Ageism, Baby Boomers and How to Pay For the Pension

I was listening to the news on Alexa this morning and they were saying that in Japan (as in many countries) there are a growing number of Baby Boomers on the pension and people are worried about there being enough tax payers to afford to pay them.

I have an easy solution. There are a huge number of people over the age of 50 who want to work, but they find it very difficult to be considered over younger people. If they were working

1. They wouldn’t need to be receiving a pension; and
2. They would be paying tax which would help pay pensions for others who are unable to or don’t want to work.

The irony to me is that businesses are missing out on a wealth of experience and capability such that they can contribute significantly to the profitability of employers.

Let’s face it, people are fit and healthier longer than before and most of the over 50’s I talk to, want to travel and enjoy a lifestyle that they could not afford on a pension.

Some people might have concerns about employing people significantly older than themselves. However, if you want the best for your business or business unit, would you rather employ people requiring a lot of training, who may not have a good understanding of how business works, or people with years of experience who are prepared to be led by younger employers?

There is an irony in this situation of course because the people who don’t want to pay taxes for pensions were mostly raised by the people who need them, many of whom have paid taxes for 40 years or more, underwriting the cost to create welfare states and all the amenities we all enjoy. The younger ones may not relate to middle age, I remember, it seems like it will never happen to us, right?

Whether it is equal jobs for women, older people or people with disabilities, shouldn’t the only factor be best fit and capability to do the job well?

How is it that companies will employ women because they are poorly represented in a company but ignore older people? Personally I appreciate a workplace that reflects the community, but I also prize the benefit that comes from years of experience.

Just as a closing thought. With some notable exceptions, we prefer to elect country leaders who are over 50, because of their experience. If that’s the case, why ignore them for your business?

 

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Here’s to Staving off Dementia and other Demons

I’ve been working on my CV over the last few days as my division and role are being disestablished. On the template there was a field for interests. Now if you know me, you will know I am addicted to learning. I am not happy if I am not developing a new skill, a new understanding or keeping up with the constant state of change in this amazing era I feel privileged to live in.

Why do we need to learn? For a start, we have a massive set of wetware in our skulls, that like any muscle, needs to be exercised. Just like muscle sinews, the dendrites in our brain grow or shrink as they are used or neglected. We have discovered this concept of neuroplasticity, or perhaps more to the point of it, science has proven it exists. We actually knew it all along. The link above has some great ways to grow your brain.

The challenge is to keep learning and my bent is to understand, not just absorb data. We have Wikipedia and Google to do compile the data, we need to understand what it means. We need to be ready to identify our weaknesses and keep pace with change. If we don’t the consequences are dire.

I told someone this morning that I feel like I am living in a science fiction novel. The space race is back on, our oceans, lakes, rivers and seas are polluted. Temperatures all over the globe are reaching extremes, we’re getting rid of plastic bags, the political trend around the world is becoming more nationalistic in many places, as we try to protect something we may not have actually had. Children are rising up and being recognised.

I have to chuckle at this one, because I tried that back when I was a kid. I was lucky to have the opportunity because whilst children were sent to schools and universities to learn, their views were largely ignored. Today they are realising that they can’t let grownups screw up the world that they will inherit.

The challenge was that we didn’t have social media and broadcast systems that allow children on one side of the planet to encourage people on another side of the planet to ban plastic bags. I remember being involved in seminars as a teenager with groups like the World Council of Churches and Paulo Freire, whom I was very lucky to have met and spent time with.

Paulo’s critical pedagogy which is now considered new, included the premise that “Study is not measured by the number of pages read in a night, nor by the number of books read in a semester. Studying is not an act of consuming ideas, but of creating and recreating them”.

That’s how we moved from the Morse Code machine to owning, often more than one smartphone, each with more computing power than was used in the entire Apollo 11 Space Programme.

Successes didn’t happen overnight. For example there were many failures before that light bulb lit up and stayed on. We didn’t stop with that incandescent light, we tried and failed and failed and tried and look at the amazing options we have now. Garden lights powered by the sun that work for years and cost less than $5 each!

So what happens when we stop learning? Have you had the sad experience of having to put a family member into a rest home? What happens in most of those places? They have limited resources and the people in them spend a lot of their time withering away until they no longer know who they are. Yet, we know that playing them music they were once familiar with, can bring them back. Things they learned are still there, but the dendrite connections turned off.

