This is Going to Hurt - starts 8th Feb

[ouch321]

I loved the book of this by Adam Kay. I know others weren't so keen.
BBC has dramatised this and starts in early Feb. Just a heads up for others who liked the book.

@Kendodd

I’m horrified that the NHS let barely qualified doctors deliver babies in an emergency situation.

I'm horrified that we, the electorate allow the government to so underfund the health service that it has such a shortage of doctors. I mean, where to you think all the doctors are? Do you thing there are loads of unemployed doctors sitting around somewhere or all the senior doctors are playing golf all day?

That's what I took away from the series. DH and I binged it last night, and I told him just before we went to bed: I want to vote for a political party that outlines a real plan to fund the NHS at twice the level it's at just now. I want to vote for a party that will better legislate and regulate the private health sector, and insist that it shares some of its resources with the NHS.

The female consultant, who I found to be even less likeable than the male one, had a key line in the last episode. Something along the lines of: "We have three doctors and a budget of £12.50."

People tend to revert to their very worst when they are out under immense pressure. The worst of their backgrounds, the worst of their upbringing, the worst of their personalities. It's not good enough to say that some people just shouldn't revert to their worst. We shouldn't be placing some of our most talented people under such immense pressure day in and day out, with no relief. When the pressure is that relentless (and a lot of experienced medics on this thread seem to be saying it definitely is), what do we expect?

It's in the daily mail today about the songs Adam Kay co wrote for his singing / songwriting career.

@the80sweregreat she's brilliant isn't she ! She made me
Laugh in this when she started singing three little
Birds 🤣
I'll have a look at the daily mail

Number of doctors per head of population. Bare in mind, we have an old population compared to many countries so would need more hcp.

www.bmj.com/content/357/bmj.j2940

I love ' this country ' : 'Big Mandy' is an excellent menacing character.
Kerry seeing her out shopping ' what's in the bag mand ? '
' a pillowcase and a brick '
She should never become a tattoo artist either !
..

Must be lovely being a doctor in Austria , they must have plenty of time for each patient.

@the80sweregreat and she sleeps with her eyes open 🤣🤣🤣🤣🤣
Maybe it's Ben winshaw I'm liking

I still believe even with better working conditions drs like Adam wouldn’t suddenly change their attitude and believe that women, their consent, their trauma, their experiences and decisions are important. A bigger shift is required to address the misogyny at the core of healthcare in general.

Its not just a case of doubling the amount of funding it receives, there's so more to it, it needs an absolutely overhaul but no one politically is likely to do that.

The estate needs maintaining properly, and more of a strategic approach as to what services should be delivered in which settings. The introduction of PAs to try and plug gaps has done more harm than good, a shortsighted initiative without thinking of the implications. At the heart of all of the issues is the lack of staff, which is becoming a problem globally- but very prevalent here. But instead of listening to staff they put in place stuff they think will help but doesn't, and it's not solely about pay.

@Kendodd no you didn’t mention political parties but when the only 2 to realistically choose from in terms of voting power are both as useless as each other it’s hardly fair to blamed voters

@airbalonz

I still believe even with better working conditions drs like Adam wouldn’t suddenly change their attitude and believe that women, their consent, their trauma, their experiences and decisions are important. A bigger shift is required to address the misogyny at the core of healthcare in general.

There is nothing at all to suggest that he would be any more pleasant to male patients. It’s quite likely he’s simply a not very pleasant character.

@tiktokontheclock

I'm confused about why they have made his character gay when he is not.

Just seems like the BBC trying to be woke and ticking a box.

He is gay IRL

I know colleagues who still refer to their partner and won’t use husband/wife if married and gay

They avoid saying their name until they are sure they won’t be judged (and they still will be by some or not much better they become the token gay person on the team which they want to avoid)

I thought the book was funny, not misogynistic and didn't mention H's pronoun.

There are a few clues in the book that 'H ' is a man. Or maybe I only picked up on it because I read the books after I saw episode one of the drama based on the first book and did a bit of wiki on him online and what his about. I think I would have realized though, even if I hadn't seen the tv drama first.
Patients also have to take responsibility for poor choices too , on 'one born every minute ' once years ago , there was a woman who insisted on a C section and to be asleep as well , both very risky and there wasn't any reasons that she would need to choose this for her or her baby either. Just her choice to have it done.
The Doctor tried to reason with her to talk her out of it , but ended up doing what she wanted. You could tell she wasn't happy with the choices the patient had made as it isn't without complications.
If people had to pay for it ( because she would not give natural birth a go ) maybe their choices would be slightly different? I'm not suggesting they privatize child birth , but it did wind me up that she felt entitled to have this procedure done against her Doctors advice at that time and to also be asleep whilst they did it too. This was on about ten years ago though!
The ones in this drama and in the books didn't have any choice to have C sections carried out :(

@the80sweregreat many of believe that women should have that choice of a c-section because it is actually safer in many instances. And not wanting to go through excruciating pain and have to cope with the trauma afterwards is 100% a valid reason for wanting a c-section.

It terrifies me how little I put people believe women should have into their healthcare.

*input

The lady Doctor on the one born every minute programme tried to talk this lady out of having a C section. It wasn't an emergency.
It was only one example though and they did do as she asked.

Plenty of doctors believe women should be allowed to choose a c-section even with ‘no medical need’

In fact doesn’t Kay actually touch upon the fact female obstetricians were more likely to choose a non-medical caesarean in his book yet patients were discouraged and only told the negatives (one of the redeeming bits in his book actually)

Add to that out of all women who do ask for a ‘non-medical c-section’ (that is often against the will of the doctor) the vast majority do actually have a very valid reason. Most common reasons- previous traumatic birth, history of sexual trauma or rape, have done their own research and believe they are happier with the risks of a planned section. The whole ‘women just choosing for no reason for the hell of it/‘too posh to push’ is a massive myth.

I think women should be able to have a csection just because they want one. I also think the risks to both the mother and baby should be very clearly explained, that might sound like trying to talk someone out of it. It's like breastfeeding, everyone knows breast milk is best for the baby and when it works well, for the mother also. Ffeeding is a perfectly valid choice as well though, for whatever reason.

Absolutely the risks should be explained but in a non-bias way, not conflating emergency caesarean risks and also considering the risks with other modes of birth

The whole ‘women just choosing for no reason for the hell of it/‘too posh to push’ is a massive myth

Even if it's TRUE though, so what. Why do women have to justify it or need a so called valid reason?