Dum_Dum wrote: » Is the best case the passive indifference exhibited by previous governments or will this government be actively hostile? While I don't think they'll downgrade the M9 to a HQDC or downgrade the status of WIT, I can see them actively agitating for the complete closure of the Airport. I can easily see progressively more shipping diverted from Waterford to Cork/Ringaskiddy. I'm not sure about the Hospital - can it be downgraded further? Now the second-cath lab has been delayed is that an opportunity to instigate further 'reviews'. Maybe instead of these headline grabbers it will be death by a thousands cuts?
[Deleted User] wrote: » I can see them clamping down hard and cutting the town off from state funding as a punishment for voting SF No universaity is a definite.further downgrade of ardkeen to continue Id be suprised if half of the proposed infrasrructure geos ahead,they hate waterford in dublin at best of times anyway
Deleted User wrote: » I can see them clamping down hard and cutting the town off from state funding as a punishment for voting SF No universaity is a definite.further downgrade of ardkeen to continue Id be suprised if half of the proposed infrasrructure geos ahead,they hate waterford in dublin at best of times anyway
karlitob wrote: » What downgrade are you talking about? What policy decision are you referencing? Irish people have a fascination of having a full complement of health services on their doorstep - which are inherently unsafe.
spaceCreated wrote: » Youre saying the not being able to deal with heart attacks outside of 9 to 5 monday to friday is safe? You can read a bit more about how common it is here: https://ihda.ie/ Edit: the thing imr eferencong ehre is: "Heart Disease is the world’s biggest killer. 1 in 4 people will die from heart disease or stroke." that might be hypebole or exaggerated but it is consistently one of the biggest killers worldwide.
karlitob wrote: » That’s exactly what I’m saying. There are insufficient numbers of people requiring a stent outside of cores hours so that it would be staffed safely by competent doctors who have sufficient numbers of procedures to ensure continuing competence. This has already been highlighted, presented to government, presented to the Dail. There is currently a group set up by DoH that will likely approve the extra lab (a mobile unit). This is a political decision to satiate Waterford people and the outgoing looney TD Halligan. Regardless no cardiologist will apply for a job there. I recognise your focus on heart disease and stroke. If you really cared about the lives of your fellow Waterford citizens you would be demanding more investment in healthy ireland and personal responsibility from your fellow citizens. The main causes of heart disease and stroke is inactivity, smoking, drinking, Overweight, poor diet etc. The treatment for heart disease is not to wait until someone is seriously ill but to prevent it by increasing activity, Reducing obesity, improving diet, reducing stress etc etc. But that’s hard to do - it’s much easier to have a cath lab and pretend like it’s a key determinant to health. Besides cork is available outside of hours - as it’s always been.
Deleted User wrote: » Is it true.....waterford has at present no consultant cardilogist and the hospiteal at whitfield is covering for them
[Deleted User] wrote: » Is it true.....waterford has at present no consultant cardilogist and the hospiteal at whitfield is covering for them Are we to honestly believe that we will have a 2nd cath lab inside 4.and half years?? They are going to slash budget for ardkeen and then claim its unfit for purpose to justify closing it.....its what they do to everything here and will likely do it more so as punishment for having no ffg representive from the city
Big Bag of Chips wrote: » No. That's not true. UHW has 3 full time consultant cardiologist plus a locum. Whitfield has been "covering for" the whole hospital recently with some procedures being moved out there during Covid to reduce footfall to the hospital that was actually dealing with Covid cases. But it was the UHW consultants going out to Whitfield to perform the procedures.
