#WorldListeningDay, the silence of the organs, and the sound of health

It is World Listening Day

You are invited to participate in World Listening Day 2017, an annual global event held on July 18.

This year’s theme is “Listening to the Ground”
“Sometimes we walk on the ground, sometimes on sidewalks or asphalt, or other surfaces. Can we find ground to walk on and can we listen for the sound or sounds of ground? Are we losing ground? Can we find new ground by listening for it?”—Pauline Oliveros (1932-2016)

 

The French surgeon René Leriche defined health as “life lived in the silence of the organs.” Of course, this can be disputed.

Leriche’s insight was expanded on by Georges Canguilhem, whose philosophical approach to health and illness I personally have found fruitful.

The sound of healthcare settings is a different thing. Gordon Hempton in his book One Square Inch of Silence refers to much literature on the relation between noise and health, and a literature already exists on soundscapes in hospitals.   Hospitals are noisy places

 

#OceanOptimism, powerlessness, hope, and change.

The current BBC Wildlife Magazine has a fascinating article by Elin Kelsey, of the Ocean Optimism Project, on how media-fuelled environmental despair and nihilism ends up demoralising people to the degree that positive action seems impossible. She cites much research on the “finite pool of worry” and the paralysing effect of despair, and the power optimism to reverse this trend. The article isn’t available online, but in the post below from my other blog I highlight relevant passages from a Kelsey piece in Smithsonian Magazine on similar themes.

This article is obviously focused on ecology, but is all too true of our healthcare systems. For similar reasons to those Kelsey ascribes to environmentalists who are wary of being overly focused on good news, frontline workers in the health service naturally tend to focus on what is wrong, what is proving impossible, what needs to change. This is necessary, but can become an overwhelming counsel of nihilism, fostering cynicism and very often helping to entrench negative practices.

This is very relevant to the various themes on values, morale, “blame culture”, and possibility of positive change within not only the HSE but any healthcare organisation.

Séamus Sweeney

The current issue of BBC Wildlife Magazinehas a fascinating cover story by Elin Kelseyon hope and optimism versus despair in how we think about they environment. Essentially, much media discourse on the environment tends to be gloomy, doom, and generally despairing. Kelsey cites a wide range of research on how this negativity effects how we think about the environment and our beliefs about what can be done – and therefore what is done – to improve things. The full article is not available online. This article from Smithsonian Magazine is briefer, but captures her idea:

Things are far more resilient than I ever imagined. Me, green sea turtles, coral reefs blown to bits by atomic bombs. In a twist of fate that even surprised scientists, Bikini Atoll, site of one of the world’s biggest nuclear explosions, is now a scuba diver’s paradise. Bikini Atoll located in the Pacific’s…

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The bedside manner of Eugene Vodolazkin’s Laurus

I am still not entirely sure what I think of Eugene Vodolazkin’s highly praised “Laurus” but was struck by this early passage;

 

The defining trait of the person under discussion is that he spoke very little. He remembered the words of Arsenius the Great: I have often regretted the things I have said, but I have never regretted my silence. Most often he looked wordlessly at the patient. He might say only, your body will still serve you. Or, your body has become unsuitable, prepare to leave it; know that this shell is imperfect.