Nelson's Column, Bolg, Blog, whatever...

Jerry Nelson is a surgeon in a reputable DGH near you

Hey don’t worry everyone fat, baldy GP man is here

By Jerry Nelson - 9th August 2010 10:10 pm

Arsington Arse. As you will remember, the penny-pinching idiots in our trust eschewed the opportunity to save some money on stupid things that don’t matter, like General Medicine, and instead wielded their axe at the very heart of patient care by making me share an office with lefty-dweeb, compost smelling, beardy, sandal wearing Liberal Democretin knob mechanic Johnson.

I have to spend all day listening to his whiny phone calls, where he basically gets told what to do by his juniors or his wife or his ‘Nurse Practitioners’ whatever they are. And now he reckons it’s acceptable to play his crappy music on his stupid Linux PC, and cover the walls in low-quality artwork done by his obviously-retarded ginger children.

And if that were not enough, he leaves his idiot lefty newspapers lying around, so I am forced to notice THIS.

The bolg starts badly:

“Don’t take offence if we lecture you on how to stay alive and healthy…”

None taken. Don’t take offence if I tell you to go fuck yourself. But then the real killer blow:

“…says Britain’s Leading GP”

BWAHAHAHAHAHAHHAHAHA. Why don’t we just ask Britain’s most intelligent springer spaniel? What follows is a barely coherent version of the tedious lecture that everyone gets whenever they visit the GP, whether it’s because of piles or a gunshot wound to the head. All the usual public health spiel: smoking, drinking, junk food and even sunbeds.

“I admire Girls Aloud’s Nicola Roberts and her campaign against sunbeds.”

Yeah, I bet you do, you perv. Here’s some public health advice, too much ‘admiring’ and you’ll go blind. It’s almost as though GP’s see themselves as somehow, I dunno, relevant. Certainly, Mr Top GP wants us to think they are:

“The roles for GPs are increasing. Every consultation is an opportunity to detect early-warning signs that prevent illness and disease.”

Gosh, what a fascinating life you must lead. But don’t worry everyone:

“GPs are not spoilsports. We genuinely want people to be able to live healthy, fulfilling and productive lives.”

But everyone gets ill all the time! I bet you’re all in tears every day of your 3-days-a-week working lives.

“Every day we are confronted with the harm caused by smoking, excessive alcohol consumption and obesity.”

You and me both. I have to look at Dan The Fat Gasman all day.

“I’m not suggesting that the GP profession can singlehandedly turn the situation around…”

Oh no! Who will save us now, O wise baldy GP man who doesn’t look that svelte himself..?

“…but we are certainly ready to play our part.”

For 200 grand a year. Phew!

“So please don’t take offence if we tell you to lose weight or stop smoking or drinking. You need to face facts and take responsibility. Support is out there and it could save your life - and save the NHS a fortune.”

Hmmm. I have a much better idea on THIS.

Anyway, that’s all from me for this week. My ‘office buddy’ has just arrived wanting to know why the framed picture of the hairy munter he calls Mrs Johnson has been knocked over and broken, and he doesn’t seem to think the words “new pitching wedge” are a satisfactory explanation.

OSCE’s an anagram for ‘complete waste of time’

By Jerry Nelson - 26th July 2010 3:38 pm

What a load of arse. Just got roped in to helping with the exams for the bloody students, a group of ladies and gentlemen with whom I share a deep and mutual respect. This, of course, is one of the 11 million things that used to be fun but now is just a massive pain since somebody decided to make it all ‘better’.

Once upon a time, we would drag a few patients from the wards, who incidentally, would be deeply honoured to help with the exams for the young doctors. Then we’d get the students in one by one, bully and humiliate them and generally dance around poking them with sticks. If they were good at rugby or wearing a short skirt they’d probably pass. And this is the time-honoured technique that over the years has produced outstanding doctors such as myself.

Now of course it’s all changed. Some smartarse with nothing better to do decided they should be examined using something called an ‘OSCE’, where they go through various ’stations’, each devoted to a particular topic. And it’s totally boring because all the questions are set, and the whole thing is timed precisely and they all move around every five minutes, and after half an hour of this you want to kill yourself.

