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Not really on-topic stuff from "N6 - Galway City Outer Bypass" thread

«134

Comments

  • Registered Users Posts: 649 ✭✭✭crusher000


    Thankfully common sense has provailed because it was roads that brought alcoholism, broken marriages , teenage pregnancy and homosexuality to the west. What kind of evil would be fall us if an outer by pass was allowed to happen?. Progress away with you and we'll bet you with a stick if you dare come around here.


  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    There are a number of overriding reasons but having the main hospital for the entire West of Ireland from Newcastle West in Limerick right up to Carndonagh in Donegal isolated on the wrong side of Galway is certainly one of the more important of them.


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    crusher000 wrote: »
    Thankfully common sense has provailed because it was roads that brought alcoholism, broken marriages , teenage pregnancy and homosexuality to the west. What kind of evil would be fall us if an outer by pass was allowed to happen?. Progress away with you and we'll bet you with a stick if you dare come around here.



    Twaszhent roads that brung all that filth, twas Gay Berren, tellyvision and Yoorop.

    Who else but the Yooropeens would come up with a sick joke like the ECJ, comin in heeor and tellin us what to do with our land. Ho-mo-seckshual hippies every wan o them.

    Hands off our bogs, while we're at it. :)


  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    Iwannahurl wrote: »
    Unfortunately again, advancing such evidence-based arguments gets us nowhere on Boards usually.

    You never explained precisely how you would get a Heart Patient into a Bicycle Ambulance either.!!! :D


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    yer man! wrote: »
    So you're anti-bypass then?


    I have made my position clear in numerous posts here and in other threads/forums. It's all there for anyone who wishes to read and inwardly digest.


    Sponge Bob wrote: »
    You never explained precisely how you would get a Heart Patient into a Bicycle Ambulance either.!!! :D


    You have conspicuously failed to provide any evidence to support your repeated claim that "sick people are left dying in ambulances in the gridlock".

    Now that you mention it, the 'bicycle ambulance' concept is quite well established, for example in London (a city also known for its congestion charge/road pricing, by the way, another concept we still seem to regard as too Lefty Green Yooropeen).


    2998910549_62cb294e90_z.jpg?zz=1

    6324389189_7e8157abde_z.jpg


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  • Registered Users, Registered Users 2 Posts: 9,235 ✭✭✭lucernarian


    Iwannahurl wrote: »
    I have made my position clear in numerous posts here and in other threads/forums. It's all there for anyone who wishes to read and inwardly digest.






    You have conspicuously failed to provide any evidence to support your repeated claim that "sick people are left dying in ambulances in the gridlock".

    Now that you mention it, the 'bicycle ambulance' concept is quite well established, for example in London (a city also known for its congestion charge/road pricing, by the way, another concept we still seem to regard as too Lefty Green Yooropeen).
    Are you seriously suggesting that seriously ill patients can be brought to hospitals on those bicycle-ambulance contraptions? I don't mind a good debate but I'd also like a little less absurdity.

    By the way, I think such ambulance bikes could be useful for reaching people quickly in congested areas. Touting them as a possible alternative method of patient transport...:eek:


  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    By the way, I think such ambulance bikes could be useful for reaching people quickly in congested areas. Touting them as a possible alternative method of patient transport...:eek:

    They'd be dead handy for getting a paramedic ONSITE quickly WHILE the Ambulance gets there through the Galway traffic. IE Within Galway.

    They'd be about 123% useless for getting someone into an operating theatre from Athenry and with half a leg hanging off, advanced blood loss and the loose leg snagging the back wheel on corners and all. :D:D


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    Touting them as a possible alternative method of patient transport...:eek:



    Who? Where? When? Verbatim quote please.

    From http://www.nhs.uk/Livewell/NHS60/Pages/Bicycleambulance.aspx

    "I thought, 'I could do this quicker on my bike'," he says. "When I got back to the station and started talking about it, everyone just laughed at me, but I knew I could do the job on my bike because of my previous history. In 2000 I got the go-ahead for an official trial."

    The results of the trial showed that Lynch was right and he could get to patients in built-up or pedestrianised areas more quickly. In addition, a cycle responder could tackle many emergencies alone, and avoid the need for an ambulance.

    "We worked out that we can save 250 hours of ambulance availability time in a six-month period," says Lynch. "That was great for me, to know that I was able to give Londoners back fully equipped ambulances."


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    Sponge Bob wrote: »
    They'd be dead handy for getting a paramedic ONSITE quickly WHILE the Ambulance gets there through the Galway traffic. IE Within Galway.

    They'd be about 123% useless for getting someone into an operating theatre from Athenry and with half a leg hanging off, advanced blood loss and the loose leg snagging the back wheel on corners and all. :D:D



    Any evidence yet of "sick people left dying in ambulances in the gridlock"?

    Or is it still a case of GCOB -- 123% more heart-rending hyperbole while you wait?

    And wait...


  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    Iwannahurl wrote: »
    Any evidence yet of "sick people left dying in ambulances in the gridlock"?