I wonder how we will use that knowledge now that it has been accepted as scientific fact, because dementia is at its highest level in recorded history and I’m not sure it needs to be.

I actually wanted to write about interests and one of mine is linguistics. At various times I have learned and spoken around 8 languages. I formally studied 6 of those. The other one, which I have forgotten was Hungarian, which I learned at 3 because my neighbours at the time only spoke that language. It was easy for me because I already spoke Dutch and English and learned French and German because my parents used it when I was a child, to have a conversation they didn’t want me to understand. Now there’s motivation for a kid to learn something!

I also wanted to talk about conferences, having attended, chaired and spoken at venues in 10 countries around the world, frequently sharing the frustration that most of the people that needed to attend weren’t there, because they were struggling to survive in a changing world and didn’t have time to learn the very things that would save their business. So instead of using Freire’s pedagogy, they kept repeating what they had once been taught, even though it was no longer relevant.

The number of people I have come across who say they know all about their business seems interesting proportional to the number of businesses that are going broke, or the models that are failing because disruptors have delivered what customers were asking the incumbents for, and not getting. So we were frequently preaching to the converted.

I’ll come back to the importance of language in another article, because it is a subject in its own right. Language and linguistics has provided me with a rich career in business and communications. It has taught me much about culture and helped me develop friendships and business relationships around the world.

But haven’t they changed over the decades? My cousins in Holland frequently use words I haven’t heard before and the technology is also now taking us into a whole new area of language, much of which is international, like emojis.

Anyway, I’d like to tell some stories about languages and the value of learning, but you’ll have to watch this space to find them. That’s assuming you still read, but of course you are here. That’s probably a sign of your age, because after writing my latest book targeted at millennials, I realised that many do not like to read at all, but will happily spend hours on YouTube watching educational videos. Maybe one little take away if you are in a business where you want to communicate with people. It used to be simple back in the day.

The things we were taught about in communications decades ago may still work in some niches. The principles still apply, but as Freire said, you have to create and recreate ideas.

So WTS and I’ll BRB 🙂

What Your GP or Physio Should Tell you if you Have an Accident in New Zealand.

As you may have seen from earlier posts, I had a back accident 15 months ago and after 4 visits to hospital, the most recent being of 7 days duration, I am still no nearer to getting the surgery my orthopedic spine specialist / surgeon recommended for me and requested ACC to fund.

What went wrong?

I’m going to tell you about 2 critical things. The first is about how I injured myself, by which I mean the primary cause and the second is about who I got referred to.

1. The Primary Cause

My latest accident didn’t seem like much. I was at my 6th Relay For Life in March last year and ready to walk a marathon distance (my goal, which I achieved) over 18 hours.

Setting up prior to the event and prior to heading for the survivors’ tent (I am in remission from prostate cancer), we had a 4 room tent to set up, and the poles and pegs were in a big bag in the trailer that was provided by the organisers to get our gear from the car park to our team site.

It was super heavy. No one seemed to want to get it out, including the guy driving the tractor. So I tried. Unfortunately, my back couldn’t take it and I ended up with a back strain injury that still has me off work today, 15 months later.

I managed to do the distance through the use of medications like Panadeine and I had booked a couple of days annual leave after the event to recover, based on previous years experience. I also had a float and massage the following day, so I didn’t feel too bad after that. A bit sore, but otherwise OK.

A few weeks later, on ANZAC Day, in fact; I remember because it occured on the weekend before the public holiday (a Wednesday) and my wife and I had taken the Thursday and Friday off to go away in the Corvette for a few days holiday.

It had been raining, and on the Sunday before our planned holiday, I mowed the lawn and using the catcher to collect the heavy wet grass. I had to twist on an awkward angle to detach the catcher from the mower, twisted my back again, and the rest as they say was history.

You can read previous blogs but the key point was that whilst an MRI showed damage, ACC weren’t satisfied with the injury having been caused by the incident, they said it was age based degenerative disc disease. They said they would try to see if a previous injury could be relevant that they could tie it to which would convince them to cover the cost of the surgery and herein lies the problem.

