I have just spent a lovely weekend (Friday night till Tuesday
afternoon) at the Royal Calderdale Hospital. Since I'm sure you are
all as fascinated with the jbexing of my internal organs as I am, I
thought I'd give you a full report.
1. Acute gastritis. No visible ulcer, but biopsies taken to test for
Heliobacter pylori--an event for which I am very glad, for having
suffered this nasty stomach nonsense since I was 18, if they find it's
H. pylori, it can be *cured* with a course of antibiotics. No other
doctor has ever done this test. Beats the hell out of me why.
2. A very short bout of acute pancreatitis. As this is commonly a
disease associated with heavy drinking, I was a tad surprised by this,
as I am a Well-Known Tee-Totaller. The doctor said some people are
just lucky. But my amylase level, which was over 300, is now down to
71 two days in a row, so they aren't worried about that any more.
3. They still have sex-mixed wards at the Halifax. Now it's not that
I'm not used to sleeping in the same room with men to whom I am not
married, but this was a little different. Fortunately they were both
old and sick and I figured I could out-run them.
4. The sedative they give before the EGDs Over Here isn't nearly
strong enough. I remember every little detail, and it was *nasty*. But
I am the sort of person that can't be sedated with ordinary doses, so
it may be my own fault.
5. Those of you who have significant others, be very specific when
you ask them to bring you clean underwear. RSG managed to find the
only pair I own that have *no* elastic in them at all. I had to keep
my jeans on to keep my underpants from decorating my ankles.
6. They have changed my medication all around. My new stomach medicine
is lansoprozole, trade name Zoton. It's not a histamine-inhibitor like
Tagament and Zantac, but works by suppressing hydrogen and encouraging
sodium instead, thus reducing the production of hydrochloric acid. It
also is a specific for H.pylori ulcers, so we're hopeful. My new
arthritis med is Celecoxis, which has a list of side effects as long
as your arm but is supposed to be kinder to stomach linings. I hope
so, but how will I give up my ibuprofen? It's almost like getting
divorced.
7. The NHS is an hell of a way to run a health service, but at least
it's free. I had a set-to with one of the night nurses--turns out she
had no idea what the meds she was giving me were
actually for and how they acted. I told her that a nurse should never
*ever* give a medication that sie didn't know the trade name, generic
name, how it worked, expected results, side effects, and adverse
reactions. She sneered 'I'll bet you always did that.' And you know
what? I did. Always.
One doctor I will love until I die. She sat on the side of my bed and
patted my hand while I cried in pain and gave me a whopping dose of
pethedine. She made up for Mr.Res Surg, who never told me his name,
just 'I'm the Resident Surgeon.' I wonder does his wife call him
Rezzie?
Most of the nurses were cool, just overworked and underpaid. Like,
duh.
8. The longer I stay out of nursing the more competent I become. If I
live till 70 I will have taught Florence Nighingale everything she
ever knew, invented penicillin, and performed the first Caesarian
section on Caesar himself (well, on his mother, actually).
Sorry I didn't give you advance notice so you could have come to visit
me. Next time I promise I'll post before calling 999.
But you still have time to feel sorry for me.
Don't start puking blood--that's my very best advice to you.
LizzH.
--
Boys is easier, and if you have sons it's worth trying for three.
Nanny Ogg
>
>
>I have just spent a lovely weekend (Friday night till Tuesday
>afternoon) at the Royal Calderdale Hospital. Since I'm sure you are
>all as fascinated with the jbexing of my internal organs as I am, I
>thought I'd give you a full report.
[snip]
I see you had fun then...
>
>Don't start puking blood--that's my very best advice to you.
>
as the Left-pondians would say (and perhaps you did...)
"eeeewwwww".
hope it all continues to get better, innit.
--
Austin Shackles. www.ddol-las.fsnet.co.uk my opinions are just that
Soon shall thy arm, unconquered steam! afar Drag the slow barge, or
drive the rapid car; Or on wide-waving wings expanded bear the
flying chariot through the field of air.- Erasmus Darwin (1731-1802)
I'm not sure I've got internal organs. I hear a lot of bad-plumbing noises,
but that's about all.
I trust you never have to go through that again.
I agree with you about the staff. In a recent exercise my sister
accompanied my aged parent to an hospital in taunton, and the aged P. was
admitted by a doctor from the subcontinent. Perfect english, no problem
with the diagnosis. But it wasn't till I arrived that he explained
anything, me being a male and "in charge". It never occured to him to
explain anything to my sister or the patient, both being female. I'm not
suggesting he was a bad man, but he came from a different culture than ours,
and that was very obvious.
IME many[1] English born doctors have precisely the same attitude towards
women, I don't think the cultural differences in that area are all
that huge. I goov there's a sort of self-supporting boy's club atmosphere
among the more self-regarding male consultants. Trouble is, there's not
exactly a surplus of medics.
[1] but by no means all - absolutely excellently communicative doctors
exist, s'just one unforgets 'em in vaguely positive terms rather
than specifically ipssde-orft ones.
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` Navy crack military encryption key '
Perhaps I'll give the DAW loaf a miss, then, on reflection...
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` Rolling Stones eliminate stock exchange '
[snip]
>Don't start puking blood--that's my very best advice to you.
Ah, righto, sounds like Good Advice to me.
'Ope yer feeling less inside-out soon, ar Lizz, all that sounds a bit
irksome.
As re. tests they've only just thought to do: presumably, it's on
account of 'em costing zbarl or summat? I mean, chronic iffy stomach,
yer'd have thought that helibacter were at least on the shortlist for
questioning, innit?
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` Pacifists eat Drug Dealer disgrace '
>Hope you feel better soon Lizz. Have you had this before, or is it a
>new syndrome?
On and off since I was 18. It gets like, totally boring after a while.
>
>I'm writing this between bouts of vomiting, myself, so I feel
>particularly sympathetic.
>
>I'm sure you really wanted to know that.
Poor baby. Dry toast and tiny sips of water for you. Nothing else, no
matter how much you want it, for at least 6 hours after your last
episode.
If you like Coke, a little of that doesn't usually hurt, either. In
fact, docs used to prescribe Coca-Cola syrup specifically for nausea,
and it does work.
>
>As re. tests they've only just thought to do: presumably, it's on
>account of 'em costing zbarl or summat? I mean, chronic iffy stomach,
>yer'd have thought that helibacter were at least on the shortlist for
>questioning, innit?
It's expensive and slow--takes about 4 weeks to get results. Most
insurance companies don't want to shell out money for things like
that, so USAn docs tend to treat the symptoms instead of the disease.
I was most impressificated that they were doing it Over Here. There
are a lot of things I didn't like about the NHS, but that definitely
isn't one of them.
Oh, and the tea wagon that comes round 4 times a day is extremely
civilized.
--
David Reid Da...@disarray.org.uk http://www.disarray.org.uk
The cogno-intellectual implications of this research create a whole new
paradigm for the subject.
Oh you lucky, lucky lady!
> Since I'm sure you are
> all as fascinated with the jbexing of my internal organs as I am,
Err....
> I thought I'd give you a full report.
Gosh, thanks.
> 1. Acute gastritis. No visible ulcer,
... which may or may not be a mixed blessing... Hopefully once the
blood test and biopsy results come back you'll be able to get a
definitive diagnosis, which will enable you to start treatment for
whatever-it-is.
> Sorry I didn't give you advance notice so you could have come to visit
> me. Next time I promise I'll post before calling 999.
Humph. So I should think. You can't just go off an be ill without
an appointment and a note from your mother you know; you have to
book in advance and have the note countersigned by Someone In
Authority.
> But you still have time to feel sorry for me.
I can manage that without too much difficulty. There are many
lovely places to spend a long weekend away from home, but somehow a
hospital bed doesn't seem, on the face of it, to be one of them.
Don't do it again, d'you hear?
> Don't start puking blood--that's my very best advice to you.
I'll try to remember that. Here, have a {{{{{hug}}}}} from me and
mine, and get well soon.
--
This space left blank for new .sig
>>
>ISTR the treatment is cheap generic antibiotics so the drug companies
>aren't keen to promote it either.
Well, it's true that the antibiotic used is very common and available
generically (I believe; I'm having a brain sneg and can't remember the
name of it); the other part of the medication regime is plain old pink
Pepto-Bismol.
But it has been my experience that USAn docs prescribe cheap drugs
just as often as they do the expensive kind. All my docs have been
cool with writing scripts for generics only, unless it really made a
difference (and it sometimes does. A Very Pricey Antibiotic saved my
life once).
Where the drug companies exert their most influence in in the field of
research.
Poor old thing....what's up? Apart from the stomach contents, that is.
--
Skipweasel:-
Poets have been mysteriously silent on the subject of cheese. - G.K.
Chesterton
I bet it does. Even the idea is making me nauseous
Poor thing. But they've let you out now. Is that because you're feling
better or just because they needed the bed for someone else?
