Is There A Link Between Violence in Hospital A & E Departments and Smoking?
The only Hospital A & E Department, I’ve been to in the last six or seven years or so, is Addenbrooke’s in Cambridge. Mostly, I was there because of stroke-related problem, but once because of C and once because I had a fishbone stuck in my throat.
The A & E Department at Addenbrooke’s has a great advantage over many others in the UK, in that it is some distance from the city centre, so it probably doesn’t get too many of the walk-in drunks, that litter up many other hospitals.
In all my visits, I’ve never seen any problems between patients and staff, but this would not seem to be the norm throughout the rest of the UK.
Smoking is banned in all hospitals, so could it be that the stress of an ill patient, is worsened, by not being able to light up. So they go outside for a quick fix and then when they get back in they’ve missed their place in the queue.
More research needs to be done.
The efforts of the Design Council to redesign A & E Departments may help and is to be welcomed.
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.
One of the Earliest Places I Can Remember Turns Up in The Times
The Times today has a piece about how some hospitals should be merged or closed because they are failing.
The headline of “17 years ago closure was needed urgently. Today, Chase Farm stays open” summarises the text well. When I used to live in Cockfosters as a child, no-one had a good word for the hospital, so I suspect it hasn’t improved much after the years. The last time I was there was to see C’s godmother, who was recovering from a stroke in the hospital and I can’t remember anything positive or negative about the visit.
But I can remember my first visit to Chase Farm Hospital in 1950. It was to collect my mother and my baby sister, who had just been born there. We parked in front of the very same building shown in The Times.
The main thrust of the article in The Times is that Peter Carter, the head of the Royal College of Nursing has said that some failing hospitals should be shut.
I would agree.
When my son was first admitted to hospital in Manchester with an illness that later turned out to be pancreatic cancer, the place was a disgrace and they failed miserably in their diagnosis. Only when we moved him to Addenbrooke’s did we learn the awful truth.
So let’s shut failing hospitals and concentrate resources on services that work. We should also move a lot of those services into the community as Dr. Carter says.
Larger Child Heart Surgery Centres
There is a debate about whether we should have fewer and larger centres for child heart surgery. The BBC is saying that some centres will be closed.
As someone, whose granddaughter was born with a serious medical problem and underwent serious surgery at a few days old, I can understand some of the emotions involved.
But too much of the arguments about more centres are about local pride and parents wanting to have their child referred to a local hospital.
But as someone, who has lost my wife and son to cancer in the last three years and has suffered a stroke, I would travel hours to get the best.
In my son’s case he was in a local hospital in Manchester, which was just too small to have the expertise to diagnose his pancreatic cancer and the diagnosis was not made until he was in Addenbrooke’s some time later. These smaller hospitals should be closed immediately. But then votes and local pride always override scientific correctness.
Laptops in Hospital – 2
I put a post on this earlier and today as I travelled to try to see the eclipse, I got talking to a lady who happened to be a hospital physio working with stroke patients. I asked her whether they allowed patients to have laptops and she said they did to a certain extent. But they were always worried that they’d get stolen.
The latter may be true, but if hospitals have a crime problem, it should not be allowed to get in the way of patients’ care and well-being, Iit should also be properly solved.
I also think that most patients would also accept having the coputer in hospital at their own risk. I certainly would and would make sure it was a rather elderly but reliable machine.
Laptops in Hospital
In a previous post, some of the comments were about smart phones in hospitals.
I’m all for allowing patients to have laptops in hospital. I had my stroke in Hong Kong and I was allowed one there. It allowed me to do things like listen to Radio 5, talk on Skype, do the Sudokus in The Times and send e-mails, that I wouldn’t have been able to do otherwise.
I could also have done things like watch videos, which I never do anyway.
In Addenbrooke’s laptops were effectively banned and I don’t think it helped me.
The reason they are banned is that if they were allowed, it would mean they’d lose all that money they get from that crap Patientline system. The bandwidth wouldn’t be a problem, as they can now get enough Megabits easily.
The laptops could also be integrated into patient care and support. For instance, a physio in Hong Kong told me that typing would help my hands work properly again. She was right!
So let’s have some 21st century, healthcare thinking!
Remember too, that happy patients are less trouble for staff and might even leave earlier.