A Skydiving Accident

Many years ago I had a skydiving accident. It was a tandem jump and if you have ever experienced one, you know that the customer is at the bottom and the Jumpmaster is on top. When she tried to flare at about 30 feet we got into an air pocket and instead of opening up, the parachute closed down. Instead of gliding to a running stop, we dropped and I took her weight on top of my own, on my tailbone.

It hurt like mad, but I was also flying high on adrenaline from the jump, so I didn’t really feel the pain that much. That night it was very sore, but we went to a big neighbourhood party and I found that bourbon acted as a great pain killer, so I managed pretty well and enjoyed the festivities as long as I didn’t make any sudden moves.

That night there was a bit of a storm and one of our trees was blown over.

The following morning, I was trying to clear branches in our yard, bent down and found I couldn’t straighten up again.

I went to physio who asked what happened and I told my story, the ACC record said “bent down and hurt back while picking up branches in garden”. I had 26 physio visits, was referred to Pilates and was assigned a personal trainer.

I did talk to them all about the sky diving, but it never made it to the ACC records. It therefore registered as a strain.

Another Accident

I was racing my land yacht in a 180 km enduro on 90 mile beach. I crashed at the northern end of the beach, picked myself up and raced back again and had to endure racing through snapper holes around Ahipara Beach, which is like racing on sheets of corrugated iron. Lots of pain, but again lots of adrenaline. For much of the race, I was going at speeds of up to 100 kph on a thin cushion as you can see on the video above, and with my feet sitting on a steering rod so all of my weight was on the lumbar area of my back.

At the end of the weekend it was a 5 hour drive back home to Auckland and a couple of days later, guess what? I was in the garden again, bending over and suffered intense back pain.

Guess what went on my ACC record?

Lots of physio for an injury sustained doing gardening.

So, when the specialist looking for reasons to not approve surgery (me having had every other treatment they could think of, for over seven months), they looked at what I had been referred for (back strain), looked at old injuries sustained in the garden, so probably not significant, all because I didn’t understand the importance of mentioning the crash or the sky diving on the initial ACC form. After all I was getting treatment. That was all I was concerned with at the time.

So What?

I might have got a very different response to my request for surgery if the primary causes of injuries had been clearly recorded, instead of lost to obscurity. Now I am chasing a Review of ACC’s decision not to fund the surgery which is going to be time consuming and expensive.

So if you are injured and covered by ACC, make sure that, irrespective of which straw broke the patient’s back, that the primary cause of injury is documented, even if you are happy that the treatment will fix the problem.

I’m now in a situation after many back injuries, that ACC are claiming age based disc degeneration disease and I am going to have to prove that I did in fact sustain some major injuries and that it was the cumulative impact of those injuries that has me now needing expensive surgery.

If I had made sure they had all the information correctly recorded, it would probably have been plain sailing for me now, instead of 15 months off work, the possibility of losing my job, and a long, expensive and stressful battle to get my back repaired so I can get back to work.

2. If Referred to a Specialist, Make Sure it is one who Operates in Your Local Public Hospital.

I was referred to a very good surgeon by my GP, largely because he is one of the category of trying everything else before getting the scalpel out and doing major surgery, which in my case will involve 2 surgeons for 4-5 hours and a 5-day stay in hospital.

Because of all the drama with ACC (New Zealand’s Accident Compensation Commission), in April I asked my GP (at the recommendation of my surgeon) to refer me to the public hospital. Whilst I have other medical insurance, it only pays (up to) 80% of the costs, which means I would personally be up for around $18,000 that I have to find myself. It could even be more because they won’t know exactly what they have to do until they cut me open.

So I was referred as ‘URGENT’ to North Shore Hospital on the 4th of April this year. I told them I was not working and that I could come at short notice and asked if they would put me on the cancellation list and they said “Yes, we have a cancellation list, is there anything else?”

I rang a few times, mostly talked to voicemail and the first time I spoke to someone they said “It’s only been a month!” To which I responded, “yes but I was referred as urgent.”

This month I had a flare up and spent 7 days in the Orthopedic Ward at North Shore Hospital. They did an MRI, hooked me up with a pain team and eventually once the pain was under control with drugs, they let me go home.

They told me that the stay would not be seen as my First Specialist Assessment (FSA) for which there is an expectation that you will be seen within 4 months of referral. They said that the Orthopedics Team knew about me and I would probably now be seen within 2 weeks. So they scripted 2 weeks of pain medication for me. They said I would get a confirmation letter from the hospital.

