@Martin Whale I am no native German speaker. The point was that you expressed a posture according to which anyone's health was nobody else's business to consider (uninvited, I surmise). I responded by pointing out that the implied premise of mutual health autonomy was broken by contagious diseases. You responded by exposing that your behaviour was in fact responsible in that regard.
I then made precise that your behaviour is irrelevant to objections to your declarations (irrespective of whether your behaviour is laudable or reprehensible).
According to the almighty FDA, it is indeed a gene therapy. Knowing one or two medically trained professionals does not qualify you as an authority, any more than knowing one or two economists makes one qualified to pronounce on economic issues. I have studied alongside medical students, I know enough to know that there is no such a thing as "settled science". I also know that human knowledge is advanced by the eventual revelation of these mistakes. To commit oneself or a society to a course of action that does not take account of knowledge gained during this journey is negligent and anti science.
Of course the ignorance of hydrocephalus is not restricted to matters scientific but also to matters political. A person who accepts the view of governments and the state without question is indeed likely to accept the authority of a totalitarian government, whether left or right.
Stupid self-invented blather. The mrna vaccination is not "gene therapy". At least not if you use the common definition of "gene therapy". PS you were talking to medical students, I'm talking to real doctors. Do you notice the difference? And the right-wing libertarian drivel about the oh-so-evil state is just plain silly. Especially since you have ABSOLUTELY NO idea how the medical social infrastructure can function without state structures. Only with machine guns for everyone and free dope it just doesn't work. And that is actually the basic idea of you libertarians. PS I regularly work with state institutions. And they are, on the one hand, important and, on the other, guaranteed not to be the absolute evil that libertarians like to make them out to be. If you have a different opinion, we can discuss this in detail. But I'm not hopeful. As a rule, you're too cowardly for questions of detail.
MSF appear to be doing a good job without the involvement of any state, a lot can be learned from them for a future universal health service which is free to access. As for machine guns, I firmly believe that as soon as you pick up a gun, you have lost the fight. Why do you keep going on about "free dope", do you mean free heroin, isn't that what some of your clients want ?
The thing is hydro nothing you have attributed to me is true. It is in fact "Stupid self-invented blather". As well as biological sciences, including the are and science of nursing, I have also studied Economics and law at Birkbeck college, funded by a scholarship from Cambridge. I do not claim to be an expert in any of these subjects. It is not my job to educate you, not that you would make a very good student, you lack the imagination.
The problem is not my cowardice but your total inability to suspend your preconceptions of how the world is (or rather isn't). Without that, any further conversation with you on any subject other than cuddly toys and niche photography is looking more and more pointless.
"Doctors without Borders" as a model for public health care? Really? Because do you want to finance public health care through donations? Seriously? Because am I supposed to go begging for my jobs beforehand so that I get paid? Do you have any more such curious ideas in store, "Martin"? PS What do you have against creative expression? It would be better for diaspora if all the lying propaganda from you could be wiped off the net and only people who do something productive can publish their stuff here.
"do you mean free heroin, isn’t that what some of your clients want ?..." Of course I am in favour of dispensing opiates to addicts. Despite all the mistakes in the implementation, this is one of the few things that work in principle. No, with the "free dope" I mean the talk of the libertarians who try to come across as politically "left-wing" and therefore promote canabis as the cure for the world. I am sceptical about that.
PPS I"t is not my job to educate you, not that you would make a very good student,...." You're actually right for once. I really don't like to be told things by pompous smart-asses who simply don't have a clue and try to cover it up with brazenly arrogant babble. I clearly have more to do with practical medicine, and you have so far failed to provide any useful sources to back up your views.
I am not familiar with how nursed are trained in Germany, or what levels of registration there are. Here in the UK first level nurses are educated to degree level. Cannabis has its uses. Do you view the entire world as stereotypes or caricatures ? Is everyone who has a different view to you clueless ? You must have serious problems with empathy with such a limited and unimaginative outlook on life. Your paternalistic attitude towards patients and complete disregard for their autonomy is not what I would consider either professional or ethical, it appears to be more proprietorial and dictatorial than caring. ? Your ego is obviously more important to you than your patients.
I have read what MSF say about covid, interesting that they advocate access to vaccines, for anyone who wants them. This is also my position. Neither you nor I have the right to coerce or comply people who have reservations about these products, no one has the right to decide for other people under the banner of so called "social solidarity".
"hardcore triage" is the only way to deal with healthcare when under funding and shortage of staff have left health systems under overwhelming stress. Your analysis of the causes of this stress on health services is misdirected, services were already on their knees before this crisis.
Everything that was promised of these vaccines has gradually been eroded to the point that they are seen as worse than useless, many people who initially put their faith in these products, are now rejecting them as they now see that they are not what was promised. I have to to meet a nurse who has not worked extra hours without pay, this is the normal way of working for these professionals.
My views are just that, mine. I do not feel the need to eternally verify them with spurious links. I could refer to books that you do not have and would not read if you did have access to them.
You have nothing at all to do with medicine, you have not exhibited any medical knowledge here, nor have you made any reference to your education as a nurse. Are you familiar with models of nursing or the nursing process. Does patient centred care mean anything to you? Are you familiar with any theoretical models of nursing ? your inability to differentiate between n medicine and nursing places your knowledge base into some doubt in my mind.
I have never had anything at all to do with practical medicine, that is the role of doctors, not nurses.
