Today was one of those days where I really don't like being a receptionist, having to hold your tongue all the time with clients that are just being d***s
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What's made you grumpy today?
Heavy day at work (I work in a hospital) then come home and for some unknown reason watch 24hrs in A&e on channel 4
So one case is a Lithuanian woman who has stood on a needle which go stuck in her foot, adamant she would end up disabled and that the doctors didn't care about her, and multiple phone calls to her mum because everyone is annoying her, and generally being obnoxious
On the flip side
A different young woman came off motor bike at speed, and suffered a complete traumatic below knee amputation of her right leg after hitting a cable holding up a pole
This is in the same shift, in the same hospital in the same department,
Watching these two cases really makes me angry at the way the NHS and the staff are treated I deal with people every day who are so thankful for everything we do but I also meet those like the Lithuanian woman who think every thing is owed to them and they are more important than anyone else
So one case is a Lithuanian woman who has stood on a needle which go stuck in her foot, adamant she would end up disabled and that the doctors didn't care about her, and multiple phone calls to her mum because everyone is annoying her, and generally being obnoxious
On the flip side
A different young woman came off motor bike at speed, and suffered a complete traumatic below knee amputation of her right leg after hitting a cable holding up a pole
This is in the same shift, in the same hospital in the same department,
Watching these two cases really makes me angry at the way the NHS and the staff are treated I deal with people every day who are so thankful for everything we do but I also meet those like the Lithuanian woman who think every thing is owed to them and they are more important than anyone else
mcdonalds, need some fast gluten free food and just got lies
but then there is the case of the 81 year old man who was in A&E on a 09/10/14 due to a fall but sent home the same night even though he was complaining that he couldn't move his left arm or hand staff said it was just because of brusing ( this man has a history of TIA's)
on the fowling Saturday the man was again rushed to A&E after another fall doctor in EAU had scan done and said possible TIA and sent him to a ward.
the following Wednesday the family asked the ward DR why his arm was still not moving, the dr replied arm i don't know any thing about an arm, turns out he had only skim read the notes and was about to discharge this man,
stroke nurses were sent for and demanded the man be sent down to the stroke unit at once, more tests were done at it was found the man's Arteries were 90% blocked on the right and 50% blocked on the left, mri scans showed lots of stroke activity he is due an op in the morning over 20 days later than when he first went to A&E
on the fowling Saturday the man was again rushed to A&E after another fall doctor in EAU had scan done and said possible TIA and sent him to a ward.
the following Wednesday the family asked the ward DR why his arm was still not moving, the dr replied arm i don't know any thing about an arm, turns out he had only skim read the notes and was about to discharge this man,
stroke nurses were sent for and demanded the man be sent down to the stroke unit at once, more tests were done at it was found the man's Arteries were 90% blocked on the right and 50% blocked on the left, mri scans showed lots of stroke activity he is due an op in the morning over 20 days later than when he first went to A&E
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Would love to know your sources as a lot of that doesn't make sense as a medical professional
TIA = transient ischemic attack means no symptoms following an interruption in blood supply to any portion of the brain, Tia's won't show on an mri or ct and if he had bruising and swelling following a fall then it's reasonable to assume this is the cause for the mobility issue especially if there is no facial droop or leg symptoms on the same side.
The second Dr who sent him to a ward with a ?Tia backs up what I've said above because as stated following the scan 'possible' Tia most likely means the scan shows nothing
The 'ward doctor' may not have see the patient at all or may have seen the patient every day though I suspect if it were the latter then he would have known more so my suspicion is he'd had little to do with the patient and was acting on the instruction of a more senior Dr to send the patient home.
It's the last bit that makes very little sense
"The mans arteries were blocked 90% on the right and 50% on the left' of what? They don't do numbers like this for the brain and they don't tend to do operations on the brains of 81 year olds with the sort of history you've suggested? So you could mean arms legs even the arteries of the heart? My suspicion is the carotid arteries either side of the neck but unless they are 100% blocked they don't tend to be an issue, however if they are badly sclerosed then they can shoot little pieces of clot off which end up in the first instance in the brain, but again these tend to cause big strokes rather than Tia's as I said a Tia is something that passes, however it's likely the scans and things found this incidentally and its severe enough to warrant a carotid endarterectomy, where they cut the artery open remove the calcification from the artery and sew it back up this won't cure anything it's preventative.
