2 air ambulances, six weeks in Germany, over 10k kilometers on the odometre, 25 weeks and 4 days after the accident, 3-times pneumothorax, half a dozen CTs, dozens of x-rays, one day to Christmas Eve,… 94% oxygen saturation, 134/87 blood pressure, pulse at 102, 30% oxygen, PEEP at 6, 4 days to the six-months mark, just eight days and this year will almost be over…

I have never counted so much in my life: days, weeks, months, the number of good and dreadful news.

This morning, we got a phone call from the hospital, “everything is well, no reason to be upset, this is just a routine call to ask for your consent to a routing procedure”. An Oberärztin I had never met was on the other side of the line and said that they wanted to do a CT of Pádraig’s lungs using a contrast agent to find out more about what was causing his lungs not to heal up, and the leak to stay open. They needed our consent. In the process, they proposed to do another CT of his head; the last had been done on 18 November. The idea, the Oberärztin explained, was to get the best diagnosis possible for the recurring pneumothorax – and getting ready for a possible pleurodesis. She was doing her job on the phone but overshot the mark a little adding some unnecessary drama to the mix when she said that Pádraig’s oxygen saturation had gone down significantly last night – which later in the afternoon when we double-checked turned out to be a false alarm: that had never happened. Even Germans can make mistakes. The only way to receive the fax with the consent form, and to send the signed copies back was to go to a hotel in St Peter-Ording and ask for the use of their fax machine. They could’t have been more helpful.

WOW! See the last man standing?

Following the drama at daybreak, the afternoon brought an important meeting. On the way up the stairs to Pádraig’s ward, we literally almost ran in to the chief consultant, the Chefarzt, who recognized me as Pádraig’s father – and stopped. What followed was a brief but concise and encouraging update by the man in charge. He definitely is trying everything in his power to avoid a pleurodesis. The Universitätsklinik Eppendorf (UKE) in Hamburg are the best in Germany regarding the treatment of trauma patients. They are now assisting medical staff in Pádraig’s case – trying out all sorts of tricks that could help them avoid the pleurodesis. The chief confirm that Pádraig was responding well to the ‘feuchte Nase’ (oxygen support as opposed to respirator), no word of the dramatic fall in oxygen saturation we had heard about before… – I had, really had, and could not resist had, a memory of us stopping a rehab consultant looking after Pádraig in Beaumont, and being chastized and censored for having done so.

Rather than about ethics, I had a long conversation with Pat about the difference between the hospi-tell culture in Germany and that in Ireland. It’s not about the money, it’s not about the facilities – it is about the culture.

Two days to Christmas day. And counting.

Today’s German Music Tip
NN, Erika (1930s) – zwo, drei, vier. Some of you will remember that a DJ on RTÉ for weeks played this song in the morning to wake his listeners up! During our first year in the family Gaeltacht in An Fál Carrach in 1989, I was asked to perform a party piece. When I could not come up with one, the round of people decided to do one for me: Erika. And I was not offended. :)f
What’s hot
Caring. Doctors. In. Hospitals.
What’s cold
Another storm is brewing up
Pleurodesis
The German word/phrase/verse of the day
Entwarnung

Twitter: @forPadraig
#caringforPadraig
web: http://www.caringforPadraig.org

On the forth of Advent, Michael D. wished everyone in Ireland and, in a special way, the extended Irish family abroad a peaceful Christmas. He highlighted the core Irish values

About to turn over to 10,000km

of care, solidarity, trust, and responsibility. He encouraged the Irish people to be, in an ethical sense, one another’s keeper. While he had worked, successfully, with young Irish people in the past year (“Irish young people have pride in their country”), he announced that, in the coming year, he will focus on a discussion of ethics “in all aspects of our lives”. – I have lived in Ireland longer than in any other place, including Germany. I have spent almost all of my working life in Ireland. I know that I should be in Ireland right now, with Pádraig, together with all of his family, and all of his friends. Yet, we are a thousand miles away. And we are the lucky ones. Lucky…

Every morning, I listen to the Irish news, and I know that Michael D. will need all his strength and all the support he can get to make his efforts to focus on ethics a successful one. I hope that he will be able, in a year’s time, to look back at the year and be satisfied that he changed the ethics of Ireland’s leading classes. It’ll be a mammoth task.

