Showing posts with label system. Show all posts
Showing posts with label system. Show all posts

Saturday, April 20, 2024

Health Care System in Finland - Overhyped: Be careful

 


We have written a couple of earlier blogs about some of the real problems with the health care system in Finland. One recent one is: 
The Finnish Health Care System

But my personal experience of the last two months may be especially of interest and important to several of you.

Even though  I am 80+ and with only one leg, I consider that I am extremely active. 

As Annikki has severe dementia and is incapable of any action which requires the thought process,  it is my task to look after everything in the household. 

I do have one lady who comes once a week to vacuum the house and wash the floors. 

We eat out twice a week but the rest of the week I have to manage the cooking and providing food for both of us. 

Being an amateur ergonomist, I have made it a fine art of minimum effort for maximum result!

One of my tasks has been to visit the large supermarket every Sunday, where our youngest son, who lives near the supermarket, would take care of his mother while I would do the rounds and stock up our needs for the week.

About 2 months ago I started to feel tired while doing the shopping. Every week my ability to shop became problematic. Finally, I was just able to do about 50 metres walking and then had to rest.
I realised there was something seriously wrong and informed the home nurse that I needed to have urgent medical attention.

She arranged for me to meet my local doctor. 

I was immediately sent for an ECG.  

The ECG revealed  a left bundle branch block in my heart, which my daughter explained to me was an electrical problem of the heart.

 A left bundle branch block (LBBB) is a heart condition that occurs when there is a delay or blockage along the pathway that electrical impulses travel to make the heart beat. The left bundle branch is one of the pathways that these electrical signals use to travel from the heart's upper chambers (atria) to the lower chambers (ventricles).

When there is a blockage or delay in the left bundle branch, it can disrupt the normal coordination of the heart's contractions, leading to an abnormal heart rhythm. This can be detected on an electrocardiogram (ECG) as specific changes in the pattern of electrical activity in the heart.

LBBB can be a sign of underlying heart conditions such as heart disease, high blood pressure, or heart failure. It can also occur in people with otherwise healthy hearts. Treatment for LBBB depends on the underlying cause and may include managing any heart conditions present or addressing other factors that could be contributing to the blockage.” (Explanation was AI Generated)

I was rushed to the hospital in an ambulance and after a wasted half day in the Out Patient Ward, I was admitted to the Cardio ward in the Oulu University Central Hospital. I was fitted with a telemetry device which continuously tracked all my vital data.

The next day I was taken for a chest X-ray and later the cardiologist  did an ECHO examination. The following day they did an angioplasty.

The conclusion was that my problem could be treated by medication. I was duly sent home to take one prescribed tablet in the morning and one in the evening. I was also provided with a mouth spray to be taken if I was embarking on a major exercise routine.

I started this regime. 

I have my own monitoring system where I take my blood pressure, test my blood sugar before and after food and keep tabs on my pulse and blood oxygen. All my data is obtained both in the morning and evening so I know exactly where my health condition stands.

I did go to have all my  remaining teeth extracted as a continuation of my dental health programme. I recovered from that very quickly.

However, 9 days following my return from hospital, I realised something was still seriously wrong. 

I went to bed on the Sunday afternoon and woke up late afternoon on Monday. I could hardly lift myself from my wheelchair to move about!

Poor Annikki suffered not being looked after but she is an angel  and stayed by me quietly through those 26 hours.

On the following Wednesday I informed the home care visitors that I was in a terrible state and to inform my home nurse.

Nothing happened for a day so I told my daughter, who is a professor of medicine at Newcastle University (NUMED) in the UK and the Dean of the NUMED teaching facility in Malaysia.

She said just one thing: “This is not your NORMAL, Dad. See the cardiologist as soon as possible.”.

I sent an email to the cardiologist using the Oulu University email address but then I found it rejected the email. It appears that they do not entertain emails from their clients!

In desperation I managed to get to the cardiologist on the phone but she was on her rounds and said she would  call me back.

She called me back in the afternoon and after listening to my version of the facts with all the relevant data she asked me to stop the medication with immediate effect.

So, now I have stopped the medication - and what is the next step as there is no next step for me except to live with my problem which is steadily weakening of my ability to do any lengthy physical exercise!

My daughter has suggested that I have a Pacermaker installed, but I am not very inclined to any operative procedure.

I wonder if the cardiologist realises that I am back at SQUARE 1 and now in limbo and I must try to find a possible solution. 

I will pursue the matter with my home nurse to get  the “plan”, but for now it is extreme careful behaviour and no extra physical exercise till I find the solution.

