Like how long would your back hair get if you let it grow.
Nofeels
Why would a 3rd level college (TUS) spend taxpayers money on naming rights for a GAA ground. I don’t know how much but do they have spare cash floating around ?
F-eels.
When @FishOnABike gets involved, I'm guessing they have insider information.
Stinging serpents?
"Flash bastards" or "I-can't-wait-until-Volta-is-born-because-I-want-to-call-them-something-else eels"
but here's the science (boring) bit
Indigenous people in Venezuela called one arimna, or “something that deprives you of motion.”
Early European naturalists referred to them as “numb-eels”
The Gods are angry serpents?
I wonder how can the podcasting/youtuber industrial complex can be profitable. Fair enough there are some people with a massive following where you can see how they can be successful, but there are a lot of mid tier channels out there and it seems like almost a full time job creating a video, then there is the need to churn out original content on a regular basis.
Are advertisers really pumping that much money into these channels or are people really buying courses and the latest supplements, personally most of the ads I hear I have no interest in buying the product.
eels
What were electric eels called before electricity was invented?
With all due respect even I as a nurse can tell you some stories that would make your hair stand on end , from the stupid people I have worked with to the patients that came in by ambulance , drunk or stoned, take up a valuable trolley bed and then exit stage left to get high out the front door, and end up in respiratory arrest ..a true emergency !
What I am saying is aside from all that, the pace that somebody deals with a patient or walks from one area to another is not anything to do with the calibre of care .
When I started my nursing career by the way meals were not served as a rule in A&E precisely for the reasons you outline ...spillages no tables or trolleys as in normal wards Also patients not kept fasting or deteriorating and delays as a result to urgent treatment etc
Never mind that patients were never intended to be in A&E longer than 4 to 6 hours !! Nursing staff doing regular medicine rounds in A&E was an anomaly back then ..Seems laughable now but A&E has become a holding pen over the years for patients , while bed managers move people around trying to create space and HSE bosses try to deny how many patients are being cared for in hospital really while they attempt to cut down nursing hours at the other end .
The only A&Es that work are the large ones where there are areas where those waiting on beds in wards are transferred to overflow wards or / urgent care wards away from the unsuitable A&E area and where staffing and facilities are more like regular wards. Why they don't just staff them permanently is a mystery to me but it's "oh , we don't need a permanent fixture so it saves money ? " It doesn't. It just results in bottlenecks poor patient care and stressed staff making mistakes until those overflow beds / wards are reopened .
(For this, see Limerick ,)
A&E is a disaster in Ireland precisely because nurses and medics are being asked not to do urgent care only but are caring for some patients for days without the adequate facilities .
I am not excusing bad care or any of the incidents you outline but it will never improve unless a head of HSE whose job and pension is reliant on them fixing the problem in a certain timeframe .
Overcrowding in A&E, lack of appropriate trained staff and Jack of beds in the hospital system are three areas that need urgent care , forgive the pun .
Anyhow this is gone completely off topic for this thread at this stage .
What I wonder about is ..
Will we ever see a day when it does get fixed , ever ?
I understand where you're coming from, but A&E does stand for Accidents and Emergencies, does it not? Trust me, I've seen the inside of more hospitals and wards and ambulances in more countries than I care to remember, and not just for myself, but not all function that way. I don't expect people to run or even power walk around the place and churn people out like on an assembly line, but I've seen people in offices walk with more "umph" just to collect stuff from a printer. Assessments are well and good, but one thing is calm and orderly, another is downright slow, which is what I've experienced. There was no need to keep a 90+ year old woman sitting there for over 15 hours without seeing her. I don't mean to say that all A&Es in all hospitals are like that all the time. It also depends a lot on who you get, like in every other walk of life.
Anecdote 1. I once brought a then 78 y.o. woman for a CT scan and I was asked to confirm that she wasn't pregnant…). I told them that her name wasn't Sarah and she wasn't married to Abraham.
Anecdote 2. and 3. I had swine flu in 2010. When I was still very sick but could get out of bed, I was sent by my GP to A&E for an emergency chest x-ray for suspected pneumonia (urgent enough, but not an emergency, I agree, but he didn't want me to wait weeks for an appointment so he took that route). I had to get the bus because I was coughing so much I couldn't drive the 25 odd miles to get there, and then I had to walk for another mile or so with the freezing gale blowing on the left side of my face to get to the hospital. My face was half paralised by the cold. The nurse that saw me insisted on taking my temperature on my left ear, despite me asking her to please try the other side that hadn't been frozen by the wind. Not a chance. She said my temperature was 34.2.
Also, I knew I wouldn't be in longer for longer than the time it took to get the x-ray and perhaps a response, so when they came around to ask I told them thank you but no need to bring me a tray with lunch. They still brought it. They insisted I should drink at least a cup of tea and put the tray on the bed, spilling the tea and the milk on the tray, the bed and the floor, the teaspoon also fell on the floor. So the person that brought it proceeded to take the napkins from the tray, use them to first wipe the floor, then the teaspoon, then the tray, then put tissues and spoon on the tray and said "There you go." Eh, no thank you.
