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Entries in work (279)

9:20PM

The Day That Didn't Pause

Please click the photo above to play the daily videoSome days arrive already full, as though the hours had been spoken for before I'd even reached them. This was one of those. Back to back from the start, one appointment giving way to the next with barely a breath in between, the clinic running like a tide that doesn't much care whether you're ready for it.

There's a rhythm to a day like that, and it isn't an unpleasant one, exactly. You stop thinking about the time and simply move through it — name after name, each person carrying their own small worry, each deserving the same attention as if they were the first of the day rather than the eleventh. The trick, if there is one, is not letting the pace flatten anyone into a queue. Easier said than managed, on a day that hardly lets you settle into your own chair, let alone anyone else's situation.

Which is why there's not much to show today. The camera stayed where it was, idle and faintly reproachful, while I got on with the part of the day that doesn't film well anyway. There's something almost honest about that — the busiest days are often the least visible ones, the work happening in rooms and conversations that don't translate into footage. You can't vlog your way through a full waiting room. You just get through it, and the record of having done so is mostly the tiredness you carry home.

It was only afterwards, once the last of it had cleared and the quiet came back, that I found a little room to think. There's a particular clarity to the moments just after a busy stretch — the noise drops away and you can finally hear yourself consider things. And what I found myself considering was the simple arithmetic of it. If the days keep arriving this full, with people fitted into gaps that barely exist, then perhaps the answer isn't to keep squeezing harder. Perhaps it's to make more room.

Extra clinic slots, in other words. It sounds modest written down, almost administrative, but there's a small humanity in it. More slots means fewer people waiting longer than they should, fewer afternoons spent apologising for delays that were never really anyone's fault, just the consequence of demand outrunning the hours available. It means the next busy day might breathe a little easier — for them, and, I'll admit, for me.

I haven't decided anything yet. These things deserve more than the conclusion you reach while still tired and still emptying out the day's tension. But the thought has landed, and thoughts that survive the journey home tend to be worth returning to. I'll let it sit and see whether it still seems sensible in the morning light, when the urgency of a full day has faded into something more considered.

For now, though, the day is done, and that alone feels like an achievement. No footage to speak of, but a reflection to keep. Not the worst trade, all things considered.

9:55PM

A Day Off, More or Less

Please click the photo above to play the daily videoThe night didn't quite take. It came in fits and starts, broken up by the phone, which has a particular talent for ringing at the hours when sleep is most reluctant to return afterwards. Each call pulled me back to the surface, and each time I drifted down again it was a little shallower than before. By morning I'd accumulated the sort of tiredness that isn't dramatic, just persistent — a low hum behind everything, the kind you carry rather than feel.

The reason for all of it was a patient who had taken a turn, and who needed sorting out regardless of what the calendar claimed. Because the calendar, for what it's worth, had claimed this as a day off. There's a small irony in that word, "off," as though days could be switched cleanly like a light. In practice they rarely are. The phone doesn't read your roster. Someone unwell doesn't pause to check whether you're meant to be resting. And so the day off quietly became a day on, which is a transformation so familiar by now that I barely register the disappointment of it.

I was busy until two. Not frantically — more a steady stream of things that each needed attention, one after another, with no obvious gap to step out of. The morning passed in that suspended way it does when you're concentrating, where you look up and find hours have gone without quite announcing themselves. By the time the patient was settled and the worst of it had eased, I realised I hadn't eaten, and that the appetite I'd ignored all morning had curdled into something closer to depletion.

Lunch, when it finally arrived, was a late and grateful affair. There's a specific pleasure in eating after you've earned it, even if earning it wasn't part of the plan. The food tasted better than it probably was, as food tends to when it follows a long stretch of going without.

Afterwards the tiredness collected its dues. I'd been running on the borrowed energy of a restless night and a busy morning, and once the urgency lifted, the borrowing came due all at once. I had to rest — not wanted to, had to, which is a distinction my body insisted on with some firmness. So I gave in, lay down for a while, and let the afternoon do what it liked without me.

The plan now is an early night, and this time I mean it. There's a quiet appeal to the idea of a long, unbroken stretch of sleep, the phone silent, the day fully relinquished. Whether the night cooperates is another matter entirely. But the intention is honest, and sometimes that's the most you can offer.

A day off that wasn't, then. Not the rest I'd imagined, but the kind that occasionally finds you anyway, in late lunches and stolen lie-downs and the simple relief of someone being all right in the end.

8:21PM

The Art of Winding Down

Please click the photo above to play the daily videoTuesday had a specific energy to it — the quiet industriousness of someone tidying the house before going on holiday. Not frantic, just purposeful. Everything today carried the faint undertone of get this done properly so tomorrow can be tomorrow.

Clinic took up the morning, the usual rhythm of consultations ticking along at a steady clip. There's a particular satisfaction in morning clinic when it moves well — each appointment finding its natural length, nothing dragging, nothing rushed. The kind of session where you emerge at the other end feeling like the work did itself, even though you know perfectly well it didn't.

After lunch, the ward round had a clear objective: discharge as many patients as possible. There's an unspoken kindness in this before a public holiday — nobody wants to be sitting in a hospital bed over Aidil Adha if they don't need to be, and the ward staff deserve a lighter load too. So we moved through it with cheerful efficiency, ticking off the ones who were ready, making sure everything was in order. It's oddly gratifying work, sending people home. The paperwork is tedious, naturally, but the outcome is worth every duplicated form.

