Graduate Medicine

10/08/2024

I was consulting yesterday and a patient told me he got his credit card scammed for $7500.

Here's the question that would have saved him...

"Did I call you or did you call me?"

The scam was quite advanced.

Here's how it works.

Scammer has your cc number and put through several small scam charges.

These are scam charges but just the warm-up to the actual scam.

They then call you pretending to be cybersecurity from your bank.

They ask for your details to "Confirm your identity".

They use this to log in to your banking app.

They then ask you for the security codes they send to your phone.

These codes confirm the exiting of the money out of your account and into theirs.

This scam is very good as it leverages the emotional response many people will have to see the initial scam charges.

Here's the question to ask yourself again...

"Did I call you or did you call me?"

If they called you, say "Thanks for letting me know, I'll call you back straight away"

You call your bank on their phone number.

Couple of other scam prevention tips.

1. Don't give one time codes to other people - Your bank may not cover your losses if you give out the one time codes to other people.

2. Consider making "2 to sign" for accounts with significant amounts in them

3. Lower daily transaction limits to smaller amounts.

Hope it helps!

08/08/2024

Know someone interested in Acupuncture?

My buddy TJ and I wrote a book with just the main acupoints—the 88 "big hitters," so to speak.

Each point has the location and needle technique plus the physical, emotional and spiritual uses.

Direct link to share is https://www.bhaktiatsu.com/acupuncture-manual or head over to the website and scroll down the homepage a bit.

Mahalo!

07/08/2024

Continued Sprint Progress on the MagicBoards App...

9 Done.
10 Underway.

13/06/2024

Episode 21 Visible Workplace podcast is up…

Great interview with Jeff Standridge on grit and grace.

On Spotify here…

https://open.spotify.com/episode/4EKxpy0LJOGzKDCoKBiYF3?si=80Zn3YmRTTe3A3ayjeMSog

Listen to this episode from The Visible Workplace on Spotify. In this episode of The Visible Workplace podcast, Dr. Tom Rolley interviews Jeff Standridge about his diverse career journey from healthcare to corporate consulting and venture capital. They discuss the key behaviours that differentiate t...

01/06/2024

Episode 19 of the Visible Workplace up on Spotify...

https://open.spotify.com/episode/1SBtS8uHvKza9TXQgfrUqD?si=YqXeKSkGQdqGcPSmV7hn3w

Sprint 7 Updates on MagicBoards software dev - The AI dilemma.

Listen to this episode from The Visible Workplace on Spotify. Sprint 7 Updates and AI Integration: Dr. Tom Rolley discusses the latest developments in MagicBoards, including updates from Sprint 7 and the potential of integrating AI into the software. MagicBoards and AI: why the decision was made to...

23/05/2024

Episode 18 is live.

A little off from the usual discussions, but a good episode for parents... :)

https://open.spotify.com/episode/18Mit9uuWE029BAN08IHkw?si=oRlcIMbVS_GDkJmmrnb1_w

Listen to this episode from The Visible Workplace on Spotify. Dr Tom Rolley discusses the challenges and unexpected events during his son's 16th birthday party, emphasizing the importance of assessing downside risks in decision-making. Dr Rolley shares his frustrating experience of changing a tyre i...

21/05/2024

So, I just finished up a little book that a friend recommended...

Oddly, it may have answers for the backlogs and difficulties we are already experiencing in the medical system and why the current "solution" of just getting more doctors might not work very well.

The book is called "The Bottleneck Rules".

It references "The Goal", a 1984 book about production line management... And why adding faster, better machines may make NO difference to the overall production speed.

Depending on what is really happening - adding more doctors MAY not influence the backlogs in the medical system.

For instance, Emergency departments commonly fill up with "too many patients" yet adding more doctors won't fix the issue if the bottleneck is available beds in the hospital.

Finding ways to clear beds more quickly or limit the number of people entering the hospital will fix it.

Now, there will always be a bottleneck in the system unless all steps run at exactly the same speed and the raw materials in the system never run out.

The real art of the book comes in later when strategically choosing the best bottleneck.

Ignoring possible risks of being spread too thinly, Clarke talks about the French surgical system, which has one surgeon running two theatres to ensure the surgeon is working at maximum capacity - not waiting for the patient and theatre to be ready...

Now, there may be additional risks of not allowing enough rest or what to do if there is an emergency in one theatre - not sure how they cope with that!

Of course, we did not get any bottleneck production training in med school, yet this may be a critical skill in resolving the coming (present?) demands on the Australian health system.

So, being able to recognise the bottleneck and make clear decisions around whether it should be the bottleneck, and if not, what to do about it may be a valuable skillset for all healthcare practitioners in the coming years!

20/05/2024

A bunch of books arrived today.

One was called “thr bottleneck rules”.

Written by Clarke Ching, an expert on the theory of constraints.

I had already been exposed to the theory of constraints via a book called the Goal… or at least the comic book version (seriously!)

So I’m wondering about this bottleneck issue.

They seem quite important.

And the skillsets to identify and get them flowing better.

Magic boards just had an interesting feature added… if a task gets marked stuck… a red alert sign appears on the Home Screen.

Bottle necks are one thing, but like a coronary artery… it’s a really good idea to clear blockages asap!

16/05/2024

My last iphone was an iphone 4.

I lost it,probably in a cab...

Around that time I got told about Android.

