Have i just met david payne?

My uncle who is stage 4 renal failure  more likely now stage 5 was admitted into hospital again yesterday early am.
After a happy wander through the joys of ER and finally him ending up back on the ward he left friday night ( 2 days out of hospital is his new record)
I hung around as t6he first Drs rounds bumbled by and i was then told his consultant would be coming to have a chat about kidney options.

In the pm i saw a face and i thought, he looks very familiar and my 6th sense was ringing bells and firing off alarms.
Uncle said that's my consultant, dr payne.

At that point i thought really?

The guy is a total twonk.

he mentioned about uncle's kidney and said his gfr was 15.7 ( the test said 15 which given his diabetes means renal failure)
he then waffled on about the options open to him .
he said  we can do a stent.
I said hell no cos the last time you did that, uncle got 3 massives utis and spent many happy weeks in hospital, this is why he had the nephrostomy
UNcle then said she (meaning me had ocd and was fixated on stents) and wanting the stent ( he thinks a stent is quicker and he will be bout of hospital quicker, not realising he will be back in even quicker)
Said twonk then said you can't use previous experiences to decide on future decisions before  waffling on about chickens crossing the road

He then said he would be examining uncles kidney through a telescope since all the blood and fluid around the kidney ( uncle accidentally pulled on out july 11th and in his last visit after they finally fitted a new one, that 'fell out' so he doesn't currently have one in)
I said "excuse me?"
He said a telescope so we can see what is happening.

I said (in best Father Ted voice to Father Dougal) you do realise a telescope is used for seeing things far away. Things like planets, stars, galaxies?
He replied it is a small telescope

I responded i think you mean a laprascope or an endoscope, used to see things inside the body.

Uncle was saying he wanted a stent  and i was saying hell no.

At some point it is a given uncle will lose said kidney, sunday night he was wanting anyone to just pull it out he was in so much pain)
I pointed out given his history, the fact that last time they tried to reinsert the nephrostomy, uncle wet the bed on 2 nights due to all the holes they had put in his kidney and  skin with the result urine was leaking into his abdomen and then out through all the incision holes.
The fact his kidney had produced 2 teaspoons of urine in 24hrs probably meant wih all the pissing about, his kidney has given up the ghost and packed up.

In which case a stent or nephrostomy won't help except introduce more risk of infection, take the bugger out and stick him on dialysis.
I then bitched about the fact they know he will need d8alysis and thus needs a fistula and, given he is diabetic it will take weeks or longer for it to heal and embedd , assuming they can even fgind suitable veins, else it is an emergency dialysis via the neck.

I did a bit of googling when i got home  looking on linknd in etc and it does look like my uncle is under dr payne.

Me being me is now wondering what books i should take in for either me or uncle to read such as I know you are lying , the secret life of pronouns or my favorite

Effective Interviewing and Interrogation Techniques, 3rd Ed

I am also wondering if i should drop uncle off with Dr Amarals book in english.

I wonder if the hospital knows his background and paynes predilection for bathing other peoples children, the Gaspar statements and his statements re Maddie

Yikes!!!

Phew......Yikes indeed !

That's promising, a doctor who confuses endoscope with telescope !

Good luck to your uncle.

Leave the book 'madeleine' in full view for when the Dr next visit.

How's he looking these days? Full of the joys ... or a little bit anxious? Fatter or thinner?
Does he know he's off the hook or is he constantly watching his back?

Couldn't you ask for another Consultant as the present one may be called off duty for questioning at short notice

He looks thinner and miserable as sin.

He is not a happy bunny compared to all the other hospital staff i have run across in  my trials and tribulations with uncle.