So. you want D* to be expunged of information or discourse that you consider to be "lies". Do you also advocate the burning of books, we are all aware of where that road leads, are we not ? What is the difference between you and an old school Nazi who wants to destroy the ideas of others that they find ideologically threatening?
Canabis as a medicine is overrated. And the dangers are mostly underestimated by its disciples. I have to deal with the victims often enough. Ok "Your paternalistic attitude towards patients and complete disregard...." I hear this kind of smart-ass bullshit all the time. Ok, we can debate about it. I'll outline one of my frequent deployment scenarios I have to deal with. An inaccessible flat filled with bulky waste, rubbish and household rubbish. Because the occupant forgot to flush the toilet, the loo is blocked and there is urine and faeces in all sorts of impossible containers. The resident is not very accessible. His right foot is necrotic. The dead toes are already dry mummified, which is actually rather good in the context, but at the edge to the necrosis it becomes moist and ulcerated. Which is not so good. The client's "compliance" is sub-par, to say the least. Ok "Martin", your game.
PPS Not to be forgotten. The resident is unwashed, his clothes are unwashed and he stinks. Which doesn’t make a doktor visit any easier. PPPS The care process according to Monika Krohwinkel? Or similar? Well, you can apply it to this case. :)
PPPPS You’re obviously doing the rethoric “arrogant academic smartass” thing. But that only works if it’s backed up with a little bit of substance. And that is sadly lacking in your case. We can have a serious debate. But not if you play the clown here. So you don’t have to lecture me here about the care process and acetyl…salicyl…acid. As far as the care process is concerned, I take a slightly different approach. I think that some of the concepts that the Finnish welfare state is currently trying out are very effective. But these are all the detailed questions again and you prefer to wait for the libertarian messiah.
There is no "libertarian messiah", never has been. I am an anarchist, there are no messiahs in my philosophy or politics.
To what concepts of the Finnish welfare state do you refer? Obviously not education as you state above that you have no respect for academic learning. I would be interested in your views regarding the development of welfare states in capitalist countries. As I stated earlier, I have studied economics at degree level so I do have some knowledge in this area.
To understand the development of welfare states in industrialised nations, one first needs to have an understanding of the economic and political history of the country that is being studied. One interesting aspect of the Finnish welfare state is the outlawing of private education. Do you have any views on this ?
As for paternalism, Finland makes it quite clear in ACT ON THE STATUS AND RIGHTS OF PATIENTS 1992, that vaccinations cannot be administered against the will of patients.
Therefore ensuring that "all of your patients are vaccinated", regardless of their ability to give informed consent is illegal. As it is the UK.
What is "Martin" now? Doesn't the great academic want to show that he is more capable than the "paternalistic" simple staff? Have you lost your guts? What is your "unpaternalistic" approach in my little case study?
I have proposed nothing, I have not had chance to, due to your impatient habit of answering your own questions and ignoring everything else. If you would shut the fuck up for a moment you might get an answer. Try it.
People falling through the gaps of health and social care systems is not unusual under the current system. You provide no information as to the medical and social history of this hypothetical patient. Without which you can only deal with what is presented. How did this person come to the attention of services ?
Clearly a system which permits these events to happen is a failing system. It is not about managing these crises but getting at the root cause of these issues and preventing them. Alienation and social isolation are endemic in capitalist societies. As for the faeces, isn't that your job to clean up in such situations ?
First of all, one needs to know what questions to ask, and where the answers might be found, everything else is crisis management. This patient may be beyond any meaningful help, how do you deal with acknowledging this potential fact ? What about mental capacity or addictions? If you want my comments on a particular question, you must be clear in how you address the question. These situations are difficult to address for a number of reasons. Ultimately, if someone wants to die in their own shit, that is what will happen. Interventions should be made before things get so desperate, in any case help can be offered but not imposed.
The reason this patient is in such dire need is a socioeconomic problem that has a political solution. Unfortunately, this situation will continue until a critical mass of people day say "no more, we can do better than this." Your patient was doomed long before you became aware that they were alive.
"It is not about managing these crises but getting at the root cause of these issues and preventing them. Alienation and social isolation are endemic in capitalist societies......." Incidentally, that is what I meant by waiting for the "anarchist messiah". you never really understood that.
Interesting interesting..... In England, as I understand it, unpaid overtime is a matter of course for academic nursing staff and you also learn how to clean blocked toilets. The second is absolutely honourable and demonstrates a pragmatic professional attitude. But the first? Are these still the effects of the Thatcher who finally broke the back of the trade union movement back then?
You want to know how it got out? Ok, I can tell you. It’s either the neighbours (because it stinks and because of the vermin) or there was a police operation or a fire brigade operation. For all kinds of reasons. Or the landlord had to go into the flat for maintenance work. They usually inform the social psychiatric services and they in turn ask me if I could take action there or any other services that can do that. And then there are various measures that can be taken. These are the usual channels. Don’t you learn that in your “academic” training?
PS Don't get me wrong. In principle, I have nothing against an academic education. I have already had several students as interns and one doctoral student was with me for almost a year on my more interesting assignments. For her doctoral thesis on neglect. It really wasn't bad, by the way. Which was probably due to the fact that she had previously worked in a closed psychiatric ward for several years. And you learn something in the process.
A small picture of the operational scenario. But actually I can spare it. From your words it is clear that you simply can't do it, despite your great "academic" training. https://pluspora.com/posts/4593786