Finally "lots of stroke activity" on a scan, or even a small amount of Stoke activity means he's had a Stoke not a Tia, however if he's not symptomatic ?mechanical fall hurt arm all bruised and swollen etc then it's still not out of the realms to assume he just fell over. They don't routinely scan everyone who walks through the door or falls down subjecting them to a massive dose of radiation from a ct machine or laying for ages in a MRI scanner which costs unbelievable amounts to run
I'm not saying you're not right, what I'm saying is unless you've had many years of medical training and worked in the system then you won't know how things work or are done.
well a lot of that gives me even less confidence in the nhs.
yes the arteries are in the neck they feed the brain if the 90% one isnt unblocked it poses a high risk of another stroke that was the advice of cardiovasculer surgen/consultant Mr howard, especially as he was already being seen by this consultant for an AAA that needs operating on at a later date but needs the neck done first or he would have a stroke during that operation.
the first scan he had was ct showed nothing that is why they suspected TIA, not until he finally got on to the stroke unit did they do the mri's that showed a lot more.
It was made very clear to every member of staff many times that his arm was a problem before the fall's, also that his speech was all slurry after the fall.
If the stroke nurses had been called as soon as they suspected the TIA they would have found out sooner that it was in-fact a full stroke.
The ward Dr see him every morning, he still did nothing about the arm for a couple more days, it wasn't until i turned up on the ward out side of visiting hours in the morning during consultants rounds and made him aware of it that things started to move forward!
yes the arteries are in the neck they feed the brain if the 90% one isnt unblocked it poses a high risk of another stroke that was the advice of cardiovasculer surgen/consultant Mr howard, especially as he was already being seen by this consultant for an AAA that needs operating on at a later date but needs the neck done first or he would have a stroke during that operation.
the first scan he had was ct showed nothing that is why they suspected TIA, not until he finally got on to the stroke unit did they do the mri's that showed a lot more.
It was made very clear to every member of staff many times that his arm was a problem before the fall's, also that his speech was all slurry after the fall.
If the stroke nurses had been called as soon as they suspected the TIA they would have found out sooner that it was in-fact a full stroke.
The ward Dr see him every morning, he still did nothing about the arm for a couple more days, it wasn't until i turned up on the ward out side of visiting hours in the morning during consultants rounds and made him aware of it that things started to move forward!
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Getting moaned at by the Mrs for asking her this morning to open the window slightly in the bathroom when she has her ridiculously long hot showers, to limit condensation forming on the 'cold' wall and turning to mould on the soffit and reveals (30+ year old house with no extractor) like it did in the old rented house which I wasn't fussed about so much...
..but we've only lived at the new one for less than 2 weeks and it's already happening
it's not much to ask is it?! :bang:
..but we've only lived at the new one for less than 2 weeks and it's already happening
it's not much to ask is it?! :bang:
Getting moaned at by the Mrs for asking her this morning to open the window slightly in the bathroom when she has her ridiculously long hot showers, to limit condensation forming on the 'cold' wall and turning to mould on the soffit and reveals (30+ year old house with no extractor) like it did in the old rented house which I wasn't fussed about so much...
..but we've only lived at the new one for less than 2 weeks and it's already happening
fit an extractor you lazy git
oh and get her a squeegee to squeegee the walls down when she gets out
OK Dave as you clearly know all the procedures and systems of how these things work you tell me what should have been done from the first admission
and if you have no confidence in the NHS you really should get yourself some private health care because as well all know private healthcare companies never make mistakes......
fit an extractor you lazy git
All in good time Dave
Things like an outside tap so I can wash my car and power in the garage so I can see to get my bike in at night would be nice first!
