Thursday, 11 July 2013


A local STOCKWELL NHS patient approaching his 75 birthday recently consulted his local GP because one of his legs at the knee was giving painful symptoms of something or other as it had never ever done so previously. Being diabetic there was concern on his part that the pain was somehow a worsening aspect of that health condition.

It transpires that it was not a diabetic complication. So what was it? Well there’s the rub so to speak. The patient was referred to ST THOMAS's HOSPITAL for an XRAY to be made of the knee joint. The patient attended ST THOMAS' HOSPITAL and the XRAY was made no fuss no bother.

Ten days or so later the patient attended his GP to get his XRAY result. His GP explained briefly that the XRAY had shown some damage to the knee bone area – tiny fragments of bone broken and lodged inside the knee bone area and obviously presumed to be causing the occasional discomfort. It was reckoned to be an old injury although no pain had been experienced prior to the present episode.

The patient towards the end of the appointment thought to request to see the XRAY. He was to be referred to a surgery physio for follow up sessions but the GP surprisingly stated that the GP is not given a visual copy of the patients XRAY only a verbal brief narrative description.  Disappointment Plus!

So the patient thought several days later to write to his GP to state that he would like to see the XRAY and would be minded to drop in on the ST THOMAS's Unit where the XRAY was made. The GP replied sending a copy of the very brief hospital verbal narrative explanation – in highly academic medical jargon virtually incomprehensible to the patient, And the GP informed him that there was no provision whatsoever for visual details of his own XRAY to be made available at ST THOMAS' – the clear presumption being that is was a non-starter.

On the GOOGLE INTERNET as above there are many diagrams of the bone and associated structure of the knee but the images to not explain to a non-professional how that whole works together or how the said tiny broken bone fragments would hopefully co-exist within the knee joint.

So there you go – the year is 2013 and a patient in his mid seventies with an internal bone structure knee injury is denied access to see his own knee joint hospital XRAY! A bit like being kneed in the testicles. Is a second XRAY of the latter testical area on the menu? We’ll have to wait and see.
Approaching the age of 75 so it’s still early days!!!

Immediately below is the brief hospital medical jargon XRAY narrative - 
" XR Knee LT : 

There are several calcific fragments adjacent to the tibial 
tuberosity with mild overlying soft tissue swelling.  
Apearences are likely to represent a prominent 
enthesopathy/ old avulson injury"


At 12 July 2013 at 03:50 , Blogger Martin Dixon said...

They are probably scared shitless that if you got hold of that x-ray that you would get a second opinion and sue them senseless.

At 15 July 2013 at 06:05 , Blogger linodee said...

Hi Kilroy,
It looks like your fcuk knee is bugging you! I understand from your viewpoint that the NHS has screwed up all along the line. Do the the NHS fat cats put patients first or are them they hellbent on bumper bonus! Daniel Defoe


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