Finland’s health care system is considered to be fantastic but the bulk of the doctors are without the in-depth experience and expertise required of their profession and the pace has to be forced by the individual. 

It is not important for something to be just free. The competence of all those in the system has to be of the calibre required of their job!

I have since reverted to my heritage technology. 

I have increased my intake of coconut products as coconut water 8total nutrition), coconut cream, coconut milk, coconut yoghurt, and also increased my intake of ginger, tumeric, pepper in green tea with honey. I will continue my intake of my high fish (salmon) diet which is rich in Omega 3. 

I will start light physical exercise which causes no stress or tiredness.

I will continue my intensive monitoring and try to get the results reviewed by my own doctor to get some action before it is too late!

I do not intend to live as a vegetable!!

Tuesday, November 07, 2023

A Blast from My Past -

 While going through my ancient files, I came across this little blue notebook with my pet name on the cover.


SUSHIL is my Indian name, a tradition started by my paternal grandfather. 

In the past, we were given our official name, in which the first was the House name that you belonged to from your father’s side. Then you added your father’s name and finally your own name.

The own name would then be made Malayali and would be used by your family and family friends. Occasionally, you also got called by a “pet” name which could be associated with your standing in society, your contribuion to society or just endearment.

My eldest maternal uncle  was the late Padma Bhushan K. M. Cherian (Chetpet Appachen), . He got the name Cherian as being my grandfather's eldest son, he was given his great grandfather's name - Cherian.

Padma Bhushan is the award he was given by the Indian Government for his contribution to Indian journalism and work for Indian Independence. K stood for his family House name, Kandathil. M stood for his father's name. which was  Mammen Mappillai.

Take a look at the names of all my mother's  brothers in order of birth.



1. Padma Bhushan K. M. Cherian

2. K.M. Oommen

3. K.M. Eapen

4. K. M. Varghese Mappillai

5. K. M. Jacob

6. Padma Shri K. M. Philip

7. Padma Bhushan K. M. Mathew

8. Padma Shri K. M. Mammen Mappillai

The ninth member of the family was my mother, whose name should have been 




Padma Acca K. M. Mariam (Padma Acca being my personal title for her) as she held 7 fiery brothers together to help them build MRF Ltd. , Malayala Manorama, MM Rubber Co. Ltd. amongst a host of other companies. 

(Her brother, K. M. Jacob, died early and my name is Jacob as I was born shortly after he died. )

Without her strong hand  and mutual love and affection with her brothers, this family would have broken up into fragmernts a long time ago. (This story will appear in my memoirs in due course.)

So you will note that each of them has the K. M. prefix before their own name.

My paternal grandfather took another route. 


His name was Raja Mantra Pravina Dewan Bahadur Maliyakal Kuriyan (Mysore) Matthan.

Raja Mantra Pravina Dewan Bahadur was the title conferred on him by the Maharaja of Mysore for his services to the State of Mysore. The House name is Maliyakal, which is also my house name. His  name from his father was Kuriyan (which be also spelt as Kurian). The pet name "Mysore" was given to him by the people of Mysore for his contribution to the state. His personal name was Matthan, but he turned it to his surname name. This was because he saw it as part of the western society he had become involved with and he changed from being a Syrian Christian to a member of the Protestant Church.

So his male children were

1. M. George Matthan (Commissioner Mysore Government)

2. M. Kuriyan Matthan (CEO Tata Engineering Consultancy Services, after being the Chief Engineer of the B. E. S. T. in Bombay)

3. M. Matthan Matthan (DCM) 

4. M. John Matthan (CEO BHEL & CEO Integral Coach Factory)

5. M. Jacob Matthan (LIC Chairman)

My mother's family were all professionals and business  oriented, while my father and his brothers were all professionals, all of whom reached the pinnacles in their professional life.

Coming to my name, it should have been Maliyakal Matthan Jacob, but as my paternal grandfather turned around the system, I got the name Maliyakal Jacob Matthan, but an Indian name was also added, which is SUSHIL. (My elder sister was Nalini, my elder brother is Ranjit, and my younger sister was Thangamma.). Sushil is used by my other family members and family friends who have known me since childhood.

But this is a digression, as the reason for this blog is that I found a small notebook a couple of days ago which had an article written by me in 1975 about the potential for trade between Finland and India.

Written by me 48 years ago, when I was just 32 years old, there may not be much technology  significance today.

