hampsterkahn

Do we have a ‘ chief medical officer’ or ‘Director of Health’ - or whatever the latest term is, actually on the Isle of Man ?

Aside from the money, it is the terminology that baffles me. ‘ Business Support’, This is the NHS What is the ‘business’, - why does it need supporting ? ‘ Executive’ ? ‘Officer’ ? The civil service seems to use the term ‘officer’ rather loosely, meaning any one who works in an ‘office’. The ‘Bureau Bleak- Speak’ continues.. the successful candidate will have to ‘ build and maintain to strong relationships with all ‘Stake holders in the Care Management Business ..’ and be ‘ the initial point of contact with stakeholders in the Care Management Team’ What are the ‘Stakes’ that are held , and by whom? Care Management ‘ business ‘ ? What is the Care Management Team? - What does it mean?

Many of us grew up with ,and were treated by ,the NHS believing - or it now seems rather naively assuming, that it was an ‘Integrated Care’ system. Such terminology was never used.It would have seemed superfluous. ‘ Integrated Care ‘ ‘has been upstaged by ‘Fully Integrated Care’,‘ in some areas going further to be elevated to ‘Totally Integrated Care’ No one would argue against these phrases if it means having better services. However the evidence from some of its users suggests the contrary and that now we are witnessing a dis integration of the NHS.

Autism is diagnosed more frequently now mainly as a result of the diagnostic ‘threshold’ for Autism being considerably lower than previously. There are numerous sites on line where you can check and diagnose yourself - ‘ Twenty things that show you have autism’ and such. On the basis of it being seen as a spectrum disorder, many, probably all of us ,could be placed somewhere on it, at least as having ‘Traits’. That isn’t such a bad thing, as it has the benefit of the diagnosis being better generally understood and tolerated and to make it less likely for it to become degraded into being used as a term of abuse.

The spectrum of opinion regarding Katie Hopkins would appear to be a rather ‘U’ shaped ie intensified at both ends, where ranks of firm followers and admirers assemble at one and vitriolic haters congregate at the other. Now she has left it will allow the two groups to get back to the more serious business of attacking each other -over something else.

Whether Katie H is viewed as a entertainer/ comedian / outspoken social / political commentator, or someone with the liberal views of a female 21st century version of Bernard Manning, the bottom line is that she needs to sell tickets. It would seem that wherever she is next due to appear, local news will be broadcast about her forthcoming show which will include some of her previous controversial opinions.Predictably, this leads to a local furore about whether or not her show should ,or should not take place. Free publicity.It helps to sell tickets. Next town …

Covid Vaccination is not compulsory. If you choose not to have it, for whatever your reasons , then don’t have it. You don’t need to tell us those reasons. No really, thanks.

I didn’t know that ‘the universe’’ can ‘reflect back’ to an individual, let alone be able to ‘exactly’ reflect what it is that one is thinking about. Reassuringly, Minister Hooper describes these episode as being ‘ every now and then’.

The most remarkable thing about this young woman is that by appearance and descriptions of her character is that she is very remarkably unremarkable.

Not experienced it, just aware of it.

There is a common theme in the manner in which medical staff and nursing staff face the threat of being reported to their professional body, the GMC, GNC respectively, if they don’t do as they are told/ shut up. Just the threat is an effective way of intimidating staff. All know that the professional bodies set the threshold very low in response to complaints.( quite rightly ).it will probably will result in detailed scrutiny, probably a period of suspension whilst a lengthy investigation is pursued, ,loss of professional reputation and damage to career prospects with the ultimate fear of being rendered unemployable in their chosen profession In contrast, senior management are not answerable in a comparable way. Able to leave any mess they have created behind them, they simply move on to a similar or often a more senior and lucrative post in another Health Trust

And you are most welcome,Roxanne.

Quite an interesting question. Leave it around long enough, and if it is fairly dry, it will go white. Dogs tend to have a proteinatious diet also quite high in calcium. -bone marrow, raw meat and this tends give stools that will go white fairly quickly. Things ain’t what they used to be. Apparently there has been a slight gradual dietary change for dogs over the last twenty years or so with a trend away from the more traditional doggy diet. So the factors seem to be -it may just have been left around longer coupled with some slight changes in what they’re eating. If I inadvertently step in dog poo I am relieved if I discover it to be one of the more of a traditional dryish , white, matured variety rather than a fresh, steaming , gag-inducing pungent, slimy and very adhesive canine Richard the third. Traditions should be maintained.

Swimming near untreated sewage outfalls can be associated with unpleasant “D&V” episodes afterwards from bacterial contamination and more serious viral infections such as Hepatitis A Children in the 1940’s and early 1950s were told by their parents to avoid such areas because they thought (correctly) that the Polio virus could be spread by this route.Polio was was a major worry and a very real threat before effective vaccination.

The aesthetics and smell are objectionable enough for most people. Ask any parent who has had to clean up a upset child who has become caked in dog poo in a play area. Not so much bacteria, more potential for parasite transmission. eg Toxicars canis in children’s play areas esp.sand pits.Becomes active after 2- 3 weeks,when toddler’s on hands , then mouth …Not common but results can be very serious indeed for that age group.