Thought Id start this one going because its rather dead on this board at the moment and I suppose all my usual muckers are either at the Stella tennis event watching Dim Tim (lose again) or at Henly Regatta eating cucumber sandwiches (they wish,...NOT).

Anyway please feel free to just talk to yourself blast away and let it go on any company or subject you wish. Just wish Id thought of this one before.

cheers GF.

Doesn't the first line of defence lay with the Paramedics?

ie. The suspected heart attack victim (or other) rings 999. The operator gets the paramedic out to the victim. He examines patient and confirms what sort of problem it is and stabilises the patient. He then orders the ambulance which then takes the patient to hospital.

A blocked artery = questions patient and determines best first aid (eg. aspirin to bust the clot?). Then a local ECG - then maybe hospital for an angiogram, angioplasty and a stent or even a bypass operation.

If it's a stroke = paramedic visits and determines whether it's a ruptured artery in the head or a clot. If the latter, then aspirin to bust the clot. Then off to hospital for better treatment care, maybe open the head for a cauterisation if it's a bleed and observation.

The faster the paramedic gets there then the better the chance of survival. Far better than waiting for an ambulance and ambulance staff trying to give paramedic treatment, IMHO.

PS. Always carry some 300mg Aspirin tablets with you, IMHO. Care with them though, if you have high blood pressure or you might make things worse.

A&E is buckling under the strain for the reasons Haystack has pointed out. A lot of people who go to A&E are not in the category of being emergencies. The demand on our resources, not just the NHS, are being stretched beyond the limits simply because we now have far too many poeple living in this small country. If you go to an A&E unit in America you better make sure you have a very healthy bank balance before you walk through the door.

Hays theirs far more drunks in A@E here in Yorkshire than immigrants on weekend nights AND days.

To just blame it on immigrants is far too easy a get out.

What about all these nurses the tories have laid off, over 5000 since them coming to power.

OK weve alledgedly got more doctors, but doctors dont usualy work at peak times.

Thanks to a poster on another bulletin board for this, which just about says it all really.imo


Importance of Tax Return accuracy
Published 31 December 2012

Here is an example of the importance of accuracy in your tax return.
In response to the question; “Do you have anyone dependent on you?” the man wrote: “2.1 million illegal immigrants, 1.1 million crackheads, 4.4 million unemployable Jeremy Kyle scroungers, 900,000 criminals in over 85 prisons, plus 650 idiots in Parliament, and the whole of the European Commission”.HMRC has returned the Tax Return to a man in Evesham after he apparently answered one of the questions incorrectly.
HMRC stated the response he gave was unacceptable. The man’s response to HMRC was: “Who did I miss out?”

DD4 - your original post re mark foster implied pretty clearly that you were qutoing € 4,000,000 for a single year (2013) and NOT for his lifetime earnings ..... € 400,000 average pa is ok but can scarcely be called excessive, and though he may not be exactly top flight, he has certainly shown great consistency (after a strong amateur career i believe) for about the last 10 years ..... not many professional golfers last that long

gf

Where have the government laid off nurses?

Okay cynic, if that is the spin you want to put on what I posted then that is fine. "European Tour earnings" - I suppose that could be misconstrued to those who don't know much about golf - and I don't agree with your comment that not many professional golfers last for about 10 years. There is a reasonably lucrative Seniors Tour now for the players who are too old to compete on the regular Tour. Professional golfers live a priviledged existence, whether they are touring pros or club pros. Some club pros charge silly amounts of money for teaching, £10 to £30 quid for a half- hour lesson - hardly out of nappies some of them and they think they know everything about the theory of a golf swing.

Exec.

At our ages the best use for aspirin is to take it the day before the MI etc,

-----

The GP's contract change to out of hour responsibilities some years ago was a disaster.

The con artists in charge (coalition) have had 3 years to change the contract. (Wars were won in less time.)

======

My feeling about work overload of Medical doctors in this country, is that they should pull their fingers out, work a full day, start on time, organise themselves and sort out problems as they come through the door and in general practice take responsibility for those on their "lists".

That doesn't mean that they cover themselves for out of hours "problems" or open "evening services", but the responsibilities to a "reasonable" degree should have remained with them.

They should also learn to say "NO" to some requests made of them, and stop signing "forms" which they disagree with. Also to question why the "problem patients" are "problem patients" and modify their approaches and treatment patterns.

=================

Hays you are writing b---- again, engage your brain, sometimes you appear to have one.

Fred
The doctors refuse to change their contracts as they know they conned such a good deal out of the previous Labour government.

DD4 - no spin from my side, and out of curiosity, how much do you think the average club pro makes a year? ...... are you aware, that any teaching pro needs to take proper PGA courses on same, and frankly, if he doesn't teach well, then he wont get many clients either

how much do you charge your own time out at?
bet it's a lot more than £60.00 ph!

fred - i've prob picked up a fag end, but i think you'll find doctors are obligated to fill out an awful lot of rather pointless forms etc .... if they don't, they don't get paid

cynic, of course PGA pros need to get a PGA accreditation to teach. I played golf with a woman a few weeks ago who has been going to her local club pro for lessons for two years now, she plays off a handicap of 28 and she is never, ever, going to get any better because her grip is terrible and her posture is terrible. When I asked her what her pro was working on with her she started getting into a technical analysis about her backswing. You are obviously knowledgeable enough about golf to appreciate that if your grip and posture aint right you are fighting an uphill battle to play good golf. I don't know how much the average club pro makes in a year, but I'm sure if he has his head screwed on properly he can make a reasonable living - and it surely beats the hell out of standing in an overcrowded tube train going to work every morning. And no, I don't have a chip on my shoulder! :-)

Hays,

But Cameron can walk on water and miracles like describe were thought easy for him and his disciples.

Sorry, bulls .

=====

Cynic

Check.

There is quite a lot "private forms" signed for cash, which they don't groan about.

Also, the majority of GP practice have computerised systems and ancillary staff, etc.

The need to be more organised and responsive to what is "expected of them".

It probably means they should question was is "expected of them" and redefine their responsibilities and be paid accordingly.


========

I was talking to my GP the other day. He said that form filling has fallen dramatically since the extensive use of computers in surgeries. He can send letters of referral to hospitals with a few clicks. He updates patients' records as he is talks ng to them. He thinks it has more than doubled his productivity.

no i don't think you do have the king edwards, unlike several here :-)

as for standing on the underground, thank goodness i gave that up many many many moons ago .... indeed, when i worked in brick lane, most days i cycled there (and back!) from shepherds bush, as it was only about 10 minutes longer that way, and it was my excuse of rugby training!

cynic

I lived in Hammersmith and went to school in Shepherds bush

.

OK Hays they havent laid nurses off slip of the tounge, they havent replaced 5,000 through natural wastage.

In other words their are 5,000 fewer nurses NOW than when the Tories came to power.

gf
The government hasn't done anything to the nurses. It is the various NHS trusts to save money. They are letting nurses not be replaced rather than cut the layers of management.

And the con/dims have no control or influence over the hospital management?


lol, pull the other one.