Pádraig is now mostly just on breathing support; only every 4-6 hours do nurses switch on the respirator for 2 hours or so to give him a break. I mentioned before that we all have noticed an increase in his level of awareness, some slight reactions. In different circumstances, it would probably not even be worth mentioning – in his, every little step forward, even the tiniest, gives renewed hope for better times to come. He got his hair washed, as promised, and in expectation of his sisters to arrive. I had mixed up the days and had told a nurse one of them would arrive today, when it’ll be only tomorrow that she will come to Hamburg. When she was asking, Pat very kindly explained about this phenomenon of ‘senior moments’ which you can have, even if you are not that senior…

Yesterday, I mentioned the biggest police caravan I ever witnessed. I also mentioned that we broke the 10,000km mark in just six weeks. So I hope, you’ll like the short video and picture illustrating these events.

The apartment is almost ready. Just a few more screws to screw in (not more than 200 left is my guess), and it’ll be ready for the arrival of the rest of the family for Christmas. What a Christmas it will be…

Today’s German Music Tip
Marlene Dietrich, Lili Marleen (1944). The words to this song were written in 1915 by a Hamburg (!) school teacher. For some stupid reason, I just could not think of any other ‘soothing’ song, I sang this non-stop when the kids were small in an effort to put them to sleep.
What’s hot
Nights getting shorter
What’s cold
Christmas week at 14o C
The German word/phrase/verse of the day
Habseligkeiten

Twitter: @forPadraig
#caringforPadraig
web: http://www.caringforPadraig.org

When the sun stands still it’s, of course, the longest or the shortest day of the year. Today, it was the shortest day. It’s an ancient turning point. Now we’re clacking at computers, in the sickly light they throw. All jonesing for wi-fi, so we can steal more tv shows. Watching a 6 year old on YouTube, playing drums to Billie Jean. Now this is the stuff that binds us, this and all those dairy creams. Pádraig had a ticket to tonight’s Bell X1 concert in Vicar Street. What a highlight on the shortest day, just a few days before Christmas.

We discovered by accident, that the dentist had done his job: Pádraig got a teeth protector for his lower jaw. Who would have thought that this would happen. I had mentioned potential damage to his teeth in the previous hospital (because Pádraig is grinding his teeth) , and asked whether there was anything that could be done – there wasn’t. Secondary injuries there were what they called them: secondary. They could all be fixed once primary injury was improving, so they said. In the meantime, they did not really matter that much. It’s too late to think about this too much now, but I remember that this attitude made me mad and got me close to a point where I would have lost my temper.

Today, I talked to the nurse looking after Pádraig, who had just come back after two weeks of holidays. She said that she saw a huge change in Padraig’s level of awareness and the she was very impressed by his progress. She also told me that they are just giving Pádraig now 2 hours on the respirator and then go back to just the plain oxygen support for his own breathing until they see that he is getting too tired; then they switch him back on the machine. Pat was there when she cleaned his teeth. They have all the nice lemon-ny swabs here, the same we used to buy in the pharmacy in bring in to the hospital. They also have the sponges on a stick which, we were told in Beaumont, were too dangerous to be used. The cleaning starts with a soft tooth brush. The nurse explained to him what she was going to do, then she holds the tooth brush against is lip so that he feels what it is she’ll shortly place into his mouth, and only when he understands what is going to happen next, does she put the brush into his mouth and cleans his teeth. After the ‘heavy’ cleaning, the freshening up of the mouth starts with the swabs and the sponges. Needless to say, there was no time, nor the necessary resources in Beaumont to do any of this. Tomorrow, Pádraig will get his hair washed – not for the first time in Hamburg. – This was done twice in Beaumont, the week and the day before he was going to leave. In nearly four months.

