Thursday 31 July 2008

Random observations on death in the NHS

So how the fuck does someone with prostate cancer get from 2001 to 2008 and with no fucking treatment? Only recently had a CT scan, never been on the waiting list for an operation (must make their waiting list figures look good), never been in for radiotherapy on the spine (like the prostate cancer charity say should happen as an emergency in the early days of cases like this, again must make their radiotherapy waits look impressive), never been on the wait for cryo or radioactive pellet treatments, never any attempt at any active treatment at all THE CUNTS OF THE NHS JUST LEAVING HIM TO DIE

Admitted to hospital now, not looking good

So we have 3 wards, three toilets for patients, one toilet out of action cos the taps don't work, another out of action cos the WC don't work, 3 wards of patients using one toilet, for a week so far, makes the hygiene posters look rather stupid

We have a nice big hospital garden, complete with nice park benches, the architects did a great job designing that feature of the hospital, LOCKED SO THE PATIENTS CANNOT GET INTO IT FOR AT LEAST THE LAST FIVE YEARS, obviously no government stats on garden access to meet

We have the mobile tobacco addicted patients huddled round the main entrance, surely the fuck the NHS must have a better way of handling cigarette addicted patients than make them stand outside in all weathers when they at their most ill? Fortunately not the patient I am focussed on but feel sorry for them anyways

Moved from ward to ward constantly, kicked out of urology early into the no-hope aging and let them die wards

Biopsy result from labs taken more than a week so far, would be same day in rest of world (I know I've been speaking to medics)

The visitor gents toilets downstairs has about 10 cubicles, 10 washbasins, and ONLY ONE hand dryer no paper towels, some fucking way to get people to wash their hands that is, what the fuck is the point of sprays and washbasins when there aint enough hand dryers to go around and obviously when that one dryer breaks... stupid fuckers

So the food in hospital is so obviously inadequate, for fucks sake could you really live on that? I'm sure as fuck I couldn't. It's fucking like a concentration camp if you don't have relatives to bring extra stuff in (yea top-ups like the NHS claims to hate is absolutely essential in the food dept)

And you end up squashed into a room smaller than my bedroom, less than 2 foot on each side away from other patients beds, surrounded by 8 people screaming 24/7 in dementia and various other conditions dying in the most horrible way right there in front of you, great for the morale that, leading to sleep depravation to add to whatever other problems you have

And what's the patient told, "oh its just ostiperosis of the spine" who the fuck is kidding who? Do you stupid medics think we are that stupid? The patient may have no medical general knowledge but that is not reason to abuse them, and as for treating the family/friends as stupid they are really taking the piss

Lots of morphine, a different nursing shift have different attitudes to how much to give and how timely, makes a big difference when you're in some much agony

Fucking locking the ward doors? What? Since when was it a fucking prison?

So depending on the biopsy will dictate a timeline, whether the ability to walk will go before death

And we have a nice hospice in town, apparently you need to be "in the know" to be able to pull strings to get into that in the NHS, oh yea some are more equal than others even in bog standard townland

And the docs claim to be working on pain control and quality of life, I tell you what the quality of life even if you were fit and healthy in what is jokingly called an NHS hospital is off the bottom of the scale

And the provision for assisting the family to nurse at home? We shall see, they may be keen on that one as it'll free up one of their beds for another no hope case they have not treated for years

Speaking to friends in Canada and Australia this is routinely survivable, and folk go on to live another 20 or 30 years, and often even have 3 or 4 (yes I said 3 or 4, meaning multiple after the 1st one wears out) hip replacements afterwards, how many people in the NHS get hip replacements versus the rest of the Western World?

AND THE WORST BIT IS THE MEDICS NEVER TOLD THE POOR GUY HE IS BEING SHAFTED AND LEFT TO DIE SLOWLY AND HE TRUSTED THEM

So we have death by dehydration to look forward to, that legalised form of killing folk the NHS use, not allowed to use Shipman tactics simply sedate them and withdraw fluids, let them die from dehydration WHAT THE FUCK IS MORALLY DIFFERENT ABOUT THIS THAN JUST FUCKING PUTTING THEM DOWN LIKE A VET WOULD A PET?

The standard of care from different nursing shifts is obviously massively different, why are the crapper shifts allowed to get away with it?

Oh yea the majority of patients are happy with the NHS are they? Only cos they don't realise they have been let down big time and they are too fucking nice

CUNTS

Lots of new "nurse pathways" to help the lack of Consultants and Urology surgeons, "help lines" by run by nurses for GPs to ring to help advise on how to manage their prostate patients, GET MORE FUCKING SURGEONS YOU CUNTS AND STOP FUCKING AROUND

The decent thing would be to tell the patient early "look the NHS has not get the resources to help, like they claim to have, they will let you die, do yourself a favour and sell your house and go private" that would indeed be best medical advice in the circumstance of this disease, especially in the early days

Answers on a postcard on how to deal rationally with a system so obviously failing

Letting people die, failing to provide any of the recognised treatments, and then just managing their pain, is that what the NHS calls medicine these days? Is anyone over 60 fair game for withholding of treatment and being left to die?

