Ian Reeves

IR

Consultant Geriatrican - Glasgow
Interested in 'care opinion' and Scotland's 'realistic medicine.
I also work in the area of complaint resolution, with SPSO.

Location Scotland

Activity

  • Ian Reeves made a comment
    Dietary guidelines

    Interesting that much of the effect in the Australian study was related to the increase in 'discretionary' food (snacks). I'm constantly surprised at how little alcohol features in this type of research.

  • Ian Reeves made a comment
    Moderators of mental and brain health

    Engagement with physical activity hurts!
    My brother has a great phrase:
    'if you want to feel good for the next hour, have a beer. If you want to feel good for the next month, go for a run'.
    How do we overcome the paradox that we must do more exercise at a time when our mood makes it hardest for us to do?

  • Ian Reeves made a comment
    What are the social determinants of health?

    At a time when we are using lots of 'Food Banks' in the UK, this shows how much social determinants are linked to food. The food in these is often highly processed, rather than fresh, which may then add a food related component to mental health as well.

  • Ian Reeves made a comment
    What influences mental health?

    Support for parents is a 2:1 benefit, as children benefit from better parental mental health as well.

  • Ian Reeves made a comment
    The mental health continuum

    Think it is also worth considering topics such as https://en.wikipedia.org/wiki/Salutogenesis
    salutogenesis in understanding where things deviate from 'normal' and why

  • Ian Reeves made a comment
    Diet and mental health

    The lancet paper is a tough one to start with, pretty complex, even for someone used to reading articles.
    Pollution of air (too many particles and chemicals, and our bodies (too much mass and sugar) seem the greatest problems relevant to UK

  • Ian Reeves made a comment
    Frequently asked questions

    Thanks for the course - some links to pubmed for some of the articles referenced would be helpful.

  • Ian Reeves made a comment
    Your opinion on faecal transplants

    could do with more info on how this is administered - ie via an uncomfortable tube into the stomach before making an informed decision

  • Ian Reeves made a comment
    The gut-brain axis

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7680557/
    I didn't know gene expression could be altered.
    That's a powerful additional effect to any chemical/hormonal ones.

  • Ian Reeves made a comment
    Food choice

    eat more plant based (unprocessed) foods.

  • Ian Reeves made a comment
    Healthy and junk foods: what is your personal definition of these categories of food?

    unprocessed plant based foods are more 'healthy' than highly processed meat based 'foods'.

  • Ian Reeves made a comment
    What changes will you make to your diet, after this week?

    `try some black tea

  • Ian Reeves made a comment
    Probiotics vs fermented foods

    What's interesting (from ZOE study etc) is that the bacteria in the kimchi, aren't the same as the beneficial ones the gut gets after eating them. Somehow they make it happen, even if you aren't directly eating 'good' bugs.

  • Ian Reeves made a comment
    Think about your diet

    Vegetables (in a good way)
    Meat (in a bad way)

  • Ian Reeves replied to Ian Reeves
    Left-handed presidents

    struggled to find a pseudo example..

  • Ian Reeves made a comment
    Left-handed presidents

    p1 L handed people overcame childhood difficulty.
    p2 People who overcome childhood difficulty are likely to well in competitive careers such as politics
    c Left handed people are more likely to become politicians

  • Ian Reeves made a comment
    Summary of Week 3

    The concept of a charitable argument appeals to me, too often I think we become 'binary' and assert that we are 'right', without really listening first.
    Two ears, one mouth, use them in that proportion..

  • Ian Reeves made a comment
    Summary of Week 2

    Enjoyed this week!
    The examples are thoughtful, and progressive in terms of difficulty, which helped me a lot.

  • Ian Reeves replied to Kanhok Yudee
    Argument or not?

    I;m not sure an intention to revolt is an argument?

  • Ian Reeves made a comment
    What are arguments?

    There is a lot of driving advice in this course! Speeding, tailgating, and now drinking!

  • Ian Reeves replied to Ian Reeves
    How Conway invented Life and Retrolife puzzles

    Thanks - I realised I was doing it wrong after your comment.

  • Ian Reeves made a comment
    Introduce yourself

    Hi - I’m Ian a doctor in UK. Interested in biases in our work, and why some people think differently about conversations from me

  • Ian Reeves made a comment
    Did you enjoy the course?

    Thanks - good mix of variety/depth/difficulty and entertainment

  • Ian Reeves made a comment
    How Conway invented Life and Retrolife puzzles

    I wasn't quite sure what was meant to happen if I plug a retrolife set of dots into a GOL simulator and press 'next'. when I tried it they all moved a bit.

  • Ian Reeves made a comment
    Toe-tac-tic

    Misery chess - must take strategy

  • Ian Reeves made a comment
    A Lightning Calculator Magic Trick

    It's a cool maths 'trick' though, get a bit harder when your kids ask you to do 1,000,025....

  • Ian Reeves made a comment
    A Lightning Calculator Magic Trick

    I find the music in the video a bit distracting.

  • Ian Reeves made a comment
    Questions anyone?

    I wasn't sure I would manage the latin square, but I did. It took me 30 mins though, which seems slow? Does anyone do them this slow?
    I was ok with the codes and sums, thanks to the course, I would not have been able to do them before.

  • Ian Reeves replied to Jessica Moon
    Questions anyone?

    @JessicaMoon remeber the diagonals help you work out what can go where, it's one square at a time. Did you get the first square?

  • Ian Reeves made a comment
    Sudoku and similar puzzles

    I might enjoy them more now I understand there is a 'system' to help me.

