Anyone else feel like the NHS almost doesn't exist for them any more?

[Orang Utan]

Poo is an excellent word. Just right.

It sounds silly to me, and not in keeping with such a serious matter. Though it’s not as bad as poop or caca

 

[gentlegreen]

After being pestered I finally relented...having had the sigmoidoscopy at 57 (I 'd suffered a barium enema in my 40s and opted out of full colonoscopy at the hands of a dodgy specialist all based on a diagnosis that never involved a single question about my diet...

Large mushroom tub lined with bog roll for me.
I had a surprise bonus butter bean which I decided against sampling.

It's all they're getting out of me for the foreseeable - I've had more than my fill of the medical profession in recent years so it will be just my free vaccinations in a month's time.
Apparently in France (assuming I get there) they don't even require a checkup for driving licence renewal when I'm 70 - though apparently they do a chest Xray when you first go there on a visa...

 

[InArduisFouette]

If Spire can do the job for the NHS cost, I have no problem with that.

What I would do though is force private hospitals to have CCU and ICU if they wanted to tender for NHS work. At the moment if it goes tits up, the patient has to whisked to an NHS hospital.

which would just lead to hardly any of the current sites tendering for the work , also is there sufficient ICM and Anaesthetic cvoer to require that , would you also stop NHS sties without the full range of Services from performing inpatient surgery ? as that would ironically stop quite a few DGHs or lead to some areas becoming deserts as the required services be clusterd at one site ( it'd kill bassetlaw and Boston if all specialisties were required to be on site - although Boston does have 24/7 Gasses /ICM )

 

[ouirdeaux]

It sounds silly to me, and not in keeping with such a serious matter. Though it’s not as bad as poop or caca

I sympathise. But what is the alternative? 'Shit' will offend some people. 'Feces' or 'stool' is likely to be incomprehensible to some.

 

[Orang Utan]

I sympathise. But what is the alternative? 'Shit' will offend some people. 'Feces' or 'stool' is likely to be incomprehensible to some.

I dunno. I’m sure they settled on ‘poo’, after extensive discussions, as the most understandable to the most amount of people. I was just stating my personal preference. ‘Shit’ shouldn’t be offensive in that context though.

 

[littlebabyjesus]

Shit is also a good word. Possibly not the right one here, though.

 

[sim667]

Sadly I think a major issue with the NHS is knowing how to navigate it. Many don’t and lots of people have no awareness of their own medical history and associated complications.

It’s also snowed under by pt’s sitting in wards who can’t go home because there’s absolutely no social care available

 

[Boudicca]

Because they are so overstretched, there is no follow up. It's taken me over a year to get a diverticulosis diagnosis, because when tests come back as normal, your case is considered closed until you open it again. And you are made to feel you are making a fuss over nothing. Blood test, stool tests, ultrasound of the wrong part of my body, correct ultrasound, private colo-rectal consultant and finally a colonscopy. My friend who has Benenden Health insurance was sent for a CT scan and had a diagnosis in about 4 weeks.

 

[PR1Berske]

"Keir’s not afraid to do controversial things if they’re the right things to do. He’s willing to take on the predictable cries of ‘nanny state’ in order to cut waiting lists, keep people healthy and in work, and secure the long-term future of the NHS.”

Keir Starmer ready to face down ‘nanny state’ jibes in radical public health drive

Junk food ad ban, age limit on energy drinks and expanded water fluoridation among measures planned to help NHS

www.theguardian.com

 

[mentalchik]

Good luck with age restricting energy drinks for children.....when the energy drink version of Prime was released where i work (we already have an age restriction of 16 yrs and above) there was total chaos.....parents were buying it in droves....i took it upon myself to look at the caffine content (we also had a 3 can limit, that was the rough equivilant of 12 cups of coffee) and we actually put some parents off as they had no idea what they were buying, just caving in from internet and child pressure.....after 48 hours of shouting and aggression i ended up with a very large man, literally screaming in my face because his son didn't have any id to say he was 16 and had been refused sale, so the decision was made to take the whole lot off the shop floor....if parents or other adults buy it how will an age restriction work ?