    Plenty, of course as you heartily wish never to see any such evidence you cannot be relied upon to look for it, preferring instead to accuse me of hyperbolé. :D:D

    Why do you continue to deny that the main hospital for the ENTIRE west of Ireland, meaning for an area reaching from West Limerick to North Donegal is UCHG on the West side of Galway City. ?????


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  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    Sponge Bob wrote: »
    Plenty, of course as you heartily wish never to see any such evidence



    Links please. Local news reports would do for a start.

    Major scandal in the (inter)national meeja even better, a la recent tragic events.

    C'mon now. Numerous people dying in ambulances on the way to hospital in Galway. There must be at least a sentence or two on the topic in the last 20 years...


  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    http://www.thejournal.ie/hse-response-elaine-curley-roscommon-two-hour-journey-roscommon-a-and-e-526836-Jul2012/
    http://www.thejournal.ie/roscommon-hospital-closure-death-galway-525847-Jul2012/

    I didn't think you would forget this sad story so soon, but you did. Now to my question of you having supplied a recent high profile link. :(
    Why do you continue to deny that the main hospital for the ENTIRE west of Ireland, meaning for an area reaching from West Limerick to North Donegal is UCHG on the West side of Galway City. ?????


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    Sponge Bob wrote: »
    Why do you continue to deny that the main hospital for the ENTIRE west of Ireland, meaning for an area reaching from West Limerick to North Donegal is UCHG on the West side of Galway City. ?????



    Verbatim quote please.



    Sponge Bob wrote: »


    Two links, one story.

    Excerpt:
    "[The car crash victim] was just 15 minutes away from Roscommon Hospital but was brought first to Portiuncula Hospital in Ballinasloe and then on to Galway. She died en route.

    It’s understood that the ambulance crew did not admit her to the hospital in Ballinsloe, but rather made contact with Portiuncula and were then told to bring her to Galway. According to the Irish Independent the crew were initially given inaccurate directions when leaving the scene
    ."

    No mention of a Bypass or lack of it. Not a syllable. Yet here is the Boards-standard hyperbollix: :D

    Sponge Bob wrote: »
    sick people are left dying in ambulances in the gridlock

    Sponge Bob wrote: »
    sick and dying people

    Sponge Bob wrote: »
    sick people die in ambulances in Galway Traffic


  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    I'll rephrase the question for Iwannahurl just once.

    Where is the Regional Hospital serving all of Counties Galway Roscommon Mayo Leitrim Sligo Donegal Clare Limerick and parts of Tipperary and also possibly West Cavan.????


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    So, "sick people are left dying in ambulances" travelling from "all of counties Galway Roscommon Mayo Leitrim Sligo Donegal Clare Limerick and parts of Tipperary and also possibly West Cavan" to UHG?

    Let's see, the total population of that entire catchment area must be around a million people, right?

    That must result in an awful lot of ambulances converging on Galway City over time, with sick people people dying in them, as you have informed us repeatedly.

    No doubt the provincial and local press across the entire region has featured such tragic stories as they inevitably arise. The national meeja must have sat up and taken notice too.

    Now maybe I should pay more attention, but tbh I missed all those shock horror probes. I'm not saying they don't exist, mind, just that I can't recall any reports of people dying in ambulances while stuck in Galway traffic.

    Post the links to the reports here please. I promise I'll read them all.

    Here are the names of all the regional newspapers, to start you off: http://www.pressombudsman.ie/member-publications/regional-newspapers.169.html


  • Registered Users, Registered Users 2 Posts: 917 ✭✭✭The Nutty M


    ^^^^^^^^^^^^^^^^^^^^
    I don't see an answer there either Sponge Bob to your question :p


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    You need to read a bit more carefully.

    I'll wager the Shock Horror Probe stories of "sick and dying" people trapped in gridlocked ambulances trying to get to UHG from Ballyliffin will be slow in coming and/or thin on the ground.

    Let's wait and see all the same.


  • Registered Users, Registered Users 2 Posts: 917 ✭✭✭The Nutty M


    Hmmmm

    No matter how many times you edit your post it still hasn't answered this question.

    Where is the Regional Hospital serving all of Counties Galway Roscommon Mayo Leitrim Sligo Donegal Clare Limerick and parts of Tipperary and also possibly West Cavan.????

    Go for edit number 3 there and see will it make a difference lol.Enjoy yourself Iwannahurl,I'm off to sleep.


  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    I'll try the simple question again and I'll post one of Iwannahurls photos from earlier today to stimulate everyones truth glands. Lets see if we can get a simple answer this time. :D

    "Where is the Regional Hospital serving all of Counties Galway Roscommon Mayo Leitrim Sligo Donegal Clare Limerick and parts of Tipperary and also possibly West Cavan.???? "


    6324389189_7e8157abde_z.jpg

    Hope the pusbike porn does the trick this time. Why did Iwannahurl post a picture of that British WW2 Bunker anyway?? :D


  • Registered Users, Registered Users 2 Posts: 69,552 ✭✭✭✭L1011


    [QUOTE=Iwannahurl;84143065

    Now that you mention it, the 'bicycle ambulance' concept is quite well established, for example in London (a city also known for its congestion charge/road pricing, by the way, another concept we still seem to regard as too Lefty Green Yooropeen).
    [/QUOTE]

    First response vehicles are not ambulances. And in societies that are concerned more with people's health than PR, the first response paramedics have motorbikes. Which are significantly faster and carry significantly more equipment.

