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(Thread IKs: OwlFancier, crispix)
 
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crispix
Mar 28, 2015

Grand-Maman m'a raconté
(Les éditions des amitiés franco-québécoises)

Hello, dear

Z the IVth posted:

Need I remind you of the medic that used her unfettered access to patient records to cyberstalk her ex's new partner.

With digital systems you can have records that require explicit password entry to access so there's no excuse of "I fat fingered Kate Middleton's record when I was actually looking for Kate Morrison."


worst example i came across in my time in HSC (NI NHS) computerworld was a woman who had a nosey at a colleague's medical records to see why she'd been off and promptly told everyone she'd been "having an abortion" - it was the medical name for a miscarriage she'd read about

some people are just disgusting

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crispix
Mar 28, 2015

Grand-Maman m'a raconté
(Les éditions des amitiés franco-québécoises)

Hello, dear

Microplastics posted:

That's kinda their whole thing

not tumbleweeds :colbert:

Jaeluni Asjil
Apr 18, 2018

Sorry I thought you were a landlord when I gave you your old avatar!
When my sister was 14, she had emergency appendectomy. It was spread round town like wildfire that she'd had an abortion :rollyeyeballs:

crispix
Mar 28, 2015

Grand-Maman m'a raconté
(Les éditions des amitiés franco-québécoises)

Hello, dear

franco posted:

Bloody chemo posers jumping on the bandwagon :colbert:

Just started chemo/radiotherapy for throat cancer two days ago. Diagnosis > pre-treatment preparations/assessments > treatment itself on the NHS has been rapid and loving outstanding :kiss:

Having a RIG (radiologically inserted gastrostomy tube) fitted into your stomach in case you have difficulty swallowing solid foods now or later on is wild. Especially as you get to use/fill it yourself.

i do hope you recover franco

crispix
Mar 28, 2015

Grand-Maman m'a raconté
(Les éditions des amitiés franco-québécoises)

Hello, dear
and everyone else, jeezaloo :(

crispix
Mar 28, 2015

Grand-Maman m'a raconté
(Les éditions des amitiés franco-québécoises)

Hello, dear

Jaeluni Asjil posted:

Just had my door buzzed by labour canvassers. (We have intercom thing for the flats).
"We're canvassing on behalf of the Labour party"
"Oh, I'm not voting Labour"
Silence as she doesn't know how to deal with that (probably knows I'm a former member).
Me: "I'm not voting for genocide, sorry".

Ed: I decided to say that because of all the supposed reports that 'on the doorsteps, Corbyn was the reason people weren't going to vote Labour' feedback from 2019 canvas. Well they can know that Starmer is the reason this time.

only room for improvement here imo is replace "sorry" with "now gently caress off"

Guavanaut
Nov 27, 2009

Looking At Them Tittys
1969 - 1998



Toilet Rascal

Jaeluni Asjil posted:

When my sister was 14, she had emergency appendectomy. It was spread round town like wildfire that she'd had an abortion :rollyeyeballs:
Some people are way too into forced births.

Gyro Zeppeli posted:

Don't look up the stats on how many men leave their wives after the wife gets diagnosed with a serious illness. The number is far higher than you'd hope.
lots of lovely wastemen out there

Ataxerxes
Dec 2, 2011

What is a soldier but a miserable pile of eaten cats and strange language?

crispix posted:

i do hope you recover franco

Tesseraction
Apr 5, 2009

Jaeluni Asjil posted:

Just had my door buzzed by labour canvassers. (We have intercom thing for the flats).
"We're canvassing on behalf of the Labour party"
"Oh, I'm not voting Labour"
Silence as she doesn't know how to deal with that (probably knows I'm a former member).
Me: "I'm not voting for genocide, sorry".

Ed: I decided to say that because of all the supposed reports that 'on the doorsteps, Corbyn was the reason people weren't going to vote Labour' feedback from 2019 canvas. Well they can know that Starmer is the reason this time.

