March 4, 2013 at 9:25 pm
Medical matters in the shape of the iniquitous Liverpool Care Pathway seem to be all the rage at the moment. For those who do not read newspapers or watch TV, the LCP is about the kind of care your relative or friend will receive if they have a terminal illness.
I admit to a bias. I believe that the duty of medical practioners is the maintenance of life come what may and the end of life should be as natural as possible. The Liverpool Care Pathway is designed to provide palliative care to the end.
The considerable controversy surrounding the use of the LCP concerns possible abuse of the Pathway. It’s been noted that there is in some cases an almost indecent and ill considered haste to put some patients on the system.
The Pathway relies on the withdrawal of fluids and nutrition and the administration of strong analgesics to smooth what is often a rocky road to the end. It is said that the administration of the Pathway is often premature.
Question: Would you want this for yourself or your relatives or would you want to try to continue, knowing that where there’s life there’s hope.
By: paul178 - 7th March 2013 at 18:16
My Daughter in Law died of cancer at the age of 42 she was not religious and had a Humanist Service and despite the grief it was a kind and compassionate service without all the mumbo jumbo. I would like that when its my time.
A link to where it was(not advertising it but I am praising them)
http://www.memorialwoodlands.com/ourservices.php?gclid=CJ-soseR67UCFYbHtAod7SsASw
In memory of Ruth Wright 1963-2005
By: charliehunt - 7th March 2013 at 17:30
If on the other hand, I am left in a vegative state, and they have to fight, day in day out over a long period of time,and my recovery is likely not to be good, and I “Am not with it” for want of better words, and I cannot remember any of my family, then I would rather be put down.
My advice, for what it’s worth, is get out and do what you want to do TODAY, as you may not be able to tomorrow, as none of us know what’s around the corner.
Jim.
Lincoln .7
Well that saddens me, as it would to hear from any member. I trust you will do whatever is right for you and your family.
I totally agree with those two points. At our age you have to and if things go”pear-shaped” as you describe we will only be a burden on our loved ones and miserable old b***ers to boot. Better off out of it.
By: BSG-75 - 7th March 2013 at 16:54
I couldn’t agree more
I couldn’t agree less
Hah! I’d watched her die. There was no ‘mercy’ present. God, is a sad joke and it’s time we left that mumbo-jumbo behind, and took care of our terminally ill humans as well as we do our pet animals.
Moggy
Hear Hear – Cancer claimed both of my parents, at the ages of 67 and 73. They both died in the end in the local Hospice, which is an astonishing place where patients are treated with dignity and care. They both withered away, and certainly in the case of my mother, it effected her mentally as well. I think they both would have appreciated at least the choice of electing to be assisted in the treatment and, well, call it what you will, “assisted suicide” rather than spend weeks or longer slipping away.
A vicar who was a former neighbour carried out the cremation service for my father, she came to the house to talk about what we (my brothers and I) wanted, a letter from the consultant offering condolences and praising Dad’s dignity and courage was asked to be read, and I wanted an open reference that he was given when he left the army to be read – it was from a Major, on his own headed personal paper talking about a National Service Corporal, I was proud of that. But no, she went straight to prayer as it will help us grieve. Seethe maybe, but not grieve. She came back to do Mum’s service and I didn’t talk with her, she was always looking to push her beliefs onto others.
By: Lincoln 7 - 7th March 2013 at 16:36
With no disrespect, Linc, I think answer 2 would be inevitable and answer 1 is no surprise whatsoever and is a view shared by large numbers of people, both in and out of the service.
Edit: Very remiss of me – I should have asked if all is well – routine clinics/check-ups? I recall you mentioning in another thread previous health problems going back many years.
Charlie, Thanks for asking, however, the answer is a resounding NO. I may have to face taking into account whether I am willing to take having an Op,, which is a biggie OP, which brings me back on thread.
I am no longer a 20 yr old, fact. This Op is at my age,is one that the Surgeon is reluctant to do, but, there are risks, as there are with any Op, On the way home, I discussed all what had been done, and said. I told my wife later, and also my 3 grown up kids, that if I decided to have this Op, and things went pear shaped, as long as I am able to talk cohearently, and understand what is going on,then, let them do all they can to help my recovery. If on the other hand, I am left in a vegative state, and they have to fight, day in day out over a long period of time,and my recovery is likely not to be good, and I “Am not with it” for want of better words, and I cannot remember any of my family, then I would rather be put down.
This is only my opinion, but it does, for me, knowing Hospitals over the recent years,make me dread the fact that I may also receive the same treatment as has been discussed here.
Charlie, No, nothing to do with what I had 25 yrs ago.
