Do We Need To Close More Hospitals?
I’ve believed that we have too many hospitals for a long time. Often politics mean that the needs of getting votes come before the needs of good healthcare. No-one would ever get elected, if they were in favour of closing their local hospital.
When I lived near Newmarket, we had two hospitals at the same distance away, Addenbrooke’s and Bury St. Edmunds. The first is a world-class facility and the second is a typical general hospital on a cramped site with bad transport links.
No-one ever chose to go to Bury St. Edmunds and I always remember once turning up at A & E there in the middle of the night to find no-one waiting, but it still took me three hours to be seen. The whole hospital should have been down-graded years ago. This is unlikely to happen, as the powers that be in Bury still resent the fact that Ipswich became the county town, when West and East Suffolk were merged. So we all pay extra through our taxes for local vanity.
So should we close more hospitals? Lord Cross who used to run the NHS, apparently thinks so according to this report on the BBC.
Obesity
A report today says that we must take action to prevent obesity.
The government is just dithering, as it doesn’t want to lose votes.
I am only a bantamweight and I like to think that over the years, I’ve kept myself fit. Even after my stroke, I still exercise appropriately and have started to play real tennis again. I’m the same size as when I left University and got married in 1968. I also wear the same made-to-measure morning suit that I had made in about 1975.
My weight and core strength are just two of the factors that helped me survive the stroke. The most important one was that in Hong Kong, I was put on a clot-busting drip within an hour of the stroke. That now happens in many parts of the UK.
So instead of dithering the government must take drastic action to cut obesity.
Taxes on junk food, alcohol,tobacco and other unhealthy foods must be raised severely.
In addition, I would inspect all food shops, cafes and restaurants. Those that had a too sold a too high proportion of unhealthy foods and drinks, would have to reduce that level or close.
I would also introduce a yearly medical for everybody. If you are outside of certain parameters, then your driving licence would be suspended until you had reformed.
In an ideal world tobacco would be banned, but why not make sure it is only available from specially licenced government-owned shops, as alcohol is in Norway? Remember, I believe that my youngest son died partly because of his smoking. Are smokers selfish enough to wish all of that grief on others, by continuing with their vile habit? Every time I pass an obese smoker partly blocking the street, I make an appropriate rude remark. One day someone will try and hit me, but even in my state, I still feel I could outrun most of my targets.
Much of this post has just been read out on BBC Breakfast. I bet that lost them a few viewers.
But if we don’t take action, more and more of our taxes will go to subsidise those who abuse their bodies.
How Do I Get Prisoners To Paint My House?
I have a cupboard in my bedroom that needs stripping and painting. Obviously, some might think I’m the sort of person who should benefit from some sort of scheme, as I’m a widower, who has had a stroke.
After all Jacqui Smith, the former NuLabor Home Secretary got two prisoners to do some painting at her house according to this report in the Guardian.
But then as I said, I’m a widower and I’ve had a stroke. I’m certainly not sick or mad enough to want to be a Member of Parliament.
Is Cider Good For You?
it is reported on the BBC that alcohol-related disease is very much on the rise, in a study from John Moores University.
Here’s an extract from the BBC report.
Annual rates for alcohol-related hospital admission in Liverpool are 3,114 per 100,000 compared to 849 per 100,000 in the Isle of Wight.
In Blackpool, the findings showed the number of deaths from chronic liver disease were 46 per 100,000 men and 21 per 100,000 women, compared with the lowest rates in the City of London and in West Somerset where nobody died of liver disease.
Does the last bit mean that cider is good for you?
You’d have thought that the City of London would be higher up the list too. Although, I did have lunch with a stockbroker yesterday and all he had was a bottle of Italian beer. But he did have to ride his bike back to Kingston after work.
My Allergies and Me
I seem to be getting no relief from the hay fever at all this summer. Just as it seems the pollen level gets to a low level for a day, it then rises back up again. I had lunch with a friend yesterday and he never suffers, but he is this year. It’s a story that I’ve heard so many times in the last few months from others. No-one seems to have any idea about it either.
I don’t get any luck with it either. On Friday I was to see a consultant about it, but for administrative reasons the appointment was put back for a few days. Any sane person, would think that the Devil has it in for them, if they had suffered the last three years I have. To make matters worse, the sale of my house in Suffolk, seems to be moving slowly and Ipswich lost by seven goals to one last night. But I’m still here, which is more than can be said for my wife and youngest son.
I also had a good lunch yesterday with friends, essentially to celebrate my birthday on Tuesday. Even Ipswich contrived to lose six two that night.
I know it’s only a small thing, but I slept well last night and got up feeling fresh. So I thought, it might be a good idea to go to perhaps Brighton or Southend and get a bit of sea air. But after checking the pollen levels, I decided against it as levels were moderate in all the places I checked. And the excellent Met Office web site, says that it’ll be Tuesday before the levels get better.
So I think I’ll go and see my therapist today. I’m not sure where I’ll explore, but because it is so easy and fairly close, I think I might go to Bruce Castle Museum this afternoon.
What I will do is reflect on my life and especially this dreaded hay fever.
I will start with my ancestors. I’m certain that it’s my father’s line that has the really bad genes and has brought me the allergies. From what I know now, I’m certain that he was a coeliac like me. He certainly had more wind than the Outer Hebrides. He was always choked up with catarrh and ate menthol catarrh tablets like others eat sweets. He was also a heavy pipe smoker and that couldn’t have helped. His father had died young of pneumonia and my father had told me, that my grandfather was a heavy drinker and smoker, who suffered from asthma. My father told me graphic stories about how he would pick him up in a terrible state from places like Wood Green Conservative Club. One of the strange things about my father’s family, is that there is very few women, who have ever given birth. Could this be the coeliac gene, which doesn’t help women carrying a viable foetus to full term.
