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What If Your GP Stonewalls You

GP Business

What to Do When Your GP Stonewalls You:

A Guide to Advocating for Your Health

Your general practitioner (GP) is often your first point of contact when seeking medical advice and treatment. GPs play a crucial role in managing your health and referring you to specialists when necessary. However, there may be instances when you feel that your GP is not adequately addressing your concerns or stonewalling you. When this happens, it’s essential to advocate for your health and navigate the situation effectively.

Understanding Stonewalling:

Stonewalling by your GP can manifest in various ways. It may involve dismissing your symptoms, not taking your concerns seriously, or avoiding discussions about your health altogether. While GPs have a demanding job, it’s important that they listen to your concerns, provide clear explanations, and involve you in decision-making about your healthcare.

Steps to Take When Facing Stonewalling

  1. Communicate Clearly: The first step in addressing stonewalling by your GP is to communicate your concerns clearly. Be concise and assertive about your symptoms, questions, or worries. Keep a journal of your symptoms, including when they occur, their severity, and any potential triggers. This documentation can help you present a comprehensive picture of your health concerns to your GP.
  2. Ask Questions: Don’t hesitate to ask questions about your condition or treatment options. Your GP should be willing to explain medical terms and provide you with information to help you make informed decisions. If your GP avoids answering your questions or seems evasive, ask them directly to address your concerns.
  3. Seek a Second Opinion: If you feel that your GP is not taking your health concerns seriously, consider seeking a second opinion from another medical professional. A second opinion can provide you with a fresh perspective and alternative treatment options. You can ask your GP for a referral to another specialist or seek one independently.
  4. Advocate for Yourself: Advocating for your health is essential. If your GP is stonewalling, be persistent in seeking the care you deserve. Explain the impact of your symptoms on your daily life, work, or overall well-being. Emphasize the importance of addressing your concerns promptly to prevent potential complications.
  5. Bring a Supportive Friend or Family Member: Sometimes, having a supportive friend or family member accompany you to your GP appointments can be beneficial. They can provide emotional support and act as a witness to the interactions between you and your GP. This can help ensure that your concerns are taken seriously.
  6. Request a Different GP: If your efforts to address stonewalling do not yield positive results, you may consider requesting to see a different GP within the same practice. A different GP may have a different approach and be more receptive to your concerns.
  7. Lodge a Complaint: If you believe that your GP’s stonewalling constitutes a serious breach of professionalism, you can consider filing a complaint with the medical practice or relevant medical board. Ensure that you document the incidents and have any witnesses provide statements if necessary.

What rights do you have to have healthcare from your GP and can they refuse to support you?

In many countries, individuals have certain rights when it comes to healthcare from their general practitioner (GP). While these rights can vary depending on the healthcare system and the specific laws and regulations of your country, there are some general principles that apply in many places. It’s important to note that the details of these rights may change over time, so it’s a good idea to check with your local healthcare authority or legal resources for the most up-to-date information in your area.

Here are some common rights you might have when seeking healthcare from your GP:

  1. Access to Healthcare: In many countries, citizens have the right to access healthcare services, including primary care from a GP. This means you have the right to seek medical advice and treatment from a GP.
  2. Informed Consent: You have the right to be fully informed about your medical condition, treatment options, and potential risks and benefits. Your GP should provide you with clear and understandable information to help you make informed decisions about your healthcare.
  3. Confidentiality: Your GP is legally required to keep your medical information confidential. They cannot share your medical history or details about your condition with others without your consent, except in specific situations outlined by law (e.g., reporting certain infectious diseases).
  4. Respect and Dignity: You have the right to be treated with respect and dignity by your GP and the healthcare team. Discrimination or disrespectful behavior is generally not allowed.
  5. Refusal of Treatment: While GPs have an ethical duty to provide care, there can be circumstances where they may refuse treatment. These situations often involve conflicts of interest, such as when a GP is not qualified to provide a specific treatment or when a patient’s request goes against medical ethics (e.g., requesting unnecessary medications). However, refusal of care must typically be based on legitimate medical or ethical grounds.
  6. Second Opinions: You have the right to seek a second opinion from another healthcare provider if you have concerns about your diagnosis or treatment plan. Your GP should support your decision to seek a second opinion.
  7. Complaints and Feedback: Most healthcare systems have mechanisms for patients to file complaints or provide feedback about their care. You can typically voice your concerns about your GP’s behavior, treatment, or any other aspect of your healthcare.
  8. Access to Medical Records: You generally have the right to access your medical records and request copies. This allows you to review your medical history and ensure accuracy.

Can GPs respond by letter if you have raised your medical issues to them by letter?

GPs can respond to your medical concerns and questions by letter if you’ve raised those issues with them in writing. In fact, written communication is a common and accepted way for patients to communicate with their healthcare providers, including GPs.

Here’s how the process typically works:

  1. Sending a Letter: You can send a letter to your GP detailing your medical concerns, questions, or any information you wish to communicate. Make sure your letter is clear and concise and includes relevant details about your symptoms, medical history, and any treatments or medications you’re currently taking.
  2. Receiving a Response: Your GP will review your letter and may discuss it with you during a subsequent appointment. Depending on the nature of your concerns and the urgency of the situation, your GP may choose to respond by letter or recommend an in-person or phone consultation.
  3. Content of the Response: If your GP chooses to respond by letter, they will typically address your concerns and provide recommendations, advice, or further instructions in the letter. They may also schedule a follow-up appointment if necessary.
  4. Patient Portal: In some healthcare systems, GPs and medical practices offer online patient portals where you can securely exchange messages, view test results, and communicate about your health. This can be an efficient way to have written communication with your GP.
  5. Phone Follow-Up: In certain cases, your GP may prefer to discuss your concerns over the phone. They may call you to provide a response or clarification on the issues you raised in your letter.

It’s important to keep in mind that while written communication can be convenient for both patients and healthcare providers, it may not be suitable for all medical issues. Some concerns may require a face-to-face evaluation, especially if physical examination, diagnostic tests, or immediate treatment is needed.

If you have specific questions or concerns about how your GP prefers to communicate or if you’re unsure about the response you received in a letter, you should reach out to the GP’s office to discuss your preferences and the best way to address your healthcare needs. Effective communication with your healthcare provider is essential for ensuring you receive the care and information you need for your well-being.

It’s important to remember that while you have rights as a patient, you also have responsibilities, such as providing accurate information to your healthcare provider and following their recommendations to the best of your ability.

If you believe your GP is refusing care without a legitimate medical or ethical reason, it’s advisable to seek a second opinion or contact your local healthcare ombudsman or regulatory authority for guidance on how to address the issue. Laws and regulations related to healthcare rights can vary, so consulting local resources is essential to understanding your specific rights and options in your area.

What if your mental health deteriorates because your GP refuses to give you care and address your concerns in writing?

If your mental health deteriorates because your GP refuses to provide you with care or address your concerns, it’s crucial to take immediate action to safeguard your well-being. Here are some steps to consider:

  1. Seek Immediate Assistance: If you are in crisis or experiencing severe mental health issues, don’t hesitate to seek immediate help. Contact a crisis helpline, a mental health crisis center, or go to the nearest emergency room. Your safety and well-being should always be the top priority.
  2. Speak to a Mental Health Professional: Reach out to a mental health professional, such as a psychiatrist, psychologist, or therapist, who specializes in mental health care. They can provide you with an evaluation, support, and treatment options.
  3. Contact Another GP or Healthcare Provider: If your current GP is not addressing your mental health concerns, consider seeking assistance from another GP or healthcare provider. You have the right to access healthcare, and a different GP may be more receptive to your needs.
  4. Document Your Concerns: Keep a record of your interactions with your GP, including dates, details of conversations, and any written communication. This documentation can be useful if you decide to file a complaint or seek legal assistance.
  5. File a Complaint: If you believe that your GP’s refusal to provide care is unjustified or has caused harm to your mental health, consider filing a formal complaint with the medical practice, healthcare regulatory authorities, or a patient ombudsman. Be sure to provide all relevant details and evidence.
  6. Consult Legal Advice: Depending on the circumstances, you may want to consult with a legal professional who specializes in healthcare law. They can advise you on potential legal actions or remedies available to you.
  7. Support Network: Lean on your support network, including friends and family, for emotional support during this challenging time. They can provide comfort and assistance as you navigate the situation.
  8. Explore Mental Health Resources: In addition to seeking professional help, explore mental health resources available in your area, such as support groups, community mental health services, and online resources.

Can you sue your GP if your mental health has deteriorated?

Knowing that you have a telephone phobia and have sent them detailed letters and they have not responded?

