Friday, 23 September 2011

Ali's Repair Clinic

Yesterday I heard of a new private clinic opening which in essence is like a private A&E. You turn up, pay £85 to see a doctor for assessment then pay for your treatment from a menu of options.
As someone who uses A&E services somewhat frequently, I was interested to find out what the cost would be for an average repair, given the benefits of such a service such as less humiliation and punitive treatment as often found within the NHS could be a welcome relief.

However the price listed for "suturing, glue, steristrips etc" was only listed as "from £20". Now, given the actual cost of stitches, glue, decent dressings and all the rest of it, it became clear that even a relatively small injury repair could end up costing around £300 at this place.
Even removal of sutures was listed as £30. £30 to take a few stitches out!

My first thought was: Send them to me, I'll do it for a tenner!

Then it hit me: Yes! I really could do it for a tenner!

So, I've decided to open up my own self-injury repair clinic. If you've injured yourself and don't want to face an NHS hospital, I'm your woman. Come unto me all ye who are scared of Psych Liaison. Prefer a coffee and a natter when you're being stitched rather than a stern look and a disapproving smirk? Give me a call.

Here is my price list. I think you'll find it's very reasonable.

Gluing wounds: £10 per inch of wound [I'll use superglue, it's just like that expensive skin glue, just a bit less sterile. It'll be fine. Plus at 50p for a tube of Bostik's finest I'll make £9.50 profit per inch]

Suturing:
Simple stitches: £15 per each packet of suture material used. Saline, disinfectant, etc all included in the price. [Stitches are surprisingly cheap if you buy the out of date ones or get them from a veterinary supplier. I'm sure it's all the same stuff for cows as it is for humans. And hey, I'm looking to make a profit here. I'm still cheaper than the posh clinic. As for wound wash and disinfectant, well I'll just stick your arm under the tap for a minute, that'll do. And I'm sure I have a bottle of Dettol somewhere...]
Complicated stitches: (such as absorbable/subcutaneous/mattress stitch/anything fancy) As above but add a £10 surcharge on to the total price. [Just don't ask me to do crochet or anything]
Staples: £10 plus 10p per staple [must remember to pop into Office World for a new stapler before my clinic opens]

*a note about suturing* Lidocaine is just as scarce in my clinic as it is in an NHS emergency department. However I'll give you an ibuprofen and play some plinky background music to help you relax, I'm sure you'll be fine.

Steristrips: £8 per inch of wound. [Sellotape should work, right? Perhaps I should use masking tape instead, it's the right colour. Hmm, might need to take a trip to B&Q for this one]

Dressings: flat rate of £3 each. [This could mean I lose out if someone needs something expensive like Mepitel, but I'll make a fortune on plasters and Cosmopore]

Suture removal: £5 plus 10p per stitch. [I'll have to find my nail scissors, if I boil them up on the stove I'm sure they'll be clean enough and do the job nicely]

Tea/Coffee: £2.50 with free refills [can't skimp on the caffeine, I'm in it to make money yes but I'm not a monster]

Psych assessment: Free of charge. [I could do a much better job than the Thought Police, and I know all the tricks so I'd know when you're lying. A client's obvious disadvantage here makes me reluctant to charge anything, but I promise not to section you unless you really piss me off]

Now I just have to sit back and wait for my first customer...


EDIT:
Since I posted this blog I've been sent lots of ideas how to add to my services, including:

* offering cats/other animals as stress relief
* recruiting current NHS employees to acquire equipment/materials for use in the clinic
* nectar points or other form of loyalty card
* sponge baths [this was rather popular]
* piercings
* singing show tunes while I treat people

Very happy to look into all of the above and work out if they are viable. Watch this space...

I also should point out I received several enquiries about treatments which I will not and could not carry out.
Therefore I feel it my duty to declare that the limitations of the clinic include [but are not limited to]:

treatment of: overdose, poisoning, removal of foreign objects [including but not limited to broken glass and bits of rusty stanley blade]; anything which requires surgery, skin grafts, antibiotics, x-rays; 3rd degree burns; anything gross like scabies or pube lice; anything contagious like chicken pox, measles, common colds; alcohol-related conditions including but not limited to severe vomming and/or diarrhoea, liver disease, headache; depression/anxiety due to internet or mobile phone restriction; PMT; allergies, including but not limited to gluten intolerance, dairy intolerance and any other of those new-fangled "fallergies" people claim to be victims of; unexplained lumps, bumps and temperatures; acts of god including but not limited to earthquakes, tsunamis and frog plagues; extreme happiness whether drug-induced or otherwise; anything caught from shagging anything that wasn't human; weirdos including but not limited to emos, goths, Welsh people; anyone who's ever been a member of the psychiatric profession.

For all of the above, please toddle down to your friendly local emergency department where you can receive appropriate treatment completely free! [But I have better coffee, so Nerr.]

15 comments:

  1. LOL! welcome to the new NHS =] (please excuse me while I google off in search of the best price for running repairs to the stitches you had me in)

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  2. I'll be your first customer!

    I appear to be ambidextrous with a scalpel but totally hopeless at left-handed steri-stripping, I'll bring some masking tape.

