Santhosh's ramblings

Re-reading the chapter on Delirium in the “Harrison's Principles of internal Medicine” was a re-learning time. Delirium is defined as an acute confusional state, leading to major morbidity and mortality. The diagnosis is based on Confusion Assessment Method Diagnostic Algorithm. Two necessary criteria, and one of the other two as an additional criterion.  Acute onset and fluctuating course – mental status changes, sudden in onset and fluctuates during the day. Inattention – difficulty in focussing attention, easily distractable or difficulty in keeping track of what is being said. Disorganised thinking – thinking is disorganised or incoherent, rambling, irrelevant, unclear, illogical, unpredictable. Altered Level of consciousness – not alert – either vigilant (hyperalert) lethargic (drowsy or easily aroused) or come (unarousable). Reading this was not only re-learning but revealing too. I suddenly realised, sometime during the day I am in Delirium too! And many around me too! Sudde

Travelling through 5 locations in about 10 days, one tends to  observe a lot. One thing that stood out was the “Inclusive development” systems being fast forwarded! I am sure what I will be writing here, might be dissected by developmental experts, since my writing is not based on expertise or data, but casual observations. But still here it is! Technical definition – “Inclusive development is an equitable development approach built on the understanding that every individual and community, of all diverse identities and experiences, is instrumental in the transformation of their own societies. Their engagement throughout the entire development process leads to better outcomes” . But technical definitions apart, it was interesting to observe that what I saw was something that confused my brain.   Stop one  – a B2 city, with a bustling population and an AQI (Air Quality Index) of 300 plus, as part of a team who was traveling to a hill station for a weekend retreat. In the stop one locati

I love foggy wintery mornings and nights in Delhi. There is a mystical and eerie feeling in such mornings and nights. I suppose this may be true for others like me too, who works from home mostly. For those who get out to work daily, foggy mornings and evening is not easy, rather disruptive.  Even driving in foggy roads, has its own charm. (As long I am not driving!) There is an adventure to it. It is enjoyable. Roads that are hardly visible, faint lights all around, moving at a snail's pace, and time stands still since you cannot move fast.  But then for those who are travelling it is a night mare. Delays, disruptions and cancellations are common.  Couple of days back, we had a family who was to come from Chennai to Delhi to stay with us for a training, but flight got canceled. They quickly made alternative plans to turn the training into an online one, and went ahead and did what they were expected to. What we missed was their company and fellowship. Same day another family stran

The question of living relevant lives in the era of runaway tractors is a challenging question to answer. (Read  this before continuing further)  https://santhoshsramblings.blogspot.com/2024/01/the-runaway-tractor.html Most days, I find myself behaving like an ostrich. “T he ostrich effect, also known as the ostrich problem, is a cognitive bias that describes how people often avoid negative information, including feedback that could help them monitor their goal progress. Instead of dealing with the situation, we bury our heads in the sand, like ostriches. This avoidance can often make things worse, incurring costs that we might not have had to pay if we had faced things head-on.”  https://thedecisionlab.com/biases/ostrich-effect#   On other days, I feel like a meerkat. The meerkat effect is defined as sticking its head up to look around whenever something might happen, in hyper vigilance, but then digging a tunnel and hiding. Their theme song is “Dig a tunnel before the hyenas come.”

It was last night (31/12/2023) – I started to wonder, what will the next few years hold for us as humanity? Socio-cultural, technological, and political transitions that are happening around us have been with unprecedented speed and momentum. On one hand, there are people who believe, “This is the day” – we as humanity (or even as a nation) are reaching the pinnacle of our freedom and heights, and tomorrow will take us to much more new frontiers. On the other hand, there are doomsday prophets who believe this will be the decade or generation that will see the undoing of humanity as we have known thus far!   A few transitions, out of the many, kept skipping through my confused mind. Each of these positive in some aspects challenging in others…   A.      Technological Transitions (Feel free to skip over this section, but if you want to read more, explore “The Coming Wave” by Mustafa Suleyman).   One - The technology of intelligence: With AI reaching a potential point of no return, with L