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Everything posted by hampsterkahn

  1. There is a a degree of egocentricity about viral symptoms - almost a declension : I am/ I was.. really, ill. .. Let me tell you about it! - I’m not one to moan/ bother the doctor!.. No, This was real, proper flu - April 1999 ..I was …Il. “ Stay off work ?- I could hardly get out of me bed, I can tell you.. You .. are/ You were .. a bit unwell., It’s not nice is it ? Sympathies. Yes, difficult.. Yes, OK don’t go on about it .Yawn. They are /They were.. Wimps ! .Snowflakes ! Call that ill ? 2days! Bit of a cold more like ! .. Skivers.
  2. Whilst your jam is no doubt an absolute delight , making your own preserves will probably not make a major difference to your finances unless you make a lot, or it’s your main food source, or you successfully sell a lot of it. The frustration for most of us is - we really can’t alter our “incomings” very much. The focus must be on “outgoings” in the hope that we can influence these. Expensive outgoings are perceived differently.Each will have their own declining sequence of “sacrifices” to offer : cigs, cars, holidays etc and lots more on the path towards the basics of health, shelter, food and water. Difficult.
  3. That isn’t quite how it works - or at least how it worked. The charities were invited to respond to a “wish -list “ of items or projects presented to them by the “Department” - for example, the 2015 “Strategic Plan” listed four or more, from what I understand.
  4. There do seem a few of them around. Thankfully only a few.. Perhaps though we should view the noise, the high revving, the silencer with baffles removed, the re-mapped ecu to give backfires etc the screeching of tyres in a more positive light: It is a road safety feature. How else are we to be alerted to have advance warning of the presence of of an immature sociopath in charge of a motor vehicle somewhere in the district?
  5. There have been some throw-away casual comments / assumptions about RDCH. So, just a few things here to consider : It is busier than any time in its long history. It has provided the mainstay of minor injury provision and orthopaedic clinics - and follow ups during the difficulties of the Pandemic. The outpatient consulting rooms where these patients were seen were built with charitable funding. The X-ray department was provided at no cost to the tax-payer and subsequent upgrades have been funded and will be funded from hospital charitable organisations. Martin ward ( refurbished at no cost to the tax payer by a hospital charity is ussualy full with rehabilitation patients, releasing beds in Nobles. The Renal unit ( fully equipped at no cost to the tax payer by a hospital charity) is essential fo the Island cope with increasing dialysis demands and provides dialysis cover for visitors for which their Health Trusts are charged . The operating theatre ( provided at no cost to the tax payer, funded entirely by a hospital charity ) provides whole-Island services including Plastic Surgery.Prof Viaude - from Whiston Hosp., now resident here carries out surgery here.Where previously patients had to travel off Island they can have this in Ramsey. RDCH provides the Island’s dermatology service in the same facilities .. which were again funded by a hospital charity. The physio / occupational therapy unit was built at no cost to the tax payer - again by the same local charity. The equipment on Martin ward - ditto The refurbishment of MIU, the entrance upgrade and the waiting room -ditto. The emergency helicopter landing site - ditto The car park extension -ditto. There are dozens of other smaller items. Remarkably well -supported. There is also something else which is not only special, it is bordering on unique in the NHS these days: Based on what one can observe by the responses, and general demeanor of its staff ..morale does seem high. This observation was similar to the view when the Hospital was independently reviewed a few years back where the report remarked in the “ Enthusiasm “ of its staff. Even if that is not specially acknowledged - or celebrated, it at least needs careful analysis- if only to see if it can be replicated elsewhere. As an edit… Somehow I managed to not mention the Wound Management Clinic -the jewel in RDCH’s crown for many. From all over the Island, they see patients who have serious, debilitating on- going problems. Not gee -whizz, high tech stuff, but things that have a major ,very debilitating and profoundly negative impact and depressing impact on life for some. The unit has a reputation of taking on - and succeeding in managing “problems” that other agencies have, for whatever reason, been unable to deal with. -and largely their equipment has been obtained without troubling the tax- payer.That same source has funded attendance at off- Island training courses.
  6. “Things were different then” That has some truth, but it should never be uttered without at least some reflection. Not all of 70’s society was happily immersed in the tedious innuendo and sniggers of the “Carry On “ and Benny Hill variety and overtly homophobic. For many it didn’t merit a view or opinion. Which in way was more serious, as the problem was ignorance. I was guilty of that. Only looking back, I feel I failed some of my friends at that time, simply by not understanding them. I failed to recognise them fully ,to listen, and to talk about what was important to them.
