
heartblock
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Everything posted by heartblock
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We gave the EU ?350M a week which was the given back to many of the regions that voted out, basically spreading the wealth from London to the regions - if you think for one second Boris or Gove will and can do this you are living in a dream world and as the financial markets are now damaged by 'leave' it's unlikely there will be any spare cash for the NHS or poorer regions. I think Boris looked worried.......
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It's all too awful - Gove is repulsive and Boris a careerist man-child.....
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It's safe. I walked that way to work for ten years, sometimes after a few post- work drinks, so late at night in the dark and I never felt at threat from muggers or traffic. The Sardinian restaurant would be an excellent local place to eat and the 'pre-loved' clothes shop is great to browse in.
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Maybe it was just a misunderstanding and the Mum thought we objected to sitting next to a small child and then was a bit over defensive. Then I was being overly sensitive (and hubby irritated at having to move!) The staff were good actually and as I had already decided to move, I think I had removed that option from the waitress. Oh well .. I'm usually pretty chilled, I think a gin and tonic is in order!
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Hi Jeremy, yes you're right as well. I imagine that the perception of the Mum will differ from mine. I'm not sure about who was right and who was wrong. I think that is why I was asking what you or someone else might say or do in that situation. I've dealt with violent drunks in A&E and had to deliver the worse news possible to parents, so I thought I had a fairly reasonable approach and had learnt how to diffuse difficult situations. Apart from us moving to another table half way through our meal, I couldn't really see another way this time, the Mum wasn't going to stop giving soggy bread to the child and the child's throwing arc was improving with time.
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Oh don't worry Bob - I needed someone to say what you said. There are much worse things in life than a bit of soggy bread being thrown in your direction while you eat.
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Yes you are probably right Bob, I think she might have been a one off. I've found Mums and kids around here a really nice bunch. I was a bit shaken by the experience, which is silly really. Ok - good advice, Ta Bob.
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Only once - today. I've lived here for 25 years.
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I suppose I'm just seeking whether this is how life is. Two over 50 year olds ( me and hubby) in a nearly empty restaurant, quietly eating. One other table with a family with young kids, the usual banter of mums and kids - which I don't mind, I regularly eat at this place and at 11.30 it is always popular with Mum's and kids. Mother, friend and small child come in just after we have started eating and sit on the table next to us. Child a bit noisy with clanking of cutlery on table and throwing toys on floor - that's fine, I don't mind because that's what kids do.Mother gives child bits of food to play with and child throws food on floor. Mother keeps giving food to child who continues to throw food on floor. We are not bothered, have grandchildren and have seen it all. Then child starts to throw food nearer and nearer us until it is being thrown in my line of site and under our table. I say very politely 'sorry, would you mind... But don't get to the end of the sentence as friend interrupts and says 'sorry is the food hitting you', I reply 'not yet, but it's a bit distracting... And just about to say 'seeing food coming towards you' and about to joke about it when the mother becomes extremely defensive, something along the lines of 'it's just a child' 'why don't you move' and then turning to the child giving her more food to throw on the floor and saying to the child 'silly, horrid people' . I get up and ask the waitress if we can move and when I get back my hubby is in the process of saying 'we were here first and why should we move'. I think he is right, but push him to another table - while the mother is still giving her child food to throw and then cutlery etc on the floor and very loudly saying 'silly, horrid people' and my hubby ends up saying 'oh shut -up' as I'm pushing him to another table. Did I/ we handle this badly? was I wrong for not wanting food thrown my way while eating. What is expected these days? Maybe I'm just too old.. The restaurant waitress and staff were brilliant by the way.
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Zac always comes across as a bit bored with his wealthy life and this is just something to do. I didn't mind him previously, but the latest 'Trump' behaviour by him and Cameron is poor politics/ mud slinging. I'm unimpressed by Khan and he may get my reluctant vote. I don't know much about Caroline P, what's her platform and her policies?
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Yes I've been in that situation. Three people off sick with norovirus, one person on AL in Lisbon, one person booked on an Advanced Life Support course for three days so that they could go on call for cardiac emergencies the following week. Lots of patients having an extra hour waiting time that day and the majority were very understanding. Still I've left now so one less shambolic manager eh?
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The key phrase is 'senior-clinician directed diagnostic'. That means a doctor requests a test - but the doctor doesn't do the test. If you don't have more 'diagnostic staff' it doesn't matter how many doctors are in at the weekend. Ok I won't add anymore to this. I resigned from my senior clinical manager post recently after 30 odd years to take on a less stressful role. The demoralised staff and constant pressure to do more with less was sad to see. When it's gone you are all going to miss it! Unless you have shares or interests in private health providers as do many in the Conservative party....although if you have a heart attack in the middle of the night it will be my NHS acute coronary team that come in to rescue your blocked artery and your life, not BUPA.
