Apple Posted November 13, 2020 Share Posted November 13, 2020 4 minutes ago, Anyone said: My mother , who was a nurse , described doctors as tin gods. She said it right. Unfortunately there is an element of truth there I think. Just as in other roles in life though there are some good clinicians here on the island and some who have missed the mark but still believed they were somehow entitled to go their own way. This very point was made in LegCo this week. As an island there are limits to what can be achieved here and we have accept that. However we do need to widen the circle of expertise and clinical oversight by using off island resources more and that is coming soon as I understand it. The sooner the better as it is very easy to become stale without it. Quote Link to comment Share on other sites More sharing options...
Apple Posted November 13, 2020 Share Posted November 13, 2020 (edited) 12 minutes ago, BenFairfax said: Medics may choose not to present an option, to then be decided on by the patient. With ethics not my view, that just ethics in Western societies. Aren't clinicians expected or required to advise on the percentages of risk to the patient down to a set figure ? Edited November 13, 2020 by Apple Quote Link to comment Share on other sites More sharing options...
jaymann Posted November 13, 2020 Share Posted November 13, 2020 2 Quote Link to comment Share on other sites More sharing options...
Banker Posted November 13, 2020 Share Posted November 13, 2020 8 minutes ago, jaymann said: Chief secretary must have been waiting for kids to return first! Quote Link to comment Share on other sites More sharing options...
trmpton Posted November 13, 2020 Share Posted November 13, 2020 Not suggesting this happens here as different test, test centre etc etc but still interesting in terms of worldwide “cases” Elon Musk. Four tests in a day. Two positive and two negative. Same nurse and same test lab Quote Link to comment Share on other sites More sharing options...
asitis Posted November 13, 2020 Share Posted November 13, 2020 Love the Courier strap line .. " Covid ...... It's a Cluster " Quote Link to comment Share on other sites More sharing options...
Non-Believer Posted November 13, 2020 Share Posted November 13, 2020 49 minutes ago, asitis said: Love the Courier strap line .. " Covid ...... It's a Cluster " Next week's strap line... "Promenade...It's also a Cluster"... 3 1 4 Quote Link to comment Share on other sites More sharing options...
thommo2010 Posted November 13, 2020 Share Posted November 13, 2020 10 hours ago, Anyone said: Yep , and I know the name of the ‘surgeon’ - or butcher. Everyone on the Island knows who he is but meds , being meds , closed ranks like they always do. Like we have a hospital , we don’t , we have a pretty nifty A&E. A few years back I broke my wrist pretty bad to the point where it was being talked about amputation, I had to stay in hospital here for about 3 days then got flown across to Wigan to have surgery on it. Even now I only have limited movement in my wrist but thankfully nothing that affects my day to day life in the winter it gets a bit sore and stiff. For about a year I was having to go over for check ups etc, on one trip I got speaking to a bloke who had suffered the same injury but part of his care had been at Nobles, after I had my surgery I had pins in my wrist for about 12 weeks before being removed, this guy had his removed after 3 weeks when a new cast was being put on, when he went to the UK for a further check up the doctor couldn't believe what he was seeing. The chap was suing the hospital as he pretty much had no movement in his hand and if I recall he was a landscape gardener so couldn't work. I feel I was very lucky getting my treatment across and that's not the only story I could tell about Nobles but that's for a different day. 3 1 Quote Link to comment Share on other sites More sharing options...
Barlow Posted November 13, 2020 Share Posted November 13, 2020 2 hours ago, jaymann said: The idea was that returnees isolate properly in the house, ensuring the rest of the household aren't at risk. Perhaps if the government had said 'please' isolate in your house properly, there would be no problem? Quote Link to comment Share on other sites More sharing options...
wrighty Posted November 13, 2020 Share Posted November 13, 2020 21 minutes ago, thommo2010 said: A few years back I broke my wrist pretty bad to the point where it was being talked about amputation, I had to stay in hospital here for about 3 days then got flown across to Wigan to have surgery on it. Even now I only have limited movement in my wrist but thankfully nothing that affects my day to day life in the winter it gets a bit sore and stiff. For about a year I was having to go over for check ups etc, on one trip I got speaking to a bloke who had suffered the same injury but part of his care had been at Nobles, after I had my surgery I had pins in my wrist for about 12 weeks before being removed, this guy had his removed after 3 weeks when a new cast was being put on, when he went to the UK for a further check up the doctor couldn't believe what he was seeing. The chap was suing the hospital as he pretty much had no movement in his hand and if I recall he was a landscape gardener so couldn't work. I feel I was very lucky getting my treatment across and that's not the only story I could tell about Nobles but that's for a different day. I've done over 600 hip replacements at Noble's. Two patients died before leaving hospital. I can recall three who sustained a nerve injury at the time of surgery. There have been at least two early infections requiring revision. A handful have dislocated. I can think of a couple who were very upset by walking with a limp (but no pain) post-operatively. In any health care setting there are bad outcomes, and those patients tend to think something has gone wrong, or their surgeon is incompetent, or the hospital is useless etc. The only way to not get complications is to not operate in the first place. Trauma is the worst for getting complaints and getting sued. The psychology is that immediately beforehand the patient was 100%, so if afterwards they are less than 100% they feel it's the hospital's fault, rather than acknowledging that having a wrist smashed beyond all recognition may be impossible to return to normal. And all injuries are different - comparing notes sitting next to someone on a plane is not a way to formally classify fractures. And bad news travels fast - the old customer service maxim of getting good service you tell 2 people, get bad service you tell 10 or whatever applies to healthcare outcomes as well. 13 2 Quote Link to comment Share on other sites More sharing options...
