Ideas 21-2...The UK National Health Service (NHS)

Nano medicine:
Where particles in the size range 1 to 100 nanometres exist,lies the field of nanotechnology. Very small particles varying in thinness, size and shape, can vary in function, often changing colour, enabling them to be used as biomarkers, indicating the presence or absence of a virus or bacteria. Often created from atoms, they are nanostructures which can be loaded with a DNA carrying virus designed to modify a mutant gene, or stop a genetic based disease. They will be able to deliver nano-antibiotics and anti-cancer drugs, the ultimate chemotherapy without the side effects.

Alzheimer's
Alzheimer's is the most common form of senile dementia. It afflicts the elderly by impairing their mental ability. In June 2021 the US Food & Drug Administration announced the first treatment for this affliction in twenty years. Called aducanumab, it is now likely to be approved in the UK. However, research at Tel Aviv University on patients with mild cognitive impairment suggests that treatment in a pressurized hyperbaric chamber could clear away some amyloid plaques in the brain. The treatment consisted of 90 minute sessions at 3 times atmospheric pressure, five days per week for 3 months. Since there are 944,000 people with similar mental problems in the UK, it beggars the question, 'could this treatment be practical financially, or do we need a pill that can produce similar results?' Considering the cost of care for all these patients, the stress on carers and the absence from the job pool of these people, can we afford not to adopt this treatment? The only costs I could find were $360 per session, which would make the total cost $21,600. There is definitely room for improvement. One day it could be regarded as essential as having a hair do.

Lack of oxygen in the bedroom whilst sleeping, maybe one cause of this affliction. HMG should therefore consider the cost of installing HVAC with a heat recovery system when upgrading the UK's housing stock to a zero carbon level. My own view is that we need people to live in biomes. Two centuries ago eight people or more were living in a two up and two down house during the industrial revolution and we called that progress. We are now at a point in time where we are required to make a similar leap in living standards.

In September 2021 the drug amlodipine besilate emerged as a candidate for the treatment of vascular dementia. It widens arteries to allow more oxygen into the brain, restoring levels of protein in cell linings. Also called Istin or Amlostin.

In October 2021 it was announced that NVG-291 removes the natural barrier that prevents nerve cells from being repaired. It is a protein that stimulates nerve regeneration, additionally restoring myelin around nerve fibers. Produced by the Canadian firm NerveGen, it is designed to enable repair to Alzeimer's patients and those suffering from spinal cord injuries and multiple sclerosis. The drug will be available in 2022.

In May 2023 the drug Donanemab by Eli Lilly was announced, reputed to reduce alzheimers by one third, by removing amyloid protein in the brain. Progress can be monitored by using a PET scanner (positron emission tomography). The treatment takes about 6 months but is expensive. It's thought that the NHS does not have enough PET scanners. Three people out of 850 patients have died from swelling of the brain, during treatment. The drug Lecanemab is also being considered by the NHS for the treatment of Alzheimers.

In October 2025 it was announced that tests with mice using an artificial protein called LRP1, injected into the blood stream, led to the blood brain barrier being restored to its normal function of clearing out amyloid beta plaques to improve brain cell communication. Tests in China indicated 50% clear out after just one hour. This treatment could be suitable for the treatment of other neurological disorders

Depression
A treatment for depression for those where drugs do not work, was announced in October 2021. This consists of an electrical brain implant. See hyperlink to Telegraph news.

I suffered in agony for years with arthritis. At least that's what I was told it was, after I had an x-ray of my right knee for the second time. I was told it would only get worse. There was no cure. One day whilst browsing through Microsoft news I came across an image of a knee receiving osteopathy. I then fondled both of my knees and realised that my right knee cap did not move when I applied pressure to it. I then applied greater pressure, forcing my knee cap to move horizontally left and right and then vertically up and down. It only took a couple of minutes. During the rest of the day my leg felt much better. This experience presents the question, "why didn't the GP do this, or pass me over to an osteopath or physiotherapist?" Now in some regions of the UK osteopaths are available on the NHS, whilst in other areas they are not. Does this also apply to acupuncturists, physiotherapists, podiatrists and psychotherapists, etc. Why is that, and what other medical experts are in effect barred from the NHS? It also beggars the question, "what percentage of people who have knee replacements, would not have needed it if they had seen an osteopath or orthotist first?" Clearly all medical professions in the UK must work in the NHS only. The NHS appears to be badly organized and managed. Months after this 'cure' I knelt down to operate my video recorder, and when I went to get up my knee momentarily failed, as if the bones were out of alignment. Unfortunately I still suffer from chronic arthritis in my right knee, so I'm still looking for a cure for that. Reading the NHS website on the subject, I concluded that my symptoms applied to different types of arthritis. I possibly suffer from osteoarthritis, the cure for which is weight loss and exercise says the NHS, although researchers at Soochow University in the PRC recommend melatonin, which is derived from serotonin, which is acquired by the body when subjected to sunlight. Maybe I'm also spending too much time in front of my computer indoors. I am now confined to my home, as I find that walking any distance is too painful. Whilst I have always taken my health seriously, it appears that nature has other ideas.

