Tag: Roderic

Rookie Refs Can Be Lazy – Rodric Leerling

Rookie Refs Can Be Lazy – Rodric Leerling

The rookie ref this weekend wasn’t that young. In fact, he told me he had been serving several football clubs as club referee and now wanted to join the Dutch FA. He needed more challenge and variation in this assigned games. Continue reading “Rookie Refs Can Be Lazy – Rodric Leerling”

Everybody happy with the new digital player passes? – Rodric Leerling

Everybody happy with the new digital player passes? – Rodric Leerling

Well, not the club I visited last weekend to accompany a new referee. The new FA referee was experienced as club official and performed the new player passes check professionally in the dressingroom. Continue reading “Everybody happy with the new digital player passes? – Rodric Leerling”

When docters tick off most of the obvious medical boxes – Rodric Leerling

When docters tick off most of the obvious medical boxes – Rodric Leerling

This week, another much anticipated hospital appointment took place. It was to become a new discomforting medical talk.

It all started with good news. The rheumatologist told me no real abnormalities were found in either bloodtest or new x-ray photos. More importantly, no crystals whatsoever were found in the excessive knee fluids het extracted last time. Meaning, it is almost certainly not gout or ‘pseudo-gout’ (chondrocalcinosis). The bad news was slowly building up in my mind. And made written notes this time to remember the test results in more detail.

The specialist suggested one more fluid extraction from my swollen knee and wile the needle was still in, inject it with double the volume of corticosteroid in order to try once again kill the stubborn inflammation. I agreed as this seemed the last effort to cure the 15 weeks knee misery. In two weeks time, a 3rd extraction (if anything left) will take place for a final check on pseudo-gout. And another blood test.

I had to ask the question: so doc, what’s next if all this doesn’t work out? Well, if it’s definitely no gout (and that’s already for 99% certain), we are entering the early indication of the rheuma realm. A new therapy will need to be started and another medication to stop the inflammation. Probably back to a prednisolon course.

The injection was less comfortable than the previous extraction. The medication was added and I was instructed to keep calm for 2 days and then slowly try to exercise. In the meantime, I keep my fingers crossed.

Medical diagnosis is not always as logic as you think – Rodric Leerling

Medical diagnosis is not always as logic as you think – Rodric Leerling

My insurance company was one of the first to show compassion with my knee injury. “How long did you say you have had this knee injury? Wow, almost three months without a clear diagnosis. Let’s try a 2nd opinion before you see yet another specialist.”

I felt mentally supported after seeing 3 GP’s, the orthopedist (more of his assistant). Swallowing three different anti-inflammatory drugs, getting injected with cortisone and being X-rayed and MRI-ed.
The sport medical doctor was the one to give me the obvious word: you have stressed yourself too much as referee in futsal and field football. After such a hectic season the knee can’t cope any longer and blows up. Layman’s talk.

Well, none of that. He studied both the X-ray and MRI scan in my presence. Read the accompanying GP letter with their procedures so far. Checked my swollen knee and just nodded. His verdict was shockingly direct: this is clearly not a sports related injury. At least, it’s not the way a knee reacts to being overly stressed – even after a total inner-meniscus removal (40 years ago) and a heavy season where I pushed hard to get promoted. No mechanical cause to be found, just like the orthopedist told me.

He simply would have given the same advice: go and see the reumatologist. He will probably ask for a puncture and examine the excess fluid. Maybe he has a an idea what causes the knee (and possibly other body parts) to react so vehemently. He wished me luck and said to be sorry not to be able to help any further.

And just when I wanted to hit the ‘publish’ key, the reumatologist called me if I wanted to fill a last-minute opening in his agenda. Sure, let’s do it! Seeing him in 60 minutes. To be continued.

The orthopedist finally showed his face and left again – Rodric Leerling

The orthopedist finally showed his face and left again – Rodric Leerling

The student doctor invited me in and left me again sitting in a small room. He had to consult his superior and left me waiting. Consulting the actual specialist who hadn’t shown his face yet despite my third visit to his assistant.

But just before the student left me, I suggested the orthopedist to come and see me this time. Which he did. But the questions he asked made me wonder if he really grasped the situation. He couldn’t find any mechanical cause to the swelling. Neither on the X-ray, nor on the MRI could he find anything that could be the root of the swelling. His job was done. He was going to refer me to a rheumatologist to see if he could find the cause of the inflammation. Goodluck and have a nice day.

It felt like a cold shower. After eight weeks of blood tests, x-rays and various medication, I was back to square one. At home, I had the urge to call my GP, and ask his opinion as he mentioned (non-classic) rheuma as possible cause, but he was on hols. I instead called my insurance company what to do. They suggested to have a sports medical consult, in the same hospital. I only needed a referral from the orthopedist or my GP. The latter being on hols, I called the orthopedist’s assistant. To my big surprise, he refused to refer me to his colleagues at the sports unit. No explanation, sorry we can’t be of help.