Nice. I want the party to start hearing this as a chorus over the coming months.

Mebh
May 10, 2010


Really dumb question maybe (big sympathy and fingers crossed for goons in the thread with cancer)

But like, how do people actually find out they have internal early stage cancer? Is it just luck of a random blood test picking up elevated white cell count?

All the early stage checkers are basically like...oh yeah fatigue, weight changes, unexplained pain, night sweats... That's just like...life with chronic fatigue. Persistent bloating, constant heartburn? Best hope you're not on meds that do that like most people with ADHD?

Guavanaut
Nov 27, 2009

Looking At Them Tittys
1969 - 1998



Toilet Rascal
Can't in good faith vote for the Wes Streeting genital obsessive party.

crispix
Mar 28, 2015

Grand-Maman m'a raconté
(Les éditions des amitiés franco-québécoises)

Hello, dear
useless shithead party for cunts

Failed Imagineer
Sep 22, 2018

Mebh posted:

Really dumb question maybe (big sympathy and fingers crossed for goons in the thread with cancer)

But like, how do people actually find out they have internal early stage cancer? Is it just luck of a random blood test picking up elevated white cell count?

All the early stage checkers are basically like...oh yeah fatigue, weight changes, unexplained pain, night sweats... That's just like...life with chronic fatigue. Persistent bloating, constant heartburn? Best hope you're not on meds that do that like most people with ADHD?

Some cancers have routine screening, like mammograms and prostate/PSA checks, and colonoscopies if you're wise.

Some cancers have characteristic early symptoms (persistent cough for lung cancer, B-symptom cluster for lymphomas).

Some cancers will be indicated by your family history/genetic markers like the infamous BRCA1 mutations, so you should be getting regular testing or even pre-emptive surgery.

But yeah, many cancers are either totally asymptomatic at first or the symptoms are pretty indistinguishable from "life is pain" for many people. If you combine that with reasonably fast replication and metastatic potential and you get aggressive diagnoses like pancreatic cancer and some gliomas.

This has been a big problem since COVID I believe - existing cancer patients were hesitant to attend checkups or treatments, services were overwhelmed, and people were so hosed up by long COVID that it probably masked a lot of early symptoms and delayed diagnoses.

There is a lot of cause for hope though, many common cancers have very high cure rates with frontline treatments, and even if you experience relapse there sre shitloads of immunooncology and cell and gene therapies coming onstream which can be curative even in later lines of therapy.

Rust Martialis
May 8, 2007

At night, Bavovnyatko quietly comes to the occupiers’ bases, depots, airfields, oil refineries and other places full of flammable items and starts playing with fire there

Jel Shaker posted:

imagine thinking you can just peak at the royals medical records like you can for your family and mates in a normal nhs job, what a dumb idiot

Celebrity medical records are usually alarmed, how do workers not know that???

Guavanaut
Nov 27, 2009

Looking At Them Tittys
1969 - 1998



Toilet Rascal
Found the royals' health records:

Jaeluni Asjil
Apr 18, 2018

Sorry I thought you were a landlord when I gave you your old avatar!

Mebh posted:

Really dumb question maybe (big sympathy and fingers crossed for goons in the thread with cancer)

But like, how do people actually find out they have internal early stage cancer? Is it just luck of a random blood test picking up elevated white cell count?

All the early stage checkers are basically like...oh yeah fatigue, weight changes, unexplained pain, night sweats... That's just like...life with chronic fatigue. Persistent bloating, constant heartburn? Best hope you're not on meds that do that like most people with ADHD?

Some people don't want to "bother the doctor", some stick their head in the sand, and also whether you have people around you prompting you along. Just thinking about when my dad started showing symptoms (he was diagnosed at Stage 4 with oesophageal cancer). He had been complaining of feeling tired for months. I'm afraid my mother has an obsession with weight & diet, and dad being rather overweight, her answer to any signs of ill health tended to be 'you need to lose weight' or 'you need to go for a jog (yes, mother, follow you out of the door). And all his life dad had suffered from indigestion, subsisting on rennies. So by the time it got to the point of seeing the doc, it was stage 4.

