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QALY (Split from the PROSTATE CANCER TREATMENT thread)
Posted: 19 Mar 2022, 8:59am
by ANTONISH
moderator note: this was split from viewtopic.php?t=150250
I'm afraid you've come up against the way priority is decided - by the time you get to the top of the queue you will probably be pushed off it by someone the NHS has decided it is more important to treat (young father with children perhaps).
There is also some cost benefit analysis that decides the number of years you have left in reasonable health "Qualies" or some such jargon term.
The fact that you have kept yourself in good shape all these years doesn't enter the calculation.
I've just made an appointment with my GP for three weeks hence to have a telephone conversation - I'm a youngster of 80.
I wish you well.
Re: PROSTATE CANCER TREATMENT
Posted: 19 Mar 2022, 9:12am
by Jdsk
ANTONISH wrote: ↑19 Mar 2022, 8:59am
I'm afraid you've come up against the way priority is decided - by the time you get to the top of the queue you will probably be pushed off it by someone the NHS has decided it is more important to treat (young father with children perhaps).
I don't see anything in the OP's post that suggests that.
He doesn't report having been "pushed off" a queue. He has been offered a course of treatment that isn't what he expected.
Jonathan
Re: PROSTATE CANCER TREATMENT
Posted: 19 Mar 2022, 9:17am
by Jdsk
ANTONISH wrote: ↑19 Mar 2022, 8:59amThere is also some cost benefit analysis that decides the number of years you have left in reasonable health "Qualies" or some such jargon term.
The fact that you have kept yourself in good shape all these years doesn't enter the calculation.
The NHS in England uses cost/QALY in allocating resources to interventions.
https://en.wikipedia.org/wiki/Quality-a ... _life_year
If you know of a better way for making these decisions please could you say what it is. But preferably in another thread so that this one can remain about helping the OP.
Thanks
Jonathan
Re: PROSTATE CANCER TREATMENT
Posted: 19 Mar 2022, 9:24am
by ANTONISH
Jdsk wrote: ↑19 Mar 2022, 9:17am
ANTONISH wrote: ↑19 Mar 2022, 8:59amThere is also some cost benefit analysis that decides the number of years you have left in reasonable health "Qualies" or some such jargon term.
The fact that you have kept yourself in good shape all these years doesn't enter the calculation.
The NHS in England uses cost/QALY in allocating resources to interventions.
https://en.wikipedia.org/wiki/Quality-a ... _life_year
If you know of a better way for making these decisions please could you say what it is. But preferably in another thread so that this one can remain about helping the OP.
Thanks
Jonathan
I don't know of a better way but as a general point I'm entitled to comment on topics on this forum in any way I see fit as long as I'm not being offensive
Re: PROSTATE CANCER TREATMENT
Posted: 19 Mar 2022, 9:32am
by Jdsk
ANTONISH wrote: ↑19 Mar 2022, 9:24am
Jdsk wrote: ↑19 Mar 2022, 9:17am
ANTONISH wrote: ↑19 Mar 2022, 8:59amThere is also some cost benefit analysis that decides the number of years you have left in reasonable health "Qualies" or some such jargon term.
The fact that you have kept yourself in good shape all these years doesn't enter the calculation.
The NHS in England uses cost/QALY in allocating resources to interventions.
https://en.wikipedia.org/wiki/Quality-a ... _life_year
If you know of a better way for making these decisions please could you say what it is. But preferably in another thread so that this one can remain about helping the OP.
I don't know of a better way but as a general point I'm entitled to comment on topics on this forum in any way I see fit as long as I'm not being offensive
I agree. And I find it distasteful and unconstructive to use that entitlement as a platform for wider political issues in a thread in which someone is asking for help with a very serious medical problem.
Jonathan
Re: PROSTATE CANCER TREATMENT
Posted: 19 Mar 2022, 11:33am
by Cowsham
All a bit worrying -- I'm poking 60 with a short stick and my gp has been unreachable for the last 4 years. I can't even make an appointment for anytime in the future. Seriously considering private medical insurance. ( I think that's where all our nhs doctors are atm earning more money on the side but never at their own nhs practice ) bloody scandalous.
The A&E departments and hospitals have a few trainee doctors but that's your lot around here it seems. I was quite shocked last year when I discovered the woeful state of the expertise of the doctors in the hospital when I had my bad off.
One woman consultant looked at the xrays and told me I had a broken collarbone -- I told her I wish that was all that was broken but I knew there was much more wrong. -- she wanted to send me home with my arm in a sling -- tried to get me to stand up -- I almost fainted with the pain. -- another doctor was called -- looked at the xrays and said you have some broken ribs too so sent me for a ct scan -- 12 hours later they decide I have almost all my ribs on one side plus a shoulder blade broken! Meanwhile I've been laying on a stretcher with a morphine pump.
Months later when I'd healed up a bit the thoracic consultant and I had a disagreement about where the outer end of my collarbone ' clavicle' was. I couldn't believe what I was hearing. He pressed on the acromion ( outer bony part which forms the corner of your shoulder -- part of the shoulder blade 'scapula' ) and told me that's the end of the collarbone -- I corrected him showing him the difference -- but he then insisted angrily that he was correct. I left it at that and assumed well it's very apparent you don't know -- a bit shocked.