So I got out of hospital on the Sunday, waited until Wednesday and rang to find out when my appointment would be. I had to leave a message on their voicemail. I rang again on Friday and again left voicemail.

On Monday this week I got a phone call telling me that they did in fact have a date for me in late August. Today is the 17th of July.

So much for my 2 weeks of pain medication. I should have got the message when the doctor who checked me out of hospital laughed when I said I was expecting to be seen in 2 weeks.

So what?

If my GP had originally referred me to a specialist who also worked on the public health at North Shore Hospital, there is every likelihood that I would have been referred for surgery at the hospital in November last year, and could well have been back at work by the beginning of this year.

Now instead, I am still waiting for a First Assessment, and they will want to decide for themselves what treatment I should have. So while the logic behind my original referral was sound, the end result is that it set me back anything up to a year.

Hindsight is a wonderful thing, but the point I am making is that you, dear reader, may have a back injury like me, or perhaps a knee or shoulder injury from playing sport.

By learning from my experience, you might be able to have a better experience, receiving treatment within the same year of your injury and not jeopardising your employment and having double the stress. 

SUMMARY

Being in severe chronic pain for over a year is horrific. The potential consequences can be many including

• losing your job,
• becoming addicted to pain medications,
• sleep deprivation with all that comes with that,
• becoming stressed to the point of depression,
• having no social life or family life,
• which also results in relationship stress.

Here are two ways you can reduce the risk of experiencing what I’m going through.

1. If you injure yourself doing something major and then aggravate it with a lesser injury. Insist that the cause on the ACC form is the major impact and the secondary injury is clearly shown as secondary. It might not matter now, but in 10 or 20 years it could save you from the horrible 15 months I’ve endured so far.
2. If you need to be referred to a surgeon, even if you have medical insurance, get referred to one who operates from your local public hospital. You may not end up needing to go public, but at least you have viable options and it could save you many months in getting treated.

Affiliate Marketing That Works While I Wait For my Back Surgery

If you know me, you will know that for the last year, I have been off work with a back injury and I am waiting for back surgery after having tried everything else. ACC isn’t keen to pay for it and I am now waiting for a Review with them and also for an appointment with an Orthopedic Specialist at North Shore Hospital.

I was referred there on 9 April as Urgent and when I rang last week, they said I would be seen within another month or two and confirmed that they do of course have cancellations. I pointed out that I am close by and ready to come at a moments notice, having been off work for over a year now. You can check out the Back Story on my Back here.

I have to sit on a cushion with a wheat bag behind my back

So what have I been doing this last year? Stretching,

Hanging upside down is great and then gravity comes back

exercising, doing aqua aerobics, hanging upside down, going to specialists, having scans, steroid injections, floats, walking, sitting, stretching, working 6 hours a week and waiting for someone to approve the surgery that was recommended by my specialist.

Now if you know me, you know I am not one to sit down. I look for opportunities to keep busy.

All this time off made me think about retirement. No I don’t want to retire for many years yet. I’m anxious to get back to work full time which I should be able to do, 6-8 weeks post surgery. But when I do retire, I sure don’t want to rely on the pension to give me lifestyle.

I decided that Affiliate Marketing was the way to go. I tried several options as I will outline below, and I have come to the conclusion after some expensive trials with other vehicles, that Wealthy Affiliate is the way to go. It is simple, the education is awesome, and I am well on the way to building something that will provide me with an income in the future when I need it. More on that below. But if you want a shortcut to check out why I chose this without reading on. Click here.

I’ve often thought about being able to have a passive income that would provide for my future and I’ve tried various things. Long ago my wife and I were Amway members and we developed a large downline. We even got to the famed 21% but it was incredibly hard work and we could see it really wasn’t for us, especially in New Zealand where there were not that many products and whilst the training and atmosphere was awesome, the income wasn’t.

I wrote another book which I published in December after a great many reviews, because I have been taking fairly large doses of painkillers every day. but I got there.

I planned to write and sell a course for first home buyers via an organization called Clickbank. I spent a fair amount of time and money after signing up to Clickbank University and learned quite a bit about Affiliate Marketing, but I felt their system, based around selling courses was a bit limited on its own.