In July 2022 I decided that in addition to exercise I would take one vitamin D3 tablet per day and get out into the sunshine. Sunbath for about one hour per week. Unfortunately the British climate did not comply, with so much cloud and rain that even some plants would not flower. I had only lost seven pounds, now down to 10 stone 3 pounds which was still above the maximum acceptable level of 9 stone 10 pounds. However my knee hadn't improved. Within a couple of weeks of taking vitamin D3 I realised that the pain in my right leg had mysteriously ceased. A couple of weeks after that my right leg felt the same as my other leg. It no longer felt dead. It does beggar the question, why doesn't the NHS promote this treatment? Could it be that job security amongst GPs is more important? If this is not a good reason for replacing GPs with an NHS AI GP on the internet, then what is? It appears obvious to me that the expert systems software for such an AI system should be produced abroad, probably in more than one country, so that the competing teams can be paid a bonus for accuracy and effectiveness.

By December 2022 I was able to walk for one hour around the house and garden without discomfort. however, by September 2023 I was still unable to walk more than fifty paces beyond my front gate without feeing pain. I feel that HMG has exacerbated this problem by keeping people indoors for two years during the Covid-19 pandemic lockdown, and allowing the promotion of marathons, much of it for charity, whilst HMG has been promoting the intake of 400 IU (International Units) of vitamin D per day, this figure is considered conservative by many. I had been taking 1,000 IU of vitamin D3, whilst the multi vitamin container gave no details. The maximum intake of vitamin D3 should be 4,000 IU. Direct exposure to sunshine during the spring and summer, should be at least 15 minutes per day. The body will store this for 28 days. It is not possible to get any benefit from sunshine during autumn and winter in the UK, unless you go on holiday to some sunny climate. If your shadow is longer than your body is high, then you need to find alternatives to sunshine. you could eat plenty of oily fish, but a sunlamp is far more effective, although it does need to transmit Ultra Violet-B.

December 4th, 2023...Research on mice at the University of Adelaide, Australia, indicates that treatment of osteoarthritis with fibroblast growth factor 18 (FGF18) stimulates Gremlin 1 cells in articular cartilage. Human tests are on going.

October 1st, 2024...I had been sunbathing during the 'summer'. All I could find was just six sessions of continuous sunshine from midday that year. Due to global warming northern Europe was receiving the tail end of hurricane and tropical depressions from the Caribbean Sea. They persisted over an ever warmer North Atlantic Ocean, whilst citizens descended onto Mediterranean shores and the Canary Islands, despite protests from local residents complaining of crowds and higher property prices. Evidently the general population now realised the benefits of sunshine, whilst governments buried their heads in their hands at the thought that one day their nation may have to be evacuated due to climate change. As for me, I found that the sun tan I had acquired was actually working. I could walk downstairs without my legs feeling funny, and I could just walk around the city centre without wanting to die. However, when I carried a bag of groceries home from Tesco, a walk lasting 15 minutes, I suffered from very painful cramp, twice that night. By now I was taking a cod liver oil capsule containing glucosamine sulphate, a multi-vitamin tablet, a 4000 IU D3 tablet and my NHS prescription of atorvastatin each day. Each evening I would also take a spoonful of olive oil. I had also recently taken three NHS inoculations for rsv (Respiratory syncytial virus), winter flu, covid-19, plus my bi-annual NHS blood test. I had now reduced my weight to nine stone ten pounds, but how to maintain that level, I had yet to learn. My mother, who lived to the age of ninety-six, had done it by eating just one Tesco basic ready meal per day. What a thought. Every day it rained. Every day I stayed indoors. Every day I thought of leaving this accursed land.

Hearing and Eyesight:
Hearing, like eyesight, deteriorates with age. A large percentage of people also have tinnitus, a high pitched whistling noise in the inner ear, the cochlear, which comes and goes without any apparent trigger. Deterioration in hearing is caused by being subjected to loud noises, such as pop concerts, explosions, gunfire and heavy engineering processes. There is currently no cure for tinnitus, although there are attempts to reprogram the brain. In addition to tinnitus I also suffer from aphasia or agnosia, Which is the failure to recognise spoken numbers on TV or telephone. The companies Auricle and Neuromod Devices produce electronic equipment for reducing hearing impediments.

In October 2025 it was announced that a microchip implanted in the eye, at Moorfields Hospital UK, had enabled a blind person to read.

Enlarged Prostate:
Like cancer, an enlarged prostate is a sign of old age,but it is not cancer. Most elderly people that have trouble urinating probably suffer from this. see the hyperlink.

Obesity, Diabetes & Allergies:
Overeating resulting in weight gain, leaves an awful lot of rubbish in your body. It is not surprising therefore that it results in a run down of the immune system. Obesity can lead to diabetes, heart disease, cancer, et cetera. It is caused mainly through lack of exercise in a world of under-employment, global warming, well insulated clothes and duvets, natural gas central heating, double and triple glazing, cavity wall & loft insulation, motorized transport, internet buying/delivery, bank standing orders, automatic washer/tumble dryers, robo vacuum cleaners, and of course junk food from a plethora of restaurants, cafes and fast food stalls, et cetera. I cannot remember the last time I wore my overcoat, decades ago, but I can remember waking up as a child, to find the windows frozen on the inside, in an age before central heating. Today, that would be called child cruelty.

