.
29. Her gün en az 3 kişiye gülümseyin, tanımadığınız en az 1 kişiye "GÜNAYDIN" deyin.
30. Başkalarının sizin hakkınızda ne düşündüğü sizi hiç ilgilendirmesin.
31. Hasta olduğunuz zaman, işiniz size bakamaz ama aileniz ya da arkadaşınız bakabilir.
HAYAT:
32. Doğru şeyi yapın!
33. Faydalı, güzel veya neşe dolu olmayan her şeyden uzak durun.
34. İyilikler her şeyi güzelleştirir.
35. Bir durum iyi veya kötü olsun, nasılsa değişecektir.
36. Nasıl hissettiğinizin önemi yok, haydi kalkın, giyinin ve ortaya çıkın.
37. En iyisine henüz sıra gelmedi.
38. Sabah canlı olarak uyandığınız zaman, buna sevinin.
39. Maneviyatınız daima mutludur. Öyleyse mutlu olun.
“The Mother’s Prayer for Its Daughter” from Tina Fey's new book, Bossypants ...
“The Mother’s Prayer for Its Daughter” from Tina Fey's new book, Bossypants ...
First, Lord: No tattoos. May neither Chinese symbol for truth nor Winnie-the-Pooh holding the FSU logo stain her tender haunches.
May she be Beautiful but not Damaged, for it’s the Damage that draws the creepy soccer coach’s eye, not the Beauty.
When the Crystal Meth is offered, May she remember the parents who cut her grapes in half And stick with Beer.
Guide her, protect her
When crossing the street, stepping onto boats, swimming in the ocean, swimming in pools, walking near pools, standing on the subway platform, crossing 86th Street, stepping off of boats, using mall restrooms, getting on and off escalators, driving on country roads while arguing, leaning on large windows, walking in parking lots, riding Ferris wheels, roller-coasters, log flumes, or anything called “Hell Drop,” “Tower of Torture,” or “The Death Spiral Rock ‘N Zero G Roll featuring Aerosmith,” and standing on any kind of balcony ever, anywhere, at any age.
Lead her away from Acting but not all the way to Finance. Something where she can make her own hours but still feel intellectually fulfilled and get outside sometimes And not have to wear high heels.
What would that be, Lord? Architecture? Midwifery? Golf course design? I’m asking You, because if I knew, I’d be doing it, Youdammit.
May she play the Drums to the fiery rhythm of her Own Heart with the sinewy strength of her Own Arms, so she need Not Lie With Drummers.
Grant her a Rough Patch from twelve to seventeen. Let her draw horses and be interested in Barbies for much too long, For childhood is short – a Tiger Flower blooming Magenta for one day – And adulthood is long and dry-humping in cars will wait.
O Lord, break the Internet forever, That she may be spared the misspelled invective of her peers And the online marketing campaign for Rape Hostel V: Girls Just Wanna Get Stabbed.
And when she one day turns on me and calls me a Bitch in front of Hollister, Give me the strength, Lord, to yank her directly into a cab in front of her friends, For I will not have that Shit. I will not have it.
And should she choose to be a Mother one day, be my eyes, Lord, that I may see her, lying on a blanket on the floor at 4:50 A.M., all-at-once exhausted, bored, and in love with the little creature whose poop is leaking up its back.
“My mother did this for me once,” she will realize as she cleans feces off her baby’s neck. “My mother did this for me.” And the delayed gratitude will wash over her as it does each generation and she will make a Mental Note to call me. And she will forget. But I’ll know, because I peeped it with Your God eyes.