Then I found that the target market for my book, young first home buyers, don’t really like to read. So I set off to create a YouTube video version of the book. You can find it here. It’s great free information.

Through the course I also set up an email list on aWeber. But this also required cost and a lot of work and I decide that people looking to buy their first home, are not looking for training even though in my opinion they really need it.

So after many months, I still wasn’t getting anywhere, until… I discovered Wealthy Affiliate. What was great about it was that it was a no nonsense, paint by numbers course that had you finding a niche, researching it, buying a URL, searching keywords, doing SEO, setting up a website in no time flat and before you know it, you are almost ready to start generating an income.

I just wish I had found this a long time ago. Now this is not a get rich quick scheme. I don’t think anything like that even exists, but without any knowledge of current web set up, I created Guitar Love. This is a website that is going to entertain and educate established and learner guitarists about everything from how to pick a guitar, accessories that make playing fun, writing and composing songs and music and much more. I will share affiliate links to products that I love, help them get good deals and get a clip of the revenue for my trouble.

I just can’t tell you how easy it was. I’m not saying it isn’t a lot of work, but any business is. I’m not looking to make money right now, but I could if I wanted to. I’m looking to build something that will give me a better lifestyle in future years.

I have always wanted to find a way to do what I love, writing, blogging, making music and just couldn’t figure out how to do it. Wealthy Affiliate has an awesome community and we all help each other out. It has gamification, it has paint by numbers, it has what I wish I had found years ago.

So, do you want a little or a lot more income now or in the future? All it takes is a little desire and a little work. I’m into it and I just wish I had found it sooner. If you are looking for a way to set up your future like I am. Just click on the banner below and check it out.

If you know anyone else that is struggling to make ends meet, a solo parent, perhaps someone semi retired, a student, or like me, wanting to do something for yourself while recovering from an injury or illness, please share this blog or a link with them. The link has a really low cost introductory offer which I and most people used to determine if the system is as good as it sounds.

Any questions, just leave a comment, or if you know me personally, give me a yell.

Are You Ready for Cyclone Gita?

I remember standing on the back of a truck in my muddy Leo’s on a beautiful sunny day on the side of the road with a couple of cops and a couple of fellow trained Civil Defense Rescue people.

As I looked out over the Riwaka farmland, all I could see was river silt that was glittering with specs of gold in the sunshine. I remember thinking if there was a way of using a magnet to suck up all the gold dust that had flooded down the river and over the banks, inundating the house we had just emptied of muddy furniture, I could be wealthy. It was stunning and it was devastating.

Two days earlier it was a different story. I had been standing next to the house I was staying in, getting drenched in torrential rain on a hill overlooking a farm which was under at least 2 meters of water. The road next to my house had become a river. I wanted to go down to the farm to help the people whose homes were underwater try to recover their precious belongings. Unfortunately the torrent on the road was such that there was no way I could safely cross it. This was evidenced by an elderly person who drowned that morning trying to cross the road and lost their footing. I felt helpless, pacing up and down the hill trying to find a safe way across.

Other than losing all their furniture, all their food, all their photos and memories of good times gone by, their clothes, their cars and other material things (and their crops), the families on the farm were OK. They were hardy souls, a bit like the West Coasters. However, not everyone was the same.

On that sunny day and for a week afterwards, we worked tirelessly emptying muddy carpets (after digging 20 or 30cm of silt from them), furniture, bedding, appliances, food and other items. We tried to tell the residents to count their blessings, that they were still OK, which was easy to do with my own possessions being high and dry.

Many of them were devastated, some in shock and some just grateful that we were there to help them. None of them had expected the storm and the river to sweep right through their homes.

Cyclone Gita might come to nothing major, or it might become a serious storm. It’s great to see some people getting ready, keeping kids home from school, staying home from work if they don’t need to be there. It is also crazy to read about people still going to campgrounds in at risk areas. They obviously haven’t got first hand experience and what would be really frustrating would be if those people then need rescuing at the cost of looking after people who have taken reasonable step to make themselves and their properties safe.

Having been one of the rescuers in the past, I’d like to spare a thought to all the road crews, the linesmen, the emergency services and others who will be out selflessly in the wet (maybe even cold in some places), when they could be protecting their own families and properties. Where would we be without the ‘trained’ volunteers as well as the locals who just pitch in and do what is needed?

