Two quiet days at work, time to talk to a patient. Lots in the paper about miscarriages in A&E toilets and lack of sympathy from cas staff. Then our birthing unit had a miscarriage deliver there. The old rule is birthing unit only deals ith pregnancies after 20 weeks the only exception hyperemesis. The reaction to the miscarriage at North Shore Hospital is that all miscarriages are to go to birthing unit. I suppose they might have to deliver full terms in A&E. There were two letters in the paper pointing out that miscarriages are very common and unstopable. A pain protocol would be good and more sympathetic treatment but A&E's are such difficult places to work. You read about schoolchildren etc being counselled after a friend dies or something happens imagine going to work every day and seeing people smashed up and families in grief, having no beds or time to treat people properly and no one ever giving a shit about how you cope with that. Sometimes I totally get the shits with our Cas, well actually the whole hospitals judgemental attitude to patients but historically its an under-resourced health system in a low socio-economic area. A lot in common with that Irish catholic version of charity.