~Tina Fey
by Erdem Asma on Tuesday, April 19, 2011 at 9:23pm
Beethoven's Love Letter "my eternally beloved"
July 6 1806, in the morning by Ludwing Van Beethoven~
"My angel, my all, my very self - Only a few words today and at that with pencil (with yours) - Not till tomorrow will my lodgings be definitely determined upon - what a useless waste of time - Why this deep sorrow when necessity speaks - can our love endure except through sacrifices, through not demanding everything from one another; can you change the fact that you are not wholly mine, I not wholly thine - Oh God, look out into the beauties of nature and comfort your heart with that which must be - Love demands everything and that very justly - thus it is to me with you, and to your with me. But you forget so easily that I must live for me and for you; if we were wholly united you would feel the pain of it as little as I - My journey was a fearful one; I did not reach here until 4 o'clock yesterday morning. Lacking horses the post-coach chose another route, but what an awful one; at the stage before the last I was warned not to travel at night; I was made fearful of a forest, but that only made me the more eager - and I was wrong. The coach must needs break down on the wretched road, a bottomless mud road. Without such postilions as I had with me I should have remained stuck in the road. Esterhazy, traveling the usual road here, had the same fate with eight horses that I had with four - Yet I got some pleasure out of it, as I always do when I successfully overcome difficulties - Now a quick change to things internal from things external. We shall surely see each other soon; moreover, today I cannot share with you the thoughts I have had during these last few days touching my own life - If our hearts were always close together, I would have none of these. My heart is full of so many things to say to you - ah - there are moments when I feel that speech amounts to nothing at all - Cheer up - remain my true, my only treasure, my all as I am yours. The gods must send us the rest, what for us must and shall be - Your faithful Ludwing"
by Erdem Asma on Tuesday, April 5, 2011 at 1:42am
The surprising benefits of lemon!~Limonun Faydalari
This is the latest in medicine, effective for cancer!
Read carefully & you be the judge.
Lemon (Citrus) is a miraculous product to kill cancer cells. It is 10,000 times stronger than chemotherapy.
Why do we not know about that? Because there are laboratories interested in making a synthetic version that will bring them huge profits. You can now help a friend in need by letting him/her know that lemon juice is beneficial in preventing the disease. Its taste is pleasant and it does not produce the horrific effects of chemotherapy. How many people will die while this closely guarded secret is kept, so as not to jeopardize the beneficial multimillionaires large corporations? As you know, the lemon tree is known for its varieties of lemons and limes. You can eat the fruit in different ways: you can eat the pulp, juice press, prepare drinks, sorbets, pastries, etc... It is credited with many virtues, but the most interesting is the effect it produces on cysts and tumors. This plant is a proven remedy against cancers of all types. Some say it is very useful in all variants of cancer. It is considered also as an anti microbial spectrum against bacterial infections and fungi, effective against internal parasites and worms, it regulates blood pressure which is too high and an antidepressant, combats stress and nervous disorders.
The source of this information is fascinating: it comes from one of the largest drug manufacturers in the world, says that after more than 20 laboratory tests since 1970, the extracts revealed that: It destroys the malignant cells in 12 cancers, including colon, breast, prostate, lung and pancreas ... The compounds of this tree showed 10,000 times better than the product Adriamycin, a drug normally used chemotherapeutic in the world, slowing the growth of cancer cells. And what is even more astonishing: this type of therapy with lemon extract only destroys malignant cancer cells and it does not affect healthy cells.
Institute of Health Sciences, 819 N. L.L.C. Cause Street, Baltimore, MD1201
Tıpta son yenilik, kansere karşı etkili! Limon, kanser hücrelerini öldüren mucizevi bir mahsul. Kemoterapiden 10,000 kat daha güçlü!!! Neden biz bunları bilmiyoruz? Çünkü bazı laboratuarlarda üretilen sentetik ilaçlarla birileri çok büyük karlar elde ediyor. Şimdi bir arkadaşına bu maili yollayarak limon suyunun kanseri önleyici faydalarını bilmesini sağlayabilirsin. Limonun tadı güzel ve kemoterapinin korkunç yan etkilerine sebep olmuyor. Multimilyonerlerin sahip olduğu büyük şirketlerin karlarına zeval gelmesin diye bu sır saklanırken daha kaç kişi ölecek? Bildiğiniz gibi limon ağacı, limon ve lim (yeşil limon) gibi çeşitleriyle bilinir. Bu meyveyi farklı şekillerde yiyebilirsiniz: posasını yiyebilir, suyunu sıkabilir, içecekler hazırlayabilir, şerbetler ve tatlılar yapabilirsiniz. Bir çok erdemleriyle tanınır, ama en ilginç olanı tümör ve kistler üzerine olanıdır. Bu bitki her tür kanser tipine karşı kanıtlanmış bir çaredir. Bazıları kanserin her türlü varyasyonuna karşı yararlı olduğunu söylüyor. Bakteri enfeksiyonları ve mantarlara karşı anti mikrobal spektrum olduğu, kurt ve parazitlere karşı etkili olduğu kabul ediliyor. Yüksek tansiyonu dengeliyor. Bunlar dışında stresle savaşan, sinir bozukluklarına iyi gelen antidepresan etkisi var. Bu bilginin alındığı kaynak gerçekten büyüleyici: Dünyanın en büyük ilaç üreticilerinden birinden öğrenildiğine göre; 1970'ten beri 20'den fazla farklı laboratuar test etti ve sonuç olarak limon ekstresinin 12 kanser tipinde kötü huylu hücreleri yok ettiği ortaya çıktı! Bu kanserler içinde kolon, göğüs, prostat, akciğer ve pankreas kanserleri de var. Kanser hücrelerinin büyümesini yavaşlatmada limon ağacı bileşenlerinin Adriamycin adlı bütün dünyada genellikle kemoterapide kullanılan ilaçtan 10,000 kat daha iyi olduğu gösterildi. Daha da hayret verici olan; limon ekstreleri ile yapılan bu terapi sadece kötü huylu kanser hücrelerini yok ediyor ve sağlıklı hücrelere hiçbir etkisi bulunmuyor.
