Tag Archives: NHS

Life’s Rich Tapestry

I’m finding it difficult to write tonight. I am annoyed with several aspects of my day, and particularly with myself for allowing this to affect the way I work. I won’t discuss it further as it takes control and fills the blog. I have already written over 1,000 words on the inefficiency and stupidity of the NHS tonight and none of them are interesting enough to show to anyone else. In addition, my mouse, which I operate from a low table by my side (it is more comfortable than trying to use it on the computer table), has started throwing itself on the floor. It’s something to do with the way the wire has twisted itself with some others and I will have to spend ten minutes unravelling it soon.

We had a strange happening today. A couple of weeks ago the Irish Post Office sent a parcel back after it reached Dublin because the customs label wasn’t completed properly. I filled it in and I dispute this, but Irish Customs, since Brexit, have become very random. The customer waited patiently for us to get it back and resend it, but it never arrived. Eventually we agreed he could have his money back if it hadn’t appeared by the end of the week.

The Irish Post Office site showed it as being returned due to insufficient information on the form.Today, we got an email from the customer telling us that the parcel had been delivered and despite him having to pay VAT on it (having already paid once via eBay) he was happy. How a parcel with incomplete documentation, that was on its way back to the UK, managed to turn round and get delivered in the Republic of Ireland (with the same incomplete paperwork it had on the first attempt) we will never know.

However, it did.

Random Tree

A Tricky Conversation

I’m in a position where I have so much to write about that I’m getting jammed.

That’s a good start. I had a letter on Monday night when I got home. I recognised it as an NHS letter and my heart sank. More nanny-state, bureaucratic nonsense, I thought. I’ve only just done the AAA Screening and have nothing else due. What do they want now?

It seems they want me for Lung Cancer Screening.

In a letter dated last Wednesday and delivered on Monday, they gave me a date for a screening appointment – Tuesday. That’s right, less than 24 hours notice. I wonder which management guru has just been paid a fortune to come up with this strategy.

Theoretically it probably stops people changing appointments, but in practical terms it’s a nightmare. Fortunately it was a phone appointment so I could let it go ahead, but it wasn’t very convenient.

Photo by Anna Shvets on Pexels.com

For instance, I work in a shop with two other people, is that a good environment for discussing medical matters, some of which are better kept confidential? And I work in a shop with a lot of valuable, shiny items, do I want to give out my home address if we have members of the public in the shop? The answer in both cases is, of course, no.

I would rather have done it on Wednesday when I’m not at work. Or before 8.00 or after 4.00, but this is the NHS we’re talking about. Apart from the nurses and ambulance drivers most of them don’t work out of office hours.  If I was organising this sort of thing I would certainly be looking at the practicality of contacting people in the evenings. At flu time our local surgery is happy to work on Saturdays – because they know this is a good time to gather large numbers together.

It all went as expected. I answered questions, some of which had nothing to do with the health of my lungs, and, because I used to smoke heavily, I was told, in the manner of a TV host delivering news of a prize, that I had won a second screening appointment and would be allowed to answer more questions at an inconvenient location in order to decide if I was to be given the star prize of a trip in a CT Scanner.

What annoys me is that they have all the information they need on my smoking habits and my family cancer history because of my previous biopsies. They don’t need to ring up and bother me with all this malarky.

Ah well, another day, another NHS story . . .

I feel more like I’m being pursued rather than cured.

Photo by cottonbro on Pexels.com

 

 

Holiday Day 3 Part 2 Me v the NHS

This is about day 3 but written on Day 4. Day 4 will follow later.

Yesterday I went for my Abdominal Aortic Aneurysm (AAA) Screening. It’s a free NHS service available to men at the age of 65. It used to be 67 (which was when I first heard of it, when one of the shop customers warned me about it as one of the signs of ageing).

To have the procedure you first have to sit in a temporary waiting room with notices sellotaped to the wall. One of the notices details the terms and conditions of how they will treat your records and tells you that if you don’t agree to them you can’t have the screening and they will report this to your GP. This rather ominous start to the process would benefit from a redesign. I have found before that although they employ thousands of clerical staff in the NHS they don’t seem to have anyone capable of communicating in a cheery and welcoming manner.

After sitting around for a bit, comparing how old I looked compared to the others in the room, I came to the conclusion that I was looking about average for a 65-year-old and that none of them had facial hair. It’s something I have noticed before. I was unusual in my generation for having a beard, though in later generations it has become widespread. Just an observation . . .

 

None of them had tattoos either. That’s something else that we didn’t do, but the younger generation does.

And none of us was staring at the screen of a  mobile phone.

I’ll stop the list now.

I was then taken along to a room where I had to answer some undemanding questions (name, address, date of birth, ethnicity and whether I had read the leaflets they had sent me.) I failed the last one as I hadn’t, but I had looked at the pictures so I had the general idea.

