20 Oct 2011

Room 101

The last remaining vestige of socialist utopia in our benighted isle as imagined by Atlee's post-war Labour Government is the very wonderful NHS, currently under threat of privatisation by stealth from out ghastly rulers. One of many nightmares fuelled by the current Tory led coalition is the end of the free at point of service NHS, something I dread should that ever happen.

Yesterday saw my third operation in just under a year on the wires and pulleys in my hands, or to use the technical term, correction of Dupuytren's Contracture. As this is my third time I now know exactly what to expect. While I cannot fault the excellent standards of the actual operation, the amount of attendant bureaucracy is mind-boggling.

When I got my first letter in early September informing me of the operation time, I noticed that they wanted me at the hospital on Wednesday 12th October by 7:15am! That would mean getting up by 6am at the latest, and those of you that know me will realise that this filled me with some dread. I am not and never have been a "mornings" person. I still regularly recall my dear old dad getting up at the rise of the sun, and wandering about the house whistling at some ungodly hour. The memory makes me smile and cringe at the same time. How can anyone be so cheerful so bloody early?!

Anyway, I digress. I phoned the appointments people and asked if they could find me a date later in the month at a slightly later time, say 9am - still quite early enough, thank you, but if not I'd take it anyway as I want the op over and done with. "OK" she said, "we'll see what we can do". A fortnight passed and no call or letter, so I ring again and was informed by answer-phone that the lady in charge of appointments was on holiday, and could I ring my consultant's secretary, which I duly did. Of course this meant explaining the situation again, and she told me that the reason the original slot was so early was so that the consultant could see me before the operation. I asked her what time he arrived in the morning, and she avoided the question - obviously a lot later than 7:15am I'll bet. I and the other patients would just end up sitting around for hours with the chill air conditioned breeze wafting through the gaps on those horrible do-up-at-the-back smock things they make you wear.

She was actually very helpful and said she'd look into why I had not been contacted and get back to me. A few days later a revised appointment letter arrived..great, they've changed the slot... for Wednesday 19th October...at 7:15am. It made me laugh that did! So I rang up the secretary again and asked what was the point of changing the date if the time slot remained the same? "Oh" she says, "well, you should have explained yourself better". I smiled to myself and bit my tongue, "Never mind" sez I , "I'll take it anyway"..."Hold on" she replied, put the phone down and came back and said "How about 10am, same day? It'll mean you won't see the consultant beforehand"". "Great" sez I "He's seen me twice already, I'm sure he knows what he's doing". Just why they couldn't have done that first time round I don't know.

I arrived at the hospital yesterday and guess what, the consultant saw me anyway, and I was under the knife within an hour. When I got back to the ward the guy in the next bed who had been operated on directly before me was moaning about having to turn up at 7:15am and then sitting around for two hours while nothing happened. Wahey!

Bureaucracy addendum - In the short time between arriving at the hospital and being put under the lights (lovely reflection of my op to watch in the light cover by the the way!) I was asked the same pre-op questions by the ward nurse, the theatre nurse (who supplied The Stone Roses on her iPod as operation music - marvellous!), and the anaesthetist, who all filled in three different versions of exactly the same form. This doesn't really surprise me, having to deal with HMRC in my day job. Anything the Government get involved in is bound to be in at least triplicate!


The cuts affecting the NHS were in evidence in the ward after the op. The discharge nurse (in the sense of leaving the ward, not messy liquids..heheh) asked if I would need any painkillers. and as I have not used any of the co-codamol prescribed after the first op for that or the second op, I told her no thanks. A bit of soreness does not necessitate medication in my opinion, unless you're a complete wuss. Medications are handed out all too freely these days if you ask me. She told me that was just as well as they had run out of the "proper" stuff (co-codamol) and could only offer me paracetamol in any case.

Despite all the endless layers of officialdom and general waiting around, the NHS is a truly marvellous thing and the coalition will rue the day their pernicious and self-serving little Health Bill becomes law.

If the Evil Coalition get their way, which is depressingly likely, the first stages of creeping NHS privatisation will soon be upon us, enabling Dave's mates to set up phoney health companies in order to make vast profits out of the rest of us, and we will all be nostalgic for the old ways of endless paper shuffling related above. There's still time to sign 38 Degrees' petition to to stop the changes, so if you haven't already signed it, get off your arse (well, hit a few keys on your keyboard) and do it now! At nearly half a million signatures one can only hope, perhaps naively I'll admit, that some notice is taken in Westminster.

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