To me allowing laptops in hospital is a no-brainer. But then what do I know about healthcare? But I have seen good healthcare at work and know what works.
I am also in contact with universities, where they are developing computer games to help stroke patients. Let’s make those free and downloadable!
A Setback Yesterday
\i spent most of yesterday in hospital at Addenbrooke’s after what they thought was a post stroke seizure. I was back home by eight with a prescription for Keppra, which is an anti-epilepsy medicine. They also gave me a CT Scan, which showed there was no new damage. So that is good news.
And Now The Good News!
Well I suppose it’s good news, in that the hospital doesn’t want to see me again about the stroke! I suppose I should be pleased but I don’t think I showed much emotion as I was getting tired after the travel. In fact if I have any emotions now, it’s about going to London, hopefully for a new start! At least when it’s like tonight, I won’t have to stay inside watching nothing on the television.
My Father Would Turn in His Grave, if He Had One!
I had a good day yesterday, in that I made a video of the Tour of Britain at Clare and successfuly posted it on this blog. But my arm is starting to work a bit better and I’m in less pain. Perhaps, my brain is winning in its battle with my nerves and is understanding them better! If it can’t understand them, the brain says pain!
My computer told me today, that I must get ready for my Warfarin test on Monday. I do it a couple of days early, so that I can find the form that I must take.
The Dreaded Hospital Form/Letter
These letters are a disgrace and the man, who designed them should be dismissed from all his jobs immediately. I would suggest capital punishment, but even for design crimes as heinous as this, I will not ease my stance on the evil death penalty.
So why do I hate these letters so much?
For a start, they are so difficult to open, even for someone like me with only a good right hand! And one that can efficiently wield a pair of scissors. Suppose you were more decrepit than me, with perhaps severe arthritis or a missing hand. You wouldn’t stand a chance of opening the letter without damaging it, so much that it became unreadable.
Then when you have opened it, it refuses to lay flat, so it is not an easy thing to store and retrieve. I usually pin it to a notice board, but as it doesn’t do flat very well, it sometimes manages to force itself to the floor.
Perhaps, the main reason, I hate these letters so much, is that they are in many ways unnecessary. If you need to change your dose, the hospital phones you! If you forget the form, when you have a blood test, then the nurse knows the questions to ask!
But as I said in a previous post, why can’t you be informed by SMS message or e-mail?
So why would my father be spinning? He was a printer, who made a lot of money by designing paper systems that worked. He would have known how to do this form/letter better.
If I had my way, if a letter needs to be sent, then I would send a postcard. I know to some this wouldn’t be confidential, but it certainly doesn’t matter to me, that the world knows my Warfarin dose is 5 mg. a day!
Hospital Car Parking
The government seems to change its mind about whether there should be charges for hospital car parking.
In these times of austerity, I believe that it should not be, as obviously this would mean loss of revenue and perhaps cuts in other services.
But we should in fact be creating good systems and alternatives, that remove the need for the parking in the first place.
- I have to go to the West Suffolk Hospital occasionally for my Warfarin test. My driver drops me and then goes and does something else and I phone to be picked up. But a National Anticoagulant Service would avoid that, as I could probably be tested in a pharmacy. How many other people have to go to a hospital for something that could be done by the GP or a local clinic, or even over the phone?
- West Suffolk Hospital has also banned staff car parking.
- Hospitals should also be well served by public transport. I can’t get to either West Suffolk or Addenbrooke’s by public transport. But saying that, last time I went to Addenbrooke’s, I took the train into Cambridge, played real tennis, had lunch and took the bus for an afternoon appointment, after which I was picked up. So sometimes a little thought can remove the need for parking.
- I think too, that many hospitals have been designed so that you are supposed to go there by car.
- We also put new hospitals in the wrong places. Imagine a hospital built by the train station or close to the city centre, so that it was more convenient for everyone.
So if we can cut the number of journeys, then we can reserve the car parking spaces for those that really need them!
Perhaps too, we should make car parking free in the evening for visitors to those in hospital. When I was in Addenbrooke’s, it was the evenings, where I wanted to see someone. But I’d have preferred to be at home, so perhaps hospitals should really concentrate on getting people home or in the community.
It is also a green issue to me. We shouldn’t need to drive to hospital, spewing carbon emissions!
The Anonymous Widower 