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I could spit i'm so mad!!!
This morning the newscasters told us that although TB was erradicated in this country a few years ago it is now very common and indeed in almost plague proportions amongst our asian brethren. 75% of asian people coming into this country are sufferring from TB. and 75% of African immigrants are HIV positive. TRY TO GET INTO THE USA. OR AUSTRALIA WITH THESE DISEASES AND YOU WILL BE STOPPED AND DEPORTED AS FAST AS PETER BRITCLIFFE DRAWING HIS EXPENCES. Why oh why do we allow our elected members to put our health, and that of our children at risk by allowing these people in to drain every recource that we have, therefore reducing recources paid for by the people who have paid for them.
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Re: I could spit i'm so mad!!!
answer is this country is too bloody soft n likes to keep their bumchums abroad happy hence regular banana boat, but yeh u have a point that our immigration doesnt regard health issues here.
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I dont want my grandchildren to contract HIV or TB but by allowing all these people into the country who carry these terrible diseases the government are putting my and your grandchildren at risk. What happenned to the duty of care.
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Yeh it is quite frightening both of those diseases have increased dramatically n theres a new strain of HIV that develops faster n intense into aids discovered in america. Duty of care by politians is to bribe n hush up aint it?!?!
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that would appear to be the case dont it p--s you off.
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yeh it b**dy does i wonder what world im bringing my kids up in :(
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peresonaly i am fed up of hearing about people dying when on waiting lists for treatment because imigrants are taking up all our nhs resources
if thats a racist comment then ime a racist and proud of it :( also how often do you see people snorting snot out of their noses and spitting in the street these days no wonder TB is spreading so fast |
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Re: I could spit i'm so mad!!!
when i wa sin hospital i picked up that mrsa during surgery and it took 2 days before they even detected it and moved me to isolation
the hospital staff are stretched as it is you cant realy blame them for lack of hygine they need more staff simple as that but the govenment is paying agency nurses instead of full time nurses which cost 4 times as much and most of the money dosnt even goto the nurse whos working temp although they are still on more money than the full time staff |
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I took a friend to BRI 2 weeks ago at about 10.30pm she had broken her arm. The toilets in A&E made the toilets in any pub look good. The smell was horendous they were filthy abd teaming in germs. Their was blood on the walls s--t on the floor p--s everywhere. We then watched a cleaner with a sort of vacuam cleaner vacuam the corridor and then straight into th toilets, a qhick whip round the floor and off down the corridors again. Rather than a cleaner I would have called her a dpreader of disease. On the way to X-ray we were all disgusted to watch an old asian woman evacuate the results of her choking on the floor of the hospital, without batting an eyelid. Yes pride does come into it and personally I am not that proud of our main hospital.
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Oh yeh they are quite bad at times so much they had to be closed off a few times, but u cant blame the staff as a whole they do their best n nurses are paid to care not to scrub bogs shame the gov dont understand that.
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Pity me!! i work in a school n kids have no concept of covering their cough with their hand - carryin a tissue for sneezes - washing hands unless prompted. The amount of times ive been coughed n sneezed at i should be immune but its not very nice at all :(
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no i agree and dont blame the nurses they are great (my wife is one) but maybe the supervision of the cleaning staff leaves a lot to be desired, and the personal pride of those using the facilities. Whatever happenned to leave them as you would wish to find them.
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Yeh very true its unfortunate that ole fashioned values have virtually disappeared these days which i myself value n live up to n that sayin is one of them.
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while i was in BRI for over a month a spent many nights talking to the security guards at the door
you wouldnt believe the type of scum you get both asians and whites who instead of been greatful of the help they thanked them with punches if i was working there i wouldnt be to keen on hanging around alone in the toilets to be faced by scum like that |
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Its terrible that nurse n doc have to have security these days, watched a prog that showed the violence that goes on in hospital A&E it was more that continuation of Fri nites town centre louts
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In October 2004 the Government’s Chief Medical Officer, Sir Liam Donaldson, offered the following facts on Tuberculosis.