    Neither can actually transfer a patient - a van-sized road or air vehicle is required for this. As it stands, journeys that should be within driving distance of UCHG often end up being done by the Air Corps AW139s instead. Which aren't really quite as environmentally friendly as a Iveco Daily or Mercedes Sprinter...


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  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    Sponge Bob wrote: »
    Why do you continue to deny that the main hospital for the ENTIRE west of Ireland, meaning for an area reaching from West Limerick to North Donegal is UCHG on the West side of Galway City. ?????



    Verbatim quote please.


    Sponge Bob wrote: »

    "Where is the Regional Hospital serving all of Counties Galway Roscommon Mayo Leitrim Sligo Donegal Clare Limerick and parts of Tipperary and also possibly West Cavan.???? "



    Seeing as how we're going around in circles (on a hypothetical ring road), according to yourself "sick people are left dying in ambulances" travelling from "all of counties Galway Roscommon Mayo Leitrim Sligo Donegal Clare Limerick and parts of Tipperary and also possibly West Cavan" to UHG.

    The total population of that entire catchment area must be around a million people, give or take a few thousand.

    That must result in an awful lot of ambulances converging on Galway City over time, with sick people people dying in them, as you have informed us repeatedly.
    Sponge Bob wrote: »
    sick people are left dying in ambulances in the gridlock
    Sponge Bob wrote: »
    sick and dying people
    Sponge Bob wrote: »
    sick people die in ambulances in Galway Traffic

    Self-evidently the repeated hyperbollix (regurgitated repeatedly since September 2012 if not earlier) about sick and dying yadda yadda on the way to UHG is meant to invite the conclusion that the lack of a GCOB has led directly to the death of numerous people in gridlocked ambulances over the last decade or two.

    Self-evidently neither you nor anyone else in this thread has been able to provide an iota of evidence, so far, to support this notion.

    Self-evidently (so far) it is just the usual Boards-standard guff laced with the whiff of a red herring or two.

    Is this what IROPI is going to look like? If so, gawd elp uz.


  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    I think that long rant accepts that UCHG is the Regional Hospital for all the west of Ireland ....I knew that the pusbike porn would have some effect.

    The IROPI case is more sophisticated than stating that the Main Hospital for 1m people is gridlocked on the far side of Galway but I am personally under an NDA on the content that that I am certain of at this time.

    Save to say I improved how parts of it are presented and none had anything to do with the Hospital

    But I will ping an email in to say that a known serial objector has admitted on boards.ie that IE apropos UCHG >>>>that:
    iwannahurl wrote:
    "sick people are left dying in ambulances" travelling from "all of counties Galway Roscommon Mayo Leitrim Sligo Donegal Clare Limerick and parts of Tipperary and also possibly West Cavan" to UHG.

    The total population of that entire catchment area must be around a million people, give or take a few thousand."

    In case you edit it ...my direct quote of your words will beat your timestamp on the edit ( 23:15 at the time pf posting) and thanking you very much and all. :D

    I'll eschew the pusbike porn until I need your unique form of "hyperbole" again.

    TTVM


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    Sponge Bob wrote: »
    ...I am personally under an NDA on the content that that I am certain of at this time.

    Save to say I improved how parts of it are presented and none had anything to do with the Hospital

    But I will ping an email in to say that a known serial objector has admitted on boards.ie that IE apropos UCHG >>>>that:

    In case you edit it ...my direct quote of your words will beat your timestamp on the edit ( 23:15 at the time pf posting) and thanking you very much and all. :D



    Pardon?

    EDIT: I couldn't care less (in the present context) whether UHG was the only remaining hospital for the entire island of Ireland. The issue, as it relates to the proposed GCOB, is that you have claimed repeatedly that "sick people are left dying in ambulances in the gridlock" (presumably on the way to UHG, since you keep referring to it) yet you have conspicuously failed so far to back up that assertion. Since you haven't been able to provide any solid evidence to support that outlandish claim, it is clearly nothing but emotive hyperbole.


    Sponge Bob wrote: »
    Why did Iwannahurl post a picture of that British WW2 Bunker anyway?? :D



    Yeh wha?


  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    Iwannahurl wrote: »
    EDIT: I couldn't care less (in the present context) whether UHG was the only remaining hospital for the entire island of Ireland.

    I know you "couldn't care less". Thanks for sharings your feelings with us BTW. Much nicer than lots of links to boring 'studies' .


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    I haven't the foggiest idea of what you are talking about.

    WW2 bunker, NDA, known serial objector has admitted etc.

    Can you explain in plain English?


  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    Iwannahurl wrote: »
    I haven't the foggiest idea. WW2 bunker Can you explain in plain English?

    On the left side of the photo you posted you clearly showed a WW2 Bunker with bicycles outside.

