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Now ye're talking - to a consultant in the HSE [Questions thread]

24567

Comments

  • #52
    lomb
    Registered Users, Registered Users 2 Posts: 6,017 ✭✭✭lomb


    JustAThought wrote: »
    Still wondering where the answers are, please - is there a link?

    Q: While front line staff paid are being allowed home on paid sick leave inc to mind their children off school unpaid inexperienced volunteers are being emailed from the HSE asking them to go into hospitals to help with the virus. Something fundamentally wrong with this. Surely the time for paid HSE staff to pull their weight is when there is a crisis and they are needed and not be asking or relying on emailing randomers from a charity database to pick up their slack.

    My family member called in sick on full HSE pay to mind her children - surely this type of abuse should be stopped.

    Not saying it's the same but rats and a sinking ship come to mind. I think the only acceptable solution is to shut everything down not even food pickup, full army curfew for 2 weeks.


  • #53
    Purgative
    Registered Users, Registered Users 2 Posts: 2,511 ✭✭✭Purgative


    Hi


    No question just wanted to say an inadequate thank you for all you and your colleagues do.

    I'm getting through your answers on the other thread, and have sent the link to a couple of friends.

    For the third time reading your thread I've found my eyes watering - something in my eye obviously.


    Thank you again.


  • #54
    Buford T. Justice XIX
    Closed Accounts Posts: 20,633 ✭✭✭✭Buford T. Justice XIX


    JustAThought wrote: »
    Still wondering where the answers are, please - is there a link?

    Q: While front line staff paid are being allowed home on paid sick leave inc to mind their children off school unpaid inexperienced volunteers are being emailed from the HSE asking them to go into hospitals to help with the virus. Something fundamentally wrong with this. Surely the time for paid HSE staff to pull their weight is when there is a crisis and they are needed and not be asking or relying on emailing randomers from a charity database to pick up their slack.

    My family member called in sick on full HSE pay to mind her children - surely this type of abuse should be stopped.

    Link to the answers thread below.

    https://www.boards.ie/vbulletin/showthread.php?t=2058062219


  • #55
    irishgeo
    Registered Users, Registered Users 2 Posts: 9,527 ✭✭✭irishgeo


    How long is the recovery period?


  • #56
    Seamai
    Closed Accounts Posts: 2,250 ✭✭✭Seamai


    What is the protocol if a work colleague tests positive? Is the work place contacted? and if so by who? What happens after that?


  • #57
    JoChervil
    Registered Users, Registered Users 2 Posts: 2,026 ✭✭✭JoChervil


    It was a disease running around late December/early January. In reports from that time it was said that there was a 25% increase in hospital admissions of patients over 75.

    So my question is: how HSE ruled out that it was not Covid-19? How many tests were made to prove it was something else like a different kind of flu (I mean percentage of cases checked for it)?


  • #58
    piplip87
    Registered Users, Registered Users 2 Posts: 2,147 ✭✭✭piplip87


    Hi there,

    Have you seen any day services cancelled ? My OH has MS and is on a monthly infusion. As far as I understand there is a massive increase in the risk of an attack if left for more than 5 weeks between treatments.

    Have you seen or heard if any alternative arrangements for these treatments ?


  • #59
    Kerry25x
    Registered Users, Registered Users 2 Posts: 554 ✭✭✭Kerry25x


    How do you feel about the speculation happening that health care workers are at much higher risk of developing severe/critical illness if they come infected? Have you any advice for other front line hospital staff?


  • #60
    laserlad2010
    Registered Users Posts: 514 ✭✭✭laserlad2010


    If you're not a public health specialist you have no business providing official COVID-19 advice, even cloaked as personal advice, to the public. It's bad enough with the Whatsapp rumours, but talking about writing your own will at the same time as attempting to give advice in your capacity as a consultant is inapproriate. Regardless of whether it turns into a "war".
    Even if you claim you're not representing the HSE people will still place weight on your words.


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  • #61
    Balf
    Closed Accounts Posts: 667 ✭✭✭Balf


    laserlad2010 wrote: »
    If you're not a public health specialist you have no business providing official COVID-19 advice, even cloaked as personal advice, to the public. It's bad enough with the Whatsapp rumours, but talking about writing your own will at the same time as attempting to give advice in your capacity as a consultant is inapproriate. Regardless of whether it turns into a "war".
    Even if you claim you're not representing the HSE people will still place weight on your words.
    On the button, IMHO.


