Is it any wonder the health service is in difficulties?

My wife needs her ears syringed, a simple enough job one would think. Just pop in to the practice nurse, 5 minutes job done. Not any more it has to be done "in the community". So telephone calls going through an overly complicated procedure, to be told you will hear within 5 working days. That was over a week ago, no further information. So today will be another telephone call tying up a NHS worker. What a waste of resources.
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Round here it's not syringing any more. Syringing worked reasonably well and I've had in done in Switzerland and the US, too. A few years back round here they moved to an impulse type machine, but still done by a practice nurse.
Now they seem to have decided it's a big deal, so, Doctor's appointment first so they can spend 30 secs verifying that you have indeed got earwax, then appt with a specialist who uses a vacuum cleaner to get it out of the ear(s). Daft, eh?
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On 21/05/2019 09:18, Tim Streater wrote:

Then again it might be daft not to follow the advice from NICE as to what is both more effective and safer than old-style syringes.
https://www.telegraph.co.uk/news/2017/11/27/ear-syringing-unsafe-doesnt-work-health-chiefs-warn/
NB AIUI it's still safe to DIY with ear drops and a gentle bit of irrigation, it's the "pressure washer" blast from a syringe that can do the damage
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Hardly a pressure washer. Just like a turkey baster really.
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On 21/05/2019 12:25, Tim Streater wrote:

They are not all like that. An old style metal syringe with a plunger can generate high pressure and cause serious harm. See eg
https://www.firstaid.co.uk/equipment/ear-syringe/?SKU=R21051&vat=INC&gclid IaIQobChMI7rCuis-s4gIViKztCh2sSwhHEAkYBSABEgIfY_D_BwE
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You will here get an examination and then told to get some ear drops. They are actually cheaper to buy over the counter, you put them in over a week then go back and they tell you if they can be done but won't do them you have to go somewhere else for that these days. I agree with you since a lot of these jobs are done by a different contractor, ie trust who have been hired by the ccg, then you may find yourself going miles away instead of down the road as it used to be. I had a wart removed from my bottom some years ago, five minute job in and out again. Now its classed as elective cosmetic surgery and may or may not be offered on the nhs. Brian
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Just buy yourself an ear wax curette and stop wasting NHS time/money.
VWH 3Pcs Ear Pick Ear Curette Double-ended Stainless Steel Spiral Ear Wax Removal Cleaner Tool (silver) (Amazon.com product link shortened)
Tim
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Tim+ wrote:

I think I'll stick to cotton buds ...
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On 21/05/2019 20:55, Tim+ wrote:

*NOT* recommended for DIY though,
I did manage to get an appointment with the practice nurse after trying olive oil for a week, she did direct me to try one of the rubber bulb "puffer" devices together with daily oil, and said they would try with curettes if it hadn't worked in another week. In fact the puffer (used in the shower) worked the day before my appointment. I found it surprisingly disabling even with only one ear blocked.
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On Tuesday, May 21, 2019 at 10:01:50 PM UTC+2, newshound wrote:

Entirely suitable for DIY unless you're a ham-fisted idiot.
Very simple to do and as you can feel where the curette is (which no operator can) and can control the force used, it's safer than letting someone else loose in your ear.
Tim
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Tim+ wrote:

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Generally best to use ear drops for a few days before the appointment for cleaning them anyway. Attempting to remove hard wax immediately can do damage.
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Because of consumerism/compensationitis. The risks of syringing (manual or by machine) are very small but they are there. If anything does go wrong the patient will claim they have been unable to walk or watch telly since and sue for millions. They may well write to the General Medical Council, who will duly investigate even stupid complaints, and start a social media campaign to have the doctor struck off. Despite the very small risk, it is not worth it for the professionals who have enough nonsense to put up with doing the essentials of their job.
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On 23/05/2019 19:13, Roger Hayter wrote:

I've just had my ears vacuumed by a proper doctor at a local hospital after softening the wax with ear drops.
I think that surgeries are just fed up with people asking for their ears to be routinely syringed when they don't really need it. And they don't get paid extra as they just get a capitation fee and they're private businesses.
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On 23/05/2019 23:39, Max Demian wrote:

GP surgeries do seem to be dropping many services that they previously carried out. To be fair they are taking on some other services, but I do wonder if they should be dropping so many.
SteveW
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On 21/05/2019 09:03, Broadback wrote:

Practice nurse at my GP's practice used to happily do it, but then they told me that there was an edict that they shouldn't do it any more, and I should use drops. So I brought one of those impulse-type water jet machines and do it myself.
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On 21/05/2019 10:44, Allan wrote:

We had the same here. I've had mine syringed one or two times per year for forty years, now they can't do it and I have to find a private company. So ... my ears feel blocked, I use Otex and go to the private syringer/sucker who says "can't see much wax" (that's £40 please), so I see the doc who says "they need syringing" ... loop :-(
Where is the money going that used to provide books for schools, fill potholes, support adult education, fund the NHS, etcetera, etcetera? We could afford these things before and there are now more people in the country (presumably some of the newcomers are paying taxes) so why can't we afford those things any more?
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On 21/05/2019 13:33, snipped-for-privacy@aolbin.com wrote:

Because people like you are making multiple pointless visits to the 'free' NHS.
In a recent freedom-of-information request, there are now 110,000 retired public servants getting pensions of more than average wages (£26,800), and a further 375 getting pensions of more than £100,000 per year (plus huge lump sums).
three quarters of those 375 are NHS employees, up from 110 about 7 years ago.
That's where all the money is (increasingly) going over the next 20 years.
Still, McDonnell has it all sussed out, he's going to help himself to 10% of all dividends, which are used to pay existing private annuities and private pensions in drawdown.
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As I have said before ad nauseam, businesses, whether state owned or not, have NO BUSINESS organising and paying for pensions for their employees. That way lies madness. It's not their core business so why are they doing it? All this defined-benefits and final-salary stuff is COMPLETE BOLLOCKS, is unsustainable, and should be outlawed.
Let people pay into their own pensions scheme, topped up by the employer if they feel like it.
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On 21/05/2019 22:02, Tim Streater wrote:

NHS employees do pay into a pension scheme, however the government spends it as fast as they get it and don't invest it in a fund to pay the pensions.
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