>
>Don't start puking blood--that's my very best advice to you.
I'll try to remember that.
--
Mel Rimmer
GBS
No, NOT George Bernard Shaw! Get Better Soon!
May as well use this to mention that Gaye is getting some sensation back
in the dead limbs and they're hopeful some motor ability will also
return.
I've not actually seen her as I've had car trouble and busy-at-jbex
trouble and flooded-kitchen-and-diningroom trouble, but maybe next week.
--
OE users: get Quotefix NOW!
http://www.webattack.com/get/oequotefix.shtml
Hi Dave.
> --
> OE users: get Quotefix NOW!
> http://www.webattack.com/get/oequotefix.shtml
I like the way you're advertising some software thing that either:
(a) doesn't jbex
(b) you haven't installed...
Hope all's well with you both.
--
Thomas Rushton
Somewhere in Bradford...
seems entirely sheddi way to carry on, if you ask me.
> I have just spent a lovely weekend (Friday night till Tuesday
> afternoon) at the Royal Calderdale Hospital. Since I'm sure you are
> all as fascinated with the jbexing of my internal organs as I am, I
> thought I'd give you a full report.
> 1. Acute gastritis. No visible ulcer, but biopsies taken to test for
> Heliobacter pylori--an event for which I am very glad, for having
> suffered this nasty stomach nonsense since I was 18, if they find it's
> H. pylori, it can be *cured* with a course of antibiotics. No other
> doctor has ever done this test. Beats the hell out of me why.
Well, for a start, doctors aren't the all-knowing entities we believe
them to be....if yours are anything like the doctors I know!
About the best you can hope for (from doctors) is an educated guess.....
HTH
--
Anne _
)/___
__/(___)####/c
/ /\\|| \ / \
\__/ ----'\__/
CG125 <Makes Sign of the Holy Pushrods>
IbW#24 BOS#1
ICQ #:- 119531282
>> In fact, docs used to prescribe Coca-Cola syrup specifically
>> for nausea, and it does work.
>
> I bet it does. Even the idea is making me nauseous
I'm getting odd looks now, because that made me giggle very loudly and
explosively in the Department pooter raum.
Rugrat
[...doctors not explaining stuff to women]
> IME many[1] English born doctors have precisely the same attitude towards
> women, I don't think the cultural differences in that area are all
> that huge. I goov there's a sort of self-supporting boy's club atmosphere
> among the more self-regarding male consultants. Trouble is, there's not
> exactly a surplus of medics.
A new GP at my local surgery tried not listening to me _once_ and only
once. They don't get a second chance, if they ignore what I'm saying,
or refuse to give me a proper explanation of anything, the next thing
they see from me is a copy of the formal letter of complaint against
them. Having said that, the new GP learned and is now my preferred
GP.
I've suffered from certain complaints/symptoms for a long time, I know
better than any GP what works and what doesn't, refusing to listen to
me can be bad for _my_ health, so they don't get to do that.
Especially considering that my NHS records have a 16 year gap in them
from when I lived in .au and they've never bothered even trying to get
copies of my .au medical records.
NHS rant is about #34 on the list of standard rants.
--
Lady Kayla http://designs.ladykayla.org/
"at least I'm not so far back in the closet that I'm in fucking Narnia!" -
Gimme, gimme, gimme
>But you still have time to feel sorry for me.
You'll be ready for a BA after all that, then!
--
Sn!pe JBC, OETKBC, FIBS. <snipe[at]uk-rec-sheds.org.uk>
"There are powers at work in this country about which we have no knowledge."
>As re. tests they've only just thought to do: presumably, it's on
>account of 'em costing zbarl or summat? I mean, chronic iffy stomach,
>yer'd have thought that helibacter were at least on the shortlist for
>questioning, innit?
I haqrefgnaq that there is a breath test for heckylobacter now,
although I'm hootered if I can thimk how it jbexf; p'raps you hafter
eructate into a test tube.
>Oh, and the tea wagon that comes round 4 times a day is extremely
>civilized.
Is it still pushed by Fag-Ash Lil, the Tea Bag, Queen of The Urn;
resplendent in crossover housecoat, turban and down-at-heel slippers?
In my lbhat qnl it was counted as a mark of special favour if you got
the cup that had received the blessed bounty of FAL's escaped fag ash.
The Chocklit 'Gestives were always part melted along one edge, TAAAW;
from being in too close proximimity to The Urn during their perilous
journey from the canteen in the goods lift. Boodly slow, them goods
lifts; and all those walls* going by. <shudder>.
Me too, which is why I mentioned it.
>> --
>> OE users: get Quotefix NOW!
>> http://www.webattack.com/get/oequotefix.shtml
>
>I like the way you're advertising some software thing that either:
>(a) doesn't jbex
>(b) you haven't installed...
Hehehe, I've only just noticed that; Oi loiks it.
> xenophil44pot@hotmail(mow the grass).com sniffed the heady air of the
> shed and in <k34jsu0rbjrnhah55...@4ax.com>said....
> .
>> I'm writing this between bouts of vomiting, myself, so I feel
>> particularly sympathetic.
> Poor old thing....what's up? Apart from the stomach contents, that is.
I still haven't got Lizz's or Geri's message, but the bits I've seen
quoted sound pretty bad. Get well soon, both of you.
--
Paul Clark you.missed -> umist to reply
Paul Clark is a riot shield that plugs into the mains, is twenty feet
tall and moves from side to side.
Yes - I had one a lot of fortnights ago. You had to breath through a pipe
into some clear liquid or other (I can't unforget what it was) for ages,
then had to go and wait while they did their experiments on the stuff.
All done in the medical physics department of the horse pittle.
I had the HP and it was cleared in a fortnight or so with massive
antibionics and some other things.
--
Frank
MJBC
Just remembered. Before breathing into the bockle I had to drink a measured
dose of some other stuff.
--
Frank
MJBC
Didn't offer it. Besides, they already had the scope down there
looking at the landscape--wasn't any more trouble to pick up a few
souvenirs.
>
>I had the HP and it was cleared in a fortnight or so with massive
>antibionics and some other things.
That sauce is lbooyd strong stuff
--
®óñ© © ²°°²
Blackberry and Apple?
Luverly stuff that.
> suffered this nasty stomach nonsense since I was 18, if they find it's
> H. pylori, it can be *cured* with a course of antibiotics. No other
> doctor has ever done this test. Beats the hell out of me why.
Got tested myself about 18+ months ago, drew a Wogan.
[...]
> 4. The sedative they give before the EGDs Over Here isn't nearly
> strong enough. I remember every little detail, and it was *nasty*. But
> I am the sort of person that can't be sedated with ordinary doses, so
> it may be my own fault.
*ick*ick* Fortunately I only vaguely remember the 'middle' bit of the
whole BBC camera team down the throat thing, I think they then boosted
my dose (same thing happened when I had the brainy teef out). The
grottiest thing about the whole experience was the local they used on
the back of my throat... 'nana flavoured, the gits.
On balance something I can throughtly sympathise with and will do my
dammedest to avoid happening again.
Hoppitals... try and avoid them that's my grotto
[...]
> 6. They have changed my medication all around. My new stomach medicine
> is lansoprozole, trade name Zoton.
<glances to left> Captain Zoton and his happy sidekicks get around
don't they :) Nice stuff it actually works which means I don't need
to be living off zantac and andrews.
> It's not a histamine-inhibitor like
> Tagament and Zantac, but works by suppressing hydrogen and encouraging
> sodium instead, thus reducing the production of hydrochloric acid. It
Ahh.. that's how the bugger works. All I knows is that it's magicly
wonderful and stops me waking up with nasty burny acidy feelings.
[...]
> Don't start puking blood--that's my very best advice to you.
<scribbles down stuff>
I'll do my best, can't promise anyfink.
--
The Flying Hamster <ham...@korenwolf.net> http://www.korenwolf.net/
If God is so good, why do his followers keep lying about him?
Creation Science is a contradiction of terms.
Great Western Submarines?
>Carl .LHS. Williams wrote in message <aqc4fp$9...@yon-net.demon.co.uk>:
>
>>As re. tests they've only just thought to do: presumably, it's on
>>account of 'em costing zbarl or summat? I mean, chronic iffy stomach,
>>yer'd have thought that helibacter were at least on the shortlist for
>>questioning, innit?
>
>I haqrefgnaq that there is a breath test for heckylobacter now,
>although I'm hootered if I can thimk how it jbexf; p'raps you hafter
>eructate into a test tube.
There are no black heckylobacters.
--
Austin Shackles. www.ddol-las.fsnet.co.uk my opinions are just that
"Something there is that doesn't love a wall."
Robert Frost (1874-1963)
>On Thu, 7 Nov 2002 20:58:00 +0000 (UTC), The Flying Hamster
><hamster...@nospam.wibble.org>, nervously arranged the Scrabble
>tiles to spell out -
>
>>Hoppitals... try and avoid them that's my grotto
>
>Certainly shall.