• Tuberculosis (TB) is a serious, but treatable, infectious disease. • TB in England increased by 25 per cent over the last ten years and is still rising; over 1700 more cases occur each year than in 1987 when TB was at its lowest. • 6638 people were newly diagnosed with TB in England in the year 2002. That is 13 for every 100,000 people in our population – fewer than some, but more than several other western European countries where TB rates in 2001 ranged from 5 to 44 per 100,000 population. • About as many people in England develop TB each year as now become infected with HIV. • Every year around 350 people in England die from TB. • Most TB in England occurs among people who live in inner cities. Two out of every five cases are in London. The disease has doubled in London in the last ten years and a few London boroughs now have TB rates comparable with some developing countries. • People are at higher risk of TB if they have lived in parts of the world where TB is more common. The disease follows patterns of migration and is therefore more common in certain ethnic groups, especially if they were born abroad: in England, around seven out of every ten people with TB come from an ethnic minority population group > nearly two thirds of our TB patients were born abroad > about half of the TB patients who were born abroad are diagnosed with the disease within five years of first entering our country • HIV infection weakens a person’s immunity to TB. In England, this overlap is still relatively small compared to other parts of the world, but at least three per cent of people with TB are estimated to be HIV positive (higher in London). • TB in cattle – bovine TB – is increasing in England. Very few human cases are due to this bovine form, but continued vigilance is required. • TB can be controlled by: > promptly recognising and treating people with the disease > ensuring that people with the disease complete their treatment. Lapsing on treatment not only fails to cure the disease but contributes to the growth of drug resistance > identifying and treating people with early infection, to Google Page Ranking event them later developing the full disease > prevention through BCG immunisation (BCG gives limited protection against TB so cannot, on its own, control the disease) • Drug resistant TB takes longer and is more difficult and expensive to treat. In England, around six per cent of the TB bacteria from patients with TB are resistant to one or more drug and one per cent show multidrug resistance. Higher rates in other parts of the world threaten these low rates • Left untreated, a person with infectious TB of the lungs infects on average 10-15 people every year. The risk of a contact acquiring infection depends on the nature and duration of their exposure: |
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Blamin 'eck Acrylic....... thats very worrying statistics
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There are a few issues here. TB, HIV, Hep B etc and the migration to this country have been discussed in the alarming health stats thread in the Hints tips and advice section. Hospital cleanliness is a different ballgame.
There are a few issues with that one especially pertaining to MRSA. In the late 80's hospital cleaning services were privatised. Contracts went to the lowest bidders. To be the lowest bidders the company's cleaning staff were paid less and less was spent on equipment ie cleaning cloths. If you are being paid a pittance and made to make one cloth last a set amount of time, would you put your heart and soul into your job? Our cleaners used to be part of the ward team and under the supervision of the ward sister They were valued as a part of that team and therefore worked their asses off. Nowadays a cleaner may have to clean a few wards under the supervision of a domestic supervisor, who the wards will see once in a blue moon. The cleaner has limited time on each of those wards and no longer feels part of any team. General hand hygiene. Nursing staff are pretty good at handwashing, you only have to look at my hands to see the damage that handwashing with these soaps and gels does. Medical staff are not that brilliant at handwashing and often need to be told to do it. Visitors are even worse. I have worked for the Maternity services for nearly 13 years and have yet to see a visitor wash their hands before handling a baby. When I worked on the surgical unit at BRI I never saw any visitor wash their hands before touching a patient. How many people have you visited in hospital? Did you wash your hands? MRSA is a common bug. Many people who are not ill carry it and it causes no harm until it infects a wound for example. It is very similar in that way to Strep B (which a quarter of the world population carry) Patients, visitors and staff are not screened for MRSA prior to coming into hospital. If they had to screen all staff they would be short of a workforce in an already understaffed, overstretched system. A mate of mine at Preston was screened after an outbreak and was found to be a carrier. She had to have antibiotics which didn't work until she had had several courses. She ended up with a total of 3 months off work until she was clear. She was never at any time actually sick. If all staff were screened there would probably be a very large dent in the workforce. Screening patients prior to elective surgery would probably delay their surgery in a lot of cases and emergencies would have to be reverse barrier nursed in isolation. Hospitals are public places, therefore we have no control over who enters a hospital, so visitors would still bring the disease in with them. There have been suggestions from the tories that Matron would be back in charge and would have to power to close ward areas in the event of an epidemic. I can tell you as a ward sister that Modern Matrons and Sisters already have that power. If I am not happy with the state of the ward I work on, I will not only say so, but make sure that something is done ie, heavy duty clean..... |
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What is even more worrying is that the figures quoted are based on estimates for 2002. The situation will be even worse today?