The main culprit is parliament. It has failed to outlaw junk food and tobacco products. It makes no effort to get cannabis removed from the streets of my own community. Over the last sixty years it has decimated marriage and the family, without which, people simply do not go out for the day. With no family to rely on it has been the root cause of mental illness. I have been out on an excursion less than five times in the last thirty years, with no package holidays in that time. HMG has failed to order employers to incorporate compulsory exercise periods in the work's gymnasium, and failed to get them to provide only healthy meals in their canteens, along with a decent family orientated social club. It has also failed to get employers to provide a low stress working environment, based upon a modern, spacious, clean, quiet, well lit working environment. Parliament clearly spends more time worshiping that pagan idol called capitalism, than getting the nation to work like clockwork. Parliament can have a gym, the working class...never. And why do you need a gym at work. Over time you establish a comradeship with your colleagues. It is this teamwork spirit which motivates people into taking exercise seriously, gradually achieving an ideal BMI (body mass index). HMG has to accept some of the blame, for failing to create a full employment society. It is not an unachievable aim, especially if we had a WT. The less people are engaged in physical activities, the more they are munching.

Your body mass index is calculated as follows, where weight is in kilogrammes and height is in metres:

BMI = weight/height

For example: 68.04/1.676 = 24.2

The maximum acceptable BMI is 25 to 30.

The NHS recommends that your waist measurement should be no greater than half of your height. You can convert pounds weight to kilogrammes and inches to metres, from an internet website.

And if you're thinking of bragging about your exercise without actually doing it, there's an app for you. 50Cent's SMS Audio and Intel have developed Bio Sport headphones that monitor your fitness whilst taking exercise. It sends a signal to an app called RunKeeper on your smart phone.

In 2023 the Verve Therapeutics revealed Verve-101, a mass produced CRISPR enabled drug, designed to reduce cholesterol LDL (low density lipoprotein) by enhancing an existing gene. Initial trials used people suffering from a genetic disorder that made them susceptible to heart disease, and were a success.

Obesity and allergies are a political problem. What is an allergen? An allergen is poison. There is no way that it would be allowed within a medication, so why allow it in food? The EU lists only 14 allergens; why so few when there are so many more? Governments have the power to ban all allergens from the environment, including food, so why don't they? The fact is that most politicians don't take their jobs seriously, but this is nothing compared to what is really needed. Our free-for-all capitalist system needs it's wings clipped. I decided recently to make an apple pie out of the fruit growing in my garden. I was amazed at the volume of fattening ingredients there were in the recipe. When your food intake consists mainly of convenience foods, you don't realise how unhealthy these meals can be. I have therefore reluctantly come to the conclusion, that the only way to tackle obesity and allergens, is for parliament, through the food standards agency, to list complete meals, including ingredients, banning all allergens, and specify quantities, that the food retail industry would be allowed to make and retail, with every other consumable, including alcohol, energy drinks and tobacco, banned. Customers would only be able to purchase for themselves meals using their, NHS issued, specific person electronic vouchers.

Now you know, and I know, that this would never happen. Some medical scientists think that a treatment that balances out microbes in the gut is all that is needed. Time will tell, during which many people will die from these problems.

Obesity is a major problem in the developed world. You can blame it upon a warmer climate, less walking, less physically demanding employment, too much junk food and warmer clothing, but knowing the cause doesn't solve the problem. Obesity is related to hardening of the arteries and heart failure. It creates a population that can barely get out of bed, never mind go to work. The fundamental cause of obesity is lack of political willpower, for there is no way that our political parties, being dependent upon financial support from limited companies, is going to reduce salt, sugar and fat, never mind ban junk food, and replace supermarkets with biomes. They can't even ban the plethora of food programmes on television. Not one of which probably promotes healthy living.

Compared to the police and intelligence agencies in a multi-party democracy, a technocracy is a control freak. The state will visit your home every three months to see to it that it is being managed properly. The visiting team will consist of home inspector, welfare, social services, education / training and of course health. You will undergo compulsory medical examinations as necessary. Your body mass index will be measured, resulting in you being put on the appropriate diet should you be over or under weight. Living in a biome, you will of course receive agricultural advice as to what healthy foods to grow and how best to cook them. The growing of red fruits and vegetables (red apples, plums, peppers, chill, strawberries, raspberries) to promote weight loss will be encouraged, for instance. There will of course be no growing of banned plants such as cannabis, whilst chemistry sets and their ingredients at home are also banned. If you want to know why illicit hallucinogenic drugs should not be consumed in a civilised society then please go on holiday to the Yemen. They're almost all at it, but don't expect me to pay the ransom.

The government will promote advertising on television regarding the dangers of obesity, what to grow and how much. It will censor TV programmes on the subject of cooking. Drugs are available. Meridia (sibutramine) an appetite suppressant has been discontinued due to cardiovascular events and strokes. Xenical by Roche prevents the absorption of fats. It is marketed by GlaxoSmithCline under the name Alli. In May 2024 a report was published on the benefits of another appetite suppressant called semaglutide, a generic drug sold under the names Wegovy, Ozempic and Rybelsus. It states that even when taking the drug for short periods, resulting in little weight loss, it has been shown to reduce heart attacks and strokes.

For white people with a BMI of 27+, and others at 25+, who have or had type 2 diabetes, the NHS in 2024 is recommending that they enroll on their diet programme. This consists of taking cup-a-soups, milk vegetable or fruit shakes and Mars bars, or equivalent, for three months followed by monitoring weight for nine months whilst eating solid food. This programme has been shown to be highly successful for those that finished the course.

August 2024 saw the report on numerous medical surveys. It promoted the drug semaglutide, which is sold under the name wegovy and ozempic. Designed to treat type 2 diabetes and obesity, it has been found to also benefit heart problems, arthritis, Alzheimers and even some cancers. Described as the fountain of youth, I wondered when it would replace NHS statin prescriptions for all pensioners like me. This drug would clearly take the pressure off the NHS, in theory. However, there was a growing feeling in me that many medical personnel wanted privatisation, and nothing else, and were prepared to go to any lengths to achieve it. See two hyperlinks.