I could be mean and bamboozle him with a bucket load of real technical stuff as long as i don't mind uncle screaming at me to shut up, the doctor knows what he is doing ( yeah really like the fact they yhad scheduled him for a procedure which would have killed him had i not stepped in and said woah you do realise that...) also the hospital have a nasty habit of forgetting he is ona a low salt/low sugar/low potassium diet and instead have him on full diet and then wondering why his potassium levels have rocketed.
I now check the boards and tell them write his diet on there so everyone is aware as today's staff may not be tommorows and stuff gets missed or forgotten in changeovers. ( he sulks cos he then can't have all the stuff he wants but isn't allowed)

I shall have to recheck his discharge notes and the 5 pages of blood results and then  do a crash course in renal failure 102 ( i already did 101)

Is he still at Leicester Royal Infirmary Hobs? The hospital where Sir Professor Peter Bell said my husband had an inoperable aneurysm and sent him home to die to save money?

edited to say: he did eventually have an operation at the QE in Birmingham and lived a good number of years thereafter.

A bit of advice here

Get your uncle well and away from Dr Payne first - then you can leave some reading material in the waiting room. 

PS.  I have some material that I can donate, I am sure that others have too

Get'emGonçalo wrote:Is he still at Leicester Royal Infirmary Hobs? The hospital where Sir Professor Peter Bell said my husband had an inoperable aneurysm and sent him home to die to save money?

No he isn't if this is the same guy and everything so far seems to match up.
I shall have to do a bit more visiting to discuss my uncle when he is around and get to any and every appointment  uncle has with him.

Hobs wrote:

Get'emGonçalo wrote:Is he still at Leicester Royal Infirmary Hobs? The hospital where Sir Professor Peter Bell said my husband had an inoperable aneurysm and sent him home to die to save money?

No he isn't if this is the same guy and everything so far seems to match up...

Isn't this 'our' Dr David Payne here:

http://www.ramsayhealth.co.uk/consultants/woodland-hospital/urology/mr-david-payne

http://finder.bupa.co.uk/Consultant/view/194971/mr_david_payne

...at the Ramsey Health Care UK private Woodland Hospital, Kettering, Northamptonshire - about 35 miles from Leicester?

The second link gives his main special interest as:

Female urology

Tony Bennett wrote:

Hobs wrote:

Get'emGonçalo wrote:Is he still at Leicester Royal Infirmary Hobs? The hospital where Sir Professor Peter Bell said my husband had an inoperable aneurysm and sent him home to die to save money?

No he isn't if this is the same guy and everything so far seems to match up...

Isn't this 'our' Dr David Payne here:

http://www.ramsayhealth.co.uk/consultants/woodland-hospital/urology/mr-david-payne

http://finder.bupa.co.uk/Consultant/view/194971/mr_david_payne

...at the Ramsey Health Care UK private Woodland Hospital, Kettering, Northamptonshire - about 35 miles from Leicester?

The second link gives his main special interest as:

Female urology

Yes that is his private practice, he also works in a general hospital he is on linkedin

Rather worrying I must say, just as well you were there Hobbs!

Mind you, it's not easy to forget Gerry in his very own documentary "Madeleine was here"(I think) giving a demonstration on how not to listen to lungs.  His bedside manner wasn't too hot either imo.

What was really lovely (modest man..)  is how he pushed his own trolley, selected a seemingly random spot on the capacious chest of a very large man and announced that the lungs were clear of fluid.

tigger wrote:Rather worrying I must say, just as well you were there Hobbs!

Mind you, it's not easy to forget Gerry in his very own documentary "Madeleine was here"(I think) giving a demonstration on how not to listen to lungs.  His bedside manner wasn't too hot either imo.

What was really lovely (modest man..)  is how he pushed his own trolley, selected a seemingly random spot on the capacious chest of a very large man and announced that the lungs were clear of fluid.

Yeah, his physical examination of the chest confirmed what I always thought: he's a lousy doctor.

After reading this, I'm just glad to see he is nowhere near the children's ward!!!

Hobs wrote:He looks thinner and miserable as sin.

He is not a happy bunny compared to all the other hospital staff i have run across in  my trials and tribulations with uncle.