    Obviously you have no idea where your line of Bicycle Ambulances were when the picture was taken but I can show you WHERE the picture was taken.

    Pushbike Porn Shot Location Here

    and your Pushbike Porn below ( for the third and hopefully the last time in this thread) . Furthermore I can probably tell you the date of the shot to within one week and why there were no proper ambulances there...but not in this thread. :cool:

    6324389189_7e8157abde_z.jpg


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    Sponge Bob wrote: »
    On the left side of the photo you posted you clearly showed a WW2 Bunker with bicycles outside.

    Obviously you have no idea where your line of Bicycle Ambulances were when the picture was taken but I can show you WHERE the picture was taken.

    Pushbike Porn Shot Location Here

    and your Pushbike Porn below ( for the third and hopefully the last time in this thread) . Furthermore I can probably tell you the date of the shot to within one week and why there were no proper ambulances there...but not in this thread. :cool:



    Er, why would anyone care about the "WW2 bunker" or "the date of the shot to within one week"!!?? :confused:

    The pic of the NHS Cycle Response Unit was simply to point out, in reply to a post of yours, that such paramedic services actually exist and have a real and measurable role to play. The lack of comprehension in this thread speaks volumes, IMO.

    What about "NDA" and "known serial objector has admitted"?

    As for this:
    Sponge Bob wrote: »
    Now to my question of you having supplied a recent high profile link. :(
    Sponge Bob wrote: »
    Why do you continue to deny that the main hospital for the ENTIRE west of Ireland, meaning for an area reaching from West Limerick to North Donegal is UCHG on the West side of Galway City. ?????


    What are you talking about?


  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    Please don't tell us that a "Cycle Response Unit" will have to get from UCHG to Donegal. Sure a Donkey Response Unit based in Glenties woud be quicker.....and could carry a stretcher as well.

    We'll take slowly as a given shall we. :D


  • Registered Users, Registered Users 2 Posts: 78,491 ✭✭✭✭Victor


    I don't see a good reason for the above posts to be in the "N6 - Galway City Outer Bypass" thread. If there is, PM me.

    If more posts need to be moved or other issues arise, then let me know.

    I am going to leave this thread open for the moment if anyone wants to continue the debate, but if the quality of debate doesn't improve, I'm likely to close it.

    • Sponge Bob, you have been asked to clarify the situation about Donegal and Limerick patients travelling to hospital in Galway, which I suspect is rare to non-existent, what with care being provided in Derry, Sligo, Limerick and local hospitals. I can only see some of your posts as baiting Iwannahurl. Please clarify this point before you continue posting.
    • Iwannahurl, stop rising to the bait. There was no particular need to get into the first responder debate in the "N6 - Galway City Outer Bypass" thread.
    • Everyone, you need to strike some balance.

      If you favour a road, you need to be able to justify that position on balanced grounds. Road porn can only go so far.

      If don't you favour a road, you need to be able to justify that position on balanced grounds. Getting into a myriad of of side-topics is unwelcome.

    Moderator


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  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    Victor wrote: »


    • Sponge Bob, you have been asked to clarify the situation about Donegal and Limerick patients travelling to hospital in Galway, which I suspect is rare to non-existent,



    Victor

    Health care in Ireland is provided by a body called the HSE

    The HSE replaced around 8 regions with 3. These are HSE West Hse South and HSE East

    Each Region has a REGIONAL HOSPITAL or supraregional hospital ( see below) where complex specialties are dealt with. The REGIONAL HOSPITAL or supraregional hospital for HSE WEST is UCHG located on the West side of Galway City. There are other hospitals in the HSE West region but many complex specialties are provided on a regional basis and involve moving patients with complex care requirements to Cork Dublin or Galway.

    People with complex care requirements are frequently SICK and some patients are SERIOUSLY SICK by the time the decision is made to move them to the REGIONAL HOSPITAL or supraregional hospital for their area.

    Derry is not part of HSE WEST being in another country. Derry should be the regional hospital for Donegal and is not. However parts of the Western Region outside Donegal would still be 100 miles from the Regional hospital in Galway even were Donegal attached to Derry for specialty care.


    http://www.guh.hse.ie/About_Us/
    Galway University Hospitals, as a designated supra regional centre, serves a catchment area in the region of one million people from Donegal to Tipperary North. HSE - West accounts for almost one quarter of the Irish population and Galway accounts for a quarter of this. The recent designation of University Hospital Galway as one of the eight national Cancer Centres, together with the roll-out of Breast Check and Radiotherapy will ensure the continued development of University Hospital Galway as a major emergency, complex treatment and tertiary referral centre.

    Now that I have clearly explained all that can you please reopen the thread about the Galway Bypass where all the posters are perfectly well aware of where their regional hospital is even if one has some unusual views on how patients should be moved.