Still, just think about it. if just 10% of the 6638 new cases remain untreated that is 663.8 people who will each infect at least 10 people in one year. In year 1, 663.8 untreated infections. in year 2, 1,327.6 untreated infections. In year 3, 2,655.2 untreated infections And so on, and so on and so on. This lethal disease is on the loose in this country again because successive governments refuse to take the steps necessary to protect the population for fear of being called "Racist". Something for parents to think about when their children's school is closed because of an outbreak of TB. |
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Shame it seeems we are going back to the dark ages when we have come so far in medical intervention, i really dont think the pc attitude helps at all with the situ pussy footing about when sometimes however un pc it is intervention needs must!
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Dont think any one means to be at all critical to the medical proffession Lettie, they are doing the best they can within over stretched NHS, but the point of big holes in immigration in this country unlike others like the US, health issues aren't seen as top of list like the issue of benefits n yet the influx puts an enornmous stress on our medical services, i know they quarentine pets do they do same with humans with possible infectious diseases - do they even bother to check? Plus the vast increase of holidaying abroad to exoctic locations doesnt help either.
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I didn't think anyone was being critical Accystanmac:D I have copied this bit from the health stats thread about pre immigration testing for diseases. This has been talked about before by the Government and is now being bandied around again..
Here's the copied bit...... "Done some digging on the pre immigration testing, and yes it has definately been discussed. At least 70 other countries do this, for people who are going to be there for any length of time. These countries include USA, Australia, Russia, China and most of the Arab States. At the discussion stage the WHO jumped in there, and said it was discriminatory, some British experts commented that it was a useless practice, as the rates in Russia and China are still rising rapidly despite the pre immigration testing. To cap it all the Institute for Public Policy Research said that screening immigrants would drive the problem underground and increase risk by stigmatising victims. The IPPR instead called for 'Welcome Health Checks' for immigrants instead of compulsory screening. These health checks would hopefully also be screening for Hepatitis B, and TB, as both of these diseases are rife in the Middle and Far East." |
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I dont think it should be regarded as stigmatising victims but part of the immigration process America are very strict with theirs ...suppose its a no win situ been seen to be pro active, tho interesting what u have copied for us Lettie puts another perspective on things i'suppose.
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Countries like the USA and Russia won't let you in if you are HIV pos. New Zealand have started health checking now for immigrants. If you have a disease such as HIV, you are allowed to move there, but you have to be able to show that you can pay for all of your own treatment. It would not be discriminatory to test for certain diseases if having that disease didn't stop them from letting you in. If we screened here then HIV pos should be able to pay for their care and TB should be treated prior to moving here and retested to make sure that the treatment was successful. I think we are discriminatory for not testing when many of the other countries now test.
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Very true Lettie i totally agree with u there.
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Screening is vital but it is not the only thing we can do. I remember when everybody had a TB jab at school. I understand that this was stopped some years ago because it was considered that we had pretty much eradicated TB from our shores. Since then there has been a proliferation in unchecked immigration - hence the majority of current TB cases being in populations born abroad. I'd be willing to bet that the other third have mostly come into contact with these people too.
Until we get a government that is brave enough to face up to this issue maybe we should start a mass immunisation programme. at least that way we might control the spread. |
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Trouble is it'll get epidemic proportions b4 the Gov act notice not much mention of it as its nearing election. I think our Country should maintain the safety, monetry n health n stop being blaise with it, its not being discriminative its being protective for the benefit of everyone in this country n those on visitation.
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All newborn babies of any descent other than European, North American and Antipodean are immunised for TB before leaving hospital, unless the parents refuse. My mates kids were still done at school the oldest now being 18. Unfortunately the majority of TB that I come across is in young asian women who come over here pregnant and their husband lives here. Basically arranged marriages abroad, get pregnant, bring husband/pregnant wife here then try to get the rest of the family in. Not being funny but that's how it is....
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TB was virtually eradicated in this country due not only to the immunisation programme, but also to better housing and nutrition, vital components in the treatment of TB. We have seen an upsurge due to several factors, not least of which is allowing infected people into the country.
