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Tuesday, 21 February 2023

A very short health update

I spent most of yesterday at two separate hospitals and was not able to do much at all in the way of wargaming or writing.

I started my day at The Dimbleby Macmillan Support Cancer, Guy's Cancer at Queen Mary's Hospital, Sidcup, having a series of ultrasound tests on my bladder as well as a blood test. This forms part of the assessment of my suitability for treatment with radiotherapy. This lasted from 9.30am until 11.30am, and just as I was leaving, the nurse who had been administering the ultrasound test mentioned in passing that I would have to hurry if I was going to reach the Queen Elizabeth Hospital, Woolwich for my afternoon appointment.

As this was the first I had heard about this appointment, I asked for more information. It appeared that I was supposed to be at the Oncology Department of the Queen Elizabeth Hospital at 12.30pm so I rushed home, dropped Sue off (She has come with me to Sidcup), and took the 244 bus to the hospital.

I arrived at the door of the Oncology Department at exactly 12.30pm, booked myself in with the receptionist, and was told to wait in the waiting room and my medication would be brought to me. (I had expected that it would be delivered to my home as it had been the last time, but apparently, I had to collect this next batch in person.)

I waited for over an hour before going back to ask the receptionist what was happening ... and it turned out that the pharmacy had not yet delivered my medication to the department. I asked if I could collect it myself from the pharmacy, but I was told that this was not possible. I was to discover why later.

Another hour went past, and I became aware that I was not the only patient waiting for their medication to arrive. In fact, the waiting area was beginning to fill up with more and more impatient outpatients! At 2.45pm a prisoner from the nearby Belmarsh prison arrived in the department, escorted by two prison officers, one of whom he was handcuffed to. There was a bit of shuffling around of patients so that the three of them could sit together, and it was whilst this was happening that the first batch of medication arrived from the pharmacy ... and was given to a patient who had been waiting since 11.00am!

My medication arrived soon afterwards and I asked the nurse who gave it to me what the problem was. It turned out that the pharmacy had been waiting for the medication to be delivered and was sending it up as soon as the pharmacist had checked each patient's prescription and printed off the relevant labels!

What a shambles!

I caught the bus home and unfortunately it was the first one to reach the bus stop used by the pupils from the local secondary school. I managed to get a seat, but I had to share my journey home with over sixty youngsters, none of whom had any idea about how to be quiet. It took a great deal of control not to switch into teacher mode and tell them to quieten down, but by the time I got home at 3.30pm I was feeling rather frazzled. This was not helped by the fact that I had eaten nothing since 8.00am, and I fell upon the lunch Sue had prepared like a ravening wolf.

By the time I had calmed down and begun to relax, I was in no mood to do much except sit in my chair and vegetate ... hence my day was rather unproductive.

16 comments:

  1. Bob,
    Seems a very hard day for you Bob- nothing worse than waiting...waiting...waiting. Yes, going without something to eat from 8:00am to 3:00pm isn't good- bet you were famished! Tonight I looked on UK e-Bay...there is a Joef Decauville OO9 there on Auction...I think there was one Bid for the 0-4-0 Engine and a Carriage...worth having a look. Best Wishes. KEV.

    ReplyDelete
    Replies
    1. Kev Robertson (Kev),

      It was an incredibly frustrating and tiring day … and having a late lunch didn’t help!

      Thanks for the ‘heads up’ about the Decauville locomotive. I’ll follow it up ASAP.

      All the best,

      Bob

      Delete
  2. Yikes, Bob! What a day! A shambles indeed.
    Best wishes to you!

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    Replies
    1. Fitz-Badger,

      Cheers! I’ve had better days!

