You live and learn. I never thought anyone would be able to turn me against the NHS, but Dr Tim Crayford, president of the Association of Director of Public Health, might just manage it:
“When the NHS is not spending money on really important public health measures but spending it on what people want, then this is a debate we should have.”
Dr Crayford also
questioned why a hysterectomy costing £2,800 is sometimes carried out to prevent heavy menstrual bleeding when a coil costing £100 can do the same thing without surgery.
I think I can assist him there; it’s probably because they suffer, as did my late wife before she had an hysterectomy (paid for by her private health insurance) , from severe endometriosis. Her gynecologist didn’t suggest it until they’d tried all other treatments, including a laparotomy, but the pre-cancerous growths it was causing eventually persuaded them that there was no alternative. Even then they were were dubious about performing it on a woman in her late 30s but the fact that previous surgery had left her with little chance of ever conceiving, let alone bearing a child to term, plus the fact that on one occasion ‘heavy menstual bleeding’, as Dr Crayford puts it, meant collapsing in the middle of Knightsbridge and being taken to hospital by paramedics who thought she must be miscarrying, pursuaded the doctors that there was little alternative.
The idea that when it’s so severe that radical surgery is contemplated the symptoms be perhaps be controlled by fitting a coil is about as sensible as suggesting Lemsip as a suitable treatment for pneumonia.
Technorati: Public Health, Dr Tim Crayford