So anyway, I get given the ‘abdominal examination’ station, and I walk into the cubicle and find not a patient, but an arsing actor called Rupert! Can you believe it? Some ponsed-up out-of-work luvvie who’s sitting in the lotus position ‘preparing for his role’. I read through the questions I’m supposed to ask, which are all mind-bendingly easy and stupid, so I changed a few to make it more interesting. And the first few students come through and it all seems fine but then all hell breaks loose, and the ‘Ac-Tor’ flounces out in a huff and says he’s quitting.

And I’m like: how can the students properly examine an abdomen if I don’t make them perform a rectal examination?

Anyway, I end up getting relegated to the station that no-one else wants to do: basic life support, where the students have to resuscitate this dummy that collapsed on the floor in a car park or something. It’s utterly crap and boring. It’s so boring that after a while I have to think up little games to keep myself awake. First I just failed every third candidate. Then I decided to fail the ones who did it really well and give the dangerous no-hopers a distinction.

But, it’s funny - in the end I actually learnt something. Specifically, I learnt that watching an attractive young woman in a tight T-shirt straddling a dummy and doing CPR, is extremely enjoyable. So I got her to do a couple more cycles, you know just to make sure. I even filmed it on my mobile for later reference…

Must have lost track of time, because the next thing I know the Headmaster comes barging in saying I’ve been at it for half-an-hour and there are six students backed up waiting and the whole thing’s a complete shambles.

Yeah, well. See? OSCE’s. Stupid idea.

The lunatics are being invited to take over the asylum

By Jerry Nelson - 19th July 2010 5:55 pm

Arse Arsington Arsevich Von Arsingstein! They’re going to give all the NHS budgets to who? [Cough, splutter...] THE ARSING GPs??

Tell me something. Do they put airlines under the budgetary control of baggage handlers? No.

Who runs Tesco? The trolley collectors? No.

Who decides how the money is spent at BP? The minimum-wage teenage muppet who takes half-an-hour to turn your pump on at the gas station? No - that’s why its share price is so secure.

So why in the name of arse would you give the purse strings of our great and noble NHS to a bunch of glorified know-nothing social workers?

I’ve got a MUCH better idea. Why don’t they give the budget to me? I’d save millions! We replace all the GPs with automated sicknote dispensers, and use the estimated hundred bzillion pounds it would save not paying their absurd salaries to pay for things that really benefit our patients, like clinical excellence awards and a decent staff car park.

Then I’d sack all the useless people - diversity co-ordinators, community outreach liaison advisers, smoking cessation nurses, general physicians. Then I’d employ all the now-unemployed GPs as non-training-grade House Officers (salary: minimum wage plus london weighting, half day on Sunday)

Oh, and in reference to Bob Bury’s question last week, I know exactly how much radiology to purchase - lots and lots. Except it will all come from my mate Sundeep’s new Middle Bit of Uttar Pradesh Most Efficient Radiology Service, where hundreds of highly trained radiologists (salary: minimum wage minus Indian Weighting, half day on 29 Feb) work round the clock to report on our images.

If only Dan the Fat Gasman was so easy to replace…

Union should stop trying to derail the fun time express

By Jerry Nelson - 5th July 2010 9:01 am

Well it’s BMA conference season, but we don’t seem to have had the usual run of idiotic self-important prohibitionist policy pronouncements of no relevance to the remit of a doctors’ trade union. Oh, wait

“Doctors will urge alcohol ban on all public transport at the BMA conference.”

Excuse my French, but what in arse’s name has that got to do with the BMA? Does it have a transport subcommittee?

“Dr Christine Robison, an anaesthetist in Edinburgh who proposed the move, said she recently had a return train trip from Edinburgh to Oxford disrupted in both directions by drunk young men and women, and football supporters, swearing, throwing beer cans, making constant noise and talking loudly about sexual behaviour, with families and children within earshot.”

Well, what a coincidence! I happened to take a train journey with a group of colleagues, from Middle Bit of England Parkway to Edinburgh for our annual golf piss-up weekend, and my journey was disrupted both ways by some whingeing Scots harridan complaining because we’d had a few drinks.

Absolutely legendary trip, though. I’d brought a whole load of claret, and we were going at it like a bastard, and Dan the Fat Gasman was regaling us with tales of his many, varied and completely mythical sexual conquests. Then this lemon-face old trout came up and started having a go, telling us we shouldn’t be allowed to drink on trains, especially as it was only 7am. I replied - politely - that technically speaking, in an ideal world, she shouldn’t be allowed out in public without a bag on her head, but we were easy-going people and we’d overlook it this once.

