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Cystic Fibrosis Unit - Will Joe Duffy get it started this time?

13

Comments

  • Registered Users, Registered Users 2 Posts: 389 ✭✭dango


    OisinT wrote: »
    I understand not everyone can have that, but we would need extreme investment to build a hospital to the scale we need to have all CF patients get a private room in a private CF-only hospital.

    Okay we've established you haven't got a clue and you've made your point about Ireland's healthcare system not being the worst in the world. Can we get back on topic?


  • Registered Users, Registered Users 2 Posts: 20,396 ✭✭✭✭FreudianSlippers


    Mushy wrote: »
    From my understanding of being told about this sort of thing, CF patients in other countries, if they dont get a private room, they are in with other people who have CF. This minmises the risk of more threatening diseases transferring between patients. However, that doesn't happen here.
    This is definitely preferable, but there is still a high risk of getting infections.

    The underlying factor about CF is that the mucus buildup essentially creates a breeding ground for bacteria. It's not necessarily the infections that are caught, but the infections that are created in the lungs themselves.
    This is manifestly disconnected from lung transplants. Lung transplants are needed in CF cases eventually regardless of exposure to infections.

    The nature of the disease is scarring (fibrosis) of the cysts in the pancreas - but also there is difficulty releasing sweat from the body and abnormally viscous mucus.

    So basically 80% of patients die from lung related problems, be it lung disease or difficulty breathing.


  • Registered Users, Registered Users 2 Posts: 1,289 ✭✭✭Howard the Duck


    OisinT wrote: »
    Everyone should get a private room in the hospital. I pay for private insurance for that reason.
    I understand not everyone can have that, but we would need extreme investment to build a hospital to the scale we need to have all CF patients get a private room in a private CF-only hospital.

    Well paying for private insurance isn't an option for someone with CF. Also who ever mentioned a CF Hospital? A Proper CF ward would be enough. There are roughly 1100 people with CF in Ireland not all of whom need regular IV treatment in hospital. Also they all don't attend the same hospital.

    The frustration people with CF and their families feel is because this is something that has been promise and is something they should have gotten when we had the money to build it.

    People may slag off Joe Duffy but he is doing something really good here and it's something that would make a massive difference to people suffering from cf.


  • Closed Accounts Posts: 4,072 ✭✭✭PeterIanStaker


    I heard this piece as well. And no, Joe won't get it started because this govt doesnt give a sh1t if people die in the streets.


  • Registered Users, Registered Users 2 Posts: 20,396 ✭✭✭✭FreudianSlippers


    dango wrote: »
    Okay we've established you haven't got a clue and you've made your point about Ireland's healthcare system not being the worst in the world. Can we get back on topic?
    How exactly have we established that?

    This thread has been back on topic for a few posts. I don't see how the quoted post was, in fact, not on topic.


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  • Registered Users, Registered Users 2 Posts: 20,396 ✭✭✭✭FreudianSlippers


    Well paying for private insurance isn't an option for someone with CF. Also who ever mentioned a CF Hospital? A Proper CF ward would be enough. There are roughly 1100 people with CF in Ireland not all of whom need regular IV treatment in hospital. Also they all don't attend the same hospital.

    The frustration people with CF and their families feel is because this is something that has been promise and is something they should have gotten when we had the money to build it.

    People may slag off Joe Duffy but he is doing something really good here and it's something that would make a massive difference to people suffering from cf.
    I should have been more clear. I meant that in order to protect people with CF from all infections that one can encounter in the hospital, we'd need more than private rooms - we'd need a whole hospital just for people with CF that was cleaned all day every day... and even THEN the infection rate would be insurmountably high.

    Also, of those 1100 people, the majority (if not all) will eventually need to spend lengthy time in the hospital.


  • Registered Users, Registered Users 2 Posts: 1,289 ✭✭✭Howard the Duck


    OisinT wrote: »
    The underlying factor about CF is that the mucus buildup essentially creates a breeding ground for bacteria. It's not necessarily the infections that are caught, but the infections that are created in the lungs themselves.