I could be mean and bamboozle him with a bucket load of real technical stuff as long as i don't mind uncle screaming at me to shut up, the doctor knows what he is doing ( yeah really like the fact they yhad scheduled him for a procedure which would have killed him had i not stepped in and said woah you do realise that...) also the hospital have a nasty habit of forgetting he is ona a low salt/low sugar/low potassium diet and instead have him on full diet and then wondering why his potassium levels have rocketed.
I now check the boards and tell them write his diet on there so everyone is aware as today's staff may not be tommorows and stuff gets missed or forgotten in changeovers. ( he sulks cos he then can't have all the stuff he wants but isn't allowed)

I shall have to recheck his discharge notes and the 5 pages of blood results and then  do a crash course in renal failure 102 ( i already did 101)

I wonder why?

Maybe because Fiona is now calling herself Webster?

Ladyinred wrote:Maybe because Fiona is now calling herself Webster?

... which may mean David is calling himself a cab.

Gaggzy wrote:

Ladyinred wrote:Maybe because Fiona is now calling herself Webster?

... which may mean David is calling himself a cab.

Like it     !

Bamboozle a renal consultant over matters concerning kidney cancer?

snook wrote:Bamboozle a renal consultant over matters concerning kidney cancer?

My uncle does not have kidney cancer, he has stage 4 renal failure borderline stage 5.
After meeting with payne, it is clear the guy is clueless.
He has previously tried to schedule procedures which, if performed on a patient with stage 4 renal failure would have killed him had i not said hell no.In the end he did a similar procedure that was safe for my uncle.

Last year my uncle was admitted 3 times with massive UTI's which, if left to his own devices would have killed him, i kicked off and started getting ultra polite ( never a good sign when i have a complaint) whereupon he finally decided to remove the stent and insert a nephrostomy.

Despite not having a stent inserted, said payne still kept trying to call him in to have the stent, which he did not have, changed and expressed surprise when it was pointed out to him.

Regarding his nephrostomy, the prat couldn't hit a barn if he was inside the damn thing.

Multiple  attempts to get the nephrostomy tube inside resulted in lacerations to the already screwed kidney ( they have to make a small incision to insert the end directly into the middle of the kidney) it also meant that for 2 nights uncle wet the bed due to him leaking urine from his kidney into his abdomen and then leaking out via the holes in his back and side.

it now appears that with all the dicking around, apart from his kidney now being grossly abnormal and so much build up of blood and fluid around the kidney that it could not be seen via ultrasound, uncle may now have an abscess in his bladder and a huge infection going which they cannot seem to control.

I would not trust payne with a toddlers plastic spoon.

When a 'consultant starts telling me he will be investigating using a telescope, telling me that a patients previous history does not have any affect or impact on future treatment and then waffling on about chickens crossing the road, then  he is a prime target for my ire and i will let him use his own words to tell me what i need to know.

Hobs wrote:

snook wrote:Bamboozle a renal consultant over matters concerning kidney cancer?

My uncle does not have kidney cancer, he has stage 4 renal failure borderline stage 5.
After meeting with payne, it is clear the guy is clueless.
He has previously tried to schedule procedures which, if performed on a patient with stage 4 renal failure would have killed him had i not said hell no.In the end he did a similar procedure that was safe for my uncle.

Last year my uncle was admitted 3 times with massive UTI's which, if left to his own devices would have killed him, i kicked off and started getting ultra polite ( never a good sign when i have a complaint) whereupon he finally decided to remove the stent and insert a nephrostomy.

Despite not having a stent inserted, said payne still kept trying to call him in to have the stent, which he did not have, changed and expressed surprise when it was pointed out to him.

Regarding his nephrostomy, the prat couldn't hit a barn if he was inside the damn thing.

Multiple  attempts to get the nephrostomy tube inside resulted in lacerations to the already screwed kidney ( they have to make a small incision to insert the end directly into the middle of the kidney) it also meant that for 2 nights uncle wet the bed due to him leaking urine from his kidney into his abdomen and then leaking out via the holes in his back and side.

it now appears that with all the dicking around, apart from his kidney now being grossly abnormal and so much build up of blood and fluid around the kidney that it could not be seen via ultrasound, uncle may now have an abscess in his bladder and a huge infection going which they cannot seem to control.