Then - I remember this very clearly - her eyes narrowed, and she said in a chilling voice: “I’m going to get the BMA onto you!”

There was an eerie silence, as we all confronted the terrible implication of those words, and to a man we each looked into our hearts and reflected on our selfish behaviour. One or two wept openly, as we contemplated our deep shame.

HAHAHAHAHAHA. Like arse we did! Dan let out an enormous belch that nearly derailed the train, then we all started singing rugby songs. I don’t remember much else about the trip, except that Dan went to the loo and did an enormous crap, and they had to evacuate the carriage, before abandoning it somewhere south of Crewe (and I won the golf, obviously, playing a legendary back nine).

Still, if the BMA gets its way, we won’t be able to drink on the train next year. We’ll have to drive up instead!

Can’t believe the feedback on the quality of my teaching

By Jerry Nelson - 28th June 2010 8:35 am

Bloody arsing students. Is it me, or are they all useless whingeing crybabies who reckon they need to be spoonfed everything on a plate?

Teaching students used to be fun. They’d be so keen to suck up to you that you could tell them any old crap and they’d be grateful, then they’d all get squiffy at the firm party and the pretty ones would sit on your knee. You could humiliate them on ward rounds, cancel teaching sessions, leave them to finish the clinic, and they’d love you for it.

But as with so much of the world, it’s all become completely arse about face. Can you believe that the Middle Bit of England Medical School now routinely asks them for feedback? I mean, asks THEM!!? What the arsing hell is that all about? As if anyone gives a flying badger’s rectum what they think about anything, let alone the ‘quality of their teaching’.

Here’s a few examples of ‘feedback’:

“Mr Nelson frequently failed to turn up for appointed tutorials and was frequently rude to patients on ward rounds.”

“At first I thought Mr Nelson was trying hard to memorise my name badge, but I soon realised he was just staring at my chest.”

“The only thing Mr Nelson said to me during my entire eight-week attachment was that radiologists are all gay. My father is a radiologist.”

And I’m like: where are they getting this nonsense from?

Any students reading this? Right - here’s the deal. I supply the gems of wisdom honed through years of experience at the very highest level in the greatest profession on God’s earth, and you supply the gratitude. That’s it. Class dismissed!

Sharing an office with a knob mechanic - urrgghh!

By Jerry Nelson - 1st June 2010 10:08 am

Arse, arse, ARSE! I’m so cross that somehow the word ‘arse’ is no longer adequate to express my rage. As a result of our trust’s massive deficit, there’s a whole load of cost cutting going on. And like any trust, they spend money on tons of pointless things that achieve nothing, like anaesthetists’ SPA time, and the Department of General Medicine.

But of course, rather than clamping down on such wasteful spending, they decide to tinker round the edges and punish the hard-working, productive part of the hospital, in a way that will impact directly on frontline patient care.

That’s right. They’re going to make me SHARE AN OFFICE.

And not content with this act of vandalism that strikes at the very core of the NHS and its vulnerable patients, they’ve decided that the person I should be made to share with is none other than Dweeb knob mechanic JOHNSON.

Of course, he thinks it’s a great idea, given that his current office is a broom cupboard with no windows next to the mortuary. They’re going to put his desk where my sofa used to be, where I would sit during a snatched moment of peace in my hectic schedule and deface copies of BMA News. Now I will have to sit at my desk with nothing to look at but Johnson and all the framed pictures of his hideous wife and ginger children.

I mean for arse’s sake, how’s that going to work? Me - a right-thinking, pinstripe-wearing proper surgeon and Son of Thatcher - sharing an office with some soft-left beardy sandal-wearing aging hippy who smells faintly of compost and dilute urine.

How can such a disparate people ever work productively together? I mean, just give me ONE example.

Surgery, not basket-weaving, needed in foundation years

By Jerry Nelson - 24th May 2010 12:09 pm

I dunno about this Hospitably Doctored website. For every literary gem featuring Dr Sarah talking about her arse, there are a dozen featuring idiotic sub-1970 lefty nonsense and statements of the blindingly obvious, like how Foundation Year Training programmes are a waste of time.