by Erdem Asma on Wednesday, February 23, 2011 at 8:25am
To all who likes to know, today is the fist day of Ramadan!
It is required to fast for the duration of the month every year in Islam for all healthy Muslims.
Islam order the Muslims to stop eating , drinking , smoking and some other marriage activities from morning Fajr prayer till evening Maghrib prayer. Ramadan is 29 or 30 days depends on the moon followed by 3 days Eid holiday. In the evening after Maghrib prayer, until sunrise the life get back to normal, they can eat, drink and etc. Wish you peace, happiness and divine blessing. Ramadan Mubarak.
by Erdem Asma on Wednesday, August 11, 2010 at 9:14am
Pakize Suda'dan
Akşam, güneş batmadan
Dükkanını kapatıp eve gelmeliydi.
Evimiz mümkünse bahçeli olmalıydı.
Yaz akşamları sulayıp serin serin oturmalıydık.
Ben, orta boylu tıknazca, ev hanımı olmalıydım.
Cinsiyeti önemli değil, eli ayağı düzgün iki çocuğumuz olmalıydı.
Derslerine yardım etmeye yetecek eğitimim olmamalıydı.
Ama ara sıra ''Dersinizi bitirdiniz mi?'' diye sormalıydım.
Daha çok üstleri başlarıyla...
Yedikleri içtikleriyle. ..
Öksürükleri, aksırıklarıyla ilgilenmeliydim.
Yavaştan yavaştan çeyizlerini düzmeliydim.
Her ayın 15'i kabul günüm olmalıydı.
Ellerime sağlık, kekler,poğaçalar yapmalıydım.
İnce belli bardaklarda çaylar ikram etmeliydim.
Sabahları hırkamı omzuma alıp komşuya kahve içmeye geçmeliydim.
Patlıcan, biber kızartmalı,reçel kaynatmalıydım.
Akşamları özene bezene sofrayı kurmalıydım.
Kocam ajansı dinlerken ben lafa girmeliydim,
O, ''Sus hanım bi dakka'' demeliydi.
Böyle dese de beni çok sevmeliydi.
O uyuklamalı, ben bulaşık yıkamalı, çocuklar ders çalışmalıydı.
Bazen akşam oturmasına komşular gelmeliydi.
Öyle Haremlik selamlık gibi değil ama kadın erkek ayrı oturmalıydık.
Erkekler memleketi kurtarırken biz bütün kasabayı dilimizden
geçirmeliydik.
Herkes birbirinin kocasına, karısına ''Falanca Bey'', ''Filanca Hanım''
diye hitap etmeliydi.
Yanlışlkla bacağımız, göğsümüz biraz açılıverse
Yüzümüz kızarmalı,hemen toparlanmalıydık.
Kocam kırk yılda bir, bir tek atmalı,
Neşelenip bir hicaz şarkı mırıldanmalıydı.
Şehvetten uzak şefkate yakın bir cinsel hayatımız olmalıydı.
Gözümüzü birbirimizde açmış olmalıydık, öyle de sürüp gitmeliydi.
Harama uçkur çözmemeliydik.
Zaten etrafımızda evli barklı komşularımızdan başka kadın olmadığından....
Dükkanda çelimsiz çıraktan gayrı, öyle sekreter falan çalışmadığından...
Ortalıkta gidilecek bar mar bulunmadığından...
Mankenler bizim kasabaya uğramadığından...