So now we wait for another week till my GP is back. Ask for a referral and a ‘2nd opinion’. That’s 12 weeks since the knee started swelling. I have given it a proper rest, I would say, but still no changes. Oh, and the rheumatologist can see me late September. Maybe I should give them a call as well.

 

Stuck In The Medical System Without Perspective – Rodric Leerling

Stuck In The Medical System Without Perspective – Rodric Leerling

Today, I visited the student orthopedist again in hospital. His injection of three weeks ago didn’t have the expected effect. I enjoyed a short three days of a non-swollen knee. Since ten days it’s back and hence limping time again. And that for ten weeks on a row now.

I called and asked the hospital reception last week if I could just have a phone call to tell the doctor that the injection didn’t work for long. No, I was told, you have to come in person and see the doctor again (hence the expression ‘pay them a visit’?).

It was the usual 30 minutes delay and then within 2 minutes the conclusion: “hmmm, this is not good, I have to consult the specialist. I will be back soon.” They basically ticked the same boxes as my GP had done four weeks ago. The verdict: an MRI scan to check the tissues around the knee. See if there is something wrong that couldn’t be spotted on the X-Ray. Another injection was not possible, unfortunately.

To my big surprise, the scan could be scheduled on next Saturday with the follow-up consulting visit on Tuesday. If that’s not going to produce any clarity, a tube operation will be the last resort.

I think I’m going to call the Dutch football association telling them that I’m not going to  be ready for the season opening games. In the higher ref league. Four weeks to get back in shape is basically too little time.

Don’t Put Your Trust In The Rain Radar App – Rodric Leerling

Don’t Put Your Trust In The Rain Radar App – Rodric Leerling

We were kindly advised to evacuate the hotel terrass within 15 minutes. The waitress looked pretty serious and pointed to the sky. The rain radar was predicting heavy rainfall with thunderstorm and we’d better move indoors.

We decided however to wait a while and not immediately follow her sincere advise. While we continued our conversation I thought I felt a first raindrop while temperatures were close to 30C and getting very humid. But nothing happened and it stayed dry for the rest of the day. Well, at least in Amsterdam, while other places got the full rain menu.

The rain radar tool is supposed to predict rain. A no-brainer. Predicting rain at a specific time and location. But it’s apparently not very accurate where the delivery will take place. Aren’t we focussed too much on our smartphone and at the same time getting dependent on information from our electronic devices? Why not check things with our own eyes and study the skies instead of our screens.

Here’s my analogue weather approach: check the position of birds flying high or low (flying low is due to low pressure). Smell the air of plants discarding their waste at low pressure, producing the smell  of compost. Sudden low pressure is known for predicting bad weather. Can I recommend a combination of digital and analogue assessments for future local weather predictions? It might save your outdoor meeting.

Waarom Kijk Je Nooit Eens In Je Digitale Spiegel? – Rodric Leerling

Waarom Kijk Je Nooit Eens In Je Digitale Spiegel? – Rodric Leerling

De ‘waarom vraag’ leidt vaak tot nieuwe inzichten in het leven en ontkracht tegelijk fabels en hypes. In dit geval draait het eigenlijk maar om een woord (en werkwoord): Google. Deze zoekmachine bepaalt tegenwoordig wat mensen van je vinden. Of je dat nu wilt of niet. Het gebeurt gewoon. Geen hype en geen fabel.

Grappig is dat we dagelijks (off-line) tijd besteden aan ons uiterlijk voordat we naar kantoor, meetings of congressen gaan. Maar we accepteren eigenlijk heel makkelijk dat we online als sjofel en onopgemaakt door het leven gaan. Je off-line en on-line imago moeten in evenwicht zijn. Zorg dat je zakenrelaties en prospects een gebalanceerd beeld van je vinden als ze op je googelen. Want dat doen ze. Regelmatig, en zonder dat je het zelf beseft.

Je digitale image is wat we online reputatie zijn gaan noemen. Wat heb je drie jaar geleden gezegd of gepost? Vaak vergeet je dat snel weer, maar Google niet. Haal die negatieve reacties en impulsieve opmerkingen op LinkedIn gewoon weg. Check wat je op Facebook hebt gezegd over anderen. En haal die foto’s weg die je kort na een event nog leuk vond, maar nu inmiddels niet meer. En ga dan eens op jezelf googelen. Wat komt er boven? Herken je jezelf in de digitale spiegel?

Dan is het tijd om zelf het heft in handen te nemen. Je begint met een content platform in je eigen naam (WordPress is ideaal) en start met tweewekelijkse blogs. Zet die uit op social media zoals LinkedIn en Twitter en laat je netwerk hierop linken. Denk aan onderwerpen die spelen in jouw sector. Doe maar gewoon en schrijf over zaken die prospects en je huidige zakenrelaties interessant vinden en bereid zijn om te gaan delen. Topics die typisch voor jou zijn en waar relaties je op herkennen. Gebruik de juiste tags en spel je naam eventueel ook opzettelijk foutief.