The Internet:
There are times when you just can't see a GP, or you don't know what to tell them before doing some research. In such circumstances, you need an AI Doctor. I use Microsoft Edge (December 2023) with occasional reference to Bing AI (ChatGPT) for most of my research. The browser can accommodate Microsoft News, which you can configure, to display medical info for instance. You can also use Bing AI to answer medical questions. In 2024 Microsoft announced its intention to install an AI search engine, to replace Chrome. This should make searching for relevant websites far more easier, especially as many websites are unable to get their files indexed by Google. (Google has an illegal monopoly in the US, declare court in August 2024) Here's one question followed by the answer:

Pain in knee goes away after taking Vitamin D3, but still hurts when walking long distances. What is wrong? I am 75 years old and not obese.

Vitamin D Deficiency: Your initial relief from pain after taking Vitamin D3 suggests that you might have been deficient in this essential vitamin. However, it’s essential to continue supplementation to maintain healthy bone health and overall well-being. Pain during the remineralization process is a common side effect, especially if you've been deficient for a long time.

Bone Remineralization: When your bones are severely depleted of minerals due to prolonged Vitamin D deficiency, they can lose calcium and other essential minerals. Taking Vitamin D helps your body absorb these minerals and deposit them back into the bones. However, as minerals are reintroduced, water also attaches to them. This can cause swelling of the periosteum (the thin tissue surrounding bones), resulting in pain similar to a bone bruise. This discomfort is temporary and indicates that your body is healing.

Joint Pain and Vitamin D: Research shows that Vitamin D treatment can improve knee pain and function in patients with osteoarthritis. Additionally, moderate Vitamin D deficiency predicts the onset of hip and knee pain in older adults. Therefore, your joint pain could be related to Vitamin D levels.

Oil in Vitamin D Capsules: If you're taking Vitamin D capsules with oil, consider switching to oil-free capsules. Rancid oil in supplements could contribute to increased joint pain. Opt for oil-free Vitamin D3 supplements to eliminate this possibility.

Consult a Healthcare Professional: While some discomfort during the remineralization process is normal, it’s crucial to consult your healthcare provider. They can assess your specific situation, rule out other underlying conditions, and guide you on the best course of action.

Remember that your body is working to correct years of deficiency, and stopping Vitamin D supplementation prematurely may hinder the healing process. Continue monitoring your symptoms and seek professional advice for personalized guidance.

Note: Make sure your question is unambiguous and complete, with no typos. And look at the references at the end, as they might contain more pertinent information.

Osteoporosis:
In August 2024 NICE (National Institute for Health Care Excellence) in the UK, announced that post menopause women, will in the next 3 months be entitled to receive abaloparatide by daily injection. This is a bone strengthening drug designed to counter osteoporosis. My mother suffered from this, and ended up with an unpleasant looking hunched back. She could have worn a patch, but chose not to. Do not be complacent. Unlike my mother, take your health and appearance seriously.

Surgery:
Operations in hospital are becoming more adventurous as technology brings ideas into practice. The recent successful separation of heads in Siamese twins, beggars belief. However, many operations are entirely internal. To speed up recovery it is advisable to keep the entry as small as possible, known as keyhole surgery. Eventually the aim is to use endoscope type equipment to perform operations through natural openings in the body.

STI (Sexually Transmitted Infections):
By creating a liberalized society, western government's have accelerated the spread of what my generation call VD (venereal disease). By failing to make prostitution illegal, promoting homosexual acts, and failing to stamp out holidays to sex venues like Magaluf, replacing them with educational tours, HMG clearly doesn't give a damn about its responsibilities. Homosexuality was decriminalized in England and Wales in 1967. Fourteen years later we have the disease AIDS (Acquired Immune Deficiency Syndrome), spread by the HIV (Human Immunodeficiency Virus). In the year that AIDS reached the UK, 1981, only one person survived out of 400 infected. It took HMG under Margaret Thatcher, five years to warn the general public with the 'AIDS, Don't Die of Ignorance' campaign. 'We now have HIV (109,293 HIV in 2009, 26.063 AIDS), gonorrhea (44,676 in 2017), syphilis (7,137 in 2017), chlamydia (202,546 in 2016), genital warts called Human Papilova Virus, scabies (mites on skin whilst sharing a bed infects the entire family), crabs/lice in pubic hair and mycoplasma genitalium (Mgen infects one in one hundred adults in UK) as the main threats to public health amongst the young and gay. In 2024 it was noted that cases of drug resistant gonorrhea, first detected the previous year, were increasing.

In 1996 treatment became generally available to control HIV. But it still lingers in the bone marrow of victims. In February 2022 it was announced that a mixed race woman had been cured of HIV after a stem cell bone marrow transplant for the treatment of blood cancer. Such a procedure is not available to the generally HIV infected population. The treatment knocks out the CCR5 receptor on the surface of blood cells. That same month news came from the Netherlands that a highly dangerous version of HIV existed, known as HIV VB which has 500 variants, making it 5 times more virulent.

