OK so it’s christmas eve, we all come out of the trenches and we are having a few bars of “silent night” with the good folk of the H.S.E. We swap little presents, they give us some methadone clients and we offer them
our some balls on a plate. It’s real christmassy, we have icy conditions, some asses, a kcamal and three four wise men, Ritchie, John, Michael & Edward. We light a fire to keep warm but the H.S.E. stay back as they have their asses burnt too many times before.
But meanwhile back in the real world the truce still seems to hold. As for me I’m back in for the time being. The experience of a week without methadone did not leave me with any signs of withdrawal. I’ve agreed to take back my clients for now as the H.S.E. are a positive danger to methadone clients. However I will be re-assessing in January and will look at a more phased withdrawal then.
I find it hard to believe that the H.S.E. went into this without an exit strategy so I wonder what is their bigger picture. If perchance they did not have an exit strategy then boy are the health services in deep doo-doo. I then start my depressive thinking about the H.S.E. Does being a wonderful paediatrician make you a good (even adequate) administrator? You come from a situation where you are god and your word is gospel. You say “Jump!” and your minions chorus “How high?” Further down the line some administrator makes things happen. Now you are in a field where partnership (remember that?) is the name of the game. And you throw a hissy fit when everybody doesn’t do what you say. So what do you do? Of course you hire some good administrators. And boy have you hired some administrators. Except many of them aren’t good and many aren’t administrators. They are mostly other consultants who think like you and who end up with brown nose/tongue syndrome. Some are browner than others.
As for me, I’m back in my trench. I’m digging in deeper because for (and not if) the next round of bombshells start dropping.
Wrong era but I thought that I would stick this in anyway.