    I'd feel there's about as much foresight put into this thread, as there is into how long we can seriously expect the global economy to go to a halt.



    Maybe we should ask him if threats like Covid 19 show the impracticality of organising access to medical knowledge through a tiny bunch of highly paid consultants. I think he'll know what we mean.


  • #62
    Agus
    Registered Users, Registered Users 2 Posts: 850 ✭✭✭Agus


    Thanks for taking the time to do this, I think it really helps to have good information out there as much as possible.

    1. How soon do you think the number of infected people in Ireland who need treatment will reach a level where the health service is finding it hard to treat them all?

    2. I've seen reports that asthma may be a risk factor because Covid might exacerbate the asthma, but the actual Covid illness itself isn't necessarily more severe. In other words, the claim is that the main extra risk to people with asthma is that they will end up with both Covid illness & a severe exacerbation of the asthma, and therefore the additional risk for people with mild asthma is probably not much greater than people without asthma. Is this likely to be accurate or not?


  • #63
    Purgative
    Registered Users, Registered Users 2 Posts: 2,511 ✭✭✭Purgative


    laserlad2010 wrote: »
    If you're not a public health specialist you have no business providing official COVID-19 advice, even cloaked as personal advice, to the public. It's bad enough with the Whatsapp rumours, but talking about writing your own will at the same time as attempting to give advice in your capacity as a consultant is inapproriate. Regardless of whether it turns into a "war".
    Even if you claim you're not representing the HSE people will still place weight on your words.


    Kok. I'm grateful for the advice. Aside from the froth about implied experts, where has he given incorrect or misleading advice.


    Aside from his personal insights my main take aways are social isolation, distancing and hand washing.
    Balf wrote: »
    On the button, IMHO.


    I'd feel there's about as much foresight put into this thread, as there is into how long we can seriously expect the global economy to go to a halt.



    Maybe we should ask him if threats like Covid 19 show the impracticality of organising access to medical knowledge through a tiny bunch of highly paid consultants. I think he'll know what we mean.




    If he does I don't. What are you proposing instead.


  • #64
    Damien360
    Registered Users, Registered Users 2 Posts: 6,594 ✭✭✭Damien360


    Boards admin. This is how these “now your talking.....” threads should be organised from now on. Question thread for all and answer thread solely for one person, quoting the questions from thread number one. The answers don’t get lost in a stream of chaff.


  • #65
    Balf
    Closed Accounts Posts: 667 ✭✭✭Balf


    Purgative wrote: »
    If he does I don't. What are you proposing instead.
    Sure how could I respond to the charge that I don't understand what we're dealing with, made by folk implementing measures that they don't understand the impact of?


  • #66
    Wibbs
    Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 60,170 Mod ✭✭✭✭Wibbs


    laserlad2010 wrote: »
    If you're not a public health specialist you have no business providing official COVID-19 advice, even cloaked as personal advice, to the public. It's bad enough with the Whatsapp rumours, but talking about writing your own will at the same time as attempting to give advice in your capacity as a consultant is inapproriate. Regardless of whether it turns into a "war".
    Even if you claim you're not representing the HSE people will still place weight on your words.
    The difference between someone qualified and checked out as such by the Boards office and the whatsapp nonsense is they're not talking utter bollocks, spread by cretins and believed by morons.

    And I hate to break it to you petal, but we're most certainly on a "war" footing. Just look at China, Korea, Italy, Spain... Where Italy is now will be us in a few weeks time if we're not very careful and stop acting like retards(which means we will be Italy in a few weeks). And those who will be hit hardest by this hour after hour, day after day, likely for months are the men and women of the health and emergency services. I for one want to hear from them whatever their capacity. If someone doesn't then don't read the thread. Simples.

    Rejoice in the awareness of feeling stupid, for that’s how you end up learning new things. If you’re not aware you’re stupid, you probably are.



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  • #67
    1hnr79jr65
    Registered Users, Registered Users 2 Posts: 916 ✭✭✭1hnr79jr65


    Hi OP, thanks for taking the time to answer. I regularly attend hospital clinics for my own health issues and know how hard doctors, nurses and support staff work to make everything work for us, you are all very much appreciated.