I hope everyone gets through this safely. That they have stocked up on all the essentials and are ready for the storm. Here’s what you need to know to prepare for Gita.

Finally I remember going to the local pub and having a beer with the locals. It was cool to see how the community rallied together and became stronger after the event. And I remember the gold flecks for miles, glittering in the sun as if there had never been a storm and the ground had always been flat and covered in silt.

 

I feel sick and sad this morning

Footnote to my story in November called “Why don’t auckland hospitals work smarter rather than harder.” and the previous one The Hospital is the best place to be when you are sick, or is it?

My friend passed away this morning after an agonising battle with cancer. One has to wonder how much easier it would have been for her if she had received the treatment she was entitled to at the times she was turned away due to strikes and staff shortages. I’m sure she would still be with us today if she was able to receive the treatments and surgeries she was scheduled for.

Her husband is one of those nice old school Kiwi guys who listens to what he is told and didn’t want to rock the boat. He refused to fight through the management or the media to get the treatment his wife needed because he felt that was not the way you behave. Now he has lost his wife and soul mate too soon. We had to respect his right to be true to himself, but I’m not sure we have to accept the system that put him in that position.

My advice, if you are in a situation like that, where lives can be saved or prolonged and the bureaucratic penguins and the system is holding stolidly fast to this is where the line starts and if you’re not there anymore when you get to the end of the line, will the next patient shuffle forward, make a noise like someone’s life depends on it, especially if it does. People who go to the media miraculously get the treatment they need and sometimes before its too late.
We Kiwis need to stop being PC and accepting the bs that comes from our health industry. Note its not the wonderful hospital staff, they are put in an invidious position by the administrators, by the beurocrats and by the politicians who sleep sound at night and whose close ones are probably not getting turned away because “a registrar is off sick and the shift couldn’t run”. They are the ones who have to lie to the patients and their families when cost cutting measures, old fashioned systems full of lost paper files and ancient systems, and cost cutting means many people don’t get their surgeries, live or die in pain.

This person’s story is over. We won’t be going to the media or fighting because it is not what her husbands wanted. I respect that and much as it burns me, I will not add to his grief or risk creating feelings of guilt to him to make matters worse. He came from a generation who said yes sir, I know you are doing your best and genuinely trusted that. She may still have died, in fact probably would have, but she might have had a few more years and she certainly wouldn’t have suffered the degrees of agony of that she did over the last 4 months. We don’t do that to animals.

If you find yourself in a situation like this, make a noise, get your loved ones help, let the media know and as a country we have to get our government and administrators to invest in the new technologies that in the long run will cost less and save more lives.

Why don’t Auckland Hospitals Work Smarter Instead of Harder

 

 

3D Bioprinting

3D Printing is no longer news although I suspect most people haven’t heard of it yet. In fact there is a company within a couple of km of my office in Albany already successfully offering a variety of 3D printing services, incidentally called 3D Print. Another Aucklander, well known internationally in the  3D printing with RepRap is Vik Oliver, seen here with one of his machines.

When I heard that Richie McCaw was injured and after surgery was going to miss around 6 matches after having a titanium screw in his foot, my first reaction was, as most Kiwis, just what we need in Rugby World Cup year as he is such an amazing skipper and we want him there leading the All Blacks. Then I thought about so many other sports people who suffer injuries all the time given that they are putting their bodies on the line professionally.

Imagine a technology that rebuilds or repairs body tissue, bones, ligaments, even organs in vivo, using micro surgery techniques that mean people recover far more quickly, naturally and potentially therefore stronger than before.

Using the same types of technologies as conventional 3D printing, it will soon be possible to pattern and assemble, layer by layer, functioning living tissue, as well as non living substitutes such as ceramic and titanium according to Vladimir Mironov, an associate professor and director of the Advanced Tissue Biofabrication Center at the Department of Regenerative Medicine and Cell Biology, Medical University of South Carolina. He is also currently making waves about growing in vitro meat, something I have previously blogged about.

So this is a relatively new technology and I don’t know that it has been tested on humans yet, but the technology is already commercially available from companies such as envisionTEC.

Imagine the good this technology could do for people with problems from injuries, burns, through to the huge numbers of people who die for lack of organs for transplant.