In many legal systems, medical malpractice cases are typically based on the principle of a breach of the standard of care. To pursue a lawsuit against your GP, you would typically need to demonstrate the following elements:

  1. Duty of Care: Establish that your GP owes you a duty of care as their patient. This is usually established when you have an established doctor-patient relationship.
  2. Breach of Duty: Show that your GP breached the duty of care by failing to respond to your written communications or adequately address your concerns. In your case, this may involve demonstrating that they did not meet the standard of care expected in your specific circumstances, taking into consideration your phone phobia.
  3. Causation: Establish a direct link between your GP’s breach of duty and the deterioration of your mental health. You would need to provide evidence that your mental health deteriorated as a result of their actions or inactions.
  4. Damages: Prove that you suffered damages as a result of your deteriorating mental health. This could include medical expenses, lost wages, pain and suffering, or other measurable losses.
  5. Expert Testimony: In medical malpractice cases, it’s often necessary to obtain expert medical testimony to support your claim. This expert can help establish the standard of care and whether your GP’s actions deviated from it.
  6. Statute of Limitations: Be aware of the statute of limitations in your jurisdiction, which is the timeframe within which you must file a lawsuit. Missing this deadline can result in your case being dismissed.

It’s important to consult with an experienced medical malpractice solicitor/attorney who can assess the specific details of your case, provide guidance on the merits of your claim, and advise you on the best course of action. Laws regarding medical malpractice can vary significantly from one jurisdiction to another, so it’s crucial to consult with an attorney who is familiar with the laws in your area. Remember that pursuing legal action can be a complex and lengthy process, and success is not guaranteed.

If you believe you have a valid case, consult with an attorney to discuss your options and the best way to proceed.

Further Reading:

https://albanysurgery.nhs.wales/about-us/practice-team/

Google Reviews For: Meddygfa Albany Surgery

219-221  City Road,  Cardiff,  South Glamorgan,  CF243JD United Kingdom

NHS Ombudsman

https://www.gov.wales/nhs-wales-complaints-and-concerns-putting-things-right

Anxiety & Phobia

https://disabledentrepreneur.uk/anxiety-phoning-your-gp/

https://www.mind.org.uk/about-us/our-policy-work/you-and-your-gp/

Conclusion

Your health is of utmost importance, and you should feel comfortable and supported when seeking medical care. While most GPs are dedicated professionals, there may be instances when you encounter stonewalling or resistance to addressing your health concerns. By following the steps outlined above and advocating for your health, you can ensure that you receive the care and attention you deserve. Remember that your well-being should always be the top priority in any medical interaction, and you have the right to seek the best care possible.

It’s important to remember that your mental health is a critical aspect of your overall well-being, and you have the right to receive appropriate care and support.

If you ever feel that your mental health is at risk due to the actions or inactions of your GP, prioritize getting the help you need from mental health professionals and seek alternatives for medical care.

Mental health concerns should always be taken seriously, and timely intervention can make a significant difference in your recovery.

Personal Perspective From The Editor of ‘Disabled Entrepreneur UK’.

The question is how can Meddygfa Albany Surgery be in business if they have a low trust and credibility rating and tell patients if they do not like how they operate to find another doctor? This is absolutely appalling treatment. If their only priority is to get money from the pharmaceutical companies by prescribing medication to fund this business, they should be investigated. There is something seriously wrong when a surgery hires unprofessional people to run the outfit.

The editor of ‘Disabled Entrepreneur UK’ has stated that she uses this surgery to get her medication but they will not respond in writing (despite her writing three in-depth letters). On the other hand, they will send out letters with notifications about updating their records or phone when it suits them to incite you to get flu jabs. If you state you do not want a vaccination they then get shirty because it is in their financial interest each time they vaccinate someone.

To date, the editor has told me she has not had adequate care from the surgery and her mental health has deteriorated as a direct result of the GP’s no action and the recent PIP telephone assessment, which according to her has been written in her online journal and cited in some recent publish articles.

She has chosen to take a step back to try and recover giving the reigns to the senior writer.

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#gp #doctor #gpsurgery #malpractice #medicalnegligence #gpai #nhs #nhsombudsman #mentalhealth #telephonephobia #socialanxiety

A Trainee Phlebotomist Caused a Hematoma

A Trainee Phlebotomist Caused a Hematoma

Hematoma: Understanding the Bruising Beneath the Skin

From the smallest bump to the most severe trauma, our bodies are remarkably adept at healing themselves. One of the body’s remarkable defense mechanisms against injury is the formation of a hematoma. But what exactly is a hematoma, and how does it play a vital role in the healing process?

Defining Hematoma

A hematoma is a localized collection of blood that pools outside the blood vessels, usually within the soft tissues of the body, such as muscles or skin. Essentially, it is a bruise beneath the skin’s surface. Hematomas can range in size from small and inconspicuous to large and painful. They typically occur as a result of trauma, injury, or surgery but can also develop spontaneously in some medical conditions.

The Mechanism of Hematoma Formation

When a blood vessel, such as an artery, vein, or capillary, is damaged due to injury, the body activates a series of processes to stop bleeding and repair the vessel. This process is known as hemostasis.

  1. Vasoconstriction: The initial response to vessel damage is vasoconstriction, where the blood vessel narrows to reduce blood flow to the injured area. This helps minimize blood loss.
  2. Platelet Activation: Platelets, small cell fragments in the bloodstream, play a crucial role in forming blood clots. They quickly adhere to the damaged vessel wall, creating a temporary plug to stop bleeding.
  3. Coagulation Cascade: A complex sequence of events known as the coagulation cascade is initiated. This process involves the activation of various clotting factors in the blood, eventually leading to the formation of a stable blood clot or thrombus.
  4. Clot Retraction: After the initial clot forms, it begins to contract or retract, pulling the edges of the damaged blood vessel together. This helps seal the vessel and prevent further bleeding.
  5. Fibrin Formation: Fibrin, a protein, forms a meshwork within the clot, further strengthening it.

Despite these intricate mechanisms, in some cases, blood can still leak out of the damaged vessel and accumulate in the surrounding tissues, leading to the formation of a hematoma.

Types of Hematomas

Hematomas can be classified into several types based on their location and the underlying cause:

  1. Subcutaneous Hematoma: These occur beneath the skin and are often visible as a bruise or discoloration. They are commonly caused by blunt trauma.
  2. Intramuscular Hematoma: These form within muscles and are typically associated with muscle injuries or strenuous physical activity.
  3. Subdural Hematoma: These are located between the brain and the protective covering (the dura) and often result from head injuries.
  4. Epidural Hematoma: These occur between the skull and the outermost layer of the brain’s protective covering (the dura) and are usually caused by severe head trauma.
  5. Intracranial Hematoma: These hematomas form within the brain tissue and can result from various causes, including head injuries or blood vessel abnormalities.

Treatment and Management

The management of a hematoma depends on its location, size, and the underlying cause. In many cases, small hematomas resolve on their own as the body reabsorbs the trapped blood. However, larger or more severe hematomas may require medical intervention.

Treatment options may include:

  1. Rest and Elevation: Elevating the affected area and resting can help reduce swelling and improve blood circulation.
  2. Cold Compresses: Applying cold compresses or ice packs to the area can help reduce pain and inflammation.
  3. Compression: In some cases, compression bandages may be recommended to prevent further bleeding and reduce swelling.
  4. Surgical Drainage: For large or deep hematomas, surgical drainage may be necessary to remove the accumulated blood and relieve pressure on surrounding tissues.
  5. Medications: In cases where blood clotting is impaired, or to prevent complications like infection, medication may be prescribed.

Medical Negligence: A Trainee Phlebotomist Caused A Hematoma

A hematoma is a common occurrence in the field of phlebotomy, and it can sometimes be an unintended outcome of the blood collection process. A trainee phlebotomist, while learning and perfecting their skills, may inadvertently cause a hematoma. Let’s explore how this can happen and what steps can be taken to minimize the risk of hematoma formation during blood collection.

  1. Needle Insertion Technique: One of the key factors in preventing hematomas is the proper technique for needle insertion. A trainee phlebotomist may sometimes insert the needle too deeply, causing damage to not only the vein but also the surrounding tissues. This can lead to blood leaking out of the vein and into the surrounding tissue, resulting in a hematoma.
  2. Vein Selection: Choosing the right vein is crucial. A trainee phlebotomist might select a vein that is too small, fragile, or prone to rolling. This can make it more challenging to successfully access the vein and increase the risk of hematoma formation.
  3. Needle Positioning: The angle at which the needle is inserted matters. If the needle is not inserted at the correct angle, it can increase the likelihood of vein puncture and hematoma.
  4. Failure to Release Tourniquet: Leaving the tourniquet on for an extended period can cause blood to pool in the vein, increasing the risk of hematoma when the tourniquet is finally released.
  5. Improper Pressure Application: After withdrawing the needle, it’s essential to apply adequate pressure to the puncture site to help prevent blood from leaking into the surrounding tissue. A trainee phlebotomist may not apply sufficient pressure, leading to hematoma formation.
  6. Inadequate Observation: Monitoring the patient for signs of hematoma during and after the procedure is crucial. A trainee phlebotomist may not be experienced enough to recognize the early signs of a hematoma developing.