Well, durr!

We used to have things called housemen, who were vaguely useful. They’d be on the firm for six months, and would know all the patients. They’d make the tea and wash your car, and finish off the aneurysm if it was getting late and the pubs were open. They’d talk to the relatives and go to the inquests, and best of all, they’d be so desperate for a good reference that they would put up with the sort of abuse that made Flashman look like a social worker. Which was good for morale. They could go for days without sleep, food, water, or even oxygen.

But now, we’ve got these stupid things called F-Why-Bothers. Firstly, they are appointed by someone else, so half of them are drippy girls who keep bursting into tears every time you shout at them. Secondly, they only work 22.5 hours a week, and have complicated shift patterns between which they hand over essential information about what a total bastard their boss is, but nothing about any actual patients. And that’s when they’ve finished their Trust Induction course which seems to go on for four months, and where they learn all about diversity and climate change and How To Fill In Forms, without learning anything useful like putting in venflons or creative death certificate writing.

But that’s just the surgical job - you should see some of the nonsense they get up to after that. The anaesthetists always seem to have loads of them - learning how to deal with crushing pointlessness and boredom, and watching Dan the Fat Gasman evacuating his nasopharyx for eight hours a day. The last one on our firm rotated through surgery, psychiatry, basket-weaving, contemporary dance, and endocrinology.

That’s right, endocrinology!

Yellow surge disappears down the toilet

By Jerry Nelson - 8th May 2010 12:53 pm

Cleggmania? BWAHAHAHAHAHAHAHAHAHAHA.

So, let me get this straight, the Lump Dims ‘surge’ has resulted in FEWER seats! Lololololololol.

Dweeb Urologist and dyed-in-the-wool Limp Dumb supporter Johnson was practically in tears this morning. He’s spent the last month out campaigning in the key marginal Middle Bit of England East with all his beardie-sandal friends. Their candidate Dr Tim Wimp was fully expecting to oust the incumbent Labour MP Janice Bellend, who was defending a slim majority of 25 votes whilst on remand for expenses fraud, corruption and kitten murdering.

Needless to say Ms Bellend was returned with a stonking majority. Over here in Middle bit of England West, the Conservative Sir Nigel Pilkington-Duckhouse retained his seat, and his Lib Dem opponent lost his deposit, though there was chaos at one of the polling stations when Dan the Fat Gasman got stuck in the doorway and thousands were denied the chance to vote.

So what happened? All the pathetic fawning of the overgrown prefect Clegg’s performance on Weakest Link or whatever it was, simply made the Labour vote turn out for once. Looks like your typical workless council-estate benefit junkie realised that unless he did something drastic, like drag his arse off his stained Draylon sofa and waddle all the way to the polling station to actually VOTE for the first time in his life, the Tories might get in, and the teat of endless state generosity on which he sucks might get turned off, and he wouldn’t be able to afford so many deep-fried Mars Bars before breakfast, and might have to switch to a cheaper brand of illegally-imported cigarettes, and the wonderful NuLab world of reward without effort, and entitlement without responsibility might not last for ever.

So now we’re in no-man’s land with Gordon Brownshirt clinging on to No 10 by his bitten fingernails, and no-one knows what the hell’s going to happen

What a MASSIVE load of arse!

I want marooning in Barbados, not Middle-bit-of-England

By Jerry Nelson - 26th April 2010 11:18 am

Arsington arsey McArse. Talk about bad luck! I mean, if I’d known that some massive cloud of volcanic ash would paralyse the whole airline industry when I booked my leave then I could have got in on it.

Still, no point crying over spilt milk. I shall just have to knuckle down, invoke the good old British Dieppe Spirit (er, Dunkirk - Ed) and just accept the fact that I’m stuck here working in the hospital when I could have been marooned in Barbados.

Seems like loads of other people were away when the crisis hit, lucky sods. No trouble parking this morning. Nice and quiet around the hospital. Of course all the arsing patients managed to turn up. Takes more than an apocalyptic act of God to stop them pouring through the doors. Still, as I toil away, I am comforted by the many hilarious tales of woe that have befallen some of my dearest colleagues.