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I've worked in the NHS for over 30 years. I've worked in 5 different Trusts and spent some years in the private sector, much of my time in the last 2 years has been on the question of 7 day working and I was part of a DOH 7 day working group advising in how to deliver weekend diagnostics. I'm am acutely aware of the actuality and to have 7 day diagnostics will be very, very expensive. Senior consultants/ doctors do not carry out or perform elective diagnostic tests in the NHS or the private sector, despite what everyone sees on 'House'. Respiratory physiologists, cardiac physiologists,neurophysiologists, vascular scientists, audiology physiologists, MLSOs, sonographers etc carry out diagnostic tests using specialist equipment and report on them. The report is then uploaded to the patients medical records for the doctor view. For example the team I used to manage recently were cardiac physiologists and echocardiographers - The ultrasound for heart failure is an echocardiogram - carried out by a BSE registered sonographer/echocardigrapher- not by a junior doctor. Just having more doctors at the weekend will not mean an increase in diagnostic services, to have diagnostics more healthcare scientists would have to work 7 days and this has so far not been funded by the DOH.
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I was asked to formulate a plan to provide a 7 day NHS service with the same amount of staff and at the same cost by the senior management in a large south London trust due to pressure from the DOH. Of course this ask was completely ridiculous in that if staff work a 37.5 hr week - they will either have to work overtime that needs to be paid or not work on one of the week days - which would mean closing a diagnostic room down on a weekday and cancelling a list of patients on a weekday. Also patients prefer to be seen electively on a weekday - I've asked patients and the vast majority want urgent care over the weekend, but really do not want to come in for routine care at the weekend. Intellectually I cannot understand J. Hunt's reasoning. If he wants elective cover across 7 days then he needs to fund more doctors, nurses, porters, laboratory staff, radiographers, clinical scientists, physios etc. Doctors do not work in isolation they are just one part of the team - a 7 day elective non-emergency service would be very expensive and I'm not sure it's necessary. The weekend death rates the J H is using for his argument is flawed - patients who attend and are admitted to a hospital at the weekend do so due to an urgent medical need - obviously suffering from an issue that is life threatening or serious in nature - therefore the patient is at a higher risk of death due to the nature of their illness.
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an unbiased report on burglary in London using ED and the Village as examples would be fine, I don't have an issue with that, but starting a post using the term 'hot spot' sounds more Daily Mail than an investigative report. Click bait I think.
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Hi Gudi, as a reporter you probably know that the report highlighted that SE21 was an area with high claims on insurance policies for burglary and SE22 had an active forum where residents informed each other of burglaries. You do understand that this does not equate to a 'hot spot'.
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No. 42 bus route extension consultation
heartblock replied to BrandNewGuy's topic in General ED Issues / Gossip
The council 'investigated' complaints about the noise and vibration to properties caused by this particular ramp. The only conclusion was that traffic was still speeding down EDG, but the ramp was to stay. -
No. 42 bus route extension consultation
heartblock replied to BrandNewGuy's topic in General ED Issues / Gossip
If another double decker bus is going down EDG please remove the road ramps or make the on and off ramp incline less steep on this road, it's uncomfortable for passengers and noisy for residents. Otherwise a good addition to public transport. -
My partner is a tall, beardy 50 ish man. His mate is a slightly shorter, wider 50 ish man, who likes to wear a woolly hat. Both avoid walking near schools or walking in a park on their own where there might be young children as they have had the 'looks' from Mothers. We are going to have a whole generation that thinks every man in his 50's doing any activity on his own is a danger. Sadly when one of my colleagues an anaesthetist went to help a child that had fallen while running in Dulwich Park, he got the 'look' from the Mum, until his dog came up to join him. So if you are a man walking in the park, sitting in a cafe, walking past a school - make sure you have a dog with you.... Then you will not be a danger!
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3k. Have it fitted professionally, but paint it yourself to save....... Another 1k! I think we used London Doors or something like that - 10 year guarantee if you agree to paint it within a week if I'm recalling the contract details accurately.
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Read The Guardian article. Southwark selling the car park to Mayfair based property developers rather than an artist studio and the current organisers of art events bid. I'm glad that I'm planning to leave London, which is busy 'eating itself'.
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Vibrations and noise caused by ramps on EDG
heartblock replied to heartblock's topic in General ED Issues / Gossip
Michael Mitchell supported my complaint. The recommendation from the Council officer was "If you are concerned about damage to your property, you are encouraged to consider an insurance claim" from Southwark Council. The Council officer also said "The road surface in this location will continue to be regularly inspected as part of our cyclic maintenance regime and should any failing of the road surface that meets our intervention criteria be found, reactive repairs will be undertaken regularly", I find it hard to believe that regular inspections take place as the drain was repaired only because Michael and I asked for an investigation, the road cannot have been inspected for over a year. -
Vibrations and noise caused by ramps on EDG
heartblock replied to heartblock's topic in General ED Issues / Gossip
Conclusion of investigation. 1. HGVs are travelling above the speed limit down EDG despite the ramps 2. The ramps are the correct specification 3. "the Council considers traffic noise is excluded from Part III of the Environmental Protection Act 1990. This means that the Council has no direct responsibility in relation to either the investigation or mitigation of noise from traffic. The act treats noise and vibration as the same" So any new works carried out by the council that cause an increase in noise pollution and vibrations in a private residential property are not considered to be the responsibility of the Council to either investigate or resolve. Any thoughts? -
Vibrations and noise caused by ramps on EDG
heartblock replied to heartblock's topic in General ED Issues / Gossip
Sorry 539491, not sure where I found those last three digits! I e-mailed Councillor Michael Mitchell and Helen Hayes and the two managers responded to me.
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