The following video shows how bioprinters will be used in the long term. The technology will also be used to create human tissues which can be used for drug testing instead of using animals.

Of course if tissues and organs are made using material from the host, we can eliminate problems such as donor organ rejection.

On Living Longer

I’ve decided I want to live longer.  I love technology and I love this world of change and the ability to be involved in this technological era. I have things to contribute and I want to be active in ICT, Location Based Services and also as a songwriter. I want to see my children and grandchildren grow up and explore this ever changing world and see what they make of it.

I’m going to have to work longer, that was always expected, but then providing my Maslow and Herzberg needs are met, I enjoy working. I enjoy making a difference, helping people achieve their goals. I enjoy learning, watching what is helping in my spheres of interest, particularly those mentioned above. I enjoy collaborating and networking and am particularly passionate about seeing New Zealand step up to the plate and continuing to innovate and achieve greater success on the world stage.

I reckon a healthy target for me would be 120 given medical advances now and in the future. My greatest risks are probably heart and cancer, with the determining factors being nature and nurture and my general disposition i.e. my attitude and happiness.

One thing that is obvious is that I have to look after my financial well being. If I continue to work, then raising the retirement age isn’t going to be a major for me. If I am enjoying my work, see a future for myself where I can contribute from my experience, passion and knowledge and can continue to grow, I wouldn’t be expecting to retire at 67.

I know I can’t rely on the Government to give me any kind of lifestyle on the retirement pension anyway. Our budget deficit has just been raised to over $15b and despite some significant successes, we still don’t have an infrastructure that really supports innovation. We tend to take credit once people are successful, but most successful innovators tend to be successful in spite of the country’s and their employers contribution rather than because of it.

So my first considerations as I start goal setting and planning will be how I can maintain my lifestyle in the years to come, continue to build an asset base so that when I wind down to a shorter working week I can continue to enjoy a lifestyle and if I should be forced into retirement through poor health (which is not the plan) I can still live comfortably, which no one can in NZ on a pension or benefit. I have a super scheme, I still have a mortgage. I am closing down my rental property LAQC and have sold my rental property. The Government doesn’t want people be able to claim losses from their expenses and without that I can’t afford to own rentals. I’ve invested in public companies before, but unless you are buying and selling daily, this is in my opinion a far greater risk business. Even the biggest companies make mistakes or get caught up in circumstances beyond their control and shareholders unless they are big, have little or no control over their destiny. How many Kiwis lost their life savings in the past by investing in ‘rock solid’ companies?

So I’ll invest in myself. I am studying song writing at Berklee Music on-line, which is costing me a small fortune, but if I can score 1 or 2 hits somewhere along the way, I’ll recoup that investment. I study the industries I’m involved in daily through the media, the occasional conference, networking in person and through social media such as LinkedIn and Twitter and I read a lot.

I have and continue to amass a huge amount of local and international experience in a number of industries, particularly in the application of leading edge technologies to solving business problems. Experience, I have learned takes years and is perhaps something that is least appreciated by younger people who come out of university thinking they know everything and by people who have stuck in one industry or a very small number of companies during their work career.

So to cut a long story short, I need to start planning for my long future. I need to consider a range of aspects, particularly how I want to live those years, what I want to do in them, what I want to contribute, what capital I need, how to maintain my health and fitness. Must be time for some goal setting and dream building.

I’ll leave the last word for now to Anne Brunet (who came via that other little university in Boston (not Berklee Music, but Harvard) and Thomas Rando of Stanford U.

Note the real meat of this video starts around 21 minutes in.

Why don’t Auckland Hospitals Work Smarter Instead of Harder

A friend of mine was prepped for 2 days with nil by mouth a month or 2 ago for urgent cancer surgery. The first day she got bumped and the 2nd day was the start of a radiographers strike. Last night she was prepped for an 8 hour operation and got bumped due to a critical case that suddenly appeared. We thought she was criticial, but obviously that’s not for us to judge.

I’ve asked the question before “Is hospital the best place to be when you are sick?” and pretty  much decided unless it was a private hospital, possibly not. But of course most of us don’t have any choice especially as we get older.

It is nice to see that some things are improving. For example Auckland Health Board has decided to send some patients to private clinics for radiation treatment to reduce waiting times.

