Category Archives: Health

Junior Doctors strike again

Here we go again

Thousands of patients are facing disruption as junior doctors stage their latest walkout in a row over contracts.

More than 5,100 procedures and operations have been postponed due to the 48-hour strike, which started at 8am.

Junior doctors have pledged to provide emergency care cover.

It is the fourth walkout by the British Medical Association over contracts that stop junior doctors claiming extra pay for day shifts on Saturdays in return for a basic pay rise.

Almost 25,000 procedures have been cancelled so far as a result of the dispute.

Dr Anne Rainsberry, national incident director for NHS England, said: “We’ve already seen that a 48-hour strike puts considerably more pressure on the NHS and it’s deeply regrettable that thousands of patients are still facing disruption because of this recurring action.

The Department of Health called the strike “irresponsible and disproportionate”.

Strikes planned for 26 and 27 April will see the full withdrawal of labour by junior doctors between the hours of 8am and 5pm.

Health Secretary Jeremy Hunt is facing a second legal challenge – from NHS staff campaign group Just Health – to try to block the imposition of the contract.

So who is in the right on this the government for trying to control costs and give patients a better service at the weekends or the doctors who do not want to work Saturdays or Sundays.

At the moment NHS doctors do not work weekends they use agency staff who are not as good as the HHS staff, deaths go up in hospitals at the weekend and standards are lower, i had to get a few stitches in my lip a few years ago at the weekend and they made a mess of it i had to go back in the week to get them removed and redone!

GP surgeries also refuse to work weekends i have had this conversation at my own doctors with a patient group and they say “we are self employed and we will not work weekends”

Seems like the doctors want to be treated differently from everyone else, it’s ok for people in the retail and hospitality trades to work weekends for no extra money but not the doctors.

If we could stop people getting ill and needing doctors at weekends that would be great

But that is not the case and for me they are being offered a good deal better than most and should except what’s on offer,  what do you think.

 

U-turn over prostate cancer drug after price change

Patients with prostate cancer in England will now have early access to a drug that can delay the need for chemotherapy.

The National Institute for Health and Care Excellence (NICE) now agrees that abiraterone is affordable.

It had previously said the treatment was not cost-effective for the NHS until cancers were more advanced.

The drug costs £3,000 a month, but a lower price has been agreed with the manufacturer Janssen.

Janssen also submitted fresh data about the drug’s effectiveness to NICE.

Abiraterone, also known as Zytiga, is a hormone therapy, and unlike chemotherapy which kills the cancerous cells, it stops more testosterone from reaching the prostate gland to stifle the tumour.

Long-awaited

It is already used at the end-of-life after chemotherapy as it can give patients an extra few months.

But NICE had previously said it could not justify giving the drug to patients with earlier stage disease, even though such patients in Scotland did have access to it.

Instead, patients in England had to rely on their doctors applying to the Cancer Drugs Fund, a special pot set aside for cancer drugs not routinely available on the NHS.

Now NICE says the new evidence submitted by Janssen means it can offer the drug to more patients – those with spreading prostate cancer who have only mild symptoms and who have not responded to androgen deprivation therapy and have not yet been offered chemotherapy.

It is estimated that 5,900 people with this category of prostate cancer might be eligible each year in England.

Prof Carole Longson, from NICE, said: “There are few treatments available for patients at this stage of prostate cancer so this is very good news.”

Heather Blake, from Prostate Cancer UK, said: “This long awaited decision is fantastic news and brings an end to years of uncertainty for men and their loved ones. After 18 months our calls have finally been heard as NICE and the manufacturer have managed to negotiate a way forward. However it cannot continue to take so ludicrously long to get men what they need.

“If the newly reformed drug appraisal process really is to work better for men, manufacturers must present best value for money first time around while greater flexibility from NICE must come as standard. We need to see much more focus on what patients need and deserve, otherwise men will men will lose out as they continue to be caught in the middle.”

The NHS in Wales is expected to adopt the English guidance.

