NHS Is on its knees...Ive seen it.
30 November 2016, 02:47 PM
#32
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No, the reason care takers do not carry out skilled tasks such as electrical and mechanical work ks because they are not capable of doing so in a safe manner.
90% of fires, i juries and dangerous occurences I come across on a daily basis are due to unskilled people carrying out tasks they are not fit to undertake. Even something as simple as changing a lamp.
Let alone changing a ballast....
I actually carry out work for the NHS and you would be appalled at the work their "in house maintenance" team have carried out. In house maintenance does not, and never has worked.....
90% of fires, i juries and dangerous occurences I come across on a daily basis are due to unskilled people carrying out tasks they are not fit to undertake. Even something as simple as changing a lamp.
Let alone changing a ballast....
I actually carry out work for the NHS and you would be appalled at the work their "in house maintenance" team have carried out. In house maintenance does not, and never has worked.....
30 November 2016, 03:05 PM
#34
To answer or counter a few of the questions posed.
1. Many NHS departments rely on foreign and immigrant staff; doctors or nurses.
2. Our ageing population is not always to blame.
3. Charge for non-emergency treatment, one example being pi**ed up fools.
4. Should we offer those who can afford it the ability to contribute to their treatment?
5. Should we reform from the top down not the bottom up?
6. A passport, ID and/or proof of residence to be produced before treatment is administered?
I have recently been treated by the NHS and cannot praise them enough, yes I my treatment took a while to happen, however we are lucky it is there but by f**k the staff were truly dedicated at what they do. My previous experience of treatment was also great.
Our NHS is brilliant, try getting the same dedicated staff elsewhere in the world. Do your bit by not turning up with a splinter in your finger or a light tube up your sh$tter.
1. Many NHS departments rely on foreign and immigrant staff; doctors or nurses.
2. Our ageing population is not always to blame.
3. Charge for non-emergency treatment, one example being pi**ed up fools.
4. Should we offer those who can afford it the ability to contribute to their treatment?
5. Should we reform from the top down not the bottom up?
6. A passport, ID and/or proof of residence to be produced before treatment is administered?
I have recently been treated by the NHS and cannot praise them enough, yes I my treatment took a while to happen, however we are lucky it is there but by f**k the staff were truly dedicated at what they do. My previous experience of treatment was also great.
Our NHS is brilliant, try getting the same dedicated staff elsewhere in the world. Do your bit by not turning up with a splinter in your finger or a light tube up your sh$tter.
30 November 2016, 03:24 PM
#35
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To answer or counter a few of the questions posed.
1. Many NHS departments rely on foreign and immigrant staff; doctors or nurses.
2. Our ageing population is not always to blame.
3. Charge for non-emergency treatment, one example being pi**ed up fools.
4. Should we offer those who can afford it the ability to contribute to their treatment?
5. Should we reform from the top down not the bottom up?
6. A passport, ID and/or proof of residence to be produced before treatment is administered?
I have recently been treated by the NHS and cannot praise them enough, yes I my treatment took a while to happen, however we are lucky it is there but by f**k the staff were truly dedicated at what they do. My previous experience of treatment was also great.
Our NHS is brilliant, try getting the same dedicated staff elsewhere in the world. Do your bit by not turning up with a splinter in your finger or a light tube up your sh$tter.
1. Many NHS departments rely on foreign and immigrant staff; doctors or nurses.
2. Our ageing population is not always to blame.
3. Charge for non-emergency treatment, one example being pi**ed up fools.
4. Should we offer those who can afford it the ability to contribute to their treatment?
5. Should we reform from the top down not the bottom up?
6. A passport, ID and/or proof of residence to be produced before treatment is administered?
I have recently been treated by the NHS and cannot praise them enough, yes I my treatment took a while to happen, however we are lucky it is there but by f**k the staff were truly dedicated at what they do. My previous experience of treatment was also great.
Our NHS is brilliant, try getting the same dedicated staff elsewhere in the world. Do your bit by not turning up with a splinter in your finger or a light tube up your sh$tter.
obviously not a university trained light bulb technician 
30 November 2016, 10:33 PM
#36
Well its not got any better over the last 3 days we have been there.
We keep being told we will do this ,we may do that but nobody comes back to us .
Then they have to keep her in until a decision is made.