    Love it.

    Zoe
    Xxx

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  3. So glad i read this - i can now go to bed with a smile on my face & may actually get some sleep.

    You know if you used electrical tape instead of masking tape you could make some very pretty patterns - colour & intricate detail is always worth charging more for. (I'd like a rainbow please)

    Fab Post!

    xx

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  4. Fantastic, although just one suggestion - you can probably get most supplies as unbranded products from your local pound shop, mine sells three rolls of masking tape for a quid... which fits in nicely with the current spirit of maximum profits, minimum outlay...

    And not sure which is cheaper, but I hear fishing line makes nice sutures at a pinch...

    Of course I'd be laughing more at your post if it didn't reflect reality quite so well...

    Take care,
    Differently

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  5. warriet - I'll happily stich your laughter-ravaged sides as well as any self-harm injuries that comes through the doors =D

    Zoe - I'm with you 100% on the ambidextrous thing. I've learnt over the years it generally takes one hand to injure, two to repair ;)

    Susie - I LOVE the electrical tape idea! Oooh prettiful colours yes please!

    Diff - yep I was planning on getting those massive packs of about 20 tubes of superglue from the pound shop. That's 5p a tube; if a tube does 2 inches of wound I'm going to be making a ginormous £9.975 per inch! WOWWW!
    And yes, some of it is excruciatingly close to home, that's why I try to laugh at it when I can ;)

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  6. Hahahahaha that so cheered me up xxx

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  7. Fab post as per usual. I'll sign up for a loyalty card and look forward to when you take on staff.

    x

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  8. Ali... you are a legend of the highest degree!

    I'm your theatre nurse. What's yer order?

    Monocryl, ethibond, ethilon, or vicryl sutures? staples, skin glue, spray skin plaster, dressings, plaster of paris, benecast coloured plaster, mepitel so dressings don't stick to the wound? sticking plasters? mepore/mefix/mefilm? We have dressing/suturing things in abundance...

    I can also help you out on the lidocaine issue... or other local anaesthetics. Needles and syringes too, to get them into the wounds. Lidocaine in abundance of course because I *KNOW* if someone says "I can still feel pain" you WILL stop and put more in... and I know before starting you'll wait several minutes after injecting the local, to actually give the damn stuff a chance to work - something a lot of Doctors seem to "forget".

    Ya know I could open up one of these Ali Clinic's up here in Scotland... I've watched the surgeons suture enough (can be a total zzz-fest if it's some new fangled junior doc...). I'm sure I could do it with ease - and probably much more care and thought and consideration. Have you thought about franchising?

    On a serious note... have you seen these pirates (LIFESCAN) offering full body CT scans via TV adverts?! Don't get me started on that con...

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  9. Oh yes my theatre nurse! Or should I say - theatre supplies nurse lol! Yes please, we'll take all the suturing and dressing equipment you can get your hands on. If we're using the real stuff and not the cheap ones from the vet supplier we can charge more, this is going to make a fortune! [And still undercut the private clinic!]

    Do we *really* need the anaesthetic? I was thinking my ibuprofen idea would work quite well, and is more than some NHS establishments would give... oh well go on then I suppose we can be humane. Bring on the lidocaine! [No green needles though, them things are fookin scary! ;)]

    I think franchising is a brilliant idea. So I'll open a clinic in London, you can open one in Scotland, then over time word will get around and we can branch out. Soon there will be an AliClinic in every major city in the land!

    Yes I've seen those Lifescan ads. Scary how unscrupulous some people can be =\ You wonder how they get away with it...

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  10. Lifescan is sinister, is it a harbinger of what will happen to all services[sic] in Cameron's brave new world?

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  11. "anything caught from shagging anything that wasn't human" Thought you were getting supplies from the vet clinic, anyway :) :) :)
    Adventures in Anxiety Land

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  12. Do you sign class 1 Aviation Medicals as well? You've got a deal!

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  13. And have just googled lifescan - obviously must have missed the tv ads. The price list for unnecessary CT scanning (inevitably involving unnecessary radiation exposure) looks surreal. So if I can't afford to have my heart or lungs checked, maybe I could make do with a mole being looked at instead. Bizarre.

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  14. I personally can't sign medicals for budding pilots, as technically I'm not medically qualified to treat a paper cut let alone sign someone off as fit to be in charge of a jumbo jet [oh sorry didn't I say that before? I haz no surtificutz, sorry...] but my mate Bob The Doctor will happily sign anything you like for a bottle of scotch and a cream horn. I'll send a referral...

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  15. Bob the Doctor has a deal! I'm sure he'll be far less condescending about my liking for fine ales, wines and red meat than my current AME.

    And less of the 'budding' please! :-)

    Wonder if the lifescan stuff isn't only being marketed at humans but also at their employers. Employers could well pressure key employees into these unnecessary scans to reduce 'business risk' (ie risk to profits) or 'key man' (ie dead peasants) insurance premiums. And if the unnecessary radiation exposure contributes to a cancer many years later, when the employee has moved on or even retired, that's not the employer's problem.

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