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The non-railway and non-modelling social zone. Please ensure forum rules are adhered to in this area too!

Early Risers.


Mr.S.corn78
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Afternoon all from a decidedly damp Estuary-Land. The rain was quite heavy half an hour ago but its eased off quite a bit now. At least its sorted the hay fever though my hay fever is nowhere near as bad as Ricks. A couple of items arrived in today's post, some models and a book on railways that to my great delight has some very good maps and plans.

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4 hours ago, iL Dottore said:

 

I’ve read at least two commentaries that have stated that this was a decision made solely by senior NHS management, so that the NHS would not be “embarrassed“ by scenes of patients (and bodies) overwhelming hospitals as had been seen in Spain and Italy. 
Given that, by the time the UK entered into lockdown, the risk factors creating vulnerable patients were already known, the decision to offload elderly people without the benefit of checks and testing into the care home environment was – at the very least (in my view) – corporate manslaughter.
Furthermore, it was also a terrible, if not a criminal, decision, to suspend all testing and treatments for cardiovascular disease, cancer and other serious illnesses.  Other countries have managed to keep on providing urgent care for serious disease in addition to managing the coronavirus pandemic, so why did the NHS pretty much shut up shop?

 

I'm really wondering about some of this.  The ward my daughter works on had a number of older patients transferred out to various places a while prior to the lockdown as part of the Trust's preparations to deal with Covid.    that took place well before it was announced that the HNS and hospitals were planning to do various things.  That did not mean they stopped accepting older, or any other, patients for trauma orthopaedic surgery (elective surgery was suspended as part of the plan).  As it happens my aunt had a booked appointment for long term cancer and other problems review at the same trust and that appointment was not cancelled by the trust but by her because of her concern about catching the virus.  So it seems some of their clinics were working normally.  Ans yes, regrettably they did have some Covid cases - usually people who came in with it - and one was not transferred over to the Covid unit but was settled in private room because at 89 she was unliklely to respond to treatment.

 

As far as our GP surgery was concerned several things took place.  First they suspended their normal way of working and the place was washed down with bleach in all clinical and public etc areas.  Then new systems were introduced (and are still in place albeit with one or two minor changes)  hence on the two occasions I have been for blood test I have been dealt with by somebody who is wearing PPE2, with a fresh disposable apron and pair of gloves after each patient they see although I think they wear the same visor no doubt cleaning it down and, of course all relevant areas are cleaned down and sanitised after each patient.  All members of staff have two Covid tests every week and that has been the situation since early March and is continuing.  Oddly I have found it easier (i.e. as in actually possible) to speak to my own GP during this period than is normally the case but it is done over the 'phone instead of face to face.  I recently had my annual full gamut of tests for just about everything from cholesterol to whole blood and kidney function via diabetes and whatever else in between plus my full annual diabetic physical check and the latter was followed this week by the annual diabetes review with the practice nurse who specialises in that area, the latter over the 'phone.  No problems for me as most of my numbers are 'good' (certainly for Type 2 diabetes, my wife had a query about something else which she raised during her review and had a further consultation today with the nurse - all of this has been done over the 'phone but if I actually have a real need to see a GP or nurse it will not present any problems but it will involve proper infection control procedures on all our parts.

 

Fortunately I have not needed to go to hospital but some have been back to normal for several weeks past as far as consultations and elective surgery are concerned.  Judging by various medical professionals who have spoken on 'Any Answers' during the main lockdown period the situation must vary from trust to trust. For example one cancer consultant called in and said all his clinics have been running as normal through lockdown while a nurse from another hospital called and said that the usual clinics in whatever area she was involved in were also running as normal,  In some places that certainly appears not to be the case and I know from one ER that his local GP surgery has been shut for several weeks - both of ours locally plus our rather minimalist casualty unit have remained fully open.  I think the truth of the matter is that in many respects it has come down to decent clinical management and preparation on the part of individual trusts and GPs albeit occasionally with outside help (testing here is handled by a local bio-medical firm whose owner volunteered his services to GP surgeries and at last count was carrying out weekly tests for 14).   And, regrettably some trusts and GPs planned and were prepared whil others were not and alas I do wonder if the same might be said of some residential homes where i find it duifficult to v believe that they do not have normal PPE1 procedures in place when you consider the tendency for such places to pay host to things like norovirus every now and then?

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Mike, the big problem is the way the nHS has reacted (not the n for national).. you have the good ways .. up here it is chaos.. I still cant contact Nurse Drac.. I had a call from the LGI preCovid to contact them ..but they are very busy so sometime they may tell me why they rang. Others (who were on Chemo have not had any further opportunities to continue their treatment. In other words ,, a non joined up system which is basically as good or bad as  local decision makers can make it!

