The Mudcat Café TM
Thread #151287   Message #3541945
Posted By: Musket
26-Jul-13 - 09:03 AM
Thread Name: BS: I am not perfect after all
Subject: RE: BS: I am not perfect after all
Yeah, reasonable quiet hatred beats shouty decency eh?

There is no argument to win. There is no case for bigotry. There is no case for second class citizens. The UK is a democracy, so every adult is a shareholder, every adult is equal. Only transgressing the law or sectioning under The mental Health Act is an exception.

So. Debate politics? Sure. Debate healthcare? Sure. Debate denial of stakeholder? Sorry, I cannot do that. I value living in a democracy, so such debate is a non starter.

Shouting down does work by the way Jack. When all else fails, when weak minded politicians see votes in fear and bigotry, shouting is the only tool left.




What public health as to do with you getting an MRSA bactaraemia is beyond me. I don't know about the Scottish situation, but having spent three years recently in infection control nationally in England, albeit specialising on board to ward governance and accountability, I do know that prior to 2006, it wasn't being picked up sufficiently, and the whole industry was blase over precautions. Since 2007/8, rates of bactaraemia have fallen to the pojnt where, for example, the hospital trust where my office situated, with just over a million coming through the door each year, has none this year to date. The trajectory for the year is 8. Compare that to 2005, where half a dozen a month were common place.

What is heartening is that isolation side rooms are becoming less necessary, allowing them to be prioritised for Clostridium Difficile and other aerosol conditions. Good barrier nursing, hand hygiene, reductions in surgical site infections through introduction of laminar flow in theatre and many other safeguards becoming business as usual have led to sharp reductions.

Yes, figures didn't used to reflect reality and yes, sadly, MRSA wasn't factored into primary or secondary morbidity figures, but whole wards infected for months and a cover up?

Bollocks.

MRSA per se isn't an issue. A third of the population carries it. Getting into the blood stream (bactaraemia) makes a poorly person very very poorly. Whole wards, and months are fantasy. The coroner would have picked a cluster up within a couple of weeks. It is that deadly for otherwise compromised sick elderly people. Those of us far more fit can have unfortunate side effects, and apart from addling your brain, you seem to have come out of it OK. Mind you, you shouldn't have had to in the first place. Bactaraemia is preventable, luckily The NHS now realises that and HCAI control in general has been a success story over the last few years. It had to improve, the situation was embarrassingly shocking.