Then I was made to lie down on a bed where my feet hung off the end whilst the lady spread me with gel and kept prodding me with the thing they use for scanning. I haven’t a clue what they would call it. Maybe a probe (though that sounds a bit intrusive) or a scanner (though that might be confused with  other sorts of scanning technology) r even a wand. It was a bit wand shaped. It appears that my aorta was not easy to find. It seemed to take a long time. However, she was persistent and tactful and never mentioned my girth.

There are four results. One is that you are fine with no abnormalities and can be signed off, never to be seen again. One is that you have signs causing concern. Aneurysms grow slowly so you get another scan in 12 months to check. If you have more signs causing concern they have you back every three months. The fourth is that you have cause for major concern, in which case they hand you over to the medical team who will, in the worst cases, operate.

I am in category one and have been signed off. It’s a good result. Three monthly checks would have been very annoying, probably more annoying than the operation. The visits would be made even worse by the chaotic nature of the parking and the unhelpful maps and (incorrect and contradictory) information on the website.

It rained as I left and, being in shirt sleeves, I got soaked in the 200 yards walking (slowly) to the car. I then had to find the exit, drive past it and do a three point turn to face the correct angle to get out. Still, it could have been worse. It’s always good to get away from hospital without having to take your trousers off.

An Extra Post

This is the post I should have written yesterday, but I had to write one to catch up on the previous day and then I drifted off to do other things.

In the afternoon I rang a dentist to sign up for treatment on the National Health Service. It’s getting harder to find dentists who do NHS work. I could do a couple of paragraphs on the evils of dentists here, as it’s a subject I feel strongly about. It probably stems from the days of my youth when i had a dentist who had the bedside manner of an undertaker, the tool wielding dexterity of a stonemason and a waiting room that reminded me of a crypt. I’d better be careful what I say about him as it is quite likely that he lacks the capacity to die like a normal man and if I upset him he may reappear in my dreams. It’s a whole new Horror Franchise – The Dentist. The film posters will feature an open mouth of carious fangs with various unspeakable scenes within and the films will be blamed for putting children off dentists for generations. Doesn’t bother me – if I make enough money out of the idea I’ll be able to go private.

So, dentists. Highly paid health professionals who, over the years, have benefitted from the NHS but want to opt out and coin it when they see an opening. I know we have a laugh about never seeing a farmer on a bike, but I’ve never met a dentist who didn’t send his kids to private school.

I know someone who has a private dentist and he is just paying a touch over £500 to have three fillings. As I recall, the NHS charge is just over £60.

I could go on, but I’ve hit my target and I don’t want to give anyone nightmares . . .

Meanwhile, have a look at these.

A Trip to Stoke on Trent

More from Stoke

The header picture is bottle kilns (called that because of the shape, not because they made bottles. The bottom picture is a cup of tea at Middleport Pottery six years ago – not sure now what the caption refers to.

Under threat – my cup of tea

 

Red Valerian

Day 193

I don’t like it when it gets this hot (about 25 degrees Centigrade. I know it’s not hot by some standards but it’s hot for me. It’s still about 20 degrees now, at 1.30am. I’m not use to this sort of heat. I’m much happier when it’s cold. Apart from the temperature being more comfortable it’s easier on my mood. I can be stoic in the face of the cold, damp and fog, but it’s hard to be grumpy when our weather is rivalling the Mediterranean.

I have written nothing for two nights now, but I did managed to watch some old episodes of the Beverly Hillbillies on Prime tonight. We seem to have run out of things we want to watch, and this is what it has come to. Humour in the early 1960s seems to have been less demanding. The clue is probably that I loved the show when I was a kid. This is not a sign of complexity or intellectually challenging humour. AS I said to Julia – fro many of the jokes it was probably their first time on TV.

I had a call from the pharmacy tonight. I have noticed that the NHS prefers to ring the home number when they can. They tell me that it gives a better connection. this may be true, but it sometimes doesn’t get answered because we tend to suspect all calls on the landline of being nuisance calls and don’t always answer it. Just one more foible of the NHS. The NHS seems to be involving pharmacists more and more. They are, to be fair, highly trained health professionals, but they aren’t trained as GPs, so I’m ambivalent about it. Review my drugs by all means, which is what they are trained for, but when it comes to diagnosing and giving health advice I’m not so keen.

 

 

Simon Wilson, Nottingham Poet

Another Senior Moment

Today I got up, pottered and made my way down to the surgery for my 8.30 appointment. It turns out I should have been there at 7.30. I apologised and then asked for the blood testing letter they were preparing for me. I had checked with them in person, then on the phone, and had agreed to pick it up this morning. It was the third time I have done this and both the previous arrangements have gone wrong.

Surely nothing could go wrong today.

Ha!