In this case it might not be a bad idea, though. If you can't take
medication that is rilly important cos you're unable to keep anything
down, you could be sicker than you think.
Shpx the GP. Find someone who knows what sie is talking about. And
dehydration is no joke.
IRTA:- "Was she a blank nurse?".
--
Frank Erskine
OETKBC
I druther not, fanks all the same.
[...tale of abstrad uncaring GP]
> I know I'm not ackshirley his patient, but it's hardly my fault if my
> own quack is away, is it?
If he's the on-call for the GP that's away, then he is responsible for
you - a letter of complaint when you're feeling better.
> Anyway, now I don't know what to do. Obviously I haveter start takin'
> the lbooyd stuff again, but I've no eyed deer which I should start on
> first, or when. I thimk I'll have to start after I've eaten me toast.
If you need advice, ring NHS Direct again. Tell them that your GP is
away and that the locum is useless and won't talk to you. If you
start being sick again _go_to_the_hospital_! Or you could do what a
friend did when the surgery in her newly moved to area refused to see
her as she wasn't registered with them yet... collapse in reception
and be unable to move until seen by a doctor. Patients' Charter, my
aunt fanny... a right to see a doctor... hah. I say again Hah!
I told you that the NHS was one of my rants, didn't I?
--
Lady Kayla http://designs.ladykayla.org/
"I've met people who've flown Garuda. That's why I've never flown
Garuda." Terry Pratchett on AFP.
>On Fri, 08 Nov 2002 19:08:59 +0000, Lizz Holmans <di...@jackalope.demon.co.uk> wrote:
>[...]
>> Shpx the GP.
>
>I druther not, fanks all the same.
Pikky osd
--
®óñ© © ²°°²
Very sorry you is unwell, Ar pSmith.
Nick
>
>Ackshirley, I was totally unable even to keep down little sips of
>water, let alone think of eating anything, and still haven't, 48 hours
>later. I am drinking a little water now, though, and am about to have
>some dry toast.
>
>I've never heard of that before, and since no-one here drinks it, it
>wouldn't have occurred to me to try. I did try ginger beer which is
>supposed to help, but in this case it didn't..
>
>When I finally stopped heaving, I developed a very dire rear, even
>though one would have thought there was assolutely nothing left in
>there. And I have a corset of aching mussels where I spent so much
>time heaving, buggrit.
sounds like some sort of food poisoning to me, wot are not good, thobut if
it hasn't killed yer in the first hour then it's prolly not going to, innit.
[hfrless GP service]
we get this. Bloody place is hut half the time, and if it is open it's only
certain hours. And then, despite having about 5 doctors in the group, they
have this silly arrangement where half the time the night cover is supplied
by the group practice in Llanybydder. Where, no doubt, they haven't got
access to yer notes, etc. I don't consider it unreasonable, meself, that
you get seen by someone from the practice at which yer registered. But
often not in our case.
>I know I'm not ackshirley his patient, but it's hardly my fault if my
>own quack is away, is it?
'course not.
>Anyway, now I don't know what to do. Obviously I haveter start takin'
>the lbooyd stuff again, but I've no eyed deer which I should start on
>first, or when. I thimk I'll have to start after I've eaten me toast.
>
>NHS Direct asked me all sorts of questions about rashes, headaches,
>the appearance of the ibzvg (sorry!), but the GP asked me nothing at
>all. For all I know, he's been inundated with similar complaints and
>knows all about it, although how anyone in this condition could dare
>leave home and go to the surgery is beyond me, but he didn't come out
>with the usual "There's a lot of it about". I got the distinct
>impression that he thought I was making a fuss about nuffink. Since I
>hardly ever darken their doors except to get a repeat prescription, I
>think that's a bit rich.
fecking hfrless, sounds to me. For someone displaying the symptoms of food
poisoning, seems to me that they could take more interest. After all,
people die of such. 'f I were you I'd complain, once yer back on yer feet
so to speak.
>Your very weary and zorsted Large Enid.
hope you gets better pronto, and give hfrless quack a suitable rocket,
innit.
--
Austin Shackles. www.ddol-las.fsnet.co.uk my opinions are just that
"The breezy call of incense-breathing Morn, The swallow twittering
from the strawbuilt shed, The cock's shrill clarion, or the echoing
horn, No more shall rouse them from their lowly bed."
Thomas Gray, Elegy Written in a Country Churchyard.
It does sound a bit narsty - fud poisoning and etc usually seems ter
take about 24hrs and much expulsion from all orifices, but 48hrs+ sounds
'orrible. Can yer keep rehydratin' type drinks down now? I reckon if
not an' it persists another day yer should check yerself into a local
horse spittal so they quacks can keep an eye on yer and keep yer
from getting too dehydrated and run-down.
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` Bus Drivers confess Duchess Of Hem Hem '
Glad to hear of the progress, and hoping motor ability does return.
>I've not actually seen her as I've had car trouble and busy-at-jbex
>trouble and flooded-kitchen-and-diningroom trouble, but maybe next week.
Well, when you do, let her know that even people she's probably never heard
of are thinking of her and wishing her well. And thanks for the updates,
Dave.
(Were the floods some kind of tomcat-combatting strategy gone awry, BTW?
All the best to Linz, TAAW.)
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` CIA Spy bribes rockets shock '
IRTA:- "... one of my aunts"
--
Frank Erskine
Foot, pint and pound are perfectly sound
Does anybody unforget that thing a short while ago where a greengrocer
got took to court because he liked to fryy in pounds and ounces? There
is story in "The Publican" regarding a bloke with a pub wot fryys "beer"
from forn parts in the supplied glasses wot are designed to contain
zrgevp measures. He's being done for not selling in Imperial glasses!
Mad, I tell you. Mad.
--
Ian Large, friend of Rhebcr
"She", ITYF.
Dragon, Worcester; fryying Austrian steins of imported lager
http://www.bbc.co.uk/cgi-bin/search/results.pl?q=worcester+litres+weights+an
d+measures&uri=%2Fhome%2Ftoday%2F&tab=allbbc
but it's gone down the back of Bob's sofanow
> Sn!pe <snip...@hotmail.com> sniffed the heady air of the shed and in
> <aqe421$95li1$1...@ID-47633.news.dfncis.de>said....
> .
>> You'll be ready for a BA after all that, then!
>
> Blackberry and Apple?
Ooh, there's an idea. I wonder if we've got any blackberries in the
freezer? There's a few bramleys lying around the kitchen that need to
be dealt with, too.
--
Thomas Rushton, Leeds, UK
Experience is something you don't get until just after you need it.
I know that now. I originally got my story second hand and I 'spect
Chinese whispers were coming into play.
--
Ian Large, mistaken as usual.
I started to reply to send you good wishes and found my posting turned
into a rant. So I didn't post until I'd calmed down a bit. (I does that
quite offen - I mean, write responses then realise they aintent sheddi
so delete 'em instead).
Anyway, me best wishes to you. Sounds though you've not only have a
rough time recently, but you've had a rough time for far longer than you
should've. Hope now is when it all starts getting better.
--
Prunella
In fact, one company that sells a lot of expensive ulcer-treatment
drugs is also keen to promote its Helicobacter eradication course TAAW
- which if it jbexes as hoped, reduces future need to prescribe said
expensive anti-ulcer drug.
Drug companies are not, IME, evil money-grabbing comglomerates.
However, they Are businesses what need vast sums of zbarl to invest if
they are going to develop drugs - which can and do fall at one of the
final hurdles, perhaps after the investment of tens of millions of
ZU's in it.
This sort of business simply does not fit very well with what might be
altruistic and best for a miserly Health Service. That is Not the drug
companies fault, they have to live in the market-place.
--
JonG
Violence is the last refuge of the incompetent
Salvor Hardin, Mayor of Terminus.
>
>
> A new GP at my local surgery tried not listening to me _once_ and only
> once. They don't get a second chance, if they ignore what I'm saying,
> or refuse to give me a proper explanation of anything, the next thing
> they see from me is a copy of the formal letter of complaint against
> them.
You know, at the end of my third week of struggling in to surgery
coughing my lungs up, crap sleep, thinking 'why the fuck do I bother',
but the deciding 'if I don't go and do it, no-one else will', then
attitudes like this really encourage me. I have to put up with the
shit that is a grossly overstretched NHS every single working day of
my life. Perhaps I should give up eating Every day of the week to
spend that extra ten minutes shared out between umpty-seven patients -
after all, it is still time better spent than dealing with a complaint.
In all fairness and probability, I suspect it wasn't you, or even an
NHS doc, she was complaining about - isn't LK an aussie?
Mindyou, exersising a "zero tolerance" policy towards usually overworked
quacks would seem to be a fast-track route to running out of quacks when
you need one.