    My eldest nephew (age 11) has cystic fibrosis, my sister does all his IV's at home, he is on orkambi, lung capacity up and all good stuff at the moment. However with the virus going around there is obviously a concern for him as lung functionality could become an issue. He is very good at washing hands and looking after himself like meds for his age, but there are going to be times where he cant control a situation and may pick this virus up.

    Some advice that was given to me today (cant confirm person is a health professional) was that if my nephew showed symptoms then get him to a sauna 2-4 times a week for 30 mins at a time that and the heat and steam of the sauna would kill the virus as it lodges in eyeducts, nasal cavity. Is there any truth to this ?


  • #68
    uck51js9zml2yt
    Closed Accounts Posts: 18,268 ✭✭✭✭uck51js9zml2yt


    I watching a UK parliament committee asking about the lack of appropriate PPE for medical staff on the front line of the NHS.

    How are medical staff fixed for safety equipment in treating patients.
    Not nice to be treating a broken leg and have someone cough over you and have no protection.


  • #69
    Balf
    Closed Accounts Posts: 667 ✭✭✭Balf


    Wibbs wrote: »
    The difference between someone qualified and checked out as such by the Boards office and the whatsapp nonsense is they're not talking utter bollocks, spread by cretins and believed by morons.
    Fine if it's You're Talking To A Florist.

    Not so fine for this. Or has the Boards office some wider function in the administration of public health medicine that we're unaware of?
    Wibbs wrote: »
    If someone doesn't then don't read the thread. Simples.
    There we are in complete agreement.


  • #70
    Damien360
    Registered Users, Registered Users 2 Posts: 6,594 ✭✭✭Damien360


    Sour Lemonz wrote: »

    Some advice that was given to me today (cant confirm person is a health professional) was that if my nephew showed symptoms then get him to a sauna 2-4 times a week for 30 mins at a time that and the heat and steam of the sauna would kill the virus as it lodges in eyeducts, nasal cavity. Is there any truth to this ?

    I’ve listened to so many podcasts and this came up a couple of times and every time it was knocked down. A doctor on I think pat kenny or Sean O’Rourke said it was nonsense. The sauna is great for your skin but doesn’t kill the virus at all. Even the hottest possible sauna.


  • #71
    Fishorsealant
    Registered Users, Registered Users 2 Posts: 258 ✭✭Fishorsealant


    What do you think of the situation regarding dentists?
    One of the professions most at risk yet very little guidance available. One of the last professions to be considered despite providing an essential role and being at high risk.
    Many dentists taking it on their own to decide whether to open or close.
    Do you think forced closure except for emergency treatment would be wise?


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  • #72
    1hnr79jr65
    Registered Users, Registered Users 2 Posts: 916 ✭✭✭1hnr79jr65


    Damien360 wrote: »
    I’ve listened to so many podcasts and this came up a couple of times and every time it was knocked down. A doctor on I think pat kenny or Sean O’Rourke said it was nonsense. The sauna is great for your skin but doesn’t kill the virus at all. Even the hottest possible sauna.

    The doctor responded with it being dangerous advice.


  • #73
    Away With The Fairies
    Banned (with Prison Access) Posts: 4,077 ✭✭✭Away With The Fairies


    Keep hearing that the majority of people will get through this fine at home?

    Do we ring doctor on day 1 just to make them aware that you're not feeling the best?


  • #74
    JoChervil
    Registered Users, Registered Users 2 Posts: 2,026 ✭✭✭JoChervil


    Thank you for your answer in Aswers thread, yet you really didn't answer my question.


    I know that there were no Covid-19 tests conducted in Ireland in Dec/Jan. Therefore the link to this simulation prooves nothing. This simulation is based on delived data. If Ireland delivered nothing for that time, so how could it be shown there.


    My question was: how these strange disease cases were proved to be a different strain of flu? How many tests were made to prove it (percentage). I would like to rule out the possibility that someone simply assumed it was something not covered by current vaccine without checking it.



    I think such question may be helpful because if this disease was already here, so some people could have gained immunity against it and could be in a front line of cobating it instead of isolating themselves.