Ve de kocam, efendi bir adam olduğundan beni aldatamazdı.
Tamam, abarttım biraz.
Belki de böyle bir aile yapısı örneği kalmamıştır artık.
Ama, acaba diyorum...
Buna benzer bir hayat tarzı beni daha mutlu eder miydi?
Kendim de dahil uçuk kaçık insanlardan gına geldi artık.
Normalliği özlüyorum.
Özgürlüğün tadını çıkaralım derken suyunu çıkardık galiba.
Herkes çok zeki, çok akıllı, çok bilgili, çok şu, çok bu...
Ve de çok mutsuz...
Depresyona giren girene.
Çok bilmişliğin kimseye bir faydası yok galiba.
Pakize Suda
by Erdem Asma on Thursday, August 5, 2010 at 3:24pm
TANSİYON
ölçüm birimi mm/hg dir.
Büyük tansiyon; Kalbin sol kalpten kanı vücuda doğru pompalarken kullandığı güce denir. Buna birinci veya büyük tansiyon da denir.
Küçük tansiyon; Kalbin kan pompalanmasını bitirdikten sonra damarlarda ortaya çıkan basınca da ikinci veya küçük tansiyon denir.
YÜKSEK TANSİYON
Yapılan bilimsel çalışmalara ve Dünya Sağlık Teşkilatının tarifine göre yüksek tansiyon sınırı yaşla değişiklik göstermesine rağmen, orta yaşlı insanlarda büyük tansiyon en fazla 160 mmhg, küçük tansiyon ise en fazla 85 mmhg olmalıdır. TANSİYON halinde ve tekrar tekrar ölçümün sonucu verilenden daha yukarı rakamlar çıkıyorsa, hastada yüksek tansiyon var demektir. Yüksek tansiyon hastada çoğunlukla belirti yapmadığı halde, teşhis konduktan sonra, sebebi mutlaka açıklanmalı ve tedavisi mutlaka yapılmalıdır. Tedavisi uzun vadelidir. Tansiyonun %20'sinin sebebi bilinir. Sebebi bilinmiyor ve ortadan kaldırılamıyorsa, hayat boyu sürer. Başta şişmanlık olmak üzere, böbrek hastalıkları, hormon bozuklukları ve bazı kalp hastalıkları tansiyona sebep olabilir. Örneğin; hastada doğuştan böbrek damarı daralması varsa, ameliyatla damar ve açılır ve tansiyon hastalığı ortadan kalkar. Tansiyonda
kalıtım önemli rol oynar. Fazla tuz ve kırmızı et yenmesi de tansiyona sebep olan etkenler arasındadır.
Belirtileri;
Baş ağrısı,
Baş dönmesi,
bulantı,
Kulak çınlaması,
Burun kanaması,
Kalp ağrıları olarak sıralanır.
Tedavisi
Günümüzde tansiyon tedavisi her zaman için kontrol altına alınabilir. Az tuz, az kırmızı tüketilmelidir. Şişman hastaların kilo vermesi gerekir. Uyku düzeni olan stressiz, içki ve sigaradan uzak bir hayat tavsiye edilir.
Yapılan diyet sonucu tansiyon düşmüyorsa ilaç tedavisi verilir. İlaç alınımından sonra tansiyon düzene girse bile kesinlikle doktora danışmadan ilaç bırakılmamalıdır. Yüksek tansiyonun tedavisinde kan basıncı düşürmek için özellikle diyet uygulanır ancak tansiyon çok yüksek ve organik hastalıklardan kaynaklanıyor ise, diyet ve ilaç tedavisi aynı zamanda
uygulanır. Bu hastalığın kesin bir nedeni ve tedavisi olmaması, ömür boyu diyet uygulamayı gerektirmektedir. Yüksek tansiyonu şişmanlıktan kaynaklanan kişiler için en uygun tedavi şekli kilo vermektir. Yüksek tansiyonu olan şişmanlar için ilaç gerekli olduğu durumlarda yine kilo verilmeli ki böylelikle ilacın etkisi artabilsin. Tansiyon, damar setliği ve beyin kanamasının en önemli sebebidir.