I had blogged previously about waiting times at North Shore Hospital based on experiences waiting with family members in A & E and subsequently in corridors in some cases for days, without being assigned to wards. Each time we were told that it was an exceptional case and we were just unlucky. A registrar was sick and therefore his team couldn’t operate was a common excuse. Think about it, an entire team doesn’t operate because one person doesn’t turn up? Maybe they were stretching the truth, being they are short staffed and can’t afford another registrar, and they didn’t turn up because they didn’t exist.

According to the reports, North Shore Hospital is improving and it is now only the 3rd worst in New Zealand. North Shore Hospital supports North Shore and Waitakere with an excess of 400,000 population and rapidly growing. Of course things will change with the new Super City, but the problems won’t go away.

As you can see in previous blogs I’ve written such as ‘76 Deaths, Surgical Mistakes in New Zealand Hospitals‘ I have been pushing for more specialized technology to streamline processes for many years. The technology has been around for a long time, yet we still seem to rely heavily on paper. Tablet and handheld computing has been around for a long time. Most of us use WiFi in the home, in cafe’s, at the airport and understand the power of dealing with information once, accurately and allowing instant access to anyone who needs it in a timely fashion. That’s how we live.

I now see bar codes on patient wrist bands, but I don’t see them being read by a handheld computer to check for allergies, conditions etc at the bedside. This technology could have saved many NZ lives at a tiny fraction of the cost of their lost lives, productivity etc.

When I started promoting this technology, it was with Pocket PC, Palm and Symbol technologies (handheld computers, 3D Bar Code Readers, Portable Printers, Digital Cameras which were being used in many US and European hospitals and that was 20 years ago!

Today there is superior technology such as the Panasonic Mobile Clinical Assistant CF-H1 which runs on Windows 7. The video is pretty corny but it really does illustrate how efficient it is to use mobile technology. Of course this technology has a rugged drop spec, is chemical resistant, lasts 6 hours on a standard battery.

This technology means everyone is in sync and has access to critical data on demand. Paper gets misplaced in hospitals. I had one visit with a daughter that was delayed by 90 minutes simply because someone had misplaced her file. Data can be shared with specialists and medical staff in and out of hospital, including images such as scans, x-rays, photos, test results, charts and graphs. Allergies and condition interactions can be monitored to minimise risk of causing new problems, doses can be confirmed, approvals provided remotely. Pretty much the whole world’s medical knowledge is available online today.

Today’s world should be about harnessing technology to work smarter rather than harder. I suspect the focus is on cost of the technology because our hospitals are run by administrators tasked with saving money. Of course they are largely man aged by politicians. If health is a major election platform every election, why is it that the performance is still so poor?

Next time you are in hospital, have a look at how they use or don’t use technology. Think about how you operate in your business. Think about what’s at stake and ask them why they do things the way they do.

We have national elections next year. They will be talking about improving the health system. Will they be talking about improving the ICT structure and putting information in the hands of the clinicians? Or will they be talking about saving money, improving the monitoring of staff performance and measuring waiting times in A&E?

We have an ageing population and growing population. They are going to need more services and we could increase our throughput, reduce patient risk, significantly improve outcomes by harnessing technology, working smarter rather than harder, expecting great results from staff working double shifts several times a week.

Olmesartan and Recovery from Autoimmune Disease

The following presentation is fascinating. So many people suffer from autoimmune problems. Could it be that many of them can be cured using a subset of Vitamin D?

It makes sense that many bacterial genomes damage the immune system over time and incrementally shut it down. In effect microbiota block the Vitamin D Receptors from producing antimicrobials.

Professor Trevor Marshall has worked with over 500 human subjects and demonstrated reversibility of   many autoimmune conditions including Lupus, MS, Type 2 diabetes and many more conditions, typically chronic inflammation conditions.

What is even more impressive is that as the inflammation receded, a host of other conditions that the subjects suffered from also disappeared. These included  memory loss, obsessive compulsive disorder, osteoporosis, bipolar and even cardiovascular disease.

In their research they discovered a couple of very interesting points. One is that only 1,25 dihydroxyviatmin-D can activate VDR transcription, whereas Vitamin D that we can take as pills actually inhibit it.

Could this be one of the discoveries that will help increase our life expectancy and potentially cure people from many terrible diseases?