Also, I have several friends (some now deceased) who weren't diagnosed with breast cancer until it was stage 4. One of the issues is the advice is to feel your breasts monthly to see if there are lumps, but frankly a lot of breasts are lumpy anyway, it's just the tissue, so how you're supposed to know if it's a regular tissue lump or a cancer lump I don't know. Mum was lucky her breast cancer was caught on a 5 year mammogram when it was under 1mm in size (but resulted in 10 years of ongoing treatment). I take my bumps off to the doc every couple of years because I simply don't know what is normal or not. And to be fair, round here, they take no chances & it's off to the hospital breast clinic for a mammogram & ultrasound.

One of my bros & bro in law have prostate cancer - again took them ages to 'bother the doctor' when peeing blood. Luckily in both cases it is very slow growth & as one is 60 & the other 70, probably not going to hinder their remaining lifespans too much. I did have an ex-boyfriend who was diagnosed with it about 35 yo. So he had to have treatment but as we were bust up by then, I don't know what happened.

Guavanaut
Nov 27, 2009

Looking At Them Tittys
1969 - 1998



Toilet Rascal
I need to demand a lymphoma test I think. I've been suffering fever, night sweats, and fatigue, had a number of blood sugar tests show fine so not that, and am probably in an elevated risk group due to previously taking azathioprine.

Amazed that nobody even thought of that at the doctors, but yeah carcinochat has raised an obvious red flag there that I really ought to get checked. gently caress cancer.

Z the IVth
Jan 28, 2009

The trouble with your "expendable machines"
Fun Shoe

Rust Martialis posted:

Celebrity medical records are usually alarmed, how do workers not know that???

Not everyone with access gets quite the same level of confidentiality training medical/nursing personnel receive.

All the reception staff, secretaries, backend admin, IT support personnel will have some degree of access to do their job. They may not have full access to read the gory details but stuff like diagnoses etc could be clearly visible or inferred.

The difference is if they breach confidentiality they'll get sacked but if a medic/nurse does it they'll get sacked and their registration to work in the field is going to be seriously impaired.

Wachter
Mar 23, 2007

You and whose knees?

When I worked as a Housing Benefit assessor we had access to a DWP system that let you look up people by national insurance number to confirm things like Income Support and Child Benefit without them providing paperwork. There was a limited search function, the use of which was discouraged. During training we were told that every single record access was logged, that a random check could be performed on any record access, that said random check had to be backed up by a written submission to the DWP proving the reason for access, that certain records were flagged to always require checks, and that being unable to satisfy the check was more or less guaranteed instant dismissal. People still got sacked for looking up their mates and random celebs. The temptation is too strong for some.

Z the IVth
Jan 28, 2009

The trouble with your "expendable machines"
Fun Shoe

xtothez posted:

Something I'm curious on as I know we have a few medical-types who post here - for situations like this would the ultra-rich have a significantly better level of medical treatment than most people?

My assumption is that it comes down to two main factors. Firstly, anything would obviously be administered by the professionals with the most possible experience which may vary a lot compared to anyone using the NHS normally. But the main difference is that royals will have constant monitoring & checkups a level beyond most people, allowing conditions like this to be found much earlier (e.g. at stage 1/2 rather than stage 4). However there isn't a bunch of secret rich-people-only cancer drugs that they can just throw millions at, and generally speaking the treatment & outcomes for anything found late would be broadly the same as for the average person.
Is that accurate?

If you're fabulously rich you could potentially pay for treatments that are rationed by the NHS due to poor cost/benefit. I believe the cutoff is something like £40k per life-year for NICE to recommend something.

So hypothetically you could have some really early stage cancer and spend £££ on top shelf chemo reserved for late stage patients to gain that extra miniscule % of survival benefit.

