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~ Acquired Brain Injury (ABI): from the acute hospital to early rehabilitation – more on: www.CaringforPadraig.org and www.ansaol.ie

Hospi-Tales

Tag Archives: Irish government

Surprising

20 Thursday Nov 2014

Posted by ReinhardSchaler in Uncategorized

≈ 3 Comments

Tags

German Federal Labour Court, hospital, Irish government, money

UnknownWhat did I do first thing this morning? – You guessed it. I called my Genossen. It took a while to get through to them, they are busy, even in the early morning. But then the phone rang and on the other end of the line was the person responsible for letting me know that – YES, we got the apartment. Well, it’s 99%. Next week, there will be a “Vorabnahme”. They’ll check that we didn’t destroy the apartment and if the inspector signs off, we’ll be ok to sign the new rental agreement. (Let’s just hope it won’t be the condensation-on-the-window inspector:).

There were two really interesting bits of German news today. Both pretty unbelievable.

imagesThe first one was that one of the big German banks will make large corporations pay (!) if they want to deposit their money with them. Just to make sure you get this: the corporation is putting money into the bank, presumably large amount, and rather than gaining interest from that deposit, the corporation will have to pay the bank a fee for the privilege to accept its money. – Would that be a nice little business for the Irish Government? Charge large German corporations for depositing their money with them? Wouldn’t that solve everybody’s problems? The German corporations would save money, and the Irish Government would get huge amounts of cash at 0% interest to pay for hospitals and neuro rehab, for example. Michael Noonan – do you know about this? It could save us millions!

Unknown2The second one really surprised me – I had heard about this but didn’t think it would still work. It’s a judgement by the German Federal Constitutional Court in favour of a Catholic Hospital that had dismissed a consultant (Chefarzt, no less). What’s surprising or strange about this, you might ask? Surely, doctors get dismissed all the time and there are plenty of reasons for that, as we all know: criminal behaviour, malpractice, and many other reasons. Well, in this case the hospital had dismissed the doctor because… well, because the man got married, though that wasn’t the problem either. The problem was that he had got married the second time! Imagine that. He got married a second time and because of that he lost his job in the hospital because the hospital decided that people getting married a second time should not be allowed to work in a catholic hospital. And the German Federal Constitutional Court decided that the owners of the hospital had a right to expect from their employees to adhere to the its catholic ethos. – I was thinking how lucky that hospital is that they had the spare time and resources to bring this case up to the Federal Constitutional Court to get rid of this doctor because he had got married a second time. Most hospitals I got to know over the past 16 months are struggling to get the basics right. Und überhaupt, wenn das jeder machen würde – wo würden wir denn da hinkommen?

Pádraig had a busy day today. I went to his double physio session around lunch time. They sat him up on the bedside which was brilliant to see. I had asked before whether they could try to transfer him from the bed to the wheelchair without the lift. And today we took the first step in trying. As I was the tallest in the room, they let me have a go too. I think that with a bit of practice, I’ll eventually manage. It’ll be very useful to be able to do that, especially in circumstances when we won’t have access to a lifter, like when we’ll be travelling. (There is a long list of trips, from Connemara, to Georgia, to Alaska.)

Remember? – “The accumulated clutter of day-to-day existence—the lapses of conscience, the unpaid bills, the bungled opportunities, the dust under the couch, the inescapable prison of your genes—all of it is temporarily forgotten, crowded from your thoughts by an overpowering clarity of purpose and by the seriousness of the task at hand.”

 

Conformance

29 Monday Sep 2014

Posted by ReinhardSchaler in Uncategorized

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Tags

essential services, Henry Ford, ireland, Irish government, padraig

imagesSystems work best if they are standardised, processes are predictable and can be planned, if there is nothing out of the ordinary. Henry Ford said that his customers could have their car in the colour of their choice, as long as that was black. Take it or leave it. Most systems don’t tolerate divergence very well – whatever doesn’t fit in is rejected and disposed of. This is true for industrial systems like conveyor belts, it’s also true for many social systems.

Today, the Financial Times reports that Apple will be accused of prospering from illegal tax deals with the Irish government for more than two decades when Brussels this week unveils details of a probe that could leave the iPhone maker with a record fine of as much as several billions of euros.

Preliminary findings from the European Commission’s investigation into Apple’s tax affairs in Ireland, where it has had a rate of less than 2 per cent, claim the Silicon Valley company benefited from illicit state aid after striking backroom deals with Ireland’s authorities, according to people involved in the case.

I wonder – will there be a fine imposed on the Irish Government too who allowed the world’s richest company to pay less than 2 per cent tax, when, at the same time, the health services budget was cut by hundreds of millions of euro to a point where some essential services could not be delivered anymore? When health officials justify non-delivery of essential services, like neuro-rehabiliation, by saying it offered a bad “return-on-investment”?

photoToday, a prime example of non-conformance arrived in the post. It came with a recommendation. Pádraig would love it. Stuff about his city. Dublin. Real, true Dublin. It also came with a health warning. There would be the occasional non-printable word. The CD, the letter, both nicely wrapped in a padded envelope wasn’t the first package that arrived from this friend of Pádraig’s who is making sure that he won’t get bored but will be able to listen to first-class music, and now stories from his town, his country.

Back on the ward. It’s strange to feel almost ‘at home’ in a hospital room. Though – the ‘almost’ is important here and it makes a big difference. I learnt a lot about what the concept of being institutionalised means in practice and I know that it’s not something to aspire too. It’s probably easy to agree to this but one thing is to think about it or to imagine it, the other is to experience it. Institutions have this tendency to suck up anything that has got to do with the individual, digest it, and spit out conformant and standardised people, attitudes, and practices. ‘Take it or leave it’ is another aspect of institutions, because, although you hope at times, you will never be able to change them (easily).

Pádraig is still receiving high doses of medication to prevent a re-occurrence of what the doctors called seizures from last Friday. He also seems to have the symptoms of a light cold. So today, we didn’t go out onto the roof terrace, though it was a lovely day. Tomorrow, I hope to hear from his doctor what his strategy in relation to the medication is. Pádraig never took any medication, apart from Lemsip Max. The stuff he’s getting now is ok to deal with what happened, but, I imagine, wouldn’t be anything one would like to consider over a prolonged period of time.

At the fair on Saturday, I made a lot of contacts with companies who said they’d be delighted to send a rep along to check whether their stuff fits Pádraig. Some of them were almost as interested as we are to find out whether a 2.04m person can use their things. Hopefully, they’ll start making contact later in the week, and we’ll be able to arrange something for the coming week. Even if we won’t be able to buy some of the aids straight away, to have it all tried here is a great opportunity.

Today’s German Music Tip
Desiree Klaeukens, Kompliziert.
Der Mond glüht
als würde er gleich explodieren…
Ich sag dir was falsch ist
sag mir
ob es stimmt.

What’s hot
Yourself
What’s cold
Conformance
The German word/phrase/verse of the day
Schlawiner

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