    The infections that are caught come to dominate over the bacteria that are created in the lungs , And those infections are much more harmful and damaging.


  • Registered Users, Registered Users 2 Posts: 1,289 ✭✭✭Howard the Duck


    OisinT wrote: »
    I should have been more clear. I meant that in order to protect people with CF from all infections that one can encounter in the hospital, we'd need more than private rooms - we'd need a whole hospital just for people with CF that was cleaned all day every day... and even THEN the infection rate would be insurmountably high.

    Also, of those 1100 people, the majority (if not all) will eventually need to spend lengthy time in the hospital.

    The point is that a CF unit would drastically reduce the number of infections caught by people with CF. You can never protect people from all infections unless you start putting them in plastic bubbles but there can be measures taken which aren't being taken now and that is the point.

    What exactly are you arguing? Do you believe a CF unit should not be built and everyone should stop moaning about it?


  • Registered Users, Registered Users 2 Posts: 20,396 ✭✭✭✭FreudianSlippers


    I'm not arguing anything really. I was just replying to the comment that no one was talking about CF hospital.


  • Registered Users, Registered Users 2 Posts: 815 ✭✭✭Moojuice


    OisinT wrote: »
    I should have been more clear. I meant that in order to protect people with CF from all infections that one can encounter in the hospital, we'd need more than private rooms - we'd need a whole hospital just for people with CF that was cleaned all day every day... and even THEN the infection rate would be insurmountably high.

    Also, of those 1100 people, the majority (if not all) will eventually need to spend lengthy time in the hospital.

    I think you are wrong there. A CF hospital is not necessary, a decent clean hospital and ward is adequate. There is no need to go over board on the cleaning. Besides, hospitals should be cleaned every day, for every patient and staff member. Describing the infection rate as insurmountable is wrong. Its not insurmountable. With adequate cleanliness, isolation and care even serious infections are treatable. Granted, some people will succumb but this is a combination of having the most serious form of the disease and picking up infections on a regular basis.

    You are also wrong about your last line. Some (lucky few) patients with a mild form of the disease (due to a rare form of the CF mutation) can mange to avoid regular or lengthy stays in hospital. This due to the excellent care of the team in Vincents and a very pro-active attitude on the part of the patients: regular exercise, compliance in taking their medication and recognising the early stage of a cold or infection.


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  • Closed Accounts Posts: 79 ✭✭Kaaatelyn


    OisinT wrote: »
    oh, so now it's "the lowest in a first world country." is it? :rolleyes:

    Make up your mind.
    OisinT wrote: »
    If Kaaatelyn meant worst first world treatment then it should have been said originally and I may not have disagreed with that.


    If you refer back to my original post you'll see I said "worst care in developed countries" and never once said "in the world".

    Now get a life and stop calling me "completely wrong" etc and telling me to make up my mind when you obviously didn't even read my post properly. You must get a great kick out of telling people that are obviously passionate about the subject or have CF themselves to stop moaning and pointing out the obvious that CF isn't survivable etc.


  • Registered Users, Registered Users 2 Posts: 174 ✭✭kiwikid


    Kaaatelyn wrote: »
    You must get a great kick out of telling people that are obviously passionate about the subject or have CF themselves to stop moaning and pointing out the obvious that CF isn't survivable etc.
    neither is life. But you still do your best to live as long as you can. thats all people with CF want to do, live as long as they can as healthily as possible.
    I think someone posted links where people were living well into mid and old age with CF. there are few if any living past 60 in Ireland that I have ever heard of. I put it down to cross infection, from poorly managed hospitals. You don't need a CF hospital. But you do need to have outpatient CF clinics for kids ( and adults) to be located in an isolated treatment room within a hospital. Currently it is located in A&E in Cork - one of the most infectious / dirty / dangerous places by virtue of the fact people don'e even know what they have when they sit down beside your child with CF. This does not happen in the UK. i know I have asked. I have not asked anyone in Australia, New Zealand, other EU countries, US or Canada. But I am guessing not.