That said, some doctors TAAW (and I suspect you're not among them[1]) do
have a remarkable knack of being arrogant bastards, and I don't think
the arrogant ones help to cultivate patience among patients.
People often, and very wrongly, expect doctors miraculously to fix
all their ills and undo years of self-neglect and abuse into the bargain,
and moreover they often expect this to be done in accordance with some
crackpot half-understood notion they've found on the 'web or in reader's
digest, but a lot of doctors do themselves and their colleagues no favours
in this regard by affecting an air of omnipotence, forbidding the patient
to indulge in any form of self-assessment and dismissing the patient's
input as completely worthless - I know of a woman with no sexual
partners being told she was pregnant and sent home (with a cyst),
for example, despite her pointing out that she couldn't be pregnant.
Not your fault, but you catch some of the flak, I guess, which is
very unfair. Ho hum.
[1] Probably so far from among them that you find the kind of arrogance and
incompetence that some patients face inconceivable to the point of an
entirely justifiable and profound disbelief.
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` Prime Minister kills undercover computers '
>
> Mindyou, exersising a "zero tolerance" policy towards usually overworked
> quacks would seem to be a fast-track route to running out of quacks when
> you need one.
Like me. Fairly hard to chuck away 20 years of your life, but a lot of
quacks I know are giving less and less of a toss about that any more.
> That said, some doctors TAAW (and I suspect you're not among them[1]) do
> have a remarkable knack of being arrogant bastards, and I don't think
> the arrogant ones help to cultivate patience among patients.
>
> [1] Probably so far from among them that you find the kind of
arrogance and
> incompetence that some patients face inconceivable to the point
of an
> entirely justifiable and profound disbelief.
Trouble is, I've had patients heavily slag off doctors who I know
well, whos comments I can read in notes, and who I do not believe have
said or done what they are accused of. As your comments below imply, a
lot of doctor-slagging that I have encountered is based on the doctor
'refusing' to wave a magic wand to let the patient carry on doing
whatever the fuck they want with impunity. This week I have had a
patient insist I write, for her, and without his permission, a medical
report about her adult son. This same woman has complained bitterly to
me that my partner wrote a report for a third party, about her other,
juvenile son, without her permission. Showing her her own signature on
a form giving her permission for said report did not in any way stop
her slagging of the integrity of my partner. So, perhaps the shed will
forgive me if I take at least some of these reports of terrible
doctors attitude with a large pinch of salt.
That is not to say that I don't believe some of them. Bu twhat do you
expect. you take some of the most academically gifted [1] and highly
motivated schoolchildren [2],who have great dreams and ideals for
seerving mankind, and you feed them into a system where there is never
the time or resources to do the job properly, and where, because Money
is invovlved, they become political targets [3] [4]
> People often, and very wrongly, expect doctors miraculously to fix
> all their ills and undo years of self-neglect and abuse into the bargain,
> and moreover they often expect this to be done in accordance with some
> crackpot half-understood notion they've found on the 'web or in reader's
> digest, but a lot of doctors do themselves and their colleagues no favours
> in this regard by affecting an air of omnipotence, forbidding the patient
> to indulge in any form of self-assessment and dismissing the patient's
> input as completely worthless - I know of a woman with no sexual
> partners being told she was pregnant and sent home (with a cyst),
> for example, despite her pointing out that she couldn't be pregnant.
Not a great piece of patient management, but a doctor who accepted at
face value a patients word that she could not possibly be pregnant
would, IMHO, be negligent. The most dramatic example I can give is the
reasonably intelligent woman who insisted that she could not be
pregnat right up to the moment I put her hand on the foot that was
kicking and giving her the terrible pain she was getting. Usually I
simply send a urine test without saying what it is for, and every year
or so, one comes back positive in someone who 'couldn't possibly' be
pregnant.
> Not your fault, but you catch some of the flak, I guess, which is
> very unfair. Ho hum.
About ten years ago, a colleague of mine had a journalist follow him
around for a weekend on call, and there was a ghosted story in one of
the sunday papers. The major thrust was that when you are overworked
and sleep deprived [6], one of the things that goes is having time to
be sympathetic with your patients. There is a dilemma in this, in that
one of the main reasons for doing the job is to try and help people,
and being sympathetic is a major part of that. So, I am now in a
position where the pressure of my job, the ammount of work that I am
supposed to do, means that I have less and less time to actually
perform what is one of the most rewarding parts of the job. Anyone
remember the animation for Floyd's 'The Wall', wher the teacher is
taking handfuls of kids, forcing them into the meat-grinder, and
churning out worms? That is what I feel the job does to me. There is
less and less in it for me to make it worth putting up with all the
shit that goes with it. Most of the other GPs I speak to feel the
same, to a greater or lesser extent, and the letter pages of the GP
papers, when I do get a moment to read them, seem to be full of GPs
expressing similar views. So there are more and more GP's who only
continue to do the job because they get paid for it. What sort of GP
would You like to see: one who is in it for the love of the job, or
one in it for the pay? Well, you'd fucking well better watch out that
Your GP doesn't fall out of love with the job, then, and not add to
the 'death by a thousand cuts' feeling.
OK rant over, except for the footnotes and our fine selection of
Aldebarran wines:
[1] Though this condition is changing rapidly. within the next 3-4
years, if current trends continue, ther will be less than 1.2
applicants for every place at medical school. Not a lot of scope there
for weeding out the dodgy ones, or for picking ones who will go the
distance and not drop out part-way. This compares with nearly four
applicants per place when Helen was applying, and still over three
when I was applying. I wonder why medicine is losing its popularity.
[2] Though, admittedly, this does not automatically mean they will
make the best doctors, but no-one has yet found a better way
[3] 'GP's are bypassing waiting lists by inappropriately admitting
patients as emergencies' - T. Bliar
The vast majority of variation in admission rates between GP's
can be explained by social factors' - Careful Research
[4] 'Consultants are lining their pockets with private work at the
expense of NHS waiting lists.' - Politicians ad nauseum of both main
colours
'60% of consultants do no private work. 90% of consultants work more,
often much more, than their comtracted sessions. Most surgery is
limited not by availability of consultants, but by availability of
beds[5], nurses, operating theatres and staff, and even the money in
that years budget to buy the drugs and other consumables needed to
operate on patients.
[5] Case in point: Lizz has just 'enjoyed' the hospitality of Halifaxs
brand spanking new hospital, which 'replaced' two older hospital. In
fact, it did not 'replace' them entirely, because it has something
like 20% fewer beds. In addition, there is strong political pressure
to move maternity and SCBU servoces to this hospital from
Huddersfield, which has already lead to the reisgnation of an
extremely good paediatrician.
[6] This was a hospital job, I don't get sleep deprived much now but
the pressures are different.
I think "I can't possibly be pregnant" often means "It's physically
possible, but I simply cannot (deal with) being pregnant."
--
Skipweasel:-
"...and ninthly...."
>Jon Gurr <dr-...@uk-rec-sheds.org.uk> sniffed the heady air of the shed
>and in <3DD61C9F...@uk-rec-sheds.org.uk>said....
>.
>> someone who 'couldn't possibly' be pregnant.
>
>I think "I can't possibly be pregnant" often means "It's physically
>possible, but I simply cannot (deal with) being pregnant."
And quite often it means 'I can't possibly be pregnant because I had a
hysterectomy some years ago', and I've still been asked 'Are you
*sure*?'
LizzH.
>>
>>>someone who 'couldn't possibly' be pregnant.
>>
>>I think "I can't possibly be pregnant" often means "It's physically
>>possible, but I simply cannot (deal with) being pregnant."
>
>
> And quite often it means 'I can't possibly be pregnant because I had a
> hysterectomy some years ago', and I've still been asked 'Are you
> *sure*?'
And..?
S'not a 100% guarantee, izzit?
Although I agree its a daft question to ask a patient.
[...about making complaints against GPs who refuse to listen or
> explain]
> You know, at the end of my third week of struggling in to surgery
> coughing my lungs up, crap sleep, thinking 'why the fuck do I
> bother',
Um... going in to see sick people whilst sick and probably contagious
yourself is _really_ not going to impress me with your dedication you
know.
> but the deciding 'if I don't go and do it, no-one else will', then
> attitudes like this really encourage me.
hmmm... if I come to see you, you've never seen me before, and I
explain a _detailed_ list of symptoms, and say "this was the
diagnosis, you have the test results, these are the options, I want to
be referred to a specialist to discuss them." You are going to reach
for the prescription pad and tell me to "take these for 4 weeks and
we'll see how you go" simply because you've not seen me before, can't
be bothered checking my file to see that I've been taking those damned
drugs for > 2 years and things have gone beyond that point.... are
you? That's what the brand new junior GP did. _After_ agreeing with
me that more drugs wasn't the way to go. He said what he thought I
wanted to hear and then reached for the pad to get rid of me as
quickly as possible, instead of doing his job properly.