I know its a difficult decision as they do not want to operate on her again to replace the shunt in her because it attaches to ventricles in the brain but keeping us waiting and her in hospital is tying up a bed and costing a fortune no doubt.
The place is still rammed full ,you cannot even get in the carparks come 1400 hours and no sign of it easing.
On a separate note we have friends in France and they are coming home to live again but the guy has had trouble with a tooth, his jaw and his head being affected so they have decided they will stay in France until he is sorted out as their Hospitals are superb. Go in in the morning and you will be seen by a specialist that day with a definitive course of treatment decided upon with usually the same doctor through out until your better. Now that's saying something when he is prepared to stay there and get treatment. He is in the Bezier region .
We keep being told we will do this ,we may do that but nobody comes back to us .
Then they have to keep her in until a decision is made.
I know its a difficult decision as they do not want to operate on her again to replace the shunt in her because it attaches to ventricles in the brain but keeping us waiting and her in hospital is tying up a bed and costing a fortune no doubt.
The place is still rammed full ,you cannot even get in the carparks come 1400 hours and no sign of it easing.
On a separate note we have friends in France and they are coming home to live again but the guy has had trouble with a tooth, his jaw and his head being affected so they have decided they will stay in France until he is sorted out as their Hospitals are superb. Go in in the morning and you will be seen by a specialist that day with a definitive course of treatment decided upon with usually the same doctor through out until your better. Now that's saying something when he is prepared to stay there and get treatment. He is in the Bezier region .
01 December 2016, 02:12 AM
#37
Youll need to sign in, do your permit to work, wait for the authorising person to come and sign it off.
find the fuseboards, find the light fitting, trace what circuit it is on,
set up barriers etc to stop some psycho porter knocking you clean off,
isolate, prove dead and verify, change lamp (it is never usually one lamp in a multi tube fitting etc), possibly change ballast, battery, fuse etc.
Re instate power supply, test, clear site carry out hazardous waste transfer note, wait for same manager to sign off permit etc...
Not many caretakers can prove dead and carry out safe isolation! Internal maintenance teams do not work
01 December 2016, 06:10 AM
#38
So to change a lamp (bulbs grow in the ground).
Youll need to sign in, do your permit to work, wait for the authorising person to come and sign it off.
find the fuseboards, find the light fitting, trace what circuit it is on,
set up barriers etc to stop some psycho porter knocking you clean off,
isolate, prove dead and verify, change lamp (it is never usually one lamp in a multi tube fitting etc), possibly change ballast, battery, fuse etc.
Re instate power supply, test, clear site carry out hazardous waste transfer note, wait for same manager to sign off permit etc...
Not many caretakers can prove dead and carry out safe isolation! Internal maintenance teams do not work
Youll need to sign in, do your permit to work, wait for the authorising person to come and sign it off.
find the fuseboards, find the light fitting, trace what circuit it is on,
set up barriers etc to stop some psycho porter knocking you clean off,
isolate, prove dead and verify, change lamp (it is never usually one lamp in a multi tube fitting etc), possibly change ballast, battery, fuse etc.
Re instate power supply, test, clear site carry out hazardous waste transfer note, wait for same manager to sign off permit etc...
Not many caretakers can prove dead and carry out safe isolation! Internal maintenance teams do not work
I'm sure in house maintenance teams could work but they would need several blokes like yourself, a manager and support staff who would then no doubt spend 80% of their time swinging the lead having coffee and lunch breaks, then need other staff to fill in while they are off sick or on holiday etc, etc.
So a whole department comprising of maybe 10 staff and a manager on maybe £50/60k and all others accordingly remunerated down to the tea lady/cleaner on say £10k and then they all need pensions as well.
I recon a tenner is bloody cheap and also doubt very much that that's all it costs.
01 December 2016, 07:07 AM
#39
Sounds more like a £100 job to me.
I'm sure in house maintenance teams could work but they would need several blokes like yourself, a manager and support staff who would then no doubt spend 80% of their time swinging the lead having coffee and lunch breaks, then need other staff to fill in while they are off sick or on holiday etc, etc.
So a whole department comprising of maybe 10 staff and a manager on maybe £50/60k and all others accordingly remunerated down to the tea lady/cleaner on say £10k and then they all need pensions as well.
I recon a tenner is bloody cheap and also doubt very much that that's all it costs.
