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Problems At Hospital


Hungry Harrison

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On the latest Manx Radio News article it says

People due to have elective surgery will be referred to an NHS trust in the UK for their treatment.

Emergency colorectal surgery will continue to be performed on the Island.

I wonder who will be carrying out the emergency surgery in the meantime.

http://www.manxradio.com/newsread.aspx?id=62611

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I wonder where the public comments on IoM News have gone? There were 4 - now they are gone?

The readers comments related to other articles are still visible,so it does make you wonder why the 4 comments related to the Bowel surgery article below have been made invisible to the readers.

 

Bowel surgery suspended pending safety review

 

 

 

By Adrian Darbyshire

Published on Thursday 22 November 2012 14:36

SCHEDULED bowel surgery at Noble’s Hospital has been temporarily suspended following higher than expected complication rates in patients.

 

Medical director Stephen Upsdell said this type of surgery was often high risk and it was not uncommon for a healthcare organisation to take such steps as part of good patient safety.

He said: ‘The decision to suspend a service is never one that is taken lightly, however safety is always paramount and our overriding consideration. We have temporarily suspended colorectal surgery whilst we investigate practices and procedures. Our investigations are likely to include an external review.’

Patients requiring elective colorectal surgery within the next few weeks will be referred to an NHS Trust in the UK and their surgery will be performed as planned. Only a relatively small number of patients will be affected.

Emergency colorectal surgery will continue to be performed on-island at Noble’s Hospital.

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Is this Egyptian fella just a colorectal specialist or does he perform other more general surgery?

 

Two things strike me about that question and the general topic of this thread.

 

a) What makes a person who wants to be a doctor/surgeon want to specialise in this area? I can sort of understand Gynecology (as say, a 13 year-old boy, given options by the career teacher in school, it does have its attractions at that level) but Proctology?

 

b) Has anyone seen this particular surgeon walk? If so, do they? You know...........................

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Had a close relative in Nobles recently for a big operation. Surgery was a total success, and the care shown by all staff up there was excellent.

I suppose there is not a hospital anywhere that has a perfect record, and each one will have it's own stories of neglect and litigation. I can't help believing that our facility is generally excellent. I bet we haven't had half as many deaths from super bugs here as they do in the UK.

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A mate of mine is a hobbyist mechanic. If you've got something wrong with your car, let him have a try. He might get it working.

 

Of course, if he really f*cks things up, then you're on your own - not his fault.

 

And if you don't like it, there's a boat in the morning.

 

etc, etc.

 

From the people I've spoken to, including my own experience, they (the surgeons) tell you before the op that it's all "very straight forward", "routine" and "nothing to worry about". And it often is.

 

But when it goes wrong (which it frequently does) the attitude changes to "this happens a lot", "it's one of those things" and "we'll refer you to a pain specialist who will give you enough pain killers to bring down a rhino because it's not my fault and I've washed my hands of you".

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Had a close relative in Nobles recently for a big operation. Surgery was a total success, and the care shown by all staff up there was excellent.

I suppose there is not a hospital anywhere that has a perfect record, and each one will have it's own stories of neglect and litigation. I can't help believing that our facility is generally excellent. I bet we haven't had half as many deaths from super bugs here as they do in the UK.

 

Based on the statistics for England and Wales there would be < 1 per year on the rock in 2011.

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The treatment my Father got up there was shocking, he was in for a few weeks and when the rota of nurses changed, the family had to tell them again what he needed etc. He was moved out far sooner than he was able to be moved, I actually received a phone call from a Nursing home about his arrival, which given his condition was just never going to happen. That may sound like good care but he was dieing and had no more chance of moving residence than I have of sprouting a second head. He ended up in Ramsey Cottage old peoples ward for his last two days. Where they proceeded to fill him full of morphine, by a machine.

 

My Mother was also treated in Nobles, she too died, this time after being discharged and her long term medication being substantially changed. She lasted a week! I wonder if the fact that they stopped her Diazipan, after more than 40 years of taking it and being, I suppose addicted, had anything to do with her sudden uncontrollable anxiety, heart attack and sudden death?

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I think there is a bit of a problem for them as they are THE hospital on the Island and most of us, myself included, have loved ones who have died in their care. That is going to happen of course because they can't perform miracles and it is difficult to be objective where very strong personal emotions are involved. Also, we cannot realistically expect to have a success rate equivalent to a large country simply because we cannot possibly have all of the expertise at hand here. That assistance may be a flight and vital hours away and like it or not, people do die for that reason. One of the facts of living in a small isolated community.

 

We can only ensure that the procedures are the very best they can be within our shrinking resources and attempt to drive out any inefficiencies.

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