> have to put up with the shit that is a grossly overstretched NHS
> every single working day of my life. Perhaps I should give up eating
> Every day of the week to spend that extra ten minutes shared out
> between umpty-seven patients - after all, it is still time better
> spent than dealing with a complaint.
I don't make frivolous complaints. I _will_ make a complaint if I am
not being listened to. There is an endemic attitude in the medical
profession in this area that women don't know anything and should be
good little girls and shut up and let the smart male doctor tell them
what to do. This _really_ doesn't work when the patient in question
is seeing the doctor in question regarding something that she has
dealt with for >25 years and knows precisely what does and doesn't
work. Especially when the doctor doesn't bother looking at the paper
file (just the computer screen) and is refusing to accept that the
reason for the sodding huge gap in the medical record is due to living
overseas, and _not_ because the patient hasn't had any medical
problems whatsoever for the last 17 years (despite having children
under the age of 12), and so yes, the patient is actually telling the
truth when she says she's had this condition for decades, just because
it's not on the blasted computer screen.
I _know_ there are good doctors out there. I _know_ the NHS is
overworked and underpaid. That doesn't mean that I am not allowed to
complain if I get dealt with in an incompetant, patronising and
downright insulting manner.
_Now_ that the GP knows me, and recognises that _I_ know what I am
talking about when it comes to certain things, we get on fine. I tell
him if I need the drugs or not, we work out a schedule for
increasing/decreasing dosage as appropriate and we're both happy and
his appointments with me are generally dealt with in under 2 minutes.
So much so that he is now my registered GP instead of the other, more
senior, GP at that surgery.
> Jon Gurr <dr-...@uk-rec-sheds.org.uk> sniffed the heady air of the shed
> and in <3DD61C9F...@uk-rec-sheds.org.uk>said....
>> someone who 'couldn't possibly' be pregnant.
> I think "I can't possibly be pregnant" often means "It's physically
> possible, but I simply cannot (deal with) being pregnant."
If I said it... it'd mean "I had my tubes tied 8 years ago... better
get me booked in for a scan to find out WTF is wrong."
--
Lady Kayla http://designs.ladykayla.org/
They had a four foot hamster but frankly that scared the shit out of me
-- Gary, Men behaving badly
[...]
> In all fairness and probability, I suspect it wasn't you, or even an
> NHS doc, she was complaining about - isn't LK an aussie?
It was an NHS doc. I moved back to Yukia in 97. The particular
incident I'm referring to happened in late 98. See me other post for
a bit more detail - I wrote _that_ post rather fast and in a mildly
annoyed frame of mind, for which I apologise if I sound like I'm
ranting again. (it's a sysadmin trait, you know, ranting. And I've
only been recovering from being a sysadmin for a year now.)
--
Lady Kayla http://designs.ladykayla.org/
I'm not a fascist, I'm not that nice. I'm a parent.
It's fertile territory for ranting, yer NHS. I recently attempted to get
some Malaria pills from the Pharmacy, and was told "If you are going to take
them for more than 2 weeks you have to see the doctor" (You have to take
them for at least 6 weeks not including the time abroad). So I made an
appointment, and ended up in front of a doctor who I had never seen before,
of Egyptian origin. She said, in a very shirty tone, "There was no need to
waste my time, you should have asked at the Pharmacy".
See what I mean?
Well, they might have only *pretended* to do the hysterectomy... or you
might have been abducted by aliens and had an alien womb grafted in and
then your memory erased and,....
Grin.
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` Reputable Porn Baron eats sexual automatic weapons ordeal '
>Trouble is, I've had patients heavily slag off doctors who I know
>well, whos comments I can read in notes, and who I do not believe have
>said or done what they are accused of. As your comments below imply, a
>lot of doctor-slagging that I have encountered is based on the doctor
>'refusing' to wave a magic wand to let the patient carry on doing
>whatever the fuck they want with impunity. This week I have had a
>patient insist I write, for her, and without his permission, a medical
>report about her adult son. This same woman has complained bitterly to
>me that my partner wrote a report for a third party, about her other,
>juvenile son, without her permission.
Meddlesome mothers, dontacha love 'em. A friend of mine was somewhat
taken aback when his doctor threw him out with the
assurance that he (the doctor) would ensure that said friend "never
gets a job in this town, or in any university again". He'd gone back
for a second visit, worried about drowsiness and headaches which the
doctor had dismissed as nothing to worry about, and my friend thought
he'd been a bit, well, dismissive. He wasn't shirty about it, just
worried. Unfortunately, he'd mentioned it to his mother, who, it
transpired, had sent a snotty letter to the doctor between my friend's
visits... gawd knows what she wrote, if the doc's reaction was any
indication.
As you say below, there just aren't enough doctors, there's not enough
time, and not enough money to deal with everyone's ills and worries.
I think a point I was trying to make was that the medical profession
tends to foster, or rather sometimes not to counter as enthusiastically
as it might, the impression that it's a safety net for the careless,
that anything can be patched up and made right, that they know best and
will sort it all out and ordinary people shouldn't worry.
That said, I think that most of this probably comes from the ordinary
people in question - the urge to shirk responsibility for one's health
seems to me a strong one, much like the urge to shirk social
responsibility.[1]
A fine rant, Jon, and necessary to air, I think. I hope I haven't given
the impression of "doctor bashing" in saying the obvious, that it's not
*always* the patient who's being closed-minded, because in general terms
I think doctors sacrifice far more than I think I ever could for the
benefit of others, and with scant thanks.[2]
[1] In place of social responsibility, people elevate politicians to
the responsible role, in return for extra social standing.
For doctors, though, it seems that their social standing is in
decline, even though they take on more and more.
[2] The last time I went to a doctor with concerns (not actual tangible
ailments) she couldn't have been more helpful, but she looked so
*exhausted*. I felt, and expressed, a strong sense of guilt at
occupying the time she clearly didn't have even remotely enough of,
and she implied that it was, in fact, a bit of a relief to be dealing
with someone who wasn't any trouble. This may have just been professional
patient-reassurance, but I didn't get that feeling. I think I was her
rest break for the day, possibly the week. The waiting-room was packed.
It always is.
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` Weapons Dealer bribes spy drugs '
>
> [...about making complaints against GPs who refuse to listen or
>
>>explain]
>
>
>>You know, at the end of my third week of struggling in to surgery
>>coughing my lungs up, crap sleep, thinking 'why the fuck do I
>>bother',
>
>
> Um... going in to see sick people whilst sick and probably contagious
> yourself is _really_ not going to impress me with your dedication you
> know.
>
Okay, do you want to come and tell our patients that they can't be ill
themselves for the time being? My partner is away for the next three
weeks, we have a locum booked for about three surgeries each week -
I'm sure that will cover it!
>
> I don't make frivolous complaints. I _will_ make a complaint if I am
> not being listened to. There is an endemic attitude in the medical
> profession in this area that women don't know anything and should be
> good little girls and shut up and let the smart male doctor tell them
> what to do.
[snip]
> _Now_ that the GP knows me, and recognises that _I_ know what I am
> talking about when it comes to certain things, we get on fine.
So in fact, given a bit of time, things can work out OK. Good thing
you didn't make that formal complaint, then, as its pretty hard to get
a good working relationship under those circumstances.
Okay, sorry, we both seem a bit short fused and ratty at the moment.
Most GP's of my aquaintance are painfully aware that we aften don't do
a fantastic job - but that is not for want of trying, its for want of
time and resources, so if you've had a bad day as a sysadmin, why
isn't the GP allowed a bad day too? Especially as I have to be
sysadmin TAAW at the practice.
If it's of any interest, doctors in the US private HMOs [1] and other
insurance plans feel exactly the same way. Management views patient
care on a strict "throughput" model, and doctors are given rules about
how much average time they may spend with patients, how many patients
they must see in a given time, what medications they may/must give,
and what diagnoses to concentrate on as being most profitable. Claims
are reviewed by non-medical clerical staff, and can be refused
coverage if the treatment is deemed to fall outside of the current
schedule.
As someone who is fortunate enough to have insurance ATM (as long as
my husband has his job, and as long as it provides insurance), I have
often wondered if the medical care I've gotten was appropriate. The
docs don't have time to explain anything, and must make, it seems to
me, very hasty diagnoses. I have no faith at all that they'd be able
to spot a subtle, early-stage symptom of something serious.
Patients without insurance often can't afford to see doctors at all,
or end up at the emergency room, where acceptance is not guaranteed,
even for critical cases.
In the current circumstances, I'm not sure why anyone would go into
health care professions.
[1] "Health Maintenance Organization," also known as "Hand Money Over"
--Holly
Ah, well, that explains several things - no wonder people goov you're scary,
fer example... grin...
