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ten pence piece tim holyoake's blog twitter facebook linkedin rss search for: about me lifelong learning ou psychology notes dse212 notes ed209 notes ed209 focus ii dd303 notes dd307 notes lymphoma diary politics derby privacy policy a complete response june 26, 2018 tim 18 comments i had the results of my most recent (last week’s) pet/ct scan today. the good news – no, excellent news – is that it shows i’ve made a complete response to treatment for mcl. so i’m officially in remission. the plan from here is that i will have a hickman line fitted tomorrow, followed by my 6th cycle of chemotherapy. i should be out of hospital again on saturday. there’s still some concern about me being slightly anaemic and neutropenic, so it may still be delayed by a week if my counts haven’t recovered by tomorrow lunchtime. packed and ready to go for cycle 6 the tricky bit comes next – the stem cell harvest and transplant. stem cell harvest should be straightforward. i will have a series of mobilising injections during the first few days of july. i’ll then be hooked up to a machine for a few hours that will filter the stem cells from my blood. these will be frozen until i’m ready for the transplant. transplant consists of an ultra-strong dose of chemotherapy given over 5 days, followed by what should be a relatively fast (minutes) return of my stem cells. initial recovery should take a couple of weeks before discharge. i hope to make a full recovery over the following 2-6 months. i’m still concerned about the transplant. it’s the most daunting part of the process and carries the most risk. hopefully my reaction to treatment so far will minimise any likelihood of severe problems. email tweet print health lymphoma b&q (diy.com) = do it yourself integration june 23, 2018 tim 2 comments earlier on this week i ordered some new fence panels for delivery from diy.com (b&q). this was the message i received during checkout: diy “digital” at b&q a diy (not very) digital experience. the part of their instructions about the letter was wrong, fortunately. i received an email from their supplier some hours later to organise delivery. this (naturally, given the paucity of the shopping experience so far) involved re-typing a b&q order number into their website, even though they could have provided me with a unique url to follow in their email. if only there was a company that provides market-leading business to business integration software … email tweet print computing digital the c word june 19, 2018 tim 2 comments no, not that c word. and not ‘chope’ either, though goodness knows his antics and those of his filibustering friend have made me furious over the last few days. the c word this blog post is about is cancer. a few days ago i noticed this tweet – and it moved me sufficiently to object. (there’s that o word again – but i promise this isn’t going to turn into a rant about chope). if you’re talking to a patient about a potential cancer diagnosis, you have to say the word cancer. not tumor, not malignancy, not mass, not leukemia, not lymphoma. cancer. don’t dance around it. #tipsfornewdocs — emily fridenmaker (@emily_fri) june 14, 2018 i’m all for doctors being honest with their patients. and on reflection, telling someone they have a tumour, malignancy or mass isn’t helpful. it’s definitely avoiding the issue. but so is always using the word cancer in a diagnosis conversation. cancer covers a vast number of different diseases, each with their own unique challenges. saying ‘you have cancer’ to a patient is about as useful as telling people with (say) liver cirrhosis, heart disease or a kidney infection that they have an ‘organ problem’. in my own experience, the specificity of the discussion i had on first diagnosis (firstly around lymphoma, then the specific type, followed by the treatment options) was far more important than the use of the c word. i think the use of the c word might even have been counter-productive in my case – it would have terrified me. to be honest, i don’t believe that any of my consultants have ever used the c word in conversation with me, and i’m glad that they haven’t. the unhelpful stereotypes that the word cancer induces would probably have stopped me from listening. it certainly wouldn’t have helped with my decision to go on watch and wait. after all, the cancer treatment stereotype most common in public discourse is that treatment should always be immediate. in the early days, i lost track of the number of times i had to convince friends and colleagues that immediate treatment, in my case, was unhelpful. however, talking about my condition as lymphoma rather than cancer (or even blood cancer) helped people to understand that what i was facing was a little different to the usual cancer stereotype. now, i’m certain that different people will react differently to this. if there’s one thing that being a lymphoma patient has taught me is that everyone reacts differently to the news – and to their treatment programmes. so my revised #tipsfornewdocs would be to make time to have a proper discussion with your patient about their diagnosis. take time to understand what they already know, and what they don’t know. definitely don’t beat about the bush – just talking about a mass, malignancy, tumour or even cancer is not enough. be specific. but do use terms like lymphoma or leukemia if that’s what they have. explain the consequences and treatment options for the diagnosis. and if the c word isn’t helpful in describing these, don’t feel the need to use it. the nhs belongs to the people … and your diagnosis belongs to you, the patient. email tweet print health cancer , lymphoma poll: 73% say ‘brexit dividend’ is a lie june 18, 2018 tim 2 comments a poll conducted on monday 18th june 2018 found that 73% of those asked said the claim of a ‘brexit dividend’ was a lie. 11% of respondents said that there would be a brexit dividend, with the remaining 16% undecided. the sample size was 1,003, with a margin of error +/-3% (*). a fake graph to demonstrate confirmation bias if you’ve read this far, your initial reaction to this ‘poll’ is likely to have been determined by your existing beliefs about brexit. if you oppose brexit, you were probably more likely to have seen this as further evidence that your view is right. if you support brexit you probably haven’t even read this far, but will have dismissed or ignored this article on the basis of the headline itself. a psychological explanation often offered for this effect is confirmation bias (darley and gross, 1983). confirmation bias is the tendency to seek evidence to confirm your existing beliefs rather than look for evidence that might counter them. regardless of the actual truth of the information, finding support for your beliefs boosts your confidence in them. crucially, this makes it less likely that people holding these beliefs will alter them. many people on the pro-eu side of the debate are placing a lot of faith in calling for a ‘people’s vote’ on the final eu exit deal. they express confidence (often citing the way that opinion has subsequently changed on the iraq war pursued by the blair government) that people won’t be fooled again. i remain unconvinced that the outcome of any such referendum would be different. although opinion pollsters yougov claim there has been a slight drift towards people thinking that the decision to leave the eu is a bad one, the difference is nothing like as pronounced as the shift over the iraq war. there’s also another important difference compared with the iraq war – brexit is a current issue. on both sides of the argument, people still have a lot of psychological capital invested in their beliefs. much of the shift in opinion over the iraq war seems to have happened afterwards, when it was seen to be both a disaster and with a premise based on a lie. the challenge for those of us who want no truck with brexit is to overcome the confirmation bias of the le

