I'm worried about what people will think after I die...

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Alternative beliefs to accommodate the infinite mysteries of life and existence:
  • it is so complex that there must be a grand design (not Kevin McCloud) - an omnipotent who on the 7th day rested having built all including animals and homo sapiens on the 6th.
  • we don't know all the answers. We know more than last year, and expect that knowledge to expand. If the mysteries of life are really infinite, humanity will never know everything.
Personally I go firmly with the rational - some of that ascribed to the almighty in years past now has an explanation. The belief in a greater power is continually being proven incorrect.
 
Well, I guess we got to experience part of what the health care system costs so much for yesterday.

My son had swollen lymph nodes the last two days, but no symptoms other than that. We figured he was fighting off the flu or something, and two days ago, he threw up, then felt fine. Still had a fever yesterday afternoon, and we called the pediatrician on short notice and they said they had no openings, but the walk in clinic (pediatric only) would after 5. Figured there was nothing really wrong with him but the flu or something else simple.

You could just go to a GP walk in clinic here, but we can doctor shop, I guess - I'd rather see a pediatrician for a kid as they're just more in practice to examine and know what's going around with the kid population.

I guess it was around 3PM that the mrs. called. The pediatric clinic opened at 5, the mrs "got in line" with an app before driving there and the boy was back home by 6pm with a diagnosis of lyme disease (yikes!) but acute and should be wiped out by a course of antibiotics.

Not sure if lyme is a thing over here, but it's a serious problem here if it's not treated early.
 
I don't care where they bury me when I'm gone. Like my granddad said, stick me in a black bag and throw me out for the bin men

Fantastic. Protestant tradition here is to waste a lot of money on being buried. I told the mrs. not to waste the money - burn me up, throw away the ashes if you want and give the difference toward something for the kids (or grandkids by then if that's the case).

MIL is vain but thinks she isn't. Her husband bought plots at a church in the network with his church or something (probably a better price than his church) and then the hillside was cleared between her church and a large highway - like 3/4ths of a mile away. She's terrified how terrible the view is now....as if she'll see it.

I like the men's bin idea.
 
It seems to me the USA members have an awful lot to say in a UK workshop.
Firstly if it was a UK workshop then why do we all happily accept anyone from anywhere with anything to say? It is because a persons ability, knowledge or experience is not bounded by location so location is irrelevant. I for one have learnt an awful lot from American woodworking books and videos, so I value any input they give round here.
 
Alternative beliefs to accommodate the infinite mysteries of life and existence:
  • it is so complex that there must be a grand design (not Kevin McCloud) - an omnipotent who on the 7th day rested having built all including animals and homo sapiens on the 6th.
  • we don't know all the answers. We know more than last year, and expect that knowledge to expand. If the mysteries of life are really infinite, humanity will never know everything.
Personally I go firmly with the rational - some of that ascribed to the almighty in years past now has an explanation. The belief in a greater power is continually being proven incorrect.

When evolutionary neuroscientists come up with mouse monkey and lizard areas of brain, I'll pass thanks.

Btw the scientists who came up with the covid vaccine over a week are the real scientists!!
 
Actually there are many complex reasons for bed blocking and it is seldom a lack of space in homes. I had a detailed analysis undertaken at one health authority which concluded that the reasons were often to do with who pays, the NHS or the Council. This was closely followed by poor post-discharge care planning, inadequate pharmacy support at weekends, no patient transport at weekends and believe it or not families that refuse to accept the, often elderly, relative back home.

Social workers are responsible for placing people.
Every patient that doesn't have someone to look after them on discharge at home have to do an assessment of the patient.
This will determine what care they need and which facility is best for them.
Money doesn't come into it hospitals just want the bed.
In the North of England even private homes are full and during covid many more closed down.
 
Social workers are responsible for placing people.
Every patient that doesn't have someone to look after them on discharge at home have to do an assessment of the patient.
This will determine what care they need and which facility is best for them.
Money doesn't come into it hospitals just want the bed.
In the North of England even private homes are full and during covid many more closed down.