In 2019 it's thought there are 105,000 people in the UK with AIDS/HIV with 6% not knowing it. The WHO states that 33 million people have died from this disease since it began. 600,000 have died in the UK. Half were gay, one third women and many of the remainder were haemophiliacs infected with contaminated blood from the USA. In 2017 there were 420,000 cases of STI in England. Based upon the following statistics it must be assumed that HIV will never be irradiated. The social implications of this are profound. Legalised homosexuality destroys trust between people, HIV instills dread. HMG's and parliament's exercise in social engineering has been a bloody disaster, for which thus far none of them have been put on trial. HMG has slashed the budget on STI, although why, I simply fail to understand. There were half a million cases of STI in England in 2018, says the State of Nation Report. In the past ten years there has been a 249% increase in gonorrhoea, 165% increase in syphilis, 75% of which are amongst ethnic minorities, gay and bi-sexual men. These are the highest levels since the second world war. Mycoplasma genitalium (Mgen), which was discovered in 1981 and often has no symptoms, is mainly undiagnosed, since there is no reliable test to detect it. Through its failure to act, government is systematically destroying people's quality of life, no doubt causing many people to commit suicide. In November 2021 it was announced that a woman in Argentina had successfully rid herself of HIV, only the second recorded person to have done so without treatment. The exact method of doing so is currently unknown. In that same month it was announced that the NHS would provide a long acting injection to replace the daily intake of pills. This would help 13,000 people in the UK. AIDS existed in the Congo, caused by eating infected bush meat. Eventually it spread to the cities built by the Belgium government, and from there to Haiti and the USA. It probably existed for thousands of years before that, just waiting for the right conditions to spread across the globe. Homosexual acts between anonymous gay men in city parks at night provided such conditions. Which disease is next?

In July 2024 it was announced that a haemophiliac had been successfully given a gene implant to cure the condition. It had cost the NHS £2.6 million.

Eighty per cent of women will have been infected with HPV before the age of fifty in the UK. HPV vaccine is available in the UK for ages 9 to 26 years. All bacterial infections, including gonorrhea and syphilis are treated with antibiotics, though not necessarily successfully. Some people I met in the navy had had it so many times that they were now sterile. HIV can be cured, though probably not within the bone marrow. That is until recently. The infusion of special stem cells into a patient can cure that person of HIV. This has been done twice. The stem cells create blood cells which the HIV retrovirus cannot latch onto. A vaccine for HIV is being worked on. If you don't like injections, then perhaps one day you will be offered treatment with a nanopatch instead. As for a quick urine test, the Biosense uChek diagnostic kit will use a smart mobile phone's camera to record the colour of a wet test strip, and relay the information to a data centre for analysis. Of course the best way to reduce STI numbers is to publicize the danger. Unfortunately HMG appears to care less about its obligations to the general public of the UK than the government of the PRC does about Covid-19. AIDS don't die of ignorance...remember? The company bit.bio located in Cambridge, UK is now working on reducing the cost of producing stem cells for regenerative purposes. The stem cells are used by a 3D bioprinter to produce tissue, etc.

In November 2023 The Terrence Higgins Trust announced that the drug PrEP for HIV prevention, was now available through UK health centres following successful trials. PrEP pills or injection, are for vulnerable people who do not have HIV. It flows in the blood stream, thereby preventing spread of HIV during sexual contact.

The home:
When it comes to health, technology in the home doesn't immediately spring to mind. Discrete cameras behind the smart mirror in the bathroom analyses facial features, then displays corrective suggestions for better health, such as more exercise and better diet. It will also tell you how you slept and what the oxygen levels were during the night. The latter, in my opinion, is extremely important because I believe that deteriorating brain activity, as you age, is caused in part by lack of oxygen in the home. My mother's parents would spend much of the day sitting in front of an open gas fire, and do nothing. Finally her mother could not even recognise her dad.

Smart scales work out your body mass index (BMI) and transmit it to your personal health database, via bluetooth. Your fridge freezer suggests a healthy nutritionally balanced meal based upon the content of the appliance, and results from a molecular analyzer and ingredients bar code. You use an ultrasonic toothbrush that has teeth and tongue wash facility. It can pass data to your health database to indicate whether you brushed your teeth and mouth correctly, and whether you have bad breath.

You replace your home's air inlet filters, which traps dust, allergens, viruses and bacteria, etc. Your home's air monitor tells you what type of air pollution is entering your home, accesses a database and reports it to the local authority. Of course this will not happen until the Department for the Environment creates such a database and puts it in the public domain. Will it?

Your smart watch monitors your heart and physical activity throughout the day. Your toilet will monitor its contents, all data going to your personal health database. The baby monitor also has a database. Automated pill dispensers, help and fall alarms for the disabled and elderly are now widespread.

When it comes to smart clothing, fabrics could let out heat when you are cold, they could protect you from high ultra-violet radiation, or morph into an inflatable umbrella in the rain. They could even analyse your sweat.

These bio-sensors would have a bluetooth connection to the wearer's mobile smart phone. The Covid-19 app would analyze then pass on any alert data to HQ. HQ would then send you a message to stay put, whilst a tracker team was sent out to you.

Currently the nearest tool to a tricorder at present, is the Butterfly Network's Zoom hand held scanner. This is connected to a mobile phone or computer. Some advanced Apple iphone and ipads have AR Kit software for even showing images in 3D. Since the product costs two thousand pounds, plus subscription, it's intended for sending data/images to a doctor via the internet from the patient. Known as tele medicine, it can be used for pregnancies, fractures and even to determine the condition of lungs. Important in this age of Covid-19.