    Buring head in the sand isn't helpful...


  • #75
    Wibbs
    Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 60,170 Mod ✭✭✭✭Wibbs


    Damien360 wrote: »
    I’ve listened to so many podcasts and this came up a couple of times and every time it was knocked down. A doctor on I think pat kenny or Sean O’Rourke said it was nonsense. The sauna is great for your skin but doesn’t kill the virus at all. Even the hottest possible sauna.
    I'd be thinking if the air in the sauna that you breathed in was of sufficient temperature to kill a virus your airways and lungs would be badly scalded and a virus would be the least of your worries. :D Humans have very efficient ways to cool(and heat) incoming air to render it safe and usable for the body. The fact that you find us in polar climates as well as deserts shows this. The fact you can have Scandinavians running from the super heated air of a sauna out into feckin baltic air and into a plunge pool and their bodies are "be grand" a good example.

    Rejoice in the awareness of feeling stupid, for that’s how you end up learning new things. If you’re not aware you’re stupid, you probably are.



  • #76
    locohobo
    Registered Users, Registered Users 2 Posts: 138 ✭✭locohobo


    No questions..Just to say well done to you and you're fellow front line staff....
    From the description you gave of you're own self imposed current isolated lifestyle it should be enough to make people aware as to just how serious this threat is..
    Myself:- Legionnaires disease 10/'19...COPD..Smoker...SO I realise the limitations of my survival through this and have already come to terms with it..will not be expecting to tie up an incubator....


  • #77
    Multipass
    Registered Users Posts: 1,678 ✭✭✭Multipass


    Thank you so much, it’s great to have so much information in one place. I’m just wondering, as A & Es become overwhelmed with this - will there be seperate areas for people coming in with other problems. Thinking of elderly parents having middle of the night heart symptoms or similar. Would letting people wait in cars be an option?


  • #78
    AndrewJRenko
    Registered Users, Registered Users 2 Posts: 29,434 ✭✭✭✭AndrewJRenko


    Thanks for your inputs, very helpful, and thanks for your ongoing work.

    What's your understanding of the risk of outdoor activities, particularly for teenagers? Is there risk arising from a brisk walk, or a chat at a picnic table outdoors? Mental health is a real concern, and they do need to have some contacts outside the family circle.


  • #79
    shesty
    Moderators, Recreation & Hobbies Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 6,914 Mod ✭✭✭✭shesty


    I see you had queries earlier about 3D printing facilities.

    I don't know the names of any companies off the top of my head, but I have done a Masters In Bioengineering (engineer by training myself), I would suggest contacting Universities...the likes of Trinity, UCD, UCG, NCAD, and UL- as these all have good programmes in these areas and a wealth of knowledge that would be of help.

    Best of luck in the weeks ahead.


  • #80
    con747
    Registered Users, Registered Users 2 Posts: 6,934 ✭✭✭con747


    Boards.ie: Niamh wrote: »
    As above, our AMA guest here is a consultant in the HSE. I have verified his identity and that he is a consultant in HSE.

    Hopefully his answers to questions will be a valuable resource for everyone and for that reason we are opening this thread for questions and a separate answers thread to keep all of the informative content in his answers together.

    Please stick to this format for Qs & As as posts from anyone other than the OP in the answers thread will be removed.

    ANSWERS can be found here.

    Thanks all :)

    Please note, as always do not ask for medical advice.

    OP the answers thread is getting responses that need to be relocated.

    Don't expect anything from life, just be grateful to be alive.



  • #81
    YFlyer
    Registered Users, Registered Users 2 Posts: 9,717 ✭✭✭YFlyer


    Thanks for answering my question.


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  • #82
    rubberdungeon
    Registered Users, Registered Users 2 Posts: 607 ✭✭✭rubberdungeon


    IADT also have courses in 3D Animation and 3D design and model making.

    They have the printers and students who know how to use them.


  • #83
    mrsherself
    Registered Users, Registered Users 2 Posts: 78 ✭✭mrsherself


    Hi!
    I was just wondering - I know best advice is to stay inside, but for those of us who will end up going mad, is there anything wrong with going for a walk outside by yourself?
    Is it not a good idea to go to a park where there will be other people?


  • #84
    locohobo
    Registered Users, Registered Users 2 Posts: 138 ✭✭locohobo


    Back at ya Bud...and hopefully!!....