I'm sure in house maintenance teams could work but they would need several blokes like yourself, a manager and support staff who would then no doubt spend 80% of their time swinging the lead having coffee and lunch breaks, then need other staff to fill in while they are off sick or on holiday etc, etc.
So a whole department comprising of maybe 10 staff and a manager on maybe £50/60k and all others accordingly remunerated down to the tea lady/cleaner on say £10k and then they all need pensions as well.
I recon a tenner is bloody cheap and also doubt very much that that's all it costs.
Which in the case of that job in between each step when they did that yask you need to add extra stages of - "tossing it off to make it last all day".....
In house maintenance do not have the accountability of external contractors, I have been to sites where the in house teams have installed boiler plant etc, and been "maintaining" it for 8 years in a hospital. I shut the whole lot down and had to file a riddor report with the HSE. The internal team then spent the next week up to the highest levels of management trying to deny they had done anything wrong...
Where the money is lost is in this flip flopping between models, they have just started the process of changing to external contractors, costing millions.
Then in 5 or 10 years time, some bright spark will take over and want to make his mark and bring it all back in house again, costing millions, setting up, buying new vans, employing staff, setting up offices etc. And vice versa.....
Currently the NHS do not pay, Lamp changes are free, they just pay for the lamps.
10 December 2016, 10:23 AM
#41
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Up until ~6 months ago the NHS had their own in house maintenance team.
Which in the case of that job in between each step when they did that yask you need to add extra stages of - "tossing it off to make it last all day".....
In house maintenance do not have the accountability of external contractors, I have been to sites where the in house teams have installed boiler plant etc, and been "maintaining" it for 8 years in a hospital. I shut the whole lot down and had to file a riddor report with the HSE. The internal team then spent the next week up to the highest levels of management trying to deny they had done anything wrong...
Where the money is lost is in this flip flopping between models, they have just started the process of changing to external contractors, costing millions.
Then in 5 or 10 years time, some bright spark will take over and want to make his mark and bring it all back in house again, costing millions, setting up, buying new vans, employing staff, setting up offices etc. And vice versa.....
Currently the NHS do not pay, Lamp changes are free, they just pay for the lamps.
Which in the case of that job in between each step when they did that yask you need to add extra stages of - "tossing it off to make it last all day".....
In house maintenance do not have the accountability of external contractors, I have been to sites where the in house teams have installed boiler plant etc, and been "maintaining" it for 8 years in a hospital. I shut the whole lot down and had to file a riddor report with the HSE. The internal team then spent the next week up to the highest levels of management trying to deny they had done anything wrong...
Where the money is lost is in this flip flopping between models, they have just started the process of changing to external contractors, costing millions.
Then in 5 or 10 years time, some bright spark will take over and want to make his mark and bring it all back in house again, costing millions, setting up, buying new vans, employing staff, setting up offices etc. And vice versa.....
Currently the NHS do not pay, Lamp changes are free, they just pay for the lamps.
So how much does your co rush the nhs for the contract ....
or is it the manager who's assigned the contract creaming off the profit ?
10 December 2016, 10:49 AM
#42
Chances are on a comprehensive contract with 1hr SLAs on jobs that the external contractor will break even at best. Most likely they will lose money.
And if the job isnt right, they just wont get paid. Where as in house maintenance arent paid for the job so they cannot assure quality, VFM etc!
10 December 2016, 10:53 AM
#43
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How can they not be paid !
I'm intrested in how the nhs is squandering cash - as opposed to the repeated rhetoric of foreigners stealing treatment
I'm intrested in how the nhs is squandering cash - as opposed to the repeated rhetoric of foreigners stealing treatment
08 January 2017, 06:28 AM
#44
Well ,yesterday the Sun reported coincidently that the " NHS is on its knees".
You heard it here first folks.
The beginning of the end for our NHS.
Its a disgrace that those running this country for the last 10 years have allowed this to happen.
You heard it here first folks.
The beginning of the end for our NHS.
Its a disgrace that those running this country for the last 10 years have allowed this to happen.
08 January 2017, 08:05 PM
#46
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Funny as I was going to start a similar thread from the NHS worker's perspective. Sorry NJKMRS, I don't actually mean funny of course, I hope your daughter is ok.
If you think the predicament of the NHS is to do with health tourists or what somebody reckons it costs to change a light bulb you are deluded. You are just buying into exactly what the govt wants you to believe.
