Thursday 16 January 2020

Return to the book group - This is Going to Hurt by Adam Kay

I stopped going to the book group because the other readers were so annoying, so unable to appreciate literature, but the person who runs it is not annoying, but the reverse, the sort of person who soothes one's nerves. I finally caught up with the book groups because they chose Adam's Kay's autobiographical book about working as an obstetrician in the NHS - This is Going to Hurt.

The book group was composed of the same elderly people that went to it before, so I knew all the faces except two - another elderly gent and a woman who has had a stroke and comes in a wheel chair. At the end her carer came to wrap her up and take her home.

First of all, the elderly people doubted that the book was true. They agreed that the NHS gets overwhelmed but this is surely because the population is ageing. Why then, does this affect obstetrics?

The men said the book was not for men. They do not like reading about the things that affect women's bodies. "Revolting." It's very interesting that the men in the book group radiate their feeling of pride in masculinity, as though being born male was such a huge achievement they hardly have to do anything else to prove themselves. (Why have the women in their lives not questioned this? I think it is maybe because men who served in WW11 deserved recognition for their efforts, and then this carried on when men did National Service. - call ups ended in December 1960. In 1963 the last of the National Servicemen left the army. Only after this did this "men are wonderful" mindset start to change.)

The group agreed that the NHS is badly run. For example, the NHS sends its patients for private operations, which it pays for. All agreed that this is a stupid waste of money. It's possible because they have private health insurance and think NHS patients should not get the same treatment as those who pay. They also tend to the belief that the people from other countries come here for medical treatments which they are not entitled to, having never paid their National Insurance, and they are never charged. I said that this is not possible any more, but they said they think it happens all the time.

The group believed that the government is making a false economy by stopping the bursary for training nurses, not providing nurses and hospital doctors with accommodation, and the nurses should also get free food in the staff canteen.

Examples of waste in the NHS includes their refusal to take back Zimmer frames and walking sticks which have been used (apparently they are too expensive to clean. Couldn't you make a large steriliser and do it easily?) There was a long digression into using Freecycle and how it works - also what the Red Cross can provide you with if you are in need.

Self-inflicted injuries - the group agreed that patients should pay to have objects removed from their rectums.

I suggested that there were three areas which in this account of a junior doctor's work are really shocking:

1. He was often far too tired to be responsible for a department full of patients. If another doctor was ill there was no cover available and he might have to work for 24 hours at a stretch.
2. The Consultants who were senior to him were no practical help at all, and this is WRONG.
3. The training method is "see one, do one, teach one" and this is NOT TRAINING or not enough training.

Everybody agreed that this was really wrong and shocking but they are secure in the knowledge that the Conservatives are in power and it will all be sorted out. "Boris is very clever" they say, misty-eyed.

Many of them said the book was not true, it was just for a laugh. The swearing was awful, really awful. The writer is gay. Hmmm.

Marks - all 7 and 8 out of 10.

I was trying to work out if they are all able to "go private" and I think about half of them are. They really don't care about what's going on outside their own lives. It is very depressing.

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