There is also the fact that a great many people from poor backgrounds (as many refugees are) are not well educated and do not realise that compliance with the full treatment is absolutely essential - they feel better, they stop treatment. The TB bug develops resistance - the drugs don't work any more. Also TB has become linked with HIV, and new and more virulent strains have developed. The only way forward seems to be to resume screening of the population as a whole (which used to happen in the 50s) and heavily supervised treatment, all of which we can ill afford. I agree with Lettie about hospital cleanliness, it used to be that each ward had a ward maid on duty at all times, and they took a pride in keeping their ward clean and hygienic. Perhaps a little more spent on that would save a fortune in treatment! |
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Its so true tho Lettie thats where the flaw is with immigration i know of a few asian women whom are forced by their family to bring arranged husbands to live here n even got their so called hubbys visa granted by the home office despite the woman tryin to stop it by telling home office truth b4 hand n still they granted it ... no wonder we have probs the gov are useless
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I know how well known diseases can spread n kill, my g'ma contracted Polio in the late 50's n died make the local headlines as well n there was a mass screening programme n every effort was to make sure the disease didnt spread , by quarentine n shutting the school where my dad went in order to contain the spread n mass immunisation n looks like its gonna be like that again if things dont get sorted.
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we send millions in aid to africa so what exactly are they usingthe money on...?
my gues instead of using the money for treatments they are using it to buy plane tickets to the uk |
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I reckon that most of the money that we send to Africa goes into the back pockets of various African politicians and officials in the form of bribes..
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Bribery and corruption is a way of life out there - ask anyone who has moved over here and they'll no doubt confirm it.
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Thanks PENDY a very valid piont I agree and my wife who has now retired as a ward sister does too. The ignorance of lots of these sufferrers is their biggest enemy. TB can be treated but it takes a while to get rid of it. As soon as the patiennt starts to feel better they stop the very importannt course of medication and hence the disease returns in a more virulant form with a resistance to the drugs. I can also agree with LETTIE when the domestics on a ward were part of the ward team they were just as important as the nurses and most of them took a great deal of pride in making sure that the ward they looked after was the cleanest. Another piont as stated by LETTIE my wife used to play hell with many a doctor who seemed to think that he or she was above having to wash their hands between patients one would think that they would know better, but from what I have seen most of the junior doctors would be totally lost if an experienced sister wasn't to hand sorting them out.
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I recon u all have a point there as it doesnt seem to go where its intented - to the poor ppl
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the real kick in the teeth is that africa is now a very popular recruitment ground for alquiad so were basicly either funding them or letting them into the uk at will
watched a trevor mcdonald report a few weeks ago showing that alquiad are having great sucess stiring up hatred towards us and the usa because africa is so poor and we seem to have everything the uk and usa do have whati think they call " counter insergants " trying to undo what alquiad are doing but no the less its still a big problem talk about biting the hand that feeds you |
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Regarding the upsurge of hospital acquired infection......I think another thing to considered is the volume of visitors now. With the open visiting system many more people will visit a patient, they sit on the beds, bring in food which is left on locker tops......patients also seem to be out and about in the hospital corridors more than ever they were before.......it was very hard to make sure that there were only 2 visitors to a bed. I'm sure that all these things need to be taken into consideration.
I know that the skin on my hands is wrecked from 30 years of washing with antibacterial cleansers. |
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God arn't you serious!!!!!
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Good point Margaret tho i know they have adopted the 2 to a bed policy in the maternity wards despite some of our 'friends' tryin the patience of a saint out of the staff when i was visiting my nephew there n everyone else respected the rule.
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I know, on the relatively few occasions that we have had friends/relatives in hospital, we, as a family, have always ensured that we abide by the visiting rules of two to a bed... only to find that those patients belonging to the ethnic 'minority' seem to have the whole 'family' around the bed. Yet nothing is said... Is Sister afraid to impose the rules?? |
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during my stay in hospital an elderly asian lady passed away and he family came to mourn their loss although annoying their exagerated wailing and screaming was understandable as it is their way but what realy upset the nurses was that they refused to let them take away the body and kept using their mobile phones right there on the ward to tell even more family members to come down to mourn and litteraly pushed nurses away when they tried removing the body and eventually security had to guard the ward to stop more getting in , i personaly counted at least 45 people coming to see the body and there was more than 5 people at a time screaming etc i would like to add this was a cancer ward and there were very sick people there who were on sesitive machinery which mobile phones could mess up and also could have done with some peace and quiet especialy those who were terminaly ill edit: sorry i wandered off topic again but i suppose a dead body covered in blood left in the bed for 4 or more hours isnt too hygenic either |
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Along the lines of "what are they doing with all the Foreign Aid?" have a look at this...
http://www.iol.co.za/index.php?set_i...5630577C815654 |
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i only skimmed through that article but kinda got the jist of it when i saw the words 10 bmw's for his wifes people appreciate freedom if they have had to fight for it so leave them to it |
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GET THIS. .... One of our asian brethren was seen yesterday having a prescription filled for a shed load of pills and drugs (all free) Within minutes he was packing them into a large bubblewrap envelope and posting them off to what must have been his relatives back home.
