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

4 comments:

Anonymous said...

Dying of cancer is horrible in many cases.
However, operations do not get cancelled because a surgeon leaves they get taken on by another surgeon. Did his op get stopped because of mets? A resection would be no help if the cancer had already spread (which is often the case by the time prostate cancer is found).
You also think he should get a new hip? It sounds as if his condiditn is terminal, he also sounds pretty ill with the cancer, do you thin khe would survive an operation and a new hip would be a good idea when he may well die from the op and it sounds like he wouldn't ever use the new hip.

Then you say he is loosing about 1/2 a stone a month. This is called cachexia, i don't think anyone knows why it happens but it is a feature of cancer. Unless you can convince him to eat a massive amount (which you can't as he is probably feeling sick all the time even on anti-emetics) then he will continue to loose weight. My Unvle died recently from metastatic lung cancer and even with massive amounts of build up feeds being pushed into him he wasted away.

The GI problem could easily be due to the cancer. DO you think going back into hospital or starting treatment for a GI condition is a good idea when as you say he may well die in the near future?
Not saying its a waste just saying that if i was in that position i would not want to have to travel to hospital regularly or undergo scopes etc when dying of cancer.

It sound like a horrible situation. You can talk to the staff about pain medication. I have never myself encountered a patient "screaming" with pain due to cancer on the wards as the staff find it upsetting enough to get the pain team in to help solve the problem.

In the end no matter how far we have come there are not enough anwers to this problem (and i don't mean our service i mean anywhere) and cancer is a bugger. I have a strong fmaily history of cancer (lung and brain) and as a medic i see the horrible side effects of both eht diease and the treatment and i realise there is nothing more that can be done for many patients.
I don't have to think "what if it were my family"...it often has been and though i don't like what i see i know it's not the health services fault.

No One said...

well a range of active interventions 6 years ago were available

the trust in question has been investigated repeatedly by the healthcare commission for lack of urology consultants

i think its very much the nhs at fault

Anonymous said...

Ok, so in that case just to clarify that your comment seems to suggest that the NHS is at fault as an organisation as it does not employ enough urology consultants.

On the other hand your entire post on the website seems to suggest that it is the incompetatance of the people working in the NHS (doctors, nurses, porters, cleaners) who are the problem.

Just who are you directing your anger at?

No One said...

i think most people in the nhs have been dulled by constant exposure to bad service into thinking this is somehow normal

i think there has to come a point where individuals in a system like this have to stand up and be counted or just be considered part of the problem

the mass acceptance of everyone involved in the nhs that this is the way it is condems all of the nhs staff in my view

just like a nazi prison gaurd there is a process of dulling and peer acceptance that allows otherwise sensible people to accept the nhs ways

there is a root and branch failure in the nhs

there is probably too few urology consultants cos they are unable to retain good ones as they keep leaving as so much else of the service is substandard

so the system, individuals, and much more is "to blame"