      All the best,

      Bob

      Delete
  3. Bob -
    It's the Franz Kafka School of Maladministration. Wasn't Thatcherism supposed to cut away the snobbery, jobbery, incompetence and red tape? Had I such an experience I would be having sharp words with someone - probably someone who least deserved it.
    All the best,
    Ion

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    Replies
    1. Archduke Piccolo (Ion),

      The hospital was originally a military one, and when they no longer needed it, it was handed over to the NHS. It needed to be expanded and redeveloped, and thanks to Mr Major’s and Mr Blair’s governments, this was paid for by what was termed the Private Finance Initiative. As a result, many ‘services’ were franchised to various companies. In the case of my local hospital, the pharmacy is run by Lloyds Pharmacy … and they do not enjoy a wonderful reputation in the local area due to their ‘just in time’ ordering system, which often delivers medications later than expected. This is what happened on Monday.

      The medical staff are frustrated by this and the other franchised services (e.g. cleaning) as these services are run for profit and frequently fail to provide what they are contracted to do … and this is putting even more strain on an already overstretched service.

      I have no idea how this mess will ever get sorted out … but PFI is widespread in the NHS and education system, and it is a financial time bomb that will explode one day. I hope that I’m not around when it does.

      All the best,

      Bob

      Delete
  4. Seems as if alot of your frustrations originate with pharmacy services. Hopefully things will improve.

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    Replies
    1. Mark Cordone,

      The pharmacy at the hospital is a very bad joke … and no one is laughing.

      All the best,

      Bob

      Delete
  5. These days it takes a LOT of patience to be a patient.

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    Replies
    1. Ross Mac,

      It certainly does!

      Perhaps that’s why they are called patients!

      All the best,

      Bob

      Delete
  6. I know what it's like this month to be so worn out I can't even game. My sympathies.

    I was interviewing applicants yesterday and one ran over so much time I had only twenty minutes for lunch between sessions. I hastily ate a bag of peanuts from the snack machine, reminding myself that that was daily rations for the Confederate Army!

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    Replies
    1. Jennifer,

      Cheers! It sounds like your day was as stressful as mine, although you at least managed to get a day's worth of Confederate rations between your sessions. I would have been envious had I known at the time.

      All the best,

      Bob

      Delete
  7. You did well Bob to get to both appointments and sit out the wait in outpatients and the bus home. All for a good cause, and hopefully helps you in long run. Wonder what its like in Turkey, northern Syria and Ukraine currently for those with chronic or acute illhealth? I wont even try to imagine what they are going through (and their wound fighters). As others have noted our poorly NHS is suffering from years of under investment and poor recruitment, training and retention strategies. I wonder if medication shortages will be the next low point as Brexit hits home, and most of our medicines are European manufactured?
    R&R and push on to your next battle - real life and toy soldiering. Albeit you are branching out as a train-spotter of sorts? I shall take cover now after my many faux pas.. Carl

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    Replies
    1. Carl,

      It was a very trying day, but as you say, it was worth it to ensure my cancer is controlled.

      I suspect that many people in the UK have no understanding about how bad things are on the ground in the Ukraine, Syria, and Turkey. The media tries to give some idea of the level of danger, deprivation, and trauma people there are having to deal with, but I suspect that many people here just turn off mentally when they see the images.

      The NHS needs a root and branch reorganisation, but until a government bites the bullet and invests in the things you comment on, it isn’t going to happen. As to the possible shortage of certain types of medication … well it made me think and I’ve discovered that my main medication is manufactured in the UK by a subsidiary of a big US pharmaceutical company.

      I hope to do some toy soldiering over the weekend … and may possibly look at ways I can integrate my railway modelling with my wargaming. That way I can kill two birds with the one stone!

      All the best,

      Bob

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  8. Bob on the topic of railways and toy soldiers you will probably enjoy reading this entry in Richard Baber's blog, see
    http://baberonwargames.blogspot.com/2023/02/reinforcing-conejos.html
    which may inspire a 'belle epoque' or colonial style imitation or alternative historical secenario. Carl

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    Replies
    1. Carl,

      Thanks very much for the link, which I found very interesting. I’ve explored something along similar lines in my ‘Restless Revolutionaries’ games and a game at COW some years ago that was called ‘The Barber of Baghdad’. This was an Arab and British attack on a Turkish train.

      All the best,

      Bob

      Delete

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