Thursday, July 13, 2023

England 19.05 NHS Test 2

My forecast of the correct day when my ongoing infection would reoccur was correctly forecast by me, Thursday the 18th. Friday the 19th was a very slow start at Sister 1's. Just before lunch time I was driven back to the NHS walk in centre. I was triaged by a different nurse and I was quickly queued to see someone and given a plastic container to provide a sample.

I waited in the waiting room for around two hours, filling time with my phone and observing the order of people who were seen quite quickly and those like me who weren't so urgent. I noted a couple of people were really quite unwell and in pain. There was a young lad with a terrible gash on his leg. There was a pregnant woman holding her stomach. Yep, they were higher priority than me. 

I don't know what their titles were but I saw a very senior nurse and another nurse on a rung or so lower that her. A thorough history was taken, the sample analysed on the premises (that wouldn't happen at home) and I was offered a choice between what the clinic would normally subscribe for a UTI and the antibiotic I had been taking prescribed at home. I chose the antibiotic I had been taking and it came with the proviso that it would be a private prescription from a doctor and so would cost me cost me £10. The consultation took about half an hour. The medication was dispensed at the the pharmacy next door to the clinic and from there on I was fine until returned to Australia. No direct cost and there would have been nothing to pay if I chose the clinic prescribed antibiotic. I did not enjoy the two hour wait, but still, I was prescribed what I needed. The same can happen here if you go to a private bulk billing clinic, where there isn't the add on to what our Medicare system pays for you to see a doctor, but at such clinics, you can not have your own doctor.

Meanwhile Sister 1, her partner and R had been to Tescos and had a nice lunch. I had missed lunch, so once home Sister 1 made me a sandwich.  We may have had a Chinese meal ordered to be delivered that night. It was far too much food and R's sisters don't seem fond of keeping leftovers. I would mention the left overs could be kept for tomorrow, but it was never put in the 'fridge and I wouldn't eat it the next day for that reason. It was thrown out. Terrible food wastage to us who so rarely throw any food out.

I may as well put a wrap up to medical matters. Tuesday just past I went to a posh private hospital and had the stent from my kidney removed. What a relief. The stent had done the job but was causing bleeding. The morning after, suddenly everything seemed normal. Operation success, eventually six weeks later. I don't complain much and only R had an idea of what I had been through for six weeks and I can tell you it wasn't pleasant.

The day went like this. A bowl of cereal and coffee at 7am and then fast. Water allowed until 10am. 11.30 leave home. Check into hospital at noon, as I was told. So much paperwork to be done by nurses, even though I had filled in the online pre admission form. Change into one of the gowns with a back opening with a dressing gown over top. Lie on a bed for an hour or so and I fell asleep. More form filling in by nurses and a brief chat with the surgeon and anaesthetist. 

At 3.15 I was wheeled into the operating theatre, a canula inserted and I was out to it. I woke at 3.30 with the procedure done. The actual time I was out to it was ten minutes. Then recovery for ages, a sandwich, cup of tea and a sweet biscuit and R was allowed to pick me up at 4.50. 

Apparently I am 'young and fit' (little do they know in spite of their questions) so I was dumped down the procedure list but I ask you, for a ten minute procedure, is it really appropriate to be in hospital for five hours? At least here was no further charge...unless a bill arrives by post. 

29 comments:

  1. I am very, very glad you seem to be on top of things now. Long may that continue. And yes, five hours for a ten minute procedure does sound excessive. Unsurprising but excessive just the same.

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    1. EC, I am at times not so good at following the flow. I am so pleased with my condition after the stent removal.

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  2. At least it seems that the unpleasantness is now behind you... or is that the wrong phrase to use here? Anyway, it's good to hear that all is back to normal.

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    1. JayCee, you are right. All seems good now. Thanks.

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  3. Let me just say if you'd been here there would have been no free treatment or offer of free antibiotics for your UTI. More's the pity.
    I'm not sure I knew you had a stent in your kidney. That doesn't sound like any fun at all. I'm so glad that's in the rearview mirror. YOU, take special care of yourself.

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    1. Sandra, don't I know about your health system, a rather strange anathema in the western world, all for private companies to continue to make massive profits assisted by lobbyists who are paid millions to keep the status quo.
      I am fine now and that is rather a relief.