  • #85
    malpas
    Registered Users Posts: 130 ✭✭malpas


    Firstly may I thank you and your many colleagues for your dedication and for putting yourselves in danger despite the risks. This is a valuable thread with great information and is much appreciated. I'm not sure if this is an appropriate query but here goes.

    My wife and I are in our late 60's. She has well controlled bronchiectasis for c.5 years and I was hospitalised and successfully treated for septicaemia around then also. No major issues, both in good health and walk daily. Would either condition mean a greater risk of complications if we got infected?

    We are taking all recommended precautions and don't expect a medical opinion, just any general views you feel you can offer.


  • #86
    Sober Crappy Chemis
    Closed Accounts Posts: 461 ✭✭Sober Crappy Chemis


    Realistically, is it a big risk to go to a supermarket or pharmacy obeying physical distance etc, if one has asthma and is also immunosuppressed?


  • #87
    Damien360
    Registered Users, Registered Users 2 Posts: 6,594 ✭✭✭Damien360


    This question and answer thread(s) has taken me completely away from the main rumour and conjecture thread. It has done wonders for my well being with regards to worry. Yes I know it’s coming and unavoidable but the main thread lacks the sanity in these.


  • #88
    Olaz
    Registered Users, Registered Users 2 Posts: 33 ✭Olaz


    Thank you for your informative and reassuring answers so far.

    What is your opinion of small children (aged 5-9ish) playing together in small groups on driveways/on the road while doing their very best to maintain social distancing; children who play together everyday and who, under normal circumstances, are in and out of each others houses almost everyday. They wash their hands immediately after coming in, and door handles etc are cleaned regularly throughout the day. Are they putting us, their parents, at risk? They are isolated from everyone other than their own parents and those few pals. Is this behaviour potentially speeding up the spread?


  • #89
    up for anything
    Registered Users, Registered Users 2 Posts: 5,778 ✭✭✭up for anything


    I met a friend I haven't seen for a couple of years the other day. We were chatting about our children, one 'stranded' on a Spanish island and mine just home. I asked her kind of tongue in cheek about what her husband, a fairly senior detective locally, and his colleagues thought of the whole Covid-19 'business'. She replied that his job description had been changed to one thing, just the one thing. When I asked her what, she replied, "transporting dead bodies". From what the undertakers were told and from general knowledge I know that the bodies of those who die of Covid-19 will be hastened to the crematorium and into the ground as quickly as possible and will need people to be responsible for the process. However, the way she said it and the look on her face seemed to say volumes. Are you expecting many people to die in the next couple of months and what is the figure? I assume a figure must be available from the data from other countries and applied to Ireland. Morbid question, I know.


  • #90
    up for anything
    Registered Users, Registered Users 2 Posts: 5,778 ✭✭✭up for anything


    Oh, another question, if you don't mind. People with Diabetes are very much at risk apparently. Is it more those with Type 1 or those with Type 2 or those who have Diabetes which needs to be treated with insulin rather than Metformin/exercise/diet. Are Type 2s with just over the borderline sugar levels, more at risk than someone without it. If you're not sure, would you be able to point me in the direction of some information please and thanks?


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  • #91
    JustAThought
    Registered Users, Registered Users 2 Posts: 5,324 ✭✭✭JustAThought


    Olaz wrote: »
    Thank you for your informative and reassuring answers so far.

    What is your opinion of small children (aged 5-9ish) playing together in small groups on driveways/on the road while doing their very best to maintain social distancing; children who play together everyday and who, under normal circumstances, are in and out of each others houses almost everyday. They wash their hands immediately after coming in, and door handles etc are cleaned regularly throughout the day. Are they putting us, their parents, at risk? They are isolated from everyone other than their own parents and those few pals. Is this behaviour potentially speeding up the spread?

    Given that Arklow in particulr is a hotbed for Crona and you like the rest of the population have been specifically warned that children are at high risk and specifically asked to observe social distancing it is difficult to figure out why you think this does not apply to you and your family and children.


  • #92
    Gentleman Off The Pitch
    Closed Accounts Posts: 603 ✭✭✭Gentleman Off The Pitch


    There are reports of people successfully overcoming the fever after a few days, only for them to be hit with severe shortness of breath and pneumonia a few days after that again.

