Re: System

I find comfort in rules. Rules are part of systems. Systems attempt to address randomness. Right now the systems that have been a large part of my life are breaking down. I welcome the possibility that with this breakdown will come new systems that better serve those who have so often been marginalized in society.

Natural systems are based on science and the physical order of things. For example our bodies have a circulatory system that makes sure our cells are fed and waste products are removed. Photosynthesis is a system in nature whereby plants use carbon dioxide to produce oxygen. Our planet is part of a Solar System that exists as a result of a systematic progression from events beginning with the theorized Big Bang. We are in a climate emergency right now. Humans have interfered to such an extent with natural systems, that problems around the world have become systemic. Radical change in our cultural and governmental systems is required for our planet’s very survival

Human constructed systems are created to keep things moving. They are often based on what is considered the norm. Human behaviour is often considered when constructing systems: Picture a Bell Curve. The majority of the population will be in the middle hump of 80%. Some of the best systems are the ones that have a plan for the fringe elements of the ten percent on either side of the hump. Rules must be kept flexible if the outliers are to survive. This group of people suffer the most when human systems break down. There’s irony here since economically the richest one percent is technically in a fringe zone. The obscenely wealthy hardly need protection from the slanted economic system from which they profit. These folks own and control so much that I would argue that some sort of equalization rules need to be established. Let’s call these rules, fair taxation.

My local hospital recently initiated a system to deal with people entering their emergency wing. They called it a Rapid Assessment and Discharge Unit. This particular system, as in many others, relies on professionals being efficient. My recent experience proved the opposite of the Unit’s intent as the rules were so strict that my assessment depended on a cavalier doctor. My recovery ended up taking longer as a direct result of this medical system failing me.

I once volunteered with my wife as a coat check for a local charity event. We arrived early to the function only to find no system in place to accurately account for the coats. Quickly we made up duplicate tickets from a wheel of paper stubs, organized the coat racks to visually track times of entry, found more hangers and created a secure perimeter. We were ready! We had systematically created and ticked off all the required boxes to success.

We are all responsible to some degree for system failure so we must all find a role to play in resolving issues before they become systemic. That can mean speaking up, acting out or voting in. It’s our world too and we have a part in protecting it and defining it for ourselves and for future generations.

Re: Surgery

My first experiences with surgery came before I was seven years old. Back in my early years it was routine to have your tonsils out before you got too long in the tooth. The idea, as I remember being told, was to reduce the risk of illness in the throat. As a bonus the surgeon would often yank out the adenoids. Now, more than sixty years later, whenever I think of hospitals I recall the smell of ether.

On the best advice of the day, my parents chose to have me go under the knife for the tonsillectomy. Just a year later, near my birthday, I was exploring a barn and a large iron bar fell across the toes of my left foot, smashing several bones. I had a bit of emergency surgery done and a cast was placed on my leg up to my knee. It became this young adventurer’s point of pride the following week at his birthday party. Every guest signed their name to my plaster of Paris leg as a tribute to my survival.

Surgical procedures have no doubt changed in my lifetime. Rich folk are choosing costly cosmetic surgery in the hopes of drinking at the well of eternal youth. New advances in prosthetics and bionics are also enabling greater mobility after corrective surgeries. Whether the surgery is elective or needed as a result of illness or accident, recovery times have been reduced since my tonsil days when ice cream was prescribed after the first night in a hospital ward. For example, it amazes me how quickly women are sent home after delivery of their baby, even if complications would suggest caution. I recently had prostate surgery which went according to plan, but then I was discharged too early only to find myself back in emergency and recovering from that ordeal. Perhaps our medical system is becoming too intent on freeing up beds as a cost saving policy, even when further monitoring is warranted. Aftercare is surely as important as the original dramatic diagnosis of the need for surgery.

Reading about the gold rush days of North American I am amused to discover that surgery and dentistry were often practised by the same person as indicated by their shingle hanging near a saloon on the boardwalk of a pioneer town. In those days a surgeon might have been called a sawbones in direct relation to the nature of their work. The early rudimentary nature of this medical profession is visually apparent in this opening scene of Dances With Wolves.

Which leads me to segue to military surgical strikes: Where the intent is to precisely remove a foreign threat by using an assassin, a tactical team, a smart bomb or a drone. Like bodily surgeries the objective is to get rid of any threatening or unnecessary bits before they affect the smooth running of he organism. In the case of limited warfare, the organism at risk is deemed to be the free world. Send in James Bond!