Minimizing the Risk of Hematomas in Phlebotomy:

To reduce the risk of hematoma formation during blood collection, trainee phlebotomists should follow these best practices:

  1. Proper Training: Thorough training and supervised practice are essential for phlebotomy students. This includes learning proper techniques for needle insertion, vein selection, and patient care.
  2. Vein Assessment: Before attempting venipuncture, assess the patient’s veins carefully. Choose a suitable vein that is visible, palpable, and less likely to roll.
  3. Correct Needle Angle: Ensure that the needle is inserted at the appropriate angle (usually around 15-30 degrees) to minimize the risk of vein damage.
  4. Tourniquet Control: Use the tourniquet judiciously, and release it promptly once the vein is accessed and blood begins to flow.
  5. Proper Pressure Application: After needle removal, apply gentle pressure to the puncture site with gauze or a cotton ball, holding it in place for a sufficient amount of time to allow the vein to seal.
  6. Patient Education: Communicate with the patient throughout the process, explaining what is happening and what they can expect. Reducing anxiety can help minimize patient movement, which can contribute to hematoma formation.
  7. Post-Procedure Observation: After blood collection, monitor the puncture site for any signs of hematoma formation and take appropriate action if necessary.

Understanding the Risks of Thrombotic Thrombocytopenic Purpura (TTP) and Hematoma

Thrombotic Thrombocytopenic Purpura (TTP) and hematoma are distinct medical conditions, each with its own set of risks and implications. However, they can be interconnected in certain scenarios, especially when TTP affects the blood’s ability to clot properly. Let’s explore these two conditions and their associated risks.

Thrombotic Thrombocytopenic Purpura (TTP):

TTP is a rare and potentially life-threatening blood disorder characterized by the formation of small blood clots throughout the body. It primarily affects the smallest blood vessels, leading to a cascade of health issues. TTP is caused by a deficiency of a specific enzyme called ADAMTS13, which is responsible for breaking down a large protein called von Willebrand factor (vWF). Without sufficient ADAMTS13, vWF accumulates, leading to abnormal blood clot formation.

Risks of TTP:

  1. Clot Formation: The hallmark of TTP is the formation of microclots in small blood vessels throughout the body. This can lead to organ damage and dysfunction, as the clots impede blood flow to vital organs like the brain, kidneys, and heart.
  2. Bleeding Tendency: Paradoxically, even though TTP is characterized by clot formation, it can also cause a decrease in platelet count (thrombocytopenia), leading to an increased risk of bleeding. This dual risk of clotting and bleeding makes TTP a challenging condition to manage.
  3. Organ Damage: When clots disrupt blood flow to organs, it can result in damage and failure. For example, TTP-induced clots in the brain can cause strokes, while those in the kidneys can lead to kidney dysfunction.
  4. Neurological Complications: TTP can lead to neurological symptoms, including confusion, weakness, and even coma, due to the impact of clots on the brain.

Risks of Hematoma:

  1. Pain and Swelling: Hematomas can cause significant pain and swelling at the site of the injury. This can interfere with the function of the affected body part and disrupt daily activities.
  2. Infection: There is a risk of infection if the hematoma breaks through the skin or if the injury that caused the hematoma is contaminated.
  3. Compartment Syndrome: In severe cases, a hematoma can cause increased pressure within the affected area, known as compartment syndrome. This can lead to tissue damage and impaired blood flow, necessitating immediate medical attention.
  4. Secondary Complications: Depending on the location and size of the hematoma, it can lead to secondary complications. For example, a hematoma near a joint may result in limited mobility.

The Connection Between TTP and Hematoma:

While TTP primarily involves abnormal clot formation within the bloodstream, it can impact the body’s overall ability to regulate clotting and bleeding. In some cases, individuals with TTP may be at an increased risk of both bleeding and clotting disorders. This dual risk might predispose them to the formation of hematomas, particularly if they experience trauma or injury.

Managing TTP typically involves therapies to suppress abnormal clot formation, such as plasma exchange and medication. In individuals with TTP, healthcare providers must carefully assess and address the risks of both bleeding and clotting to provide effective treatment.

Immune Thrombocytopenia (ITP)

ITP, or Immune Thrombocytopenia, is a medical condition characterized by a low platelet count in the blood. Platelets are a type of blood cell that plays a crucial role in blood clotting, and a low platelet count can lead to bleeding and easy bruising.

In ITP, the immune system mistakenly targets and destroys platelets as if they were foreign invaders. This is typically due to an autoimmune response, where the body’s immune system attacks its own healthy cells and tissues. In the case of ITP, it is believed that antibodies produced by the immune system bind to platelets, marking them for destruction by the spleen or other immune cells.

The exact cause of ITP is not always clear, but it is often considered an autoimmune disorder. It can occur in isolation, known as primary or idiopathic ITP, where there is no underlying cause, or it can be secondary to other autoimmune disorders or conditions such as lupus, rheumatoid arthritis, or certain infections.

The symptoms of ITP can vary from mild to severe and may include:

  1. Easy bruising.
  2. Prolonged bleeding from small cuts.
  3. Petechiae (small red or purple spots on the skin).
  4. Nosebleeds.
  5. Blood in the urine or stools.
  6. Heavy menstrual periods.
  7. In severe cases, internal bleeding can be life-threatening.

Treatment for ITP may vary depending on the severity of the condition. Some individuals with mild ITP may not require treatment and can be managed through regular monitoring. In more severe cases or when bleeding symptoms are significant, treatment options may include:

  1. Corticosteroids to suppress the immune response.
  2. Intravenous immunoglobulin (IVIG) to temporarily raise platelet counts.
  3. Platelet transfusions in cases of severe bleeding.
  4. Medications that affect the immune system, such as rituximab or thrombopoietin receptor agonists.
  5. In extreme cases, surgery to remove the spleen (splenectomy) may be considered.

Managing ITP with an underlying autoimmune disorder may involve treating the primary autoimmune condition as well. It’s essential for individuals with ITP to work closely with their healthcare team to determine the most appropriate treatment plan based on their specific circumstances and symptoms.

Both ITP (Immune Thrombocytopenia) and hematomas involve issues related to blood clotting and can carry certain risks:

Risks of ITP (Immune Thrombocytopenia):

  1. Bleeding: The primary risk associated with ITP is bleeding due to a low platelet count. Platelets are essential for normal blood clotting, and when their numbers are low in ITP, there’s an increased risk of spontaneous bleeding, such as nosebleeds, gum bleeding, easy bruising, and, in severe cases, internal bleeding.
  2. Severe Bleeding Episodes: In severe cases of ITP, there is a risk of life-threatening bleeding, such as gastrointestinal bleeding or intracranial hemorrhage. These are medical emergencies and require immediate attention.
  3. Chronic Disease: ITP can become a chronic condition for some individuals, which means they may experience ongoing issues with low platelet counts and the associated risk of bleeding over an extended period.
  4. Impact on Quality of Life: Living with ITP can be challenging due to the need for frequent medical monitoring, potential treatment side effects, and lifestyle adjustments to reduce the risk of bleeding.

The risks associated with ITP and hematomas can vary depending on the severity of the condition, the individual’s overall health, and the location and size of the hematoma. It’s essential to seek medical attention and follow medical advice for both conditions to manage and reduce these risks effectively. For ITP, this may involve treatments to increase platelet counts or manage bleeding, while for hematomas, treatment may include drainage, wound care, or surgical intervention if necessary.

Personal Experience

As a multiple sclerosis sufferer who has had Alemtuzumab Treatment with regular blood tests required by law, upon visiting the hospital on Wednesday 20th September 2023 I was greeted by a trainee phlebotomist whom may I add was supervised. I did not take either of their names. I explained I have problems with my veins being too thin, The trained phlebotomist looked at my arm and told the trainee phlebotomist to try the fatter vein, after a bit of poking and prodding the needle the trainee nurse took out the needle after several times going in a different direction and with a bit of perseverance she managed to draw blood. When she finally took the needle out this resulted in my arm bruising and swelling to the point it was extremely painful.

If the test tube is not removed when the needle comes out, it can cause a number of issues. For instance, the blood sample may clot inside the tube, making it difficult to extract the required amount of blood for testing. In some cases, if the needle is withdrawn too quickly, it can cause a hematoma. Hematomas can be painful and may require medical attention if they are large or do not resolve on their own.

I did have an independent nurse and pharmacist look at it afterward (not from the hospital) and both agreed it was really bad.

Girl Lab Rat Image

I realize the hospital (UHW) is a teaching hospital but the departments should get the patient’s permission first before letting trainee doctors/nurses and phlebotomists train on a patient. I was never informed until after the fact and by that time it was too late. Had I known from the start a trainee phlebotomist would be taking my blood I would have refused. This is not the first time I have had a hematoma.