 

[maomao]

They don't offer much advice as to how to "intercept" the poo before splashdown except they say, possibly rolls of loo paper or a container of some kind? At the moment I am pondering cutting up a milk carton such that I can jam it into the loo to catch poo before splashdown. If anyone else has been through this I am open for suggestions

Just put some paper round your hand and nip the turtle's head off. Don't be squeamish and give your hands a good wash afterwards. You only need a tiny bit and if you poo in a container you'll have to dispose of the container somehow. Mine came back as no further investigation needed last week. I am a total doom merchant, had convinced myself I would need a colonoscopy and am absolutely thrilled that I don't.

Poo is an excellent word. Just right.

It's effectively a type of onamatopoeia. The mouth mimics the motion of the sphincter muscle. Much better to use poo than either shit or stool.

 

[maomao]

Shit is also a good word. Possibly not the right one here, though.

I always mentally translate that particular Chinese word for 'poo' as 'big job' (though something like 'big convenience' literally). A big one is a poo and a little one is a wee. It's definitely not 'shit'.

 

[JimW]

你又大变了! A classic of Chinese homophone humour.

 

[ska invita]

Good luck with age restricting energy drinks for children.....when the energy drink version of Prime was released where i work (we already have an age restriction of 16 yrs and above) there was total chaos.....parents were buying it in droves....i took it upon myself to look at the caffine content (we also had a 3 can limit, that was the rough equivilant of 12 cups of coffee) and we actually put some parents off as they had no idea what they were buying, just caving in from internet and child pressure.....after 48 hours of shouting and aggression i ended up with a very large man, literally screaming in my face because his son didn't have any id to say he was 16 and had been refused sale, so the decision was made to take the whole lot off the shop floor....if parents or other adults buy it how will an age restriction work ?

Prime launch was a one off mania.... on a day to day it should be straight forward enough to restrict no?

 

[Red Cat]

Sadly I think a major issue with the NHS is knowing how to navigate it. Many don’t and lots of people have no awareness of their own medical history and associated complications.

This has been shown on this thread hasn't it?

Changes might seem obvious to people in it - although most are doing day to day work and not taking in the wider structural and political issues. Personally, I need histories and timelines, training in safeguarding and law are always interesting as that context is provided, but generally, its just so and so is the new manager of the new directorate and...

What I've never been able to get my head around is the separation of health. I don't understand why there aren't child psychotherapists working in paeds, or proper OTs in CAMHS (rather than OTs doing generic MH work) or why neurodevelopmental is not all one clinic, why autism and ADHD are not assessed at the same time. In Birmingham, the adult ADHD and autism clinics were in the same building at least as the Tourettes and neuro-psychiatry clinic, now they're totally separate despite these being co-occurring. That's bonkers, and because my brain doesn't work like that, splitting things off, I find the incongruence between how things are actually linked in patients and the reality of split off health organisation completely maddening.

 

[littlebabyjesus]

I always mentally translate that particular Chinese word for 'poo' as 'big job' (though something like 'big convenience' literally). A big one is a poo and a little one is a wee. It's definitely not 'shit'.

big wee and little wee, as they were known in our house when I was little.

 

[Numbers]

Because they are so overstretched, there is no follow up. It's taken me over a year to get a diverticulosis diagnosis, because when tests come back as normal, your case is considered closed until you open it again. And you are made to feel you are making a fuss over nothing. Blood test, stool tests, ultrasound of the wrong part of my body, correct ultrasound, private colo-rectal consultant and finally a colonscopy. My friend who has Benenden Health insurance was sent for a CT scan and had a diagnosis in about 4 weeks.

I feel for you, diverticulitis is a nightmare. I had similar with the NHS over a cpl of years, was diagnosed as bowel infection etc, but after having several flare ups one after the other I went private and had a CT Colonoscopy and Sigmoidoscopy where it was diagnosed in a week.

 

[mentalchik]

Prime launch was a one off mania.... on a day to day it should be straight forward enough to restrict no?