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` Stock brokers eat Liberal Campaigner '
S'prolly no per-se the NHS's fault, that, or the doctors though. I got the
same sort of thing when I had a small wart on a finger. Asked at the local
surgery if a nurse or someone could zap it with liquid nitrogen or
summat. "OOh, no, you have to see a doctor before you can get anything for
that." Followed by "is that *all*??", quite reasonably, from the doctor,
followed ultimately by "Erm, why have you got a prescription for that wart
treatment stuff? It's half the price if you ohl it without..." from the
pharmacist who I should have asked in the first place. I goove the
local surgery could do with some receptionist-taming scheme or summat.
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` Foreign Office terrorise General '
<mode = "TFIC">
Mebbe he's a heavy smoker?
</mode>
I often wonder why doctors don't catch more stuff from all their sneezing
patients - I guess they just rapidly acquire antibodies for more or
less everything. I hate waiting in stuffy waiting rooms wiv all those ill
people, meself, at least the doctor's probably only cultivating one or
two bugs at a time, having fought off the others - in the waiting room
y'get a whole huge cross-section. And on busses and trains and things.
I'd guess anyone especially fragile would best avoid a doc with a cold,
thobut.
>I don't make frivolous complaints. I _will_ make a complaint if I am
>not being listened to. There is an endemic attitude in the medical
>profession in this area that women don't know anything and should be
>good little girls and shut up and let the smart male doctor tell them
>what to do. This _really_ doesn't work when the patient in question
>is seeing the doctor in question regarding something that she has
>dealt with for >25 years and knows precisely what does and doesn't
>work. Especially when the doctor doesn't bother looking at the paper
>file (just the computer screen) and is refusing to accept that the
>reason for the sodding huge gap in the medical record is due to living
>overseas, and _not_ because the patient hasn't had any medical
>problems whatsoever for the last 17 years (despite having children
>under the age of 12), and so yes, the patient is actually telling the
>truth when she says she's had this condition for decades, just because
>it's not on the blasted computer screen.
>
>I _know_ there are good doctors out there. I _know_ the NHS is
>overworked and underpaid. That doesn't mean that I am not allowed to
>complain if I get dealt with in an incompetant, patronising and
>downright insulting manner.
Sounds fair enough to me.
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` The Sun Newspaper decode Blair Lookalike '
It's better to be alone than in the wrong company
[...]
>>Okay, do you want to come and tell our patients that they can't be ill
>>themselves for the time being? My partner is away for the next three
>>weeks, we have a locum booked for about three surgeries each week -
>>I'm sure that will cover it!
This is really weird. I know you're not in my killfile (nobody from
here is) but I'm only getting about 1 in 4 of your posts.
On this matter, I agree with the other person who suggested that the
patients be informed of the situation and leave the decision up to
them. I know I'd prefer it.
You do know that it's a vicious cycle, don't you? You struggle on
fulfilling your duties regardless of your own health, which means that
there is never a true picture of what resources are actually needed to
properly do the job. So those needed resources don't materialise,
because of course you can cope without them, you've proven it
already.
I've worked for the civil service in 2 countries now, and it's the
same all over. You get moaned at for going in to work sick and
spreading the disease. But you get moaned at just as much if you
don't go in because you're too sick, because there's never enough
staff to cover for illness. So you go in, after all, your job is
often at stake, so obviously the extra resources aren't needed to
cover for someone who is actually at work.
BTDT, after 10 years (and a manager who told me that looking after a
sick baby - she was having convulsions - instead of being at work
showed that I needed to "sort out" my priorities) I realised that you
never, ever, get appreciated for putting the job ahead of your (or
your family's) health.
--
Lady Kayla http://designs.ladykayla.org/
"at least I'm not so far back in the closet that I'm in fucking Narnia!" -
Gimme, gimme, gimme
They're bound to grow suspicious after the first month or two, though...
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` Socialist smuggles rifles horror '
This is generally very true, IMO.
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` Homosexual Minister maims automatic weapons cover-up '
Whatever the failings of the NHS, I'm very, very glad we don't have
the US model instead.
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` Irish Peace Campaigner reveals ammunition ordeal '
>
> As someone who is fortunate enough to have insurance ATM (as long
> as my husband has his job, and as long as it provides insurance), I
> have often wondered if the medical care I've gotten was
> appropriate. The docs don't have time to explain anything, and
> must make, it seems to me, very hasty diagnoses. I have no faith
> at all that they'd be able to spot a subtle, early-stage symptom of
> something serious.
Well, I know it is no comfort at all, but a lot of us doctors feel
precisely the same way - we're given the responsability for looking
after peoples health, therefore the blame if it goes wrong, but not
the resources to do a proper job.
I am regularly asked 'Well, could it be cancer?' At a rough estimate,
about one in five of the people I see could, just conceivably, have a
cancer as a cause of their symptoms - though, of course, the huge
majority of these people haven't got anything like it [1]. THe health
service couldn't begin to investigate all of these people, yet lack of
resources is not a defence to a negligence claim. This is why Tony
Bliar's diktat that 'everyone with suspected cancer must be referred
and seen within two weeks' is virtually meaningless, as it comes with
no definition of what 'suspected' really means. Rest assured, though,
that it will be used as a stick to beat doctors with when they Don't
refer people.
[1] In fact, recently, someone asked me if she had lung cancer, I Did
investigate, and she didn't. But she has turned out to have a
completely different cancer that unusually turned out to have given
her similar symptoms. I await the solicitors letter for that one.
>>
>> It's fertile territory for ranting, yer NHS. I recently
>> attempted to get some Malaria pills from the Pharmacy, and was
>> told "If you are going to take them for more than 2 weeks you
>> have to see the doctor" (You have to take them for at least 6
>> weeks not including the time abroad). So I made an appointment,
>> and ended up in front of a doctor who I had never seen before, of
>> Egyptian origin. She said, in a very shirty tone, "There was no
>> need to waste my time, you should have asked at the Pharmacy".
>
>
> S'prolly no per-se the NHS's fault, that, or the doctors though. I
> got the same sort of thing when I had a small wart on a finger.
> Asked at the local surgery if a nurse or someone could zap it with
> liquid nitrogen or summat. "OOh, no, you have to see a doctor
> before you can get anything for that." Followed by "is that
> *all*??", quite reasonably, from the doctor, followed ultimately by
> "Erm, why have you got a prescription for that wart treatment
> stuff? It's half the price if you ohl it without..." from the
> pharmacist who I should have asked in the first place. I goove the
> local surgery could do with some receptionist-taming scheme or
> summat.
Both of these are to do with Buck Pass^H^H^H^H^responsability. Like
syringing ears - Nurses are instructed by the UKCC [1] that they
should not syringe ears unless a doctor has looked in and said that
they need syringing.
A similar one is people who phone and say 'I Must have an urgent
appointment for me/my child, because School/Nursery/Next Door
Neighbour/Police At THe Scene Of The Accident/Priest/Passer By In The
Street say I must.' You may think I am joking, but each one of these
has happened to me for trivial things. Or like the Watchdog [spit]
programme with Anne [spit] Robinson [spit hawk puke] where they first
of all had an item about how overworked GPs and A&E's were, then had
an item about skin cancer. AR [spit] signed of that with, to
paraphrase, 'so if you've got a skin lump you might be worried about,
phone up and demand to see your GP tomorrow.'
[1] Their registration body - I think its the UKCC that says this.
>
> I think patients should be told the situation and given the option of
> waiting for a few days to see someone else if they can, or if not, of
> deciding whether they're prepared to take the risk of catching
> whatever you've got.
But that option still requires me to actually be there, doesn't it? In
effect, I do give them the option, as I warn them as soon as they come
in through my door. No-one yet has decided to go and come back later.
Here, ArJon, have a hug. You're fine, intelligent caring man, doing an
important and difficult wbo under horrible circumstances. If you're
really feeling on the brink of burnout - rather than throwing in the
towel completely, is it possible to take some kind of sabbatical?
--
Mel Rimmer
>On Fri, 15 Nov 2002 19:58:23 +0000, Jon Gurr <dr-...@uk-rec-sheds.org.uk> wrote:
>> Lady Kayla wrote:
>
>[...about making complaints against GPs who refuse to listen or
>> explain]
>
>> You know, at the end of my third week of struggling in to surgery
>> coughing my lungs up, crap sleep, thinking 'why the fuck do I
>> bother',
>
>Um... going in to see sick people whilst sick and probably contagious
>yourself is _really_ not going to impress me with your dedication you
>know.
yeah, but maybe he's sufficiently dedicated to his job to know that if he
doesn't go in, no-one else is available (thanks to chronic crapness in
funding and "management" of (read "interference with") the GP side of the
NHS over the last considerable years, and thus a whole lot of patients (who,
for the most part *are* probably patient) wouldn't get seen today, and
would, in some cases, get worse, and possibly, in a few rare cases, might
end up not getting operated on in time to save them dying of cancer, say[1].
also, maybe he knows too what's wrong with him (Physician, heal thyself an'
all that) and that although he's coughing his lungs up, in fact it's *not*
contagious.