  7. A high proportion of us would get along pretty well without many of the rules, regulations and laws that exist.For the most part, getting on reasonably with each other. Even before driver training ,many of us didn’t need specific laws about how to safely negotiate a road junction or whether or not it is wise to drive at great speed in crowded areas or near schools, or drive after drinking or fatigued etc. Most people drive with a degree of forethought and consideration towards others, by possessing some imagination to envisage the consequences, Unfortunately ,a hard core don’t.Trying to cover every permutation of their stupidity, the rules become more extensive and ever more detailed. Even though sometimes the evidence would be overwhelming, one cannot yet be charged with being a prat aka , being a bloody nuisance and potential danger to others.
  8. In the early hours of every week-end in every town , village and hamlet somewhere, on cue there will be people competing to do silly things; sometimes these things will be silly to the extent they may end very badly, even tragically and the silliness flip over into aggression and violence. The Police can’t charge someone with being a total bloody stupid , potentially dangerous, drunken,time-wasting, grade 1 twat, so they have to asses the risk and have to find other ways, first to get them home safely, or if that clearly isn’t going to work, find charges, here even delving into the minutiae of laws surrounding who and who should not or drive an invalid vehicle. - but no doubt first impressions count.
  9. This is an idea that comes up now and again. The obvious appeals : 1.It sounds as it could save valuable resources; 2. For politicians, there is a psychological effect on the public.A shift in blame with the the message - “You are a good, responsible, deserving patient ;the reason for you not getting a good service is because of bad, selfish,irresponsible people who are spoiling it.They are bad.They should be punished.” But ..there is a problem why it won’t work: The Appointment systems in the NHS. They have acquired a reputation for messing up to the extent that almost everyone has either experienced it or has a relative or friend who has. That is where attention should be focussed first. Without improving that system, fining the “undeserving” would be so fraught with investigations over disputes regarding whether an appointment had been sent/ sent on time/ date / wrong department etc. the cost would exceed the fine. To maintain NHS tradition, a whole new “Fines Department “ would be set up with a “Fines investigation Officer”, a “Fines enforcement Officer” and a separate “Fines Appeals and Resolution Officer” . Persistent offenders would be offered the option of not paying the fine by attending a “ Citizen’s Responsibilty Awareness Programme” course . No appointment needed.
  10. What will be these “disincentives” and how would they be applied ? The report suggests the need. for “young” “ economically active “ residents. This fifth former’s essay on social engineering has yet to focus on the basics such as the young get old and the “economically active” can, for a variety of reasons become economically very “inactive” Will someone be allowed to settle here if they a chronic health problem ? Will they be granted special dispensation if they are deemed a “special worker” what if they have a child with a serious disability? or an aged dependent relative? What is the process that will be applied to the “uneconomically active” -forced deportation ?
  11. John’s post should be read carefully by everyone. Perhaps most by those fortunate not to have need to seek consultation or treatment for a serious condition that involves travel off-Island. - You may yet, unfortunately. When you do, the stress of a serious diagnosis; awaiting the prognosis, it’s symptoms ; your mortality ; your family ; concerns about treatment, its effectiveness; its side effects and the concerns about how you will manage the logistics of receiving treatment is likely to be severe. Travel for those in good health - just off somewhere to enjoy ourselves, can be very stressful. Now add in the above factors plus symptoms of an illness - fatigue, pain, anxiety and effects of treatment such as weakness and nausea, then any “extra” stresses such as delays, transfer confusions, wheel chair foul- ups and “notes transfer problems”, then the effects can be can be very severe and demoralising, and will likely to impact on someone’s decision whether or not to continue with their treatment plan and ultimately affecting their condition, their symptoms - and their survival. Travel arrangements should be viewed not just as important, but an essential part of an individual's holistic care.
  12. 12 years seems a very long interval before a new comment emerges regarding this. The original poster identified a group of people whom he “hated”. As an example, he cited someone he felt typical. She had made a large fraudulent claim for benefits. This is not unique- or confined to any socio-economic group. There were tragic circumstances. Scarlett, her daughter,a 15 year old schoolgirl, was taken on a six month holiday to Goa by her mother who then left her there in the charge of a young tour guide whilst she continued her on with her travel. Scarlett was found dead. Originally the local authorities conclude she drowned. Further investigation, prompted by her mother, concluded that she had been drugged, sexually assaulted and murdered. Whether Scarlett’s mother identified herself as a” Hippie” I don’t know, but her appearance and lifestyle seems sufficient for the poster to put her into that category -a group for which he already had an overt hatred. That hatred seems strong enough to have prevented what would have been most peoples’ overriding reaction: “ Poor Scarlett”
  13. That is plastic surgery, dermatology, the wound management clinic,physiotherapy, occupational therapy, district nurse and health visitors at Dalmeny, various different outpatient clinics such as obs and gynae cardiology, ENT… It’s seems well- managed and the staff seem ready to smile and speak to you.