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When I was a Ward Sister, I used to tell everyone of the policy of 2 visitors to a bed.
I used to explain also the reasoning behind this rule.........if there was a fire we would have 25 patients to evacuate and 50 visitors......always supposing that they all maintained the 2 visitors per bed rule. Even with this explanation some visitors were abusive and would sneak back in as soon as your back was turned. I felt that my job was difficult enough without all this hassle.....but it goes with the territory. |
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I once heard a visitor say that giving someone a uniform meant that they could talk to people like S***.........I soon put him straight. (he was from the ethnic community).
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My wife had the same problem , she also used to say she hated open visiting as everyone wanted to ask her questions and that took her away from her other duties.
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I can remember one awful evening at the Infirmary when an ENT patient had forgotten to tell anyone pre-op that she was a bleeder. We had to rush her back to theatre, bleeding profusely, and the visitors formed a solid block across the corridor, gawping! After pushing politely and asking them to move, I finally yelled "All right, stay there and watch her bleed to death!". They moved.
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I also disliked the open visiting as it meant that you could not get the work done, and it was very difficult to do consultant ward rounds when you were constantly ushering visitors away from the bedside......I just used to get the visitors to leave the whole of the bay. How can you have a private conversation with a patient knowing that there are visitors earwigging at the other side of the curtain????
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We have 3 visitors per bed on maternity, we also have set visiting hours for everybody but the father of the baby. This is not only a fire regulation (we would have 22 mums, 22+ babies bearing in mind that we often have twins on the wards, 66 visitors and 2 or 3 staff to evacuate) This is also for the security of the babies. If your baby was snatched I'm sure that you would play holy hell. We have a no children allowed apart from the mother's own children rule. People are generally stupid when it comes to a member of the family having a baby. They will often bring in children with infectious diseases such as chicken pox. We had to ban children because of this as we had an outbreak of chest infections amongst the babies a few years ago. Approx 6 babies had to be admitted to NICU with the same infection, one baby nearly died. This infection was traced back to the child of a visitor who wasn't even related to the mother. As said before none of the visitors ever wash their hands.
I once had to evacuate the ward when the fire alarm went off during visiting. I was told to F Off by one relative who refused to leave. I told her that if she would rather burn to death or suffocate on fumes then be my guest... I have also had problems clearing the visitors from the ward when one of our ladies had a massive post partum heamorrhage and could have died. We desperately needed to get her to theatre and again the visitors were in the way and being abusive. We got security up to move them. We don't have visitors on the delivery suite, as it is not fair on the women who are labouring (the rooms are not soundproof) I am so glad that I work on there now, as the ward visiting times are getting us all down. I think that all maternity visiting should be restricted to partner and own children only. The worst offenders are often grandparents believe it or not. Women are only in hospital for about 24 hours following a vaginal delivery and 3 days following a Caesarian these days if all is well. Why do all these visitors need to come to the hospital, there's no need for it, they could be visiting women at home. Incidentally, we did try open visiting, but the women complained that they were being inundated with visitors all day and not getting any rest. People should bear in mind that new mums are tired, especially after being up all night trying to breastfeed a demanding baby. They can do without the visitors.:) |
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One would think that after millions of years of indulging in this pastime, the art of breeding would be if not as easy then at least as straightforward as folding a handkerchief. From what Lettie and Margaret have had to say on the subject it seems more like organised chaos. I am surprised that anyone manages to get born at all.
