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Everything posted by Galen

  1. I am sure Dr Rankin of MEDS will have take due cognisance of the BMA 2018 Guidance which includes the following advice "The informality and real-time nature of social media are two of its strengths but they are also potential pitfalls. Medicine can be a challenging and stressful job and while it may be tempting to let off steam or ‘speak your mind’......., . A good rule of thumb is don’t post when angry, drunk or emotional and don’t say or reveal anything on social media that you wouldn’t be happy to see printed in a newspaper.You have rights to free speech but they are not absolute. Reme
  2. Galen

    Death & Dying

    If medicine was a science then the same thing would happen to everyone. The reality is that it does not. A simple example, being giving an aspirin to one person cures their headache, given to another person they have an anaphylactic reaction. Medicine is (obviously) based on scientific principles, but the 'art' is knowing what it will do to the individual given that each of us has a personal chemistry. ( The British Medical Journal article at https://mh.bmj.com/content/27/1/42 gives some insight into this)
  3. Galen

    Death & Dying

    Whether we like it or not, theses difficult times are going to see some of our loved ones depart before their time. Medicine is an art, not a science, and our gallant NHS staff can only do so much. As Benjamin Franklin once noted there are only two certainties in life, death and tax. I recently lost my Dad. While we both knew it was coming, we obviously did not know when. When it did, it was swift - a matter of days from when I got the phone call to get over to the UK to be with him in his last hours. In the previous months before he passed I was fortunate that I had had what some ca
  4. Thanks John for the list, is this one you constructed or has someone else started it?
  5. Thanks DragonS - it is that type of thing but a bit more structured, and as part of the general information that is made available in these difficult times alongside other pertinent information, rather than having to dig around on a particular radio site - no disrespect to Manx Radio. Personally, I would have thought IoMG with its vast IT GTS service, and with so many of its staff working from home, would have done something as a public service but maybe I am stretching my expectations.
  6. In these every changing times, is anyone aware of a IOM central services directory where the details of who and what is open, when and to whom, available online? For example, while the Island's stores have made certain hours available to NHS staff/ elderly people, each company has, understandably, different times and on different days. One location where you could see all the information in one place would reduce wasted trips and unnecessary contacts? I appreciate that this would need initially require some effort to be set up, and while potentially prone to pranksters, one would hop
  7. As we have an interim DHSC CEO who is only on Island 3 days a week, this presumably will mean she will have to self quarantine for 14 days every time she comes over. Meanwhile IOM Govt will be paying her a monthly salary for what could be less than 6 days work per month. The Isle of Man, where you can......
  8. Some acknowledgement has to be given the fact that generally people are living longer, more treatments are becoming available, and understandably, many people want every change in their health status checked out for fear it is something sinister. This is driven in part by the public health messages based around improving awareness and media stories of people ignoring a particular symptom and prematurely facing the grim reaper. Reluctantly perhaps, but the fact has to be recognised that our bodies are not designed to live forever and certain lifestyles, coupled to a range of environmental facto
  9. Part of the problem relates to events back in 2013/2014, when Mark Lewin (ex COO of Sefton Hotel, Nat West/RBS 'change manager', and now CEO Dept for Enterprise) was put in charge of Govt IT. To make "savings" he recommended it was centralised along with the health IT budgets, with some health people who had knowledge and experience of health and health IT being made redundant. The proposal was fully supported by that well known 'IT expert,' 'ex-IOM banker' and Treasury Minster, Eddie Teare. Any suggestion that Teare and Lewin had a long association stemming back to the banking world (IOM Bank
  10. No matter which option is gone for we the motorists will pick up the tab, but for all we know the insurance industry might offer to do it for considerably less than 10% at no cost at all :-)
  11. Why no move to getting the insurers to collect car tax? Insurers know the vehicle and engine size, can find out its emissions easily enough and the IOM Govt can provide the emission banding charges. With this information insurers just put the road tax cost onto the vehicle's insurance. Many people pay their insurance monthly anyway, so depending on the vehicle it could be just a few pounds more per month. For the gas guzzlers, their insurance will not be cheap anyway so it is a direct consequence of having a large vehicle ie more expensive insurance and road tax. Insurers then issue
  12. In the last year I have raised it with 3 politicians including the CM and they not interested in the slightest in regulating the "God squad" - 'a step too far and not required'. They are not even prepared to require that the religious people carry visible ID. Nevertheless, our politicians are happy for charities to have to get a licence (and carry ID) to go door knocking, and delighted to ban cold callers as long as they are not from religious groups, or themselves when electioneering. IOM ICO, an arms length agency of the Cabinet Office (and therefore not truly independent of the politic
  13. I am a little surprised our local Information Commissioner has not been vocal about a degree of regulation of the doorstep religious groups must comply with thanks to GDPR https://www.telegraph.co.uk/news/2018/07/15/jehovahs-witnesses-must-ask-permission-collecting-personal-data/ https://gdpr.report/news/2018/07/12/jehovahs-witnesses-suffer-smite-via-the-wrath-of-european-privacy-laws/ This also makes interesting reading https://avoidjw.org/en/policies-procedures/general-data-protection-regulation/ GDPR is a step in the right direction, but classing religious groups as