All this data needs to be accessed by your GP, a local medical Centre's nurse, specialist, hospital, statisticians 'to do' lists and charts. Patients need access to their electronic medical records, repeat prescriptions, et cetera, and need a list of drugs that they can purchase, instead of wasting time with GP appointments.

What of your doctor's surgery could visit you? Well with Tyto they can. It may not be a tricorder, but at the moment it's the next best thing. To enable your doctor to examine you, it needs to operate on a smart mobile phone whilst your doctor also needs the accompanying software. It can provide images of the body and sounds produced by it, and measure heart rate and body temperature. It costs about $300. All these things and more help create a healthier life for you and your family. Prevention is better than cure.

Medical MOT Centre:
A whole body scan will cost you from 1000 to 1400 pounds in the UK. Such is the cost of private medicine when you can't convince your GP that you really have something wrong with you. Wouldn't it be great if we could all have a regular health MOT check? That of course beggars the question, 'how much would it cost and would it save the NHS money in the long run? To be cost effective, a medical centre would have to have a whole body scanner which could do the job in no more than fifteen minutes, be cheap to purchase, linked to AI which could diagnose the ailment and advise treatment instantly. Whilst a whole body scanner has been developed in the PRC (existing ones produce an image by slicing), reading an image, never mind in 3D, is something that computers can't do at present. As for a hand held tricorder, similar to that used in Star Trek, hardware exists that contains chips that can identify odours eminating from the human body. It is possible for a dog to sense cancer for instance, whilst I can sense syphilis, because the pump man on the first ship I was on suffered from it. His pump room phone stank awfully, to the extent that no one else would use it. This tricorder technology has existed for at least one decade, so I fail to understand why it is not already in use in the field.

Medical MOT centres are unlikely to be cost effective from a medical point of view; however, the data from all this technology will be analyzed, and any trends noted, possibly leading to medical breakthroughs. This does pose one problem however. The UK has no information technology act, without which, much of this medical data will not be stored on a NHS database, for later analysis.

December 1st, 2023...Stanford University announced that they had tested 11 points of the human body, through blood tests, in thousands of people, and concluded that results indicated that one in five over 50s had a failing organ. The test included heart, brain and lungs. The MOT centre was on its way.

Bio Engineering:
When the workings of the human genome are fully understood, no doubt organs and our DNA, will be engineered to maintain themselves. Until then millions of researchers around the world, will be required to tease out nature's secrets. For financial reasons - reducing the NHS bill - the benefits that the Great White Shark has, will one day be transferred to humans. Competition between nations will see to that, in the fields of sport, warfare and space travel, etc. Maybe then a nation's health service will be cost effective for all persons on this planet to benefit from. In October 2019 the Broad Institute, USA announced that research into the prime editing of DNA, presented the possibility of 89% of genetic mutations in a person being corrected. To go beyond that, to modify the brain's guilt, love, belief, tolerance complexes, intelligence, etc., would result in massive cultural and scientific advances.

I tried to find information on the internet on the cost of setting up and running a health MOT centre, but got nowhere. Free diagnostics and treatment for sexually transmitted disease in the UK is through your GP only, in most parts of the UK, due to budget cuts by HMG. As for a free general medical check up, I asked my GP for one once, and he simply took my blood pressure and that was it. I already pump it up, at home.

In July 2020 I went three times to my local medical surgery only to find that I could not get in. Since my brother had died a couple of months before from stomach cancer, I naturally wanted cancer screening. I didn't phone because every time I did I was told to hang on, indefinitely. Eventually I phoned them again, only to learn the GP appointments were now over the phone only. I had received no letter nor email on the subject, whilst the surgery web site displayed the pre-pandemic hours of opening, with no way of making an appointment on it. I was told to phone back at 8am the next day to arrange the appointment. The next day I was told the GP would phone me sometime that morning. Needless to say, when the GP phoned me it was in the afternoon, whilst I was watering the garden. I phoned the surgery an hour later but only got as far as the answer phone. I eventually got an interview, only to be told that I can't have a cancer scan since I had no symptoms. I'm now waiting for another type of scan, which again did not materialize.

A few days later, I learned from a news story, that cancer scans are not available on the NHS for the over seventies. Am I at death's door? On July 2nd my tongue swelled up, an allergic reaction, whilst the next day I had a rare attack of migraine. On September 11th I had black urine. I booked a telephone appointment with a GP, but none phoned. It was probably caused by dehydration brought on by a three hour walk around the city centre according to a medical website I accessed. On October 1st I had my annual flu jab, whilst two weeks later I attended an appointment for a steroid injection in my right knee. An x-ray weeks before had revealed arthritis. To get the injection I had to go to a side entrance located in an underground car park. After waiting half an hour I was examined by a male doctor. After standing on one leg, he told me that I didn't need the steroid injection, and that if I experienced any pain then I should take paracetamol. I told him that I had taken the spice turmeric with black pepper, and that paracetamol is no longer recommended as a pain killer by the NHS. In fact the NHS has banned the use of paracetemol for 35 ailments as a cost cutting measure as its available over the counter at chemists. He was unaware of this decision, as was another GP I discovered a few weeks previously. There appears to be no cascade of information from senior management. Of course patients will be wasting their time seeing a GP if the outcome is to buy paracetemol. This is an effective way of discouraging sick people from seeking help. An indication of dire managerial ineptitude. He also knew nothing about turmeric. During the whole of 2020 I had received only minimal and belated help for the sciatica, muscle and arthritis problems in my legs. It just wasn't worth contacting the medical centre, was it? When do I gain access to NHS AI diagnostics? Now just how do we sell off this dysfunctional NHS to those affluent unsuspecting yanks across the pond? And will you lot out there stop that Covid-19 clapping?