Don't let your loved one leave hospital until a suitable care package is in place and funded appropriately.

Hospital wants you out ASAP which is understandable but don't accept a rubbish care home or take them back home without the house being suitable and carers and equipment sorted.

This is why bed blocking happens and in most cases it is justified.

In some cases though the family do a disappearing act to avoid any responsibility themselves and except the council to pick it up.

It's a shambles.
 
Don't let your loved one leave hospital until a suitable care package is in place and funded appropriately.

Hospital wants you out ASAP which is understandable but don't accept a rubbish care home or take them back home without the house being suitable and carers and equipment sorted.

This is why bed blocking happens and in most cases it is justified.

In some cases though the family do a disappearing act to avoid any responsibility themselves and except the council to pick it up.

It's a shambles.
Thats fine but if you dont have savings or own a house you have to go where they place you. Private care homes cost more and they will not pay more than the allocated budget to top up.

It is a mess I agree.
 
Well, I guess we got to experience part of what the health care system costs so much for yesterday.

My son had swollen lymph nodes the last two days, but no symptoms other than that. We figured he was fighting off the flu or something, and two days ago, he threw up, then felt fine. Still had a fever yesterday afternoon, and we called the pediatrician on short notice and they said they had no openings, but the walk in clinic (pediatric only) would after 5. Figured there was nothing really wrong with him but the flu or something else simple.

You could just go to a GP walk in clinic here, but we can doctor shop, I guess - I'd rather see a pediatrician for a kid as they're just more in practice to examine and know what's going around with the kid population.

I guess it was around 3PM that the mrs. called. The pediatric clinic opened at 5, the mrs "got in line" with an app before driving there and the boy was back home by 6pm with a diagnosis of lyme disease (yikes!) but acute and should be wiped out by a course of antibiotics.

Not sure if lyme is a thing over here, but it's a serious problem here if it's not treated early.
Lymes disease is a thing in the U.K..
Not too common but on the rise I think.
Initial symptom is a bullseye 🎯 looking bite. After that it gets confused with flu.

There have been many cases where it has gone undiagnosed for many months.
There is a specific test for it and AIUI it's easy to treat.

A big problem with the health service in the U.K. is the time it takes to get a proper diagnosis for your illness.

My wife was fobbed off with painkillers and other pills by GP when she had a really bad back. Sad to say that we eventually went private. Got a scan and proper diagnosis within days rather than months.
Don't know if the lasting damage could have been avoided.

I would have more radiographers to maximise the use of CT and MRI scanners and also buy more scanners and train more staff.
 
I hope nobody minds and I apologise for the long read, but this might be the post to share what has very recently happened to me and a reminder that not everything goes the way we plan it. At the beginning of the year, I started contributing to D_W’s post ‘Anyone Want to do a Weight Loss Challenge’ I had put on quite a bit of weight during 2021 and stopped running in the September of the same year. I stopped drinking beer which was my main source of empty calories and started running. By mid-May I ran a 10K race which was my best time for four years. One week later we were camping in Lincolnshire where I did another couple of 10K leisure runs. The day after my last run while visiting Boston I suddenly, completely lost my appetite. This was to last all week until the following weekend when we were camping in Cheshire that I knew I needed to see a GP. I made an appointment on a call-back system and got a reply within thirty minutes asking me to go to the surgery the next day. We de-camped, got home and the following day (Tuesday) I saw the GP. By this time, I was jaundiced, my whole body itched and my poo and wee had changed significantly. She sent me to the hospital where someone would be waiting for me. I didn’t make it back out of that hospital until the following Tuesday.

The original thought was that I had a blockage in my gall bladder which could be caused by several things. They then concluded that I had a tumour on my pancreas, and I needed specialist help. My CT and MRI scans were sent to the Queen Elizabeth hospital, Birmingham. They contacted me the following Wednesday asking my wife and I to come to a meeting Friday to meet the specialist nurse who would introduce us to a surgeon, oncologist and anaesthetist as well as to have several tests and samples taken. They explained exactly what was going to happen if I agree to come in Sunday evening and have a D.D.D.P. operation on Monday. This is a variation of a Whipple operation to remove the cancerous head area of the pancreas. This is called Fast Tracking and is offered to those that meet an age, health and fitness level.

