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Sunday 26 June 2022

Refugees

My mother left Germany in the mid 1930's & came to England on her way to Australia. She never got there because she met & married my father. She would never talk about it & sadly I didn't pursue my many questions. She had a difficult time here during & after the war & I remember being bullied as a child because of her nationality & my Christian name being German.

Now I'm helping a TEFL teacher teach Ukranian refugees learn English. We are dealing with highly specialised complex needs, they are refugees from a war zone & have experiences we can only try to imagine. Some need one to one specialist teaching & counselling. We don't have the resources to  give them that. The level of English varies hugely from children & adults who can hold a reasonably complex conversation, to those who find concentration & understanding really difficult.

It would be helpful to do a baseline assessment on all the attendees - Speaking, Listening, Reading & Writing. But that would take time & enough volunteers. We are in danger of losing the bright ones if they are bored with the level & repetition of simple vocabulary, or the slower ones if what we do is too difficult. We also need individual information about them, age, education etc. But we never know who will arrive & who won't.

In conversation with quite fluent children it became obvious that the educational culture in Ukraine is very different to the UK. The expectation of the children is high, they have a lot of homework, are expected to work hard during the school week & even weekend activities seem to be very controlled. That may be because the children I had came from middle class families.

The war in Ukraine & general refugee situation looks as if it is going to be long term. We need to organise contact with other people / groups who are running TEFL lessons. The work volunteers do is wonderful, but it needs to move to another level. Group organisers need to get together to share good practice & lobby for financial & practical support. The woman running the group I work with pays for a huge amount of material out of her own pocket. The government, typically, is just taking advantage of voluntary groups, churches & individuals. 

I also think that TEFL lessons need to be more inclusive, there are thousands of adult & children refugees. The vast majority of people who seek asylum in the UK have fled countries ravaged by war and human rights abuses. In 2015, the largest number of asylum applications to the UK came from nationals of Eritrea (3,695), Iran (3,242), Sudan (2,912) and Syria (2,539). But we haven't mobilised help for them in the way we have for Ukraine. According to the UNHCR, by mid-2015 there were 117,234 refugees, 37,829 pending asylum cases and 16 stateless persons in the UK. That’s less than one quarter of a percent of the UK’s total population (around 0.24%). 86% of the world’s refugees are hosted by developing countries. In June 2016, there were around 4.9 million Syrian refugees worldwide. Around 3.6 million of these refugees were being hosted by just two countries – Turkey and Lebanon.

Shades of Kharkiv: Parallels between the conflicts in Myanmar and Ukraine

https://mrsn.org.uk/facts-about-refugees/

We need to better empathise with refugees instead of being protectionist about our borders. Offloading  them to Rwanda isn't a solution to the criminal, people trafficking, gangs. Where is our humanity in that?

















Sunday 19 June 2022

Covid Crash

I'm not sure what I expected, but not quite this. I haven't been able to find much information about what to expect if you are fully vaccinated, clinically vulnerable & elderly. There is a list of symptoms, but quite a lot don't apply to me. 

  • I don't have a high temperature, but do have bouts of hot sweats
  • I don't have a cough or sore throat at all
  • I haven't lost smell or taste
  • No diarrhoea or sickness

 I do just feel unwell & have 

  • Headachy symptoms & a weird fuzzy feeling in my head
  • Muscle aches
  • Breathlessness & an ache in the centre of my chest when I breathe
  • My legs feel like jelly, I've been totally sedentary for a week now
  • Complete lack of energy, unable to resist falling asleep

I know my body & I know this isn't the normal symptoms I have from chronic conditions. Normally I am able to carry on a reasonably active life day to day. A week of almost total inactivity isn't normal & is very frustrating. All I do is read, watch TV, work on my computer, or sleep. There are so many things I need to do, but I just can't do them physically or mentally. 