This evening, the police in Hamburg had big clashes with demonstrators against the evacuation of the Rote Flora, which has been occupied by squatters since 1988. Never in my life have I seen so many police cars. Driving up the Kieler Straße towards the Autobahn, there was a convoy the took at least 2 minutes to pass by us , in full speed.

I’ll be your velcro. I listened over the phone to Bell X1 tonight, thinking about what could have been. Dieser Weg wird kein leichter sein.

Today’s German Music Tip
Xavier Naidoo – Dieser Weg (2008).
Dieser Weg wird kein leichter sein
Dieser Weg wird steinig und schwer
Nicht mit vielen wirst du dir einig sein
Doch dieses Leben bietet so viel mehr

What’s hot
Skype and mobile phones
What’s cold
2,000 police breaking up a demonstration
The German word/phrase/verse of the day
Dieses Leben bietet so viel mehr.

Unp(l)acked

I found out how to shave off 35 years of my age in an instant. I spent a day in IKEA trying to find stuff to furnish a completely empty – and I mean empty – apartment on a budget. And then bringing the bargains home in a Kia Picanto. I felt as if I was in my teens again, trying to get the first place I could call my own going on a shoestring. It felt like going back to basics, like getting rid of all the extras, unplugged.

Lebst Du schon oder schraubst Du noch?

The apartment is now full of boxes, unpacked. Also, raw and rough. It’ll be nice tomorrow evening, when all the lights have been connected, the bed built, and the tables set up.

Pádraig keeps doing well, quite alert and cooperative with the nurses. It’s all extremely modest progress, and his level of alertness is still quite restricted, but it is definitely there. There is no doubt that he is missing his friends, the talk, the music, and the nights out. And Christmas as it used to be.

PS on Easy Rider: Here is a little quiz for you. Which British singer-song writer release a song in 2012 containing the line Only hate the road when you’r missing home?

Today’s German Music Tip
Klaus Doldinger, Das Boot (1981). Soundtrack to one of the most successful movies of all time, written by Klaus Doldinger who became famous with his band “Klaus Doldinger´s Passport” jazz band.
What’s hot
Getting the apartment kitted out
What’s cold
IKEA
The German word/phrase/verse of the day
Lebst Du schon oder schraubst Du noch? (IKEA tag line, “Wohnst Du noch oder kebst Du schon?”,  turned on its head:)

It took all day and the help of a friendly van driver – but now, we are proud members of the IKEA family and got some of their unbelievable bargains (we went there because we didn’t know where else to go). This morning, we decided to take the bull by its horns and make the big jump into the cold water at the deep end (mixing metaphors doesn’t work that well here, I just noticed). So –

Tonight, I am writing to you from Forbacher Straße 11 in 22049 Hamburg. We are not quite set up yet, but we are definitely getting there. We need to do something about the curtain (it’s not much fun sitting on the ground floor of a house surrounded by other houses, with what amounts to open windows:). We’ll also need to get the fridge and a coffee machine going. The reset then will be a piece of cake.

Last night, between 9.30 and 11.30, Kila worked up the crowd at their concert to make a big noise sending good vibes to Pádraig, singing their song ‘seo mo leaba’. How nice is that! Unfortunately, we weren’t in his room when they made this big noise, but he was pretty alert most of the day today. Most of his physical readings were quite good, despite him being off the ventilator for longer periods now. He makes such a huge effort to open his eyes and to connect, he really deserves a big turn around, an awakening, a getting better in a big way. Good vibrations…!

Over the past days, I realized and remembered that part of the initial reason for writing the blog was to tell you about the stuff that is going on here: from the acute hospital to early neuro rehabilitation. Once we are over Christmas, I will do some investigating and

‘Eiskalte Leidenschaft’ in our Edeka shop…

share the results with you. Looking after people with acquired brain injuries is not something that the Irish health service does particularly well, they are even worse when it comes to rehabilitation. I will spend some time reading about this stuff, once Christams is over.

… with a special touch screen dispenser for the vices:)

We went shopping in our local Edeka shop tonight (8-22, closed on Sundays), and saw some funny and interesting posters. We also went to a Thai take-away / restaurant and found it really ‘preiwert’, with extremely nice people. We’ll have to discover this part of town over the next few weeks!