Dweeb beardie Johnson, who took his ugly wife and all his various ginger children on a super smug low-carbon holiday by train to southern France gets totally stuffed when all the trains go on strike. 

So faced with the choice between a longer holiday in the sunshine, or looking up old men’s knobs in a darkened room, he obviously chooses the latter. So after a nightmare journey involving 52 different buses, he arrives at the channel only to find that he can’t get a ferry crossing and has to be rescued by a Navy warship en route from Afghanistan, and spends the next six hours stuck in a cabin trying to explain his pacifist views to a messed-up combat veteran, who just stares into space saying “you weren’t there, man” and playing with a bayonet.

Dan The Fat Gasman was on one of his very dodgy-sounding single man holidays to the Far East, and the airline offered him the following route home: Bangkok-Singapore-Sydney-Melbourne-Sydney-Aukland-Los Angeles-Pigsnuckle, South Dakota-Vladivostok-Tashkent-Kandahar-Ulan Bator-Kuala Lumpur-Bangkok.

Meanwhile, the Headmaster went to some Arse conference in Krakow, and being a total cheapskate travelled via THAT airline. You know, the one whose corporate customer care motto is ‘Now get off the fecking plane’. The one that will sell you a ticket to Copenhagen, but drop you off in Sweden - which is a whole other country. Anyway, he rang them up to see if they’d give him a few quid for a sandwich, seeing as he had been stuck for three days at an airport which consisted of a piece of tarmac and a couple of cow sheds. They suggested that (a) if you only pay £2.50 for a ticket you can’t expect masses of compensation if things don’t work out, and (b) that he feck right off. Plus they sent the boys round to give him a good kicking. And they charged him £5 for being beaten up.

So I popped in to see Johnson and have a quick chat about the merits of public transport. He just stared into space saying: “You weren’t there, man. You just weren’t there…”

Can’t bring myself to vote for the Illiberal Democretins

By Jerry Nelson - 20th April 2010 12:20 pm

I popped into Dweeb Urologist Johnson’s theatre today. Not to talk to him you understand, but because I needed a pee.

It’s closer than the toilets and the typical urology theatre is two inches deep with dilute urine, so you can take a quick slash in the corner and no-one will notice.

I was pleased to see that since I lured posh totty anaesthetist Gabrielle to do my lists, they’re sending Johnson the procession of weeping SHOs that I used to get. Knowing him, he’s probably all sympathetic and makes them cups of tea, rather than shouting at them like you’re supposed to.

Anyway, I was just doing up my flies when he calls over. “So, Jerry, it looks like everyone’s going to vote Liberal Democrat, then.” Trust a urologist to support the yellow surge.

Now, I have actually given up following the election. I have stopped reading newspapers or watching TV. I just want the whole thing to be over and to wake up on 6 May to find that Gordon Brown has led his party to electoral annihilation and has had to take a job as a toilet attendant or urologist.

So imagine my surprise when I look up the latest poll to find the Illiberal Democretins are IN THE LEAD!

WTF?? What kind of parallel universe have I fallen into where you can say the words ‘Nick Clegg’ and not fall about laughing? Next thing you’ll be telling me some gigantic ash cloud has paralysed air travel over the whole of Europe.

Anyway, I thought I’d check out the Lump Dim’s health policy. It’s divided into seven handy categories, which makes it ripe for a bit of fisting (er, fisking - Ed).

1. Protecting frontline services

Ooh! Radical! Hopefully that means no longer spending NHS money on quack treatments that don’t work, like General Medicine.

2. Putting local people in charge

No, no, no, arsingwell no! Have you ever actually met ‘local people’? They’re all morons. And most of them don’t wash.

3. Patient contract

This means paying for people to go privately if the NHS can’t treat them on time. Excellent idea - maybe they’re not so bad after all. I’ve got my eye on a Bentley.

4. Improving GP services

With a 70% pay cut, I hope.

5. Patient safety

This one is interesting: “Patients’ lives are at risk because foreign doctors are allowed to work in the NHS without proper tests of competence and language.” That’s all you can think of to say about patient safety? What about all those damned nurses, many of whom are English, pretending to be doctors? No, instead it’s: “Bloody foreigners, can’t even speak English half of them.” What are they, the BNP?

6. A review of social care

Boring.

7. Respite care guarantee

Boring.

So, still going to vote Limp Dumb?