Bryn

Probs Fiesta for good all round performance at a sensible price.

What I would say though, and I don't feel we've done anything wrong here, is that Leicester could do to just be careful how they're doing things. Mud sticks and we don't need to build up a catalogue of bad practice. The Interstellar deal and FFP stuff sounds a bit dodgy, to be honest, and if we accumulate stories like that it might make doing business difficult. Historically other clubs have described us as being good to do business with and it's in our interests to stay that way.

If they didn't do a medical it's their own ****ing fault surely.

Stuart Pearce, was this really necessary?

Tottenham 3-0 Man Utd

Stuart Pearce

Ex-England defender at White Hart Lane for BBC Radio 5 live

"Spurs are a vastly improving team. They're growing. They've got a good academy, a manager who isn't afraid to put young players into the first team, and if they were chasing a Manchester City or Chelsea at the top of the table they would be getting more plaudits than they are currently."

Downplaying our own success story here? I thought you were a bit smarter than that - I had such high hopes.

Pearce has been very complimentary about us. He's not offending us there at all.

We only finished 3 points behind West Bromwich last season after being whipping boys for most of the season. They've been shit houses for years.

If I owned a media outlet I'd keep a very close eye on my pundits. Talksport clearly don't give a shit.

Are they ****, I know the point he's trying to make but haven't they had ****ing Myhill in goal for most of the season? Who's their Mahrez? Would you swap that scrote Berahino for Vardy? Is Sessegnon going to Barca with Riyad?

Thanks for the insight Bryn - I appreciate it. After days of waiting the MRI scan was performed the very evening I complained. Turned out the scan had not been booked because the patient was regarded as an outpatient rather than being down as an in-patient...the sort of mistake I found hard to comprehend but no more than that.

 

As for explaining particlar circumstances i did elicit a sincere, profound and entirely voluntary apology from one member of staff which I thought took some bottle and I would not want to compromise anyone by being specific because people get tired when under pressure and we all make mistakes.

 

As for the "anti-Europe brigade"  only an idiot would fail to appreciate the efforts of staff wherever they come from but that doesn't explain why we fail to train sufficient numbers in our own univiersities nor why we continue to overload our country with people when our infrastructure is so demonstrably wilting under the pressure, as you yourself indicate.

 

And with so many foreign doctors and nurses coming to the UK I can't help but wonder about the impact of their health services - and the more so given your reference to ours being the best in respect of emergency care which I don't doubt with my little grandaughter having recently benefitted from the same.  

 

I'm not at all anti-Europe - I'm anti EU and ever more so the more I hear the debate. I see no reason why the UK can't manage its own affairs and still contract such working professionals as it sees fit. Long before the EU I worked on contract in Europe as a squash professional and thoroughly enjoyed it. Mind you I'd be more than vigilant in checking language skillls and qualifications.

 

Again, personal experience in Birmingham has more than emphasised the need for foreign medical staff to understand what's said to them - or written in front of them - and to be fully understood themselves.

 

I listened to a conversation on a local hospital ward last night - in heavily accented English  - and could hardly decipher 30% per cent of it. When I asked the people next to me - they said they couldn't understand either.  

 

++++        

 

I'm glad it got done. Can't explain why it was outpatient, perhaps a local policy.

 

Language is always going to be a difficult issue. I worked in a French hospital and found it monstrously difficult (thankfully I was in a fully supervised role so wasn't able to harm anyone!). The majority of the ones that come across are absurdly good, and actually sometimes the ones with the thickest accents are British citizens, so it's tricky.

 

We certainly need to be training more of our own doctors and nurses. This needed to start years ago.

As referred to elsewhere I've spent much of the last few days seeing the NHS in action - or mostly inaction - at a Midlands hospital - and, just like you, I've also been appalled at the shortcomings.

 

Negligent and unprofessional inefficiency in one instance, woeful lack of communication most of the time, slowness to facilitate what I believe to be important tests, various consultants failing to agree on the best course of action - perhaps due to lack of sufficient information - yet not doing enough to get that information to hand quickly.