The new price for the drug on the NHS in England is £2,300 for 120 tablets, which is 30 days’ supply.

Under the agreed discount, the NHS pays for the first 10 months of treatment with abiraterone. For people who remain on treatment for more than 10 months, Janssen will rebate the drug cost of abiraterone from the 11th month until the end of treatment.

A Daily Living Guide for Type 2 Diabetes

Living with type 2 diabetes means you have to manage your daily habits and take good care of yourself. Some people need to lose weight, while others need a combination of lifestyle changes. This may seem like a lot to take on. But with a little bit of work, you can manage your diabetes and take control of your health

Here are some tips to help you get started, no matter where you are on your type 2 diabetes journey.

Losing Weight

Many people with type 2 diabetes are also overweight. If you need to lose weight, you’re not alone. Controlling your weight can help you regulate your blood sugar levels. A major part of managing your weight is making healthy food choices. Strive for a diet that contains a variety of nutrients, such as:

  • vitamins, found in fruits and fortified cereals
  • minerals, found in vegetables and dairy
  • protein, found in meat, nuts, and seeds
  • healthy carbohydrates, found in vegetables, legumes, and whole grains
  • healthy fats, found in olive oil, nuts, and dairy

It can be difficult to reach your desired body weight. The National Institute of Diabetes and Digestive and Kidney Diseases says that losing just 10 to 15 pounds can make a difference.

Cut back your total calories each day by eating smaller portions, and you may have more success with weight control. Of course, talk to your primary care doctor, diabetes health team, or a dietitian before starting a weight loss program.

Exercise

Regular exercise can help to control your weight. It can also decrease your risk of other health complications. According to the Centers for Disease Control and Prevention (CDC), you should try to get 30 minutes of moderate-intensity exercise, five days a week.

Moderate-intensity exercise includes activities like fast walking, biking, jogging, aerobics, and swimming.

Be creative and find other activities, like skiing or surfing that raise your heart rate and cause you to sweat. Check with your doctor before starting a program to be sure that it’s safe, especially for your heart and your joints. If you’re not used to exercising regularly, start off slowly and then work your way up to doing more each time.

 

Medications

You may be able to manage type 2 diabetes through diet and exercise, but you may also need the aid of prescription medications. Diabetes medications  are typically oral pills that help control blood sugar levels. Often, the medicine will lower your blood sugar, and you’ll notice that your levels are better controlled.

There are many different medications used for type 2 diabetes. You may need only one kind or a combination of several. Take each medication as it is prescribed, and let your doctor know if you experience any side effects.

Oral Health

Having type 2 diabetes puts you at risk for dental problems such as gum disease. When your blood sugar levels are too high, you may have trouble fighting off bacteria that cause oral infections. You may also have a higher risk of dry mouth, which can cause sores that make it hard to chew food.

Regular brushing and flossing is particularly important. To avoid problems, brush your teeth after eating and use a soft toothbrush. Floss your teeth at least once a day, but be gentle when working the floss between your teeth. See your dentist regularly and be sure to tell them that you have type 2 diabetes. Your dentist may also recommend other resources for keeping your teeth healthy.

Watching for Complications

Complications from type 2 diabetes can develop in almost any area of your body. So it’s important to be aware of certain signs. Type 2 diabetes can increase your risk of heart disease, high blood pressure, or stroke. See your doctor for help with testing to check your blood cholesterol and your blood pressure.

Uncontrolled blood sugar levels can also cause poor circulation that affects your feet. Take good care of your feet by wearing socks at all times, even around the house. Check your feet for sores and keep your toenails short. Make sure that your shoes fit well and aren’t causing blisters. Poor circulation can also damage blood vessels in other areas, such as your kidneys or the retina of your eyes. Look for signs of problems, and tell your doctor if you’re not feeling well.

Day-to-day management of type 2 diabetes is ongoing. It may be overwhelming at first, but establishing a regular schedule can help you stay on top of your disease.