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  4. Renal stent needs to get changed regularly like every 6 weeks or 3 months. It is only done because of renal pelvis obstruction in general either by stones or mass. Should there be any stones blocking the urinary system, 4 predispositions shall be investigated such as hyperoxaluria, hypercalcaemia, haemolysis and hyperuricaemia. In general, renal stents don't bring much income for the urologists. So this is often performed by a trainee or nurse practitioner. I am surprised that you even get the service in UK. From what I heard from colleagues, things were a lot worse than what you described there. Though, Australia is not that far behind in comparison.

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    1. I don't think my issues were any of those Roentare. The stent was in place for six weeks. The surgery was via four openings in my stomach and by telescopic. It is highly skilled surgery and performed at Epworth, Richmond.

      I knew enough about the NHS in England in advance to know I would be treated as a local, not charged and that it would be efficient treatment. Probably better than I would have been if I went to emergency here.

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  5. Brother had what sounds to be a similar experience. Once his stent was removed he was a much happier miserable old git. I doubt you will get surprises in the mail (unless the anaesthetist wants more money from you), they like to bleed you before they operate.

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    1. Caro, and I too am now a much happier miserable old git. I think all of the costs were paid for in the main major payment. I now have a receipt for a paid medical bill and I am owed $27 by Medicare. It is many years since I've had to get money back from Medicare. It seems I need to go to what was the dole office in Prahran. Please don't tell me I can do it through My Gov. My Gov is a nightmare.

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  6. Stalker
    Glad to know you are feeling much better Andrew you were brave to travel knowing you had such a condition. Drink more water eat lots of veggies and fish and don’t forget red wine and of course eat dark chocolate .

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    1. Stalker, I had planned it quite carefully, only let down by my pharmacy and my own failings. I drink plenty of water and my diet whiled not perfect is not bad. I haven't had red wine for ages. I must have some soon.

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  7. Well it does give them five hours to keep an eye on you in case anything major suddenly happens and you did get a nice nap in there. Is the recurring infection gone now or is there a possibility of it returning? I hope not. Drink more plain water, even just one small glass with each meal and one at bedtime should be enough.

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    1. River, you are correct in that I was monitored for a time after surgery and then fed and watered. That was about 2.5 hours. I am fairly confident the original surgery cured the infections. Now the stent has been removed, I am back to normal. I drink over a litre of water a day. Surely that is enough, along with other liquids.

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  8. Well at least you have the stent out and hopefully all fix now, always thinking positive.
    Can't understand people throwing food out if still ok to eat but will never understand why sister didn't put in the fridge, maybe she has something against food from fridges.
    It was good you got your antibiotic the one you wanted, you would not have been satisfied with their brand.

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    1. Margaret, I can only defend Sister 1 in that her fridge is very small compared to our Australian fridges and four times smaller than American fridges, and already quite full of who knows what. Perhaps bottles of mineral water to go with her Bacardi.
      I really don't know if the normally prescribed antibiotic would have been inadequate and I expect it would have been. I just thought it would be best to take the one I knew worked.

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  9. 'Young and fit' - it's all relative and compared to many you're probably a spring chicken. I hope all your pain and troubles are over now. I'm glad the NHS did its stuff, albeit slowly.

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    1. JB, I think I might might present myself too well. Maybe I should dress down and speak broad Australian. Please treasure your NHS and fight for its continuance. Your system is the envy of normal people in that large country across the Atlantic.

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  10. And here's me thinking you'd popped off. You not on FB anymore?

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    1. Ah, Fen. What a nice surprise. I is not quite dead yet. I recently deleted an old FB profile. Maybe you were a friend on that. I'll send you an sms. I rarely post anything on FB as whatever I do is wrong in the eyes of Household Management.

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  11. A reminder to us all, to restock the flying pharmacy, aka, bag of pills just in case while traveling.

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    1. TP, that would be headache pills, Viagra, antibiotics, prep and poppers. Err, well, maybe heart pills, cholesterol pills and blood pressure pills.

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  12. Well, five hours to have something like that done --including all the evaluation and preparation, blah blah blah -- doesn't seem terrible, honestly. And now it's over! Glad you got your antibiotic.

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    1. Steve, I can see why modern medicine is so expensive. There are so many staff, not all being very productive.

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  13. Hope you are having a good recovery from your op Andrew.

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    1. Recovery is pretty well complete now Sami. Thanks.

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  14. Having a medical procedure is a lot like flying in the sense there is a lot of waiting around. Best wishes on expedient healing!

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