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

Jerry Nelson is a surgeon in a reputable DGH near you

For public health wishlist, read bunch of arse

By Jerry Nelson - 8th February 2010 10:13 am

One of the best things about this new Information Superhighway thingy is that you learn new things every day with just a few clicks of the mouse. During my idle moments, like in clinic, say, when some patient is droning on about all their tedious problems, I surf away and pick up all sorts of little gems. For example, I have recently learnt all about something called ‘Fisting’.

What you do, is take something that someone else has written that’s a whole load of arse, and challenge it line by line. (Er…shouldn’t that be ‘Fisking’? Ed).

Anyway, I thought I’d give it a go and I had to look no further than the pinko leftist ban-everything site called Hospitably Doctored and its succinct coverage on the latest pronouncements of the Royal Society for Public Health Fascists With Nothing Better To Do.

Here goes:

“The Royal Society of Public Health and UK Faculty of Public Health want the political parties to adopt a 12-step wish list to boost the nation’s health.”

Whether the ‘nation’ wants it or not. Note: political PARTIES plural, in case in our childish ignorance we try to vote against any of this arse gravy.

“Jointly representing about 9,000 public health professionals.” 

Is it me or does that mean there are far too many of them?

“…their manifesto calls for: 1. A minimum price of 50p per unit of alcohol sold. Alcohol consumption in the UK has doubled over the last 40 years.”

Doubled!! Oh, no that sounds terrible, that means it’s as high as - save us, o wise Public Health Professionals - the level it was in 1900! You know, when the town centres were awash with vomiting Victorian Chavs beating up policemen, and everyone died of liver failure?

“Alcohol is now 69% more affordable than in 1980.”

What a load of arse. Check the Office of National Statistics. “Between 1980 and 2008, the price of alcohol increased by 283.3%. After considering inflation (at 21.3%), alcohol prices increased by 19.3% over the period”. Can you think of anything else that’s gone up by 20% in real terms, apart from the number of portentous authoritarian announcements from public health professionals? 

“Tackling price and availability are the most effective alcohol policies.”

So, if we ‘tackle availability’ all the way to zero, the problem would disappear, as in prohibition-era America, when nobody drank. And there was no crime!

“No junk food advertising in pre-watershed television. The Ofcom measures, in 2006, to ban junk food advertising between programmes where 20% of the audience were younger than 16 have been ineffectual. A complete ban is needed to effectively reduce consumption of salt, saturated fats and sugars by children and adolescents, reducing the risk of cardiovascular disease later in life.”

So if a partial ban had no effect, why would you assume a complete ban would do anything, other than make you feel butch and important?

“25% increase in the number of cycle lanes and cycle storage facilities.”

Don’t get me started. Looks like they didn’t read this. Oh, and this is a cycle storage facility and they’re everywhere.

“Introduce presumed consent for organ donation.” Your kidneys now belong to the state. So they will take them out and give them to someone so cack-handed and useless they could only get a job in transplant surgery.

“Free school meals for all children under 16. Evidence shows that cardiovascular diseases can originate in childhood, and it is important to start good dietary habits early.”

‘Good dietary habits’? BWAHAHAHAHA. Yeah, that’s why we all still eat school meals as adults! School meals is a byword for ghastly inedible 14p-per-head state-delivered swill. Also dangerous in combination with previous item. 

God helps us all. I shall leave the last word to Professor Henry Brubaker of the Institute of Studies: ”Once again [doctors are] talking about ‘public’ health as if that’s an actual thing. There is ‘my’ health, which is ‘mine’, and ‘your’ health which is ‘yours’, but there is no ‘our’ health. D’you see?”

Quite.

It’s enough to drive you to drink (cheap NHS cider)…

By Jerry Nelson - 1st February 2010 7:24 pm

Oh, for arse’s sake what NEXT??!?!??

They’re not content with banning smoking. They’re not content with banning butter. Now that weasely little sixth former Andy Burnham reckons he’s going to set MINIMUM PRICES for alcoholic beverages?! WTF??!!

All the usual bollocks, complete with made-up statistics about how this measure will save fifty thousand lives a day, and save the NHS twenty million billion pounds. And of course when it’s shown to do no such thing, it’ll be because the minimum price is too low, so they’ll keep cranking it up and up until a screw top bottle of Happy Shopper British Wine, ‘Red Flavoured’ costs the same a Chateau Lafite.

And why? Just because of ‘binge drinking’. Well who is doing the binge drinking, you morons? Yes, the WORKING CLASSES. All that trouble you see in town centres on a friday night, it’s all lowlife - chavs, oiks, slappers, anaesthetists. It is completely unreasonable to punish us all for the antics of a few.