I would not trust payne with a toddlers plastic spoon.

When a 'consultant starts telling me he will be investigating using a telescope, telling me that a patients previous history does not have any affect or impact on future treatment and then waffling on about chickens crossing the road, then  he is a prime target for my ire and i will let him use his own words to tell me what i need to know.

As a matter of interest Hobs, have you reported this consultant, Payne or otherwise, (not sure if you've confirmed one way or the other) to the appropriate authority?  From what you say it sounds like a clear cut case of incompetence/malpractice which shouldn't be allowed to continue if lives are at risk.

I find this very concerning.

Apologies,  I didn't re read and assumed cancer when I read stage 4. 
I don't have unswerving faith in the medical profession,  many of the drugs and treatments it pushes however I don't think it's right to read a few Google articles and think we can outsmart a professional who has reached consultant level. As for using the word telescope.  When an endoscope is a type of telescope.  Perhaps he uses it as some patients may not understand the technical words. Surely if he was such a goddam awful quack he'd have been out on his ear for all the death and disease he was wreaking?

This is very concerning, Hobs. Can you ask for another doctor? 
We will be thinking of you and your uncle!

snook wrote:Apologies,  I didn't re read and assumed cancer when I read stage 4. 
I don't have unswerving faith in the medical profession,  many of the drugs and treatments it pushes however I don't think it's right to read a few Google articles and think we can outsmart a professional who has reached consultant level. As for using the word telescope.  When an endoscope is a type of telescope.  Perhaps he uses it as some patients may not understand the technical words. Surely if he was such a goddam awful quack he'd have been out on his ear for all the death and disease he was wreaking?

I think Hobs is absolutely right to question him and do her own research.

As I said a few pages back a Sir Professor Peter Bell at Leicester Royal Infirmary diagnosed my husband with an inoperable aneursym and sent him home to die (to save money for the LRI) with less than 2 years to live and told me "not to allow him to get stressed". How do you stop a dying man from being stressed knowing his aneurysm could burst at any time?

I researched the whole world (almost having to sell our house to have the operation done in Chicago) and it took 18 months of those two years to fight the NHS to get him an operation here in Birmingham at the QE, the operation was successful (so not inoperable after all then Sir Professor?).

A consultant with a knighthood can get it dangerously wrong too.

http://nhsdeathrow.blogspot.co.uk/

Get'emGonçalo wrote:

snook wrote:Apologies,  I didn't re read and assumed cancer when I read stage 4. 
I don't have unswerving faith in the medical profession,  many of the drugs and treatments it pushes however I don't think it's right to read a few Google articles and think we can outsmart a professional who has reached consultant level. As for using the word telescope.  When an endoscope is a type of telescope.  Perhaps he uses it as some patients may not understand the technical words. Surely if he was such a goddam awful quack he'd have been out on his ear for all the death and disease he was wreaking?

I think Hobs is absolutely right to question him and do her own research.

As I said a few pages back a Sir Professor Peter Bell at Leicester Royal Infirmary diagnosed my husband with an inoperable aneursym and sent him home to die (to save money for the LRI) with less than 2 years to live and told me "not to allow him to get stressed". How do you stop a dying man from being stressed knowing his aneurysm could burst at any time?

I researched the whole world (almost having to sell our house to have the operation done in Chicago) and it took 18 months of those two years to fight the NHS to get him an operation here in Birmingham at the QE, the operation was successful (so not inoperable after all then Sir Professor?).

A consultant with a knighthood can get it dangerously wrong too.

http://nhsdeathrow.blogspot.co.uk/

Jill, I'm so sorry - words fail me.  I'm not an over emotional person but times like this bring you crashing back down to earth and  put a whole new perspective on what's important in life.

My heart goes out to you and yours.

Verdi