Struggling (or Wrestling) with the NHS

I think that our National Health Service is wonderful. I mean it. On the whole, its medical staff is devoted to curing and caring. By ‘caring’, I mean alleviating symptoms if the condition cannot be cured. I suffer from prostatism – enlargement of the prostate gland – which makes it difficult to pee: not impossible, but difficult. The condition is allieviated by the simple taking of one pill per day. The substance is called ‘tamsulosin’ and it does the job of relaxing the prostate so as to take the pressure of the prostate gland off the uretha so that the urine can flow normally. It works. That is all that we old farts need. It is not a cure for the condition, but it might as well be. It works.

We have to consider the overarching importance and difficulty of diagnosis. Without a correct diagnosis, then everything can go horribly wrong. We must all have read of misdiagnosises which have caused death.

Do you see the fault in reasoning in that last sentence? No, it was not the misdiagnosis which caused the death – it was the illness. The MSM take great delight in publishing stories what claim that misdiagnosis ’caused the death of ….’.

In the reverse way, one might reasonably say that guesses, via epidemiology, that smoking causes lung cancer are misdiagnosises. Thus, the putative ‘cure’ for LC, stopping smoking, will be found to be ineffective. Why has Tobacco Control not trumpeted and trumpeted, again and again, that the LC has fallen because of the reduction in smoking?

There are two reasons:

  1. LC mortality has fallen in the male population somewhat, but not an awful lot, and female LC mortality has risen.
  2. Drawing attention to those facts would undermine the Industry.

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But that is not my point tonight. My point tonight concerns inefficiency and ignorance in the ‘caring’ sector outside of the hospital. It seems to me that there is a HUGE problem, which is that the ‘caring’ people, the Social Services, know nothing about the medical stuff. But we have two different definitions of ‘caring people’. By and large, nurses in hospitals are not ‘curers’. The doctors are curers. Nurses are carers.

And here is my important point.

Herself has MS and lots of problems. Her legs do not work at all. She cannot walk. The legs do not work. And she cannot pee. She needs a catheter to empty her bladder, and now her bowels are not working properly. She has to be dosed with laxatives. But we can cope with these things.

What is odd is that she has had a ‘wound’ on the upper surface of her skin on her left leg, above her shinbone, which has not healed for the last two or three years. It scabs over, and the scab gets thicker and thicker, and then it comes off. But, when the scab come off, the skin underneath is wet, and a new scab forms. The wound never heals.

No NHS carer, aka District Nurse, gives a toss.

I do not blame them. Nor do I blame them for other errors. They are human. Thus, when one of them left her bedsores saturated with saline solution and put dressings over the top, the fact that her skin around the sores chapped, and became red and wet was ‘an accident’.

But who can one TALK TO  about these happenings?  There is no one. If you want to talk to someone, you have to go through your General Practitioner. No doubt he has to go through some sort of ‘reporting procedure’ which might reflect badly upon him.

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What has recently happened regarding herself is that I have used my Common Sense. The district nurses come once a week to change dressings, replace the urine legbag, do a ‘bladder washout’. But they know nothing at all about ‘symptoms’.

Going back to the wound on her leg, you would think that nurses and doctors would be curious about why the wound would not heal. Not to be interested would reveal ‘deliberate ignorance’. ‘Deliberate ignorance’ is normal. No ‘Health Zealot’ talks about death. They only talk about ‘saving lives’.

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The doctors in hospitals do their job. The nurses do their job. They do what they can and are 99% successful. It is when vulnerable people come out of hospital that the problems pile up. It is not a ‘medical’ problem. It is a ‘CARING’ problem. By that I mean that the ‘caring nurses’ dare not tell their superiors that ‘something is wrong’.

But what is just as bad is that I, the REAL carer, have no one to get in touch with who can sort things out. There is a ‘blank space’. Even if you manage to find a contact, nothing actually happens.

We have a special bed with a mattress which is constructed of ‘cells’ which inflates and deflates one in three cells in rotation. The idea is to rotate ‘pressure points’ on the patient’s bum, back, legs, or whatever. It works wonderfully well, although it is prone to malfunctions occasionally. Those malfunctions are as nothing as compared with the general benefits.

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At the moment, all is well. But that is mostly because I personally use my ‘common sense’. The nurses come once a week and do what they do, and then they go away. They are nice girls. But the fact is that there is no need for them. I can do everything that they do, provided that I can get the supplies of dressing etc easily.

Ah, you might say, but supposing that they spot a problem? My answer, after several years of observation, would be that they would not and cannot observe a problem. They are not trained to observe such problems unless the problems are obvious to ANY observer.

Thus, I see a lot of the problems of the NHS as coming from ‘top down’ control. That is, it is the Secretary of State for Health who starts the problems. But what is manifestly true is that the Health Sec can only manipulate the situation via budgets. There is no other way. Money dictates. Ministers are trapped, or allow themselves to be trapped. Personally, I have an intense dislike for the current Health Sec, Jeremy Hunt MP. He is the epitomy of ‘upper class’. Need I say more?

The NHS is wonderful, and the doctors and nurses are wonderful and dedicated. It is the Managers who are slick and slippery, and it is they who damage the reputation of the NHS.

Who are the people who are demanding ‘exclusion zones’ for smokers around the roads close to hospitals? Are Patients demanding such zones? Are visitors demanding such zones? Who are the people, names please, who are demanding those zones?

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The NHS must be de-politicised. It is a wonderful thing, but it suffers from passing political interference. That is especially so when ‘artefacts’, such as the WHO, dictate that smoking prevalence is more important that contagious diseases.

The word ‘Artefacts’ just about sums things up. ‘Climate Change’ is an artefact. It is a tool.

Enough for tonight. It is enough, generally speaking, that we can think about ‘global warming’, but not ‘climate change’, as artefacts.

The NHS is wonderful. The likes of Jeremy Hunt are slimy slug aristocrats who hide behind timid girls who are pronounced to be ‘Health Ministers’. Can anyone forget Milton MP, Health Minister, who said that “WE MUST” impose smoking bans because the FCTC said so? And what about Soubry MP who did not know tha the latest TPD all but destroyed the ecig industry? She said: “Haven’t ecigs been removed from the TPD?” They had not, but she, a girl (or boy for all that it matters), committed the wonderful UNITED KINGDOM to helplessness.

For is it not true that acquescence to EU Directives equals ‘helpnessness’? You do not ‘cure’ a sore on a leg, you cut the leg off. Or, to be more precise, you do not maintain the health of a leg, you infect it.

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I do not know what to do about the gap between ‘common sense’ and ‘directives’ as regards herself.

But I am tired and must to bed.

An interesting subject. Who guards the guards?

Forgive typos – I am too tired to bother.

 


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