The NHS has been shown time and time again by independent assessors to be efficient and productive.
Despite the fact that the right wing brain wash the country into thinking that we throw money at the NHS this is not factually correct. Our spend on the NHS is comparatively low compared to other developed countries.
The govt has cut the social care budget drastically yet spews out the same old rhetoric about protecting NHS spending. The cuts in social care have massive knock on effects for the NHS. This is one of the major reasons why the NHS is grinding to a hlat right now. This is the point being missed by most people.
Hodgy has hit quite close to the target. The govt will convince everybody that the problems of the NHS are down to health tourists, consultants on the golf course, greedy junior doctors, managers paying this supposed £100 to change a light bulb etc etc and that privatisation is the only answer.
Things are really bad at the moment.
If you think the predicament of the NHS is to do with health tourists or what somebody reckons it costs to change a light bulb you are deluded. You are just buying into exactly what the govt wants you to believe.
The NHS has been shown time and time again by independent assessors to be efficient and productive.
Despite the fact that the right wing brain wash the country into thinking that we throw money at the NHS this is not factually correct. Our spend on the NHS is comparatively low compared to other developed countries.
The govt has cut the social care budget drastically yet spews out the same old rhetoric about protecting NHS spending. The cuts in social care have massive knock on effects for the NHS. This is one of the major reasons why the NHS is grinding to a hlat right now. This is the point being missed by most people.
Hodgy has hit quite close to the target. The govt will convince everybody that the problems of the NHS are down to health tourists, consultants on the golf course, greedy junior doctors, managers paying this supposed £100 to change a light bulb etc etc and that privatisation is the only answer.
Things are really bad at the moment.
Last edited by Dingdongler; 08 January 2017 at 08:08 PM.
08 January 2017, 09:02 PM
#47
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my analysis would go further tbh
The right wing ideologues (that are now running the country) simply hate the "state" (the EU was just a bigger version of it and foreign to boot)
hate everything about it - whether it works or not
witness the re-privatisation of the East Coast line, after it was brought back into public ownership due to comedy management in private hands - it was posting record punctuality and passenger approval ratings
but no back to private hands it has to go - simple dogma says so
and the modus operandi is quite clear - you chronically under invest in the public assets/infrastructure, as usually happens under a Tory government (back through the ages)
so under invest in rail/roads, under invest in social care, in social housing, in prisons
then you say - "hey look guys this isn't working, everything is **** - we need a dose of private enterprise"
and this is what will happen to the NHS
I would draw a straight line from Brexit to an eventual breakup of the NHS
so imv the state are good at something's, and private enterprise others, but when you get a bunch of nutters that say the "state" (and by extension the EU) are good at nothing, nothing at all
then I am afraid you are dealing with slavish adherence to dogma coupled with blind belief
The right wing ideologues (that are now running the country) simply hate the "state" (the EU was just a bigger version of it and foreign to boot)
hate everything about it - whether it works or not
witness the re-privatisation of the East Coast line, after it was brought back into public ownership due to comedy management in private hands - it was posting record punctuality and passenger approval ratings
but no back to private hands it has to go - simple dogma says so
and the modus operandi is quite clear - you chronically under invest in the public assets/infrastructure, as usually happens under a Tory government (back through the ages)
so under invest in rail/roads, under invest in social care, in social housing, in prisons
then you say - "hey look guys this isn't working, everything is **** - we need a dose of private enterprise"
and this is what will happen to the NHS
I would draw a straight line from Brexit to an eventual breakup of the NHS
so imv the state are good at something's, and private enterprise others, but when you get a bunch of nutters that say the "state" (and by extension the EU) are good at nothing, nothing at all
then I am afraid you are dealing with slavish adherence to dogma coupled with blind belief
09 January 2017, 07:18 AM
#48
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The Government would love to wash their hands of the NHS.Massive budget saving & no come-backs to them when it goes wrong.
But the real reason is that there will be massive amounts of money swilling about when it's privatised & guess who will be in consulting roles or on the boards of the most profitable sectors when they are sold off?
I don't think I need to answer that one.
But the real reason is that there will be massive amounts of money swilling about when it's privatised & guess who will be in consulting roles or on the boards of the most profitable sectors when they are sold off?
I don't think I need to answer that one.
