PRIVATE AND CONFIDENTIAL

PRIVATE AND CONFIDENTIAL is how you get letters addressed to you from an NHS healthcare provider. The NHS provided me with healthcare in 2011 when I blogged my breast cancer in I like it in the glory hole. I had cutting (an operation), burning (radiotherapy) and just in case therapy (adjuvant aromatase inhibitor - drugs to stop oestrogen, just in case any oestrogen-positive cancer cells remain). About a year ago, I made "a uni-lateral decision" (quotes because that is what my NHS GP wrote to the consultant) to come off the aromatase inhibitors, becoming one of the 36% who stop taking the drug by four years. Last week, five years after the BC, I had a write-you-off (discharge) letter,

"Thank you for attending for your recent mammogram. I am pleased to inform you that your mamograms (breast x-rays) show no sign of breast cancer."

So that's it then.  No more annual mammograms. Well that might be it.  I do have calcifications and apparently calcifications can lead to BC.  We'll see. In the meantime, I shall continue confidently trusting a private GP.

Inefficient services

A colleague was telling about her young son having had several ear operations recently. He's all right but what she noticed with her manager's eye, was that for a twenty minute procedure they had to sit around in the hospital for eight hours. Of course, she's grateful for the care but surely they can organise people's work and lives better than that.

On a similar theme of how to use time efficiently, she explained that before her son was off school, she got some work for him to do at home. They spent only half an hour a day on it, but when he got back to school the teacher announced that he was right up to where the class was. How can it take five hours of class work to match thirty minutes of one to one work, she asks? Why should it take ten times as long to cover material in class as it does at home? No wonder some home educators seem to hot house their children. I do think that schools need more teachers and smaller groups more than they need extra expensive computer equipment.

Elderly

We know a lovely old lady, mother of several daughters and lots of grandchildren. Her husband died some years ago, an intelligent and interesting man who contributed much to the community and was a great support for her in every way. Now widowed and alone, she's so old that she forgets things. She knows people and places but forgets what she was doing and if she ate what she ate. So for some months she stayed with one of her daughters. Now she's home again but worrying and tearful and not eating. And her daughters are just as worried because they can't help her until she agrees to accept help.

Tomorrow I'm seeing an elderly relative who has her own problems, so I've looked up the Lasting Power of Attorney forms from the government web site. They are horrendously long and complicated, twenty plus pages to fill in, sign by the correct people and pay over a hundred pounds. Still, that is cheaper than renewing an attorney every year. But I don't live near enough to my relatives to help. I'll have to depend on the NHS. But news like this doesn't inspire me with confidence.