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  1. #1
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    Default Surgery cancelled

    I have just been told my surgery (was to take place Monday) has been cancelled due it being not immediately life threatening, will be notified when new date is available.

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  3. #2
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    Whats the surgery for - if that's not too personal?
    Last edited by BobL; 16th Apr 2020 at 09:56 AM.

  4. #3
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    TURP transurethral resection of the the prostate, not cancer, BPH benign prostate hyperplasia

  5. #4
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    That's very unfortunate. I hope it doesn't give you too much grief until normality returns (but when will that be, I wonder). Is it reasonably controllable with medication, or is this going to be somewhat unpleasant for you?
    Regards, FenceFurniture

    COLT DRILLS GROUP BUY
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  6. #5
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    No past the medication stage, what really annoys me is that I would be out of hospital in three days, I don't see great influx of Covid 19 patients needing beds, when this happens if it happens then cancel surgery
    If left too long and I'm not sure how long too long is, you can end up with Kidney failure..

  7. #6
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    It is very unfortunate that elective surgeries have to be cancelled.

    There are a number of reasons for cancelling non-urgent surgeries.

    Freeing up hospital beds is the most obvious but not most important at the moment. However, the situation is changing rapidly (look at other countries) and if you wait until the hospitals are full you have missed the boat. On average you may stay in hospital 3 days, but what if something goes wrong? You could be in ICU or in hospital for a lot longer.

    Everyone who walks in the hospital door is a potential vector (carrier) or victim of COVID. You may bring it in to the hospital, spreading it to sick and vulnerable patients and to the healthcare workers. Or you may get infected whilst in hospital.

    We don't have enough personal protective equipment (PPE). We face running out of PPE during the pandemic. Every surgery consumes PPE. At present there is limited supply of PPE and increased usage.

    The COVID pandemic is a situation where we have to commit early to measures to limit the deaths. If we wait, we end up like Italy or Spain. They are using an ice rink as a morgue.


    Kidney damage as a result of BPH is rare and occurs when you have very severe or complete obstruction of passage of urine. If you can still , it won't damage your kidneys. If you can't at all for hours, go to the hospital.

  8. #7
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    This is one of the many sad and difficult consequences of the pandemic. Having something as scary as surgery cancelled at the last minute is distressing.

    We are trying very hard to conserve supplies of PPE (you won’t believe how much of it gets consumed in a single surgery) and drugs.

    Just as importantly, we have to have time to train staff to deal with COVID-19. During SARS-1, a third of cases were healthcare workers. In Italy, 20+% of health workers have contracted the virus. Some of them have died. Often they get infected when removing PPE- seems simple, but it’s not and takes practice practice practice. I’m involved in delivering Simulation training, which means I’ve probably done full theatre drills between 10 and 20 times in the last week, and I still feel unprepared. Most of my colleagues have done much less, simply because we have not had enough time to train them. Every elective surgery cancelled gives us a little extra time for them to get that training.

    It’s very scary to be knowingly putting yourself in a high risk situation. If I could, I wouldn’t go near a hospital at the moment.

    And remember, if your surgery is urgent - if it threatens life, limb or organs, it will go ahead. If you have a cancer that could spread with delay, you’ll have your surgery.

    If, at the end of all this we can look back and say ‘man, we overacted!’ we should all be dancing in the streets.

    We will repay your sacrifice by saving your life and those of your loved ones in the coming weeks.

  9. #8
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    According to the news, the cancelling of elective surgery also applied to private hospitals which have now laid off 600 nurses. Now, if the s$&t hits the fan and the public hospitals fill, will the govt “acquire” the private hospitals for the extra beds and if so, where are the staff?
    i don’t know the system but wouldn’t it have been better for the govt to allow the private’s to continue and maybe pay them to take some public elective patients and leave the public system for the corona cases and use them as a backup? That way, the nurses would still have a job and people would get surgery carried out.
    Maybe Bernmc would care to comment being in that field.