Targeting the price increases - on people who didn’t go to private school, say, or anyone who uses the word ‘toilet’ - THAT would make much more sense. But no, we’ve all got to suffer.

And what about the poor retailers, like the chap at my local corner Supa Cheapo Mart? What’s he going to do when he’s no longer allowed to sell 26 cans of premium super strength ‘Battery Acid’ lager to people who look more or less eighteen for £1.99? He’ll go out of business!

Anyway, I was messing around in the office, sending anonymous hate e-mail to various cabinet ministers, when who should drop by but my old mate Keith.

Keith’s a nice chap, good for a chinwag, and he puts a brave face on what has been - if we’re honest - a fairly sad life. You see, everything was looking rosy for Keith, he’d graduated medical school and had the world at his feet, when tragically - and without warning - he became an eye surgeon. Now the poor man has to spend all day looking down microscopes and poking at things with tweezers. It’s sobering for those of us lucky enough to have a proper job.

Anyway, he pops up looking all chirpy, and starts going on about the NHS supply chain and how it has some really useful things on it you can buy. I must say I rather drifted off at that moment, expecting him to start extolling the virtue of some whizzy new phakoemulsification machine or something. But then he showed me THIS.  

nhs-supply-chain-1st-pag81

BWAHAHAHAHAHAHAHAHAHHHAAHAHA!!!

So, Mr Burnham, the first health secretary who has to be picked up after Cabinet meetings by his mum, is being all butch and telling everyone he’s going to ‘ban cut-price supermarket deals on alcohol’. Yet, where a litre of cider at Sainsbury’s will cost you £1.47, he’s knocking it out for £1.32, or £1.27 if you buy in bulk!

Hmmm, I wonder if Dan the Fat Gasman has a departmental cost code? I feel a party coming on with the nurses on Mandela ward.

Toga! Toggaa! Togggaaa!

“I can’t believe it’s not another health fascist”

By Jerry Nelson - 26th January 2010 9:13 am

Arsington bloody arse, with an extra pint of arse for the weekend.

There was I, having awoken in a positive mood, enjoying my favourite breakfast of toast, butter, marmalade, butter, coffee, butter and a cigarette with extra butter, when up pops the health-fascist-of-the-week.

Some ‘leading heart surgeon’ has announced that butter should be banned, an issue that’s so pressing he has abandoned his search for an even vaguely convincing toupée.

Apparently only “radical action” can save growing numbers of young adults from heart attacks and clogged arteries.

Oh gosh, mate, are you sure banning butter is radical enough? Why not tackle the genetic causes of heart disease with eugenic extermination camps? What are you going to do when people start smuggling butter in from France? Jail them? Kill them? Will we need a War on Butter?

Maybe we need a pack of butter sniffer dogs? A heavily-armed Metropolitan Police butter squad? Butter rehabilitation programmes? And when banning butter is shown to have had precisely fuck all effect on the nation’s health will you do the decent thing and shoot yourself in the face with a service revolver, or will you decide that cheese, milk, red meat, and Curlywurlies will have to go too? What would it take for fascists like you to actually arsing well stop?

You know what the real problem is here? Heart surgery! It was always an accident waiting to happen.

You see, not everyone can get into medical school. And not everyone who gets into medical school can be a surgeon. And not every surgeon can make it in a tough discipline like DGH hepatobiliary surgery with an interest in blogging.

So some - generally those who lack the delicate touch to do orthopaedics or the personality to be urologists - end up in the sump of the surgeon’s art: cardiac. And the big problem with cardiac surgery is that it only really involves one and a half different operations, with the difficult bits like vein harvesting done by nurses.

So cardiac surgeons are all, quite simply, bored. And, as Shakespeare said, the devil makes work for bored hands.

Some try to take on different surgical operations which are actually difficult, with disastrous consequences.

Others go in search of other diversions. After a bit of digging I found this article. See what I lengths I go to in order to bring you the truth? I read articles in The Guardian by people called Felicity. I actually feel dirty now.

It would appear from the right royal kicking he’s getting in the Bolgosphere that not only is Mr Leading Heart Surgeon an authoritarian git who thinks he has a god-given right to tell me what I can and can’t eat for my own good, it turns out he knows less about the subject than I do.

And the reason his idiotic ideas have gained such a wide audience is because they were spread (har!) by the PR agency that works for big-assed multinational Unilever. And do you know what Unilever makes? I’ll give you a clue: it’s not butter.

