Monday, 16 December 2019

BEZOARS

Most bezoars cause no symptoms because they don’t completely block the digestive tract. Where symptoms do appear, these may include:
  • feeling full after eating very little food
  • a lack of appetite
  • nausea
  • vomiting
  • abdominal pain
  • weight loss

Your doctor may diagnose you with a bezoar by any of the following tests:
Bezoars are typically observed as a single mass, but they can comprise multiple masses. They may range in color from brown, green, yellow, or even black.
Doctors sometimes try to remove a piece of the bezoar during the endoscopy and examine it under a microscope to look for hair or plant material.


there are some pictures on various websites

Image result for bezoars symptoms

Wednesday, 20 November 2019

OPTIMAL NUTRITIONAL CARE FOR ALL

https://european-nutrition.org/

Optimal Nutritional Care for All




The Optimal Nutritional Care for All (ONCA) campaign is a multi-stakeholder initiative led by European Nutrition Health Alliance (ENHA) to facilitate improved screening for risk of disease-related malnutrition and to promote nutritional care implementation at national level across Europe.

At present there  are $ Campaign aims -

Measure te prevalence of economics of malnutrition
Educate medical and health care professionsl and students
Implements nutritional care in hospitals and  community
Infuence public awareness and policy making

So felt very inspired by a confenece and will try and do some public awareness on this

Monday, 18 November 2019

DIET AND THE HEART

Really good information in Heart Matters on diet https://mail.google.com/mail/ca/u/0/#inbox/FMfcgxwGBmsmGqPgGLMzGXWZNnPnBsGb

On exercise

Salt

Diabetes

getting your 5 a day

PLUS lots of other items  --worrth signing up for


Heart Matters banner

Saturday, 2 November 2019

DIABETES CONFERENCE






IDDT

Last Saturday I attended the IDDT annual meeting in Kettering. People came from all over the country and there were a number of workshops which were well attended. The day is a really good opportunity for peopel to talk about issues with ach other plus experts.

Really good information about the Freestyle Libre which had revolutionised control for many people.

The IDDT is a small charity which has no major sponsors  so is completeely independent. They produce excellent information on all sorts of topicas related to diabetes.



FreeStyle Libre

The IDDT has lots of useful infoprmation as well as advice to individuals. This year they have produced a helpful diary

IDDT's Diabetes Everyday Diary







Sunday, 6 October 2019

GOUT AND DIET

I seem to have had a spate of people asking me about gout and their diet. last week  I  saw an expert patient who described very fully how it had devestated his life .

Gout is a very painful form of arthritis which causes intense pain in joints. This pain can come on very suddently and causes the joint to be hot swollen and extremely painful.

It is due to uric acid crystals being deposited in a joint  and these are derived from purines which are in turn derived from various foods.



uric acid crystals magnified



As seen these crystals are almost like numerous needles!

General advice on diet is


  • Lose weight if overweight  --but do this gradually by following a balnced diet and increased exercise
  • Take plenty of water as it reduced the likelihood of crystals developing
  • Do not drink excessive alcohol --especially do not binge drink. have a couple of days alcohol free and do not take more than 14 units of alcohol per week.
  • Avoid offal like liver and kidney game like rabbit hare and pheasants, and meat and yeast extracts
  • Do not take excessive amounts of meat or poultry, dried peas and beans, mushrooms, vegetables like asparagus and caulifower, wholegrains like bran and oat bran and wholemeals bread
  • Dairy foods like milk, cheese and yoghurt are low in purines, as are eggs, breads, pasta and cerals except wholegrain ones, mots fruit and vegetables.
  • Some people are helped by a supplement of vitain C as this can reduce uric acid levels
  • Triggers somtimes occur for people where they can link eating a certain food with an attack