My arm a week later is still bruised and swollen. This is a lesson learned. I would like to add I do not hold a grievance to the trainee phlebotomist but with my history of blood tests proving difficult, I would expect a professional fully trained nurse to take my blood.

Conclusion

Hematomas are a natural part of the body’s response to injury and play a crucial role in the healing process. While they can be painful and concerning, most hematomas resolve with time and appropriate care. However, it is essential to seek medical attention if you suspect a severe hematoma, especially if it is associated with head trauma, as prompt treatment may be necessary to prevent complications. Understanding how hematomas form and the importance of their role in the healing process can help individuals make informed decisions about their care when faced with these common injuries.

It’s important to remember that hematoma formation is a potential risk in phlebotomy, even for experienced practitioners. Trainee phlebotomists should focus on learning and consistently applying proper techniques to minimize this risk and ensure safe and adequate blood collection procedures. Supervision and feedback from experienced phlebotomists are valuable tools in the learning process.

TTP and hematoma are distinct medical conditions, each associated with its own set of risks and complications. However, in some cases, individuals with TTP may be more susceptible to hematoma formation due to disruptions in their blood clotting and bleeding mechanisms. It is essential for healthcare professionals to consider these risks when managing patients with TTP and tailor treatment accordingly.

What should a patient do if a trainee phlebotomist causes a hematoma in high-risk patients who are susceptible to ITP having blood tests because of Lemtrada alemtuzumab treatment?

If a trainee phlebotomist causes a hematoma in a high-risk patient who is susceptible to ITP (Immune Thrombocytopenia) due to Lemtrada (alemtuzumab) treatment, it is crucial for the patient to take the following steps:

  1. Notify the Phlebotomist: Immediately inform the phlebotomist about the hematoma and any discomfort or pain you may be experiencing. They need to be aware of the issue to provide assistance and documentation.
  2. Apply Pressure: If the hematoma is actively bleeding or swelling, gently apply pressure to the area with a clean cloth or sterile gauze to help control bleeding and minimize the size of the hematoma. Do not press too hard, as this could exacerbate the issue.
  3. Elevate the Affected Area: If possible, keep the affected limb elevated. Elevating the area can help reduce swelling and minimize further blood accumulation in the hematoma.
  4. Seek Medical Attention: Given the patient’s susceptibility to ITP and the potential complications associated with hematoma, it is advisable to seek immediate medical attention. This is especially important because ITP is a condition characterized by abnormal clot formation and bleeding tendencies, and it could be exacerbated by a hematoma.
  5. Notify Healthcare Provider: Contact the healthcare provider responsible for managing your Lemtrada treatment. Inform them of the situation, including details about the hematoma and any symptoms you are experiencing. They may need to adjust your treatment plan or monitor your condition closely.
  6. Follow Medical Advice: Follow the guidance provided by your healthcare provider regarding the management of the hematoma and any potential treatment adjustments necessary to mitigate the risk of ITP.
  7. Document the Incident: Keep detailed records of the hematoma incident, including the date, time, and name of the phlebotomist involved. This documentation may be valuable for future reference, especially if it leads to complications related to your ITP susceptibility or Lemtrada treatment.
  8. Consider Future Precautions: Discuss with your healthcare provider and the phlebotomy department whether any additional precautions or modifications to the blood collection process are necessary to minimize the risk of hematoma formation during future blood tests. This could include using experienced phlebotomists or employing alternative blood collection methods.

It is essential to prioritize your health and safety in this situation, especially if you are a high-risk patient with ITP susceptibility due to Lemtrada treatment. Prompt and effective communication with healthcare providers is critical to ensure that any potential complications are addressed promptly, and your treatment plan is adjusted as needed.

Photographic Evidence

Further Reading

Lemtrada (alemtuzumab) | MS Trust

Relapsing MS Infusion Treatment: LEMTRADA® (alemtuzumab)

Immune Thrombocytopenic Purpura (ITP) | Patient

Thrombotic Thrombocytopenic Purpura (also known as ‘TTP’) | CUH

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#hematoma #blotclot #phlebotomist #traineephlebotomist #medicalnegligence #nhs #thromboticthrombocytopenicpurpura #ttp #lemtrada #multiplesclerosis #ms #msbloodtests

The contradiction concerning over-the-counter Painkillers and Personal Independence Payment (PIP) assessments rejections.

DWP

Disclaimer: The following article discusses the sensitive topics of suicide and government policies related to suicide prevention. We understand that these subjects can be emotionally charged and deeply personal. The information provided in this article is intended for educational and informational purposes only and is not a substitute for professional medical, psychological, or legal advice. It is essential to approach discussions about suicide with empathy, respect, and a commitment to promoting mental health awareness and support. If you or someone you know is in crisis or experiencing thoughts of self-harm or suicide, we urge you to seek immediate assistance from a qualified mental health professional, a crisis hotline, or a trusted support network. The views and opinions expressed in this article are those of the author and do not necessarily reflect the official stance or policies of any government, organization, or institution. Government policies and approaches to suicide prevention can vary widely and may change over time. For accurate and up-to-date information on government initiatives and resources related to suicide prevention, please consult official government websites or relevant authorities. We encourage readers to engage in thoughtful and constructive discussions on these critical topics and to seek information from a variety of reputable sources to form a well-rounded understanding of the issues at hand. Your mental health and well-being are of paramount importance, and there are resources available to provide the support and assistance you may need.

The Contradiction Concerning Over-The-Counter Painkillers and Personal Independence Payment (PIP) Assessments Rejections.

In recent years, the world has witnessed a concerning increase in suicide rates, prompting governments and healthcare systems to take proactive measures to tackle this pressing issue. While addressing the complex causes of suicide requires a multifaceted approach, one unexpected area of focus has emerged: the regulation of over-the-counter painkillers, especially paracetamol (acetaminophen). The correlation between painkiller sales and suicide rates may not be immediately apparent, but it highlights an important aspect of suicide prevention efforts.

The Paracetamol Dilemma

Paracetamol, commonly known as acetaminophen in the United States and Canada, is one of the most widely used over-the-counter painkillers worldwide. It is generally safe when taken as directed, but excessive or prolonged use can lead to severe liver damage and even death. Unfortunately, paracetamol overdose is a frequent method of self-harm among those contemplating suicide.

Understanding the Connection

To comprehend the relationship between paracetamol and suicide, one must first grasp the psychology behind self-harm and the factors that lead individuals to take this extreme step. Suicide often results from a complex interplay of emotional, social, and psychological factors. However, the immediate accessibility of lethal means can significantly influence whether an individual acts on their suicidal thoughts.

Government Intervention

Governments around the world are taking proactive steps to address the connection between painkiller availability and suicide rates. One of the most effective measures has been limiting the quantity of paracetamol that can be purchased at one time and imposing stricter regulations on its sale. These restrictions are designed to deter impulse acts of self-harm while ensuring that people who genuinely need the medication for pain management can still access it.

In addition to quantity limits, some countries have introduced blister packaging for paracetamol and similar medications. This makes it more difficult for individuals to access large quantities of the drug at once, further reducing the likelihood of impulsive self-harm.

Education and Awareness

Government initiatives are not limited to regulatory changes. Suicide prevention programs emphasize education and awareness campaigns to help individuals identify and seek help for mental health issues. These initiatives encourage people to reach out to those in crisis and to support them in finding appropriate professional help.

Moreover, healthcare providers are being trained to recognize signs of self-harm and suicidal ideation in their patients. Early intervention and mental health support can be crucial in preventing self-destructive behavior.

The Role of Healthcare Professionals

Healthcare professionals play a vital role in addressing the issue of paracetamol overdose as a method of self-harm. They should remain vigilant and inquire about the reasons behind a patient’s painkiller purchase, especially if it appears excessive or unusual. Detecting suicidal intent early can be a lifesaving intervention.

While suicide is a complex issue with no single solution, governments and healthcare systems are increasingly recognizing the connection between painkiller accessibility and suicide rates. By implementing stricter regulations on the sale of over-the-counter painkillers like paracetamol and promoting mental health awareness, we can take significant steps toward reducing impulsive self-harm incidents and saving lives. As we continue to address the multifaceted problem of suicide, a thoughtful approach to painkiller sales regulation is a crucial element in our collective efforts to prevent this tragic loss of life.

Why is the government taking action about over-the-counter painkillers but in the next breath driving people to the brink of suicide with PIP assessment rejections https://disabledentrepreneur.uk/pip-assessments-pushing-people-to-the-brink-of-suicide-the-editors-experience/

The apparent contradiction between government actions concerning over-the-counter painkillers and Personal Independence Payment (PIP) assessments is a complex issue rooted in the broader context of government policies, healthcare, and social support systems. It reflects the need for a comprehensive and holistic approach to public policy.