I understand that we had to move forward from isolation & shielding. I just feel that we are possibly relaxing too much. Covid is very debilitating even when you are fully vaccinated. I don't understand why so many have stopped wearing masks & distancing in enclosed crowded places. I don't feel that I can now avoid unwanted contact with possible carriers. The fact that I have got covid proves that I can't.

I'm a statistic.

 


 

Friday 17 June 2022

Legacy

A legacy isn't just something you leave behind you when you die. It's something you are creating the whole time you are alive. How you live your life, what you do, what you don't do, what you give freely to others, what you keep for yourself, the truths & lies you tell.... The actions & beliefs of each of us matter.

We tend to think of legacy in terms of money & property. How much we have amassed, what we own. The status we have. But we can't take any of that with us on our final journey. So we have this notion of inherited wealth. We pass it on to our friends & family. The hope of a legacy can tie people to us in hope of benefit. (Much better if they actually like us for who we are.)  But wealth can also be a "poisoned chalice" because money & property changes people.

At 77 I think about how long I might have left. I think about what I have done with my life & what I could have done. As I've aged I have become more introspective. I think we all know, deep down, our own strengths & failings. Hopefully we learn to be better people as we go through life.

We don't get to go to our own funeral & hear the Eulogy. I'd really like to know what the people who have known me think of me. But then Eulogies can be works of fiction. People don't like to "speak ill of the dead". Many people find being really honest with friends & family about their strengths & weaknesses difficult. We try not to hurt peoples feelings. 

If we all thought more about our individual impact on those around us & the world we live in, perhaps the world wouldn't be in the mess that it is now.

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"We all die. The goal is not to live for ever. The goal is to create something that will" - Palhaniuk


Tuesday 14 June 2022

Covid Positive

I felt quite unwell yesterday. But I've been having a lot of vision problems so I thought it was that. When I stupidly went for my normal swim I discovered that it wasn't. So I did a lateral flow test. Positive! I've evaded it since 2020, but it's finally caught up with me.

I notified everyone I've been in contact with. My builders went home till next week. Because I'm clinically vulnerable I also notified the NHS. Fortunately I did a big food shop on Sunday & wore a mask. I'm used to being solitary, so it isn't a problem. The symptoms are relatively mild at the moment.

Now we are in the 3rd year we all know so much more about Covid & how to deal with it. There are systems in place. There is an app that works. Most people are vaccinated. It's all so much more positive than in 2020 when fear was predominant.

It is like a game of dominoes though. One piece falls & all the others follow. The knock on effect of Covid still needs to be taken seiously. We have all relaxed, because the extremes of shielding etc weren't viable long term. We have a more positive attitude to adapting to Covid.

But the pressures it is putting on the NHS are still there. Staffing & funding issues remain. Patients feel that their access to medics has been severely & permanenetly curtailed. Phone triage doesn't work for everything. The changes in the way the system operates are possibly necessary, but for patients they are not positive. We value a face to face consult with our doctors.

The morale of Medics has been knocked hard. 

https://www.bma.org.uk/advice-and-support/covid-19/what-the-bma-is-doing/covid-19-the-impact-of-the-pandemic-on-the-medical-profession

https://www.bma.org.uk/advice-and-support/covid-19/what-the-bma-is-doing/covid-19-how-well-protected-was-the-medical-profession

It is really important that the government, the NHS & Medics associations honestly evaluate what has happened during Covid. There will be other pandemics & emergencies. We need a NHS that is ready to deal with them.

At the moment the outlook is not positive. Privatisation really won't help patients.

 

Sunday 12 June 2022

Patient Rights

I am a "heart sink" patient. A "thick file" patient. I seem to have had health problems since I was a child. Some conditions are chronic & will never be cured. (Hence "heart sink"). Some have required surgery. (Hence "thick file"). The NHS has always been there & has done it's best. Sometimes very effectively. Sometimes not so well. Neither the organisation nor the medics are perfect. I accept that & am grateful for the unique service we have in the UK.