There was no letter and nothing about a letter on the computer. Sometimes I get the feeling that, to the NHS, I simply don’t exist.

After ten minutes of phone calls it appears that the test is not necessary as they used the blood they took last week to do the test, even though it hadn’t been requested at that time. Yes, at the time of the test I had not yet had the letter telling me it was due. When I got the letter I spoke to the nurse (who had taken the blood on my previous visit) and we agreed that I should request a letter from reception to allow me to have the test when I had a regular Warfarin check. She seems not to have known that the blood she took, and the tests she requested, included one I didn’t even know I needed at the time.

Are you following this?

It is almost as if the NHS does things that none of its employees or clients knows about, but as a lot of the budget goes on administration and management this surely cannot be . . .

Of course, in a month’s time,  when I can’t get my arthritis medication because I haven’t had the blood test I will find that I have just been told a load of old rubbish, as usual.

Next, armed with the details of my latest prescription request (the one I have tried to collect twice already) I went to the pharmacy and gave them the details the surgery had given me. It took several attempts but they did eventually manage to find the details on their system, but only after I complained when they told me, again, that they had no details of it. Makes me wonder if I should have complained more the first time, and if they would have found it then.

If Alice and the Mad Hatter ran the NHS I wonder if it could be any more dreamlike.

The opening picture is of a confused old man, wondering where it all went wrong.

Dreams of Great Wealth

I am not going to say anything about the NHS today as my head might explode with fulminating wrath. The surgery and Pharmacy are, I appreciate, under pressure because nearly everyone is off due to being pinged by Track and Trace. However, that doesn’t excuse all the stupidity that occurred today, both with the surgery and the Pharmacy.

I want two things. I want to be allowed to put my own sticking plasters on my toe and I want my prescriptions dispensed accurately. Today I was, yet again, disappointed n both things.

I will say no more, but it does follow a pattern, as the National Lottery, once again, failed to deliver at the weekend. I hardly buy any tickets these days, as I know I won’t win, but, at a low point, and feeling that £71,000,000 might cheer me up, I did buy a ticket last week. If I’d have ignored the urge I would be £2.50 better off, and would not be feeling let down by those adverts that depict the lucky winner sitting by a swimming pool.

However, I would like to point out that if I had £71 million in the bank, I wouldn’t be wasting my time sitting by a swimming pool. I’d be reading in my magnificent library, breaking off at times to write as inspiration struck, and to dictate my blog posts to a secretary who understood how the block editor worked. At around 3.30 I would stop to sip tea and eat exquisite pastries with Julia.

Sadly, it is just a dream, but if I ever do come into a large amount of cash be assured that I will be equal to the challenge of spending it wisely. At the moment I’m just trying to work out whether I would have my own pastry chef or whether I would have cakes collected from Mrs Botham’s by one of the domestic staff. With great wealth comes a mass of complex decisions.

A Downtrodden Man

A woman rang today and asked if we bought unusual American coins. I passed her on to the proprietor, as he has a wide-ranging knowledge of American coins. It turns out she had found a rare Buffalo nickel (1913 San Francisco Mint – I’m hazy on the rest of the detail as I wasn’t listening). The Buffalo Nickel is a lovely coin, and if I were American I am sure they would be a pleasure to collect.

This was unusual because “rare” coins usually aren’t rare.

Earlier in the week we bought some coins off a man. He brought two small lots in- one bag of coins from his wife and one from him. He told us his wife was making him sell the coins he had inherited from his mother when she died last year. They came to £17.50. The wife’s coins only came to £5. So he signed the form and went off with his money. Six hours later we had a phone call from the wife telling us he shouldn’t have sold hers. He had to sell his but she wanted to keep hers. Then she told me she wanted hers back. That was, off course, a problem, as we had already sorted the lot into various other places.

Spanish Poppy

She told me they were worth a lot more than £5. I couldn’t help it, I just laughed. It was the end of a long day (in fact it was 15 minutes after closing time and we were just parcelling up a couple of late orders) and I really couldn’t be bothered. They coins were rubbish, her internet search was misleading and her grading, as usual, bore no resemblance to the reality of the condition of the coins.

Anyway, to cut a long story short, we sorted out a selection of coins that resembled the ones she had and the boss, worn down by her whining, just gave them to her to get rid of her, and to reinforce the idea they were virtually worthless.

It’s her husband I feel sorry for, he had to get rid of his but she keeps hers. (He’s a little older than me, by the way). His must be quite a cheerless existence.

You see all sorts in a coin shop . . .

Leaf

In other news, my blood test was OK this morning, though I still have to go in next week. I really must start applying pressure about less testing.

Wednesday produced some brilliant service from the NHS, who sorted a problem out in five minutes and had my delivery with me inside 24 hours. If I were a curmudgeonly sort I would point out that if they had done their job right in the first place three weeks ago there would have been no problem.  However, it is the system that is at fault and an individual who sorted it out, so credit where it’s due.