  14. That approach has been tried several times. It had failed spectacularly recently with a CEO with a history of health care based on a degree in music. That failure will prove to be extremely expensive
  15. Identifying the cause of the problem is the easy is bit- recruiting and retaining staff. Tackling it is not so easy and not helped, I would imagine, by the recent extraordinary and very widely published handling of the the anaesthetic tragedy and the Dr Ranson tribunal. Surprisingly,I understand some UK Health Trusts, are seen as even worse employers! - to our benefit sometimes.
  16. I think Wrighty has already very adequately answered that question. However consider this : Take the number of hours needed per week to provide that level of service you ( and we all) would ideally like. Now divide that number that by the number of of staff you have. For a rather bleaker picture , divide the hours to be covered by a figure that takes into account the staff - take GPs for example, who are likely to retire in the next few years..
  17. Am I dementing? - or am I a sort of bemused Rip Van Winkle awaking from another century ? or have I been living in a parallel universe ? Whatever the cause, I really have no idea what people on here are talking about! The explanations offered in response to my genuine requests for help, talk of “sleeping beauty” and “thirds” If I am going to even begin try to understand this topic,I I must start with the basics, please.
  18. Nope, still don’t get it - I get lost after the three legs sleeping beauty problem ? I ‘m just thick and live in a different world.
  19. This is probably a very naive question, but a genuine one : can you explain the reference to Manx flag in all of this?
  20. This is a very confusing topic for me- 1.I just don’t see where the Manx flag- or any flag,comes into this? 2.The public toilet issue - I use one very infrequently.I find then smelly and rather unpleasant- but useful if needed for the sole purpose of peeing and pooing. Thankfully, I have never been “approached” by anyone in a toilet.The prospect would be a further deterrent for me using one, even to the point risking of bladder complications. A fact of life is that women / female sex (or whatever term is currently in use) do, by dint of anatomy and physiology etc.m do have more frequent need of such facilities.Unless they have trained bladder and other muscular tone to levels to produce an unusual trajectory, they sit down - rather than pee against the porcelain whilst standing.This means removal of more clothing and increases the feeling of vulnerabilty. They should be be able to use these facilities confidently without even the briefest second thought about it -and not feel in any way uncomfortable. As father, I would have been very concerned to wait whilst my young daughter entered a public toilet ( where as a “male” I would not have been be permitted to enter) to be followed in by someone who - for whatever reason, claimed they had a perfect right to be there, but by their appearance and demeanor would have very probably caused her distress and - and fear. Men/ young boys; women/ young girls have a basic right to the access the appropriately designated facilities without feeling in any way intimidated or uncomfortable.
  21. It does have some relevance. When people were being assessed for this post, here it would seem was a candidate who was apparently very talented and valued by her employers. Such was their generousity, they readily agreed to lose such a vital member of their organisation for 3 days a week to for her to work some where else. “ somewhere else’”, being here.It didn’t even mean going “somewhere else but instead staying at home and and delivering her talent in the form of latter day colonial service by modern technology.
  22. It is interesting that in the interview he says that to get the “top notch candidate” ,.. their might need to be “ compromises in working conditions” He has perhaps revealed the approach taken in candidate selection. It would be interesting when faced with similarly qualified candidates how the “Top Notchers” were selected, as there is now a proven and consistent record of disastrous failure using this process. I suspect these candidates were impressive by apparent confidence and self promotion backed by extravagant claims of ability from a facade of personal dynamism. It also raises the depressing thought that rejected were some very able people who may not have dazzled with charisma, but would have just quietly and efficiently excelled - doing what we need of them - doing their bloody job..
  23. One of the characteristics of respected professionals, world experts and those with the most extensive and detailed knowledge and experience in their profession will sometimes readily respond to a question with, a straight forward, honest , “ I don’t know” if it is outside their area of experience or the facts aren’t to hand, or it is a topic they have yet to focus their thoughts on. A trait which does not seem to burden Mr Ashford.
  24. It is well known that DHSC has a recruitment and retainment problem for medical staff. It is not new.It was a problem before the Dr Ranson tribunal. The coverage of the disgraceful scandal in various publications read by those in interested in / or employed in health care has been extensive and withering. Looking at just one publication - the BMJ, the British Medical Journal,it ran a main article soon afterwards and in the last week a supplement that comes with it ran another: A very attractive picture of Douglas harbour, is spread across the top of a double page .Unfortunately, reading the article under it could not be more unattractive for anyone even considering working in the Island’s Health Care System. Such an exposé means that the Island’s Health Service has a negative advertising campaign all of it’s own making. it is likely to be a successful one.
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