 

Baz

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5 hours ago, roundhouse said:

Talking of PNW I will raise you one Full Sail T that i am wearing today

The Governor announced that some counties may apply for phase 2 of reopening. Phase 2 will permit gatherings of 250 people. Hood River County has been in phase 1 for a couple of weeks. According to their website the pub at Full Sail is still closed, though the brewery continues to operate.

 

My county only opened on Monday. Multnomah County (encompassing Portland) has not reopened at all - despite the large protests that continue downtown. Last night perhaps as many as 10,000 gathered. Most were peaceful, except for a breakaway group that elicited a heavy-handed police response. Curfews were cancelled after completely peaceful protests on Monday night.

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Evening all from Estuary-Land. Back on my old computer, all cleaned up but I've now got to set up everything again,  the most important first so its RMweb after my e-mail. Not a lot else to report, be back later.

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BoD - oxygen saturation should be in the range 94 - 98%; anything lower and supplementary oxygen should be administered.

Mike - our instructions are that visors are cleaned with Clinell wipes for 60 seconds then re-used.  Clinician should be wearing two pairs of gloves as well.

Bill

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1 hour ago, Ozexpatriate said:

The Governor announced that some counties may apply for phase 2 of reopening. Phase 2 will permit gatherings of 250 people. Hood River County has been in phase 1 for a couple of weeks. According to their website the pub at Full Sail is still closed, though the brewery continues to operate.

 

My county only opened on Monday. Multnomah County (encompassing Portland) has not reopened at all - despite the large protests that continue downtown. Last night perhaps as many as 10,000 gathered. Most were peaceful, except for a breakaway group that elicited a heavy-handed police response. Curfews were cancelled after completely peaceful protests on Monday night.

These protests, after all this time, are getting old!  Recently downtown Tacoma was vandalised after a 'peaceful gathering' in a local park.  The usual suspects were to blame :angry:and local merchants were the ones who suffered.  We all suffered actually and as usual, the culprits picked up their weapons and went home, although in this case two were caught by the police.  Sadly they survived the encounter and are now in jail.:good: If I were a member of the murdered mans family, I would be ashamed that my name was lent to enhance such mayhem.

     Brian.

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Good evening all.   It is peaceful and quiet here in the village that fortunately is still over 100 miles from the nearest Ikea.   A lovely afternoon was had.  All our four cherry trees are bearing much fruit,  3 of them are sweet and one has already been harvested, the other two are ripening fast.  However the cherries on the fourth are a little on the tart side and a bit smaller.   However it has been pronounced that they will be great for cherry brandy.  Therefore this afternoon orders were given to sally forth and pick cherries from the fourth tree,  2kg were picked in about 45 minutes and have now been processed, eau de vie and sugar has been added together with what one of our local distillers calls cooking cognac, and laid down in a large vessel.  This should produce about 3 litres of cherry Brandy by mid August.   I then went and scanned slides for a while and before tea we had an aperitif of last years  cherry brandy.   It's a hard life but someone has to do it.

 

Regards to all and stay safe.

 

Jamie

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3 hours ago, Barry O said:

Mike, the big problem is the way the nHS has reacted (not the n for national).. you have the good ways .. up here it is chaos.. I still cant contact Nurse Drac.. I had a call from the LGI preCovid to contact them ..but they are very busy so sometime they may tell me why they rang. Others (who were on Chemo have not had any further opportunities to continue their treatment. In other words ,, a non joined up system which is basically as good or bad as  local decision makers can make it!

 

Baz

I think that final point is exactly it Baz - it is not a National service but very much a localised one.   The big question of course is how do you (i.e. 'we') put it right and I'm not at all sure how that will be answered but it needs to be free of political interference and as ever I think a Royal Commission might be a starting point. There is clearly a need for urgent attention at the top end of the organisation nationally and, seemingly based on current evidence,  at the top end of various parts of it on a more localised basis.

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Yes a real, independent Royal Commission may help. But any changes to the nHS is something of a hot potato for the politicos. ... and who would be daftenough to try and do anything?

 

Baz

 

 

 

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55 minutes ago, Dave Hunt said:

 

More likely to be Jamie's mate Supersonic of this parish as he's got time on banana bombers whereas I have none. I think I've mentioned before how low they could fly and this picture just goes to prove it....

 

Dave

It was said that Buccaneer crews were scared of hights:jester:

Night awl

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Evening all from Estuary-Land. The rain seems to have gone but the seaweed twirlers are still promising more tomorrow. I'm getting used to this computer again but once I have the fan on the other one sorted I'll keep swapping them over to keep them up to date. 

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1 hour ago, bbishop said:

oxygen saturation should be in the range 94 - 98%; anything lower and supplementary oxygen should be administered.

That explains why my oximeter beeps on 93%. I assumed it was something like that.  

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10 hours ago, Happy Hippo said:

 ...snip... By the time I'd finished hanging from the chandelier trying to read it I was quite tired...............................

Hippobatomus?

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