Unfortunately, I don’t have my school records, but it would make interesting reading, as I can remember taking endless time off because I just wasn’t up to it. I seemed to be coughing all the time and spent many nights with my head over a jug of Friar’s Balsam. At one time I supposedly got a case of scarlet fever. How I ever got to a Grammar School I don’t know! Luckily, we had television and I had my Meccano to amuse myself with. And that is what I did, when I was at home. Most weekends I would be off to my father’s print works, where I did useful things. To say, I was an indoor child would not be an understatement. And we worry about kids spending too much time on their computers.
So what was it that made me so ill? Unfortunately, my medical records are incomplete and start in 1970. If only they were on a central database, that I could access!
My GP, one Dr. Egerton White, thought I was allergic to eggs, and so I was rationed to one a week. Did it help? Not at all. My father thought it might be the paint in our house, which he thought contained lead and I can remember him stripping it all off and using modern lead-free paints. It could also have been his smoking or the coal fires we had in those days, but I didn’t really improve much. I suppose it might have got better, when my parents bought a house in Felixstowe, but we only went for the odd weekends. But at least I used to walk a lot by the sea.
I think in some ways, I just grew out of the worst times and what finally killed it in some ways was going to Liverpool, where I spent the next three years at the University on top of a hill with the wind in the west.
So perhaps it was just hay fever of a particularly persistent form, as from what I can remember, I don’t feel much different now. The only difference, is that now I’m on a strict gluten-free diet after having been diagnosed as a coeliac ten years ago. That cured a lot of my problems, like chronic dandruff.
All of my levels like B12 are spot on, so it’s not as if I lack anything.
Since C died, I’ve started to get a few problems, like tight shins, difficulty in breathing and spots on my chest, back and legs. I scratch them a lot, when I’m alone.
I have been told on good authority by an academic I respect, that widows can suffer high cortisol levels and the Internet indicates there may be a link.
So has all the stress I’ve suffered in the previous three years, brought the hay fever back?
I sometimes think, that my mind learned how to control it and the stroke knocked out that knowledge, but that is just a feeling not based on any fact. I have been told by a serious doctor, that stroke patients sometimes have pain return from previous injuries. He did find problems in my neck, which are improving through physiotherapy.
Human Echolocation
We all know that bats use this, but surely humans can’t! Oh yes they can, if you believe what Wikipedia says here.
I was alerted to this story by yesterday’s Times Magazine, where they had an article about Daniel Kish. Perhaps he read Dark Universe by Daniel F. Galouey. In my view it’s one of the best science fiction novels ever written. And it’s still in print! I have a copy on my bookshelf and like all good science fiction, it has a yellow cover.
The trouble with people is that they use the creative part of their brains for all the wrong purposes rather than to improve themselves or the lives of others.
The Man With The Artificial Heart
This is definitely the good news story of today.
From what I can gather, the recipient is now able live a much more normal life until he can get a heart transplant.
My late wife, C, died of a squamous cell carnimona of the heart. It just grew in her heart and strangled the life out of her. She just lived only a few months after the diagnosis.
I got the impression at the time, that if she had been younger then they might have tried a transplant. But I also know that if it had been offered she would have said no!
But after today’s news, if I was in the same state and they offered me an artificial heart for a few month’s life, I think I’d take it. In fact, I sometimes think that if by having the operation I had a high chance of not making it, but would help to advance knowledge, I’d take that risk. It might be better to die under the knife, than suffer a long-lingering death.
Not that this mongrel is thinking of going yet! There are too many windmills at which to tilt!
The Dragons Can’t Cook!
Or is it most likely won’t?
I watched them last night, when they rejected a lady who had developed a product called a Gloven.
It’s exactly what I need, to get round the problems of my gammy left hand, which responds badly to hot and cold.
I have a feeling that this is a product that will be a success, as it has so many niches, that haven’t been identified yet!
NHS Waiting Times
There was a report yesterday that said that some NHS Trusts are imposing a minimum and maximum waiting time for some operations and treatment to save money.
If they are they, they are breaking the First Law of Scheduling, which is you maximise your efficiency by agreeing dates between both parties as soon as you can.
I first came across this, when I worked in the Research Department of ICI at Runcorn. We had a small workshop that would make equipment you needed. Everybody used to put a delivery date of ASAP on everything, even if they didn’t want it for a month or so. The outcome was that nothing got delivered in a reasonable time.
The situation couldn’t go on and the manager of the workshop decided that no work would be accepted without an agreed delivery date.
The outcome was harmony and everybody was happy. One interesting side effect of this method, was that when the workshop could see a high peak of future work, they would sub-contract some jobs to an external firm.
I must admit that I stole this technique when I wrote the task scheduler for Artemis, but of course this was a legitimate steal and it made the task scheduler very good.
Some NHS Trusts do use this agreeing of appointments method. Addenbrooke’s in Cambridge do and I’ve negotiated a suitable date and time on the phone several times.
I know too of a farmer, who needed a hip replacement and got the operation done at one of the quietest times in the farming year and a slack time for Ipswich Hospital.
Now most of us have e-mail or can use SMS, surely this negotiation can be an almost painless and automatic process.
It oviously won’t work for emergencies, but say you need something like a hip replacement, a mutually convenient date is best for all parties and in my view will probably add a few percentage points to hospital capacity.
How many NHS Trusts still manage appointments and waiting lists on a non-scientific basis.
NHS Ill-Prepared for the Obese
This is a headline on a story on the BBC’s web site. Surely, the headline should be something like “Obese Ill-Prepared for the NHS”.
The Anonymous Widower 