What interested me is not the content of the article but that I was able to write an article before my access to a computer in beautiful long hand, something which vanished when I returned to Finland in 1984, 9 years later, as my handwriting skills vanished. With the advent of the computer, and arthritis hitting me quite hard simultaneously, I resorted to using the compuiter for my writing to avoid the pain.

When I joined the University of Oulu, I was given access to IBM XT and AT computers, along with the IBM Mainframe. 

My earlier computer access was when I was working in MRF.  IBM opened their computer centre in Madras. All we had was preparing punched cards relating to the stocks in store. 

I did not stay with the IBM Computers for long as I spent most of my time trying to remember key strokes and functions and less time creating my documents.

One day, a young lady arrived at the door of my University room from a company called Systema Oy. She convinced me to look at what she was selling. It was an Apple IIC computer which had a "mouse" and the commands were simple to remember.

I took to it immediately and my productivity went up 2000% compared to that of my colleagues. 

Soon I had others working on my Apple IIC all day creating all sorts of scientific experimental stuff. 

I had to wait till they went home to get my work done, which became quite simple as it was productivity oriented. What took them 4 hours on their computers, my productivity with my Apple Macs took hardly 2 hours! (This was at the time of the cumbersome DOS system.)

Within a year, all my colleagues were clammering for their own Apple computers, but I had moved on to a Mac, the Mac Plus,  the Mac SE and then the Mac Portable and then the Mac PowerBook, my first own computer. 

There is an interesting side story when I bought my PowerBook. I claimed it as an expenses and claimed depreciation for the whole year, although I had bought it only in December. 

The Oulu Tax Office declined to give me the depreciation for the whole year. I went to Oulu Court. There I showed that I could do a whole year's work in less than three weeks. The judge ruled in my favour. 

After that the Oulu Tax Oflice never questioned me on my claims!

I was continually ahead of my colleagues who were always playing catch up with me.

I would go in on a Saturday morning and upgrade all the software on the Macs of my colleagues.

As a result, despite being a third world country intruder in Finland, I got upgraded from an ordinary researcher to the Laboratory Manager and then to the Chief Engineer.

The secret of my success was that they needed me more than I needed them! 

I do hope you will enjoy this handwritten 20 page article of mine. 

It shows my vision of 35+ years ago, even  before I moved to Finland. It also shows my commitment to promoting India and its culture, products and technology to Finland.

Remember one of our Guiding Principles:

"Go where you are appreciated!"


Appendix:


















Tuesday, October 03, 2023

Education: The Great Equalizer

 

"Educated" blacksmith: The late K. Raghavan

When I was just 8 years old I went to Kottayam to stay the summer holidays with my maternal grandparents. 

Malayala Manorama was in the throes of being restarted after India obtained independence. A vindictive Dewan of Travancore, who had an aversion to Christians and anyone associated with the Indian freedom movement, had locked down the Malayala Manorama newspaper in 1938 and he had corrupted the justice system and imprisoned my grandfather on trumped up charges as he disliked journalists, (much like what is happening in India just today).

After coming out of prison and waiting for Indian Independence, K. C. Mammen Mappillai  restarted the newspaper.

He acquired a second hand rotary printing machine. There were no drawings or instructions, just packages containing all the parts of the press.

There was a young blacksmith who was also a car mechanic working for the newspaper. He used to repair the treadle presses when they broke down.

He had a small blacksmithery above the house kitchen where he would cast the lead letters for typesetting. As he allowed me to fan the fire with the bellows, I used to spend many hours with him.

One day, he was called by my grandfather who asked him whether he could put together a team of workers to set up the old rotary press. 

There was no hesitation from this young man, which spoke of great confidence.

He had no knowledge of engineering drawings, or any other training in any field of engineering.

He put together a group of similar youngsters and got to work. I watched, quite fascinated how he went about his work, opening each package and sorting  the parts one by one. 

Then they started putting the press together. Slowly the press started coming up, one side from the foundations and the other from the drive mechanisms. They worked feverishly and tirelessly, day and night, as it was a promise they made to my grandfather.

I went back to Bangalorc  and came back for our next  vacation. The press was almost ready and they wanted to start it up.

They considered me a mascot. Raghavan called me one afternoon and asked whether I would press the START button.

I pressed it but nothing happened. No one was disappointed. 

They got to work again and shortly I was asked to again perform the honours. 

This time this huge machine creaked and started to move to the cheers of the small group of workers.

Then it was a question of fine tuning and setting it up to run. Before my vacation was over, the machine was actually printing newspapers.