Now in reality that doesn't happen quite so much since all these drugs have risks and many of the super potent chemo drugs come with equally debilitating lists of side effects that you probably don't want to experience without extremely good reason.

IMO it's probably more obvious for some non cancer things like psoriasis. You have various biologic treatments - highly effective, generally low risk but they cost £7000 per year compared to something like Methotrexate for £20 per year. The latter isn't exactly dangerous but it definitely has more drawbacks than the biologics but the reason we don't just dish biologics out to everyone is £££.

Like Runcible Cat has mentioned being rich and able to tell your PA to clear your schedule to attend your appointments and treatments on time definitely factors into it. If you can't make your chemo appointments because you have to run between multiple jobs to make ends meet or juggle childcare or have any other myriad real life problems will definitely impact on your care and eventual outcome.

There's a term that sometimes pops up - "chaotic lifestyle" and it's definitely a harbinger of poor outcomes. It's not for a lack of trying on the side of the NHS but doctors can't send bailiffs to pick you up for your appointments.

Also see things like prisoners having their care delayed because there aren't enough staff to escort them to hospital. Why the crumbly 80 year old huffing oxygen in a wheelchair needs 3 goons to escort him I will never know.

smellmycheese
Feb 1, 2016

Cimber posted:

Did your farts change?

I can no longer fart :(

Failed Imagineer
Sep 22, 2018

Guavanaut posted:

I need to demand a lymphoma test I think. I've been suffering fever, night sweats, and fatigue, had a number of blood sugar tests show fine so not that, and am probably in an elevated risk group due to previously taking azathioprine.

Amazed that nobody even thought of that at the doctors, but yeah carcinochat has raised an obvious red flag there that I really ought to get checked. gently caress cancer.

Best of luck! Hopefully it's just the manopause but also even in the worst case scenario it's not necessarily that bad a diagnosis now. Happy to PM about it if that's the case since it's technically my job even though apparently I'm not allowed to practice medicine just because I'm the "wrong kind of doctor" :colbert:

Jaeluni Asjil posted:

frankly a lot of breasts are lumpy anyway, it's just the tissue, so how you're supposed to know if it's a regular tissue lump or a cancer lump I don't know.

I guess the point is to feel your tits and/or balls regularly enough that you notice any difference in the lumpiness. We're all just large collections of lumps more or less, but those lumps should.be relatively stable unless things are going wrong.

Failed Imagineer fucked around with this message at 16:44 on Mar 23, 2024

Z the IVth
Jan 28, 2009

The trouble with your "expendable machines"
Fun Shoe

Guavanaut posted:

I need to demand a lymphoma test I think. I've been suffering fever, night sweats, and fatigue, had a number of blood sugar tests show fine so not that, and am probably in an elevated risk group due to previously taking azathioprine.

Amazed that nobody even thought of that at the doctors, but yeah carcinochat has raised an obvious red flag there that I really ought to get checked. gently caress cancer.

If you've ever been exposed to, spent extensive time in the tropics or been homeless/alcoholic then get checked for TB as well.

Failed Imagineer
Sep 22, 2018
Or gone rural exploring in a badgers sett

Guavanaut
Nov 27, 2009

Looking At Them Tittys
1969 - 1998



Toilet Rascal
I did spend part of my life piss drunk in the Limpopo Valley, so that's an oddly relevant list of warning signs and so I will get that checked too.

Runcible Cat
May 28, 2007

Ignoring this post

Tesseraction posted:

Nice. I want the party to start hearing this as a chorus over the coming months.

I told the one who came to my door that Labour politicians supporting Thatcherism meant they weren't Labour, go away. Embarrassed that I forgot to mention genoide support etc, but I'd just woken up from a nice day snooze so sorry Gaza.

Mebh posted:

Really dumb question maybe (big sympathy and fingers crossed for goons in the thread with cancer)

But like, how do people actually find out they have internal early stage cancer? Is it just luck of a random blood test picking up elevated white cell count?