  • Registered Users, Registered Users 2 Posts: 78,491 ✭✭✭✭Victor


    Sponge Bob wrote: »
    People with complex care requirements are frequently SICK and some patients are SERIOUSLY SICK by the time the decision is made to move them to the REGIONAL HOSPITAL or supraregional hospital for their area.
    If you want to make use of this point, then use the term "supra regional", not "regional" and acknowledge it refers to only some patients.
    Derry is not part of HSE WEST being in another country. Derry should be the regional hospital for Donegal and is not. However parts of the Western Region outside Donegal would still be 100 miles from the Regional hospital in Galway even were Donegal attached to Derry for specialty care.
    I understand there are agreements in place for some Donegal patients to be treated in Derry, just as some Louth and Monaghan patients are treated in Newry.


  • Registered Users, Registered Users 2 Posts: 69,552 ✭✭✭✭L1011


    From memory, only cancer and gum services were put to altnagelvin and only for those east of barnesmore roughly

    There are cardiac and similar patients being bussed to Galway from inishowen


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    Sponge Bob wrote: »
    Now that I have clearly explained all that can you please reopen the thread about the Galway Bypass where all the posters are perfectly well aware of where their regional hospital is even if one has some unusual views on how patients should be moved.




    The stuff about HSE structures and the location of UHG is irrelevant to the GCOB.*

    It may or may not be the case that patients are being transported by ambulance to UHG from as far as Cavan. However, the issue, in the Boards context, is that you have tried, through the use of unsubstantiated claims and emotive hyperbole (sick patients dying in gridlocked ambulances on the way from North Donegal or West Limerick etc etc) to imply that deaths are occurring more or less on the side of the road due to the absence of a bypass.

    You have had repeated opportunities to provide evidence, even just links to news reports, to support your contention that "sick people are left dying in ambulances in the gridlock". A reasonable person can conclude at this stage that if you could point to such evidence you would have done so by now, and therefore the balance of probabilities is that your claim is false. That said, I would be interested to hear otherwise.

    For the record, my reference to the NHS Cycle Response Unit was an aside that ended up being blown out of all proportion through the use of Straw Man arguments.

    More evidence and less embellishment would be a welcome development.

    *EDIT: Of course the sick people dying in gridlock angle is tilting at the IROPI windmill, on 'human health' grounds. Again, I would suggest that rational argument rather than hype might be more constructive.


  • Registered Users, Registered Users 2 Posts: 9,235 ✭✭✭lucernarian


    Iwannahurl wrote: »
    Who? Where? When? Verbatim quote please.

    Verbatim quote of what exactly? I'm quite confused. I merely asked you if you were seriously suggesting that they could be used as an alternative to motorised patient transport, something which you had not answered directly.

    I then went on to describe the touting of such a concept as absurd. I don't know what you mean by this Who What When stuff.

    Just to be clear, my question is not meant to be vexatious. I geniunely want to know the relevance of bicycled paramedics to the thread above. Unless you were outlining a way which bicycles or other methods could replace every last motorised ambulance for critically-ill patients, I can't see the relevance of this to the merits for the GCOB.

    You haven't directly answered my post above, I note. While you have accused others of using hyperbole and straw man arguments and other such points, you didn't answer the question I've asked you with anything but more questions.


  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    Victor wrote: »
    If you want to make use of this point, then use the term "supra regional", not "regional" and acknowledge it refers to only some patients.

    It refers to some patients. By the exact same logic some care is NATIONAL and this results in frequent transfers OUT of Galway to James' (Burns) Beamont ( Neurological ) and Crumlin ( Children) . Irrespective of the movement vector a trans City journey is required.

    A previous effort to split out the permaschlock was successful for quite a time but the mods changed since and the reason for the previous split faded from memory ( same reason as this split exactly)

    However when Victor was quietly PMd about the old thread he started this new thread instead. I dunno. :(

    http://www.boards.ie/vbulletin/showthread.php?p=74060626


    98% of problems in the main Galway Bypass thread will go right away if a mod could explain patiently what a bicycle cannot do and and put the list in as rules in Post #1

    A Bicycle cannot move a heart patient
    A Bicycle cannot move a burns patient
    .
    .
    .
    .
    A Bicycle cannot move a washing machine
    .
    .
    .
    A Bicycle cannot deliver a plumber and his full toolkit onsite.
    .
    .
    A Bicycle cannot pull a 40 foot container behind it
    .
    .
    .
    A Bicycle cannot collect passengers from Dublin Airport and deliver them to Galway in a timely manner.
    .
    .
    A Bicycle cannot cross water to Inishmore except in a very favourable sea state

    etc etc.


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  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    Verbatim quote of what exactly? I'm quite confused. I merely asked you if you were seriously suggesting that they could be used as an alternative to motorised patient transport, something which you had not answered directly.

    I then went on to describe the touting of such a concept as absurd. I don't know what you mean by this Who What When stuff.

    Just to be clear, my question is not meant to be vexatious. I geniunely want to know the relevance of bicycled paramedics to the thread above. Unless you were outlining a way which bicycles or other methods could replace every last motorised ambulance for critically-ill patients, I can't see the relevance of this to the merits for the GCOB.

    You haven't directly answered my post above, I note. While you have accused others of using hyperbole and straw man arguments and other such points, you didn't answer the question I've asked you with anything but more questions.