  1. Diverse Government Departments: The government consists of various departments and agencies, each responsible for different aspects of policy and administration. Decisions related to healthcare and disability benefits (such as PIP assessments) are managed by one set of agencies, while those related to drug regulation and suicide prevention may be overseen by others. These departments often have different objectives, resources, and decision-making processes.
  2. Varied Approaches to Healthcare and Disability: Healthcare policies and disability benefit programs are designed to address different needs and concerns. While efforts to regulate painkiller sales are aimed at reducing impulsive self-harm incidents, PIP assessments are intended to evaluate an individual’s eligibility for disability benefits. The criteria for these assessments can be stringent to ensure that benefits are allocated to those who genuinely need them, but this process can sometimes be challenging for applicants.
  3. Policy Priorities and Resources: Government departments allocate resources and prioritize policies based on various factors, including budget constraints, public opinion, and political agendas. It’s possible for different departments to have differing priorities and levels of funding, which can lead to variations in the approach and effectiveness of their respective programs.
  4. Complex Societal Issues: Issues like suicide prevention and disability support are inherently complex and multifaceted. They involve addressing the physical and mental health of individuals, navigating bureaucratic systems, and responding to societal attitudes and stigma. These complexities can result in inconsistencies in policy implementation.
  5. Public Advocacy and Awareness: Public advocacy and awareness play a crucial role in shaping government policies. When specific issues gain more public attention and advocacy, governments may respond with changes in policy or increased funding. In some cases, discrepancies between policies may reflect variations in public awareness and advocacy efforts.

How to prevent over-the-counter painkillers from being purchased in multiple stores

Preventing individuals from purchasing over-the-counter (OTC) painkillers in multiple stores can be challenging, as it relies on a combination of regulatory measures, technological solutions, and public awareness efforts. Here are some strategies that can be employed to address this issue:

  • Limit Quantity Purchases: Government regulations can restrict the quantity of OTC painkillers that individuals can purchase in a single transaction. Implementing quantity limits helps prevent large-scale purchases for non-medical purposes.
  • Real-time Tracking Systems: Develop or adopt real-time tracking systems for OTC medication sales. Pharmacies and retailers can connect to a centralized database that monitors purchases across different stores. If a customer exceeds the allowable limit, the system can flag the purchase.
  • Identification and Registration: Introduce a system that requires customers to provide identification when purchasing OTC painkillers. This can help track an individual’s purchases across different stores over time.
  • Pharmacist Consultation: Encourage pharmacists to engage customers in conversations about the appropriate use of OTC medications. If someone is attempting to make multiple purchases, pharmacists can intervene and assess the situation.
  • Public Awareness Campaigns: Launch public awareness campaigns about the dangers of misuse and overdose of OTC painkillers. Educate the public about the risks associated with multiple purchases and the importance of responsible medication use.
  • Retailer Training: Train retail staff to recognize potential misuse of OTC medications and the signs of excessive purchasing. Establish protocols for store employees to follow when they suspect misuse.
  • Age Verification: Implement age verification checks for OTC medication purchases, similar to those used for age-restricted products like alcohol and tobacco. This can deter younger individuals from attempting multiple purchases.
  • Collaboration with Law Enforcement: Collaborate with law enforcement agencies to monitor and investigate instances of bulk purchasing or stockpiling of OTC medications for non-medical purposes.
  • Community Pharmacies: Encourage individuals to establish a relationship with a specific community pharmacy. Frequenting a single pharmacy can help pharmacists better monitor an individual’s medication history.
  • Data Sharing and Reporting: Establish mechanisms for pharmacies and retailers to share data on suspicious purchasing patterns. Reporting unusual purchases to authorities can help identify potential cases of abuse.
  • Legislation and Penalties: Enact legislation that imposes penalties for individuals found to be deliberately purchasing excessive quantities of OTC medications for non-medical purposes. The threat of legal consequences can act as a deterrent.
  • Prescription Requirement: Consider reclassifying certain OTC painkillers as prescription-only if misuse and abuse become widespread and difficult to control through other means.

Preventing the multiple purchases of OTC painkillers is a multifaceted challenge that requires collaboration between government agencies, healthcare professionals, retailers, and the public. Combining regulatory measures, technological solutions, and educational efforts can help reduce the risks associated with the misuse of these medications.

No Smoke Without Fire

The pressing question of whether governments engage in tactics like “blowing smoke” or distracting to divert attention from real issues is often grounded in public skepticism and mistrust of political leaders. While it’s essential to approach such claims critically and evaluate them on a case-by-case basis, it is not uncommon for governments, like any other organizations or individuals, to employ communication strategies that can include diversion or redirection of public attention.

Here are a few key points to consider when assessing whether a government may be attempting to divert attention from real issues:

  1. Political Messaging: Governments often seek to shape public discourse and perception through strategic communication. This can involve highlighting certain issues, achievements, or policy initiatives while downplaying or avoiding others. Critics may perceive this as an attempt to distract from more pressing matters.
  2. Media Relations: Government agencies may interact with the media to control the narrative around specific issues. They might release information strategically to draw attention away from negative news or controversies. However, this practice is not unique to governments and is common in public relations across various sectors.
  3. Political Theater: Political leaders may engage in symbolic acts or events to create the appearance of addressing an issue while not necessarily addressing the root causes or substantive concerns. This can give the impression of action without meaningful change.
  4. Public Opinion Management: Governments may use polling and public opinion research to understand public sentiment and adapt their messaging accordingly. Sometimes, this can result in emphasizing certain issues that align with popular sentiment or downplaying divisive or challenging topics.
  5. Transparency and Accountability: Advocacy groups, investigative journalism, and public discourse play a crucial role in holding governments accountable for their actions and decisions. Transparency and scrutiny are essential for maintaining a healthy democracy.

It’s important for citizens to remain informed, critically evaluate information from multiple sources, and engage in open discussions about the actions and policies of their governments. While some may view government actions as attempts to distract from real issues, others may perceive them as legitimate efforts to address pressing concerns.

Ultimately, the effectiveness and ethicality of government communication strategies depend on their alignment with democratic principles, transparency, accountability, and the degree to which they address the genuine needs and concerns of the public. Public awareness, civic engagement, and a free press are essential components of holding governments accountable for their actions and ensuring that they prioritize the welfare of their citizens.

Conclusion

It’s important to recognize that government actions, policies, and decisions are often the subject of debate and scrutiny. Citizens, advocacy groups, and policymakers continually work to hold governments accountable for their actions and to advocate for policies that they believe are just and effective.

In the case of PIP assessments, concerns about the process’s fairness and impact on vulnerable individuals have led to ongoing discussions and potential reforms. These discussions can result in changes to policies and procedures aimed at improving the system.

Ultimately, addressing complex societal issues such as mental health, disability support, and suicide prevention requires a comprehensive and coordinated approach involving multiple stakeholders, including government, healthcare providers, advocacy groups, and the broader community. Achieving a balanced and effective policy landscape is an ongoing challenge that requires ongoing dialogue and advocacy for positive change.

Further Reading

Paracetamol & painkiller sales could be further reduced as the government tackles suicide prevention (msn.com)

Suicides in England and Wales – Office for National Statistics (ons.gov.uk)

Samaritans’ Media Guidelines

https://disabledentrepreneur.uk/pip-assessments-pushing-people-to-the-brink-of-suicide-the-editors-experience/

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Content Writing On All Health Topics.

#suicideprevention #suicide #paracetamol #painkillers #pip #dwp #personalindependencepayments #nhs

Revealed: Covert Deal to Cut Help for Pupils in England with Special Needs

Revealed: Covert Deal to Cut Help for Pupils in England with Special Needs

In a shocking revelation, a covert deal has come to light that threatens to slash support for pupils in England with special needs. This revelation raises serious concerns about the government’s commitment to inclusive education and the well-being of some of the most vulnerable students in our society.

The Covert Deal

The covert deal in question involves a series of behind-the-scenes negotiations between government officials and local authorities, which have resulted in a significant reduction in funding and support for pupils with special needs. These negotiations have taken place away from the public eye, making it difficult for concerned citizens and stakeholders to voice their opinions or raise objections.

Under the guise of cost-saving measures and budget constraints, these covert agreements have led to the scaling back of crucial services and resources that pupils with special needs rely on for their education and development. These services include dedicated teaching assistants, access to specialized equipment, and tailored learning plans designed to meet individual needs.