In the mean time, we’ll experience our first night in Hamburg (I’m missing the drive already:) Seo mo leaba is waiting for me:)

Today’s German Music Tip
Sido, Bilder im Kopf (2012). 33.6m hits for this song by German rapper Sido on youtube is quite something. It’s not to everybody’s liking this kind of music – but for Germany to have this kind of rapper isn’t all that bad, even if you’re not a huge fan of rap must!
What’s hot
Willkommen in der Forbacher Straße
What’s cold
Living on the ground floor without curtains:)
The German word/phrase/verse of the day
Eiskalte Leidenschaft (‘Leidenschaft’ as a word by itself is great, look up its meaning and etymology; it’s wonderful)

What do Paul Butterfield, Bob Dylan, Neil Young, Emmylou Harris, Ringo Starr, Ronnie Hawkins, Dr. John, Joni Mitchell, Van Morrison, Muddy Waters, Ronnie Wood, Neil Diamond, Bobby Charles, The Staple Singers, and Eric Clapton have in common? – They all played during The Last Waltz at the Winterland Ballrooms in 1978 in San Francisco, the farewell concert of The Band. The documentary filmed by Martin Scorsese about this concert must be one of the best concert movies ever made. I went to see it on my own when it came out (couldn’t find anyone to join me:), and I remember that having watched the movie, it almost felt like a religious experience.

I Shall be Released was one of the songs I’ll never forget: “They say everything can be replaced. They say every distance is not near. So I remember every face of every man who put me here.” And then a few songs from the soundtrack of one of my favourite movies, Easy Rider (I have been trying for months to persuade my family to watch the movie with me without success): The Weight could almost be a modern Christmas song –  “I was feelin’ about half past dead; I just need some place where I can lay my head. “Hey, mister, can you tell me where a man might find a bed?” He just grinned and shook my hand, and “No!”, was all he said.” And watch the Easy Rider Intro at 1:35 when Henry Fonda gets rid of his watch, and drives on his beautiful bike into the sun across the Colorado River together with his friend Henry Fonda.

In Road movies the heroes always go from one place to another place. I have the feeling we are suspended in time, not coming from anywhere and not going to anywhere. The days are like the Irish weather: impossible to predict, and always mixed. A bit of this  (hope) and a bit of that (drama and despair). Overall, they are so similar that they are difficult to tell apart. Which day is it again today? I am trying to mark them, to make them different.

So, today was the day that Pádraig’s favourite nurse was back. Remember her from the first week? She is still the most caring and nicest and concerned person around. But this was only the second most important thing to happen. The most important thing was that Frau Oberärztin had a chat with us to explain that they will not operate. Instead, they will try a ‘new’ trick to help Pádraig with his left lung, and to avoid an operation, or pleurodesis: They will take him off the ventilator (2 hours on, 2 off) and they have reduced the pressure of the air being pumped into his lungs in the hope that this will allow his ruptured lung to heal ‘by itself’.

Today, his two friends left and aother very good friend arrived. With a bit of gossip, and a hardcover. It’s great to be here and still communicate, with 4

Today’s German Music Tip

Hannes Waden und Konstantin Wecker, Schon so lang (1982). – One of those German songs expressing exhaustion, emptiness, and the hope that once you get to the Mediterranean sun, all will be ok – “Bin müde und leer, will nach Süden ans Meer – schon so lang…”
What’s hot
Easy Rider 
What’s cold
Driving the same road again and again and again…
The German word/phrase/verse of the day
Bin auf meinem Web, schon so lang. (Hannes Waden)

When you go into Des Kelly’s in Dublin and ask for a cheap mattress and bed, you have one choice. You might ask for the next best set, and go for that to make you feel a bit better.