  • Ian Reeves made a comment
    Cryptarithms

    N can only be 8 or 9 as the max you can carry from the three digits in the final column is 2. Nothing else added with +2 or+1 makes itself. I had to try with 7 to see why it couldn’t work but I had to scrub the vide back several times in order to get this part,

  • Ian Reeves made a comment
    Yossi’s Ted Ed puzzles

    The prisoner one is more “wow” and the maths is much harder
    The second one seemed a lot easier to me, would have liked some more examples, 1000 floors, 3eggs etc.

  • Ian Reeves made a comment
    The water jug puzzle

    Is there more than one solution to the 3 jug puzzle? I seem to have one...

  • Ian Reeves made a comment
    Henry Ernst Dudeney and Sam Loyd

    The email answer is confusing for me? 2 buns at 3p and 1 at 2p = 8p, but we were told they got 7p to spend? So they get a half bun each? but the Q said assume buns remain whole?

    The Henry Dudeney puzzle:

    This was a hard one…

    The correct answer is 6 kids - 3 girls and 3 boys. They get 2 buns at 3 a penny and 1 of the 2 a penny.

  • Ian Reeves replied to Sheryl Kreusler
    Let’s discuss the quiz

    Really useful way of explaining it - thanks

  • Ian Reeves replied to anagha d
    Let’s discuss the quiz

    What about 48?

  • Ian Reeves made a comment
    Let’s discuss the quiz

    For Tom and Mary I could work out what the equation was, but needed online help to solve it...
    Similarly for the 3,5 problem I can’t work out how to use the formula.
    Some more guidance for solving these, perhaps showing the whole worked answer (as the website MathPapa does) would be helpful.

  • Ian Reeves made a comment
    The Gathering

    Makes me wonder if there is also a logic course on future learn!

  • Ian Reeves made a comment
    The Gathering

    For me, it’s the skeptic/logic/debunking part of linking to math that appeals as well.

  • Ian Reeves made a comment
    Henry Ernst Dudeney and Sam Loyd

    I got the buns one, once I read the clarification, and realised even numbers were important (for my solution)....
    I couldn’t work out that I needed x+1 as part of the second equation, but was nearly there, once I got my head round the circle idea.
    Good questions!

  • Ian Reeves made a comment
    Lewis Carroll

    If you don't know where you are going, any road will take you there.

  • Ian Reeves replied to Vanessa Mabaga
    Let’s reflect on the quiz

    How do you get from the 72=2x+3y to
    -60=2x+2y.

  • Ian Reeves made a comment
    Let’s reflect on the quiz

    Just the sort of stuff I was hoping for on a course like this.

  • Ian Reeves made a comment
    How important is recreational math?

    Forces system 2 thinking, rather than system 1

  • Ian Reeves made a comment
    Why are you taking this course?

    I like the bbc radio4 puzzles but can’t do them - even when I see the answer!
    Also I have 12 year old boys, want to keep up with their maths and help inspire them too...

  • Ian Reeves made a comment
    What we have covered

    I came with low expectations.
    I am leaving the course with a deep sense of awe for what you have produced, and gratitude for helping me with this aspect of my life.

  • Ian Reeves made a comment
    Advice for your future practice

    We do a lot of simulation for the physical aspects of healthcare, such as technical procedures.
    We should spend as much time developing our training in empathy, and this course is a great resource for this.
    Is it true that people who lack empathy also lack the ability to self-identify this?

  • Ian Reeves made a comment
    The importance of self-care

    +1 for meditation. Helps me focus. Calm app works well.

  • Ian Reeves made a comment
    Reflecting on your concerns

    In my work, I respond to written complaints, often in a public online forum. careopinion.org.uk
    I find it much harder to convey empathy with online words, than I do in person, which highlights to me how important the Eye contact, Facial expression, Posture and Affect are to me, as I think this would always be easier in person for me. Even with a phone call, I...

  • Ian Reeves made a comment
    Identifying and responding to empathic opportunities

    I think the 'E M P A T H Y' breakdown is a good way to remember and teach this.
    The ZULU phrase 'I see you' also then becomes a useful phrase 'I see that you' have xxxx, feel yyyy, are zzzz etc, as a way of acknowledging the state of others.

  • Ian Reeves replied to Ian Reeves
    What did you learn this week?

    Thanks - I guess I was really trying to say that this needs to have not just medical school training but also support for use in practice. This aspect often gets lost in an 'industrial' style healthcare system, rather than remembering each individual in the process.
    'The man in bed 18 has pain' 'can you give him something' etc.

  • Ian Reeves made a comment
    What did you learn this week?

    Empathy is lost in industrial healthcare and training processes. This is to the detriment of patients and professionals.
    Ultimately empathy can make care more.effective, and cheaper as well.
    Scotland has a 'what matters to me' process that we try and use but it's still rather technical. (Sugar in tea)

  • Ian Reeves made a comment
    What would you do?

    I would make it clear that they were my only concern at that moment, and that I had time for them.
    Others have already commented about sitting quietly with them, which I also agree with. Hopefully this set the scene for.empaty to follow.

  • Ian Reeves made a comment
    Doctors' perspectives on empathy

    I find it harder to use this process when I'm only going to see a patient - briefly - on one occasion.
    It's easier when I see someone more than once.
    How are online apps or telephone calls with patients going to be able to deliver empathy? I hope this is covered somewhere in the future, it's an increasing trend in healthcare, but I'm not sure how to maintain...

  • Ian Reeves made a comment
    Reflecting further

    I think I am better at emotional empathy (non-verbally). cognitive empathy doesn't feel easy for me. I wonder if this is generally true for people who self.identify as 'introvert'?

  • Ian Reeves made a comment
    Defining empathy

    Sympathy and empathy can occur in the same conversation.
    Different types of empathy can occur in the same.conversation.
    Empathy takes skill and time.

  • Ian Reeves made a comment
    What does empathy mean to us?

    I prefer it when we say say we should talk WITH our patients rathere than TO them.