 

And all that  despite the broader NHS taking over a month to consider the problem without yet coming up with a clear diagnosis let alone a best approach to treatment of what seems to be a serious threat.         

 

It also seems as if the NHS  only functions at full throttle from Monday-to-Friday.

 

The staff car park was only sparsely occupied on Friday night, Saturday and Sunday, suggesting that it's more of a skeleton service at weekends rather than a body dedicated to helping as many people as possible as effectively and as quickly as they can - and with all options open all the time.

 

For instance what happens to the MRI machines at weekends? Are they in constant operation? Or are they put into mothballs two days a week? 

And is there such a shortage of them that people are queuing up to use them even on weekdays because that's the way it seems when you need one.    

 

There's plenty of supplementary staff filling forms in and carrying confidential files but hardly a decision-maker to be spoken with from Friday midnight to Monday morning and even when there is someone, once the "bell" goes for their shift ending, that's it, the problem's in someone else's hands and the whole debate seems to start again, going backwards and forwards between the medics with barely a sentence or two of information or explanation to the patient from some doctors.

 

Even soliciting a much-needed commode (required three times in five minutes which suggested a problem in itself) seemed to breed resentment and when someone did take the time and trouble to try to help (on another matter) she was quickly reprimanded by a senior nurse and told to attend to other things forthwith.

 

It's as if everyone's afraid of being held accountable and therefore the less said to the patient or "the public" the better.  

 

I really don't know what should be done for the better but the politics and underlying internal resentment doesn't help and I can easily understand why some would look for an alternative system because the current situation is way below what's needed and an entirely different experience to the exemplary service offered in private hospitals - at least when a friend ended up there in frustration after being offered so little help at the LRI.

 

Of course private practice has nothing like the pressures of the NHS and yet so many within the medical profession still support open borders, wholesale immigration and pressures way beyond the level where they can cope, given that they clearly cannot - or will not - cope properly as it is.         

There are measures of truth and of ignorance in this.

 

I think clear communication is pivotally important in healthcare. I know from feedback I receive on my placements that it's my personal strong suit. I'm inferior when it comes to practical skills compared to some of my peers, my clinical knowledge is average and some people are better under pressure but I know I communicate well and I know how much it improves the experience. Sadly, it does go by the wayside. Yesterday I left a poor lady who'd been admitted for observation after a head injury who wasn't seen by us until mid-afternoon and had no information until that time. I know she was medically safe. She needed 24 hours minimum after her injury (she'd come off a horse) and wasn't close to that yet, she was receiving her neurological observations in a timely fashion and her care was proceeding exactly as it should but she didn't know that and was understandably concerned. I got to her at about 3pm and when I left she had the answers she needed and we had a positive conversation and I think she accepted the circumstances and that's the best I can hope for really. She may yet put a complaint it, as is her right and I hope she does. I would have loved to have gotten to her sooner but when I started my shift yesterday there were precisely 36 unseen patients in our department, many of them sick with a sprinkling of inappropriate usages of an ED, and they had to be prioritised. That's how our system works and we are chronically and endemically understaffed and underresourced. It would be a blatant lie to deny that some clinicians don't prioritise the communication aspect of the job in the same way I do and that leads to unsatisfactory patient experiences and that isn't good enough. I think that mentality, of not wanting to communicate, is diminishing rapidly as a result of changes to attitude and training, but sadly it's come as the demands on the NHS have skyrocketed. From my experience of two separate trusts, there is an earnest desire to improve standards and a lot of work goes on behind the scenes but frankly if we don't get more resources soon the whole thing will collapse and we are, alas, only human, and we get pissed off a lot of the time.