One of the main problems with the NHS is that of staff shortages. People are leaving the NHS mainly because it is undermanned. At this time, 2021, HMG wants to recruit and train thousands of doctors and nurses. The alternative is to recruit existing doctors, nurses and support staff from abroad, but they have to pass written, oral and practical exams in this country first. It's a long complicated and stressful procedure, but there is an alternative, which takes some believing. Have you ever thought of running an organisation without any management? For years I looked at many managers and directors and realised that they added no worth to the company. What employees want are clear directions as to what comes next and how to do it. All of that can be done with expert systems software, put together by IT geeks and a director that knows how IT works. You also need a government body that you can call up when you get stuck. And don't I know it with this website. The global economy runs on IT, and yet the UK is an IT disaster. For how much longer will the blind have to lead the blind? In the mean time here is listed the problems of getting a job in the UK from abroad. I have concentrated on nurses and doctors, but the problem is similar for most professions.

The Nursing & Midwifery Council received a damning report in July 2024, calling it an organisation that suffers bullying, racism and incompetence, taking years to settle minor failings whilst ignoring more serious matters. This problem has persisted for years, taking legal action and dismissal against nurses for stealing headache pills whilst on duty, instead of providing on the job medical care, for instance. This is of course, not the way to retain staff in a highly stressed occupation. Some nurses have opted for suicide.

Looking at all the problems listed here pertaining to the NHS, I have concluded that some serious action is called for. Basically we have thousands of highly qualified and expensive doctors being employed simply to sit at a desk whilst listening to problems that a large number of them either don't understand, or don't take seriously. They are merely handling information that could easily be handled by computer software, so why hasn't it happened? The best health service in Europe is in Germany. When one looks at the investment and performance figures of the two services, it clearly shows that there is massive room for improvement within the NHS. It's sad to have to admit that our government is more keen on spending hard earned honest tax payer's money on weapons of mass destruction than on saving lives in this country. The banks, building societies, insurance, pension, investment trusts, stock & commodity markets and accountancies have all made huge redundancies as a result of advancements in IT, so why hasn't the NHS reallocated resources?

PLAN A...GPs should be working on shifts in hospital wards, A&E or in medical research, whilst nurses should be visiting patients in their homes or work places to provide inoculations, or obtain blood and urine samples, etc., since many people cannot afford to take time off work. Patients should be able to book an appointment with a specialist via their AI GP.

PLAN B...This plan also does not require the outright sale of the NHS. The entire management of the NHS could be handed over to another countries health service. They would be paid a nominal fee for managing it, plus an incentive to improve the nation's health. It would have the power to ban junk foods, smoking, Impose exercise standards and place restrictions upon other unhealthy activities. They would also have the authority to purchase consumables and equipment from any source, and have the power to recruit from any source, including from their own country.

A similar business model may also be established within other government departments, such as the police. Meanwhile, as of March 2023, HMG intends to extend the capabilities of the NHS App by allowing clients to receive emails from their GP's, see medical records, view test results, arrange hospital appointments and reminders and even register with a GP. One year later clients will be able to have face to face video appointments with consultants, plus digital monitoring at home for patients straight out of hospital, and virtual wards for frail patients. AI will be used to screen for brest and lung cancers, etc. New GP contracts will require doctors to attend a 9 to 5pm surgery every Saturday. This is all designed to remove the Covid-19 backlog, at a cost of £2 billion. It will require the recruitment of 10,500 support personnel. And whilst the NHS is hunting around for all these specialised people, it's also faced with a shortage of GPs. In June 2022 a Health Foundation study stated that the present shortage of 4,200 would increase to 10,000 by 2030.

If you think that sounds great, then think again. All this technology requires data in the form of ID from you. First of all you have to find the right NHS website, from which you have a choice. You either download the NHS App onto your mobile phone, or set up an account on your PC. I chose my PC as I only use my mobile for SMS password messages. First you need to find the right website, then the right page, then the right hyperlink. It's not easy:

https://access.login.nhs.uk/no-client-info

Then click on the link to NHS App

You can also access your NHS account using the NHS website.

NHS Continue with NHS login.

Here your email address appears, where you click continue.

Here your password appears, where you click continue.

Covid-19 pass certificate and unread messages link appears.

Needless to say you needed to insert your name, date of birth, email address and NHS number to make all this work. And of course there is another dreaded password to remember. The really hard part is providing a high quality scanned image of your driving licence or passport. You are then required to have a video created using your computer's camera, during which you read aloud four numbers which appear on the screen. After uploading all this data, it takes a day to check it out. You can create the following quick link in Microsoft Edge to get to the NHS APP quicker after you have set up your account.

https://www.nhsapp.service.nhs.uk/login

There is something clearly lacking in the management of this organisation. Clients are being treated with contempt. It doesn't require the Americans, it requires a technocracy; an organisation with the necessary intelligence and backbone to redistribute existing resources. When will we get it? How many more people have to die before this nation's health is managed to an acceptable standard? This pathetic level of management would have been fired long ago if it had been in industry. Unfortunately our electorate hasn't got the guts to do it. It is effectively screwing up its own health through its own complacency. A problem with an obvious answer, that no one has the guts to take on. It simply beggars belief.