Consequences for Pupils with Special Needs

The consequences of this covert deal are dire for pupils with special needs. These students require additional support to thrive in an educational environment, and any reduction in resources can have a profound impact on their learning experiences. Here are some of the potential consequences:

  1. Reduced Academic Progress: Without the necessary support, pupils with special needs may struggle to make academic progress, leading to lower educational outcomes and reduced future opportunities. Without the necessary support, special needs students may struggle to keep up with their peers academically. This can result in lower grades, decreased self-esteem, and diminished confidence in their abilities.
  2. Increased Isolation: Special needs students often rely on one-on-one support and personalized interventions. Cutting these services can lead to increased isolation, both academically and socially.
  3. Mental Health Implications: The stress and anxiety that can result from a lack of support can take a toll on the mental health of these vulnerable students, potentially leading to long-term psychological issues. They may experience increased frustration, anxiety, and depression, which can hinder their overall well-being and ability to focus on learning.
  4. The strain on Families: Parents and caregivers of pupils with special needs may find themselves under increased stress and financial burden as they attempt to fill the gaps left by reduced school support. Parents and caregivers of special needs students often play a vital role in providing support outside of school hours. Cuts in school support can place a heavier burden on these families, both emotionally and financially, as they try to fill the gaps in their children’s education.
  5. Long-Term Societal Impact: Failing to adequately support pupils with special needs can have long-term societal consequences, including higher rates of unemployment and dependence on social services.
  6. Limited Post-Education Opportunities: Inadequate support during their formative years can limit the long-term prospects of special needs students. They may struggle to acquire the necessary skills and qualifications for further education or future employment, leading to a cycle of dependency on social services.
  7. Lost Potential: Every special needs student has unique talents and abilities. Cuts in support can prevent them from realizing their full potential, robbing society of the valuable contributions they could make in various fields and industries.

The Importance of Inclusive Education

Inclusive education is a fundamental principle that recognizes the right of every student, regardless of their abilities or disabilities, to access quality education and receive the necessary support to succeed. By undermining this principle through covert deals that cut support for pupils with special needs, we are not only failing these students but also undermining the very essence of our education system.

Inclusive education benefits not only students with special needs but also their peers, teachers, and society as a whole. It fosters empathy, promotes diversity, and prepares all students to live and work in a diverse world. It is a reflection of our commitment to equal opportunities and a fair society.

Conclusion

The revelation of a covert deal to cut help for pupils in England with special needs is deeply troubling and demands urgent attention from policymakers, educators, and the public. To ensure a fair and inclusive education system, we must hold our government accountable and advocate for the rights and well-being of all students, regardless of their abilities or disabilities. It is our collective responsibility to protect the future of the most vulnerable members of our society and uphold the principles of inclusive education.

The covert cuts in support for special needs students in England are a grave concern that threatens the well-being and future prospects of some of the most vulnerable individuals in our society. It is essential for educators, policymakers, and the public to advocate for the rights of special needs students and ensure that they receive the support and resources they need to thrive in the educational system and beyond. The well-being and success of these students should be a top priority for any inclusive and compassionate society.

Further Reading

Revealed: Covert deal to cut help for pupils in England with special needs | UK news | The Guardian

Schools in England forced to cut support for special needs pupils | Schools | The Guardian

Special-needs support beyond crisis, heads say – BBC News

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#specialneeds #dwp #pip #autism #adhd #downssyndrome #personalindependencepayments

Eris, Pirola, Kraken Covid Variants What Should We Know

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Eris, Pirola, Kraken Covid Variants What Should We Know

As the global fight against the COVID-19 pandemic continues, the virus responsible for the illness, SARS-CoV-2, has shown its ability to mutate and give rise to new variants. These variants have been a cause for concern among public health officials and the general population alike. Among the variants that have emerged, Eris, Pirola, and Kraken have garnered attention due to their potential impact on transmissibility, severity, and vaccine efficacy.

Eris Variant

The Eris variant, named after the Greek goddess of strife and discord, was first identified in a region with a high vaccination rate. This variant carries a unique set of mutations in its spike protein, which is responsible for binding to human cells and facilitating viral entry. Preliminary studies suggest that the Eris variant might exhibit increased transmissibility compared to earlier strains.

Researchers have been closely monitoring the Eris variant’s behavior to determine its potential impact on vaccine effectiveness. So far, vaccines have shown to offer a degree of protection against this variant, although there might be a slight reduction in neutralizing activity. This emphasizes the ongoing importance of vaccination campaigns and the need to consider booster shots as part of the strategy to combat emerging variants.

Pirola Variant

Named after a notable scientist, the Pirola variant raised alarms when it was detected in multiple countries within a short period. Initial reports suggest that this variant carries mutations not only in the spike protein but also in other viral components that could potentially affect its ability to evade immunity. However, more research is needed to determine the precise implications of these mutations.

One aspect that researchers are keen on understanding is whether the Pirola variant causes more severe illness compared to earlier strains. So far, available data is inconclusive, but ongoing studies are focusing on clinical outcomes in areas where the variant is prevalent. Additionally, vaccine studies are being conducted to assess how effective current vaccines are against this variant and whether any adjustments are necessary.

Kraken Variant

The Kraken variant, named after the mythical sea monster, has sparked concerns due to its high number of mutations in key areas of the virus’s genome. These mutations have raised questions about the variant’s potential to partially evade immunity generated by prior infection or vaccination. However, it’s essential to note that the number of mutations alone doesn’t necessarily determine a variant’s behavior.

Studies on the Kraken variant are ongoing, focusing on transmissibility, severity, and vaccine effectiveness. While there is a possibility of reduced vaccine efficacy against this variant, it’s crucial to remember that even if vaccines offer slightly diminished protection, they can still play a vital role in preventing severe illness, hospitalization, and death.

What Should We Do?

Staying informed about these variants is vital for both individuals and communities. As more research becomes available, it’s essential to rely on reputable sources such as public health agencies and established research institutions for accurate information. Adhering to recommended preventive measures, including vaccination, mask-wearing, and hand hygiene, remains crucial in limiting the spread of these variants.

Moreover, scientists and researchers are continuously monitoring the variants and adapting strategies as needed. This might include developing variant-specific booster shots or adjusting treatment protocols based on emerging data. Flexibility and a commitment to following public health guidelines are essential to navigating the ever-evolving landscape of COVID-19.

Eris, Pirola, and Kraken variants are reminders that the COVID-19 pandemic is far from over. While these variants raise valid concerns, they also underscore the importance of a proactive and science-based approach to public health. By staying informed, remaining vigilant, and collectively working to curb the spread of these variants, we can continue to move toward a safer and healthier future.

Symptoms

  1. Respiratory Symptoms:
    • Fever or chills
    • Cough (typically a dry cough)
    • Shortness of breath or difficulty breathing
  2. Flu-Like Symptoms:
    • Fatigue
    • Muscle or body aches
    • Headache
    • Sore throat
    • Loss of taste or smell
  3. Gastrointestinal Symptoms:
    • Nausea or vomiting
    • Diarrhea

It’s important to note that COVID-19 symptoms can vary widely from mild to severe, and some individuals may remain asymptomatic (showing no symptoms at all). Additionally, symptoms can overlap with other respiratory illnesses like the flu or the common cold, making it challenging to diagnose based solely on symptoms.

Since new variants of the virus can emerge and exhibit varying characteristics, including different symptoms, it’s recommended to refer to up-to-date information from reliable sources such as the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), and other relevant health authorities in your country or region for the most accurate and current information on symptoms related to specific variants.

If you or someone you know experiences symptoms consistent with COVID-19 or suspects exposure, it’s advisable to seek guidance from healthcare professionals and follow the recommended testing and isolation protocols in your area. Keep in mind that information about COVID-19 and its variants is continually evolving, and staying informed through trusted sources is crucial.

#covid19 #coronavirus #erisvariant #pivolavariant #krakenvariant #who #nhs #germawareness

Further Reading:

Four ‘important’ symptoms of new Covid variant Pirola to spot, expert shares (msn.com)

EG.5 (Eris) emerging as dominant Covid variant 2023 – CYMRU MARKETING JOURNAL

COVID-19 variants identified in the UK – latest updates – GOV.UK (www.gov.uk)

https://disabledentrepreneur.uk/germ-awareness-domain/

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The Impact On Stonewalling Patients

The Impact of Stonewalling Patients: Communication Breakdown in Healthcare

Effective communication is the cornerstone of a successful patient-physician relationship, fostering trust, understanding, and better healthcare outcomes. However, when physicians stonewall patients, refusing to engage in open and empathetic conversations, the consequences can be detrimental to both the patient’s well-being and the overall healthcare system.

