Do you want to discuss boring politics? (41 Viewers)

[Sick Boy]

View attachment 44405

For fuck's sake. God help us.

Fucking hell, I didn’t realise this was actually serious.

 

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[torchomatic]

Fucking hell, I didn’t realise this was actually serious.

It's a fucking joke.

 

[Captain Dart]

It’s portion sizes rather than carbs that are the problem, IMO - unless we’re talking stuff like processed bread.

You are wrong. The body processes carbs differently to fat and proteins. Animal derived fats and proteins are also more nutrient dense.

Anyway you do your thing as you see fit, I just do what works for me.

 

[Brighton Sky Blue]

You are wrong. The body processes carbs differently to fat and proteins. Animal derived fats and proteins are also more nutrient dense.

Anyway you do your thing as you see fit, I just do what works for me.

Carnivore diet?

 

[Sick Boy]

You are wrong. The body processes carbs differently to fat and proteins. Animal derived fats and proteins are also more nutrient dense.

Anyway you do your thing as you see fit, I just do what works for me.

I eat 100g of pasta 5 or 6 days a week without any problems. It’s 100% portion sizes that are the problem.

 

[Ccfcisparks]

I eat 100g of pasta 5 or 6 days a week without any problems. It’s 100% portion sizes that are the problem.

I agree. Portion control in the UK is completely warped

 

[Captain Dart]

Carnivore diet?

More ketogenic, meat/fish/eggs with some veg and dairy but the main thing is avoidance of carbs like bread, pasta, pizza, rice, chips, pies & anything in a package though I err now and again.

I grow veg on an allotment but end up giving most of it away.

 

[Ccfcisparks]

More ketogenic, meat/fish/eggs with some veg and dairy but the main thing is avoidance of carbs like bread, pasta, pizza, rice, chips, pies & anything in a package though I err now and again.

I grow veg on an allotment but end up giving most of it away.

I am very concerned about how often you are using that emoji in posts recently

 

[chiefdave]

Forgot to mention this added bonus. On more than one occasion when I’ve actually managed to get an appointment to see my GP when I’ve gone to the appointment there's come a point where the person I'm seeing has said 'I can't deal with that, you'll need to see a doctor'.

The last government had a plan to make more appointments available by bringing in a level between practice nurses and GPs. ANPs who could prescribe and treat routine things. Not a bad idea, right?

Except the implementation has been appalling. To encourage uptake the cost of employing an ANP is subsidised by the government. So what actually happened was practices replaced some of their GPs with ANPs. Same number of appointments so NHS management doesn't complain but they've saved money and therefore make more profit.

We've got the crazy situation where it's a nightmare trying to get a GP appointment yet we have a load of unemployed GPs, who increasingly are moving overseas, and newly qualified GPs struggling to find a job.

 

[Captain Dart]

I am very concerned about how often you are using that emoji in posts recently

 

[chiefdave]

Reform warns it wouldn't take Liz Truss or Suella Braverman if they decided to leave the Tories amid concerns they would damage the party's image

 

[Grendel]

Forgot to mention this added bonus. On more than one occasion when I’ve actually managed to get an appointment to see my GP when I’ve gone to the appointment there's come a point where the person I'm seeing has said 'I can't deal with that, you'll need to see a doctor'.

The last government had a plan to make more appointments available by bringing in a level between practice nurses and GPs. ANPs who could prescribe and treat routine things. Not a bad idea, right?

Except the implementation has been appalling. To encourage uptake the cost of employing an ANP is subsidised by the government. So what actually happened was practices replaced some of their GPs with ANPs. Same number of appointments so NHS management doesn't complain but they've saved money and therefore make more profit.

We've got the crazy situation where it's a nightmare trying to get a GP appointment yet we have a load of unemployed GPs, who increasingly are moving overseas, and newly qualified GPs struggling to find a job.

Have you considered changing your doctor?

 

[Grendel]

Surely that's common sense though? If he eats the same but isn't doing the same physical graft then that's going to happen.

Obviously

I can’t believe the NHS is now giving weight loss jabs on the NHS. If you eat less you lose weight.

 

[Brighton Sky Blue]

. If you eat less you lose weight.

Piece of piss then

 

[Grendel]

Piece of piss then

No one says it is. It requires effort and crucially accountability.