    Dealt with already. The rest is just Straw Man stuff, which as a rule I don't engage with as if it had any merit.





    Sponge Bob wrote: »

    However when Victor was quietly PMd about the old thread he started this new thread instead. I dunno. :(

    http://www.boards.ie/vbulletin/showthread.php?p=74060626


    98% of problems in the main Galway Bypass thread will go right away if a mod could explain patiently what a bicycle cannot do and and put the list in as rules in Post #1

    A Bicycle cannot move a heart patient
    A Bicycle cannot move a burns patient
    .
    .
    .
    .
    A Bicycle cannot move a washing machine
    .
    .
    .
    A Bicycle cannot deliver a plumber and his full toolkit onsite.
    .
    .
    A Bicycle cannot pull a 40 foot container behind it
    .
    .
    .
    A Bicycle cannot collect passengers from Dublin Airport and deliver them to Galway in a timely manner.
    .
    .
    A Bicycle cannot cross water to Inishmore except in a very favourable sea state

    etc etc.



    A whole shoal of straw-fed red herrings there.

    If you put as much effort into rational debate as you do with specious argument the GCOB debate would be a lot more constructive (as it much as it could ever be on Boards).

    To continue the tortured zoological metaphors, GCOB proponents currently seem to be running around like a bunch of headless chickens after the ECJ ruling. Hence the scratching around for crumbs of comfort under the IROPI banner.

    The bypass has now been put back by several more years. For the last twenty years the City Council has sat and waited for the GCOB to deliver them from their own folly. Policy as well as reality has now overtaken them, and I believe they will have little option but to seriously consider alternatives such as Transportation Demand Management, or whatever else it might be called, until their hopes of a GCOB resurrection materialise.

    There are die-hards and incompetents in City Hall (and the County Buildings) who are simply unwilling or unable to see beyond car dependent development. They, like some posters on Boards, will often fly into a state of stratospheric apoplexy at the mention of anything deemed upsetting by the People That Matter.


  • Registered Users, Registered Users 2 Posts: 9,235 ✭✭✭lucernarian


    Iwannahurl wrote: »
    Dealt with already. The rest is just Straw Man stuff, which as a rule I don't engage with as if it had any merit.
    Could please answer my questions rather than portraying my posts as straw man arguments? What did you mean by "verbatin quote please"?? Unless I'm missing something very obvious, you haven't dealt with my question except to dismiss it.

    Once again, could you please clarify what relevance the articles on cycling paramedics have on whether there is or is not a problem with ambulances trying to enter or exit Galway University Hospital? This is as concise a way as I can think of to phrase my question.

    I've already said that I can see the merits of such a service in the case of first responders beating congestion to reach patients. I don't see what relevance it has in patient transport. If it doesn't have any relevance, then why did you bring it up in this thread at all? For the sake of clarity if nothing else, it would be good to have an answer to that.


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    My post is self-explanatory, I reckon.

    http://www.boards.ie/vbulletin/showpost.php?p=84143663&postcount=9

    If you think someone is actually "touting" the successful NHS Cycle Response Unit as a means of transporting patients then take it up with the person who made such a claim. Otherwise it's a straw man argument.

    I've already given the context for mentioning it, as an aside, in the first place.

    The real issue, as I have pointed out repeatedly, is that some are trying to claim that patients are dying in gridlocked ambulances.

    Given that evidence for such deaths has not been forthcoming, despite repeated requests, it looks more and more like that claim is a complete fabrication.

    Elsewhere in Europe, such as London, they have pragmatically addressed problems of congestion with measures such as road pricing and innovative solutions (such as the successful NHS initiative referred to as a small but instructive example).

    Here in Galway, and on Boards, it's the same old same old. A clear sign of this blinkered thinking, in my opinion, is the notion that we can't do anything to address gridlock until we get a bypass. As far as I can see, many bypass proponents want the GCOB so they can stop thinking altogether about more sustainable alternatives such as Transportation Demand Management. Well, there ain't going to be no bypass, for another five years at least, so the blinkers are going to have to come off sooner or later...


  • Registered Users, Registered Users 2 Posts: 9,235 ✭✭✭lucernarian


    Iwannahurl wrote: »
    My post is self-explanatory, I reckon.

    http://www.boards.ie/vbulletin/showpost.php?p=84143663&postcount=9

    If you think someone is actually "touting" the successful NHS Cycle Response Unit as a means of transporting patients then take it up with the person who made such a claim. Otherwise it's a straw man argument.

    I've already given the context for mentioning it, as an aside, in the first place.
    I didn't think so. I did read your comments and I don't think it was clearly made in the slightest. I think it was a very poor attempt to put it in context, actually. I also asked you to clarify if you were suggesting that they could be used to transport patients, as they are of almost no relevance to the thread otherwise. I didn't think you were, I just asked you. I have had to ask repeatedly and you still haven't said yes or no and you haven't explained the relevance of your earlier posts either.