  1. Erosion of Trust: Trust is a fundamental component of any patient-physician relationship. When physicians stonewall patients, the patient’s trust in their healthcare provider begins to erode. Stonewalling creates a perception of indifference or disinterest, leaving patients feeling dismissed, undervalued, or unheard. As trust diminishes, patients may become hesitant to share critical health information, seek follow-up care, or adhere to treatment plans, ultimately compromising their overall health outcomes.
  2. Adverse Psychological Impact: Stonewalling can have significant psychological effects on patients. Feeling ignored or invalidated by their physician may lead to increased anxiety, frustration, and feelings of helplessness. Patients may be less likely to discuss their concerns openly, leading to a missed opportunity for timely diagnosis and appropriate intervention. In some cases, this emotional distress could exacerbate existing health conditions or even lead to the development of new ones.
  3. Hindered Diagnostic Process: Effective communication is key to accurate diagnosis. When physicians stonewall patients, they might miss vital cues or symptoms that could provide essential information for diagnosis. Patients who feel unable to express their concerns openly may downplay symptoms or withhold important details, making it more challenging for physicians to arrive at an accurate diagnosis. This delay in diagnosis can lead to prolonged suffering for the patient and may even result in worsened medical conditions.
  4. Reduced Patient Compliance: Stonewalling can negatively impact patient compliance with treatment plans and medical advice. When patients do not feel heard or respected, they are less likely to adhere to prescribed treatments, medications, or lifestyle changes. Consequently, this lack of compliance can lead to treatment inefficacy and a cycle of worsening health conditions, resulting in increased healthcare costs and potential hospitalizations.
  5. Strained Patient-Physician Relationship: Stonewalling damages the patient-physician relationship, which is essential for fostering open dialogue and effective collaboration in healthcare decisions. A strained relationship can hinder the flow of information between patients and physicians, preventing a comprehensive understanding of the patient’s medical history, concerns, and preferences. A communication breakdown can create a hostile environment, making it challenging for physicians to provide patient-centered care tailored to individual needs.

Conclusion:

The impact of stonewalling patients extends far beyond simple miscommunication. It undermines the foundation of trust and compassion necessary for effective healthcare delivery. Physicians must recognize the significance of open and empathetic communication and actively work to create an environment where patients feel comfortable expressing their concerns without fear of judgment or dismissal.

By promoting transparency, active listening, and empathy, healthcare providers can strengthen the patient-physician relationship and, in turn, enhance patient outcomes and overall healthcare quality. Emphasizing effective communication in medical training and continuing education will play a crucial role in ensuring that stonewalling becomes a relic of the past, replaced by a more compassionate and patient-centered approach to healthcare.

blue butterfly

My own experience of trying to update my symptoms with the MS & Neurology Team at the University Hospital Wales, Cardiff is abysmal. The Multiple Sclerosis department no longer has a telephone number, thus I emailed my consultant Professor N. Robertson, and have had no reply. I then tried to contact his secretary and the call went straight to voicemail stating she was out of the office. She seems to be always out of the office (do these people actually do any work). I then Last week after I had my blood tests done attempted to locate an MS nurse and was told there are no MS nurses at the hospital, even though they treat MS patients, which I find very odd. What is wrong, for there to be absolutely no one around to support MS patients?

If the neurologist comes back to me and says he was too busy or was out of office at least have the decency to have an autoresponder message or common courtesy and reply with a one-liner stating you will get back in touch shortly. Do not stonewall a person as it can affect their mental health. The Impact Of Stonewalling – CYMRU MARKETING JOURNAL

I have more than one bone to pick with this department since receiving a letter stating I was to have a phone consultation in which I rescheduled my day only to find out that the letter was sent out in error and there was no planned consultation. What I believe happened was that initially it was planned and at the last minute the consultant could not make the appointment.

I am fed up with having to chase the hospital for my blood forms and try and speak with someone about my health.

To think I have concerns about my health and have zero support is absolutely unacceptable and it lacks duty of care by an organization that is falling apart.

I invite anyone reading this that has had similar issues with the NHS, to voice their opinions by commenting below. This does not have to be MS related it could be about any illness. The more people that complain the quicker something that can be done to shake up the organization which is poorly managed. Government officials do read the article on this site so it will be interesting to read other people’s experiences. Bungling Welsh hospitals dodge complaints and issue payouts like £750 to a man they didn’t tell he had Covid – Wales Online

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#ms #multiplesclerosis #msrelapse #neurology #msnurse #uhw #nhs #professorneilrobertson #dutyofcare #lackofdutyofcare #mssupport

Lives Don’t Matter – Disgraceful Junior Doctors Going on a 4-Day Strike

Lives Don’t Matter – Disgraceful Junior Doctors Going on a 4-Day Strike

Reading today’s headline by the Independent Newspaper I learn that junior doctors are going on a 4-day strike to get more pay.

Junior doctors to stage four-day walk out as strikes escalate (msn.com)

Junior doctors to stage four-day walk out as strikes escalate | The Independent

I commented:

“They knew what they signed up for, you would not get a soldier on the front line saying hold on this is too dangerous and we need to go on strike to get more pay. I thought being a doctor was to help people not about how much they earn. If you don’t like the job you are in then quit and get something that pays you better”.

The newspaper article image shows banners “claps don’t pay bills”.

At a starting salary of £30k if you cannot manage your bills then there is something seriously wrong with your budgeting.

The Government should not give in and should give them an ultimatum, either they work and get on with it, or leave and let someone who really cares about saving lives take their place.

If there is a shortage of doctors because they have left the country because of Brexit, and the pension tax revolt then train more doctors in the UK with written contracts stating if they accept the role that they cannot strike.

Did you know doctors get paid a commission by pharmaceutical companies to prescribe drugs and treatments?

Junior Doctor Salaries Explained – Personal Finance for Junior Doctors (juniordoctorfinance.co.uk)

Individual NHS doctors receiving £100,000 per year from drugs firms (telegraph.co.uk)

https://www.thisismoney.co.uk/money/pensions/article-7228469/Doctors-revolt-pension-tax-rules-sparked-row.html

Number of doctors retiring early trebles in England and Wales | Doctors | The Guardian

NHS consultants ‘turning down work to avoid huge pension tax’ | NHS | The Guardian

Shortage of Doctors: Many doctors work long hours, including antisocial shifts, and complain of relentless workloads, while some struggle to reconcile childcare with the demands of working in the NHS.

The British Medical Association, ‘trade union’ has said the main reason doctors are retiring early is to avoid the huge tax bills.

The repercussions on the sick and dying when doctors go on strike

The healthcare system is an integral part of any society. When a healthcare system breaks down, it can have far-reaching and devastating effects on people’s lives, especially those who are sick and dying. One such scenario is when doctors go on strike. This is a situation that has occurred in various parts of the world over the years, and the consequences are always dire. In this article, we will explore the repercussions on the sick and dying when doctors go on strike.

First and foremost, it is important to understand that doctors play a critical role in the healthcare system. They are responsible for diagnosing illnesses, prescribing medications, and providing treatments that help people recover from illnesses. When doctors go on strike, the healthcare system is significantly impacted, and patients are left without proper medical care.

https://www.telegraph.co.uk/news/2016/06/30/individual-nhs-doctors-receiving-100000-per-year-from-drugs-firm/

One of the most significant repercussions of doctors going on strike is that sick people may not be able to get the medical attention they need. For those who are already hospitalized, the situation can be dire. With no doctors to attend to them, patients’ health can deteriorate quickly, leading to complications and even death. Furthermore, without proper medical attention, sick people may be forced to suffer in pain, which can be devastating to their overall well-being.

Another repercussion of doctors going on strike is that dying people may not be able to receive palliative care. Palliative care is a type of medical care that focuses on improving the quality of life of people who are terminally ill. It involves managing pain, providing emotional support, and ensuring that people’s final days are as comfortable as possible. Without doctors to provide this type of care, dying people may be forced to suffer unnecessarily, which can be traumatic for them and their loved ones.

Moreover, when doctors go on strike, the burden of care often falls on family members and caregivers. This can be particularly challenging for those who lack the necessary knowledge and training to provide medical care. In some cases, family members may be forced to make difficult decisions about their loved one’s healthcare without proper guidance from medical professionals.

In addition, when doctors go on strike, there is often a backlog of patients waiting for medical attention. This can lead to significant delays in getting medical care even after the strike is over. The waiting period can be frustrating and stressful for patients, and it can also worsen their condition if they do not receive treatment promptly.

Doctors play a crucial role in the healthcare system, and their absence can have significant repercussions on the sick and dying. When doctors go on strike, patients are left without proper medical care, and dying people may not receive the palliative care they need. Moreover, family members and caregivers are often burdened with the responsibility of providing medical care, which can be challenging and stressful. To prevent such situations, it is important for doctors and policymakers to work together to address any grievances and ensure that the healthcare system functions effectively.

Should junior doctors be penalized for going on strike?

The issue of whether or not junior doctors should be penalized for going on strike is a contentious one. On the one hand, there is a strong argument to be made that doctors have a duty of care to their patients, and that going on strike could put those patients at risk. On the other hand, there is also a strong argument to be made that junior doctors are entitled to fair pay and working conditions, and that striking is a legitimate way to protest these issues.

When you are on starting salary of £30, your love for your job should be the priority and not the love of money.

It is important to recognize that the decision to go on strike is not one that doctors take lightly. In most cases, doctors will only consider striking as a last resort (when they want a pay rise), after other avenues of negotiation have been exhausted. When doctors do decide to strike, it is usually because they feel that their working conditions are unsafe or unfair, or because they feel that they are not being paid a fair wage for the work that they do.