To kids trying to buy it but obviously can't stop parents.....it messes with my head that so many just buy it for their kids and then wonder why they are hyper

 

[Brainaddict]

Because they are so overstretched, there is no follow up. It's taken me over a year to get a diverticulosis diagnosis, because when tests come back as normal, your case is considered closed until you open it again. And you are made to feel you are making a fuss over nothing. Blood test, stool tests, ultrasound of the wrong part of my body, correct ultrasound, private colo-rectal consultant and finally a colonscopy. My friend who has Benenden Health insurance was sent for a CT scan and had a diagnosis in about 4 weeks.

This is a big problem, particularly at GP level. If tests come back negative they don't try something else in order to work out what's causing your symptoms, they just leave it until you try again with a fresh appt. And if you have something difficult to diagnose it can go round and round, even for years. I think there's massive underdiagnosis of 'difficult' conditions in the UK and it's a lot to do with this. I suppose it is the time pressures they are under, but one also does get the impression that GPs so expect to see so many 'psychosomatic' people that they aren't that bothered by reporting of symptoms, and have no curiosity about the symptoms if their tests don't immediately reveal something. One of the outcomes I expect to see of this in the future (because it has already happened with several chronic illnesses) is that lots of people who were characterised as high-burden patients who didn't have anything wrong with them will be found to have some chronic illness that was difficult to recognise. When figures are cited about how many patients go to GPs with nothing wrong with them, I am extremely sceptical. Anyway, all getting a bit off topic, except to say none of these problems will get sorted until proper funding is in place.

 

[InArduisFouette]

I dunno. I’m sure they settled on ‘poo’, after extensive discussions, as the most understandable to the most amount of people. I was just stating my personal preference. ‘Shit’ shouldn’t be offensive in that context though.

poo / poop is fairly inoffensive, widely understood and not likely to get Disgusted of Tunbridge Wells writing strongly worded letters to their MP or the papers

 

[InArduisFouette]

Had my asthma review, went through everything in detail. Peak flow checked and I did my
2nd FeNO test. First one happened about 18 months ago. It's improved so cool.
I know for some Asthma care isn't great in primary care. That has to change, along with the Government
relenting and adding asthma to the prescription exemption list.

as others have pointed out the list is extensive but outdated and the only recent addition was around cancer treatment but that was a good few years ago
Adding asthma to the list is always going ot be a bit of a difficult one given the range of severity of people with an 'asthma' dignosis from those who just have a reliever and perhaps the very occasional course of steroids wehn they get an URTI through increasingly complex daily regimes of preventers such as inhaled steroids, regular Beta2 agonists and other meds to those whose 'asthma' is severe , brittile and often life threatening

 

[InArduisFouette]

We have got one of the highest death rates for Asthma in Europe. I think the average is something like 4 people die of asthma per day, with
2 out of 3 deaths being preventable. Childhood asthma deaths are just as bad from what I remember.
These are the wider costs of lung conditions -
The true cost of lung conditions

I think the main issue with Asthma is people view it as a mild disease, when in reality it's a long-term condition.
It does take a toll on the lungs and long-term steroid use has impacts on health as well. Put simply Government hasn't
taken asthma seriously enough for a long time. If Labour fail on Asthma prevention, then anything else they do
will be overshadowed by that. We really need to get the asthma death rate down. Asthma attacks are not a
nice way to go.

see also the reluctance of the cured pork product faction to address ground level air pollution claiming that ULEZ is a scam and part of the some dark fantastic conspiracy that perverts the concept of the 15 minute neighbourhood into a dystopian jail

 

[_Russ_]

I recently tore some tendons, I didnt bother with my current GP as I know the practice doesnt really do that sort of thing
I didnt go to A&E as Ive had 3 experiences in the past few years of waiting 12 or more hours, the last time I walked out still feeling like something quite bad was happening to me, I've come to realise that something like torn tendons are really not anything to even concern the NHS with these days, look up some stuff on the internet and do what you can for yourself.

But today I had some actual thing from a GP's practice, it was an invite for a covid jab..yippee

The invite was addressed properly to me at the address im now at and moved into 11 months ago, but was from the GP practice I was registered with before I moved..... inviting me there..........70 miles away

..............Only when I laugh doc

ETA the second from last a&e visit, revealed to me I had 2 Cysts on my Lungs , they had been discovered 4 years prviously when I had multiple embollisms, but the consultant never bothered telling me back then....cue Biopsy via the throat etc etc.