Yüksek Tansiyonda Beslenme İlkeleri
Şişman kişilerde yüksek tansiyon ortaya çıkma olasılığı normal kilolu insanlara göre 2 mislidir ve şişmanların %70'inde yüksek tansiyon görülür. Yedikleri fazla yemekle daha fazla tuz almaları da tansiyonlarının daha yükselmesine sebep olur. İşte bu sebeplerden ötürü kilo vermesi şarttır. Yüksek tansiyon hastalarının günlük tuz kullanımını en aza indirilmeli (5-7 gram) hatta mümkünse hiç kullanılmamalıdır. Doğal besinlerden; yeşil yapraklı sebzeler, süt, et, yumurta, işlemmiş besinlerden; kek, bisküvi, konserveler, hazır çorbalar, ekmek, yarım yağlı margarin, zeytin, peynir, turşu, hardal, ketçap, mayonez, salata sosları en çok tuz içeren besinler olmalarından dolayı az kullanılmaları tavsiye edilir. Tansiyon düşürücü ilaçlar az tuz kullanıldığında daha tekili olurlar. Alkol kan basıncı arttıracağından ve kilo almaya sebep olacağından kullanılmamalıdır. Sigaranın tansiyonu arttırıcı etkisi olduğundan kesinlikle bırakılmalıdır, böylelikle tansiyon düşürücü ilaçların etkisi de artacaktır. Fazla miktarda hayvansal yağ içeren besinler yerine bitkisel yağları (mısır özü, zeytinyağı) tercih etmek gerekir. Doymuş hayvansal katı ve sıvı yağlar yerine doymamış bitkisel katı ve sıvı yağlar tercih edilmelidir. Tansiyon çok yüksek değilse, fazla olmamak kaydıyla çay ve kahve içebilir.EĞER VÜCUDUNUZA GEREKLİ BESİN DESTEKLERİ VERİRSENİZ, TANSİYON SİZE ZARAR
VERMEZ.
Düşük Tansiyon Nedir?
Sol kalbin kanı vücuda pompalarken gerekli basıncın düşük olması demektir. Bu basınç ölçüldüğünden ilk basınç 120'den düşük, ikincisi ise, 80'den düşük olmalıdır. Düşük tansiyona sebep olan nedenler çok çeşitlidir. Çoğunlukla insanın yapısına bağlıdır. Tansiyon düşmesi, ani ayağa kalkmalarda, beyin merkezinde ur olması durumunda, kalp adalesi zayıflaması, aort kapakçığının hastalanması gibi kalp hastalıkları söz konusu olduğu zamanlarda, böbrek üstü bezinin çalışması bozulduğunda veya hormon bozukluklarında meydana gelir.
Belirtileri Nelerdir?
Baş dönmesi,
Ani bayılmalar,
Terleme,
Bulantı,
Yorgunluk hissi gibi yüksek tansiyondaki belirtileri gözlenir.
Düşük Tansiyon Tedavisi Nasıl Yapılır?
Tansiyon düşüklüğü insanın yapısından kaynaklanıyorsa, bu hastalara spor yapmaları (yüzme, bisiklet sürme) aynı anda sıcak ve soğuk duş yapmaları, tuzlu ayran gibi tuzlu sıvılar almaları önerilir. Diğer nedenlerden kaynaklanan düşük tansiyon ise, nedenleri tedaviye yöneliktir. Örneğin; Böbrek üstü bezinin çalışması bozulmuş ise, bu durumu tedavi etmekle tansiyonda düzelmiş olacaktır.
by Erdem Asma on Thursday, July 29, 2010 at 6:06pm
Yine ayni rezalet!
What is the most dangerous tech product in the world?
Cevap 1 : Nükleer santral.
Nuclear reactors.
Soru 2 : Nükleer santrallerin en kötüsünü dünyaya yapan ülke hangisi?
Which country maintains the worst nuclear reactors?
Cevap 2 : Rusya.
Russia
Soru 3 : Rüşvetin en çok yendigi ülke hangisidir?
Country has a long history of bribery and corruption.
Cevap 3 : Rusya.
Russia
Soru 4 : Dünyada kilovat saati 6-7 cent olan nükleer santral elektiriğini Rusya'dan 12.35 cente 15 yıl boyunca alma anlaşması yapan ülke hangisidir?
While the average cost of the residential price of nuclear powered electricity in the world 6-7 cents per kWh, which country agreed to purchase it from 12.35 cents for the next 15 years?
Cevap 4 : TÜRKİYE!
by Erdem Asma on Sunday, July 11, 2010 at 3:53pm
Healthcare today and tomorrow from Captain's perspective
Erdem Asma, MSM, PMP