Gosh what a great game! Take a groundless assertion, give it to a corporation who could profit from it and expect everyone to do as they’re told because you’re a self-styled ‘leading surgeon’.

Can I play? “Top Middle Bit of England surgeon says smoking is good for you and should be compulsory”. Has a nice ring to it. I’ll give Philip Morris a ring.

Learning about tax loopholes from the master

By Jerry Nelson - 18th January 2010 9:25 am

Well, thank goodness the weather has improved. Been completely snowed in at home, unable to make it in to work without undertaking a treacherous half-mile journey down a flat road which, although it had been ploughed, salted and gritted, still looked a bit too dangerous for me to risk the new Range Rover on.

Needless to say, Dweeb Urologist Johnson sweated it in 20 miles in a Toyota Prius from the arse end of nowhere, and stopping every hundred yards to dig himself out of snowdrifts and losing three toes to frostbite in the process. All that tells you is how very, very badly he wanted to look up old men’s knobs with a telescope. Luckily, despite the relative confinement, my time was not completely wasted since the routes to the private hospital and the pub looked just that little bit less tricky. 

And of course the Test Match was on. Phew!

Still, back to the treadmill today, only to be presented with this joyous piece of news. What a bunch of arse. As if they don’t get their claws on enough of our money! Luckily I have nothing to worry about, since my financial affairs are in the hands of the top accountants Spudge & Co. I must say, they were a real find. It’s amazing what a difference it makes when you hire someone who really understands the rules in detail. Over the years they have saved me thousands. It’s equally amazing how many people are unaware of some of these loopholes.

For example, did you know that you don’t have to declare income from private patients who’ve died? That saved me a ton of money on its own. 

Or from patients who have a ‘Q’ in their names? Or from anyone who had surgery on a Tuesday? Or that the government throws away all your records after six months, so you can’t be done for anything that happened before then? Or that it is quite Ok to tax-deduct school fees, child maintenance payments, groceries, holidays and golf equipment? Neither did I! See what quality advice can do?

All the same, given the climate, I think I will give Spudge a ring check it’s all Ok. 

UPDATE

Funny. Keep getting ‘number unobtainable’.

 

Please rescue me first Patsy (and wear the spikey boots)

By Jerry Nelson - 8th January 2010 6:33 pm

Oh, rapture! Oh, joy! Be still my beating heart! It’s Patsy to the rescue!

Just as I though I’d never see that beautiful face or hear that slightly whiny schoolmarmish voice again, my beloved pops up to save us all from the Evil Clunking Fist Brown. She’s going to cajole and persuade and twist arms and call in favours and rally support and FINALLY persuade the Labour Party to grow some testicles and get rid of the useless arse.

It’s going to be the best back-bench revolt ever!!

Serves him right for being so horrible to her when he took over as PM, after she very kindly offered to help out with the government by being Chancellor of the Exchequer or something, and he turned her down flat, the ungrateful Scottish knob.

She did a jolly good job as health secretary, for very little thanks, and that was after a stint at trade and industry, where she did a stout job of safeguarding the British car industry, and before that she had a pivotal role in masterminding Neil Kinnock’s fantastic 1992 election campaign.

And yet there are people - it makes me angry to even think about this - that reckon she’s a talentless bint whose entire career has been one prolonged car crash of fuck-ups and incompetence. Even Johnson the dweeb urologist can’t see what a jewel she has been in the crown of our nation’ s governance.

He turned up in my office the other day and tried to allege that she was the worst health secretary who’d ever drawn breath, but I managed to persuade him, with cogent argument and by shutting his hand in the drawer a few times, that she was probably the best…apart from seven or eight others.

But now she’ll show them! Now she’ll rescue the whole country!! She’ll be kingmaker!!! Perhaps in gratitude the Labour Party will see sense and vote her in as leader, then I can gaze at her gorgeous yellowing skin and slightly weird hair at PMQ’s as she talks patronisingly to the leader of the opposition.

You just wait! Maybe she’ll remember me and I’ll become her ’special’ advisor again. Oh baby. She’s unleashed a groundswell, an unstoppable force, a tsunami! It’ll be her finest hour! She’ll….

Oh Wait. It’s failed. Arse!

Jerry survives vaccination only to find the world a colder place

By Jerry Nelson - 7th December 2009 10:19 am

Sorry for my - what’s the term? - ‘light blogging’ lately. Been off work for a bit. Had a flu jab a couple of weeks ago, and felt a bit feverish and achey for a while and then the next thing I know I’m sectioned under the Mental Health Act and detained in a secure unit for the irretrievably autistic. Bloody vaccinations.

