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

12 comments:

Anonymous said...

Another round of lies by no-one.

Same day biopsy results in the rest of the world? NO, even in the US you usually wait a couple of weeks for a biopsy result. Most of the time a biopsy cannot even be processed in a day (do you know much about formalin, setting, slide preparation and staining?). You have been takling to the wrong medics, talk to a pathologist.

You think the NHS is shit, yet i have been in hospital now with 4 members of my family dying of cancer (in 3 parts of the UK) and in don't think a single one was let down by the system in any significant way.

You want more surgeons lobby the gov, we get shafted and told there are no training places but you seem to think its the doctors that are at fault.

I wonder about this story, you seem to think the guy has been kept in the dark by the docs and left to rot but you seem to know all the details...even how long his biopsy result is taking. Let me guess they keep him in the dark but talk to a random visitor like you about his case.

Doesn't add up, i think you have gleaned a few facts and are filling in the blanks according to your agenda.

No One said...

well this story is true

and i know the facts because i) I am family and ii) because I know more about medicine than you realise

Biopsy results in Australia are same day according a prof of medicine there I have been speaking to

So fuck you and the system you support

No One said...

oh and the healthcare commission have been to this part of the country and looked at how crap the urology service is several times

they have written damming reports

much spin about improvements

which proves the NHS complaints and monitoring system in the NHS does not work, because the healthcare commission is the end stop of that system which should produce change

and the healthcare commission reports are public domain and feature many of the things I am saying in more polite language

it hurts rather more when you know the individual being left to die

Anonymous said...

blame Gordon Brown

niku said...

Bullshit FP. Get a grip dick head, we are one of the few places in the western world with this level of crap service from a bunch of unreformed piss takers. Angelina and Brad didn't choose to have their kids in the wonderful NHS because it is SHIT.

Cervical smear, waiting to know if you have cancer, wait fucking 5 to 8 WEEKS. Why? Because it would inconvenience the NHS to get it there any sooner!

Fuck off and die like the patients have to. Crap service provided by crap practitioners.

Full stop

The two weeks on a trolley team said...

No way do we have same day biopsy results in Austrlia, nor in Ireland.

Dr. Thunder
www.twoweeksonatrolley.blogspot.com

Anonymous said...

Why dont you just die and do us all a favour, you moaning cunt

Anonymous said...

Well i looks like the DIRTY little secret is our: NHS is indeed a third world system run by a bunch of slobs who in circle jerk fashion stand around and point the finger at each other while people die! That includes the fucked up doctors...........

Dr Blue said...

Sadly as a doctor I have a feeling I have been deskilled by the NHS. I try to be a decent doctor, and get fed up with the limitations of the NHS.

The NHS is currently hindering doctors from delivering good care to patients. This has to be wrong.

BMJ has been strong on this area recently (inc this wek's issue)with many good articles by Chris Ham and Donald Light on the absurdities of current policies. The very fact they are changed so often says no one believes in them.

NHS eschatology is sometimes overplayed, but I think there are now too many easily gathered reports, examples and stories of sub-standard care available that will eventually undermine the credibility of the organisation.

No One said...

thanks dr blue, good to hear from you

Anonymous said...

we need a tax deductible health insurance scheme with a deductible payment for each visit and a set fee for annual GP services. This would make patients into 'private patients' and the standard of care would improve overnight. In addition patients would only pay for actual medical or surgical services needed and money would not be wasted on the 'white elephent' of the goverment of the day.

The British Public has to decide it it wants. A modern health service that responds to each patient or a socialist scheme 'free at the point of delivery' which responds to the needs of the whole population but in trying to please everyone, it fails to please many.

Why not do a poll of all doctors to see what they recommend. After all, they deal with health care issues day in day out. That idea however is far too scientific. Unfortunately, no one trust doctors as a group in this country because the politicians have done a fine job with their negative campaigns.

Anonymous said...

Interesting to read your observations, Dr Blue. As you say, there are more and more abysmal stories emerging - and as NOT Dr R says, most punters are too nice as well as stuck in their self-protective delusion that 'we have the greatest health care system in the world'.

I have a different take on the eschatology though. Most real life end-times situations have hinged on a tipping point...all seems to be going along 'nicely' on the face of it, the PR, the spin is all increasingly fixed-grin positive and then Something - often just a Little Something - tips the scales and the whole edifice comes crashing down. That dynamic may apply here.
There's so much panic and paranoia behind the scenes at the House that Jack Built NHS Towers now - who knows what the pivotal coup might be?