Anecdotes aside, if they picked up the pace a tiny bit, they could fit in, say, five people instead of four and the queues would begin to decrease.
They only run in an emergency . And believe me that's when the adrenaline is pumping !
We were always told in order to function in an organized manner, to keep calm no running except it was strictly necessary . Even dealing with real life or death emergencies you need to keep your head and be organized !
All care in A&E is not emergency but it is urgent however that doesn't mean people should be running around . Not only would that be to the detriment of the staff working there but imagine how chaotic and upsetting for patients waiting .
Would you expect every worker to run or hurry around for their entire working day ? Everyone would be in A&E themselves with cardiac stress , high BP and burst gastric ulcers 😊
There is a lot more going on every time somebody takes your pulse or blood pressure in hospital. A trained nurse is looking for any signs of deterioration or any other changes and assessing your condition visually as well. Not just recording your Pulse and Blood Pressure .I have found it's when people rush this or are interrupted with busy-ness ( phone calls, questions from other staff etc ) that important things are missed .
Also the documentation is a tool developed to helped quantify how severely affected a person is and whether they need medical intervention sooner so needs to be done properly .
Assessment of condition does not stop after the Triage desk .
I have been waiting in A&E with a relative and a food trolley with tea coffee and sandwiches came around for everyone we were waiting soo long !
You have to appreciate that sicker patients will get priority and will take up nursing and medical time in A&E . Otherwise attend a minor injury clinic .
It's when staff are so rushed off their feet that the simple regular observations are missed that problems arise .
I would much prefer to attend a calm slower relaxed setting as a patient than one described above .
I would feel safer .
One thing I've noticed about A&E the handful of times I've been is the staff's complete lack of urgency. I'm not saying they should be brusk or rude or that they should rush things, but taking someone's BP shouldn't take 15 mins plus the paperwork. Everyone was strolling, not walking. These are just small examples, but to me it goes to explain why I was there 15 hours on a good padded seat, a lady at least in her 90s and her 2 daughters with her were there even longer and a bunch of people at the far end of the waiting room even ordered pizzas.
There have been quite a few studies published about this issue.
It's the psychological step from saving to spending that many older people find difficult.
Why People Who Spend Their Whole Life Saving Money Have Difficulty Spending Money When They Get Old | by The Money Matters | Medium https://share.google/e5AKpbmpy62LAPV4D
I was in the minor injuries unit in Ennis twice in the last 3/4 years and was seen very quickly both times, one early morning and second around lunchtime so there are good examples out there.
I wonder what motivations are at play in situations where people who have a lot of money but go to extraordinary lengths not to spend it. Never got this, never will. Aggressively frugal / mean people. An aunt currently going around cap in hand looking for help with work needed in her home. A big job..about €15,000 worth of a job. It’s been verified through that she has a six figure bank balance…ffs..phone businesses, get quotes and pay for it !
Yes there are many areas of the health service that need improvement.
I may have been lucky but credit where credit is due.
Another time I brought an elderly relative to a HSE hospital in the midlands.
Referred from a GP triaged quickly no delay in A&E.
Looked after in a timely professional manner and tests carried out
I was a bit embarrassed when they even offered me a cup of tea and I only the driver.
I said house not aras 🙂
Similar experience a couple of years ago with a fractured wrist in local big A&E . Was very impressed from start to finish with efficiency and care all in no hanging around .
I think medical issues or people needing surgery get to wait around a bit longer.… but what I wonder at is how people expect not to wait at all .
Having said that there is always room for improvement especially staffing and facilities .
The private sector takes the predictable high profit cases, routine tests, minor injuries, low complexity / risk procedures and if things go wrong passes the problems onto the public system to deal with.
What do you think they are talking about ? Their night out last night 😂 Or... get the miserable sick head on this wan ?🤣
Are you Catherine connolly?
My experience.
Foot injury Sunday morning went to HSE Local Injury Unit.
Triaged by senior nurse, seen by doctor, x-rayed, back to doctor, fitted with moon boot, prescription filled.
Total time from leaving house till I got back 2 hours.
Follow up phone call from Consultant who had reviewed the x-ray on Monday morning.
When you said that “ they love that “ I was waiting for someone to jump in and demand “ evidence please “ 😆
No way! Ingenious little critters. Suppose there's not a lot of oxygen underground anyway.
They breath through their skin apparently. Makes sense that they can survive underwater.
They love that. They can actually breath underwater for a few days which is enough time for them to burrow deeper to avoid the water. They actually need water as well believe it or not.
What happens the worms when a field floods?
The nurses and doctors do damn all in this country. Any time I've been there you see them in a group talking for ages. While you just sit there. You see this not in the waiting room but when you get brought into the part they look at you.
As the poster above has said, it definitely not lack of money. We spend €20bn every year on health system, there should be no reason its as messy as it is.
Interesting to hear about France. I wonder are their A&Es full of people who dont really need to be there, like ours.
Money isn't the issue. We have a very well financed health service. Staff shortages and work practices may be a big part of the problem.
The private sector is way more efficient.