09 January 2017, 12:06 PM
#49
Its just a scary thought that something we have all probably relied on at some time in our lives/families lives, is on the brink of collapse.
I certainly don't have the answer as to how to fix it but it cant go on much longer as it is.
I used to rave about being able to go and sit in the docs waiting room if I felt ill (not very often but maybe every few years) and low and behold this is not available anymore at my docs practice.
Thanks Ding , my daughter is fine after her latest episode and her sight has not deteriated any more so we are grateful for that mercy. She's studying hard for her Uni exams this week at the moment and is prone to headaches ,but we just pray each one is not symptoms of her IIH rearing up.
I still say the country is trying to support too many people who don't contribute and this is one of the major reasons.
A typical example is the nutter who turned up on TV last week saying she had spent £2k of Benefits money on her kids Xmas presents. Life on Benefits should not be this comfortable Im afraid. It should get you by until you can help yourself again.
I certainly don't have the answer as to how to fix it but it cant go on much longer as it is.
I used to rave about being able to go and sit in the docs waiting room if I felt ill (not very often but maybe every few years) and low and behold this is not available anymore at my docs practice.
Thanks Ding , my daughter is fine after her latest episode and her sight has not deteriated any more so we are grateful for that mercy. She's studying hard for her Uni exams this week at the moment and is prone to headaches ,but we just pray each one is not symptoms of her IIH rearing up.
I still say the country is trying to support too many people who don't contribute and this is one of the major reasons.
A typical example is the nutter who turned up on TV last week saying she had spent £2k of Benefits money on her kids Xmas presents. Life on Benefits should not be this comfortable Im afraid. It should get you by until you can help yourself again.
09 January 2017, 12:13 PM
#50
Its just a scary thought that something we have all probably relied on at some time in our lives/families lives, is on the brink of collapse.
I certainly don't have the answer as to how to fix it but it cant go on much longer as it is.
I used to rave about being able to go and sit in the docs waiting room if I felt ill (not very often but maybe every few years) and low and behold this is not available anymore at my docs practice.
Thanks Ding , my daughter is fine after her latest episode and her sight has not deteriated any more so we are grateful for that mercy. She's studying hard for her Uni exams this week at the moment and is prone to headaches ,but we just pray each one is not symptoms of her IIH rearing up.
I still say the country is trying to support too many people who don't contribute and this is one of the major reasons.
A typical example is the nutter who turned up on TV last week saying she had spent £2k of Benefits money on her kids Xmas presents. Life on Benefits should not be this comfortable Im afraid. It should get you by until you can help yourself again.
I certainly don't have the answer as to how to fix it but it cant go on much longer as it is.
I used to rave about being able to go and sit in the docs waiting room if I felt ill (not very often but maybe every few years) and low and behold this is not available anymore at my docs practice.
Thanks Ding , my daughter is fine after her latest episode and her sight has not deteriated any more so we are grateful for that mercy. She's studying hard for her Uni exams this week at the moment and is prone to headaches ,but we just pray each one is not symptoms of her IIH rearing up.
I still say the country is trying to support too many people who don't contribute and this is one of the major reasons.
A typical example is the nutter who turned up on TV last week saying she had spent £2k of Benefits money on her kids Xmas presents. Life on Benefits should not be this comfortable Im afraid. It should get you by until you can help yourself again.
I think that is a very short sighted view you have and You are forgetting that we can go anywhere in the EU and get free care too. It works all ways round.
09 January 2017, 12:20 PM
#51
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lol, not for much longer
The main problem , and it'll get worse before it gets better , is the baby boomer generation are just coming to stage where more serious work is needed
The main problem , and it'll get worse before it gets better , is the baby boomer generation are just coming to stage where more serious work is needed
09 January 2017, 12:35 PM
#52
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I have mixed feelings on the NHS, but what I find most dangerous is the way it is failing without a stated plan. The NHS looks like it is being squeezed to the point of failure, so the public get a failing system with no clear information about what either the solution or replacement is. If it is being privatised, let's get on with it and be clear that is what we are doing and then providers and users can plan ahead. It is is not being privatised, we need to do some stuff about inappropriate demand and have the copayment discussion.
09 January 2017, 12:42 PM
#53
09 January 2017, 03:03 PM
#55
09 January 2017, 07:10 PM
#57
@ njkmrs, this is really scary and I hope your daughter recovers quickly and fully.