 

[Brighton Sky Blue]

No one says it is. It requires effort and crucially accountability.

There is a reason why the overwhelming majority of people put the weight back on even if successful. There is more to it than mere will power.

 

[tisza]

accountability

That's probably a word that's out of date these days

 

[Grendel]

There is a reason why the overwhelming majority of people put the weight back on even if successful. There is more to it than mere will power.

Do people want to look for reasons to avoid blame and accountability?

 

[Grendel]

That's probably a word that's out of date these days

Far easier to expect the tax payer to wipe your arse

 

[Brighton Sky Blue]

Do people want to look for reasons to avoid blame and accountability?

No. Just speaking from experience that what I did succeeded in shifting 90 lbs before it plateaued at a weight that is still several stone too high.

 

[Grendel]

No. Just speaking from experience that what I did succeeded in shifting 90 lbs before it plateaued at a weight that is still several stone too high.

I have no issue with people paying for medication but I do not see why the state should fund it.

I know a 35 year old woman who was bragging she has got the jab for free. She’s ridiculously fat and constantly fills her face. She’s also type 2 diabetic. She refuses to blame herself and she blames it on her previously undiagnosed ADHD and anxiety. The diagnosis didn’t stop her filling her face.

Bear in mind here I was considered an alcoholic in my 20’s. I have at times consumed easily 200 units a week. I had 20 years of sobriety and then started again.

I pay for therapy with someone who is an alcoholic. She also has had food addiction issues. I’ve been her for 3 years now.

We both are of the opinion the only way to get over any shame and guilt is to accept your role and take responsibility. Drugs generally don’t work A

 

[Brighton Sky Blue]

I have no issue with people paying for medication but I do not see why the state should fund it.

I know a 35 year old woman who was bragging she has got the jab for free. She’s ridiculously fat and constantly fills her face. She’s also type 2 diabetic. She refuses to blame herself and she blames it on her previously undiagnosed ADHD and anxiety. The diagnosis didn’t stop her filling her face.

Bear in mind here I was considered an alcoholic in my 20’s. I have at times consumed easily 200 units a week. I had 20 years of sobriety and then started again.

I pay for therapy with someone who is an alcoholic. She also has had food addiction issues. I’ve been her for 3 years now.

We both are of the opinion the only way to get over any shame and guilt is to accept your role and take responsibility. Drugs generally don’t work A

I personally refuse to take medication to get me to the weight I want, though it might be that the cost to the state of the prescription is less than the cost of obesity related complications.

The point stands that we encourage unhealthy eating habits in many ways then blame people for succumbing to them.

 

[Grendel]

I personally refuse to take medication to get me to the weight I want, though it might be that the cost to the state of the prescription is less than the cost of obesity related complications.

The point stands that we encourage unhealthy eating habits in many ways then blame people for succumbing to them.

We encourage booze and promote it. I don’t blame anyone but me

 

[Nick]

I personally refuse to take medication to get me to the weight I want, though it might be that the cost to the state of the prescription is less than the cost of obesity related complications.

The point stands that we encourage unhealthy eating habits in many ways then blame people for succumbing to them.

Let's face it, people have a choice of what they eat. I can say that myself I've been a lazy bastard and eaten rubbish and noticed.

They don't have to eat rubbish.

 

[Sky_Blue_Dreamer]

People should just be chucked out if they aren’t going for a reason

But often there is an underlying reason, if not a medical one, and a lack of social care and mental health services results in them ending up there.

 

[Sky_Blue_Dreamer]

So can I if I want to unless I want a specific doctor. I’m sure some on here live in another country to me.

Although I thankfully don't need to see the doctor much at the moment, I don't find it that hard to get an appointment, However I do know other people at different practices where it's nigh on impossible,

Biggest factor I seem to find is the affluence of the area. Those in the poorest areas find it the hardest because doctors don't want to work there, the population density is higher, people tend to be unhealthier for a number of different reasons and sometimes appointments with some patients can take ages because of communication problems due to mental health, addiction or language issues.

 

[Grendel]

But often there is an underlying reason, if not a medical one, and a lack of social care and mental health services results in them ending up there.