Yesterday, we went into Dänisches Bettenlager, a discount store for mattresses and beds, and ask for a cheap set. Turns out they don’t do cheap, they only do ‘günstig’. We found a bed that was ‘worth it’ pretty quickly. Next on our list was a cheap mattress, sorry: one that was worth its money. What happened next was a lesson in intercultural studies and alterity. It took me 30 minutes to understand, at least to a degree, all the different types and qualities of mattresses. We were told that, yes, they had cheap foam mattresses, but under no circumstance would they sell one of these to us. I was too tall, too heavy, and too old to sleep on a simple cheap foam mattress. So we had to keep looking and checking until we finally found the one that struck the fine balance between what was just about acceptable (not to us, but the sales assistant), and what we could afford. When I thought we had everything covered, it turned out that we also needed a flexible ‘Lattenrost’ between the bed and the mattress. We had thought that it could not get much more complicated. Little did we know. A day later, and we are still looking for a bed, Lattenrost, and, above all, for a mattress. We learned that, for Germans, mattresses are extremely important. It seems, that you can sue that shop for selling you inadequate and cheap combinations of Lattenrost, mattress, and bed – if you survive the highly dangerous ordeal to actually sleep on them. And the shops take no risks! We’ll be trying again tomorrow.

Today, Pádraig did have a third pneumothorax – the one we had been told about before but which turned out to be a false alarm. After about 10 hours without the pump producing an artificial vacuum in his lungs, his left lung collapsed again. Now, they started to look into the possibility of performing a procedure called pleurodesis that would artificially glue Pádraig’s lung to his chest cavity. If they do it, he will have to be moved to another Hamburg hospital at least for a day. We are, of course, concerned but are wondering, whether this is really something to worry about, considering the bigger picture. The whole thing could drive you bananas… There doesn’t seem to be an end to the drama.

Two of Pádraig’s friends were again with him today, another one will be joining tomorrow. While Pádraig was pretty relaxed and tired today, I am sure he feels their presence and their deep and never-ending friendship – one of the most valuable things anyone could ever hope for.

Today’s German Music Tip
Juliane Werding, Am Tag als Conny Kramer starb (1972). More than 2 million clicks on Juliane Werding’s performance in the German Hitparade on 19 Feb 1972 – you will recognize the tune. Having watched Juliane performing her number 11 all these years ago, I was instantly ready to take Conny’s place on Juliane’s side, and spent the rest of the day, and night, teaching myself this song written, as I found out years later, by The Band. So Conny Cramer turned out to be Virgil Caine who served on the Danville train… and I had my first identity crisis.

What’s hot
Mattresses 
What’s cold
Pneumothorax of the third kind
The German word/phrase/verse of the day
Günstig
Kaltschaummatratze
Den Kopf voll verrückter Ideen

Apparently, E major and E minor are very sad keys. C and G major are happy keys. There are keys for all sorts of emotions. Today, we got our 10-minute-away-from-the-hospital key, with great emotions attached to it. It took a while to get them: first, we had to hand over the money to the ‘Genossen’, covering our shares in the Genossenschaft. Then, we met a lad with a laptop, mobile printer, and smartphone camera, who checked out all windows, doors, and taps; the cellar; as well as the electricity and the water meters (imagine, there is a water meter just for our appartment)! Apart from all those meters and the kitchen sink, the place is very bare. And absolutely unbelievably clean. ‘The way you will have to hand it back when you leave’, said the man responsible for the handover. Then he printed out his report (on his mobile printer), in duplicate copies, asked me to sign it, and, finally, handed over the keys to the front door, the apartment door, the post box, the yard door, and the door to the basement. In triplicates. I put them with the arch lever folder holding all the copies of all the agreements I had signed over the past days – just with the Wohnungsbaugenossenschaft. Once we’ll have the electricity, water, TV, and internet connections all sorted, I’ll need another arch lever folder. Good job we did not have to buy one, we got a Wohnungsbaugenossenschaftsordner handed over with the keys.

We arrived 5 weeks ago today. At that time, I decided to start writing this blog every day for a few minutes to describe and follow Pádraig’s way from the acute hospital to early rehabilitation. Having got some experience of an US-based hospital, then an inside into the Irish healthcare system, and now living it in Germany – I wanted to share the experiences in with German neuro rehab facility, the like of which there are 3 beds in Ireland. (Little did I know how long writing this would take me, and how tired and exhausted I would be in the evening when I was writing it.)