It is a six-hour operation and very obtrusive. Organs must be cut through to get to the pancreas then re-attached afterwards. But the surprising thing to me was that two days later, I’m out of my bed, the following day I’m walking short distances around the ward. By the following Monday I was home.

So, it’s four weeks and two days later. I get short of breath and can only eat small meals at one sitting. I can now walk up to 3km but do need two or three naps throughout the day. It will be eight weeks before I start the full-dose chemotherapy sessions then hopefully I will be cancer free. The surgeon has told me that if I don’t do anything silly, I should be running by January.

This is not a wake-up call for me. I had that when my father died when I was 25. He retired on his 65th birthday in the October then suddenly died the following January. From then on, I changed my lifestyle and made sure my wife and I got to retire early. I retired at 55 my wife at 59. Most of my working life has involved the investigations of sudden and suspicious deaths. This has made me aware something as simple as getting out of this chair, I could trip over the doorway threshold to the garden and land head-butting the patio killing me. Hopefully, instantly. Or the doorbell goes, and I could be met by a nutter with an axe. Probably a blunt one if he’s not read any a Jacob’s posts.

So, when this is all over. If my health does return to what it was. There will be little if any change to our lives. We will still travel, camp, hike, meet up with many friends we’ve made over the years just like we always have. I will still run the hills and countryside plus the cities that we travel to. We did put-by to have two small pensions which we still spend like there is tomorrow. When I do pop my clogs, my wife will probably be surprised that she is getting a better price for my tools second hand than I said I paid for them new.

As for the weight loss challenge. I’ve lost 17kg but I would not advise anyone should take my route. Stick to diet and exercise.

Gary
 
Thats fine but if you dont have savings or own a house you have to go where they place you. Private care homes cost more and they will not pay more than the allocated budget to top up.

It is a mess I agree.
Always check the CQC reports. Standards vary. My Mum tried my Dad in a couple of care homes before she finally did the right thing and brought him home.

The quality of the firms providing carers varies enormously. We had to fight to get decent carers. One company employed fabulous Romanian women, another great one had a team of amazing English girls. They came to my Dad's funeral and kept in touch with my Mum for many months after.
Another company had the most disgusting cretins who clearly only did the job for the money and shouldn't be allowed near I'll people.

It pays to kick up a fuss and form a good relationship with the case worker who puts the care package together.
 
I hope nobody minds and I apologise for the long read, but this might be the post to share what has very recently happened to me and a reminder that not everything goes the way we plan it. At the beginning of the year, I started contributing to D_W’s post ‘Anyone Want to do a Weight Loss Challenge’ I had put on quite a bit of weight during 2021 and stopped running in the September of the same year. I stopped drinking beer which was my main source of empty calories and started running. By mid-May I ran a 10K race which was my best time for four years. One week later we were camping in Lincolnshire where I did another couple of 10K leisure runs. The day after my last run while visiting Boston I suddenly, completely lost my appetite. This was to last all week until the following weekend when we were camping in Cheshire that I knew I needed to see a GP. I made an appointment on a call-back system and got a reply within thirty minutes asking me to go to the surgery the next day. We de-camped, got home and the following day (Tuesday) I saw the GP. By this time, I was jaundiced, my whole body itched and my poo and wee had changed significantly. She sent me to the hospital where someone would be waiting for me. I didn’t make it back out of that hospital until the following Tuesday.

The original thought was that I had a blockage in my gall bladder which could be caused by several things. They then concluded that I had a tumour on my pancreas, and I needed specialist help. My CT and MRI scans were sent to the Queen Elizabeth hospital, Birmingham. They contacted me the following Wednesday asking my wife and I to come to a meeting Friday to meet the specialist nurse who would introduce us to a surgeon, oncologist and anaesthetist as well as to have several tests and samples taken. They explained exactly what was going to happen if I agree to come in Sunday evening and have a D.D.D.P. operation on Monday. This is a variation of a Whipple operation to remove the cancerous head area of the pancreas. This is called Fast Tracking and is offered to those that meet an age, health and fitness level.