To my mind, that was the work of a highly educated individual, who in subsequent years earned the respect of printing engineers worldwide who came and set up the most complicated printing presses for the newspaper.  

The engineers held Raghavan in great awe.

Raghavan was not even permitted to retire by the newspaper and continued as an "Advisor".

This simple man, older to me by almost 9 years, always addressed me as “Sushilchayan” a term of respect in our Malayali system.

One day I will blog much more about this fascinating person.

Today there was a report in my INBOX that said that the country which was most educated was South Korea. Finland was ranked 29th  and India was near the bottom at 43rd out of 46 nations. 

The basis of judging this was by the number of people who had attained a tertiary degree.

List of most educated countries in the world: Know where India stands 

South Korea has the highest percentage of educated persons. 


Ratings from report:

    1. South Korea: 69%
    2. Canada: 67%
    3. Japan: 65%
    4. Ireland: 63%
    5. Russia: 62%
    6. Luxembourg: 60%
    7. Lithuania: 58%
    8. UK: 57%
    9. Netherlands: 56%
    10. Norway: 56%
    11. Australia: 56%
    12. Sweden: 52%
    13. Belgium: 51%
    14. Switzerland: 51%
    15. United States: 51%
    16. Spain: 50%
    17. France: 50%
    18. Denmark: 49%
    19. Slovenia: 47%
    20. Israel: 46%
    21. Latvia: 45%
    22. Greece: 45%
    23. Portugal: 44%
    24. New Zealand: 44%
    25. Estonia: 44%
    26. Austria: 43%
    27. Turkey: 41%
    28. Iceland: 41%
    29. Finland: 40%
    30. Poland: 40%
    31. Chile: 40%
    32. Slovakia: 39%
    33. Germany: 37%
    34. Czechia: 34%
    35. Colombia: 34%
    36. Hungary: 32%
    37. Costa Rica: 31%
    38. Italy: 29%
    39. Mexico: 27%
    40. China: 27%
    41. Saudi Arabia: 26%
    42. Brazil: 23%
    43. India: 20%
    44. Argentina: 19%
    45. Indonesia: 18%
    46. South Africa: 13%

In another recent report the best education system in the world is considered to be in Norway, followed by Finland, Singapore and South Korea.

I asked AI to prepare a short essay about its view on the best education systems.

Title: Exploring the World's Leading Education Systems 


Introduction:

Education plays a crucial role in shaping the future of any nation. Governments across the globe strive to enhance their education systems to provide their citizens with high-quality learning experiences. While there are several countries renowned for the excellence of their education systems, identifying the single country with the absolute best education system is subjective and depends on various factors. In this essay, we will explore some top contenders and shed light on their noteworthy aspects.


Norway:

Norway is often lauded for its exceptional education system. The country emphasizes inclusive practices that embrace diversity and provide equal opportunities for all students. Norwegian schools prioritize critical thinking, creativity, and student autonomy over rote memorization. Moreover, their curriculum is designed to foster skills such as problem-solving, teamwork, and communication. Consequently, Norway consistently ranks high in education-related metrics, promoting a culture of lifelong learning.


Finland:

Regarded as a pioneer in educational excellence, Finland has long been praised for its holistic approach to education. Finnish schools focus on nurturing students' overall well-being and personal growth, alongside academic achievement. Their curriculum places emphasis on playfulness, promoting a relaxed and enjoyable learning environment. Additionally, Finland places great importance on attracting and retaining highly qualified teachers, recognizing their role in driving educational success. This commitment has resulted in high teacher satisfaction and student outcomes.


Singapore:

Singapore, renowned for its high scores in international assessments, is often considered one of the world's leading education systems. The country prioritizes rigorous academic standards and a highly competitive curriculum. Singaporean schools emphasize mathematics, science, and technology, building a strong foundation for STEM-related fields. Moreover, the nation has a robust teacher training system, ensuring educators are equipped with the necessary skills to deliver quality education. Singapore's commitment to consistent improvement and innovation has contributed to its educational reputation.


South Korea:

South Korea is recognized for its strong educational achievements, with its students consistently ranking among the top performers in international assessments. The country emphasizes the importance of education and instills a strong work ethic in students from a young age. South Korean schools dedicate significant time to core subjects, particularly mathematics, science, and language. Additionally, their education system values discipline, dedication, and hard work, with students frequently engaging in additional tutoring and extracurricular activities.