Then tonight the warning light came back on in the car. Did I tell you about that? Ys, I checked and I see I did. So far that Engine Management System has failed to flag up a single problem but it has cost me hundreds of pounds for replacing a faulty valve and several trips to the garage to get lights reset. It’s the next step in consumerism – first we had planned obsolescence, then we had vacuum cleaners that need replacement filters all the time instead of a new bag every few years, and now we have systems in cars that need repairing even though there is no actual fault with the car. This is either brilliant or very annoying, depending on your point of view. To me, it feels like Volkswagen are picking my pocket on a regular basis. Technology does not seem to be good for me.

Wheat

And that’s before I get on to the story about how I had to open a HP account to use my own scanner on my own computer. I couldn’t work round it by downloading a fix from Microsoft as they don’t recognise my account details. I answered a lot of stupid questions to try to retrieve the account and they told me I hadn’t answered enough. A big sort out is coming and the machines are going to come off second best when I raise the New Luddite standard. Thirty minutes messing about just to scan something for Julia, when in the old days, before the “new and improved” system, I could have done it in ninety seconds.

Photos are random, just to keep you awake.

Bringing out the worst in me…

It’s 7.57. On a normal day I would just be lacing my shoes up, ready to take Julia to work. But today isn’t a normal day. I was at hospital for 6.55, securing one of the few remaining parking spaces. Either there are an awful lot of visitors outside opening hours or the staff are using the visitor spaces. I think you know where my money would go if I were a betting man.

I had a twenty minute wait at Phlebotomy because they needed a chat about gloves and the faults with the label printing software. During this time I also noticed that although we have “social distancing” in p[lace for chairs in the waiting room, the chair I selected was not socially distanced from the store cupboard.

When one member of staff used it, we were around 3 feet apart. When four members of staff needed it at the same time, three of them with trollies, I became part of a milling crowd of phlebotomists. I’m going to take a guess here, but my conclusion is that the person who drew up the seating plan had never been to outpatients.

I could go on to offer some suggestions for improvements, and discuss management and leader ship, but I’m eating my breakfast with one hand and typing with the other, thinking is probably a step too far. Anyway, next door’s builders are using power tools and it’s difficult to concentrate.  There’s just something about getting the simple stuff wrong that really brings out the worst in me.

8.26 now. I’ve blogged, I’ve breakfasted and I’ve just checked the work eBay sales. It’s been a quiet week. I can’t see the day being distinguished by urgency and hard work.

Next time I post I will be fully vaccinated. It’s an all action day – blood test in the right arm this morning, vaccination in the left this afternoon. How’s that for advance planning? Two arms, two needles. I’m glad I don’t have a third needle to accommodate, as it would be a tricky choice.

Photo by Anna Shvets on Pexels.com

 

Bad Hand Day

Sorry about my absence from posting yesterday. I had a bad hand day and by the time I had finished doing the comments and  a few other bits all I could do was sit in front of the TV and hold a hot water bottle while contemplating removing two of my fingers with a bread knife.

Yes, I was brought down by my two little fingers. Thy have swollen up and started hurting, and in doing so prevented the rest of my hands from working and removed my will to live. It’s strange how something that is under one percent of body mass can stop everything working. I must definitely start that diary I keep talking about and see if I can trace what is making this happen, or even spot some early warning signs.

However, for the moment I am living in ignorance. They aren’t too bad this morning but they still aren’t right either – time will tell whether they improv or deteriorate in the next eight hours.

I’m certainly having a better time than one of the patients at the surgery. I had a text message yesterday telling me that the surgery had not issued my prescription for Pregabalin  and that I had to contact the doctor to discuss my symptoms. So I contacted them. I actually got through without being put in a queue, for once. The conversation went like this.

“Hello, you’ve just sent me a text about a prescription.”

(They did the name and address and date of birth check here…)

“Yes, Mr Wilson, we can’t issue that prescription unless you talk to a doctor first.”

“Well it’s not for me, I haven’t ordered anything and I don’t know what Pregabalin is. This is a message for somebody else.”

“It’s for your Sciatica, but you need to talk to a doctor first about your symptoms.”

“I haven’t got Sciatica, this is for somebody else.”

There was a short pause as they digested this. I don’t suppose they get many patients denying they have symptoms.

“Oh, I’m sorry, we must have sent it in error.”

“No need to apologise, it’s not a problem for me, but I’m a bit worried there’s somebody who needs a prescription who won’t be getting one.”

“Oh, yes, we’d better look into that.”

I hope they did, and I hope they eventually issued the Sciatica pills. I’d hate to be sitting at home expecting a cure, only to find they’d given it to someone else, someone

who is a little worried that they will cock up his Methotrexate in a couple of weeks. I’m steadily losing confidence in the NHS…