Really I don't know how the staff hold their heads up and look people in the face

CUNTS

I have had to smile at the TV doctors telling folk to go to their GP at the first sign of prostate problems, like why? the NHS is only going to let them die anyway

CUNTS

Is this what I spend so much tax on? Give me strength

Monday 21 July 2008

Dying in the NHS

So what exactly do you get "free at the point of use"?

I've just spent the weekend with a nice old bloke dying in agony at home in modern Britain

He has obviously had prostate cancer for around 6 or 7 years, as the consultant who told him 6 or 7 years ago that he would have to come back for an operation has long since retired, and what's happened to him since? Certainly no operation that's for sure

He can hardly walk, cancer attacking the spine, again I deduce from the letters and symptoms I see, no honest diagnosis to the patient

He probably needs a new hip also, although the modern NHS will never come to this conclusion as it costs money doesn't it? At least be honest about that you lying bastards

Been significantly worse the last few months after a steady slow decline, And he has been loosing a stone and a half per month for the last 3 months, he will die from weight loss in the next few months even if no other medical issue

Probably got some form of gastro issue too, but the gastro consultant has cancelled his appointment on his waiting list as "we have identified a prostrate issue and have referred you to the urologist" no shit Sherlock, we fucking knew that, and since when did prostrate patients develop some kind of immunity from gastro problems simultaneously?

So the NHS after 6 years has finally got round to doing a CT scan and a whole bunch of other tests

But what active intervention apart from tablets for pain relief and to help him pee better is he getting? ABSOLUTLEY SWEET FUCK ALL

This guy who is gentle and modest, was brought up to think of medics as gods

So yea the NHS is free at the point of use, if you call being left to rot to death and die of curable conditions, and wasting away

THIS IS A FUCKING DISGRACE

ALL YOU CUNTS IN THE NHS SHOULD BE ASHAMED OF YOURSELVES

When he dies I may well scan a few of the letters from the so called consultants up on this site, if I don't go round and find these evil cunts working in the nhs first and ask them to account for this

You tried sleeping when the guy in the next room is crying in pain all night?

He probably is being allowed to die 5 to 20 years sooner than need be, for the lack of a prostrate op, some intervention to help him keep his weight on, and a few other bits of routine intervention

Too old to be worth the money? Says who? He worked all his life contributing handsomely to the NHS and this is what he gets?

He will be wasted away soon to the point where he wouldn't be able to survive an operation anyways, and the NHS is hardly a shining example of somewhere able to help put weight back onto ill patients

How do people in the NHS sleep at night? How do you live with yourselves?

You may as well be putting a gun to his head, and taking our taxes from us to pay for it

Thursday 3 July 2008

A Gentlemen's Agreement

Well Oh Well

I woke up this morning to "The Today Programme" on "Radio 4" that bastion of politically correct middle class biased but thinks its impartial coverage of the nations political life

And what was their top story?

The Government says in many areas GPs have a "Gentlemen's Agreement" to restrict the patients ability to choose a GP! Well what do you say..? As previously reported in this blog and elsewhere patients often in practise have no choice of GP and it looks like the Government has finally cottoned on

And all those medics who kept telling me that I'm wrong and that choice is alive and well in GP land have been left with a big fat family fortune X X X as they are shown to be wrong

Let me repeat some truths

i) In many areas, many urban, when you move there and try to select your GP based on convenience of their opening hours, their reputation with their patients, the general cleanliness of their surgery etc in many parts of the country you will be told by all surgeries apart from the very closest one that you are "outside our catchment area", other tactics are adopted such as "yes we release spaces on our list but you have to come and wait in person every third Tuesday when there is a full moon" (slightly exaggerated but not much) SO PATIENTS HAVE NO CHOICE OF GP thereby encouraging the lazier more useless GPs as they have guaranteed patients press ganged onto their lists

ii) Your ability to use the NHS relies too much on the ability of your GP, in the "GP as gatekeeper to all other care" model of the NHS you depend on having a decent GP, if your GP is one of the worst in the country and you cannot move GP you are fucked, big time fucked

iii) The public were never going to put up with this long term, and medics who do not believe this is going on in this country really need to get out more and see why people like me report this

So there you have it, reported here first, on Radio 4 much later

Lets hope the patients are given some genuine day to day control of where they take their health spend, force the GPs and others to need to attract individual patient transactions in a much more competitive way, this is the only way to drive improvements in opening hours, punctuality of docs, cleanliness etc etc

Come on docs smell the roses you cannot continue to believe your comfy status quo is going to stay much longer?

Or do you like seeing crap service provided by your peers?