  • Registered Users, Registered Users 2 Posts: 20,396 ✭✭✭✭FreudianSlippers


    Kaaatelyn wrote: »
    If you refer back to my original post you'll see I said "worst care in developed countries" and never once said "in the world".

    Now get a life and stop calling me "completely wrong" etc and telling me to make up my mind when you obviously didn't even read my post properly. You must get a great kick out of telling people that are obviously passionate about the subject or have CF themselves to stop moaning and pointing out the obvious that CF isn't survivable etc.
    Good job derailing the thread again. Superb posting.

    Now, anyway, you are completely wrong as usual:
    behind the rest of the world in providing CF care
    It's a well known fact that Ireland has the worst care for CF patients

    both from your posts.

    Now, back on topic...


  • Registered Users, Registered Users 2 Posts: 304 ✭✭Bock the Robber


    Here's somebody doing something to raise awareness and funds for CF.

    http://bocktherobber.com/2010/10/shaving-joe-for-cystic-fibrosis

    Support him if you happen to be around Limerick on Sunday 24th October.


  • Closed Accounts Posts: 79 ✭✭Kaaatelyn


    OisinT wrote: »
    Good job derailing the thread again. Superb posting.

    Now, anyway, you are completely wrong as usual:




    both from your posts.

    Now, back on topic...

    The first quote is from a website which you kept asking me to find the second clearly doesnt say "in the world".

    I'm out of this conversation, I was only trying to get a point across as my best friend has CF and is very sick. I wasn't looking to be ridiculed and called "completely wrong as usual". I'm only 18 give me a break. Go back to arguing stupid points and belittleing what people are trying to say. Best of luck.


  • Registered Users, Registered Users 2 Posts: 44,079 ✭✭✭✭Micky Dolenz


    Now now.

    OisinT I have already asked you to tone it down a bit. No need for the tone.

    I understand that this is an emotive subject, Please respect each other.


  • Registered Users, Registered Users 2 Posts: 304 ✭✭Bock the Robber


    Thread successfully killed, I'd say. Nice work.


  • Registered Users, Registered Users 2 Posts: 20,396 ✭✭✭✭FreudianSlippers


    Now now.

    OisinT I have already asked you to tone it down a bit. No need for the tone.

    I understand that this is an emotive subject, Please respect each other.
    There is no tone from me. I have been on topic since the warning earlier in this thread. It is clearly Kaaatelyn that wishes to continue to drag this thread off-topic.


  • Registered Users, Registered Users 2 Posts: 28,787 ✭✭✭✭ScumLord


    snyper wrote: »
    Ive heard and read alot about out "3rd world" health service.

    I was in Mullingar hospital last week and tullamore a few months ago.. nothing 3rd world about them, actually they are incredible facitlities.

    See, the problrm is budgets.. Literally,
    I don't think it is a budget problem. I've had few interactions with hospitals but the visits I had would point to some serious prolems in the management and running of the hospitals. I was booked in for a proceedure, had the proceedure and it was quick and straight forward I couldn't see what the problem was with Irish hospitals. A few months later I recieved a letter booking me in for the same proceedure and now keep getting that letter every few months no matter how may times I tell them I've had it done.

    That's the problem with Irish hospitals, money won't solve that problem. It doesn't matter how much money they pump into the hospitals if they don't fix simple problems like that their care will become complete ineffective as it's happened with CS patients, they'd almost be better off in any other place no matter how poor it's standards than they would be going into the most modern and expensive hosptials in Ireland due simply to a room management plan.


  • Registered Users, Registered Users 2 Posts: 20,396 ✭✭✭✭FreudianSlippers


    Since CF is an autosomal recessive disease that requires 2 sets of gene deletion, I find it hard to see why so many of these people continue to bring children into this world knowing full well that they will have CF.

    If 2 effected carriers have a child, that is a 100% chance of that child being an effected carrier.

    If 1 effected carrier has a child with a non-carrier then there is 100% chance that the child will be an un-effected carrier.