It is a six-hour operation and very obtrusive. Organs must be cut through to get to the pancreas then re-attached afterwards. But the surprising thing to me was that two days later, I’m out of my bed, the following day I’m walking short distances around the ward. By the following Monday I was home.

So, it’s four weeks and two days later. I get short of breath and can only eat small meals at one sitting. I can now walk up to 3km but do need two or three naps throughout the day. It will be eight weeks before I start the full-dose chemotherapy sessions then hopefully I will be cancer free. The surgeon has told me that if I don’t do anything silly, I should be running by January.

This is not a wake-up call for me. I had that when my father died when I was 25. He retired on his 65th birthday in the October then suddenly died the following January. From then on, I changed my lifestyle and made sure my wife and I got to retire early. I retired at 55 my wife at 59. Most of my working life has involved the investigations of sudden and suspicious deaths. This has made me aware something as simple as getting out of this chair, I could trip over the doorway threshold to the garden and land head-butting the patio killing me. Hopefully, instantly. Or the doorbell goes, and I could be met by a nutter with an axe. Probably a blunt one if he’s not read any a Jacob’s posts.

So, when this is all over. If my health does return to what it was. There will be little if any change to our lives. We will still travel, camp, hike, meet up with many friends we’ve made over the years just like we always have. I will still run the hills and countryside plus the cities that we travel to. We did put-by to have two small pensions which we still spend like there is tomorrow. When I do pop my clogs, my wife will probably be surprised that she is getting a better price for my tools second hand than I said I paid for them new.

As for the weight loss challenge. I’ve lost 17kg but I would not advise anyone should take my route. Stick to diet and exercise.

Gary

You never know what's around the corner and you clearly knew that from your job.

Sounds like you were already living life to the full and good on you. This life is not a practice run. You only get one.

Best of luck with your treatment Gary and wishing you a long and even more fulfilled life!
 
Social workers are responsible for placing people.
Every patient that doesn't have someone to look after them on discharge at home have to do an assessment of the patient.
This will determine what care they need and which facility is best for them.
Money doesn't come into it hospitals just want the bed.
In the North of England even private homes are full and during covid many more closed down.
No the social worker bit is not correct, multidisciplinary teams consisting of health, social care and community workers agree a pre-discharge care plan and agree it with the patient and/or their relatives. I know this not only from my past work but having just gone through it for my mum. She is now in a great, but very expensive, BUPA care home in Cheshire. She receives mostly social care for her advanced dementia plus an amount of nursing care. She was hospitalised with a broken hip after a fall and is 92. The MDT followup Teams meeting was held with myself and my siblings. Everything was carefully explained and a three homes were offered. I do agree that if my mum didn't own her own home the choice may well have been made for us. If she outlives her house equity I believe she will be moved to a cheaper care home as the council will be paying for it.
 
No the social worker bit is not correct, multidisciplinary teams consisting of health, social care and community workers agree a pre-discharge care plan and agree it with the patient and/or their relatives. I know this not only from my past work but having just gone through it for my mum. She is now in a great, but very expensive, BUPA care home in Cheshire. She receives mostly social care for her advanced dementia plus an amount of nursing care. She was hospitalised with a broken hip after a fall and is 92. The MDT followup Teams meeting was held with myself and my siblings. Everything was carefully explained and a three homes were offered. I do agree that if my mum didn't own her own home the choice may well have been made for us. If she outlives her house equity I believe she will be moved to a cheaper care home as the council will be paying for it.
Yes. If they have money to pay.
If they don't the social worker has to find that support money to help funding and a care home that will accept the amounts offered bearing in mind pensions etc are included in the calculations.
This is one of the time consuming reasons for bed blocking.
If the person is to be sent home a home assesment us needed and a team put in place if there is no one to help at home again bed blocking untill all this is agreed.

In Scotland its different than England from what I can see.

Its a mess if you dont have the resources to be able to pay.
 
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