Pádraig got new visitors from Ireland. Two of his friends arrived today! You will remember that there are only 2 visitors allowed at a time on Pádraig’s ward. Today, we were in there with 5 people simultaneously at times, and were still warmly welcomed. This was exactly what he liked: chat, a crowd, and some good stories. While nothing in life is certain, we are certain now that his opening of eyes and squeezing hands is no coincident or reflex. It is clearly in response to family and friends arriving, and an acknowledgment of their presence. How very much joy the smallest of things can bring!

Today’s German Music Tip
Andreas Bourani, Nur in meinem Kopf  (Mai, 2011)
What’s hot
Awareness, Keys
What’s coldd
Formulare
The German word/phrase/verse of the day
Es ist so wie es ist.

Most times, we don’t like the idea of something coming to an end. The end means change, and change is often difficult to manage. People really change only in response to a crisis, they change because they have to. So do systems.

Christmas Market in Tönning

Today is different. Today we have a good this-is-the-end story, at least this is what they want to make us believe. Today is the end of the bailout programme for Ireland. But Noonan warns: “We can’t go mad again!” (RTE news). (I wonder whether there is a connection with a punch line in the recent This is the End movie: “They’re partying like there’s no tomorrow. And they might be right.” (This is the End, June 2013).)

“While Athens burned and strikes paralyzed Lisbon, Dublin remained calm enough for politicians to take a different tack: stealth, deference and diplomacy in cozy chats over drinks in Victorian bars. There were Sunday afternoon crisis phone calls, successful efforts to charm the Germans who would ultimately decide the nation’s fate”, wrote Dara Doyle, Joe Brennan and Brendan Greeley for Bloomberg on 13 Dec., last Friday. – Drinks in Victorian bars, this is how it’s being done.

Among all the celebrations and sense of achievements, there is also a sense that it’s not all over yet.

• Ireland exits bailout with warnings of more austerity (Bangkok Post)
• Few cheers as Ireland’s rescue ends (CNN Money)
• Irish bailout exit ‘not end of the road’ (Sky News)
• Ireland faces more austerity as bailout era ends (ABC News)
• Bailout exit does not mark end of Ireland’s financial crisis (The Guardian)

And this is the reality: In 2008, Ireland’s national debt was €79.6b, 44.2% of GDP, and €17,889 per capita. Last year, it was €192.4b, 117.4% of GDP, and €41,941 per capita. Listening to the news over the past week, it’s clear, as incredible as it might sound,  that for many many people the party is not yet over. –  “They’re partying like there’s no tomorrow. And they might be right.” (This is the End, June 2013) – There is not even a sense of wrong-doing. They still think it is alright. And it’s still official government policy to charge virtually no tax to multi-nationals in Ireland – while even their own shareholders are complaining about companies that apparently are sitting on $170b of cash.

Tönning’s old warehouse converted into a giant Christmas calendar

I have had enough – not so much of bankers, builders, and politicians; failed health systems, and a lack of care for the most vulnerable in society – I got over those some time ago (and have lost ‘faith’ and hope). I have had enough of beeping machines, long hollow corridors, rubber tubes, needles, bandages, and beds you can move into any kind of direction. I am ready to see the end of this. So, as the church year comes to an end, Christmas is nigh, and 2013 is just a few weeks to go, the time has come for an end and a new beginning.

This is the end is also a song by The Doors. Jim Morrison once said that “Everytime I hear that song, it means something else to me”, and “I really don’t know. I think it’s sufficiently complex and universal in its imagery that it could be almost anything you want it to be.” I want it to be the end of suffering for Pádraig, and his return to a meaningful life with his family and friends. – This week again, he will be visited by some of his friends, and they will notice how much more alert Pádraig is and how well he reacts to his friends being around him, supporting him, providing him company. This is the end, and a new beginning.