The UK Gout Society has helpful information on the website as does the NHS








Wednesday, 25 September 2019

HOSPITAL CATERERS ASSOCIATION -OXFORD BRANCH MEETING NEXT WEDNESDAY


IF THERE IS ANYONE INVOLVED IN CATERING FOR CARE GROUPS AND PATIENTS PLEAS LET ME KNOW AND I WILL SEND AN INVITE


Oxford Branch Meeting and training event 2nd  October 2019

Venue:  Hobart UK, Southgate Way, Orton Southgate, Peterborough PE2 6GN          
With thanks to Hobart for providing a venue and refreshments

To be joined by members of the East Anglian Branch

10am for introductions and welcome
10.30 Robert Beeston specialist volunteer on COPD at Kettering General Hospital.
  • Giving a wide raging overview of diet and COPD (Chronic Obstructive Pulmonary Disease –where nutrition and exercise are of prime importance)

11am Brian Northall expert patient.
  • Gout a very painful condition and how diet can help to control the symptoms of pain

11.30am Dr Mabel Blades consultant dietitian
  • Diabetes an interactive update on ideas on diet and general management

Hobart 12-2.00pm with Cooking presentation and hands on with Ware washing Equipment Innovation with thanks to David Grundy and Adrian Gregory of Hobart.

Saturday, 7 September 2019

Kettering General Hospital


As a Governor at Kettering General Hospital I thought readers may like to see what is happening so am copying in the CEOs weekly message plus also the fabulous dance craze


A message from Chief Executive Simon Weldon

Hello everyone!

I’d like to start this week by telling you a little about the work I and the team have been doing in support of getting our Urgent Care Hub approved.

Last Friday, NHS Providers launched a campaign called Rebuild our NHS.  You can read about the campaign and what it is trying to achieve here:  https://nhsproviders.org/resource-library/rebuild-our-nhs.  We were asked to take part in the campaign, specifically to be filmed, to show some of the estate issues that are a day-to-day reality for staff and patients.  On Friday Channel 5 came in and filmed in our urgent care pathway.  It was a very supportive piece.  If you want to have a look at it please contact Dave Tomney and he will make the arrangements.  I’d like to thank everyone who helped support the filming.

Coincidentally, our local MP, Philip Hollobone had also secured a Westminster Hall debate in Parliament on Tuesday this week.  I went along to support him.  He did a great job in presenting and pressing our case and afterwards we met the Minister who is responsible to tell him about why we needed the hub.  I will be following up further with officials in DHSC.


Locally, we posted on Facebook about what was going on.  It obviously touched a nerve as since Friday it has reached 36,983 with 289 comments, 259 shares and 10,116 engagements supporting the concept of a hub at KGH.  Many comments are heart felt and based on people’s experiences and some are quite detailed.   This response is at a level way more than any other post we have ever made. Comments are very positive about staff but fully support our bid for an improved environment – with lots of real life examples.

It is of course very hard to secure capital in the current environment but it is also important that we keep raising the profile of KGH and what we need to serve our patients well and I want to assure you that I will absolutely keep at this no matter the difficulties.

Onto other issues: 

I couldn’t let this week go past without referring to the new dance craze certain people have initiated.  You can see for yourself here:


This was all in the context our EPR programme to digitise the hospital.   In October we will start to roll out the Vitals system across our Adult inpatient wards. This system will enable staff to electronically record and view patient observations using handheld devices that will be available in every ward. We’re making great progress to prepare for this having already set up 100% of the devices, completed some of the testing and now we’re getting ready to deliver training. Last week there was an open day in Foundation Wing where a number of people could come and have a play with the Vitals system.   And dance obviously.   You may have also seen that the EPR team now include a weekly update in the staff A-Z email. You’ll continue to hear more update through the various communication channels.

And finally, my shout out of the week goes to the IT Training Team. When new staff start at the trust it is really important that they are trained within the first few days to ensure they have the skills, knowledge and system access to be able to fulfil their job roles. In August, the IT Training Team had 512 attendances on various courses which is an all time record. This included delivering various training sessions to 120 new doctors. Well done to the team!

Have a good weekend and thanks for reading.

Simon

Simon Weldon – Chief Executive