Showing posts with label the NHS. Show all posts
Showing posts with label the NHS. Show all posts

Sunday, 29 April 2018

We Need To Hang On To Our NHS

"Don't bother coming with me," Dad told Mum, when his appointment for a pacemaker check came through the post.  "It's a bit earlier than expected, but it's just routine."

Nobody thought any more of it, really.  Sure, we hadn't thought Dad would need a pacemaker check for several months, yet, but at least they were keeping an eye on him.  So, it came as something of a shock when, on the day of his appointment, Dad phoned home to tell us he was being admitted as an emergency.

It turned out that there had been some software glitches and the hospital had called Dad in earlier than planned, in order to ensure the software in his pacemaker was working properly and sending out the correct readings.  Sure enough, his software was working fine, but the technician checking it spotted that the readings themselves didn't look right.  A medic was called.  Tests were done.  It was concluded that a wire had frayed and come away, meaning there was a danger of the pacemaker not working properly, or stopping altogether.  For reference, Dad's heart doesn't work without a pacemaker.  If the pacemaker stopped, he would stop, unless he was in a place where he had medics on hand to pace his heart externally until surgery could be carried out.  Had there not been a software glitch that meant he was called in much earlier than expected for a check-up, the wire could have come apart completely at any time, causing the pacemaker to fail and that would have been it.

The stress caused to everyone in a family when someone has an unexpected medical emergency is huge.  You worry about whether they're going to be okay.  For us, distance was an issue, too - we live 40 miles away from the hospital he was admitted to, so it wasn't a quick trip to get there.  You panic about the practicalities; calling people to let them know someone won't be at work or at a planned event.  Explaining what's happened, to other family members.  

The one thing we didn't have to worry about was the cost of Dad's treatment.


That's because our National Health Service provides free healthcare for all.  Unlike systems such as the one used in America, where rising insurance premiums mean that millions of people cannot afford health care and will sometimes even neglect symptoms rather than face enormous costs for their treatment, at no point during Dad's hospital stay (8 days), did we have to work out the cost of his tests, his eventual surgery or any additional medication he may have been given during his time there.  We didn't have to worry about something not being covered by our health insurance package.  We didn't have to fret that his sudden medical emergency was going to lead to a financial crisis for our family.

And that is how it SHOULD be.

Our National Health Service was set up to provide universal health care, free at the point of use.  Whoever you are, whatever your financial situation, you can walk into a hospital and receive treatment, without any financial burden to you or your family.

Back in February, Donald Trump tweeted that the UK system was "going broke and not working" and used it as an example of why America should not follow suit and have a free, universal healthcare system.  He claimed the people of the UK were marching in the streets because our system is not working.  He was wrong.  

The people were marching to protect our NHS.  They were marching because they love our NHS and are proud of it.  They were marching because we need to hang on to it.  Yes there are problems with the system, yes it is suffering from being underfunded, from staffing cuts and from the threat of privatisation, but free, universal healthcare is something the people marching on the streets wanted to defend, not curse.


Our health service should never be a privatised organisation, driven by profits, rather than patient care.  Our health service should be a system in which patients are safe and those who work tirelessly to treat patients are rewarded with equally safe working conditions and a decent level of pay.

Yes, there are problems.  The NHS has been hacked at by a succession of governments who have not protected it the way it deserves.  The threat of privatisation looms large and there is an understandable fear that companies rivalling one another for NHS contracts will not result in greater choice for patients, but a system which values profits, first and foremost.

During Dad's 8 day stay in hospital, we saw staff working long shifts, showing extraordinary dedication.  We saw nurses and doctors going above and beyond for their patients.

We also saw technicians having to work as porters, because there were no porters available, thus cutting down the number of scans etc that those technicians were able to carry out.  We saw the frustration etched on the faces of hardworking medical professionals, who were having to send home people who needed treatment, because there simply wasn't the space for them.

The right wing press will insist that the strain on our health service is caused by so-called "health tourism" and excessive levels of immigration.  But we live in an ageing population.  A growing society.  Our health service hasn't been given the funds to catch up with those things.  The truth is, there's not merely one reason our NHS has been struggling.  The reasons are multiple.  But the answer is not privatisation.  The answer is not a system in which the poorest in society cannot afford to become ill.


