Lose weight by eating less salt! - Go on! - Try it! - You will feel so much better!
See my website
Wilde About Steroids

Read my Mensa article on Obesity and the Salt Connection

Read my Mensa article on Cruelty, Negligence and the Abuse of Power in the NHS: Fighting the System

Read about the cruel treatment I suffered at the Sheffield Dental Hospital: Long In The Toothache

You can contact me by email from my website. The site does not sell anything and has no banners, sponsors or adverts - just helpful information about how salt can cause obesity.

Thursday, 11 November 2010

NICE issues draft guidance that broken hips should be operated on on the day of admission or the day after

NICE has issued draft guidance that broken hips should be operated on on the day of admission or the day after, as reported by the Telegraph, in order to reduce complications. The report states that "in some hospitals around half of patients wait longer than 48-hours for surgery even though evidence shows it doubles the risk of major complications and death."

Surely this is a no-brainer! If delay "doubles the risk of major complications and death," what on earth are surgeons thinking of? - How can they routinely be doubling the risk of their hip fracture patients (who are mainly elderly, and many of whom are frail and ill) suffering major complications and death? This is disgraceful. Is it an example of covert age discrimination?

The longer the delay, the more pain the patients will suffer, the more physiotherapy and other rehabilitation they will need, the longer stay in hospital, the more support/care at home. - All avoidable extra suffering, all avoidable extra expense.

I've never had a hip fracture, thankfully, but I've had a very complicated fracture of the humerus, which needed an operation. If I had had the operation within a few days, as I was promised on admission to the Northern General Hospital, I would have been back at home again within a week, I am sure, little the worse from the fracture. But because my agonising pain from the splint was discounted and it was almost a fortnight before the arm was operated on, there was massive damage to my right hand - mainly radial nerve palsy and ulna nerve injury - and my stay in hospital lasted a month instead of the few days it would have been with prompt treatment. My (dominant) right hand was completely unusable and intensely painful for months. No one in the system ever apologised or even expressed regret.

I needed many months of physiotherapy and occupational therapy before I could move the hand at all. - It takes you a few seconds to read that sentence. - Just think of having to cope with that yourself: months with a swollen hand, totally unusable and exquisitely tender to the slightest touch. And I have had to have carers to help me since then, though I previously had managed without. Are these inexcusable delays attributable to callousness, ignorance, incompetence or what? - They are certainly unnecessary and they benefit no-one.

1 comment:

  1. NICE guidlines are only following those in the code of paractice for the Royal College of Orthopaedic Surgeons, but do any of them (surgeons) follow them, do they hell!
    They are a law unto themselves, after all the bulk of the cohort with broken hips are only women and generally elderly one's at that. Misogynists almost to a man, even the odd woman.
    My partners experience was almost terminal due to incompetence, stupidity and indifference. Coupled with a singular lack of post operative or even intra operative care. My advice to all is not get a fracture, of any kind on a Friday night. The surgeons are all at Dinner and the f2's don't speak English!