    You suddenly threw in the "bicycle ambulance" thing even though it had nothing to do with patient transport (I can safely assume). And again I ask, what is the relevance of the bicycle ambulance idea in the context of the merits of the GCOB and the need to improve patient transport or prevent delays to the same in Galway?

    Of course I welcome any ideas that generate better first response times. But I cannot see how it would solve the problems of transport and access for a very important acute hospital without the GCOB or some other plausible river crossing being provided in tandem.

    Unless you can actually clarify your own comments or justify the context in which they were mentioned in, then why are you still trying to discuss this? It's a fairly basic part of discussion that one can back up their own expressed opinions and their relevance


  • Registered Users, Registered Users 2 Posts: 6,106 ✭✭✭antoobrien


    Iwannahurl wrote: »
    The real issue, as I have pointed out repeatedly, is that some are trying to claim that patients are dying in gridlocked ambulances.

    Given that evidence for such deaths has not been forthcoming, despite repeated requests, it looks more and more like that claim is a complete fabrication.

    Tell us then that timing was not an issue in this case (not in galway but still relevant as it deals with delays in getting treatment)
    The mother brought the ill child the Nenagh General Hospital where she was seen by medical staff. Soon afterwards it was decided that the young girl should be transferred the Mid Western Regional Hospital in Limerick almost 50 kilometres away.

    An ambulance was requested to transport the girl to Limerick however she died while en route. The journey from Nenagh to Limerick is about 30 minutes in duration.

    Now bear in mind that if something similar were to happen in the Roscommon hospital area, Galway (not Ballinasloe which is much closer, becuase the bog road between Roscommon & Ballinsaloe is terrible) is the designated primary care center. There has already been at least one death of a patient being transported to Galway Roscommon A&E is not open 24 hours. AT many times of the day there will be difficulty negotiating the various junctions due to traffic waiting to move off.

    Unless you believe that time is not critical in the treatment of serious injuries, I don't see how you can glibly dismiss it as being possible that people are suffering extended illness up to and including dying because of delays in Galway, despite the lack of statistics. Part of the reason that we can't come up with any statistics, is that there does not seem to be any released about how long is taken to get across Galway city by ambulances (or al least there are none that I have been able to find int he public domain).

    It seems that unless we get details of the case above where there was an extra 40 minute delay due to the ambulance being routed to Ballinsaloe instead of Galway direct, we don't get details of the time taken to bring patients to hospitals.

    Then there's the issue of how statistics are collated and calculated. Until recently there was no uniformity in defining how long after an accident that a death could be attributed to a traffic accident. Here in Ireland if somebody dies within a week it counts as a death, but in Spain it's a serious injury. So how can we decide if a wait has been contributory, if the figures aren't available/are not being released?

    And if you have any statistics to prove your hypothesis that our beliefs are unfounded produce them and stop calling strawman for no better reason than you don't like the arguement.


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  • Registered Users, Registered Users 2 Posts: 78,491 ✭✭✭✭Victor


    antoobrien wrote: »
    Now bear in mind that if something similar were to happen in the Roscommon hospital area, Galway (not Ballinasloe which is much closer, becuase the bog road between Roscommon & Ballinsaloe is terrible) is the designated primary care center. There has already been at least one death of a patient being transported to Galway Roscommon A&E is not open 24 hours. AT many times of the day there will be difficulty negotiating the various junctions due to traffic waiting to move off.
    Wasn't it the case that this person was unlikely to survive anyway?
    antoobrien wrote: »
    Then there's the issue of how statistics are collated and calculated. Until recently there was no uniformity in defining how long after an accident that a death could be attributed to a traffic accident. Here in Ireland if somebody dies within a week it counts as a death, but in Spain it's a serious injury. So how can we decide if a wait has been contributory, if the figures aren't available/are not being released?
    The international standard seems to be 30 days, as included in the RSA's annual collision reports.


  • Registered Users, Registered Users 2 Posts: 6,106 ✭✭✭antoobrien


    Victor wrote: »
    Wasn't it the case that this person was unlikely to survive anyway?

    That is what the HSE are claiming, but I haven't seen mention of an inquest on it yet.

    However the point stands that delays in getting patients to hospitals for treatment, especially in the case of cardiac arrest & brain injury, are believed to be detrimental to the survivability of patients.

    Victor wrote: »
    The international standard seems to be 30 days, as included in the RSA's annual collision reports.

    From the linked article (by Conor Faughnan of the AA):
    Some countries count it as a road death if a person dies within 24 hours of a crash. Others take a 30-day definition and others a longer time period. If I’m unfortunate enough to be involved in a crash that results in my death a week later, then up until recently I’m a fatality in Ireland but only a serious injury in Spain.

    A further complication is that most countries, Ireland included, use police reports as the primary data source for counting their road injuries. That is useful but inherently flawed; Gardai cannot be expected to know the outcome for a victim months down the line after a crash.

    Agreeing on what constitutes a serious injury is even more complicated. For some countries it simply means an injury that required an overnight stay in hospital. For others it is an injury that results in a life-long impairment or disability.

    Until we can agree on what we are talking about we cannot draw any reasonable conclusions from each other’s data. That can be really powerful as a tool to examine what policy interventions are working, what cost-benefit ratios are and where resources should be spent.

