Dr Dan Goyal Profile picture
Jul 19 11 tweets 2 min read
Germany trip comes to an end.

She managed chemo well and we protected her from Covid, despite everyone else getting it.

We spent money we didn’t have doing it, but money comes and goes.

Was hard not to compare with U.K…

1/8
The cancer treatment feels worlds apart from the current U.K. provision.

Presents to GP with red flag symptom…GP does ultrasound…CT scan that evening…diagnosed, staged, and portacath (for chemo) placed by Wednesday - 6 days!!!

Meanwhile, U.K., Thousands wait months!
U.K. airport was depressing in comparison to German one.

Crowded together like cattle with little respect for social space or those clearly more vulnerable to Covid in U.K. vs Germany.

1 in 10 masked versus about 1 in 4 in Germany.
I remember thinking, how during a peak in Covid cases - when wearing a mask and respecting space for a few weeks would DRAMATICALLY reduce the chance of missing catching a variant of Covid - how easily manipulated we are (me included).
I thought beyond Covid and worried about how much the U.K. is becoming like the U.S. - exploiting the people becoming the prominent motivation for change, even at the highest levels of government.

Doesn’t bode well for other global threats - climate, pandemic, poverty…
The support given to the public during Covid in Germany was also impressive. Even now, sick pay is supported for mandatory self-isolation if contagious, it’s easy to get a free test, and young families are supported - 250€ per child (<3yrs) per month.

Added to normal stuff…
3 yrs paternity/maternity leave (between parents) with 60% pay. Generous child support regardless of income…

They want their citizens to have children!

To help with cost of living crisis, trains (non-high speed) are 9€ for a pass.

Unleaded - £1.65/ltr.
All health and social care settings are still protected from Covid - test before going to visit and FFP2 masks required.

Masks on all public transport.
Germany is far from perfect. It’s no Japan, New Zealand, South Korea, or even Norway,…but there is a clear sense that there is thought about what is good for the people, not just the elite business owners.
Finally, it reminded me that while the U.K. is in a regressive spiral and we are clamouring just to get back to pre-pandemic standards, many countries are still making huge leaps forward in raising the standards of living for their citizens.
It’s not just about recovery, it’s about the lost time and progress under a leadership clearly unable to balance society, business and health of the population.

I realise now, just how important it is to stay engaged with politics!

Still glad to be home!

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More from @danielgoyal

Jul 16
Health Info:
Not sure how hot it's going to get, but the forecast is for a few days of potentially dangerous heat.

Some advice:
> BE really careful with those who can't easily take action to cool themselves - Babies, infirm, intoxicated, animals, etc,
gov.uk/government/pub…
>Avoid direct sunlight or areas that trap heat, like cars, prams, in front of windows, small rooms with no airflow, etc...

> Avoid exposing your skin or head directly to sunlight.

> Wearing light, baggy clothes when in the sun is much better than shorts and T-shirt. Image
> Hydrate. Water is best. If you are (like me) an avid tea drinker, even in the heat, then try having a cup of water every time you make tea or coffee.

> Try and keep sunlight out the house...close curtains and blinds.

> Open windows if it is cooler outside than in.
Read 7 tweets
Jul 13
It feels proper gloomy just now. Government unhinged, cost of living is ridiculous, healthcare crisis deepening, Covid back with a vengeance, climate change on our doorstep, media falling into an abyss,..

But I'm not sure things are quite as bad as they seem...
I think we are beginning to realise how intertwined all these issues are, or at least why they are not being managed properly...Leadership!

We'll come back to that.
First, Covid.
It's easy to feel betrayed by the government. They told us it was over. It clearly is not. They said it was like the flu. It clearly is not. And yet, most of us have pulled the trigger on getting back to normal, and many of us really don't want to go back!
Read 14 tweets
Jul 10
My wife has Covid, again.

She is in Germany looking after her Sister's kids as her Sister gets treatment for cancer. The kids have Covid too.

The husband brought it home after his boss came to work with Covid.

Now, my SIL can't go home, must go through chemo on her own...,
won't see her two kids (under 3 yrs old) for at least ten days (a long time with stage 4 cancer) and will have to stay in a hotel alone while recovering from chemo.

Cancer is lonely enough, hard enough, without having to go through it alone and without the comfort of your home.
I get the argument for easing the need to test and quarantine when travelling. I get the need to open up society and for us all to get on with our lives. Covid is here and it doesn't look like it is going anywhere soon.

But I cannot see spreading it freely as anywhere near ok!
Read 10 tweets
Jul 9
I saw something different in Johnson's resignation speech. I saw someone who was very good at what he does...

A crafted, clever speech, speaking to those who had supported him and might again..."look what you are missing".

And as much as I would love to retort "nothing",...
...I fear the reality is "they" are going to miss him.

We say he failed. But from "their" perspective he didn't fail, he only got caught.

He delivered massive new revenues (from the public purse), opened up brand new revenues by putting the NHS "on the table" and freeing up..
the current financial space occupied by the exploitatively inert BBC. He managed to shift yet more power to the wealthy by reducing accountability and the need for profit-draining frivolities such as health and safety of workers, human rights, or wages that match inflation.
Read 11 tweets
Jul 7
There was plenty to be upset with in the PM's speech.

His assertion he did well with Covid was a shameless attempt to spin a failure into a success.

He must be accountable. But also, it is dangerous for our future to think the UK Gov response was good or even adequate
🧵
1/21
And to be clear this account is mine, as someone on the frontline since the start, and also involved in Covid research and policy development.

And it is not putting the UK down. Quite the opposite. We have the resources and grit to do so much better if we have better Leadership!
Comparing the 15 most populous high-income countries

The big number of total Covid deaths (where data are available) is here...

We didn't do as bad as Poland, The US, Chile, Italy, or Belgium.

But nearly double the deaths of Germany, Netherlands, Canada, and ten times Japan
Read 21 tweets
Jul 6
A report on the state of emergency medicine.

It’s not good!

7 in 10 Clinical A&E Leads treating patients in corridors last week

“This is the height of summer and yet we are seeing a state of affairs that we’d be dismayed by even in the depths of winter.”
President RCEM.
1/5
As for the government’s plan:

“Little help for community health teams. Little funding. No timescales. No transparency. No accountability. No improvement. The ‘plan’ has comprehensively failed so far.”

Sounds familiar.

2/5
It’s tragic that we have to be so focused on a dysfunctional government, their various delinquencies, and their incompetence, as this lack of access to emergency care is one of the greatest threats to the British people.

Todays debate in parliament will not get much attention.
Read 5 tweets

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