In Stitches
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Nick Edwards. In Stitches
IN STITCHES. The Highs and Lows of Life. as an A&E Doctor. Dr Nick Edwards
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Contents
Introduction
A sign the world has gone mad?
Management madness
Treating your own family
Dealing with threatening patients
No notes
Off duty?
An upsetting day
Right and left problems
What a waste of talent
MMC – mangling medical careers
Still off duty?
I want muffins
Bloody trains
GP receptionists
Why I love going to work
This is how it feels like the NHS has been run the last few years
And this is how I would like the NHS to be managed
Ooops
Where have all the dentists gone?
Should he have called an ambulance?
A different type of health visitor
How targets can hurt patients and staff
At work on New Year’s Eve
Why bother coming?
I am so glad I am tired
People we refer to
Why patients are more important than budgets
An occupational hazard
I don’t understand some patients
A trip round A&E
A&E Room 101
How to be a good patient
The effects of bloody accounting rules
Please come to A&E
We have gone drug crazy
Coming home for Christmas
The joys of shift work
Careful with your notes and coffee room chats
Diagnosis
An embarrassed husband
The human effect of reconfiguration and lack of beds
Unexpected laughter
Repeat attenders
This job is hard
Another sad case
The importance of banter at work
The wonders of the Internet
Just a little small moan
The joys of A&E
Smoking yourself to death
Patient choice or patient confusion?
Putting yourself at risk
The anger of chess
Training to be a consultant
The last straw
Missed fractures
Things have improved … but they need to be better still
Harming yourself
Factitious behaviour
People who work in the A&E department
Too posh to wash?
How to lose a friend
Hero to heroin
Taking the piss
Off on holiday
Hospital inefficiencies
Crying wolf
Blind to the problems
When patients make jokes
Ooops again
More inefficiencies of hospital care
Sad request for a MAP
Teaching
Even more hospital inefficiencies
A weird rash
Feeling guilty
Being called at home
Complaint letters
Why I am glad I am an A&E doctor
Not enough beds
Satisfied doctor and patient
Mad bureaucracy
NHS Direct … to A&E
Why I hate laziness
MRSA: the good, bad and ugly. The bad and ugly
The good
Errr, I think he has vffxyeez syndrome
What’s wrong with me?
When not to get ill
Out-of-hours GPs
Sick outside 9–5, Monday to Friday?
A sick man
Why I love A&E
Patients’ wrong priorities
How to be seen quickly
The dangers of cannabis
For fit’s sake
The state of some nursing homes
The best year for the NHS?
Hoping that the ground will swallow you up
Two similar patients, but two different outcomes
An amusing patient
Closing your A&E, are they?
Nasty walls
Tired again
Changing emotions
Career stresses
Bloody Jobsworth
Lack of staff
Am I becoming sick?
Why do we all lie?
A typical day
JFWDI
Male menstrual syndrome
Delivering oranges
The problems of alcohol
Upset at work
My last thoughts
Apologies, acknowledgments, thank yous and hopes
Glossary
About the Author
About The Publisher
Отрывок из книги
Admittedly, I got mildly frustrated by the sheer number of patients who were revelling in the British culture of getting as pissed as possible, starting a fight and then coming in to A&E. And yes, I got a little weary of seeing a number of patients who had not read the big red (and quite explicit) sign as they walked in, and who had neither an accident nor an emergency and should have seen an out-of-hours GP (if one had been more readily available). However, overall, I saw a lot of patients who genuinely needed our services and whom we could help, which is the bit of my job that I love.
There was one patient that I took an instant liking to. She was in her mid-80s and had such a fast wit and spark to her personality that she felt like a breath of fresh air as I was treating her. She touched my emotional heartstrings because she reminded me of my Great Aunt.
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He was harmless but irritating after a while.
The next case was a 14-year-old girl. The ambulance called ahead to say they were blue lighting her in as she was completely unconscious. The nurse and junior doctor tried to wake her up and couldn’t. I got a call on the intercom.
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