During Dad's 8 day stay in hospital, my mum worked out that she'd probably paid well in excess of £50 just on parking.  All of that goes to a private company - the NHS doesn't see a penny.  Why?  Why can't we have a percentage of the ludicrous fees charged to park outside a hospital put back into the hospital itself?  It wouldn't feel so galling to spend £6 to sit by your sick relative's bed for a few hours, if you knew some of that money would eventually go towards the care of patients.

Taxation is the main way the government are likely to find extra cash for the NHS and I was one of the people who fully agreed with the Lib Dem's suggestion of adding an extra 1p in every pound onto income tax, to be spent on the health service.  It needs funding.  It has to be protected.

People like Trump might think a free healthcare system is something terrible.  Something to be mocked.  But they misunderstand.  A healthcare system which is universal and free at the point of delivery is something to be so, so proud of.  It's just that you have to look after it and keep it properly funded in order to keep it working.  And that's where governments have failed our NHS.  They've not listened to those working within it.  They've penny-pinched.

Those whose jobs involve looking after patients just want a better system to work in.  We spoke to one nurse on the day Dad was admitted, who confessed: "If you come into this job for the money, you're going to be disappointed.  But then again, if you come into it for the money, you're not the right person to be doing this job, full stop.  It's about wanting to help people.  It's about caring.  I'd rather any money went on equipment and employing extra staff, than getting a huge pay rise for me."


But for all the complaining I have done - and will do - about cuts to services, underfunding and waiting times etc, I still feel passionately proud of our FREE National Health Service.

Yesterday, I was in a car accident (yeah, it's been a great couple of weeks!).  The car was drivable, I made an insurance claim and figured I was fine.  Within hours, I started to get sharp pains down my spine and across my neck and shoulders.  By this morning, it was really hurting.  So, I nipped to my local Minor Injuries Unit, where I was checked over by a nurse, given painkillers and advised as to how best to treat the acute neck sprain caused by the crash.  

I didn't pay a single penny.

When someone you love becomes unwell - or, indeed, when you are taken ill - there is enough to worry about, without also panicking about the mounting cost of treatment, potentially running into thousands.  Free healthcare is something to be so proud of.  

We must hang onto our NHS with everything we've got.  





Monday, 17 November 2014

Let's Take A Deep Breath... And Talk About My Crappy Lungs!

Pictured: How NOT to take an inhaler.

I've not blogged for almost a fortnight and I'm a bit cross with myself about it.  One of my New Year's resolutions this year was to blog every week and well... Like most New Year's resolutions, this has gone the same way as my promise to stop biting my nails.  Which I will totally do.  In 2015...

The thing is, I do have something of an excuse.  Last weekend (not the one just gone, but the one before that), I wasn't well.  Granted, I've already blogged about having not been 100% for quite some time, but on Saturday November 8th, I was really not very well.  I have asthma and, following a trip to Trago Mills to get a few bits and bobs, I started to find myself coughing and struggling for air.  Being an entirely sensible human, I refused to go to hospital and instead sat in the back of the car on the way home, chugging on my Ventolin, expecting it to kick in and everything to go back to normal.

It didn't.

Anyone with asthma will know that that little blue inhaler is pretty much your go-to weapon of choice when things get bad.  You have a cough?  Ventolin.  You need to do some exercise and you're worried your lungs won't cope?  Ventolin.  You're a bit breathless... Well, you get the idea.  Ventolin.  So when your go-to inhaler doesn't work, it's pretty damn scary.  Because the simple act of breathing in and out is something we just don't think about until we can't do it.  And believe me, when you can't, it's literally all you can think about.

So there I was, arriving home after a successful shopping trip, hacking away like I smoke 90-a-day (which is hilarious, because I couldn't so much as touch a cigarette even if I wanted to; cigarette smoke is one of my major triggers).  By this point, I'd taken my Ventolin three times (so six puffs) and it wasn't doing anything.  My chest felt like an elephant had taken up residence on it and actually trying to get any air into my unwilling lungs was so painful that I was starting to regret my earlier insistence that I was "fine."  

