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2025-07-27 08:02:12 - Paul D. Foy -
Health care observations

I find that I am motivated to make comments on health care and health software even. It seems to me at the expensive point of care (in operating theatres, hospital wards where there is a lot of expensive equipment and hardware about) there have been many in roads vis-a-vis computers and computer software. But at the tail end of things, at the beginning, where patient input is of equal importance to doctors expertise there is somewhat of a scarcity of suitable software or indeed the belief in the need for it. There seem many old practices which could benefit from more data. For example the snapshot of a blood pressure reading which in the doctor's surgery (always vulnerable to white coat syndrome). Wouldn't it be better if the patient could give an array of values nicely presented over a week of fortnight. as well as forming an average this could give an indication of variation throughout the day if needed. Which GP practice is able to hand out software to do this? What about monitoring of urine levels and their frequency for prostate problems? I'm presented with patient information screens which seem very rudimentary (they can't graph a single point when a single point is the only data). True they are online, but that is not the major hurdle. Why have people been reduced to squinting at an iPhone for their health related needs, when in doctors surgeries and hospitals it is desktops?.



2025-09-13 13:19:34 - Paul D. Foy -
The ongoing saga of my urinary tract infection is that the first attempt at a culture of it (to elucidate the strain of bacteria) provided inconclusive (there were mixed strains, which they thought wasn't possible (I'm not so sure - why should you be limited to one infection strain at once)). Or there was contamination in the collection or handling. So the culture is to be repeated at a time which if the infection were clearing up normally or was not lingering there would be no infection. In the mean time I feel the infection is clearing up but I could not say that I am 100% free of symptoms. It is a grey area. Also in the meantime I am engaging in a strict policy of sexual abstinence ;(.







2025-09-06 18:14:51 - Paul D. Foy -
I am now in the grip of my 3rd back to back urinary tract infection. This is very annoying and worrying. I suspect that the strain of bacteria needs to be identified (via culturing) and then the appropriate anti-biotic employed. Either as a single does or as a prophylactic treatment (over a period of a longer time). However I am not an expert (at least only a google or chatGPT expert, which is courtesy of big American Companies) - for that I have paid some national insurance contributions.







2025-08-25 14:55:07 - Paul D. Foy -
The MRI scan of my prostate was reported as normal, with no suspicious areas.







2025-08-18 05:48:12 - Paul D. Foy -
18-08-2025 Today at 06:00 I did a dipstick test of my urine. It was mildly positive for leucocytes, negative for nitrites. This compares with 2 previous dip stick tests I did. One during infection which was very positive for leucocytes (no nitrites) and one I did about 3 weeks after my first reported urinary track infection which was negative for leucocytes and nitrites.







2025-08-15 17:05:19 - Paul D. Foy -
On 12-09-2025 at 2:55pm I had an NMR scan of my prostate and pelvic region, at Dewsbury hospital. After the scan, I asked the radiologist how it looked. She replied that they didn't report but that my consultant would contact me in a few days. I'm yet to hear.







2025-08-13 02:46:45 - Paul D. Foy -
On Sunday 10-08-2025 I had symptoms of a urinary tract infection (tingling whilst micturation, feeling washed out). On Monday 11-08-2025 I performed a retail dip stick test. It proved positive for leucocytes but not nitrites (I have a photo of it). I then went to see my GP on that day.







2025-08-13 02:01:28 - Paul D. Foy -
At the moment my weight stands at between 11 stone 4 lbs to 11 stone 5 lbs (its an analogue scale and I can't see too clearly the divisions). I've not measured my height for a long time (it's difficult to do on your own)but I believe it is 5 foot 8 inches.







2025-08-02 18:35:44 - Paul D. Foy -
02-08-2025 19:35 I haven't heard of or seen the results of the 2nd blood test.







2025-07-31 11:09:53 - Paul D. Foy -
My interaction with a doctor (a registrar) in hospital went as follows. I described my concerning symptons again, urgency and frequency. The doctor advised that to count 2 micturations when the 2nd was a final one before getting up (even if very early in the morning and the motivation was the micturation) was really 1 micturation which was normal. The doctor performed a digital rectal examination and advised that there was no swelling of the prostate and that it was normal. The doctor advised a 2nd blood test (I had a urinary tract infection which ended after about a week on 23-06-2025. I had my first psa test on 10-07-2025. This second one occured on 25-07-2025. As far as I know it was a psa test). The doctor advised that the sequence of events was psa test (results by 02-08-2025), MRI scan of prostate (if normal discharge), biopsy.







2025-07-30 09:52:02 - Paul D. Foy -
I now find I could be in the grip of my physicians AI. As I read that a psa test and further more detailed psa/blood tests generate a lattice of parameters (not two many say up to a dozen) that is treated statistically to provide the likelihood of a more severe condition or to avoid invasive procedures. This does seem to be the realm where AI (classic AI as I understand it) may come in useful, and for the good. We'll wait and see.







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