 

I suspect the overwhelming reason the car park is empty at the weekend is because NHS staff rarely have their own car park, it is shared with patients, both in and outpatients, and their relatives, and there are fewer of them over the weekend. In addition, we do much less elective work over the weekend. Are you really that bothered that you can't see a chiropodist over the weekend? I agree in an ideal world we'd be able to provide that, but we can't cover anymore with the staff we have. This is precisely what the government is asking us to do and it is unsafe. Please don't conflate elective and emergency care, they are not the same thing and one is far more important than the other.

MRI scans are rarely emergent. Have you any idea how much it costs to operate one? Resources are finite. If you need an emergency MRI over the weekend, you will ge tone. That is the beauty of our system. On a shoestring, our emergency care is scarcely excelled worldwide, and there are numerous economic analyses and patient testimonies from other countries to attest to this.

Senior decision makers are expensive and as such are in short supply. The consultant will probably cover the entire weekend and can't feasibly be present the whole time. There will be a senior registrar and then his medical team. Without knowing your specific circumstances, I can't comment on which tests you deemed important that weren't done or which decisions you wanted to have made, and I'm certainly not asking you to explain them as that is your business.

 

"It's as if everyone's afraid of being held accountable and therefore the less said to the patient or "the public" the better." This is probably true to an extent, but is an attitude that should shift as blame culture diminishes. For example, doctors used to be discouraged from apologising as it may incur liability, now the principle that saying sorry does not constitute admitting civil liability means the younger generation say sorry a lot more and this hopefully will become more evident.

Your private hospital comment is a bit daft I'm afraid, you can't be surprised that a private hospital, lavishly funded and with no burden of emergency care, runs a bit quicker than your local A+E. A lot of people go private for a cancer diagnosis, for an example, and are then promptly bounced back into the NHS because it provides the actual treatment better, generally in a timely and evidence-based fashion, although we do need to improve in that area.

It's difficult to try and explain your issues Thracian because they're obviously grounded in specific and personal experiences which I wouldn't expect you to explain. Fundamentally, where you see poor practice you must report it formally because  there is, certainly amongst clinicians I know, a genuine desire to learn from our mistakes. I can't comment for senior management and I am aware of instances of alleged cover-ups.

 

The NHS is frankly a miracle in providing the case it does, it's emergency care is world class, still, albeit you might wait a while. You won't find an emergency service in the world that doesn't struggle with demand and waiting times. It's mismanaged from the highest level, understaffed, underresourced and underappreciated.

Also, the anti Europe brigade can piss right off, given the extent to which we're filling our gaping nursing rotas with extremely highly qualified Spanish and Portuguese nurses.

Absolutely. It'll be hard if he doesn't want to engage though.

Is there any one person he responds well to, or any setting that makes him feel more positive?

.

 

As I said above, there's no clear cut way to coping. It all comes down to making baby steps to recovery based on an awareness of self and what works for the individual.

This is spectacularly accurate. Speaking both as a doctor and as someone who has experienced persistent depressed mood I think this is wonderful and will perhaps start to say exactly this to my patient.

I believe depression is actually a term applied to a wide range of disorders. You've got the psychiatric at one end; the sort of catastrophic chemical low mood that comes with a psychiatric disorder such as bipolar or schizoaffective disorder. At the other end and far more common is a very behavioural thing, in my opinion. For a wide variety of reasons people get into spirals of reacting negatively to an experience (sometimes hugely justifiably) and develop poor coping strategies, which lead them to miss opportunities for positivity in their life which lowers their self esteem, leading to further avoidance tactics and a continual decline.

I see a lot of depression in ED and it can be terribly sad at either end of that scale. There are a huge number of people who simply no longer have the capability to positively react to life and have developed this role of a "depressed person" and have serious problems with chronic pain, fatigue and illness. I don't mean that disparagingly, the circumstances of that decline are extremely varied. I do believe our quick fix, instant gratification society does lend itself to this form of poor coping with the harshness in life in a lot of cases but that's a very simplistic view. Recurrent deliberate self harm is often attributed to a need for control and I think that's often true but sadly I think there are a lot of people who are stuck in a cycle of fear, poor decisions and regret and desperately want to be "fixed". Fundamentally, this form of depression is extremely hard to treat.

