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Dean

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23 Fair

Profile Information

  • First name
    dean
  • Last name
    hough
  • Country
    United Kingdom

About me

  • About me
    i was invited because of my vids on hysteroscopy
  • Organisation
    campaign against painful hysteroscopy
  • Role
    independent advocate

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  1. Content Article Comment
    i hope one day you do not have to say this anonymously
  2. Content Article Comment
    i read this and see why issues will not be dealt with i can also see why people move to other areas of medicine and then eventually leaving if they can not simply speak up
  3. Article Comment
    then why hold a inquest if your not going to look at the source
  4. Content Article Comment
    so glad you are in a better position to face the challenges ahead please stay safe
  5. Community Post
    @Sister_Medicine on twitter said she gave a dying patient a iPad so the family could say good bye
  6. Community Post
    Sorry for the delay in response. i feel that it should only be done with C02 and that PPE for staff, including a disposable mask for patients, needs to made available and a extra 15 mins on the 30 mins allocated to be allowed for cleaning. Preferably disposable equipment as this only adds a £50 the camera stack must be swapped. I can not believe it is currently not when a manufacturer say its a potential source of infection it means it is source or infection. I believe with the current practices outpatient hysteroscopy should not be done.
  7. Community Post
    Firstly, I want to say, that I did not want to write this with everything that is going on. I did not want to criticise the NHS. But when a gynaecologist posts on twitter asking whether it is safe to do outpatient hysteroscopy and say they are concerned at this because hysteroscopies are aerosol generating procedures and there will always be some blood in some cases, I felt I needed to comment. A lot of this could be solved by using CO2. CO2 was abandoned, not solely but mainly because of the cost. It also endangers staff as close patient contact is necessary. A recent, large trial showed a 3% infection rate for outpatient hysteroscopy with vagioscopic and higher with speculum. After speaking to someone at Olympus, he thought one possible infection route might be the camera stack, as it is not always wiped down after every procedure despite a disposable sheath surrounding it. First, the aerosol effect might bounce about and second, with time constraints, incorrect removal of sheath etc. might result in transfer of infection. Is there anyone who knows if aerosol blood from a patient with covid-19 is dangerous? There has never been a greater need for sedation with analgesia for hysteroscopy, because light and mild sedation does not need intubation, which is currently a big concern, although there are steps that can be taken to reduce this.
  8. Content Article Comment
    i signed the petition as well NHS are defnatly appreciated
  9. Community Post
    It's a bit long, but here are some of my thoughts ...
  10. Patient Safety Learning started following Dean
  11. Content Article Comment
    i like the point of Stop: Focusing on compliance figures and meaningless measures. many women at barts health are having pain scores of 8 9 and 10,s (on the vas scale) in outpatient hysteroscopy theater patients that should be transferred to theater that are not
  12. Content Article Comment
    why did it take so long for them to be heard that is what i do not understand
  13. Community Post
    i have found trying to help hysteroscopy action i am sure that i am taken more seriously than a woman and not seen as a hysterical woman by both sexes. i also am concerned that know things a experienced gynecologist does not. i referenced post menopausal women are the most at risk of pain during a OPH to which he look at his nurse specialist and she nodded
  14. Community Post
    @PatientSafetyLearning Team this is defiantly not offered in the uk. the uk is very far behind in pan control and pain control studies. in fact the uk is obsessed with not using any pain relief a recreant trail at Birmingham women's hospital called the vast trail compered vigscopic (no speculum) vers speculum and found the vagiscopic method to be about 0.26 of a vas score better than speculum pain was measured o to 10 .10 being method pain the conclusion of the studie was was viagscopic should be used as default but there were pain scores of 8, 9, and even 10,s and there was a infection rate of %5 none of which was addressed i have attached the trail to top it of there is plenty of research money for Birmingham to do real pain control studies we have a working theory why they do not want to use anesthetic if you would like to her please say Vaginoscopy Against Standard Treatment.pdf
  15. Community Post
    @Claire Cox i just wanted to mention one stop clinics they are illegal and any one take up litigation would win why are they allowed NHS resolution has said all elective procedures require 24 hours notice https://concentric.health/blog/conversations-on-consent/
  16. Community Post
    i would like to say the NHS was sold outpatient hysteroscopy as easy mainly by Italians the problem is it is not it is extremely skilled and needs decades of experience to be really good at it one gynecologist from Spain has %5 failure rate and stops at VAS 5 how ever he gives 10mg of Diazepam. that high a dose can not be given in the uk and is essential to his successes rate plus he does not treat post menopausal women there simply is only a hand full of gynecologists as skilled as he is in the uk plus the training in the uk is extremely poor and accesses to proper simulators (one that score on performance they say if you caused pain) limited to a few hours if they see one at all instead they train on a piece of rubber as its only £2000 for the machine and £45 for womb simulator with 7 polyps
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