Thursday, 27 August 2015

Quote & translation.

“Savings from public sector pay and workforce reform made a significant contribution to reducing the (NHS) deficit over the course of the last Parliament, saving around £8bn."

Greg Hands MP, Chief Secretary to the treasury.

Translation... We saved £8billion by taking it from the pockets of our workforce.

Assuming that the NHS employs 1.3 million staff (full time equivalents) that means that the saving was made by exploiting, robbing and fucking over every single one of them to the tune of £6154.

And he seems rather proud of it!

Sunday, 23 August 2015

Escape.

DZ has often on this site criticised the GMC revalidation process. Anyone who has gone through revalidation will confirm the utter pointlessness of the excercise. Ridiculous box ticking, confirming that you've attended so called Continuing Professional Development, when in fact the whole point of attending the meeting was to enable you to tick the box, and nothing more. And testimonials from your mates saying what a wonderful guy you are to work with. Even Shipman could have got enough of these, as well as the "how was it for you" forms filled out by patients. DZ has had patients who have filled these out for his revalidation express huge scorn for the forms. The whole process is a complete waste of time and resources, and achieves nothing. It is no more than another stick to beat us, another nail in the coffin of medical staff morale. And yet government and the GMC continue to assert how good it is for the profession.

Revalidation is specifically cited in this article as one of the reasons why young doctors are deserting the UK and taking their expensively acquired medical expertise elsewhere. Correct me if I'm wrong, but I'm not aware of any other country that has followed the UK example and gone down this route.

The article sought the opinion of that twat Dickson at the GMC on the loss of these valuable people, and inevitably he failed to acknowledge that revalidation is one of the aspects of British medical practice that they wish to escape. Instead he just gave a few sound bites, reiterating his support for the process. Is he really that stupid? Yes, of course he is.

Friday, 21 August 2015

Quote

“That which can be asserted without evidence, can be dismissed without evidence.”

 

 

Wednesday, 19 August 2015

Spice

DZ was very disappointed today to find, on checking, that he's not on the Ashley Madison database. But then, not being married, (any more) means I can't have the excitement of an extra marital affair. And being an atheist means that there is no guilt for me attached to any form of rumpy pumpy at all. Forbidden fruit tastes sweetest, as my mother used to say.

Wednesday, 5 August 2015

Two of a kind




Would it reflect badly on DZ if he were to suggest that it would be a good idea to cast these two away on a remote desert island together, and leave the fuckers to it.

Sunday, 26 July 2015

Another blue gas

In my last post I link to a newspaper article featuring a young man who tragically died of hypoxia after inhaling pure nitrous oxide. The article emphasises that this was a consequence of substance abuse. However there is another situation where theoretically exactly the same situation could arise in what is perceived as a much more harmless practice.

Helium balloons are widely bought both for adults and children. How many people, including children, have opened the balloon and inhaled the gas to produce an amusing squeaky voice? There's no oxygen in them either.

Blue gas

DZ is fond of browsing in old bookshops. In particular he likes medical textbooks from the 1920s and 30s, and autobiographies of doctors who worked at the time. It's fascinating to read about some of the things we used to do to people.

For example. I found an old textbook of anaesthesia, in which was described the "nitrous oxide jactitation technique" of starting anaesthesia.

Apparently what you did was this. You put a mask on the patient's face and administered 100% nitrous oxide. That is, no oxygen. None at all. Unsurprisingly, in a very short time the patient became blue, and unconscious. The anaesthetist (who at that time was likely to be the surgeon's houseman) continued to administer 100% nitrous oxide until the patient exhibited a phenomenon known at the time as "jactitation". What is known today as a hypoxic fit! The houseman would only then switch in oxygen, and ether, and all was well. Apparently.

It sort of puts in perspective the panic you see in today's anaesthetists when the saturation drops below 90%.

I've mentioned this technique to a number of anaesthetists and only one (older generation) had ever heard of it. He assures me that the technique was still used, mainly by dentists, right into the 1960s.
 The practice now seems to be making something of a comeback. You'd think wouldn't you that if people were going to sell N2O for recreational purposes that it might be a good idea to put some O2 in. Just 20% would do