Anyway, I’m a bit blown away by all this Climategate stuff. It looks like a bit of a blow for those fascists who want to stop us travelling by plane and enjoying 24-hour flloodlit, patiowarmer golf.

For those of you who don’t know what I’m talking about because you get your news from the BBC, a massive file full of emails and other data from climate scientists (who work at the ‘University of East Anglia’ - bwahahahaha polypolypolypoly) was hacked/leaked/left lying around, and has now appeared on the interweb.

The upshot of it all appears to be that scientists fudge data when it doesn’t fit the theory, collude and gang up on anyone who doesn’t agree, and all they care about is chasing kudos and research funding.

I’m like: and?

What do you expect? They’re scientists. It’s what they do - they’re a bunch of shysters.

There is this foolish image of scientists being sweet-natured boffins who only care about the truth. Well, it’s a load of arse! The typical research department is a pit of vipers full of the sort of characters who make Scarface’s Tony Montana look like Bungle off Rainbow

Take our own world-renowned research institute, presided over by the Headmaster, The Middle Bit of England Centre for Anorectal Diseases. I happen to know that when they couldn’t get some paper into the journal Arse, they had two of the editors killed. And the HM actually sold his own grandmother on e-bay to get a letter in the BMJ. And one of their seminal papers on the precise clock positions of haemorrhoids was based on a single patient, which was the Headmaster examining himself.

The thing is, once they get in too deep, and they’re all being invited to join the UN Intergovernmental Panel on Haemorrhoids and fly off to exotic conferences, and they get all the praise and fame and money and chicks (well, probably not the chicks) it’s too late. They have to keep the lie going at all costs.

No-one’s going to be interested in a paper showing that - sorry to bother you - but the classic haemorrhoid positions of 3, 7 and 11 o’clock were right all along. Are they?

Jerry says ‘aksya ng oras’ to nurses having a degree

By Jerry Nelson - 13th November 2009 3:31 pm

My God, I think that’s the first time I’ve managed to make Rice Krispies actually come out of my nose.

Headline in the paper: “All nurses to have degrees by 2013.” BWAHAHAHAHAHAHAHAHAHAHAHAHAHAHA!

What a hoot?! And in a related announcement the Health Minister has said that all nurses are to have a massive chip on their shoulder by…oh wait - they already have.

So they’re going make nursing a ‘degree course’, to be studied a ‘university’, giving it equal status with existing intellectual bastions such as Star Trek Studies, Dressmaking and Form Filling In. I can’t wait.

Told Dweeb Urologist Johnson the hilarious news and he came over all serious. Actually that happened the day he was born, but anyway. He said: “Actually, Jeremy this country has been successfully producing graduate nurses for many years now.”

I was flabbergasted! This country produces nurses? I though we stopped doing that around the time of the Festival of Britain. Don’t we get them all from the Philippines now? (And long may it continue if my dalliance with the hottie on Mandela ward was anything to go by).

By the way, in the native dialect tagalog the word for ‘degree’ is ‘titulo’. But, more importantly, the tagalog for ‘waste of time’ is ‘aksya ng oras’.

The swine flu conspiracy theory, according to Jerry Nelson

By Mr Jerry Nelson - 2nd November 2009 1:06 pm

Good news and bad news this week. On the plus side, the luscious Gabrielle, posh totty anaesthetist, has duly been appointed medical director of Middle Bit of England NHS Trust, so I look forward to seeing her strutting around in a power suit and high heels telling people off.

On the minus side, we’re all being ‘encouraged’ to have this new bloody swine flu vaccine. Is it just me, or do you smell a rat here?

So there’s this terrible so-called pandemic of so-called swine flu, which has claimed the lives of a whole load of Mexicans, but mysteriously almost nobody else, except there’s going to be a ’second wave’ of infections that are going to be super awesomely bad, and everyone’s going to die, unless you take this so-called ‘vaccine’ that some mega company in America just happens to have produced in ten minutes flat, that’s definitely safe.

What if it causes autism like the polio vaccine, huh? What then? We’ll all be reduced to hopeless sociopaths, only capable of tedious repetitive menial jobs. Dan The Fat Gasman says he’s not scared, but then he’s an anaesthetist. He already does a tedious repetitive menial job.

The truth is obvious. The CIA went down to Mexico and capped a few people with the sniffles, then the drug companies created this huge scare, via their stooges in the mainstream media, forcing everyone to buy their drug to cure a non-existent disease, and MI5 definitely killed Princess Diana, and if you rearrange the words TWIN TOWERS NINE ELEVEN you get the phrase BUSH DID IT HA HA HA. And if it wasn’t for bloggers such as myself, no-one would know ANY of this.

