Sunday, October 05, 2014
A great day out
Sunday, September 28, 2014
Politics
Saturday, August 02, 2014
Family Ties
Tuesday, July 29, 2014
In Defence of the NHS
In nearly 72 years I have been incredibly lucky to never have been in hospital. Negative stories about the NHS are legion, but I have long suspected that those stories are about either unfortunate individuals on the receiving end of poor decisions or care; or about the leviathan bureaucracy that accompanies the institution. In mid July I had the opportunity to experience at first hand the UK's flagship institution, second only to the monarchy.
I had an appointment for an intimate procedure which would include at least one night's stay. All of the staff I encountered, from the off-duty nurse who directed me to the right area, to the Registrar who oversaw my procedure, were friendly, helpful, approachable and professional.
The ward to which I was assigned had just 6 beds, but was only a “bay” of about 5 similar bays which made up men's surgical. The whole unit is staffed by about 20 people from staff nurses to domestics, overseen by a Sister. They work incredibly hard. Our staff nurse was busy and on her feet from 8am for 12 hours (with breaks) and I not once detected impatience, irritation or anything other than a smile and a willingness to help. Sometimes one had to wait due to a more urgent need elsewhere, but the pleasant disposition never faltered. The night staff were just as attentive and caring, even performing routine tasks by torchlight to avoid disturbing sleeping patients.
One patient required surgery and was collected, in his bed, around 10 pm, destined for theatre. Some two hours later they wheeled him back, quietly, talking in hushed tones (not quite a whisper), and shielding a light from the rest of the ward. The ward staff had tasks to perform before they could leave him to sleep, and they went about their business as quietly as possible.
The food was adequate in quantity, not a serving that one might get at home, but bearing in mind the sedentary nature of one's stay it was enough. I certainly didn't feel hungry after eating. The variety on offer for each meal was reasonably extensive without being confusing, and there was always the chance of something extra for later on offer too.
The secret, it seems to me, was that each ward had its own housekeeper whose job it was to oversee ward organisation, meal arrangements and cleaning regimes. There seemed also to be a spare room so that at intervals each ward would be moved in rotation enabling deep cleaning to be carried out. All in all, I was almost sorry to leave after three days, so welcoming and relaxing were the staff. I have nothing but praise for the dedication, hard work, caring attitudes, and reassurance I found on this my first foray into this arcane world.
Then there was the local GP's receptionist. On being discharged from hospital I was provided with certain equipment, which I needed, and was instructed in its use. I was also advised to ring up the supplier of that equipment to arrange future supplies, which I did at the earliest opportunity.
Two or three days later I had a phone call early morning from the receptionist complaining that I had used the wrong supplier as her system didn't recognise mine and in future, if I wanted to use the surgery I had better use her designated supplier, whom she failed to identify!
I think the difference in these two episodes can best be categorised by professional versus rank amateur. I'm willing to believe that Ms receptionist is good at her job vis a vis the doctors, but she has no people skills at all. Worse, she seems to believe that but for her no one understands the NHS, which would collapse under its own inefficiency if she weren't there to save it. People like that (and I am told that many doctors' receptionists are like it) get the NHS a bad name and the service, both to the public who pay them, and the surgeries who directly employ them would vastly benefit from some retraining or dismissal. These people are effectively the shop window of the NHS, the customer service representatives, and attitudes need to, and must, change. Many surgery receptionists deal with elderly and vulnerable people, and all of them deal with the sick with conditions ranging from relatively trivial to life-threatening. Many patients get confused when unwell and some are, alas, confused due to age or infirmity. To be faced with a harridan such as I encountered (and have formally complained about) is unhelpful, rude, arrogant and unnecessary. Save the NHS, get rid of the attitudes and those who exhibit them, and let's have a truly caring, helpful and world-class service.
Wednesday, October 23, 2013
Wedding
Sunday, September 15, 2013
It Had to Happen
We are, and always have been, reasonably early risers. By 0730 yesterday we were up and doing and Portia was anxious to go out. Since we do not appreciate having to clean the floor after one of her "accidents" (she frequently misses her box) her freedom is one of our morning priorities, and so with collar donned (to operate the cat-flap) the door was opened and out she went. That was about 0745. By 0830 she had not returned, but that in itself is not unusual. As we were ready to go out ourselves then we left food and water, and the cat-flap open. We arrived home at about 1130 to find the food untouched. So far as we knew Portia had not eaten since the night before, had certainly not had her daily drugs and was now missing. Again!