I.M.H.O. I feel that ageism plays a great part in how well or not you are looked after in some Hospitals.
The N.H.S. whatever is said, is great, it’s the way it’s run that gives it a bad reputation, like the Police, if they had less paperwork, they could get on with their job a hell of a lot better.
My advice, for what it’s worth, is get out and do what you want to do TODAY, as you may not be able to tomorrow, as none of us know what’s around the corner.
Jim.
Lincoln .7
By: TonyT - 7th March 2013 at 15:51
Totally agree with both of you, the classic is the you will be seen within XYZ time, all that does is ties a member of staff up ensuring they have said hello and then lets you go back to the waiting game. Pointless exercise.
By: charliehunt - 7th March 2013 at 13:42
With no disrespect, Linc, I think answer 2 would be inevitable and answer 1 is no surprise whatsoever and is a view shared by large numbers of people, both in and out of the service.
Edit: Very remiss of me – I should have asked if all is well – routine clinics/check-ups? I recall you mentioning in another thread previous health problems going back many years.
By: Lincoln 7 - 7th March 2013 at 13:04
Just as an aside,I had to attend 5 different clinics yesterday at a VERY well known Cardio Vascular Hospital. Whilst waiting ages to get examined I, did engage several nurses and staff whilst waiting/ being treated, this question, “What would you do to improve the way the N.H.S, is run?.
Without exception, all stated, 1) Get rid of Targets,2) and get rid of a lot of top managers”.
Straight from the horses mouth.
Jim.
Lincoln .7
By: charliehunt - 7th March 2013 at 12:48
I might seem it, but I am not that old, John!!:eek::)
By: John Green - 7th March 2013 at 12:42
Re 48
Charlie
“…….very familiar……”
Was he by chance a close friend?
By: charliehunt - 7th March 2013 at 08:27
Dr Crippen
Dr Jekyll
Dr Josef Mengele
Do I win?
Moggy 😀
No, because like Mr Brooks, who seems to have had a hissy fit, you haven’t read the context of my question to JG, in reponse to his post. Anyone can post what they like but if the post is out of context it doesn’t make a lot of sense.:) And, if it has become a “list as many mass murderers as you can thread” then you could have added John Reginald Halliday Christie, with whose case I am very familiar!!
By: John Green - 6th March 2013 at 22:20
TonyT
I’m lost for words. Touched me to the core.
By: paul178 - 6th March 2013 at 22:05
Tony I am glad for you and your Mum it ended that way.
By: TonyT - 6th March 2013 at 21:53
My ideal death would be on the vinegar stroke, horny blonde under me, pint in my right hand and cigar in my left…..
Fantasy I know, peacefully would be the ideal, my old mum went six months ago and up until about seven months ago was still living at home on her own at 89, taking no medicines and doing her own thing she spent her last month in a home and myself as indeed herself didn’t want that, but you know, she loved it, it was warm, she had people to chat to all day, the food and evening entertainment was superb, it was a “holiday” to her. My views on homes changed as did hers.
Luckily she felt tired and unwell and slipped away in her sleep. It was peaceful and the way we should all go, the trouble is we as a species seem to have got into a mindset that to prolong life is a good thing, even when the person being treated neither wants it or is in agony, there is no compassion in that.
The last Christmas I stayed with my Mum she cried when I had to leave to travel home and back to work, she knew in her heart that she probably wouldn’t see me again, thankfully she was wrong, but it was a struggle to leave
In a way she was lucky, she had five Children, three living within about 30 miles and two living some distance away, myself being the furthest away (200 plus). My sisters would visit her two to three times a week and brother weekly, I would phone her for about 2 hours a week.
With work, cost of fuel etc it was difficult to get home, but every Christmas I would travel home through some of the worst weather imaginable to spend it with her for two weeks plus, where I would do everything, any repairs she needed doing, cooking, the lot, she would have the choice of roasts etc at Christmas, I would spend a small fortune ensuring she had everything and anything that went with Christmas etc… strange that this last Christmas was bar three in the RAF, and the one where I got my first mortgage, the only Christmas I have ever had at home in 54 years. Something in a way I had always wanted to have, but equally something that I never wanted, if that makes sense. When I finally travelled home to stay at my mums home and to see her off I struggled to leave to come back here, I knew that when I left the house I was raised in all my life, and still was my real home, the moment I shut the door I wouldn’t be coming back EVER 🙁
Would I change anything, no, and I don’t think she would have either. I would dread to be kept going in agony, unable to communicate the situation you were in, in that case I would want them to dope me up and let me go. The problem being when one is in the situation that one can express ones wish, one isn’t in the position where one actually wants to go.
