Category: Health

  • EX-NASA expert in desperate plea with NHS Grampian to cut off gigantic limb that is 'ruining his life'

    EX-NASA expert in desperate plea with NHS Grampian to cut off gigantic limb that is 'ruining his life'

    A FORMER NASA computer technician is locked in a battle with the NHS over what to do about the grotesquely swollen leg that is ruining his life .

    Health chiefs claim Michael Cull, 67, will spend the rest of his days in a wheelchair if they amputate the leg.

    But Michael, who worked on the Apollo programme and is now based in Aberdeenshire , can’t understand why they won’t even talk about giving him a prosthetic limb.

    He is also at odds with NHS Grampian over the root cause of his harrowing condition.

    They say he has lymphoedema – a disorder of the lymphatic system that causes limbs to swell.

    Michael says he feels “let down” by the NHS

    But he insists he is suffering from elephantiasis, most commonly caused by a tropical parasite.

    Michael, 67, told the Record: “I don’t wish to be wheelchair-bound for life.

    “Soldiers have far worse and manage with prosthetics. Why can’t I?”

    Michael’s left leg began to swell after a car crash in London more than 10 years ago and now weighs nearly four stone.

    His condition makes everyday tasks an ordeal and morons taunt him in the street.

    Michael accuses NHS Grampian of keeping him in the dark about his options and telling outright lies about his wishes.

    In a letter to his MSP Stewart Stevenson last month, the health board’s nursing director Amanda Croft claimed Michael wanted the leg amputated.

    She wrote that amputation was “not essential” for Michael because he could still walk, but his doctors were still considering it “in advance of any definitive offer of treatment”.

    And she added: “Needless to say, if Mr Cull elects to have amputation he will be wheelchair-bound for the rest of his life.”

    But Michael insists he only suggested amputation would be best if it was the safest option. And he says he suggested a prosthetic limb, a point Croft does not mention.

    “This is a twisted pack of lies here, basically,” Michael said. “I want it resolved one way or the other.

    “If NHS Grampian can’t do it, then they should have the guts to tell me they’re unhappy about doing it.

    “I have no intention of being in a wheelchair for the rest of my life.”

    Michael now has an appointment to see a consultant in Aberdeen in a couple of weeks. But he admits he is worried by the tone of Croft’s letter.

    He said: “I haven’t even been able to see a specialist who could discuss the options with me.

    “I don’t know whether I’d lose the whole leg, half the leg, or what.”

    Michael also believes NHS Grampian have failed to properly investigate his belief that he has elephantiasis.

    A consultant in Dundee examined him last year and said he believed he had the illness.

    But tests at the London Hospital for Tropical Diseases revealed no trace of the parasite that most often causes it.

    Michael says he has asked several times for a test which tracks the movement of the parasite through the body at night.

    He said this “night test” is standard procedure when elephantiasis is suspected. And he insists surgery would have been safer and easier if elephantiasis had been diagnosed years ago.

    NHS Grampian told us they couldn’t discuss individual cases because of patient confidentiality.

    But a spokeswoman said: “If patients are concerned about their care, we recommend they contact the team in charge.

    “Healthcare professionals will work with a patient to discuss options, suitability, complexity, risks and potential consequences of procedures or treatments.

    “This is designed so the best, informed decision can be made for that individual patient.”

    What is Elephantiasis?

    Elephantiasis is a parasitic infection where a worm lives inside the body.

    Worm larvae get into the bloodstream through mosquito bites. They grow into adults and live in the lymphatic system, causing blockages and swelling in the limbs. The infection is common in India, Africa, South Asia, the Americas and the Pacific.

  • NHS under fire over £1.7m payments in wages to former employees

    NHS under fire over £1.7m payments in wages to former employees

    NHS chiefs have paid almost £1.7million in wages to staff who had already moved or left their job.

    The cash errors happened over a three-year period at health boards around the country.

    Bosses are still trying to recover more than £600,000 from hundreds of former employees despite them being contacted about the overpayments.

    Administration problems partly caused by junior doctors moving between hospitals has been blamed.

    NHS Lothian paid £658,640 to ex-staff – the highest figure to emerge from statistics released under freedom of information laws. Greater Glasgow and Clyde, Tayside and Grampian trusts paid out more than £130,000 each year over the same period.

    Politicians and campaigners yesterday called for tighter control over how salaries are paid and greater effort to recover cash owed.

    Dr Richard Simpson MSP

    Scottish Labour public services spokesman Dr Richard Simpson said: “Now, more then ever, we need a health
    service free at the point of delivery based on patient need, not ability to pay.

    “We also need our health service to have the proper resources to deliver care.

    “It’s concerning that sums of money still go uncollected when they could be used to deliver better support for staff.”