And I found this phone called an HTC One M7.

Good looking phone.

I liked it a lot.

Got it.

And over the years, I progressed through a series of further HTC and then OnePlus phones..

The 3.
The 6,
6T
7T Pro.

My family are all on Apple.

And admittedly, my laptop, TV, tablet... all Apple.

My family affectionately referred to my phone as the "Pepsi" phone.

When are you going to get rid of the Pepsi phone Tom?

And so it happened.

The Oneplus 7TPro I had have for...goodness, 3,maybe 4 years?

It was starting to behave a little strangely.

And when in Bali last week...
I lost the phone.

Probably at Waterbom, the waterpark in Denpesar...

After some mild phone loss grief, I checked Amazon and the iphone 15 pro was on sale.

I wanted the blue but the black was the one on sale.

I was like.. fine.
I'll come back into the fold.

I bought it.

For those of you who have made the change...you'll know it's a little strange.

A lot works great.

Some things are just like... Oh! That was missing on the iPhone 4, and it's still the same?

But overall, the change has been reasonably seamless.

More to come!

14/05/2024

When I first started designing Magic Boards, it had four major categories of "MagicBoards"...

1. Active
2. Paused
3. Asset
4. Archived

Paused has been a problem.

I found I was putting things in there that I was refusing to decide about.
..Telling myself that a decision would suddenly be clearer at some point in the future.

But mostly the work in "Paused" just stayed there.

So I gutted the category.

Either deleted or made them active.

It felt good.
Like a bunch of space in my mind was somehow freed up!

But then I noticed something about the boards in the Active category.

There were two dinstinct types.

The first could be "finished".

These boards could be completed to a set outcome.

The podcast got done.
The funnel got done.
The webinar got done.
The offer got built.
Payroll got done.

But I noticed some boards had items coming in and then moving down a sequence...

Boards that managed things like...

- Feature requests.
- Writing content
- Resetting offer availability
- Calendar planning

Items flowed through from entry to working on to complete but the Board itself never completes.

These felt like they should have a separate place.

So the "Paused" category will become "Flow" category...

And no more hiding place for me to refuse to make decisions.

:)

13/05/2024

I had been avoiding a task for a while...

But yesterday, I had little choice but to get it done.

A significant backlog of laundry was building up.

The pump drain was not able to be opened.

I knew this was a difficult task because I did it about 18 months ago and it took about 2 frustrating hours.

Hence the avoidance.

The task involves working in a tight space with some clamps that require a lot of force to open.

The first problem was finding the right YouTube video.

I knew the one I wanted... but it was a little hard to find as there was a lot that showed how to unscrew the pump drain, not how to unscrew it if it would not unscrew.

Eventually, I found the video and discovered a part about propping the panel open with a socket I had missed the first time.

This made a big difference.

Using pliers to open the clamp that holds the pipe to the pump drain also made a massive difference.

Now I understand I could have just got someone else to do this.

But at 8pm on a Sunday, that would either extremely expensive or flat out impossible

I got the pipe off, and an eclectic mix of items blocked the pump drain from opening...
- a long piece of metal of unknown source
- 3 acupuncture plastic tubes
- one metal lapel weight
- some kind of safety pin
..All mixed through with a collection of lint and paper.

Even though this work only comes up every 18 months or so, it's such a difficult experience I decided to document it.

Yes, you could watch the video a couple of times and then scrub back and forth for any specific details...

But it's a lot quicker to look at the text.

And yes, you could argue that the most valuable part is the list of equipment required (6mm wrench, T15 Torx, torch, socket to prop the panel, extra hand to shine the torch, in case you are wondering!)

But knowing that I might have to do it again, I chose to document the work on a magic board.

Software is still in beta but for repeating tasks that require accurate ex*****on, Magic Boards are great.

02/05/2024

Just sticking with it seems to work.

I went to a bucks party at 30y old. Out of 12 of us, 11 could surf. One of us could not.. (me).

It took a long time and I know I will never be an awesome surfer, but I can now catch waves.

Sam's passion for the sport has helped :)

Surfing broken this morning and time stood still as I looked across at a 2m close out and was so happy.

Sometime around 2012, maybe 2013 I got a harmonium. We were still in the Lennox house.

An impossible game to lead kirtans in 2019.
Started small. 6 people. 2 people. 5 people. 9 people.

Covid hit and I did not get the memo that singing was illegal so I just ran kirtans, oblivious to the rules.
Forrest Gump-esqe but hey, it was awesome! 🐒

And then again another impossible game to record a studio album in '23 (no progress) and '24 (coming along!).

1st track appears to have an impressive ability to get babies to sleep, second track sounding great, 3rd track foundations are down and its got some juice even before Shivam works his magic.

My fifth attempt at software.
MVP is working.
Got my first experience of installable magic boards today. Not quite there but we are close.

GP. Still going.

Occasionally get to flirt with my chinese medicine training... Qi Gong to supplement western treatments...
17 years of turtle Longevity.
Great White Crane. Jade Body. Thousand Hands. (search Bhaktiatsu on Youtube)

Coaches, mentors, friends, masterminds... all have helped in struggles and insights and support.

A deep sense of gratitude to all of those who have helped me.

But the main thing seems to just keep going.

Find a way.

Try again.

Don't quit.

Double down on trust and faith in yourself, others and this amazing, terrible, incredible adventure of life.