spaceCreated wrote: » An hour and half is not an acceptable time if you have a heart attack and thats door to door. You die or have worse outcomes given every minute. I agree with all the points about exercise etc. and think we could do a lot more with initiatives in exercise, eating, cooking and education etc. The sad fact is that it will not reach many people and there are plenty of heart and stroke problems that have very little to do with diet and lifestyle. Ill hold off on going around with a placard deamding people exercise more for now. I just think that dealing with regularly occurring life threatening and life altering scenarios should be better resourced. If it takes more money to draw cardiologists here then thats what it takes, Waterford and the South East has set a clear priority on this for expenditure. It would be like if someone rang a suicide hotline and if they're from Waterford they have a waiting time of half an hour whereas someone from Dublin gets straight through to someone who can help them. I really do get the whole thing about personal responsibility but I don't think someone should die for it or be in a wheelchair, especially when this personal responsibility only matters if you live in the South East or areas like Sligo. Also the financial costs of ensuring theres actual cardiac care is far outweighed by the cost of rehabilitation etc. when there are much worse outcomes for patietns depending on time The fact of the matter is that you will be affected by this and you will know more than one person who will have a heart attack and I dont know how you can be so callous when it will affect so much of the population, if it was 1 in 20 or something I could understand concentration of resources but for something that affects around 1 in 4 and is pretty regular....
karlitob wrote: » I refute, and find offensive, any impugning of my character as being callous. If you have decided that an hour and a half is not an acceptable time - you might enlighten us as to how long is an acceptable time. Unless you think everyone City town and village require a 24/7 cath lab.
karlitob wrote: » I refute, and find offensive, any impugning of my character as being callous. Watch your tongue. There is only evidence based practice. If you think that consultant cardiologists should be paid more in Waterford just because the people of Waterford want something that they have no more entitlement to that any other citizen of this country, then there’s not much I can do to change that opinion - nor does it appear to stop you playing the man rather than the ball. What would stop letterkenny demanding that mental health consultants should be paid more to go there, or GPs be paid more to go to Cahirciveen. 10,000 people die of a heart attack every year. 7000 have a stroke. The interventions and treatments to prevent are far cheaper and more effective to what you are demanding. Those interventions also have a similarly high effect on other conditions - such as mental health issues. Whereas a stent only works on one part of one organ. Citizens have rights as well as responsibilities. Those responsibilities include caring for your own health, as well as paying for that service. Who’s taxes should we increase and to how much. Everyone wants better services but no one describes who will pay for it. If you have decided that an hour and a half is not an acceptable time - you might enlighten us as to how long is an acceptable time. Unless you think everyone City town and village require a 24/7 cath lab.
[Deleted User] wrote: » Its generally accepted the 1st hour is vital post heart attack/stroke You must scedule your heart attck/stroke for between 9am and 5pm momday to friday in waterford seems to be goverent message along with some mumerings of personal respomsiblity :rolleyes:
spaceCreated wrote: » Yeah so Leterkenny should be also better resourced along with most regions and areas, its not a zero sum game. I refute your claims that I am impinging on your character, I in fact request you to withdraw this accusation or I will be forced to challenge you to a duel.
karlitob wrote: » Ah the ‘generally accepted’ argument. What about all those people who are 65 minutes away from Waterford hospital. What are they to do now that you’ve decided that they’re not entitled to a service closer to home? Where’s your ‘every minute counts’ argument now? Must be nice not having personal responsibility for your own health! It’s almost like no body in ireland was responsible throughout the Covid lockdown. Regardless, you’ve yet to answer the three main questions - how will you provide a safe service when there is insufficient numbers of interventions after core hours to ensure competent medical staff. - How much tax and who will pay for all of these services. - why do cardiac services outweigh other services for other people throughout the country. How is this a priority over mental health services. Or is it more murmurings about ‘government this, government that’
karlitob wrote: » Ah - one of the less read persons. I said impugn, not impinge.
karlitob wrote: » - how will you provide a safe service when there is insufficient numbers of interventions after core hours to ensure competent medical staff. - How much tax and who will pay for all of these services. - why do cardiac services outweigh other services for other people throughout the country. How is this a priority over mental health services.
[Deleted User] wrote: » Most if not all of waterford past dungarvan is closer to cork? Nowhere did i say anything close to.this,but whatever Ah yes....there it is....the nub of arguement....not allovwed say anything againesr government despite both ff and fg promising cat labs to here Whats next for downgrade after ardkeen....the M9 or WIT,maybe even repeal the city status???
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