“I know that the strikes are so, so hugely important, trust me I’m the biggest advocate… but my operation has been cancelled and I’ve been in pain for so long – all I want is to get back to normal,” said Kate Bradford PMGallagher1 reports
Patients left in pain for a year or more on waiting lists are growing increasingly frustrated at ongoing NHS strikes, with hundreds of thousands more appointments and operations expected to be cancelled this week.over pay on Thursday throwing hospitals into chaos once again.
Garry Hughes, from Manchester, said the NHS was “on its ****ing knees” after his daughter, who suffers with endometriosis, faced more delays for her treatment. She was due to have an operation on Friday only to be told with less than two days to go that it had been cancelled due to the strikes. “The operation was at a private clinic by a junior surgeon and [my daughter] has been waiting months. It is scandalous,” Mr Hughes said.
“[It is] early September now with at least eight weeks recovery. Self-employed, immobile and unable to work for a year. He is upset and frustrated but alive and slowly healing,” she said. Dr Gibbs described staffing levels as “the toughest they’ve been since I started”. He said: “It affects everything we do.
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NHS chiefs warn hospitals already 'stretched to limit' as five-day junior doctor strike beginsNHS budgets are already “stretched to the limit” on the eve of the largest ever walkout by junior doctors according to trust chiefs who warned they cannot afford further strikes PMGallagher1 reports
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Five-day junior doctor strike will cost the NHS £125 million and could hit waiting list recovery, NHS saysThe longest-ever walkout by junior doctors in England is set to cost the health service £125 million in staffing costs as agency workers are drafted in to fill gaps.
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Effects of intravenous administration of magnesium sulfate in propofol-based sedation for ERCP in elderly patients: a randomized, double-blind, placebo-controlled study - BMC GeriatricsBackground Propofol-based sedations are widely used in elderly patients for endoscopic retrograde cholangiopancreatography (ERCP) procedure, but respiratory depression and cardiovascular adverse events commonly occur. Magnesium administered intravenously can alleviate pain and decrease propofol requirements during surgery. We hypothesized that intravenous magnesium was used as adjuvant to propofol might be beneficial in elderly patients undergoing ERCP procedures. Methods Eighty patients aged from 65 to 79 years who were scheduled for ERCP were enrolled. All patients were intravenously administered 0.1 µg/kg sufentanil as premedication. The patients were randomized to receive either intravenous magnesium sulfate 40 mg/kg (group M, n = 40) or the same volume of normal saline (group N, n = 40) over 15 min before the start of sedation. Intraoperative sedation was provided by propofol. Total propofol requirement during ERCP was the primary outcome. Results The total propofol consumption were reduced by 21.4% in the group M compared with the group N (151.2 ± 53.3 mg vs. 192.3 ± 72.1 mg, P = 0.001). The incidences of respiratory depression episodes and involuntary movement were less in the group M than those in the group N (0/40 vs. 6/40, P = 0.011; 4/40 vs. 11/40, P = 0.045; respectively). In the group M, the patients experienced less pain than those in the group N at 30 min after the procedure (1 [0–1] vs. 2 [1–2], P | 0.001). Correspondingly, the patients’ satisfaction was clearly higher in the group M (P = 0.005). There was a tendency towards lower intraoperative heart rate and mean arterial pressure in group M. Conclusions A single bolus of 40 mg/kg of intravenous magnesium can significantly reduce propofol consumption during ERCP, with higher sedation success and lower adverse events. Trial Registration ID UMIN000044737. Registered 02/07/2021.
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