URL analysis for tenpencepiece.net

http://www.tenpencepiece.net/blog/2018/05/16/gammons-remoaners-everyone/#respond
http://www.tenpencepiece.net/blog/2018/06/18/brexit-dividend-lie/?share=email
http://www.tenpencepiece.net/blog/2018/05/16/gammons-remoaners-everyone/
http://www.tenpencepiece.net/blog/dse212-notes/
http://www.tenpencepiece.net/blog/2012/06/30/ou-taught-masters-degrees-not-valued-and-expect-no-research-what-nonsense/
http://www.tenpencepiece.net/blog/2018/06/05/vince-cable-lifelong-learning/#comments
http://www.tenpencepiece.net/blog/tag/oulton-park/
http://www.tenpencepiece.net/blog/2018/06/26/complete-response/#comments
http://www.tenpencepiece.net/blog/2018/06/23/diy-integration/
http://www.tenpencepiece.net/blog/2018/06/08/farewell-maxi-chop/#comments
http://www.tenpencepiece.net/blog/tag/anaemia/
http://www.tenpencepiece.net/blog/category/health/
http://www.tenpencepiece.net/blog/2018/05/16/gammons-remoaners-everyone/?share=email
https://i2.wp.com/www.tenpencepiece.net/blog/wp-content/uploads/2018/06/confbias.jpg
http://www.tenpencepiece.net/blog/ed209-notes/
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Domain Name: TENPENCEPIECE.NET
Registry Domain ID: 1572677433_DOMAIN_NET-VRSN
Registrar WHOIS Server: whois.meshdigital.com
Registrar URL: http://www.domainbox.com
Updated Date: 2016-08-23T00:00:00Z
Creation Date: 2009-10-18T00:00:00Z
Registrar Registration Expiration Date: 2017-10-18T00:00:00Z
Registrar: MESH DIGITAL LIMITED
Registrar IANA ID: 1390
Registrar Abuse Contact Email: [email protected]
Registrar Abuse Contact Phone: +1.8779770099
Reseller: SG Internet Limited
Domain Status: clientDeleteProhibited https://icann.org/epp#clientDeleteProhibited
Domain Status: clientUpdateProhibited https://icann.org/epp#clientUpdateProhibited
Domain Status: clientTransferProhibited https://icann.org/epp#clientTransferProhibited
Registry Registrant ID:
Registrant Name: Tim Holyoake
Registrant Organization: Tim Holyoake
Registrant Street: 9 Kershope Drive,
Registrant Street: Oakwood
Registrant City: Derby
Registrant State/Province: Derbyshire
Registrant Postal Code: DE21 2TQ
Registrant Country: GB
Registrant Phone: +44.1332675669
Registrant Phone Ext:
Registrant Fax Ext:
Registrant Email: [email protected]
Registry Admin ID:
Admin Name: Tim Holyoake
Admin Organization: Tim Holyoake
Admin Street: 9 Kershope Drive,
Admin Street: Oakwood
Admin City: Derby
Admin State/Province: Derbyshire
Admin Postal Code: DE21 2TQ
Admin Country: GB
Admin Phone: +44.1332675669
Admin Phone Ext:
Admin Fax Ext:
Admin Email: [email protected]
Registry Tech ID:
Tech Name: Tim Holyoake
Tech Organization: Tim Holyoake
Tech Street: 9 Kershope Drive,
Tech Street: Oakwood
Tech City: Derby
Tech State/Province: Derbyshire
Tech Postal Code: DE21 2TQ
Tech Country: GB
Tech Phone: +44.1332675669
Tech Phone Ext:
Tech Fax Ext:
Tech Email: [email protected]
Name Server: ns.mainnameserver.com
Name Server: ns2.mainnameserver.com
DNSSEC: unsigned
URL of the ICANN WHOIS Data Problem Reporting System: http://wdprs.internic.net/
>>> Last update of WHOIS database: 2017-07-18T21:55:24Z <<<

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  REGISTRAR MESH DIGITAL LIMITED

  REFERRER http://www.meshdigital.com

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DOMAIN

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NSERVER

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STATUS
clientDeleteProhibited https://icann.org/epp#clientDeleteProhibited
clientTransferProhibited https://icann.org/epp#clientTransferProhibited
clientUpdateProhibited https://icann.org/epp#clientUpdateProhibited

  CHANGED 2016-08-23

  CREATED 2009-10-18

  EXPIRES 2017-10-18

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