Yes.  I am.

Eventually, my mum (I knew there were bonuses to living with your parents at my age!) insisted on taking me to hospital,  During the journey, I was so breathless and in such pain with my chest, that I was actually trying to physically remove something non-existent from my chest; convinced that there had to be something actually on me that was causing such pressure.  Of course, there wasn't.  Just my lungs bashing against my ribcage in a painful spasm.  Thankfully, we only live 20 minutes away from a minor injuries unit, where upon arrival, I was immediately put on a nebuliser.  And where I immediately burst into tears, because not being able to breath is terrifying.  Seriously.  Think of the scariest thing you can imagine and double it.  And then double it again, because of the whole "I'm going to die" thing, associated with not being able to breathe.

Now, if you've just been diagnosed with asthma, or if you're a sufferer who's lucky enough to have never had a major attack, I'm honestly not trying to scare you.  Because what happened next is testament to our fantastic NHS and proof that we have fabulous, life-saving treatments available to us and that as long as we're sensible about our condition, we can live totally normal lives.

Like I said, I was put on a nebuliser straight away.  After 40 minutes or so, my breathing was much easier.  My peak flow had gone up, my heart rate was returning to normal (upon arrival, it was so all over the place that the nurses put me on a silent heart monitor machine so as not to frighten my mum with the erratic beeping) and my oxygen level was healthy.  I was treated with kindness, respect and absolute care.  I was given treatment that I desperately needed, along with a course of steroids to take home to stave off any future attacks.  And I didn't pay a penny for any it.  Our NHS is free at the point of use and we should cherish that.

Yes, I have a pretty major beef with the out of hours doctors service who, after being contacted by a nurse at 3:30pm, didn't get back to the hospital until well past 5:30pm and that was to tell the nursing staff that they weren't sending a doctor to see me until gone 7pm.  That was pretty crappy.  Thankfully, a passing doctor visiting the hospital agreed to come and see me and prescribe the steroids I needed, allowing me to leave shortly before 6pm instead.  I was incredibly grateful to him, because once the attack had passed, all I wanted was to go home, crash in front of Strictly Come Dancing and have something to eat.  Of course that week, Judy Murray stayed in and my annoyance at that almost gave me another asthma attack...

And I say that in the nicest possible way...

Anyway, since then I've been on steroids.  And if you want me to be a pedant, I'd been on them for a fortnight prior to the attack, too.  So that's four weeks.  FOUR WEEKS.

Again, if you've recently been diagnosed, or you're an asthma sufferer who's never been put on steroids, I'm honestly not trying to freak you out.  But guys, someone has gotta spell this out:  Steroids?  NOT FUN.  I'm now - finally - in the process of gradually reducing my daily dosage.  By Sunday, I'll be off them and I could quite happily jump for joy at the thought.  Or at least I would, but I'd probably need my Ventolin first...

So why do steroids suck?  Weeeeeeell...

Firstly, there's the weight gain.  Steroids make you hungry.  But not like: "ooh, I fancy a sandwich."  I mean, like: "Ooh, I fancy EVERY sandwich EVER.  Two of each!  No, three!"  And you eat.  And you're full.  And then half an hour later, you fancy a snack.  It comes to something when the actual list of side-effects printed on the leaflet you get with a packet of steroids is "moon face."  Cheers for that, pharmacists.  I'm half expecting people to ask me if my face is made of cheese.  

And of course, steroids not only make you starving hungry, but they give you acid indigestion as a lovely little extra bonus.  Pro-tip to anyone reading this who's recently been prescribed steroids?  Take those pills in the morning, after breakfast with a pro-biotic yoghurt drink.  It'll protect your tummy.  Plus those drinks are really quite nice...

