CONTINUITY

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Tripps
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Re: CONTINUITY

Post by Tripps »

There's a lot more involved than just that Tiz. Not least - the dealership has changed owners since last year's test. I also have more to worry about than just that, so best just to sit it out. I considered what you suggest, but I can't access a "normal" car at the moment.
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Tizer
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Re: CONTINUITY

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I can understand your decision - when we decided to abandon our house build project the council tried to get us to have meetings and resubmit but we refused because we've got enough on our plates without that (you'll have seen my posts about Mrs Tiz's parents).

My dad announced this afternoon that he's got a big lump under his armpit which is a concern because he's had several minor skin cancer ops and is seen by a specialist at regular intervals who checks his lymph nodes for lumps. He'd mentioned a lump and we told him to ask to see his doctor straight away. He said this afternoon that they couldn't give him an appointment with his doctor for 3 weeks. Mrs Tiz rang the surgery and the receptionist explained that they hadn't said that - he'd asked to see Dr Heinz and they told him he was on holiday for 3 weeks. Of course he hadn't explained the urgency or asked to see a different doctor, he'd just walked away. The receptionist said how older people are so different from younger - the older ones won't discuss the problem and they just accept whatever they're told. It's even worse with my dad as his hearing is poor and he won't admit that he hasn't heard what he's been told. When Mrs Tiz told her about the lump she said to ring in the morning and ask for an emergency appointment that day, simple as that. I suspect that his appointments with the specialist have been dropped due to the change of address and we'll have to get that re-instated too. You've heard of the blind leading the blind, well this is the old leading the older!
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Stanley
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Re: CONTINUITY

Post by Stanley »

I too can understand David's attitude. Remember when my new fridge freezer went AWOL and when I found that the route to getting a new one under guarantee was so convoluted that it would upset my life? I just wrote it off and bought a new one. It wasn't worth the hassle.
As for your dad Tiz, at least he did mention the lump and that will lead to an investigation. I remember when one of my testicles grew to the size of a small orange I somehow managed to do nothing about it and when the doctor asked me why I had no cogent answer for him. It turned out it was just a varicoscele and the operation was 100% successful but that isn't the point, I should have spoken up sooner. I sus[pect that this is real continuity, the ability of humans to ignore things in the hope they will go away. Well done Dad and I hope it's not serious.
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Re: CONTINUITY

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At least he's now got an appointment for 11.30 this morning. As for Mrs Tiz's mum, we don't know where she's going to end up. Remember she was about to be sent home but we pointed out that they'd said she should go into a rehabilitation unit for several weeks first, so then they agreed that was the plan and she would stay in hospital until a bed came up in the rehab unit? Now they've said the unit is only for stroke patients and that she'll be sent directly home instead. But the carers say she can't be cared for satisfactorily at home. Lack of joined up thinking?
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Re: CONTINUITY

Post by Stanley »

It certainly looks like that.... I wish I could wave a magic wand and sort it out for you all, unfortunately all I can do is sympathise and wish you better luck. Problem is that these matters shouldn't depend on luck and the bottom line is lack of resources, these decisions are being taken by people who have no latitude in their decisions, they don't have the places and have to try to move the problem on to another part of the system.
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Re: CONTINUITY

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There's now lots of phone calls back and forth every day, with Dad, the carers, the ward sister, the providers of things for the house etc. It's emerged that the rehab centre has only just decided to restrict admittance to stroke patients and this has left the hospital staff and carers with nowhere to send someone with Mum's needs. It looks like nobody told them of the change. Now they expect Mum to be sent home and she'll have three carer's visits each day. If we want her to go into a `respite' centre we'll have to do it privately. The carers and nurses say they don't have any information or advice on such centres but it's not clear if they really don't know or if they've been told not to give, or appear to give, recommendations. When we said that Dad can't cope and Mum being at home is going to put an unacceptable burden on him they said Dad is not their patient and therefore they can't take him into consideration. I foresee a situation where Dad eventually needs carers due to his Parkinson's but they'll probably be a different set of people. There will be carers in and out of the house all day, but only to look at their own charge. Somehow it doesn't seem an efficient system to me.
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Stanley
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Re: CONTINUITY

Post by Stanley »

Tripps alluded to Kafka in another post. Perhaps we should be grateful that the caring professions haven't got access to a convenient ice floe.
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Re: CONTINUITY

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Coincidentally this morning's BBC web site news has `Hospitals on brink of collapse'...
http://www.bbc.co.uk/news/health-19577489
...and at the end of the story:
"Health minister Dr Dan Poulter said: "It is completely wrong to suggest that the NHS cannot cope - the NHS only uses approximately 85% of the beds it has available, and more and more patients are being treated out of hospital, in the community or at home. "But it is true that the NHS needs fundamental reform to cope with the challenges of the future. "To truly provide dignity in care for older people, we need to see even more care out of hospitals. That's why we are modernising the NHS and putting the people who best understand patient's needs, doctors and nurses, in charge."

The government wants people to be cared for in their homes but, from our experience, it seems they haven't thought through it carefully enough and foreseen the implications and complications as shown by my posts above. We went through something similar when my mother was in her last years and died in 2006. She was expected to be looked after in her home but she needed oxygen. The doctor agreed but nobody would provide her with a cylinder unless she travelled a 30-mile round trip to a hospital to be `assessed' for it. She was too ill to travel so she never got her oxygen. Finally the doctor had an ambulance take her in but it was all too much and she died that weekend. She may have died then anyway, but there was no need to make the last days such a misery. We need the NHS to be more pro-active, for its staff to have more individual authority and responsibility, to be praised for using their initiative instead of for form filling and following inflexible rules, and for joined-up management to be encouraged.
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Re: CONTINUITY

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And Jeremy Hunt is now in charge.......
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Re: CONTINUITY

Post by Stanley »

I think I'm turning into my Uncle Tom Challenger. He was, for most of his life, a member of choirs, in later years the Huddersfield Choral Society until he reneged and went over the the Gilbert and Sullivan. He had a habit of humming tunes under his breath and I find nowadays I am doing the same thing but in my case a subdued whistle and usually hymn tunes. Should I be worried about this?
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Re: CONTINUITY

Post by Whyperion »

Nearer my God to Thee ?

Worth looking into hymn tunes , many were appropriations from folk music.
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