But now I think there is a real problem. It's easy to blame Covid, but it pre dates that. It was an accident waiting to happen. (Sorry, couldn't resist!). The organisational & political flaws have been there for a long time.

https://www.bbc.co.uk/news/health-50290033

We used to say that the system worked well if the problem was acute. A&E for example. No longer true.

https://www.nuffieldtrust.org.uk/resource/a-e-waiting-times#background

Patients are waiting for treatment for many hours in many hospitals. Patients are waiting to be admitted to hospitals that have no room. Patients are waiting to see a GP or even just to have a phone triage. 

https://www.bma.org.uk/advice-and-support/nhs-delivery-and-workforce/pressures/nhs-backlog-data-analysis

The NHS itself is a "critical patient." There aren't enough medics at any level. Those that we have are demoralised & under pressure. Unsurprisingly they are leaving. To go where? Retirement. A less stressful job. Or to the private sector where the pay & hours are better.

What is the political solution to this malaise?

https://www.kingsfund.org.uk/publications/comprehensive-spending-review-health-and-care-spending

As far as I can see the government remains committed to privatisation as a solution to the NHS ills.

https://www.kingsfund.org.uk/publications/articles/big-election-questions-nhs-privatised

We follow the USA, which is odd given that they probably have one of the worst public health services in the "developed" world. If you can't pay you are unlikely to get treatment. One fifth of Americans cannot afford healthcare.

Currently I can't see properly in one eye. I need laser treatment to clear the lens implanted years ago when I had cataracts. They implanted a "reading" lens in the left eye & a "distance" lens in the right. It's the right eye that is like looking through fog. I can actually see further with the left eye. I'm going to have to wait until it's worse to get treatment. This isn't life threatening or painful. I accept that. I'm not a priority, I accept that too. 

People are in severe pain, disabled & even dying because they haven't had timely treatment in the UK. How have we reached the point that is acceptable? We have a government that pays lip service to a "free at point of need" health sevice, while consistantly underfunding & under resourcing.

https://nhsfunding.info/nhs-crisis-making/

The patient is sick. Call a doctor!

http://www.wolfescape.com/Humour/MedPicts/BitOfAWaitMedSchool.gif


Friday 3 June 2022

"Have Gun - Will Travel"

An American western series that was produced and originally broadcast by CBS on both television and radio from 1957 through 1963 starring Richard Boone. There were 225 episodes & I remember watching it as a child.

https://flxt.tmsimg.com/assets/p399020_b_v8_ac.jpg

How can Americans accept as normal, not only the regular killing of their children, but school lockdown drills? https://edition.cnn.com/.../school-shooting-lockdown-drills/ I don't think any other countries in the world do this. The UK has had 1 school shooting in 100 years. Is the "freedom to bear arms" really worth this?

"It’s questionable that the Founding Fathers envisioned the Second Amendment constitutional right to bear arms would serve as a shield in the face of mass shootings of children..... Factors like mental illness, alienation and inner rage are among the reasons often cited or discovered after an event. America is not unique in having mental illness among its population. These are human traits in other countries too. Only in America do they manifest themselves regularly in mass shootings that leave families grieving, communities broken, and too many elected officials incapable of coming together. (Precis from Washington Post - the voice of reason. Not all Americans are obsessed with having guns).

https://www.bbc.co.uk/news/world-us-canada-41488081

American history has a lot to do with gun policy. Particularly, I imagine, the "Wild West" & settlement, then the "Civil War".

https://www.loc.gov/classroom-materials/united-states-history-primary-source-timeline/ 

Every country in the world has it's own culture & history. But that shouldn't be set in stone. Human beings have intelligence & can choose. Change is normal & unavoidable. People need to know when & how change is necessary.

I sincerely hope that Americans have the courage to reassess & change their gun laws & stop the carnage of mass shooting & murder on the streets. It will take political courage & will. It will be difficult. But America's children deserve the adults to act now.