Then there's the lucid dreams.  And I don't mean dreams that are a little bit vivid.  I mean crazy lucid dreams.  One morning last week, I woke up from such a realistic dream that I was utterly convinced I was in Blackpool.  Why Blackpool?  I have literally no idea.  But I was totally shocked to find myself in my own bed and I had to stop myself from contacting one of my friends to ask how I'd gotten home from "her place" in Blackpool.  The only thing that stopped me from doing that was remembering that said friend lives in Canada and I'm not sure she's even been to Blackpool in her entire life.  Such is the craziness of the steroid-induced dream.

The worst thing, though, without a shadow of a doubt?  The way steroids play with your emotions.  "'Roid Rage" is a thing, people.  As is, apparently, "'Roid Snotty Crying At Nothing In Particular."

Yes, over the last four weeks, I've been a bitch queen from Hell or an oversensitive wreck.  Case in point?  On Saturday I went Christmas shopping.  My mum asked me to text my sister's girlfriend a photo of a gift she was thinking of getting for my sister.  A harmless little request and one I obviously granted.  But then my mum and I separated so we could buy presents for each other and I spent most of the time we were apart messaging my sister's girlfriend in response to the original text.  I love my sister's girlfriend - she rocks and I think of her as an extra sister - but my brain went: "OH MY GOD, WHY IS MY PHONE BEEPING?  I KEEP HAVING TO GET IT OUT OF MY BAG!  WHHHHYYYY?!"  Even though I was happy to send messages back and forth, the sound of my phone going off and interrupting my shopping was so irritating to me that I started wanting to throw it.  Preferably at someone.  Of course, I hated myself for feeling that way and I was equally confused about feeling that way, because I was texting someone I think the world of.  By the time I arrived at one particular shop, only to discover they'd sold out of the very thing I'd gone there to buy for my mum, I literally had to gulp "okay, thanks" at the poor shop assistant and then leg it out of there before I burst into tears.  On my way out of the store, some hapless woman stopped dead in front of me, blocking the exit and I yelled: "MOVE!" and barged past like some ignorant bitch.  If I could go back in time and politely say "excuse me," I would do, ten times over (although that would be a bit excessive).  Upon making it out into the street, I could literally feel adrenaline coursing through my veins and I wasn't sure whether I was going to scream at the world in general or have a massive breakdown and weep right there in the street,  My poor mum was amazingly patient with me and didn't flinch when we met up again and I announced that I hated literally everyone on the planet.  I knew what was causing my erratic moods, but I could do precisely nothing to control them, other than keep taking deep breaths and apologise.  And apologise.  And apologise again...

Literally nothing and nobody was safe from my ire.  I arrived home from our shopping trip and tried to fit presents for my friends into gift bags I'd bought.  One bag was too small for all the presents I wanted to fit into it and I actually yelled at it: "WHY DO YOU HATE ME SO MUCH?  YOU'RE RUINING CHRISTMAS!"  And then I cried, because STEROIDS.

Thankfully, I've gone from 8 per day, to six and now down to 4.  My moods are bordering on normal as I decrease the dosage (I say "bordering," because I've never been quite normal :P), much to not only my relief, but probably everyone who has ever met me.

But you know what?  As my very sensible friend Richey pointed out last night; these drugs might be incredibly annoying to be on, long-term and I might hate the side-effects.  But thanks to them, I've not had another attack in the past fortnight and I've become able to do my morning exercises again without collapsing in a breathless heap.  They might be irritating, but they do the job.

And at the end of the day, that's all we can ever ask for.  That when we're poorly, we get the right treatment and we get well again, whatever it takes.  I'm on the mend now and I promise to update this blog more regularly and to crack on with my Sunday Challenges again - I've missed those!

So if you're asthmatic and you've read this and are thinking "OMG, I never want steroids..."  Well, I don't blame you.  But the alternative is way scarier than the side-effects.  Like... Way scarier.  My advice?  Take whatever they give you.  Just ensure your loved ones are a safe distance away from the blast zone when the moods kick in...

I promise to keep this blog updated more regularly.  And who knows, I might even keep to another New Year's resolution and stop biting my nails too...  In the meantime: here's to getting well again, here's to our fantastic NHS and here's to this weekend's Sunday Challenge, whatever it turns out to be!