I said on my visit there people were not even asking at the desk for an appointment. One had a stash of mobile phones. If you have a mental health condition sitting round A and E for 13 hours isn’t going to help

 

[CCFCSteve]

How long ago was the GP contract changed though, we can't keep blaming that decades on. Get something done about it. None of the proposals since to 'improve' care have involved undoing those changes.

Don't think it's fundamentally an issue of not having the list and not seeing the GP. Its how piss poor they are at passing information between the various privately run parts of the NHS and the fact that if you do actually get to see a doctor they're rushing you out the door before you've sat down.

I've literally had the same appointment with the same GP at my surgery twice, pretty much word for word. I had the initial appointment and was, as usual, given a pill to pop and a follow up was scheduled. At the follow up he basically did the initial appointment again and prescribed me the same thing until I pointed out he'd already done that and this was the follow up. Despite it being the same GP he had no clue I already had the medication and he was supposed to be checking it was working. I've had numerous test results lost between the hospital and my GP 'they're on a different system', I've been prescribed meds, had a severe reaction and then a few months later been prescribed the same thing. The system is fucked.

Friends mrs is a doctor. She got head hunted to go and work in Norway. She couldn't believe the differences in approach. Her workload is tiny compared to what it is here. When she sees a patient she has 30 minutes and the onus is on wraparound care without just giving them a pill and telling them to go away.

It’s a mess Dave. The processes and basics just aren’t there a lot of the time

I don’t think Norway is totally free at point of use which is maybe why they probably pay more and also why doctors have more time with patients (I presume less people might probably go unless they really needed it)

If anyone wants any more examples of frustrations with the nhs. He’s some more on staffing….

New midwives ready to work, but no jobs available despite understaffed services says RCM - Royal College of Midwives

More than eight out of 10 student midwives due to qualify this year say that are ‘not confident’ they will find a job once graduating despite maternity services across the UK struggling with understaffing, according to a new survey published today by the Royal College of Midwives (RCM).

rcm.org.uk

Resident doctors demand expansion of NHS training posts to ensure jobs for UK medics - BMA media centre - BMA

Press release from the BMA

www.bma.org.uk

New nurses turning to coffee shop work amid NHS job shortage | Nursing Times

Read about the ongoing struggles newly registered nurses are facing in securing jobs, forcing them to pick up work outside nursing.

www.nursingtimes.net

So let me get this straight, we’ve got a load of Uk based newly qualifieds (docs and nurses) that can’t get positions, yet we’re told that we need to bring in people from aboard to fill the gaps….and even if theres extra cash available for additional numbers the BMA would prefer for this be used up on squeezing more for their current members wages rather than relieve pressure on the nhs (and the current workforce workloads)

Absolute shambles

 

[Sky_Blue_Dreamer]

People of all ages seem to go for stupid reasons. Also no shows are an issue.

Appointments should be charged and 3 no shows and struck off the register

As I said above, there are other issues that need addressing that are a major factor in this.

If you started charging a lot of people would just not make appointments and while that might make it easier to get a GP appointment it will mean some conditions are missed, resulting in serious health problems later on and huge pressure on other health services like hospitals etc.

Also it may not make a huge difference anyway as a lot of people that make loads of appointments for no reason have big underlying mental health issues and their brain won't process the being charged. And striking people like that off the register is just going to lead to some terrible consequences.

It's a big problem, but the way successive govts have tried to deal with it have just made it worse, yet they continue to do the same thing expecting different results.

 

[Sky_Blue_Dreamer]

I said on my visit there people were not even asking at the desk for an appointment. One had a stash of mobile phones. If you have a mental health condition sitting round A and E for 13 hours isn’t going to help

It isn't going to help, but the only thing that is is provision to mental health services. They're getting decimated because old school thinking says 'it's not a real illness' and so these people aren't getting the help they need. hence them sitting around A&E for 13 hours because there's nowhere else for them to go.

 

[Sky_Blue_Dreamer]

It’s a mess Dave. The processes and basics just aren’t there a lot of the time

I don’t think Norway is totally free at point of use which is maybe why they probably pay more and also why doctors have more time with patients (I presume less people might probably go unless they really needed it)

If anyone wants any more examples of frustrations with the nhs. He’s some more on staffing….