One argument against penalizing junior doctors for going on strike is that doing so would be counterproductive. If doctors are afraid that they will be penalized for striking, they may be less likely to speak out about issues that are affecting their working conditions. (There is such a thing as whistleblowing).

Definition of Poor Working Conditions in Hospitals

Poor working conditions in hospitals are a serious concern that affects both the physical and mental well-being of healthcare professionals. These conditions can take many forms, including inadequate staffing levels, long working hours, high-stress levels, exposure to hazardous substances, and lack of access to necessary resources, (if there is inadequate staffing then jobs need to be prioritized and workloads spread out amongst staff members).

One of the most common indicators of poor working conditions in hospitals is a high staff turnover rate. When employees feel overworked, undervalued, or underpaid, they may be more likely to seek employment elsewhere. This can lead to a shortage of skilled healthcare workers, which in turn can negatively impact patient care.

Another key factor that contributes to poor working conditions in hospitals is the lack of access to adequate resources. For example, healthcare professionals may not have access to the necessary equipment or technology to perform their jobs effectively.

Stress is another significant issue that healthcare professionals may face when working in hospitals. Many healthcare workers must deal with high levels of stress on a daily basis, which can lead to burnout and other mental health issues. In some cases, workers may even be exposed to traumatic events that can have long-lasting psychological effects.

Exposure to hazardous substances is also a common concern for healthcare professionals in hospitals. Many workers may be exposed to infectious diseases, toxic chemicals, and other dangerous substances on a regular basis. This can lead to a range of health problems, including respiratory issues, skin problems, and other illnesses.

To address these issues, hospitals need to prioritize the safety and well-being of their employees. This may involve providing additional resources, such as better equipment and technology, as well as offering support services for employees who are dealing with stress or other mental health issues. Hospitals can also take steps to improve staffing levels and reduce the workload of their employees.

Overall, poor working conditions in hospitals can have a significant impact on the quality of patient care, as well as the health and well-being of healthcare professionals. By prioritizing the safety and well-being of their employees, hospitals can create a healthier. Poor working conditions can negatively impact their physical and mental health, leading to burnout, high turnover rates, and even errors in patient care. Therefore, it is important to define what constitutes poor working conditions in hospitals.

Conclusion

Addressing the problems within the healthcare system can prevent medical professionals from going on strike. Having a clear protocol to report problems within the departments can help staff feel confident that their concerns are being met.

Penalizing junior doctors for going on strike should be a lesson to prioritize the duty of care to the patient over arguments of pay rises and being overworked and underpaid.

Furthermore, doctors are batteries in the matrix, and if one leaves replace them with someone else. I can see eventually robots and AI taking over, sorting the problem out once and for all.

If people cannot manage their money at £14 per hour there is something seriously wrong with society and the government should take a dim view of causing a disruption in the health system and putting sick people’s lives in jeopardy.

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New Prescribing Powers – GP-AI

www.GPAI.co.uk Domain For Sale!

New Prescribing Powers – GP-AI

New prescribing powers are being discussed to relieve the pressure on GPs.

Imagine how much time this would save if there was a GP AI app that could diagnose and prescribe medication.

I have given up on my own GP and do not bother with them other than write yearly letters which in the past two years have not been actioned although acknowledged. However, I still get my repeat medication and requests for annual reviews, which in my opinion are a waste of time if the general practitioner ignores your letter. If they claim to be so busy that they do not have time to read letters, then they should learn to speed read and I do not believe the excuse because they get letters from hospitals every day. Furthermore, not every patient bothers to write letters, it is just a lack of care and negligence on the part of the surgery that is to blame.

I am all for not speaking to anyone anyway, so learning that GPs will have new prescribing powers that could allow millions of patients to get medical help without having to see a GP, under government proposals, is basically music to my ears. 

Regulators will be asked to consider extending responsibilities to thousands of medical assistants as part of efforts to radically reform healthcare (I hope this does not mean receptionists, your problem should only be discussed with a doctor or AI robot).

Ministers believe that the measures could reduce pressures on GP services, increasing the number of patients treated without seeing a doctor, while speeding up access for those who need to see one (again if they are implying receptionists, then they need to be medically trained to make diagnoses).

The ministers also hope that the changes would allow GPs to focus more time on the most complex cases and the elderly, reducing the number of patients ending up in A&E. 

Prescriptions without seeing a GP under radical proposal (msn.com)

Virtual GP appointments are a form of ‘digital exclusion’, NHS chiefs admits (telegraph.co.uk)

It is about time that the NHS gets its act together and makes GP surgeries redundant.

AI can help doctors diagnose patients by analyzing patient data and providing insights and recommendations to healthcare professionals. With the help of machine learning algorithms, AI can be trained to identify patterns and anomalies in medical data, allowing it to make predictions and provide recommendations for diagnoses.

AI can analyze large amounts of patient data, such as medical images, lab results, and electronic health records, to provide more accurate and efficient diagnoses. For example, AI can help radiologists to analyze medical images, such as X-rays, CT scans, and MRIs, to detect abnormalities that might be missed by human eyes.

AI can also help doctors to identify rare diseases that can be difficult to diagnose. By analyzing patient symptoms, medical history, and genetic data, AI can provide a more accurate diagnosis and recommend the most effective treatment options.

Overall, AI has the potential to improve the accuracy and efficiency of medical diagnoses, leading to better patient outcomes and reducing the workload for healthcare professionals. However, it’s important to note that AI should be used as a tool to support doctors, not to replace them.

GP AI apps are already a thing and they are likely to become more common in the future. GP AI apps are designed to provide patients with quick access to medical advice, diagnosis, and treatment recommendations, without the need for an in-person doctor’s visit. These apps use artificial intelligence to analyze patient data, such as symptoms, medical history, and test results, to provide personalized recommendations.

Some GP AI apps are already in use, such as Babylon Health and Ada Health. These apps ask patients a series of questions about their symptoms and medical history, and then provide a diagnosis or recommend a course of treatment. Some of these apps also have the ability to connect patients with healthcare professionals if further evaluation or treatment is needed.

GP AI apps have the potential to improve access to healthcare, especially for patients who live in remote areas or have difficulty accessing traditional healthcare services. They can also reduce the workload of healthcare professionals and help to free up their time for more complex cases.

However, it’s important to note that GP AI apps should be used as a supplement to, rather than a replacement for, in-person medical care. While AI can be helpful for diagnosing common conditions and providing treatment recommendations, it cannot replace the knowledge, experience, and human touch of a trained healthcare professional.

Conclusion –

A health professional could have www.GPAI.co.uk and implement it into their own online surgery, saving time on appointments, diagnosis, and prescribing medication.

GP practices are private businesses and can enter into commercial contracts with other businesses and provide services privately, but only to an extent that is not prohibited by the GMS contract.

We also have the code for an app that is being sold together as a package.

Further Reading

DOMAINS FOR SALE!

***Please Note*** These domains are being sold together!

www.gpai.co.uk – www.gpaiapp.com – www.gpaiapp.co.uk

https://ukdomainbrokers.ukwebsitedesigners.co.uk/gp-ai-www-gpai-co-uk-domain-name-for-sale/

#gpai #gpaiapp #gp #doctors #healthprofessionals #doctorssurgery #diagnosis #prescriptions #onlinediagnosis #onlinedoctor #onlineprescriptions #medication #prescribedmedication

Surgery Directory

Surgery Directory – Coming Soon!

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Ophthalmic Surgery

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Cosmetic Surgery

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PIP Digital Forms

DWP PIP DIGITAL FORMS BANNER

PIP Digital Forms

I would like to think when I wrote last November the anxiety of filling out a physical PIP assessment form that someone must have read my post considering I have linked Capita and DWP to this site because today I read with delight that digital forms are now being tested out.

The announcement of the new form came through an answer Mr. Pursglove gave when asked if DWP would “make an assessment of the potential merits of introducing an online portal for Personal Independence Payment claims to help improve communication” between DWP and claimants.

It was reported that the NHS wastes £100 million per annum sending out letters, so imagine the letters and the forms combined and how much is going down the pan, where the money can be reinvested into nursing.

The links are below:

NHS ‘wastes £100m a year sending letters’ | News | The Times

DWP issues important update to people seeking to claim personal independence payment (msn.com)

PIP Review Digital Form | DISABLED ENTREPRENEUR – DISABILITY UK

I feel in this day and age when we are supposed to save the planet from carbon emissions and are supposed to be moving forward in the tech era that businesses and organizations should refrain from sending out mail by post. Imagine how many trees could be saved simply by going digital.

This is a positive step moving forward.

People who do not have computers or smartphones, most likely have a relative, friend, or carer that does.

#pip #pipdigital #dwp #dwpdigital #pipdigitalforms #dwpdigitalforms #onlineforms

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