  14. Bringing the family to the door is perhaps intended to show that the particular religious group is all inclusive and family friendly - or it could be because the parents can't get baby sitters while they do their religious endeavours? In fairness it was a Saturday morning when 'they called'. The kids though were only toddlers. I felt really sorry for them, but perhaps that is the parent's ploy to reign you in!
  15. Equally sickening is when you get the whole family at the door, father, mother and 2 kids as I had a few months ago. I am not anti-religion, each to their own. But I do object when religious people come uninvited to my front door and I have no legal mechanism to stop them. Yet, according to Mr Perkins MHK, if they offer to clean my gutters (and this is not an euphemism), this would be deemed cold calling and I would have a legal remedy. The politicians aren't interested in legislating to regulate them for fear of upsetting other religious groups, and the Police are understandably too
  16. Agree, but in at least in public you have the choice of whether to approach them or not. When they are banging on your door and you don't know its them until you open your door, it is a different thing, A couple of my elderly neighbours find them frightening, A mate of mine has started getting their phone camera out when these religious bods appear and starts photographing them and their cars. Apparently, they don't like that as it means they can be identified. But at least it gives evidence to show the police of potential harassment.
  17. So religious groups and politicians can cold call but no one else (https://www.manxradio.com/news/isle-of-man-news/oft-police-work-together-to-stop-cold-callers/ ). So does that mean charities (Red Cross etc) are also banned from door knocking? Unlike the religious groups at least the charities provide their supporters with ID which they wear /produce on request as do the statutory authorities (Gas, Electricity, Water etc). As religion is arguably a 'service surely if for some god forsaken reason they can breeze up to your door uninvited and unannounced 'selling their wares' the
  18. For the second year running my local insurance company has rung a few days before the expiry date of my policy and told me I won't be covered if I don't pay immediately. When I not pointed out that I had not received any reminder / renwal notice I was told they sent it by email 3 weeks earlier. When I said that I had not got any electronic reminder they then blamed the ISP. So I asked them to send the original email again there and then. They didn't, and instead sent a general one, which I thought was suspicious, but it appeared in my inbox within a few seconds. After pointing the ISP did
  19. Welcome Neil, got a civil servant to do it for me as I was busy with colouring in my pictures :-)
  20. IMHO it is the Chief Officers Group (aka COG) who hold the most power in respect of running the Island. They meet regularly with the Chief Sec who is part of their annual appraisal system and agree on a range of topics, guided by the Chief Sec who is in turn 'advised' by the Chief Minister. As with any public body the key to any decision that involves cost, (and arguably most do) the power lies with Treasury as to the affordability or not, and if not, where the money is to come from. While the Civil Service (CS) is technically non-political and is intended to serve the governmen
  21. The issues this report will face, I fear, will be the same as many other reports and initiatives in the past, which mainly come down to encroachment on selected medical fiefdoms, that prevent them doing 'what they want to do' rather than what should be done. That is not to tarnish all the medical profession, but historically some clinicians, have not been prepared to embrace change if it has not assisted their private work. Another hurdle will be getting certain of our politicians to understand what is actually involved. While well-meaning, some of the implications of this report will, I
  22. Is this why Manx health services are so poor? 'it appears to us that the Department has been wrestling with aspects of job planning and the ability to link that with performance management for at least five years and under former management some consultants have been able to negotiate very favourable remuneration packages with little performance assurance. When compared to England and Wales we would appear to be in the unenviable position of having some of the highest paid consultants responsible for some of the longest waiting lists, in a Hospital which is only operating at an average of
  23. Putting everything on social media is fine for those who are connected. But what about those, such as the elderly who are not. What are they supposed to do other than sit like lemmings waiting for the lights to come back on. A dedicated and updated landline number when there are power cuts / outages which has relevant information, would not be beyond a company that cared. Added to that one of the local radio stations could, as a public service provider, provide hourly updates with relevant news on the outage for those with non-mains connected radios. I witnessed another example of the wo
  24. She is another "import" from across (in this case from north of the English border along with the estuarial dulcet tones that Billy Connolly fans will be familiar with), who "knows it all" and was always wanting to show us locals how it should be done!
  25. There is a rumour abounding that the Deputy Clerk, Tim Craig, who has held the proverbial fort throughout the debacle with the former Clerk has left due to 'issues with the new CEO/Clerk" This is supported by the fact that he is no longer shown as an Officer on Onchan Commissioners site. If true, it would not be surprising as the new CEO/Clerk is "an acquired taste" and in her former role in Nobles was known by some as a bully and not one of the nicest people to do business with.
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