@@Ozwin, the most important thing you can do for your brother is try to support him to understand what it is he's reacting like this to. I agree that doctors can be really terrible at treating this; partly because I don't think it's an illness as such, more a pattern of behaviour. That's why it responds so much better to interpersonal therapy. What's your relationship with him like? Is it possible for him to open up to you?

I'd happily feed anyone that abuses a vulnerable living creature of any kind their own freshly pruned genitalia.

I find all these elevator jokes so con descending.

If you'd said pun descending I'd have lol'd.

almost better? so worse then.

Exactly this, I interpret this as "we played a good team and we nearly bested them" which isn't untrue.

What a crap article. The BMA should stick to medicine, as they are clearly rather lost in the world of government funding.

Unsurprisingly, given how fvcking wooly it is. The Government could tell me the sea is wet and I'd double check.

What do you mean "you know we won't"?

 

Why won't we? And more importantly, why will Spurs?

 

If Spurs do drop points then it's a bonus. But so long as we take care of our own results then we will be fine. There really is nothing to argue there.

Why are you being simple?

That's the worst yet.

Apologies to anyone who's already posted this link in any thread - http://www.theguardian.com/football/blog/2016/mar/13/leicester-city-outflanked-foxes-claudio-ranieri.

It's unpleasant reading - I think Claudio should be sent the link. If anything it shows the obsession of every Tom, Dick and 'arry to somehow piss on our strawberries and generally hope a spanner gets thrown in our works. I'm guessing they wouldn't spend so much time and energy assessing how to beat Man U and the other usual suspects.

The more I sense the hypocrisy of the whole footer establishment wishing we'd quietly fold/choke/lose key players or suffer any other calamity, the more I hope we fvck 'em. I want every pundit, commentator, summarizer or journo who's scorned, scoffed, derided and sneered at us to be force-fed a scrap of Gary L's underpants - after he's presented that MotD . Because that would balance the rubbish that they've been spewing out since the season started.

I thought it would get easier after the 'difficult run of matches' but it's actually got worse. Maybe I should turn to Buddhism - make a shelter on the top of Bardon Hill and contemplate the higher meaning of life - then come down in July. But I know I'll be watching or listening to every one of those last count-down games (no, not 'Countdown' games - as much as I fancy RR!) to the bitter or sweet end.

I actually enjoyed that article and think it's pretty accurate. You really think other teams aren't broken down statically like this? What do you think all those statisticians we employ do? This is the modern game and I suspect we have every other team analysed like this.

It highlights weakness we have quite nicely, other teams should target Schmeichel more and finding a way to shackle our midfielders is effective. What we have to demonstrate to play with the big boys is that we can grind out results even when we're targeted like that. So far, so good.

It's an anti-anginal. She's either doping or had a serious heart condition and shouldn't not be playing professional tennis.

Can we please have some threads which aren't politicised??

http://www.firstpost.com/sports/bloody-good-fun-premier-league-gameweek-28-or-a-series-of-fortunate-events-for-leicester-city-2654142.html

Nice article

So much pop-up.

Can't understand why anyone would give a **** what other fans think.

Can you imagine having to be the officer that receives those images in order to arrest him? ****ing scarring mentally that must be, especially if you've got kids of your own.

From a very cursory read around the subject there doesn't appear to be any evidence at all to substantiate her claims does there. I find it quite easy to believe that the producer did abuse her. Tricky isn't it. The way she's gone about things does make me think she probably telling the truth. The judge commented that she was already free to record with other producers so why has she gone to such lengths?

If my understanding is right the nullification of the contract, as a civil action, would have required a verdict based on the balance of probablities, as opposed to a criminal rape case which would have to be proven beyond all reasonable doubt, which is nigh on impossible in sexual abuse cases with a delay in the victim coming forward. I wonder if that's where she goes next if she's determined to prove her allegations.