And so began again the search of neighbour's gardens, the woodland which surrounds our property, garages, outhouses, undergrowth and anywhere we could think. Nothing, but this time at least the search was in daylight. By now it was gone 2 o'clock and a little light lunch beckoned, but before we could indulge the phone rang.
A veterinary practise some 8 miles away said they'd had our cat brought in and had traced us through the microchip she sports. Portia had been found wandering in a reasonably distant and remote part of our neighbourhood (a good ¼ mile away) evidently confused and obviously old and ill. Most vets are closed at the weekends and so the very kind lady took her to a vet within the store Pets at Home who traced us. We raced to rescue Portia, forsaking lunch, and brought her home with, unusually,
Another neighbour identified for us the kind lady who had taken in Portia, and we were able to phone and thank her. Fortunately she is a cat person who also runs a sanctuary in Greece and herself has two Maine coon cats. She leaves the country in another week - we dread to consider Portia's fate had her adventure been a week later.
We are resolved to not let Portia have free reign again, she is not safe anymore. The aperture in the back gate is blocked and her forays into the garden, which is otherwise enclosed, will be supervised. She no longer jumps high enough for the top of the fence. This morning was instructive. Portia was not happy at the new restrictions on her freedom, but over time she'll get used to it. We are not happy either at the new restrictions on our freedom but it is necessary for our sanity. We shall continue to monitor her progress and her adaptability to the new arrangements, which may become easier as the weather cools. We love her, and want to keep her with us for a lot longer yet.
Saturday, September 07, 2013
Why do we put ourselves through it?
These two cats were some 4 to 6 years old when we acquired them, and much uncertainty remains about their exact ages and indeed about the relationship between them. We took them as sisters but there are those who think mother and daughter would better fit. In temperament they were as different as chalk from cheese; Jazz lived up to her name being zany, loud, manic, greedy, adventurous and exceptionally curious. Portia on the other hand is gentle, restrained, silent and elegant. So different were they that Portia used to follow Jazz around, and we were never sure if that was to experience adventure or to keep a watchful eye on her sister. Suffice it to say that since Jazz died Portia has never again visited next door's roof to peer down their chimney!
Portia also has a very gentle, thoughtful nature. She dislikes being picked up and is not above showing displeasure by biting as a warning, but there remains something in her nature that is utterly endearing. She carries herself as a lady and is just a sweetie. She has always been free to leave the house during the day (she is kept in at night), but with rare exceptions remains within range of perhaps three or four of the houses around, or perhaps I should say their gardens. As she has got older her journeys have become fewer and closer to home, and anyone reading my last post will know the frantic activity and worry there was a week or so ago when she had not been seen for some 8 hours.
Portia is no longer a well cat. She has an over-active thyroid for which she is on daily medication. She also has an undetermined obstruction within her nasal passages which causes her breathing to be noisy and occasions a discharge, sometimes bloody. Sneezing has become a regular feature. Vets are undecided about the nature of the obstruction since determination would require surgery, and at something like 16 years old anaesthetic is an impossible contemplation. The obstruction is either benign (polyp or cyst) or malignant, but since there is no facial distortion the likelihood is the former. She receives daily steroids to reduce the inflammation.
Yesterday dawned as usual and we were pleased to see that Portia had eaten well overnight and she took her morning tablet well, went out and continued to eat. By 1030 she was listless and refusing to eat and deteriorated throughout the rest of the day, sleeping, walking in circles and being very vocal. We took her to the vet around 6 pm expecting to come home without her, so very ill had she become. Injections of steroid and a bronchial dilator were given as was oxygen, and we brought her home. Our emotions ran high and family members rallied round, hoping against hope that Portia would not leave us. As my daughter-in-law said, Portia is precious.
Around 9 pm we were able to persuade Portia to sample some freshly-cooked chicken. After three of four attempts she was beginning to eat, and soon the available chicken was gone along with the special food supplied by the vet. We went to bed a little encouraged. This morning we found that the overnight food had gone, Portia was clamouring to go out, her walking had improved and she generally was behaving and looking as well as she had at the beginning of the week. She has continued to eat well all day and has been sleeping around - in the garage, in the garden rubbish bag, on her favourite garden bench cushion, and in the house. We have no illusions. The skill and knowledge of the vets together with the efficacy of modern drugs is what keeps Portia going, and we are very grateful indeed, but cats! don't you just love 'em?





