Category: Uncategorized

You can make money in medicine but it shouldn’t be the purpose (or why Medica Hurstville is under adminstration)

So a local facility, Medica Hurstville is in administration.

How can this be so?

It was advertised as a state of the art facility with all of the mod cons, the latest technology and the smartest specialists. In reality it was a facade for an investment program, for a super-fund or some similar activity: the primary purpose was to raise money for investors, the aim was not to provide quality care for patients.

The facility actually wasn’t world’s best because it wasn’t designed by people who knew health. It advertised how wonderful it was before it actually had any doctors and as a consequence it got very few patients.

I think there is a take home message – the builders didn’t understand healthcare and even worse they didn’t understand that people in healthcare can get rich not by providing spin but by providing good quality healthcare. Profit should be incidental and not the primary motive when it comes to health.

Disclaimer: the ability to make profit shouldn’t be eliminated otherwise things might go backwards, it’s just the motives that need to be addressed

A whole bunch of Francis Poulenc

On EMI Classics 20th Century Classics Series – Various Works by Poulenc

Disc 1
01 Andante – Allegro giocoso: Concerto in G minor for organ, strings and timpani (1987 Digital Remaster)  – Maurice Duruflé/Georges Prêtre/Orchestre National
02 Andante moderato -: Concerto in G minor for organ, strings and timpani (1987 Digital Remaster)  – Maurice Duruflé/Georges Prêtre/Orchestre National
03 Tempo allegro, molto agitato: Concerto in G minor for organ, strings and timpani (1987 Digital Remaster)  – Maurice Duruflé/Georges Prêtre/Orchestre National
04 Très calme.  Lent: Concerto in G minor for organ, strings and timpani (1987 Digital Remaster)  – Maurice Duruflé/Georges Prêtre/Orchestre National
05 Tempo de I’Allegro initial: Concerto in G minor for organ, strings and timpani (1987 Digital Remaster)  – Maurice Duruflé/Georges Prêtre/Orchestre National
06 Tempo Introduction.  Largo: Concerto in G minor for organ, strings and timpani (1987 Digital Remaster)  – Maurice Duruflé/Georges Prêtre/Orchestre National
07 Notre-Dame De Rocamadour (Remasterisé En 1998): Litanies À La Vierge Noire  – Henriette Roget – Jacques Jouineau – Maitrise D’En
08 I – Allegretto (Remasterisé En 1998): Concerto Pour Piano Et Orchestre En Ut Dièse Mineur FP 146  – Gabriel Tacchino – Orch Ste Conc Du Conservatoire
09 II – Andante Con Moto (Remasterisé En 1998): Concerto Pour Piano Et Orchestre En Ut Dièse Mineur FP 146  – Gabriel Tacchino – Orch Ste Conc Du Conservatoire
10 III – Rondo À La Française (Presto Giocoso) (Remasterisé En 1998): Concerto Pour Piano Et Orchestre En Ut Dièse Mineur  – Gabriel Tacchino – Orch Ste Conc Du Conservatoire
11 Allegro molto: Concert Champetre for Harpsichord and Orchestra (2003 Digital Remaster)  – Aimée van de Wiele/Orchestre de la Société des Con
12 Andante: Concert Champetre for Harpsichord and Orchestra (2003 Digital Remaster)  – Aimée van de Wiele/Orchestre de la Société des Con
13 Finale (Presto): Concert Champetre for Harpsichord and Orchestra (2003 Digital Remaster)  – Aimée van de Wiele/Orchestre de la Société des Con
Disc 2
01 I    Allegro ma non troppo: Concerto for Two Pianos and Orchestra in D minor (1932) (2003 Digital Remaster)  – Pierre Dervaux/Francis Poulenc/Jacques Février/Orc
02 II   Larghetto: Concerto for Two Pianos and Orchestra in D minor (1932) (2003 Digital Remaster)  – Pierre Dervaux/Francis Poulenc/Jacques Février/Orc
03 III  Finale (Allegro molto): Concerto for Two Pianos and Orchestra in D minor (1932) (2003 Digital Remaster)  – Pierre Dervaux/Francis Poulenc/Jacques Février/Orc