Zodra het linken frequenter wordt gaat Google verwijzingen naar jouw naam oppikken als relevant en kennelijk interessant om te lezen. Je indexering gaat omhoog en je verschijnt op pagina 1-3 van Google zoals jij dat wilt in plaats van dat Google dat ongevraagd voor jou doet. Je digitale spiegel wordt nu snel scherper en je online reputatie krijgt vorm. Herken je jezelf al een beetje?

Succes ermee. We helpen graag als je hulp nodig hebt.

 

Laat Je Het Social Media Management Over Aan Een Stagiair? – Rodric Leerling

Laat Je Het Social Media Management Over Aan Een Stagiair? – Rodric Leerling

Je piekert over de vraag hoe en welke social media platforms te gebruiken voor je bedrijf. Welke kanalen passen het beste en hoe vul je die met goede content? En wie zetten we daarop, en vertrouwen we dat hij of zij snapt wat er gebeurt als je het domein social media betreedt? En gaat het wat opleveren?

Social media is geen nieuwtje meer maar inmiddels een serieus kanaal om je b2b zaken te laten groeien en verstevigen. Je wilt immers relevant zijn en blijven voor je klanten. Goede content op social media is daarbij de ultieme sleutel tot succes. Maar het is niet zoals het oude ‘broadcast’ model waar je media zoals vakbladen gebruikt om je producten aan te prijzen. Met social media content ontwikkel je traffic richting je website. Je content wordt gedeeld in andere netwerken en de olievlek breidt zich uit. Het maakt uiteindelijk van lezers business leads, en uiteindelijk ontstaat de conversie naar nieuwe klanten. Die weer je ambassadeurs worden. Een lange adem soms.

Maar ik hoor gelijk een zucht, want social media is nog niet helemaal je terrein. We hebben toch een strakke website waar klanten ons kunnen vinden en onze producten en diensten bekijken? Waarom niet de social media overlaten aan een stagiair die dit beter snapt dan wij? De generatie-Y zit bijna constant op die platforms en weet beter hoe je dat moet inzetten. En ze zijn nog eens goedkoop ook.

Maar ben je bereid om het social media management uit te besteden aan een student? Meekijken en een beetje gokken dat het wel goed zal gaan? Besef wel dat toekomstige werknemers, potentiƫle investeerders en prospects, voordat ze de bedrijfssite zoeken, vaak eerst googelen op je naam en bedrijf. De op Google page 1 genoemde social media slots worden bezocht om te beslissen of ze wel of niet contact gaan opnemen. Denk aan aspecten zoals of je interessant bent en betrouwbaar. Of de bedrijfsmissie met passie uitgedragen wordt door de CEO. En of er dynamiek in het bedrijf zit en er een visie is voor de sector. Hier kan zomaar de externe belangstelling ophouden.

Dus naast de bedrijfssite vormen social media het dynamische raam waardoor bezoekers naar je bedrijf kijken. Instappen op deze platforms is een prima move, maar is het het risico waard om het management ervan over te laten aan een stagiair? Kan die wel goede long- en short form content maken, zoals blogs, interviews en tweets? Video interviews en reportages plannen, opnemen en editen, en professionele fotografie maken? En niet te vergeten een goede content planning en consequent het management er aan houden. Dit bij elkaar vergt senioriteit en ervaring.

Bezuinig er niet op en huur een professional. En tenslotte …. Google jezelf nou eens?

 

When Your Doctor Says You Should See Another One – Rodric Leerling

When Your Doctor Says You Should See Another One – Rodric Leerling

After weeks of taking different meds to kill the sudden burst of pain and reduce my knee swelling, the first diagnosis by my GP has been drawn. There are fractions of cartilage around the knee that should be ‘cleaned up’.

Why and how this ‘cartilage delivery’ works is not clear, but the X-ray results showed it clearly. The loose fractions around the knee are causing the body to react and produce moisture to encapsulate the danger. An orthopedist has been asked to examine me further and probably come up with a surgery proposal to do a ‘clean up’.

I can’t wait as this has been dragging on now for seven weeks already. The moisture in my knee prevented the GP to track the cause of the pain and swelling, as it basically formed a medical ‘cover-up’. Only after weeks of meds and eventually a reduced swollen knee, the injury could be diagnosed and the X-ray picture requested.

So much for the Dutch medical ‘1st line care’: patients should be seeing their GP as much as possible ‘in the 1st line’ and only when really necessary visit a specialist in hospital, called the ‘2nd line care’. This is believed to lead to a reduction in medical costs. But in my case, this has so far lead to 8 weeks of limping, a painful and swollen knee, 4 GP visits and 3 different medications, before finally an X-ray was requested and steps to surgery taken. Who knows how long this ‘2nd line of doctoring’ again will take. Keep you posted.