Today’s German Music Tip
Wolf Mahn, Deserteure (1983). I had completely forgotten about Deserteure – one of the most popular songs with German students during the cold war (“Die roten Flecken aug meinem Hemd sind Wein und nicht Blut”)
What’s hot
Can’t wait for the key to the apartment. Visitors. 60% discount on Hamburg Hotel.
What’s cold
Rubber tubes, beeps, band aids.
The German word/phrase/verse of the day
Wir stoppen das Rad der Geschichte
Du und ich, Hand in Hand
Wir flüchten vor Fahnen und laufen über
Ins Niemandsland
– Denn wir sind Deserteure… (Wolf Mahn)

I had to look it up: candor (or ‘candour’). Having lived and worked in Ireland for more than 27 years, I don’t recall to have come across this word ever before. I might just not remember it. It’s also late and it has been a very long day… For those of you who, like myself, cannott remember to have come across the word before – it means openness, honesty, sincerity. Duty of Candor, at least in the U.K., has come to describe the concept that a public authority should not seek to win the litigation at all costs but to assist the court in reaching the correct result and thereby to improve standards in public administration. A solicitor’s firm describes the concept on their webpage as follows: the contractual duty of candor in Healthcare will be an enforceable duty on providers to be open and honest with patients or their families when things go wrong ensuring they receive prompt information about their medical problems.”

Ms Justice Mary Irvine was quoted by The Irish Times on 29 November as saying that “she rarely made remarks about the conduct of a defendant in defending a case but this was the second case before her this week where the HSE had delayed in admitting liability, causing additional stress and fear for the children and families involved”. The ‘delay’ she was referring to lasted 5 years!

According to the Irish Medical Organisation (IMO), “Doctors have a duty of advocacy as laid out in the Medical Council Guide to Professional Conduct and Ethics for Registered Medical Practitioners.  (…) Advocacy is “to promote the patient’s best interests within a disjointed system of which sections often have competing priorities”. (…) Advocacy is about navigating patients through the health system or representing patients, particularly vulnerable patients and speaking out on their behalf. (…) It’s about “assisting patients in their contacts with the HSE and other health professionals” and acting as “mediator, supporter”. ”

Now, there are significant delays in getting early intensive rehab for patients with brain injuries in Ireland. Waiting times for a 3-months stay in the one and only National Rehabilitation Hospital (NRH) are about a year. This is intolerable and the consequences for patients are dire. Where are the health professionals speaking out against this situation? Where is the Advocacy doctors and consultants have a duty to exercise on behalf of their patients? How can injuries and damage to patients be tolerated because of lack of appropriate care? Where is the duty of candor doctors and consultants should exercise when working with patients? In my experience, doctors often close ranks and, instead of being the patients’ advocate, accept the prevalent lack of resources and treatment facilities, instead of campaigning for change.

When this practice comes out in the open, people are shocked and judges quite frank, like Ms Justice Mary Irvine was in late November.

Pádraig’s condition has not changed that much over the past days. However, he is definitely more aware and awake these days. I reacts to people arriving at his bedside and talking to him by squeezing their hand and opening his eyes. He is still in a coma, but showing very definite signs of regaining a small bit of his consciousness. Today, the nurses had moved up the back end of his bed, so that he was almost in a sitting position – great stuff for his circulation and lungs. Talking about his lungs: we were told that they will start trying to reduce the artificial vacuum on his left lung most likely on Monday, and then try to wean him off this tube, hoping that his lung will stay inflated.

Monday will also be the day we will receive the keys to our new ‘home’ in Hamburg. The place will be empty – but freshly renovated. We started to think about where we’ll get lamps, curtains, beds, … As much as I like our little Ferrari-red KIA, the thought of not having to get into this thoroughbred-like racing machine, for one or even a few days, is extremely attractive. Can’t wait, to be honest.

Today’s German Music Tip
Udo Lindenberg, König von Scheißegalen (2013). This is one of my all-time favorites, you might want to follow the lyrics to appreciate it. Udo lives in the Hotel Atlantic in Hamburg which we pass every day on the way to the Schön-Klinik.
What’s hot
Duty of Candour and Advocay.
What’s cold
Compliance with the status quo.
The German word/phrase/verse of the day
König von Scheißegalen

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