By three o'clock, the clinical side of the day was done. What remained was the administrative tail — the notes, the letters, the various bits of documentation that accumulate like sediment over a working day. I worked through them methodically, the kind of low-intensity task that suits a mind already half-turned towards tomorrow.

The drive home felt lighter than usual. Perhaps it was knowing there was nothing pressing on the other side of tonight. No alarm set to a punishing hour — well, actually, that's not quite true. The alarm would indeed be going off early, but for the best possible reason. Irfan lands tomorrow morning, and I'll be there to meet him. There's a different quality to an early start when it involves collecting someone you've been looking forward to seeing.

The evening was deliberately uneventful. Just the gentle deceleration of a day that had done its job. No grand plans, no elaborate dinner, nothing that required standing up for longer than strictly necessary. Sometimes the most luxurious thing you can do with an evening is absolutely nothing at all.

An early night, then. The kind where you're in bed before the hour feels remotely embarrassing, and entirely at peace with it. Tomorrow the holiday begins properly — Irfan home, Aidil Adha ahead, and two unhurried days stretching out like a cat in a sunbeam.

But that's tomorrow's entry. Tonight is just the pleasant business of stopping.

9:20PM

Running on Yesterday's Fumes

Please click the photo above to play the daily videoThursday's late finish was still making itself known this morning. The alarm did its job, but my body filed a formal objection. There's a particular kind of tiredness that sits behind the eyes — not dramatic, not debilitating, just present enough to remind you that sleep is not a suggestion. Coffee helped, as it always does, though I suspect coffee gets more credit than it deserves on mornings like these.

Once I was in and moving, rounds went smoothly. The body has a way of overriding the mind's complaints when there's work to be done, a kind of professional autopilot that kicks in and carries you through until you forget you were tired in the first place. The list cooperated, the team was sharp, and everything moved with that quiet competence that makes the early hours worthwhile.

Clinic brought a couple of new patients, which always shifts the texture of a session. There's a different energy to a first meeting — more ground to cover, more listening required, the careful business of building a picture from scratch. You're assembling a person from fragments: their history, their concerns, the things they say and the things they leave out. It takes a particular kind of attention, and today I had just enough of it left in the tank.

After lunch the pace picked up properly. The kind of busy that doesn't leave room for clock-watching, which is either a blessing or a conspiracy depending on your perspective. Tasks stacked up, decisions needed making, and the afternoon compressed itself into something that felt both endless and surprisingly quick. That's the paradox of a full day — you can't believe how long it's been and yet somehow it's already time to leave.

I made it home for dinner, which after Thursday's late return felt like a minor restoration of order. Anita and I sat down together, the meal unhurried, the conversation easy. There's a particular comfort in a Friday evening meal — the week's weight beginning to lift, the weekend not yet requiring any plans or decisions. Just food and talk and the gentle unwinding of five days' worth of accumulated tension.

Afterwards, we settled in for another episode of For All Mankind. The season is building towards its finale next week, and the writers are doing that thing where every scene feels loaded with consequence. Characters you've spent years watching are being moved into positions that feel increasingly precarious. It's the kind of television that makes you sit forward slightly without realising you've done it. Next week will either be magnificent or devastating, possibly both.

An early night, then, because tomorrow demands an early start. The kind of Friday where you're already thinking about Saturday's alarm even as you're brushing your teeth. But that's fine. The week delivered what it needed to, and now it's stepping aside. Gratefully received.

9:42PM

A Win Carries You Further Than You Think

Please click the photo above to play the daily video

There's something about starting the week on the right side of a result. United did the business last night, and I won't pretend it didn't colour everything that followed. The alarm felt less aggressive. The coffee tasted more deliberate. Even the drive in had a certain ease to it — traffic lighter than usual, the sun doing its best impression of generosity, the whole city seemingly in no rush to complicate things.

Rounds went smoothly, which is the kind of sentence that sounds unremarkable until you've lived through the alternative. Some mornings the list unravels before you've finished your first lap of the ward. Today, though, everything held together. Patients stable, plans clear, the team moving with that quiet efficiency that makes the work feel almost elegant. I'll take it.

Lunch, for once, wasn't a thing I inhaled between tasks. I actually sat down. Took my time. There's a minor rebellion in eating slowly on a weekday, a small act of defiance against the clock. The food itself was nothing extraordinary, but the pace made it feel like something worth having. A proper pause rather than a refuelling stop.

The afternoon stretched out in that way clinics tend to — patient after patient, each one their own small world of concerns and questions and histories. Long but not gruelling. There's a rhythm to it when things are flowing, a kind of conversational cadence that carries you through. A procedure at the tail end kept me focused right to the finish, but I managed to wrap up and get out with daylight still in my pocket. Home before sunset. That alone felt like a small victory.

After dinner, I caught a webinar on Heidi AI — the clinical AI scribe I've been using — featuring Alan Teh, a colleague whose opinion I tend to trust on these things. It's always interesting watching someone you know navigate the slightly performative format of an online panel. Alan handled it well, as expected. The tool itself continues to evolve in ways that are genuinely useful, and it's good to see familiar faces helping shape the conversation around it. Technology demos can be dry affairs, but when someone you respect is doing the talking, you pay closer attention.

The rest of the evening was quiet. The kind of Monday night where you're not chasing anything, just letting the day settle. The weekend's result still glowing faintly in the background, the week ahead not yet demanding anything specific. Anita and I exchanged the usual end-of-day dispatches — her day, my day, the comfortable shorthand of two people who've long since stopped needing to narrate every detail. Sometimes a Monday just works. No drama, no friction, just a day that does exactly what it promises and then politely steps aside.