    Are there are warning signs of this occurring and are there specific instructions for people who suddenly find themselves in that position, particularly those in the at risk category, so that they make the correct decisions and attempt to get appropriate help as soon as possible?


  • #93
    AidenL
    Registered Users Posts: 983 ✭✭✭AidenL


    On underlying conditions - I have had a heart bypass, 10 years ago, 54 now, in good shape generally, did a 13 minute treadmill test a month ago and had follow up with cardiologist in Mater. Hit 100% max heart rate, etc, so cardiologist was happy with the performance.

    Just wondering if a bypass fixed the heart issue, is CVD still a reason to self isolate when the time comes with my underlying condition? Am I at the same risk as someone with COPD, heart failure etc, or can I go about my business?

    I know the bypass fixed the problem, and the disease still exists. Hence my question, mortality rate for CVD is quite high, seemingly 13%, so I have that concern of course.

    Thanks in advance.


  • #94
    Simdruid
    Registered Users Posts: 28 ✭Simdruid


    Many thanks for both this thread, and all the work you are going to be doing over the next period of time. Stay safe.

    For those of us with underlying conditions, with regard to Leo's speech last night, he mentioned elderly and vulnerable and cocooning. Do you have any idea how we are going to identify whether our underlying condition is sufficiently risky to warrant this when we are not elderly?


  • #95
    beolight
    Registered Users, Registered Users 2 Posts: 624 ✭✭✭beolight


    Asking for a friend 😷...There’s lots of us here with partners working in the healthcare system ( me included) What precautions do you take or recommend when coming home from work to protect your own family


  • #96
    DevilsHaircut
    Registered Users Posts: 524 ✭✭✭DevilsHaircut


    Should we be making it completely and unambiguously clear that SELF-medicating with anything for Covid19 symptoms will do nothing to fight the actual virus?

    https://www.boards.ie/vbulletin/showpost.php?p=112861398&postcount=5158


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  • #97
    Call me Al
    Registered Users Posts: 3,029 ✭✭✭Call me Al


    Thank you for your guidance, and the work you and your colleagues will be doing.
    Your last post said this:

    "It is just a matter of time. Buy us that time with social distancing, social isolation and handwashing."

    Do you think we are doing enough?
    My household is doing absolutely everything by the book but its frustrating as hell when I heard about people going to house parties last night and kids like my own on playdates who are all unable to self-regulate the social distancing.
    I called my health insurer nurseline about information I'd read, (both media and scientific journals) about ace inhibitors and concerns surrounding these. I was told that their medical teams were aware of this and that there were many uncertainties. Now I'm not coming off the medication or anything extreme like that, and I did contact my gp with my questions, which we all should do!
    Is there any verifiable science surrounding these medications and their interactions with covid19?


  • #98
    banie01
    Registered Users, Registered Users 2 Posts: 16,930 ✭✭✭✭banie01


    Hi again Psuedo,

    just a question that came up over on the Diabetes thread. As Diabetics are a high risk group as per the advice from Government/WHO, many of us are taking all available precautions.

    is there however any difference in the advice for T1 and T2?
    Or is it a blanket advice?

    My own understanding of T1.5, T2 in particular is that as inflammation is a particular risk in any event that it should be a case of isolate and stay safe?
    Does one's control have any bearing?
    or is it really a case of suck it up, mitigate and isolate?


  • #99
    HildaOgdenx
    Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 7,355 Mod ✭✭✭✭HildaOgdenx


    No question just now, thanks so much for doing this.


  • #100
    celticWario
    Registered Users Posts: 111 ✭✭celticWario


    In relation to claims by a HSE whistleblower that the current state of hospitals are "filthy", has there been an effort to deep clean our hospitals in the past few weeks in preparation for what's to come?

    https://www.dublinlive.ie/news/dublin-news/coronavirus-filthy-hospitals-wont-able-17884118


  • #101
    mariaalice
    Registered Users, Registered Users 2 Posts: 12,615 ✭✭✭✭mariaalice


    If someone suspects they have the virus but are generally well and have painkillers at home and they decide to stay at home for two weeks and just get through it.

    Do they need to get tested or can they just stay at home?


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