New midwives ready to work, but no jobs available despite understaffed services says RCM - Royal College of Midwives

More than eight out of 10 student midwives due to qualify this year say that are ‘not confident’ they will find a job once graduating despite maternity services across the UK struggling with understaffing, according to a new survey published today by the Royal College of Midwives (RCM).

rcm.org.uk

Resident doctors demand expansion of NHS training posts to ensure jobs for UK medics - BMA media centre - BMA

Press release from the BMA

www.bma.org.uk

New nurses turning to coffee shop work amid NHS job shortage | Nursing Times

Read about the ongoing struggles newly registered nurses are facing in securing jobs, forcing them to pick up work outside nursing.

www.nursingtimes.net

So let me get this straight, we’ve got a load of Uk based newly qualifieds (docs and nurses) that can’t get positions, yet we’re told that we need to bring in people from aboard to fill the gaps….and even if theres extra cash available for additional numbers the BMA would prefer for this be used up on squeezing more for their current members wages rather than relieve pressure on the nhs (and the current workforce workloads)

Absolute shambles

And why is this shambles happening?

Because we put so much of our focus on the financial side.

We need to move on from that and start looking beyond the money.

We know the cost of everything and the value of nothing.

 

[CCFCSteve]

We need to move on from that and start looking beyond the money.

Tell the BMA/the doctors willing to strike this !

I’ve given examples of it not just being to do with money

 

[Sky_Blue_Dreamer]

I have no issue with people paying for medication but I do not see why the state should fund it.

I know a 35 year old woman who was bragging she has got the jab for free. She’s ridiculously fat and constantly fills her face. She’s also type 2 diabetic. She refuses to blame herself and she blames it on her previously undiagnosed ADHD and anxiety. The diagnosis didn’t stop her filling her face.

Bear in mind here I was considered an alcoholic in my 20’s. I have at times consumed easily 200 units a week. I had 20 years of sobriety and then started again.

I pay for therapy with someone who is an alcoholic. She also has had food addiction issues. I’ve been her for 3 years now.

We both are of the opinion the only way to get over any shame and guilt is to accept your role and take responsibility. Drugs generally don’t work A

I agree with you quite a lot here. There definitely needs to be more self accountability. Maybe we need to change the stigma as for many accountability means failings and blame and we need to see it as everybody has failings and recognising them is a strength.

Like with diagnoses of things like autism and ADHD. Having those diagnoses is not the problem (it's a good thing) but the problem is when you then treat people like they aren't capable because of it. Obviously there are severe cases which will mean they will not be able to work, but too often kids with these conditions are then given so many concessions in school and pandered to that they become incapable of functioning at all because their condition defines who they are. Plus if you give kids the chance to play up they will take up and again by the time they're an adult it's too late to sort it.

I'm pretty sure if I were a kid now they would diagnose with as being on the spectrum. I know there have been friends of friends that have assumed I have some sort of condition. But had I had that as a kid and had people make allowances for it I don' think I could be a functioning member of society today. I found a lot of growing up, and social stuff especially, very uncomfortable and even scary at times, but being 'forced' to deal with it has I think actually been much more beneficial to me in the long run.

 

[Sky_Blue_Dreamer]

Tell the BMA/the doctors willing to strike this !

I’ve given examples of it not just being to do with money

But if you're measuring the success and failure of practices and services largely by economic means making those involved focus in on those aspects is it any surprise the doctors are going to measure their own personal success or failure by the same terms?

 

[Brighton Sky Blue]

I will say they have started to really mess around with the wife’s pregnancy. Baby’s heartbeat was irregular some time ago, they sent her immediately to hospital for her to just be told the heartbeat was wrong then sent her on her way.

She was told by the midwives that a consultant referral had been made at the time, it wasn’t. The midwife blamed it on ‘dodgy internet’. She’s been in for scans to check the heartbeat for every week since and keeps getting sent to the hospital straight after to be told the same thing but with no follow up.

They recently made another consultant referral but about 2 months after they were supposed to. All the while, the hospital keep appearing confused when she arrives as nobody’s told them she’s coming and nobody knows the case history. Nobody seems to be looking at all the information that’s being collected at the appointments and we still don’t know whether or not there’s a serious problem.

Strikes me a lot as very well meaning but really incompetent staff with poor administration thrown in.