    In 2014/15 alone, NHS Lothian – the country’s second-largest health board – paid out £288,523 to 155 departed employees.

    They also paid former staff £167,552 in 2013/14 and £202,654 in 2012/13.

    NHS Lothian director of finance Susan Goldsmith

    NHS Lothian director of finance Susan Goldsmith said: “NHS Lothian take debt of any origin seriously and we’re committed to actively pursuing all overpayments and unpaid invoices.

    “We recover around 90 per cent of overpayments within the same financial year.”

    NHS Greater Glasgow and Clyde – Scotland’s largest trust – paid out an extra £141,852.84 in 2014/15, £142,186.25 in 2013/14 and £167,400.39 in 2012/13.But bosses say it’s a tiny proportion of their overall wage budget and are
    confident of getting the money back.

    A spokeswoman said: “NHS Greater Glasgow and Clyde has a total wage bill of £1.5billion per annum.

    “The outstanding overpayment figure is 0.002 per cent of our wage bill and it should be noted that a significant
    percentage of this amount will be recouped through repayment agreements with individuals.”

    A Scottish Government spokeswoman said laws prevented NHS Scotland from automatically deducting cash owed from employees who have moved to other regions.

    She added: “NHS Scotland employ more than 160,000 staff, with staff receiving an overpayment making up a very small proportion.

    “We expect health boards to follow appropriate procedures to collect all money that should be returned.”

    An NHS Grampian spokesman said: “Salary overpayments in respect of staff who have left the organisation occur mainly as a result of the employee leaving without notice or notification of this has not occurred prior to pay day in order to amend the salary payment appropriately.

    “NHS Grampian have a process to recover this money, which includes contacting the employee directly on several occasions at regular intervals, engaging the services of a debt collection agency and taking legal action where appropriate.

    “The net value of the overpayments in each of the years equates to 0.03 per cent of the total net salary disbursement and the net values outstanding equate to 0.01-0.02 per cent.”

  • 'Untreatable' strain of gonorrhoea breaks out across the north of England

    'Untreatable' strain of gonorrhoea breaks out across the north of England

    An “untreatable” strain of the sexually transmitted disease gonorrhoea has broken out across the north of England.

    England’s chief medical officer has warned that the resistant strain could become untreatable after the outbreak started in Leeds.

    The ‘super gonorrhea’ has seen further cases surface in Oldham, Macclesfield and Scunthorpe, with some patients reporting having sexual partners from other areas of England.

    Dame Sally Davies has reportedly written to all GPs and pharmacies in Leeds to ensure they are prescribing the correct drugs after the rise of a highly drug-resistant strain of the infection.

    Public Health England (PHE) said in September that at least 16 cases had been detected this year, including 12 in Leeds.

    Gonorrhea can usually be treated by taking two different antibiotics; ceftriaxone and azithromycin.

    The new strain is resistant to the azithromycin component, making it currently untreatable.

    In her letter, the BBC reported that the chief medical officer said: “Gonorrhoea is at risk of becoming an untreatable disease due to the continuing emergence of antimicrobial resistance.”

    Read more: New STD often with no symptoms could affect thousands of adults in Britain

    There were almost 35,000 cases of gonorrhoea reported in England last year and it is the second most common bacterial sexually transmitted infection in the UK after chlamydia, with the majority of cases affecting people under the age of 25.

    Infected patients may experience discharge or pain while urinating, but around 10% of men and almost half of women do not suffer any symptoms.

    Prevention: Using condoms reduces the risks

    If untreated, gonorrhoea can result in severe complications and lead to infertility or septicaemia in rare cases.

    The letter, which the broadcaster said is also signed by chief pharmaceutical officer Dr Keith Ridge, added: “Gonorrhoea has rapidly acquired resistance to new antibiotics, leaving few alternatives to the current recommendations.

    “It is therefore extremely important that suboptimal treatment does not occur.”

    All UK cases to date are believed to have been transmitted through heterosexual intercourse.

    Concerns have been growing over “untreatable” strains of gonorrhoea since 2012, when the European Centre for Disease Prevention and Control warned that drug-resistant forms of the STI were spreading across Europe.

    Read more: Dating apps blamed for STIs increase and ‘could cause HIV explosion’

    Dr Jan Clarke, president of the British Association for Sexual Health and HIV, told the BBC: “We’re really pleased that the chief medical officer has stressed that gonorrhoea needs this approach to treatment due to the rapid development of resistance.

    “We need to protect what we’ve got and we need to encourage pharmacists and general practitioners to follow first-line treatment.”

    Dr Andrew Lee, from Public Health England, added: “Investigations are ongoing into a number of cases of anti-microbial resistant gonorrhoea.

    “Public Health England will continue to monitor, and act on, the spread of antimicrobial resistance and potential gonorrhoea treatment failures, to make sure they are identified and managed promptly.”