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I am surprised that anyone gets any kind of care these days in hospital. There are frequently only 2 qualified staff on the wards (post-natal especially) looking after 22 mums and babies. Midwives and nursing staff seem to accrue more and more paperwork to do with every passing government target and proposal. I remember once asking at a team meeting (when our manager introduced us to yet more new paperwork that we had to complete to meet some target or other) if it would be possible for any of us to actually do some midwifery for a change. The result being a roomful of giggles from my equally jaded colleagues...:D
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My wife was so short staffed once that she found that she was struggling to feed very ill patients. When she brought this up with the grey suit department she was told to get the relatives in to feed them
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while visiting my baby the asian woman futher down the ward who was leaving packed up all her stuff the proceeded to pack up the bed sheets and walked out with her family , all 8 of them
sorry but those odds were too much for me and i wasnt gonna start a riot on a baby ward by confronting then over some sheets but dosnt it show how some people simply abuse the system between treating imigrants and people stealing from hospitals its no wonder the nhs in such a crisis |
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She aws maybe going to wash and iron them and take them back to the ward as a sign of her appreciation. Eh Eh !!!!!!!!
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your not supposed to use them after they have been opened for 2 hrs but she managed to cope nad had a nice collection of unopened and unrefridgereated milk to take home at the end of her stay aslo some prat visited his baby with flu and was sneezing all over the place with newborn babies on the ward , how thick can some people be ..? |
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Must have been a boy baby they don't usually visit girls they are a disposable asset.
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thats so true but the political correctness lot have even got the truth listed under racism you cant even call a convicted burgular a theif these days i think you have to say " collector of other peoples possesions " or somthing like that :rolleyes: |
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like A>B> sats PROUD TO BE POLITICALLY INCORRECT
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I saw a parental consent form the other day,giving permission for a child to attend a trip out.Amongst the questions asked was ,Do you have TB?
I have a question if the person says yes what then,a seat next to the driver! |
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typical :rolleyes: |
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I'm not sure I understand who the question was asked of, if it was the parent or guardian then the school really have no business asking a question like that and if it was the child then how would they expect a child to know whether it has TB or not. And if the child does have TB how come the teachers haven't noticed that something was wrong, or doesn't the phrase In Loco Parentis have any currency any more?
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I am so gald to be out of the NHS rat race. Like you lettie, I was always the gobbie one at meetings......but someone had to tell some of the managers what was happening in the real world......the one where we get abused by relatives, sworn at by consultants and undervalued by patients(who thought we were there to wait on them.....like, pour me a glass of water nurse......why, are your arms painted on?......caring yes but waiting on NO NO NO).
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sorry sometimes i cant help but crack a joke good or bad taste :) |
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That's Ok Chav......except I worked on the Gynae Ward......you know, womens bits?
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I never could see how having your womb removed could take all the use from your arms.....!
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one week a nurse was tending to me in bri and a few weeks later she was helping deliver our baby at a queens park :) |
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Because I was Sister they didn't let me do those kind of things......I might never have come back!
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Further to the 'TB' question.... I went to BRI earlier this week, for a regular check up. Reporting to reception, my file is duly found, & to ascertain that it is indeed me that's stood there, the usual 'ID' type questions are asked & answered to the satisfaction of the receptionist. However, the final one had me thinking for the rest of the day...
'Have you been resident in this country for the last twelve months?' Quite apart from the fact that a cursory glance at the file would show that I have been seeing this particular consultant for the last four years, I wondered why this question is, presumably, being asked of everyone on booking in, whether Caucasian (as I am) or otherwise. If I was of a darker complexion, could I, perhaps, be offended by this question? If I answered 'No', what would the next question be?? If 'yes', would I be asked to prove it? Therefore giving me even further grounds for a complaint? I appreciate that the majority of our NHS staff are constantly working under extreme pressure... whichever 'higher authority' is insisting that they now ask such a loaded question, is not only adding to that pressure, but also possibly leaving them open to the kind of complaint that is so common these days. Surely, as in my case, there are simpler ways of obtaining the information, for whatever reason it may be required?? |
Re: I could spit i'm so mad!!!
Thats a good point what if you had said no what wiuld the reception staff do about it and how many thousand have passed through saying they have wwhen in point of fact half of them probably havn't.
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Re: I could spit i'm so mad!!!
Kitchener, that question is asked so that it may be ascertained whether you are liable for charges........after saying that, even some people who are liable for charges get their treatment and then skip the country, and you can't do a thing about it
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Re: I could spit i'm so mad!!!
Î agree with teh comment that the old virtues are osrry to say leaving us, then again i think it all boils down to upbringing.If you are brought up differrent then you do not do it, and get brassed off at other people when you see them doing it.
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