    If 2 un-effected carriers have a child, then there is a 50% chance of the child being an uneffected carrier and a 25% chance of the child being an effected carrier.

    If an effected carrier has a child with a uneffected carrier 50% chance of being effected carrier and 50% chance of being uneffected carrier.

    The point is pretty clear - the reason Ireland has such high rates is that there is no education (or care) on how CF is passed along and to what an alarming extent it is passed along.

    These CF patients will die early, full stop.

    Now should we be pumping our time and money into getting these people an extra 3-5 years, or should we be using the money to research feasible cures such as gene therapy.
    We should also be putting CF patients on prophylactic antibiotics.


    The simple fact I was making earlier which has been wholly ignored by certain posters is this: Ireland's CF survival may be lower than other first world countries, but it's not much lower. These people are kidding themselves if they think that CF patients are living to 50 or 60 in other countries.
    Children born in the past 5 years have life expectancies in their 40s in the North America due to new treatments, but there is no evidence to state that Irish children born in the last 5 years do not share a similar expectancy.

    It has to stop somewhere, and education to prevent these carriers from having children is a start. It's impossible to take care of the number of CF patients we have in this country when people are having more every year.
    I remember hearing one guy on Joe Duffy say he has lost 4 children to CF and he is still having more. Ridiculous and irresponsible behaviour - this man is, IMO, essentially a child abuser and almost a murderer for continuing to bring children into the world that have a 100% chance of dying of a horrible disease such as CF


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  • Registered Users, Registered Users 2 Posts: 174 ✭✭kiwikid


    this post is disgusting. This poster should be banned, moderator or not. i have reported this post.


  • Registered Users, Registered Users 2 Posts: 20,396 ✭✭✭✭FreudianSlippers


    kiwikid wrote: »
    this post is disgusting. This poster should be banned, moderator or not. i have reported this post.
    I'm sorry you find science so disgusting. Perhaps if more people understood the disease and how it's spread the conversation could be carried out with less vitriol and emotion.

    If it is my opinion that you find so disgusting then that's fine - disagree with it. But in my view, to bring a child into the world which you are fully aware will die of a debilitating and horrible disease, and you continue to do so then the state should step in to prevent this.

    The state already steps in where cases of Anencephaly arise. Many parents wish to bring these children into the world regardless of the fact that they are not going to survive even a few days - a few days in agony.
    Doctors and the state intervene in this circumstance to prevent the live birth.


  • Registered Users, Registered Users 2 Posts: 815 ✭✭✭Moojuice


    OisinT wrote: »
    We should also be putting CF patients on prophylactic antibiotics.
    This person is dangerous in their ignorance and stupidity. They ARE on prophylactic antibiotics, with such previous poor posts, you sadly perhaps make yourself look like an idiot . We can all read Wikipedia OisinT, it doesn't mean you know what you are talking about. People with CF can actually live into their 50's & 60's, it depends on their CF mutation and how well they look after themselves.

    Money is being spent on gene therapy and other cures. Of course people with CF should be given 3-5 years if possible.The same could be said about people with cancer or any other serious disease. Or those who smoke, or drink etc. Empathy and compassion are obviously alien concepts to you.

    The moment you start bringing human life down to pure economics, is the moment you loose your humanity.


  • Registered Users, Registered Users 2 Posts: 815 ✭✭✭Moojuice


    OisinT wrote: »
    I'm sorry you find science so disgusting. Perhaps if more people understood the disease and how it's spread the conversation could be carried out with less vitriol and emotion.

    If it is my opinion that you find so disgusting then that's fine - disagree with it. But in my view, to bring a child into the world which you are fully aware will die of a debilitating and horrible disease, and you continue to do so then the state should step in to prevent this.

    The state already steps in where cases of Anencephaly arise. Many parents wish to bring these children into the world regardless of the fact that they are not going to survive even a few days - a few days in agony.
    Doctors and the state intervene in this circumstance to prevent the live birth.

    Are you advocating abortions in cases with an invitro diagnosis of CF? Why not for any difference, no matter how slight. You really are a repugnant individual.