Personally, I reckon the whole schmeer is becoming unworkable, while
politocos of all flavours faff and fart around with meaningless targets and
screw around with management (which isn't to say that some management needed
changing) rather than, for example, funding more hospital space, and more
nurses, and better nurses pay etc.
>> but the deciding 'if I don't go and do it, no-one else will', then
>> attitudes like this really encourage me.
see?
>
>hmmm... if I come to see you, you've never seen me before, and I
>explain a _detailed_ list of symptoms, and say "this was the
>diagnosis, you have the test results, these are the options, I want to
>be referred to a specialist to discuss them."
fair enough, assuming the diagnosis was correct.
>You are going to reach
>for the prescription pad and tell me to "take these for 4 weeks and
>we'll see how you go" simply because you've not seen me before, can't
>be bothered checking my file to see that I've been taking those damned
>drugs for >2 years and things have gone beyond that point.... are
>you?
well, I'd like to hope not, in his case. And I'd like to hope most GPs
wouldn't at that, though I don't doubt that, as you say:
>That's what the brand new junior GP did. _After_ agreeing with
>me that more drugs wasn't the way to go. He said what he thought I
>wanted to hear and then reached for the pad to get rid of me as
>quickly as possible, instead of doing his job properly.
I assume that in this case you didn't get anywhere by discussion with the
aforesaid GP, and thus resorted to a complaint.
>I don't make frivolous complaints. I _will_ make a complaint if I am
>not being listened to. There is an endemic attitude in the medical
>profession in this area that women don't know anything and should be
>good little girls and shut up and let the smart male doctor tell them
>what to do. This _really_ doesn't work when the patient in question
>is seeing the doctor in question regarding something that she has
>dealt with for >25 years and knows precisely what does and doesn't
>work. Especially when the doctor doesn't bother looking at the paper
>file (just the computer screen) and is refusing to accept that the
>reason for the sodding huge gap in the medical record is due to living
>overseas, and _not_ because the patient hasn't had any medical
>problems whatsoever for the last 17 years (despite having children
>under the age of 12), and so yes, the patient is actually telling the
>truth when she says she's had this condition for decades, just because
>it's not on the blasted computer screen.
yeah, well, blind whassname, innit. I blame the computer, meself... nah,
not seriously. But if you;re going to have notes on computer, then you have
to have all of 'em there, or if they're not all on the computer, you have to
look at the paper ones too.
>I _know_ there are good doctors out there. I _know_ the NHS is
>overworked and underpaid. That doesn't mean that I am not allowed to
>complain if I get dealt with in an incompetant, patronising and
>downright insulting manner.
>
>_Now_ that the GP knows me, and recognises that _I_ know what I am
>talking about when it comes to certain things, we get on fine. I tell
>him if I need the drugs or not, we work out a schedule for
>increasing/decreasing dosage as appropriate and we're both happy and
>his appointments with me are generally dealt with in under 2 minutes.
> So much so that he is now my registered GP instead of the other, more
>senior, GP at that surgery.
I see you got a satisfactory solution then. Shame it had to get as far as a
formal complaint, really. But then again, it comes down to the same thing,
doesn't it. The Doc. probably has about 5 minutes or less to see you within
the scope of his list of patients, without over-running in to time allocated
for something else, etc. etc.
Out of interest, was this a pre-booked appointment or did you attend
surgery?
--
Austin Shackles. www.ddol-las.fsnet.co.uk my opinions are just that
Beyond the horizon of the place we lived when we were young / In a world
of magnets and miracles / Our thoughts strayed constantly and without
boundary / The ringing of the Division bell had begun. Pink Floyd (1994)
aaarggh. fergot the footling note, which in this case ain't so footling.
>for the most part *are* probably patient) wouldn't get seen today, and
>would, in some cases, get worse, and possibly, in a few rare cases, might
>end up not getting operated on in time to save them dying of cancer, say[1].
[1] far-fetched, as written thusly. But then again, people with cancer
often don't go to the doc about it soon enough, perhaps because they're
terrified that they might have cancer, and arriving at the surgery having
spent the week or month or year plucking up the courage to do so to hear
"sorry, your normal doctor isn't here today, you'll have to see XYZ
instead.", where XYZ may possibly in a large practice be someone that you've
never even met, might well be enough to put you off altogether, so maybe
it's not as far-fetched as it looked. And if Dr. Gurr, for exmnaple[2], by
still managing to get in and see patients in spite of being under the
weather himself, happens to see that patient, it *might* save their life. I
would suspect that such thoughts are what makes him do it.
[2] why TF can't I type example correctly?
--
Austin Shackles. www.ddol-las.fsnet.co.uk my opinions are just that
"Pereant qui ante nos nostra dixerunt"
(confound the men who have made our remarks before us.)
Aelius Donatus (4th Cent.) [St. Jerome, Commentary on Ecclesiastes]
>[1] In fact, recently, someone asked me if she had lung cancer, I Did
>investigate, and she didn't. But she has turned out to have a
>completely different cancer that unusually turned out to have given
>her similar symptoms. I await the solicitors letter for that one.
did you discover the unlikely cancer? and if so, WTF are they trying to sue
for (I assume that's wot the solicitor letter will be about)? failing to
diagnose a lung cancer which didn't exist?
whirled's gorn mad, innit.
and why TF shouldn't we cnl plenty for people who, if we're careless, stupid
or unlucky enough to set fire to our house, will walk into the blaze with
only limited safety gear and do their best to save our silly skins?
I for one wouldn't fancy the wbo. And you can't on the one hand say that
firemen are manual jbexers, and on the other hand turn round and say that
the modern fire engines and equipment are too complicated for the squaddies
to hfr.
--
Austin Shackles. www.ddol-las.fsnet.co.uk my opinions are just that
"My centre is giving way, my right is in retreat; situation excellent.
I shall attack. - Marshal Foch (1851 - 1929)
> and why TF shouldn't we cnl plenty for people who, if we're careless, stupid
> or unlucky enough to set fire to our house, will walk into the blaze with
> only limited safety gear and do their best to save our silly skins?
Good question.
> I for one wouldn't fancy the wbo. And you can't on the one hand say that
> firemen are manual jbexers, and on the other hand turn round and say that
> the modern fire engines and equipment are too complicated for the squaddies
> to hfr.
You can iffen you'm in parrot parasites. 'S just like gooving that a
sysadmin is worth the same as a basic level clerical sort. Well,
nobody xabjf what they does, they don't bring in any funds, they just
sits in front of a pooter all day, and iffen everyfinks runnin'
smoove-like, then they might as well not be there, innit. </bitter
ex-civil-service-sysadmin-type>
--
Lady Kayla http://designs.ladykayla.org/
I am not a nice person, nor do I play one on TV.
Or at least come down the pub with us?
--
Skipweasel:-
"...and ninthly...."
[...]
> On the subject of ears & syringing, I've had a cold all week, but since
> yesterday my right ear has been buzzing as though there is water trapped
> in it, which there isn't. I gave it a good wash out in the shower this
> morning, but it's still doing it and it's driving me nuts. Any Sheddi
> got any suggestions? My thoughts were to see the college nurse tomorrow
> if it hasn't cleared up.
Duzzit hurt? Duzzya have a temprachure (or duzzyer ear feel hotter
than it shwd?)? I'd guess ya xabj that ear'n'nose'n'froat is all
conecktid an that sumfink wrong wiv one or more ovvem can show up in
anuvver ovvem? (I can abeznyyl self-diagnose a sore froat iffen me
ear hurts when I drinks, even if me froat dunt seem to hurt at all.)
Iffen it hurts, prolly best to get it checked, and iffen yer has a
high temp TAAW. Iffen it dunt hurt or nuffink, then I'd prolly not
worry too much meself.... but that's backfired on me afore now:
A whiles back, I had a nearache and I fort "worl, 's just me ear,
innit, it'll go away soon. I'll see the doc iffen it still hurts in a
few days." That night the pain did get worserer and worserer, until
at about 6 o'clock inna morning (wiv no sleep yet cos of pain) I
screamed and screamed and me eardrum wented *pop* and all this icky
stuff poureded out. Bloody fing. Now I's had two poppeded eardrums
an not good hearing in neither ovvem.
--
Lady Kayla http://designs.ladykayla.org/
"Diplomacy is the art of saying 'Nice doggy' while searching for a
bigger rock"
Wotshesaid.
--
Richard Robinson
"The whole plan hinged upon the natural curiosity of potatoes" - S. Lem
That's not all they do, either. I've got a mate jbexes for the Fire Brigade.
They sort out the messy things that happen on the local stretch of M6 aaw
[quite a long stretch], which isn't very pretty either, some of the time.
Cutting peeps out, and that.
