Quote:
Originally Posted by PA2UK
I don't think anyone is saying the NHS is incapable of providing quality care - just that there are some serious flaws that need to be recognized and addressed. It is not the perfect system that many Americans seem to think it is.
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Sure isn't.
Work colleagues sister recently diagnosed with advanced ovarian cancer.She is in her 50s but has learning difficulties.Admitted to local hospital and then transferred to regional centre for gynae cancer 20 miles away.
Told op would be done 1 week later and despite having had 8litres of fluid drained from her lung, sent home in the interim.
Back into hospital for op-cancelled 3 times as on the end of the theatre list and kept being cancelled because of time. Ended up waiting another week after re-admission for op.Gynae consultant told my colleague she cannot get enough operating time in theatres to meet the govt targets.
Bear in mind that this lady has a learning age of a 12 year old and neither her mother nor my colleague drive and father has dementia and she is 20 miles away in hospital.
Whilst in hospital prior to op was "put in the shower" by a nurse.We don't have private bathrooms so bathroom was at the end of the ward.Left to get on with it, no call button (she doesn't shower herself at home) with IV and chest drain.When she shouted for help was reprimanded by nurse.
Plan to discharge home 4 days after op -1 day out of HDU. Has limited mobility due to arthriritis anyway and now has abdo wound and extremely swollen legs and arms. No physio assessment-has upstairs bedroom and bathroom/toilet and mother (in 80s) is already main carer for father with dementia who wanders at night.
In the end my colleagu flatly refused to have her come home and she has now been transferred to local hospital and is getting physio and social services involved.
And that is the regional center for gynae cancers.
Don't rush off yet!
My ex husband (sons Father) age 49 was diagnosed with prostate cancer 2 months ago. Had op last Tuesday.
Went in to visit with son on Wednesday. Clearly in severe pain.Drain and catheter in situ. Hanging on to side of mattress,pale and clammy.His partner says that the nurse has gone for pain meds for him.
His morphine pump was taken down at 8am (14 hours after coming out of theatre) and it is now 14.30
20 minutes later still no pain meds, so his partner goes to ask.10 mins later nurse arrives.No sense of urgency, concern or acknowledgment.Plonks tablet on bed table for us to give to him, doesn't speak to her patient or make eye contact,signs chart and walks off.No pain assessment-NADA.
I (with his permission) look at med chart. He had been given paracetamol at 12midday, but regular voltarol (anti-inflammatory stronger then Brufen) that was prescribed at 8am and 1400 hadn't been given.No reason on chart documented.
Brought this up with a different nurse as still in pain after Tramadol and says Doctor is going to prescribe oral morphine. 30 mins later at 15.45 he gets it, by which time his pain score is 8 (1-10-worst is 10), it was 6 when i arrived.
Next day surgeon comes on round and says he can go home on weekend leave the following day with catheter and drain in.Isn't even walking around, let alone capable of getting upstairs to bed. Return on Monday for removal of drain.
Now he is coming home later today, they are taking drain out this morning and he won't have to go back for 2 weeks until they take catheter out.
Consultant casually mentions that the prostate came out easily but he had to do some bladder reconstruction ????
Partner says he was only planned to have catheter for 1 week post op, but consultant is going on holiday for 2 weeks now. So because cons is going on holiday he has to have catheter for 2 weeks, during which time he will be at increased risk of catheter acquired infection and loss of bladder tone as bladder never gets full when catheter is in, thus increased risk of urinary incontinence when it comes out. bear in mind that this op can lead to impotence anyway and he is only 49.
Welcome to the NHS!