Conclusion:

Identifying a single country with the absolute best education system is complex and subjective. However, Norway, Finland, Singapore, and South Korea represent nations that have achieved remarkable educational success. These countries prioritize various aspects, including inclusivity, teacher quality, holistic development, core subject mastery, and discipline. By examining the noteworthy aspects of these education systems, societies worldwide can gain valuable insights for enhancing their own education systems. Ultimately, the pursuit of educational excellence should be an ongoing endeavor, with a focus on creating environments that empower students to reach their full potential.

I then asked AI to write me an essay about education and whether achieving a tertiary degree was the criteria to define the education status of a nation.


Here is the interesting reply I received from AI

which fits quite well with Annikki and my practical experience:


Title: Exploring the Concept of Education: Beyond Tertiary Degrees


Introduction:

Education is a multifaceted term that goes beyond the mere acquisition of a tertiary degree. It encompasses a broader range of experiences, knowledge, and skills gained through formal, non-formal, and informal means. This essay aims to delve into the true essence of education and illustrate that its definition exceeds the boundaries of obtaining a tertiary degree.


Understanding Education:

At its core, education can be defined as the process of acquiring knowledge, skills, values, and understanding through various forms of learning. It involves both formal education, obtained through institutions like schools and universities, and informal education, which can be attained through real-life experiences, interactions, and self-study. Education equips individuals with the ability to think critically, solve problems, communicate effectively, and adapt to a rapidly changing world.


A Broader Scope:

While obtaining a tertiary degree is undoubtedly an important aspect of education, it would be too narrow to confine the entire concept to this single accomplishment. Education encompasses a wide array of experiences and opportunities that foster personal and intellectual growth, beyond the boundaries of academic achievement. For instance, individuals can acquire knowledge and skills through vocational training, apprenticeships, or workshops that equip them with valuable expertise in various fields.


Non-formal Education:

Non-formal education plays a significant role in shaping individuals' lives, even though it may not necessarily lead to a tertiary degree. This category includes community-based programs, professional development courses, online learning platforms, and workshops. Non-formal education provides individuals with learning opportunities to acquire skills, gain new perspectives, and expand their knowledge outside the traditional academic setting. It enables lifelong learning, fostering personal and professional growth on an ongoing basis.


Informal Education:

Informal education is an indispensable part of one's learning journey, often occurring naturally within everyday life experiences. It includes learning through observation, interaction, trial-and-error, and self-reflection. Informal education enables individuals to acquire practical skills, socialize, learn cultural norms, and develop valuable life skills that may not be achieved through formal education alone. In many cases, informal education complements or even surpasses the knowledge gained through formal channels.


The Purpose of Education:

Education serves a broader purpose beyond the acquisition of factual knowledge or qualifications. It fosters personal development, empowers individuals, and promotes social cohesion. The goal of education is to nurture critical thinking, enhance problem-solving abilities, shape ethical values, and cultivate well-rounded individuals capable of contributing positively to society. Education equips individuals with a sense of agency, enabling them to make informed decisions, adapt to changing circumstances, and engage actively as global citizens.


Conclusion:

In conclusion, education is a far-reaching concept that should not be limited to the sole acquisition of a tertiary degree. Education encompasses formal, non-formal, and informal learning experiences that empower individuals to grow intellectually, acquire practical skills, and develop a wide range of competencies. While a tertiary degree holds its significance, it is only one aspect of the broader landscape of education. By recognizing and valuing various forms of education, we can promote lifelong learning, personal growth, and societal development.

Malayala Manorama launched its Manorama Year Book in 1959.


1984 Year Book which I brought to Finland with me and formed the basis of many lectures I gave about India.

The 2008 year book I recently gifted to a young Indian boy in Oulu who has a bent for curiosity.


Another year I gave the Year Book to a young Finnish girl in Oulu on her graduation. I was thanked profusely for it.


Many have asked me how I acquired such a broad General Knowledge. 


When the first edition of the Year Book was being prepared, my uncle, the Chief Editor of the Malayala Manorama, set up a offer where he offered me Rupee 1 for every mistake I could find in the Year Book. 


Rupee 1 was a huge sum those days for a 16 year old.


I meticulously read the Year Book, cover to cover, and earned a tidy sum! 


That proof reading exercise paid me well then and later in my personal and professional life.


I am not a very clever individual but certain key steps in my life have paid me lavishly!


(I will blog a few other interesting helpful tips for life in a later blog!)


My friend and hero, Raghavan, is my model of an educated human being. No South Korean, Norwegian, Finn or Singaporean, could hold a candle to my Raghavan!


Raghavan did not even have a basic education.