Who cares? Iznibz duz.

" I just heard that in a recent survey of 800 professional carers in the U.K. over half said that they would not report or would be inhibited to report witnessed abuse of patient/client. We should be shocked, we're not. Dyfedd- Powys Police have long had a "Rat on a Rat", poster campaign, how many of them would do that?How many gravy train solicitors would point the finger of blame at their own peers anomalous convenient practice. The closing of ranks amongst medical practitioners appears legendary. As long as they're not blamed they'll go along with the consensus. Both individual and collective efficiency of service is reduced to the lowest common factor. Rarely do we assert ourselves righteously in time to avoid forseeable disaster within our own ranks.
Accepting the probability that one may for some time be whistling in the dark an individual must at least have a strategy to rescue truth, as if it was the Grail, from the corrosive darkness of institutional compromise. Walk into the light that casts no shadow, principle is not heretic to truth.
After drawing the attention of anomalies to the mechanic who is supposed to fix the problem,after a sharp intake of breath, your silence will have bought you a whole new engine when all you needed was a new starter motor. We trust too much for too long. We are badly served , sorely cheated . What effective procedures work to accommodate compensative remedial action on the complaint being handled through usual channels? How should we proceed if no representation of the problem is possible to implement effective legal remedy?
I decided to make my own procedure, it's along story . Followers of the manic scribblings of a grumbling giffer will in time work out why I've taken the long way round the houses, the ones that don't will have to remain bewildered for a while longer. It is sufficient to say that the longest route is sometimes the quickest. My "game plan", it's no game, was put in place several years ago, I've been actively overcoming logistical problems of being a displaced person in my own homeland, I live in exile now for peace and the chance of making domestic progress. Perhaps now I can address the pile of "to be resolved" items in my pending tray.Some little compensation for having to live outside of ones rightful domain for fear of persecution. By the definition of the Geneva Convention, I'm a refugee. I couldn't blow the whistle there and remain safe for long, so I live here. Somewhere else, not U.K., in the Izdom of Iz. " It keeps him off the streets".

Here's a transcription of a letter to the Chief executive of the Pembrokeshire and Derwen N.H.S.Trust, part of a correspondence that at the time of writing was already a year old. They tend to reply to mail but rarely address subjective content. I hope you enjoy with academic curiosity for a little while longer, at least until it's "your turn" to do something. My son wrote this letter, it relates directly to issues in the old Empire's unreconstructed institutions that have far reaching, harmful implications. He shines a light on just a small detail, the rest of the problem left unattended could undermine all trust in the health service, permanently. We persevere as much without their legally expedient definition of caring as we can, it's healthier."

April 30th 2004
Dear Mr. O'Sullivan,

Thank you for the letter dated 23rd April 2004.

Mr. Iznibz has not yet received your reply, but looks forward to doing so.

In the light of the fact, that Asians and Eurasians are more likely to suffer side effects from Neuroleptic medication, and at lower doses, what measures were taken in Mr. Iznibz's case to limit potential damage, given that he declared openly, prior to being given the medication, that he is Eurasian? What is considered Best Practice (according to guidelines and regulations) in relation to use of neuroleptics on Eurasians? To what extent are the best practice guidelines implemented, monitored and supervised?
You have stated that Mr. Iznibz's ethnicity was taken down some time after his initial treatment ("as, at the time, we did not require such information"). How if this factor was ignored, could Informed Consent have been given? The known risks of the medication for an individual of Mr. Iznibz's type were not taken into consideration- the information pertaining to known risk to ethnic type is readily available to the public via the World Wide Web- the field of Ethnic-psychopharmacology being dedicated to the study of known side effects in various ethnic groups. It is the duty of the NHS to make known to the patient all known risks potentially occurring as a result of a particular treatment. Ignoring vital factors, such as might drastically increase risk of damage, is a neglect of duty of care. That a lay-person such as myself can, by little research, find the information, which is widely available, creditable and known; neuroleptics damage Asians and Eurasians, and are more likely to do so at lower doses. So why hasn't your staff taken an interest? Indeed, at this stage in the investigation, why isn't the Executive noticing some of the glaring breaches of guidelines and omissions of duty that have occurred?
It is hoped that answers are forthcoming, as the questions are mounting up. Looking forward to your reply.
Yours sincerely,
T. W. G.
"There's a mountain of muck yet to move, we will do it the usual way one barrow at a time. "
IZNIBZ