All the early stage checkers are basically like...oh yeah fatigue, weight changes, unexplained pain, night sweats... That's just like...life with chronic fatigue. Persistent bloating, constant heartburn? Best hope you're not on meds that do that like most people with ADHD?

It was an external growth on my stoma that I had to spend months getting someone to look at. No complaints once it actually got looked at but drat I had a time getting to that point. So I'm not an example to anyone really, except that if you think something's wrong nag for your life.

So yeah, get tested if you're worried.

Jaeluni Asjil
Apr 18, 2018

Sorry I thought you were a landlord when I gave you your old avatar!
This is why never mind the Royal bit, it is good when a 'celebrity' eg Kate comes out and says she has cancer. (Not good for them obviously but in terms of getting through to regular Jo people).
Many more people will visit the doc to get tested. (Whether the NHS can cope with that is another question).

I recall when Jade Goody died in 2009 of cervical cancer, the number of women going for smears rocketed - I just checked by how many - half a million more women went for their smear tests.

https://blackwaterlaw.co.uk/the-jade-goody-effect-on-cervical-cancer-screening

Tesseraction
Apr 5, 2009

God help me I'm on my way to Milton Keynes for the evening.

Failed Imagineer
Sep 22, 2018

Tesseraction posted:

God help me I'm on my way to Milton Keynes for the evening.

God has no power there

Cimber
Feb 3, 2014

smellmycheese posted:

I can no longer fart :(

So we can't, in fact, smell your cheese.

Guavanaut
Nov 27, 2009

Looking At Them Tittys
1969 - 1998



Toilet Rascal

Failed Imagineer posted:

God has no power there
Vatican III, Milton Keynes has been abandoned to Purgatory, Dante Alighieri granted authority over concrete cows.

Rust Martialis
May 8, 2007

At night, Bavovnyatko quietly comes to the occupiers’ bases, depots, airfields, oil refineries and other places full of flammable items and starts playing with fire there

Tesseraction posted:

God help me I'm on my way to Milton Keynes for the evening.

That's what happens when you don't book a smear test.

Mr Teatime
Apr 7, 2009

Failed Imagineer posted:

Some cancers have routine screening, like mammograms and prostate/PSA checks, and colonoscopies if you're wise.

Some cancers have characteristic early symptoms (persistent cough for lung cancer, B-symptom cluster for lymphomas).

Some cancers will be indicated by your family history/genetic markers like the infamous BRCA1 mutations, so you should be getting regular testing or even pre-emptive surgery.

But yeah, many cancers are either totally asymptomatic at first or the symptoms are pretty indistinguishable from "life is pain" for many people. If you combine that with reasonably fast replication and metastatic potential and you get aggressive diagnoses like pancreatic cancer and some gliomas.

This has been a big problem since COVID I believe - existing cancer patients were hesitant to attend checkups or treatments, services were overwhelmed, and people were so hosed up by long COVID that it probably masked a lot of early symptoms and delayed diagnoses.

There is a lot of cause for hope though, many common cancers have very high cure rates with frontline treatments, and even if you experience relapse there sre shitloads of immunooncology and cell and gene therapies coming onstream which can be curative even in later lines of therapy.

Please tell me how to get a routine colonoscopy out of a GP, I’m not being sarcastic please tell me the magic words. I’m fairly certain I’d need to be firing blood out of my arse and inflating like a deviant art fetish post right there in the doctors office to not just be handed a pamphlet and even then it’s 50/50. I’ve had gastrointestinal issues for decades and I’ve never received anything beyond a fobbing off.

Tesseraction
Apr 5, 2009

It's gotten worse. It's a Brewdog.

I'm filing to get disowned.

Kin
Nov 4, 2003

Sometimes, in a city this dirty, you need a real hero.

Mr Teatime posted:

Please tell me how to get a routine colonoscopy out of a GP, I’m not being sarcastic please tell me the magic words. I’m fairly certain I’d need to be firing blood out of my arse and inflating like a deviant art fetish post right there in the doctors office to not just be handed a pamphlet and even then it’s 50/50. I’ve had gastrointestinal issues for decades and I’ve never received anything beyond a fobbing off.