 

[_Russ_]

To kids trying to buy it but obviously can't stop parents.....it messes with my head that so many just buy it for their kids and then wonder why they are hyper

The sheer levels of stupid in so many millenials who have become parents is fucking shocking and it seems to be getting worse each generation

 

[mentalchik]

This is a big problem, particularly at GP level. If tests come back negative they don't try something else in order to work out what's causing your symptoms, they just leave it until you try again with a fresh appt. And if you have something difficult to diagnose it can go round and round, even for years. I think there's massive underdiagnosis of 'difficult' conditions in the UK and it's a lot to do with this. I suppose it is the time pressures they are under, but one also does get the impression that GPs so expect to see so many 'psychosomatic' people that they aren't that bothered by reporting of symptoms, and have no curiosity about the symptoms if their tests don't immediately reveal something. One of the outcomes I expect to see of this in the future (because it has already happened with several chronic illnesses) is that lots of people who were characterised as high-burden patients who didn't have anything wrong with them will be found to have some chronic illness that was difficult to recognise. When figures are cited about how many patients go to GPs with nothing wrong with them, I am extremely sceptical. Anyway, all getting a bit off topic, except to say none of these problems will get sorted until proper funding is in place.

This is exactly what has just happened to me....if i hadn't pushed to see a doctor yesterday i wouldn't have got to see a different GP who was brilliant, did a very thorough examination, looked at my scans, expressed deep concerns with what had been done (they botched the MRI basically) and am now referred to the othapedic dept at the hospital

 

[taperoo2k]

as others have pointed out the list is extensive but outdated and the only recent addition was around cancer treatment but that was a good few years ago
Adding asthma to the list is always going ot be a bit of a difficult one given the range of severity of people with an 'asthma' dignosis from those who just have a reliever and perhaps the very occasional course of steroids wehn they get an URTI through increasingly complex daily regimes of preventers such as inhaled steroids, regular Beta2 agonists and other meds to those whose 'asthma' is severe , brittile and often life threatening

Asthma is life threatening for all asthmatics. The point of treatment be it inhaled steroids, oral steroids and biologic treatments is to reduce the chances
of an asthma attack (the more severe asthma is, the more medications are required). When you have an asthma attack, that's when the costs on the NHS start to rack up and your risk of death increases. You are advised by the
NHS to see a GP or Asthma nurse within 48 hours of being discharged from hospital. Which isn't always possible given the strain on primary care.

I'm currently on seretide, salbutamol and montelukast. That's the combination that's keeping my asthma under control at the
moment. The only time I need oral steroids is if I have a cold/flu turn into a nasty bacterial chest infection.

 

[InArduisFouette]

Asthma is life threatening for all asthmatics.

wow, just wow ...

no, it quite simply is not there is a massive range of difference in severity of Asthma this is what makes it challenging to manage due to the way in which society often treats it as less severe than it can be...

 

[nino_savatte]

Get ready to hear the words "the most vulnerable" whenever Streeting or any of his ministers talk about the future of the NHS.

Most vulnerable = deserving poor

 

[brogdale]

wow, just wow ...

no, it quite simply is not there is a massive range of difference in severity of Asthma this is what makes it challenging to manage due to the way in which society often treats it as less severe than it can be...

All prescriptions should be free at the point of delivery.

 

[8ball]

Good luck with age restricting energy drinks for children.....when the energy drink version of Prime was released where i work (we already have an age restriction of 16 yrs and above) there was total chaos.....parents were buying it in droves....i took it upon myself to look at the caffine content (we also had a 3 can limit, that was the rough equivilant of 12 cups of coffee) and we actually put some parents off as they had no idea what they were buying, just caving in from internet and child pressure.....after 48 hours of shouting and aggression i ended up with a very large man, literally screaming in my face because his son didn't have any id to say he was 16 and had been refused sale, so the decision was made to take the whole lot off the shop floor....if parents or other adults buy it how will an age restriction work ?

Perhaps by implementing it while not in the midst of an idiotic internet-driven craze.