  10. #9
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    Quote Originally Posted by Lappa View Post
    According to the news, the cancelling of elective surgery also applied to private hospitals which have now laid off 600 nurses. Now, if the s$&t hits the fan and the public hospitals fill, will the govt “acquire” the private hospitals for the extra beds and if so, where are the staff?
    i don’t know the system but wouldn’t it have been better for the govt to allow the private’s to continue and maybe pay them to take some public elective patients and leave the public system for the corona cases and use them as a backup? That way, the nurses would still have a job and people would get surgery carried out.
    Maybe Bernmc would care to comment being in that field.
    This is what the Privates originally anticipated happening. For a marketing manager with an unlimited budget, Scomo sure struggles to articulate a clear, concise, consistent and coherent message. Privates were caught by surprise. Their business model (much like the US) can't accomodate redundant resources siting around doing nothing.
    As it stands, we may have more space to put patients, but no-one to look after them. The government should at least be subsidising private staffing, and those staff should be being put through the same training as public health employees are.
    Of course, many docs and quite a few nurses work in both private and public, so there's some crossover, but it's not universal.

  11. #10
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    Looks to me, as though it's already decided.
    Greg Hunt announces private hospital partnership to fight coronavirus - ABC News (Australian Broadcasting Corporation)
    Private Hospitals to stay open providing a 50% boost to available ICU beds.
    It think this story was posted on Monday March 30, bit it's a bit hard for me in Canada to tell what the actual date was.

    So all the private hospital agency nurses should all keep their jobs.



    Also, last week I got a facebook message from a friend who is a radiologist at [redacted] hospital (what I can say is that the hospital is one of the four big Sydney ones) advising that all elective surgery and radiography was cancelled so that resources can be diverted to the Coronavirus pandemic.

    Fun times, not.
    regards from Canada

    ian

  12. #11
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    Update surgery would have seen me in hospital for three days, surgery was cancelled consequently I have spent 4 days in hospital watching staff and Doctors bored to tears with nothing to do and just wasting time for when and if Armageddon descends upon us

  13. #12
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    I understand your frustration.
    I work in a medical facility. Currently we have closed wards and in the wards still operating a lot of empty beds.
    Staff ratios are crazy. Normally about four or five nurses for twenty patients. In one ward today (mid morning) it was about 7 nurses: 9 patients. No such thing as a shared room. I had trouble spotting the patients.
    One out of use ward - empty for 12 months we have had to do basic checks in case it needs to be used. Visiting hours are now very strict. Only 2 periods of 2 hours. Only one visitor for one hour per patient per day.

    While this might sound unreal, I feel the government is doing the right thing when you look at what has happened in America (New York) and London. In London they have turned an exhibition center into a temporary ward.

    My crystal ball does not work, so hopefully things will get back to what they were soon.

    Hopefully you will have your surgery soon.

  14. #13
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    Dec 2017
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    Default

    Sorry to hear
    Just imagine the backlog this will be creating for after the virus

  15. #14
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    Hopefully if the COVID19 case numbers stay close to zero they will start up the elective surgeries again?

    I just happened to be listening to Norman Swan and he was interviewing a Urinary Cancer Specialist who said they over/under estimated a bunch of things.
    How quickly/significantly COVID19 could be damped down
    How useful telemedicine would reduce the need to for face to face checkups.
    How much COVID19 would put off potential first presentation patients.
    As a result they are over staffed and will be looking at undertaking more elective surgeries soon.
    The specialist said to push your GP to help get things moving.

  16. #15
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    Well I had my first experience with Telehealth (to give it its correct name) yesterday. Logged in 10 minutes ahead of time, as advised, to check sound and video and entered all the data like appointment time, patient, doctor etc. Got a repeating message “Waiting for host to log on” for 40 minutes, then a chat line opened and I was asked to introduce myself which I did. Person replied that they were “waiting for the team to arrive”. After 1 hour, the program simply closed down with the message to contact my service provider.
    Logged back in again, waited another 20 minutes, then got to speak to the surgeons understudy who asked some questions, looked at some xrays, but didn’t look at the wound (which was the one area they were keeping an eye on when I actually went to an in hospital appointment).
    Not exactly a positive experience but still much better than sitting in a large waiting room with 30 plus people around me, so understand why they have gone this way.

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