    The European Commission, with lots of help from across the Continent, is looking to have a common methodology agreed.

    The international standards have only recently been drawn up, as is stated in the linked article.


  • Registered Users, Registered Users 2 Posts: 69,552 ✭✭✭✭L1011


    MYOB wrote: »
    From memory, only cancer and gum services were put to altnagelvin and only for those east of barnesmore roughly

    There are cardiac and similar patients being bussed to Galway from inishowen

    It'd appear that cancer services aren't fully transferred actually:

    http://www.irishtimes.com/news/health/cancer-the-toughest-journey-1.1321062


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    antoobrien wrote: »
    And if you have any statistics to prove your hypothesis that our beliefs are unfounded produce them and stop calling strawman for no better reason than you don't like the arguement.




    The hypothesis being advanced is that "sick people are dying in gridlocked ambulances" due to tha lack of a bypass.

    It is up to those making such a claim to provide the evidence.

    None forthcoming so far, which doesn't lend a lot of support to the "theory".


  • Banned (with Prison Access) Posts: 25,234 ✭✭✭✭Sponge Bob


    Iwannahurl wrote: »
    It is up to those making such a claim to provide the evidence.

    None forthcoming so far, which doesn't lend a lot of support to the "theory".

    You are oversensitive to the Hospital issue.

    You may of course provide costings for moving the hospital to where a Bypass is not needed to service the requirements of the patients in its catchment area. Massively upgrading Merlin Park would do the trick nicely. :D

    I reckon it could be done for ummm emmmm ummm about the same price as the bypass depending on whether we tunnel under the limestone or not in which case moving the hospital would cost less. :)


  • Registered Users, Registered Users 2 Posts: 6,106 ✭✭✭antoobrien


    Iwannahurl wrote: »
    The hypothesis being advanced is that "sick people are dying in gridlocked ambulances" due to tha lack of a bypass.

    It is up to those making such a claim to provide the evidence.

    None forthcoming so far, which doesn't lend a lot of support to the "theory".

    Why don't you go back to the thread you were asked the question in and answer it there. If you are going to refuse to take the belief that people's health is at risk without stats, then we have no need to allow you to make similar claims sans stats.


  • Closed Accounts Posts: 8,156 ✭✭✭Iwannahurl


    Sponge Bob wrote: »
    You are oversensitive to the Hospital issue.

    You may of course provide costings for moving the hospital to where a Bypass is not needed to service the requirements of the patients in its catchment area. Massively upgrading Merlin Park would do the trick nicely. :D

    I reckon it could be done for ummm emmmm ummm about the same price as the bypass depending on whether we tunnel under the limestone or not in which case moving the hospital would cost less. :)




    I think repeated use of fanciful and emotive phrases such as "sick people dying in ambulances in the gridlock" suggests the real hypersensitivity on show.

    Hopefully the IROPI process will be based on rationality and policy considerations, rather than on such emotion.


  • Registered Users, Registered Users 2 Posts: 6,106 ✭✭✭antoobrien


    Iwannahurl wrote: »
    I think repeated use of fanciful and emotive phrases such as "sick people dying in ambulances in the gridlock" suggests the real hypersensitivity on show.

    Hopefully the IROPI process will be based on rationality and policy considerations, rather than on such emotion.

    Sure, if they look at the cost of moving the hospital, going by the proposal for the Children's hospital, itll be in the region of €250m to €500m to upgrade merlin park (we will have to build a full hospital not just a children's one) - or they could just buy the bons (that's probably be more expensive and there's no A&E), the public health benefits combined with the economic benefits (easier access to the west for tourism, which is suffering) and environmental benefits (thousands of vehicles not spewing out CO2 while sitting) it will be a more persuasive case that might appear at first glance.


  • Registered Users, Registered Users 2 Posts: 9,235 ✭✭✭lucernarian


    Iwannahurl wrote: »
    The hypothesis being advanced is that "sick people are dying in gridlocked ambulances" due to tha lack of a bypass.

    It is up to those making such a claim to provide the evidence.

    None forthcoming so far, which doesn't lend a lot of support to the "theory".
    Where is the evidence to show that the NHS cycle ambulance service is relevant to this thread??

    I have asked you repeatedly and you still refuse to engage me on this issue. How is a bicycle first responder service relevant to the issue of patient transport and of the safety of patients being moved towards a hospital?

    I can sympathise with the view that talk of deaths in ambulances would count as little more than hyperbole, but everyone in this thread ought to know why paramedics on bikes are relevant at all!


  • Registered Users, Registered Users 2 Posts: 78,491 ✭✭✭✭Victor


    OK folks, I'm going to close this thread on Thursday.

    I want discussion of the bypass and it's direct implications kept in the main Galway Bypass thread: http://www.boards.ie/vbulletin/showthread.php?t=2055413202

    Wider discussion on how the bypass might fit into Galway transport should go in the thread on Commuting & Transport: http://www.boards.ie/vbulletin/showthread.php?t=2056925104

    Moderator


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