When I raised these concerns to Occupational Health, they pointed to the fact that all the orthopaedic surgeons had had theirs already and seemed OK, so it must be safe. What a laugh! How do you detect sudden-onset autism in an orthopod? You might as well give it to a herd of cows. No way, José, I’m sticking to my guns on this one.

UPDATE: Gabrielle says I have to have the jab.

UPDATE 2: Ouch!

More women should adopt positions of authority, says Jerry

By Jerry Nelson - 19th October 2009 10:42 pm

Saw a thing on the internet this week about how women doctors need more support to become leaders. That’s certainly true. If they’re going to stand for high office, the last thing they want is a badly fitting bra!!! Hahahahaha!!!

I said: the last thing they want…oh never mind.

Anyway, this is somewhat apposite, as the job of Medical Director has come up after the previous incumbent took an enforced sabbatical of five to seven years with eligibility for parole after three. And my spies tell me the luscious Gabrielle is thinking of standing.

Gabrielle, as those of you who don’t live an a cave will remember, is the posh totty anaesthetist who I have been trying to get to do my lists for ages, but failed partly because the lovely G seems to want to spend all day watching Dweeb Urologist Johnson looking up old mens’ todgers, but mainly because of the intransigence of Dan The Fat Gasman, who won’t stand (or waddle) aside.

Dan has been even more insufferable than usual because he’s just got back from holiday with his ‘hot’ new girlfriend. Can you imagine how ‘cuddly’ she’s going to be?! Says I’ll be jealous when I see the holiday pics. Only if I’m a Japanese whaler, I replied. Hahahaha! God I’m good. 

He’s bringing them in tomorrow. More likely to die laughing than through envy…

Anyway, I think G would make an excellent Medical Director, because the combination of her being posh, hot-looking, strict, and in charge of me would be the single biggest boon to my health since they invented that (cough) gentlemen’s medication that I sometimes take. (Cough).

So anyway, sidled up to her in the coffee room, and said how I though we should have more women in positions of authority, and how the profession really ought to be removing some of the barriers to progression, which went down really well. I then suggested a few things she might like to do if she were appointed, like closing the Urology department, and putting a weight limit on anaesthetists working in the trust. She seemed to really like my ideas!

So, fingers crossed! (Cough).

Health & safety culture is driving Jerry Nelson mad

By Jerry Nelson - 2nd October 2009 10:26 am

Arsington bloody arsey arse. We’ve all been told we have to complete a load of nonsense called ‘mandatory training’. It never bloody stops, does it? You might think with a name like that it would be learning something super-important of benefit to our patients.

But, no. It’s just the usual irrelevant lowest-common-denominator tick-boxing drivel that can and should be summed up in a sentence:

Fire prevention: don’t play with matches.

Health and safety: don’t do anything stupid.

Manual handling: nurse, shift this patient. And get me a cup of tea.

It’s all on the bloody computer too. Actually, I don’t mind that bit, it means I can do mine in clinic while pretending to listen to the patients droning on. It also means I don’t have to take a whole arsing day out of my busy schedule to listen to some overpaid windbag nurse ‘educator’ split her infinitives.

But the greatest achievement of the i-learning modules is how they’ve managed to pitch them at people with the intelligence of plywood. “Fire may be caused by arson”. Er, yes love, that’s what ‘arson’ means.

“Likelihood means how probable is it that the hazard (for example, crossing a road) will cause harm (for example, being hit by a car)?” No shit. That’s 15 seconds of my life I’ll never get back.

Each course has a test at the end, but if you fail, you can try again. Which means if you are someone who can only dream of being as intelligent as an inert piece of timber product, you can have as many goes as you like.

The only exception to this is the course on ‘diversity awareness’ (summary: RACIST!!!!). If you fail that twice you have to go into some sort of racism rehab camp where you apologise for slavery in front of a portrait of Mary Seacole (ahem, sorry, Mary Seacole) for three to five years.

Quick letter to chief exec:

Dear leader-for-the-week,

I notice that failing ones diversity awareness training is considered a more serious problem than failing the module on say, fire safety. I assume therefore that if there’s a fire, and I kill all the patients by herding them into the lift, it’s OK so long as I do so while respecting all their various cultures and religious practices?

Yours etc

What a load of arse.

UPDATE

What’s wrong with this bloody computer? It keeps telling me I’ve failed the health and safety course!! Arse!!