the stinking enigma Posted November 13, 2020 Share Posted November 13, 2020 In my own personal experience nobles is not a good place to end up. I also witnessed the arse covering first hand. Probably before your time Wrighty, mr green was my consultant. Arrogance personified. Quote Link to comment Share on other sites More sharing options...
Banker Posted November 13, 2020 Share Posted November 13, 2020 (edited) Now that whole households have to isolate, should there be any issues with families coming over from uk? Edited November 13, 2020 by Banker Quote Link to comment Share on other sites More sharing options...
manxman1980 Posted November 13, 2020 Share Posted November 13, 2020 1 hour ago, Barlow said: The idea was that returnees isolate properly in the house, ensuring the rest of the household aren't at risk. Perhaps if the government had said 'please' isolate in your house properly, there would be no problem? The UK have had a similar issue with this. If you live in a home with only one bath/shower room how do you fully isolate? You have to use 'shared facilities' and of course there is a risk. As we are now in winter people are also going to be less inclined to have the window open to allow fresh air into a room which will just trap the virus in the room/house even more. Quote Link to comment Share on other sites More sharing options...
thommo2010 Posted November 13, 2020 Share Posted November 13, 2020 1 hour ago, wrighty said: I've done over 600 hip replacements at Noble's. Two patients died before leaving hospital. I can recall three who sustained a nerve injury at the time of surgery. There have been at least two early infections requiring revision. A handful have dislocated. I can think of a couple who were very upset by walking with a limp (but no pain) post-operatively. In any health care setting there are bad outcomes, and those patients tend to think something has gone wrong, or their surgeon is incompetent, or the hospital is useless etc. The only way to not get complications is to not operate in the first place. Trauma is the worst for getting complaints and getting sued. The psychology is that immediately beforehand the patient was 100%, so if afterwards they are less than 100% they feel it's the hospital's fault, rather than acknowledging that having a wrist smashed beyond all recognition may be impossible to return to normal. And all injuries are different - comparing notes sitting next to someone on a plane is not a way to formally classify fractures. And bad news travels fast - the old customer service maxim of getting good service you tell 2 people, get bad service you tell 10 or whatever applies to healthcare outcomes as well. Wrighty I am going from my own experiences as I say this wasn't an isolated incident that I have first hand knowledge of, anyway it is off topic so I won't say anymore. Quote Link to comment Share on other sites More sharing options...
Max Power Posted November 13, 2020 Share Posted November 13, 2020 (edited) 2 hours ago, wrighty said: I've done over 600 hip replacements at Noble's. Two patients died before leaving hospital. I can recall three who sustained a nerve injury at the time of surgery. There have been at least two early infections requiring revision. A handful have dislocated. I can think of a couple who were very upset by walking with a limp (but no pain) post-operatively. In any health care setting there are bad outcomes, and those patients tend to think something has gone wrong, or their surgeon is incompetent, or the hospital is useless etc. The only way to not get complications is to not operate in the first place. Trauma is the worst for getting complaints and getting sued. The psychology is that immediately beforehand the patient was 100%, so if afterwards they are less than 100% they feel it's the hospital's fault, rather than acknowledging that having a wrist smashed beyond all recognition may be impossible to return to normal. And all injuries are different - comparing notes sitting next to someone on a plane is not a way to formally classify fractures. And bad news travels fast - the old customer service maxim of getting good service you tell 2 people, get bad service you tell 10 or whatever applies to healthcare outcomes as well. I agree with you 100% wrighty. Eleven years ago I had a major accident involving multiple surgeries, all done between Broad Green and Liverpool Royal. Several surgeons asked if I would be the subject of a paper on their speciality or something, I'm not sure if I ever was? Part of my injuries and fracture were spinal, chest, pelvis, hip, femur, tibula and fibula, knee amongst several others. I am in pain and walk with a limp and have chest and back pain, despite several attempts to rectify things with various consultants. Sometimes you have to accept that the human body is very very complex, things can't always be rectified to the point where they were before. I recently broke my leg badly whilst out exercising, The residual problems from that are due to the severity of the injury and the issues hanging over from my previous catastrophe. I'm guessing from experience in travelling for treatment, that in Thommo's friend's case, that he really needed a wrist specialist rather than an orthopaedic surgeon? I had about eight different specialists looking after me when I came around, one for every different damaged part! I don't know what makes people want to be a surgeon, I'm used to blood and gore from previous life as a butcher's boy as a kid and attending numerous accidents with associated training, but I think the whingers would see me off! Edited November 13, 2020 by Max Power 1 Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You can post now and register later. If you have an account, sign in now to post with your account.