    In the case of Anencephaly, their is very little actual brain matter, their is no conscious thought or brain activity. Are you really equating the two?

    Mods, can we not ban this troll from the forum?

    Anyone with CF is usually fully aware of the possibilities of having children with CF, the care teams are very careful to emphasise this. If parents are tested and both are carriers, then they are usually advised NOT to have children. If one is a carrier, the chances are about 1 in 450 births, a rate comparable to some other possible birth defects and genetic mutations.


  • Registered Users, Registered Users 2 Posts: 44,079 ✭✭✭✭Micky Dolenz


    OisinT, do not post in this thread again.


  • Registered Users, Registered Users 2 Posts: 174 ✭✭kiwikid


    Moojuice wrote: »
    This person is dangerous in their ignorance and stupidity. They ARE on prophylactic antibiotics . We can all read Wikipedia OisinT, it doesn't mean you know what you are talking about. People with CF can actually live into their 50's & 60's, it depends on their CF mutation and how well they look after themselves.

    The moment you start bringing human life down to pure economics, is the moment you loose your humanity.

    thank you.


  • Registered Users, Registered Users 2 Posts: 20,396 ✭✭✭✭FreudianSlippers


    Moojuice wrote: »
    Apologies for the language I am about to use, but this person is dangerous in their ignorance and stupidity. They ARE on prophylactic antibiotics you idiot.
    Not all patients in this country are administered the proper prophylactic antibiotics. One reason which has escaped the reasoning of the posters here is that just isolating the patients in a separate ward is not going to stop them from getting infections. There needs to be antibiotics administered at the correct dose to each individual patient - something which I think you'll find is not done here adequately.

    But I'm sure you are a medial doctor, so you already know this.
    Moojuice wrote: »
    We can all read Wikipedia OisinT, it doesn't mean you know what you are talking about.
    While Wikipedia may be where you get all of your information, none of mine has originated from said source.
    Moojuice wrote: »
    People with CF can actually live into their 50's & 60's, it depends on their CF mutation and how well they look after themselves.
    While this is technically correct, it is clear that the vast majority of patients do not live past their 40s regardless of care. Now you are entirely correct that it depends on their gene mutation, but the most common mutation is found in the vast majority of the population in the world and almost all cases in Ireland (that being Delta F508)

    And as I'm sure you're aware the survival rate for Delta F508 is not over 40 for anyone born pre 2005. If they lived in a bubble, then yes they could avoid infection - but it's akin to late stage AIDS patients... they get sick from EVERYTHING.
    Moojuice wrote: »
    Money is being spent on gene therapy and other cures. Of course people with CF should be given 3-5 years if possible.The same could be said about people with cancer or any other serious disease. Or those who smoke, or drink etc. Empathy and compassion are obviously alien concepts to you.
    OK yeah I agree with you here, 3-5 extra years is important to anyone.
    Empathy and Compassion are, in fact, concepts which I am incapable of understanding. Perhaps you could explain them to me (or just call me an idiot again)
    Moojuice wrote: »
    The moment you start bringing human life down to pure economics, is the moment you loose your humanity.
    :rolleyes: Let's jump in a prayer circle after this and start singing and holding hands later?


  • Registered Users, Registered Users 2 Posts: 20,396 ✭✭✭✭FreudianSlippers


    OisinT, do not post in this thread again.
    Sorry - was writing the post when this was posted.

    I'm sorry so many people disagree with my opinions - it was not my intention to insult anyone, but clearly emotions are high for those who have CF or know someone with CF.
    Certainly it was never my intention to cause pain or suffering to those people by my words or opinions on the subject.


  • Registered Users, Registered Users 2 Posts: 44,079 ✭✭✭✭Micky Dolenz


    OisinT Banned.


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  • Registered Users, Registered Users 2 Posts: 304 ✭✭Bock the Robber


    It's amazing. When he's trying to intimidate other posters, his behaviour is tolerated, and yet, when he asks the difficult, provocative questions, he gets banned.

    What is going on with this board?


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