Yeah, this is the bit I've always been lost on.

You get TV shows and the like banging on about getting regular tests, but that flies in the face of my typical experience with a GP which is to only go when you spot something wrong.

Which, by the time the average inattentive idiot like me notices or thinks it's bad enough, is often too late.

I'm a little anxious about skin cancer for example because my body has always been covered in moles, including on my back and even under my hair, etc.

Each time I've mentioned this to a GP, they've just asked "have you noticed any get bigger?".

All I think is no, out of the hundred+ of these things all over my body, I've never kept track of their size and have gotten so used to them being there that I'd probably never notice one getting gradually bigger.

What I want is someone who knows what the gently caress bad looks like to give me a once over and let me know if they spot anything I should specifically keep an eye on.

The Question IRL
Jun 8, 2013

Only two contestants left! Here is Doom's chance for revenge...

Mr Teatime posted:

Please tell me how to get a routine colonoscopy out of a GP, I’m not being sarcastic please tell me the magic words. I’m fairly certain I’d need to be firing blood out of my arse and inflating like a deviant art fetish post right there in the doctors office to not just be handed a pamphlet and even then it’s 50/50. I’ve had gastrointestinal issues for decades and I’ve never received anything beyond a fobbing off.

I keep getting them from my GP.

"Weird abdominal pains that I refuse to believe are Kidney Stones? Better book you for a Colonoscopy."

"Turns out that those abdominal pains you insisted were kidney stones were in fact, kidney stones. Better book you for a colonoscopy, just to be safe."

Mentioning a family history of bowel cancer is something that might cause them to suggest a colonoscopy.

Cimber
Feb 3, 2014

The Question IRL posted:

I keep getting them from my GP.

"Weird abdominal pains that I refuse to believe are Kidney Stones? Better book you for a Colonoscopy."

"Turns out that those abdominal pains you insisted were kidney stones were in fact, kidney stones. Better book you for a colonoscopy, just to be safe."

Mentioning a family history of bowel cancer is something that might cause them to suggest a colonoscopy.

I'm on the 3 year plan since my mother died of colon cancer. I'm due to have my next exam next month. A day of making GBS threads my brains out and starving myself but a very good nap.

Mebh
May 10, 2010


Mr Teatime posted:

Please tell me how to get a routine colonoscopy out of a GP, I’m not being sarcastic please tell me the magic words. I’m fairly certain I’d need to be firing blood out of my arse and inflating like a deviant art fetish post right there in the doctors office to not just be handed a pamphlet and even then it’s 50/50. I’ve had gastrointestinal issues for decades and I’ve never received anything beyond a fobbing off.

Bleeding out my rear was the only thing that got this for me on the NHS.

Now I have coccydynia (non specific coccyx pain due to years of being a computer toucher during the day and a sofa gaming nerd by night with a vitamin D deficiency, despite all the proper support cushions) and to rule out all the bad poo poo I had to pretty much have everything up my bum looked at again.

I went private for that due to company healthcare and it literally took a week for them to pass me between specialists and check various things, including a hilarious colonoscopy where I just drank broth for 24h before and then got way higher than I should have on the nitrous while the nurse laughed and said "I told you I'd send you into space!!"

I was then offered a steroid injection under general anasthesia to see if that helped... On the day of my company Christmas party. I declined and haven't followed up because side effects can be literally making GBS threads yourself for a day after and I'm good to not bring that to the indoor rollercoaster and dodgems we had set up.

NotJustANumber99
Feb 15, 2012

somehow that last av was even worse than your posting
I'm glad Kate got us all talking about our bums in incredible graphic detail on the internet.

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Mr Teatime
Apr 7, 2009

NotJustANumber99 posted:

I'm glad Kate got us all talking about our bums in incredible graphic detail on the internet.

Our Queen of sharts.

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