UK used to have one of the best health systems in the 90s and before then.
Is it true that if you have no health insurance in US you are left to die on the kerb?
UK used to have one of the best health systems in the 90s and before then.
That's nuts and I'm sorry you had such an experience.
It's gotta be a funding thing and I can't see how money can keep being funneled away from where it is needed. The NHS is in a state and I'm not sure the reasons behind it.
Is it too much immigration sucking up resources and overcrowding?
A super aged country with not enough funding to cope with the levels of aged people needing services?
Not enough taxation in place to cover the standard needs?
A lack of staff, through funding being redirected to other services?
Here in the US I hate how much it costs but the service you receive really is amazing. Should we have some kind of hybrid of that in the UK? Surely, without further funding, we will be unable to keep a 'free' NHS going.
It's gotta be a funding thing and I can't see how money can keep being funneled away from where it is needed. The NHS is in a state and I'm not sure the reasons behind it.
Is it too much immigration sucking up resources and overcrowding?
A super aged country with not enough funding to cope with the levels of aged people needing services?
Not enough taxation in place to cover the standard needs?
A lack of staff, through funding being redirected to other services?
Here in the US I hate how much it costs but the service you receive really is amazing. Should we have some kind of hybrid of that in the UK? Surely, without further funding, we will be unable to keep a 'free' NHS going.
Last edited by fpan; 09 January 2017 at 07:15 PM.
09 January 2017, 08:15 PM
#58
Scary indeed and I was truly shocked when I saw it first hand a short while ago.
It was on Granada news again tonight about the number of people in Manchester Hospitals who are left on trolleys in the corridors.
Also in the Sun today about 2 people a day dying due to neglect in hospital and starving or dehydrating to death. Maybe not intentionally but the staff cannot cope with the workload they now face 24 /7 .
09 January 2017, 09:42 PM
#59
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I believe you end up with a bill in most occasions.
Even when I had insurance and such, I still have over $6k in bills.
In the UK in 1989 I was smashed to bits by a chap running me over and the NHS were pretty damned amazing. Fixed me and prevented me becoming a cripple. I was just lucky that one of the worlds best surgeons was in A&E that day.
I wouldn't trust them to fix me up nowadays.
10 January 2017, 07:02 AM
#60
The whole health tourism and benefits argument doesnt really fly. It fails for the same reason every other nationalised business fails.
It takes 4 people to do one persons job. My mrs was in and very ill for 3 weeks when she had our first child last year. Any simple task, that could and should have been able to be completed by any single competent person, took at a minimum 2 people to complete.
The tasks also took an exorbitant amount of tine to complete due to them waiting for other people to be available to help, or check or assist!
Putting a drip in, 3hrs and 5 drs, they would come in, have a go, give up because she couldnt find a vein, so cue another 1 hr wait for them to come back with someone else... It is a 10 minute job, tops. Yet because it didnt go right first time they give up and waste someone elses time with it... At one point we had a senior anethaetist called to insert a ****ing saline drip, you cannot tell me he didnt have something more important to do!
If the staff were competent to carry out basic tasks on their own wothout fear of been sued for every mistake then they could see and deal with many more patients in that time. Even a simple check on jaundice took 6 nurses all havong a conflab about it, then none lf them were qualified to take blood so I had to sit in a room for 2 hrs waiting for a doctor to come do it!
It takes 4 people to do one persons job. My mrs was in and very ill for 3 weeks when she had our first child last year. Any simple task, that could and should have been able to be completed by any single competent person, took at a minimum 2 people to complete.
The tasks also took an exorbitant amount of tine to complete due to them waiting for other people to be available to help, or check or assist!
Putting a drip in, 3hrs and 5 drs, they would come in, have a go, give up because she couldnt find a vein, so cue another 1 hr wait for them to come back with someone else... It is a 10 minute job, tops. Yet because it didnt go right first time they give up and waste someone elses time with it... At one point we had a senior anethaetist called to insert a ****ing saline drip, you cannot tell me he didnt have something more important to do!
If the staff were competent to carry out basic tasks on their own wothout fear of been sued for every mistake then they could see and deal with many more patients in that time. Even a simple check on jaundice took 6 nurses all havong a conflab about it, then none lf them were qualified to take blood so I had to sit in a room for 2 hrs waiting for a doctor to come do it!