And the worst things about it? The passive privatisation of general
practice. The daily doctor-bashing in the press. The promises from
government that you will be able to see your family doctor from 8am
until 8pm, seven days a week. As you can see from the plight and strikes of the junior doctors,
we do not have government support right now. Instead, we are vilified
and made out to be money-grubbing if we complain about our working
conditions. We have all gone through years of training as junior doctors
to become GPs in the first place and urgently need the next generation
to stay in the health service. It is getting increasingly difficult to
recruit and our roles are continually changing, which is deeply sad
because it is without a doubt a vocation: you simply wouldn’t do it
It is hard missing out on your own family milestones – first days at
school or the nativity play – because surgery can start at 7am and go on
until 7.30pm, when your children are already in bed, where they were
when you left for work that morning. Ironically, being a family doctor
means you are there for everyone else’s before your own.
More than 20 hospitals in England have had to declare a black alert
this week after becoming so overcrowded that they could no longer
guarantee patient safety and provide their full range of normal
Unprecedented numbers of patients requiring care has led to at least
23 hospital trusts declaring they cannot cope since Monday, inquiries by
the Guardian have established.
Struggling hospitals have been forced to take highly unusual steps in
order to manage a surge in demand for care. They include cancelling
cancer operations, treating adults in children’s wards and even closing a
birthing centre to help cope with a sudden influx of patients who need
to be admitted for treatment.
This is not business as usual. I had told myself that I will post less Winter Crisis related articles (because, let’s face it, we could write about that forever but I need a break). However, I couldn’t pass up sharing this article.
When a family member got admitted last weekend I panicked, not
because it was that serious but I actually felt they may not be safe in
hospital. I am angry that it is being ignored and swept under the carpet. I am
angry that we are left to pick up the pieces and apologise for a system
we’ve put our hearts and souls into, but now have no control over.
Last week saw unprecedented demands placed on hospitals around the UK, with many of them going into crisis.
I was also in A&E last week. My hospital’s adult A&E wait on the busiest night that week was over 6 hours to be seen. As local hospitals diverted to ours, we were left with an even greater workload. Paediatric A&E was slightly more manageable, but I ended up taking my only break at 6.30 am, 11h into my shift. My adult A&E colleagues tell me that there was a shortage of everything; not enough doctors. Not enough nurses. Not enough places to see patients. They were treating patients in the corridors because there were not enough beds or rooms to see them all in. And they took most of our trolleys because there was a ridiculously long queue of paramedics waiting to offload their patients with the A&E team.
My team had more than one patient we needed to transfer urgently to another hospital for urgent surgical reasions, a case I’ve mentioned recently. They were stable, but investigating or treating them was entirely beyond our remit, and there was (as always) the potential for things to get worse. They waited in the department for what we felt was an unacceptably long time, because of a complete shortage of amublance crews; so stretched was the ambulance service. The crisis is real, and there is a real potential for harm here. In our case, our patients were lucky; no harm occurred. But I know across the entire UK that patients will be coming to harm because of delays and teams stretched to their limits. And we need to do more, as a society, to addres this.
As hospitals become overwhelmed, other things get impacted; there are a finite number of radiologists to do xrays or scans. There are a finite number of biomedical scientists in the lab able to process the bloods that we need to help us diagnose. What we need is complex; it’s not just more doctors and nurses, it’s more of EVERYHING if we can hope to keep people safe and to respond to demand.
The workload will only increase as A&Es across the country are closed down, as many have already been. The workload will only increase as GPs retire and few new GPs take their place because their own speciality is being wrecked by chronic underfunding, leaving fewer appointments for a population that attends the doctors’ more than ever before.
Meanwhile, politicians try to deny that there’s a problem.
The Red Cross know a thing or two about humanitarian crises. If they think this is one, that should be taken seriously. God knows, politicians have been making light of what NHS workers have been reporting for years. Whistleblowers have been silenced rather than upheld for their probity. The Secretary of State for Health led a campaign to pretty much try to discredit doctors and their concerns by trying to paint us as greedy or lazy, and when that failed, he tried to paint us as naive and led by militant unions with a political agenda.
But this is what is happening. What these doctors report in the article sounds exactly like what my friends report. And what I see. It is real, and it is happening right now.
Have you ever had a migraine? an earth shattering, please just end it withdrawal migraine, When your body rather be dead then without the pills?
It’s difficult to describe the way if feels when your brain is convincing you what’s a couple more dead brain cells
when your body is a child Desperate for the candy that will spoil their dinner.
When the ants crawling on the floor have become deafening as they weave around your cleaned out trash can shaking your sweaty limp hand as they mock you but you can’t stop shaking every one of their hands
When your bed has become your coffin littered with empty water bottles and melted ice packs littered with dried tears and an ignored phone blindingly lighting up with concern
When your curtains are covered with two thick blankets that can’t block out the neighbors arguing about what to watch on tv
When the side of the roads have become inhabited with dark figures waiting for you, beaconing you to give in whispering 100mg of gaba is suppose to help you they’re looking out for you after all. but don’t look back too quick, they can’t move that fast
When you haven’t eaten in several days but your first meal taste. like hope your second meal taste. worth it and your third meal taste. like a distant memory
The distinction between diseases of “brain” and “mind,” between “neurological” problems and “psychological” or “psychiatric” ones, is an unfortunate cultural inheritance that permeates society and medicine. It reflects a basic ignorance of the relation between brain and mind. Diseases of the brain are seen as tragedies visited on people who cannot be blamed for their condition, while diseases of the mind, especially those that affect conduct and emotion, are seen as social inconveniences for which sufferers have much to answer. Individuals are to be blamed for their character flaws, defective emotional modulation, and so on; lack of willpower is supposed to be the primary problem.
28Nov15 Sleep: Neurology, Medicine & Society
My snoozing study buddy helps me cram for the neurology of sleep. He’s in NREM now (Non Rapid Eye Movement Sleep) they kind that happens just after a mammal falls asleep. Soon (in about a 3rd-4th of the way through his sleep cycle) he’ll flip into REM (Rapid Eye Movement) where he’ll likely be dreaming.
His sleep will continue this pattern 3-4 (sometimes a softens as 5-6) times before he wakes. Mammalian sleep cycle ;3
Ripping some cookies before I head out on errands, growing lil tired of this strain tho. If you’re looking for a heavy hitter that conserves your herb, build a gravity bong if you haven’t already. Bowls like these are cheap as hell. Happy blazing!