04 I    Toccata: Aubade – Choreographic Concerto for Piano & 18 instruments (1966 Digital Remaster)  – Georges Prêtre/Gabriel Tacchino/Orchestre de la So
05 II    Récitatif (Les compagnes de Diane): Aubade – Choreographic Concerto for Piano & 18 instruments (1966 Digital  – Georges Prêtre/Gabriel Tacchino/Orchestre de la So
06 III   Rondeau (Diane et compagnes): Aubade – Choreographic Concerto for Piano & 18 instruments (1966 Digital Remast  – Georges Prêtre/Gabriel Tacchino/Orchestre de la So
07 IV  Presto (Toilette de Diane): Aubade – Choreographic Concerto for Piano & 18 instruments (1966 Digital Remaster)  – Georges Prêtre/Gabriel Tacchino/Orchestre de la So
08 V   Récitatif (Introduction à la variation de Diane): Aubade – Choreographic Concerto for Piano & 18 instruments (1  – Georges Prêtre/Gabriel Tacchino/Orchestre de la So
09 VI  Andante (Variation de Diane): Aubade – Choreographic Concerto for Piano & 18 instruments (1966 Digital Remaster  – Georges Prêtre/Gabriel Tacchino/Orchestre de la So
10 VII Allegro Feroce (Désespoir de Diane): Aubade – Choreographic Concerto for Piano & 18 instruments (1966 Digital R  – Georges Prêtre/Gabriel Tacchino/Orchestre de la So
11 VIII Conclusion (Adieux et départ de Diane): Aubade – Choreographic Concerto for Piano & 18 instruments (1966 Digit  – Georges Prêtre/Gabriel Tacchino/Orchestre de la So
12 Ouverture: Les Biches (1981 Digital Remaster)  – Georges Prêtre/Ambrosian Singers/Philharmonia Orch
13 Rondeau: Les Biches (1981 Digital Remaster)  – Georges Prêtre/Ambrosian Singers/Philharmonia Orch
14 Chanson dansée: Les Biches (1981 Digital Remaster)  – Georges Prêtre/Ambrosian Singers/Philharmonia Orch
15 Adagietto: Les Biches (1981 Digital Remaster)  – Georges Prêtre/Ambrosian Singers/Philharmonia Orch
16 Jeu: Les Biches (1981 Digital Remaster)  – Georges Prêtre/Ambrosian Singers/Philharmonia Orch
17 Rag-Mazurka: Les Biches (1981 Digital Remaster)  – Georges Prêtre/Ambrosian Singers/Philharmonia Orch
18 Andantino: Les Biches (1981 Digital Remaster)  – Georges Prêtre/Ambrosian Singers/Philharmonia Orch
19 Petite chanson dansée: Les Biches (1981 Digital Remaster)  – Georges Prêtre/Ambrosian Singers/Philharmonia Orch
20 Finale: Les Biches (1981 Digital Remaster)  – Georges Prêtre/Ambrosian Singers/Philharmonia Orch

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Things they didn’t teach in medical school: Part 29 Building Things (incl. organisations)

One of the things that we can do, regardless of our profession, is build stuff and make things better. For me, this is what people in civil societies do – build stuff and make things better. Most of the time we do this as cogs in the machine but many of us have the opportunity to actually do things that make major changes and one of the ways we do this is through building organisations that support our ends.

You may want to start a new organisation right from the beginning or perhaps you need to change, grow and improve an existing organisation. Nobody teaches you how to do this at medical school.

What I’ve learning being involved with a variety of non-government organisations and businesses is to define the purpose of the organisation upfront. This doesn’t mean the purpose can’t change over time when the organisation needs to adapt to circumstances. Clarity of purpose means being clear about what is the product or the organisation. In recent times the digital revolution has seen a number of companies like Kodak essentially disappear. Kodak thought it was in the business of making film and cameras but actually it was a communications business.

By knowing the real purpose and product of a business one can then focus on the means to achieve the ends. This is strategic things that can be applied to many things that aren’t taught in medical school.

And remember – Rome wasn’t built in a day.

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