Oh and a new thing to add... first time I've used my car to go to work all week.. flat tyre
All in good time Dave
Things like an outside tap so I can wash my car and power in the garage so I can see to get my bike in at night would be nice first!
Oh and a new thing to add... first time I've used my car to go to work all week.. flat tyre
outside tap is half hour job with a £15 kit,
outside tap is half hour job with a £15 kit,
Don't know if I want to trust a kit that screws in to the existing pipe or do it properly.. thinking there might be a lack of pressure issue if I want to use my pressure washer if I use a 'screw in' kit.
I suppose there's no harm in trying and if it doesn't work I can put a new pipe in place of the butchered one
if it don't work just leave it turned off, cant see why it wont work though they use same internal tap as a washing machine or dish washer, Wilkinsons still do the small hole type about 15mm other places like wicks now require 20mm hole, used big drill bits are 2-4 quid at boot sales
Cut in taps are terrible they have at most a 10mm hole, it trickles out, I did my friends in smoothly bent 15mm copper, it can reach the other side of the street with power
Mind you I did his cold mains in 22mm and it dips next doors supply now lol
Proper sized supply's FTW
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:yeahthat:
Was a nightmare doing it with ours, and doesn't supply enough water to power the pressure washer. Would have been far better to have 'T'ed it off of the supply pipe in hindsight
Was a nightmare doing it with ours, and doesn't supply enough water to power the pressure washer. Would have been far better to have 'T'ed it off of the supply pipe in hindsight
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OK Dave as you clearly know all the procedures and systems of how these things work you tell me what should have been done from the first admission
and if you have no confidence in the NHS you really should get yourself some private health care because as well all know private healthcare companies never make mistakes......
I have little faith in the NHS surviving or the NHS as a whole but not because of the medical professionals that work for the NHS. it's more the fact there's so many managers and NON medical staff that think they know best which is clearly not true. Doctors don't seem to be given the amount of time they need with patients to do their job effectively and always seem to be in a rush.
OK Dave as you clearly know all the procedures and systems of how these things work you tell me what should have been done from the first admission
well obviously they should have sent for the stroke nurses straight away, they were the ones that said his left arm and left leg were only a 4, on the same day less than an hour before physio said there was nothing wrong with them!
He has survived his op today and is doing fine.
I work in surgery, on a night there will be one junior doctor to cover every single surgical patient all night, if there are any serious issue they have a more senior doctor they can speak to but will really only come if it's life of death, that's wide spread across the whole NHS.
During the day there are many demands on those doctors again just managing the routine day to day stuff which is when the junior doctors effectively become admin assistance filling paper work making requests with different departments and writing reports/discharge summaries
So what you're saying is 100% right
Then you have literally hundreds of managers which are not adding to the patient experience but can be argued are necessary an example of this will be in every hospital there will be a guy who's job it is to manage the department of several people who carry sets of notes to and from the various areas and storage areas.
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Very scary stuff when you think a junior Dr is basically "in charge" of so many patients.
I used to be a Bupa customer and to be honest the medical care isn't much better, difference being is there's no delay to treatment you get an en suite room and your doctor doesn't look so rushed and flustered lol.
I used to be a Bupa customer and to be honest the medical care isn't much better, difference being is there's no delay to treatment you get an en suite room and your doctor doesn't look so rushed and flustered lol.
You've said nothing about his leg before (despite me mentioning it) you also said the problem existed before the fall, I'm pretty much of the opinion you're just making it up as you go along.
He fell over clearly banged his arm as you said it was bruised and swollen, he was walking about and clearly still is hence why they discharged him in the first instance.
They are currently not treating him for having had a stroke they are doing an op while he's in hospital they would have had to do anyway to prevent further strokes, so sending for the stroke nurses achieved having an op a bit earlier than he would have other wise to aid with a future op which is unrelated.....
That's the reality of the situation, so you're being outraged by something that happened to someone else with no clinical knowledge with changing facts and second hand information........
Have you considered a career with the daily mail ?