By: paul178 - 6th March 2013 at 21:44
Moggy you missed one who got away with mass murder
Dr John Bodkin Adams
In Eastbourne it is healthy
And the residents are wealthy
It’s a miracle that anybody dies;
Yet this pearl of English lidos
Is a slaughter house of widows –
If their bank rolls are above the normal size.
If they’re lucky in addition
In their choice of a physician
And remember him when making out their wills
And bequeath their Rolls Royces
Then they soon hear angel voices
And are quickly freed from all their earthly ills.
If they’re nervous or afraid of
What a heroine is made of
Their mentality will soon be reconditioned
So they needn’t feel neglected
They will shortly be infected
With the heroin in which they are deficient.
As we witnessed the deceased borne
From the stately homes of Eastbourne
We are calm, for it may safely be assumed
That each lady that we bury
In the local cemetery
Will re-surface – when the body is exhumed.
It’s the mortuary chapel
If they touch an Adam’s apple
After parting with a Bentley as a fee
So to liquidate your odd kin
By the needle of the bodkin
Send them down to sunny Eastbourne by the sea.
By: Moggy C - 6th March 2013 at 20:46
….please remind of the medical professionals who “murdered adults and children left right and centre”.
Dr Crippen
Dr Jekyll
Dr Josef Mengele
Do I win?
Moggy 😀
By: Edgar Brooks - 6th March 2013 at 20:24
Firstly I didn’t ask you – .
My very deepest apologies; you should have made it plain that this is a private forum, and the lowly peasantry are not welcome to take part.
By: TwinOtter23 - 6th March 2013 at 19:41
JG, I have read your ‘ramblings’ very carefully and quite frankly your delusional rants frighten the hell out of me 😮 …. argue yourself into oblivion!
By: John Green - 6th March 2013 at 18:24
Re 36 & 39
Yes, I could perhaps learn a lot from the “friendship and courage” displayed by the person you mention.
Conversely, you would maybe, similarly benefit from reading my comments slowly and carefully and then replying with some degree of moderation and circumspection.
The name of the child killer you mention is vaguely familiar but, it wasn’t that person particularly to whom I referred.
Perhaps you are clairvoyant or have a crystal ball that enables you to state that I “know absolutely nothing about the circumstances surrounding Beverly Allit”. How do you know? Then you presume that that person is the one to whom I refer. Could be for all that I know.
I make no connection between my ‘perverse view of the LCP’ and the child killer. What twisted and warped mechanisms enable you to do so, is way beyond my understanding.
It takes all sorts.
Charlie
I’m not wittering on about “general practioners commiting murder”. That topic is not part of the subject. My reference to the two mass murderers was in connection with the principle of “checks and balance. If they had been in place, if the two in question had been subject to regular scrutiny of their performance then their crimes might have all the sooner, come to the attention of someone able to deal with these monsters.
Regularly, we are told how wonderfully well our professionals perform. How targets are set, boxes are ticked, achievable goals are in place. For these standards to work, scrutiny has to be in place. Well, if scrutiny works for target setting, why doesn’t it appear to work when serious mischief is afoot ?
You query my use of ‘agenda’. You mention that Shipman was a murderer and “in some bizarre way relished his acts”. That precisely was Shipman’s agenda.
By: charliehunt - 6th March 2013 at 17:12
You asked for the name of a medical professional who committed murder, so I gave you one; don’t start shifting goalposts.
Firstly I didn’t ask you – I asked John Green and secondly if you bothered to read all the exchanges you will realise that we were cross purposes in that I was debating in the context of voluntary euthanasia and John in the general context of medical practitioners committing murder.
By: Arabella-Cox - 6th March 2013 at 15:58
The personal experiences mentioned here should bring the bickering and trival nature of some other issues into focus.
The issue with the NHS today is one i believe infects and pollutes much of society; namely the fact that accountants and consultants have managed to worm their way into being seen as good and sometimes the only candidates for positions of power and influence.
Few if any of these people are leaders or even managers in the true sense of the word as i understand it.
They are only interested in the bottom line and (financial) “results” alongside their own “careers.”
This is the root cause of the decline (alongwith the preponderance of PPE graduates, who are akin to consultants in my view, in politics.).
In both business and politics more value should be placed on real world experience, knowledge and success prior to anybody being considered suitable for any leadership position.
Sadly we live today in a world massively dominated by corporate desires which sees easily manipulated “leaders” and populance as benefical to the corporate aims.
Twas ever thus i suspect, however the scale and ability to influence for corporate gain is of a greater magnitude than ever before.