> I for one wouldn't fancy the wbo. And you can't on the one hand say that
> firemen are manual jbexers, and on the other hand turn round and say that
> the modern fire engines and equipment are too complicated for the squaddies
> to hfr.
yeah. And they're asking for a reallyratherlargeincrease, which will[x] bring
their cnl up to reallynotatremendouslyvastamount,considering[y]. So, what are
they starting from, boys and girls ?
The "manual jbexers" thing is their own fault, thobut; or, that of their
predecessors. Cos that's what they wanted their cnl linked to, last time
they went on strike. Seems a pity there couldn't be some frafvoyr talking
between times ???
[x] "would, if ..."
[y] considering ... ooh, all sorts. What they do. The things that
run through their heads as they go to jbex and wonder if they'll have to
deal with today. The amounts other peeps get cnvq for less vzcbegnag stuff.
And like that.
I reckon we could afford to look after them better than we could afford all
sorts of other things.
Wot they said.
--
,-------------------------------------------------------------------------.
| Carl Williams, e-mail to <carl at : MAG #106893 : Yon Net |
| yon-net dot demon dot co dot uk> : JBC : Leveraging neology |
` Tory Party Bonkathon Veteran kills howitzer horror '
> [y] considering ... ooh, all sorts. What they do. The things that
> run through their heads as they go to jbex and wonder if they'll have to
> deal with today. The amounts other peeps get cnvq for less vzcbegnag stuff.
> And like that.
>
> I reckon we could afford to look after them better than we could afford all
> sorts of other things.
I feel quite guilty that I rnea more than a firefighter. Not a yooge
amount more, but then I don't have to go into burning buildings and hoik
out people from inside, or what remains of them. I've also done quite a
lot of nautical type fire training, including the BA and hoses in
burning buildings stuff, and it's quite simply the zbfg qrznaqvat,
uneqrfg culfvpny ynobhe I've ever done, as well as being dangerous and
downright scary. I thought R-TH-AFs knew all about graft, but this is
in a different league and yer firemen do this stuff every day
--
Quentin
'Always keep your clips on, son.'
> On the subject of ears & syringing, I've had a cold all week, but since
> yesterday my right ear has been buzzing as though there is water trapped
> in it, which there isn't. I gave it a good wash out in the shower this
> morning, but it's still doing it and it's driving me nuts. Any Sheddi
> got any suggestions? My thoughts were to see the college nurse tomorrow
> if it hasn't cleared up.
Sounds very much like Eustachian tube dysfunction, blocked tube
between middle ear and back of nose/throat, which is meant to equalize
pressure either side of th eardrum. Tis the reason for popping ears in
aeroplanes and the reason not to go diving with ear problems. In
adults, usually blocks following a cold, and can cause a bit/of
deafness/feeling like your ear is full of water or wax/pretty nasty
pain, any of these possibly with a minor degree of dizziness.
I take Sudafed (pseudoephedrine) for it, and it usually settles fairly
quickly for me, but it can go on a long time. Other thing are steam
inhalations, with or without various smelly additives, and if you have
longstanding catarrh then maybe steroid nose sprays, but they take
time to work.
Almost always self-correcting in adults, given long enough. Kids may
not improve til thier tubes grow, and as no-one ever seemed to want to
use the balloon that you blow up with your nose, they tend to end up
having grommits inserted.
If your ear does hurt, it could be a specific infection, but unless it
is really bad, best left to nature. Antibiotics have been shown to
work very reliably, in that people get better about three hours
quicker on average if they get antibiotics.
good idea -
It does seem to have got worse.
The two GPs who were the mainstay of 'our' practice were cheerful,
normal individuals when I first met them some quarter-century ago. They
only slowly started to look and sound a little bit frazzled. They got
out - one retired a bit early, the other moved on.
Their two much younger colleagues are still about, but looking hassled
and edgy when seen off-duty. A variety of even younger types have come
and gone. The last lady, many letters after her name, contradicted the
advice on the leaflet she gave out, and had now gone. The latest recruit
is young, pleasant, keen, apparently effective and looks about
twenty-four. Walks to the waiting room to collect patients, not
buzzer/tannoy, perhaps to unwind. How long before he's had enough?
What's happened?
Local population tripled over twenty-plus years, and seems stressed and
stroppy on it. Plus all the extra stuff that can be diagnosed or done
now. Plus etc
--
Peter Thomas
> You can iffen you'm in parrot parasites. 'S just like gooving that a
> sysadmin is worth the same as a basic level clerical sort. Well,
> nobody xabjf what they does, they don't bring in any funds, they just
> sits in front of a pooter all day, and iffen everyfinks runnin'
> smoove-like, then they might as well not be there, innit. </bitter
> ex-civil-service-sysadmin-type>
Perhaps sysadmins should occasionally create prombles which they can
put right, so that it's obvious that they're arrqrq. If they just do
preventative stuff, nobody xabjs they're doing anything.
--
Paul Clark you.missed -> umist to reply
Paul Clark is a riot shield that plugs into the mains, is twenty feet
tall and moves from side to side.
--
This space left blank for new .sig
>On Sun, 17 Nov 2002 12:42:54 +0000 (UTC), Lady Kayla
><lady...@suespammers.org> said:
>
>> You can iffen you'm in parrot parasites. 'S just like gooving that a
>> sysadmin is worth the same as a basic level clerical sort. Well,
>> nobody xabjf what they does, they don't bring in any funds, they just
>> sits in front of a pooter all day, and iffen everyfinks runnin'
>> smoove-like, then they might as well not be there, innit. </bitter
>> ex-civil-service-sysadmin-type>
>
>Perhaps sysadmins should occasionally create prombles which they can
>put right, so that it's obvious that they're arrqrq. If they just do
>preventative stuff, nobody xabjs they're doing anything.
Stroo. But it's boring "fixing" prombles that you've arranged
yourself. The best way of being noticed is to get more kit ohled, and
then play with it until it jbexeth. Not only do you get to do a fancy
handover (iffen it's big enough), but you also get a couple of weeks
playing with the arj toys without anyone getting in the way. Which is
deffo the best bit of sysadmininninng.
J
--
"Choose the Dark Side... now why would I do a thing like that?"
-- Obi-Wan Renton
>Fenny wrote:
>
>> On the subject of ears & syringing, I've had a cold all week, but since
>> yesterday my right ear has been buzzing as though there is water trapped
>> in it, which there isn't. I gave it a good wash out in the shower this
>> morning, but it's still doing it and it's driving me nuts. Any Sheddi
>> got any suggestions? My thoughts were to see the college nurse tomorrow
>> if it hasn't cleared up.
>
>Sounds very much like Eustachian tube dysfunction, blocked tube
>between middle ear and back of nose/throat, which is meant to equalize
>pressure either side of th eardrum. Tis the reason for popping ears in
>aeroplanes and the reason not to go diving with ear problems. In
>adults, usually blocks following a cold, and can cause a bit/of
>deafness/feeling like your ear is full of water or wax/pretty nasty
>pain, any of these possibly with a minor degree of dizziness.
lbeeding nuisance. Mind you, I doesn't get it so often now.
>
>I take Sudafed (pseudoephedrine) for it, and it usually settles fairly
>quickly for me, but it can go on a long time. Other thing are steam
>inhalations, with or without various smelly additives, and if you have
>longstanding catarrh then maybe steroid nose sprays, but they take
>time to work.
tried pseudoephedrine a few times for this promble, never found it much
good. I used to get good results with mucron, which didn't have pseudoeph.
in it, it had phenylpropanolamine (and parrots eat-em-all, too
unfortunately, which I mostly din't need) and seemed (for me) to jbex
better. Of course, now, they've bloody reformulated it wiv pseudoephedrine.
I still have a few of the old ones inna bocks on the shelf, but once they're
gone, they're gone, IYSWIM. Don't suppose anything else has that in it now,
seeing as I could only ever find mucron wiv it in anyway.
>Almost always self-correcting in adults, given long enough. Kids may
>not improve til thier tubes grow, and as no-one ever seemed to want to
>use the balloon that you blow up with your nose, they tend to end up
>having grommits inserted.
not entirely sure that grommits are good for 'em. don't that hooter up yer
swimming etc. and molish it dodgy to go in planes and diving and such?
--
Austin Shackles. www.ddol-las.fsnet.co.uk my opinions are just that
"There are three sorts of people in the world - those who can count,
and those who can't" (Anon)
Strongly suspect that the offer is unacceptable because it would stop
them moonlighting as window-cleaners [2] and, reputedly, builders, so
may even be negative in real terms. And public sector peeps being priced
out of accommodation happens regularly towards the end of a boom.
Combin- ation of two unfortunate factors that combine to put the
pressure on.
Tied accommodation might ease the pain. Or would have done once. And
going easy on the jbexing practices might be wise.
[1] To include firewomen.
[2] Every window-cleaner we've had has been one. Wonder if they declare
it?
--
Peter Thomas