You may think that things can't get any worse, but you would be wrong. As the US Health Care System evolves and the UK gets poorer, it is likely that most UK based pharmaceutical companies, like UK based manufacturing, will relocate to the USA. This means that drugs in the UK will become more expensive, whilst some treatments simply won't be available here. On the other hand chemists could simply become no better than drug pushers. As I write this in August 2022, a judge in Cleveland, Ohio awarded local communities $650 million compensation due to damage caused by the irresponsible sale of Opioids by CVS, Walmart and Walgreens. This is just one group action from hundreds concerned with the same problem. Clearly the get rich quick mentality within the medical professions extends well beyond the UK. It has made me realise that the political, legal and medical professionals will all have to be replaced by AI and androids one day if we are to attain a higher level of civilisation.

In July 2023 Rishi Sunak PM announced his intention to reduce recruiting of doctors and nurses from abroad and train people already living in the UK. This would involve the expenditure of an extra £2.4 billion for the long term workforce plan, which would include apprenticeship schemes for doctors. The NHS lost 40,000 nurses in 2023, whilst the training scheme will train 24,000 per annum. HMG intends to train 300,000 extra staff by 2037. There are now 110,000 vacancies in the NHS, at a time when nurses, doctors, consultants and radiographers are engaged in industrial action. Take on more people and the cost of running the NHS merely increases, with little to show for it. The problems are obvious and yet the solution isn't, at least not to the government. Improving the NHS should be regarded as an excellent opportunity to introduce new ideas, that can ultimately be implemented in other organisations. I am of course referring to AI and androids. Just when will the penny drop?

As regards mental illness, this is often linked to the quality of our lives. Mental illness can be eliminated if people are given employment and challenges in their lives. This brings me to the subject of AI and its effect upon our workforce and retirees. What is HMG's strategic plan for the unemployed and retired? Will HMG replace money with SPEVs when AI destroys capitalism by destroying consumerism? Will it still require people to work, to avoid the brain decaying over generations? Will it build retirement camps for retirees in that place in the sun? And more to the point, will HMG relocate the entire population of the UK to a sunnier climate, because like me, they will soon be pissed off with the British climate and pointless existence? If not, then Vitamin D3 deficiency will require joint replacements for a whole army of people. HMG may now find the cost of running the NHS prohibitively expensive, but that's nothing compared to what's to come. Are they ready for it? Of course not. They are still in a fantasy world discussing trivia. Only when our multi-party democracy has reached third world status will they wake up to their obligations to their constituents. That assumes they haven't by then emigrated.

After the Covid-19 pandemic and lockdown junior doctors and GPs engaged in industrial action. Following the Labour Party victory in the 2024 general election, it was found just how bad the nation's finances were. It is clear that there needs to be a drastic change in the allocation of resources. With the introduction of AI, jobs that consist mainly of handling information must go. And that includes GPs. In 2024 there are 37,177 fully qualified GPs in the NHS, each paid an average of £108,000, costing HMG £4,015,100,000 per year, in addition to the cost of employing 147,000 secondary care doctors in hospitals, etc. In secondary care, junior doctors are paid £29384 in first year and £34012 in second year. Specialist doctors are paid between $40,257 and £58,398. A consultant is paid between £93,666 and £126,281. If all diagnostic machines could be operated by nurses, and strict medical procedures followed by them, then no doubt many secondary care doctors could also be replaced by more nurses. I have found in recent years, that it is the nurses that are doing most of the hard work in the NHS. The 'GPs behind closed doors' appear to be simply counting their money, whilst praying for the day they reach early retirement.

HMG cannot afford to let the NHS compensation bill to balloon any further. Attempts to do this via established companies appears to have failed, whilst HMG has no faith in volunteer programmers through the open software foundation. The NHS AI virtual GP must become a reality, whilst GPs could be employed in scientific research, supported by the millions of unemployed in the UK, all managed by AI. This opportunity is unlikely to occur again, and must be grasped with full vigour if the nation's financial state is to improve drastically. As I write this, GPs are working to rule. I can't tell the difference because its always been a lottery as to whether I get to see someone at my GPs practice. Currently I can't get a second shingles injection because the appointments service which operates from 8am to 8-30am is a log jamb. So I can't see the nurse for the jab, never mind a doctor. And of course there are those that want their GP to confirm their identity for a passport application, or get a vaccination for a holiday abroad. Will the PM wake up one morning, look himself in the mirror and say, "today I'm gonna kick arse!" In August 2024, newspapers were saying that HMG's outstanding compensation culture bill had now reached £47 billion. Just how high does it have to get, before all these politicians realise that they too have to go, in favour of a technocracy, most of it based upon IT and AI.

September 2nd, 2024 HMG announced that the NHS would provide RSV (Respiratory Syncytial Virus) vaccination for people between 75 and 79 years, and pregnant women. Just how you get it, when you can't arrange an appointment, because the GPs are engaged in a work to rule, beats me. Two days later it was announced that there were 106 cases of breast implants made by Allercan Limited, causing BIA-ALCL (Breast implant Associated - Anaplastic Large Cell Lymphoma) in women.

In September 2024 the anti-corruption charity Transparency International UK, investigating HMG's Covid-19 expenditure, found 135 high risk contracts worth £15.3 billion, whilst 20 contracts worth £4.1 billion had gone to firms with political links, going through the VIP lane, that is recommended by MPs and Peers. A practice the high court had ruled illegal. This amounted to one pound in every three. It did not come as a surprise to me, but would the police take action?

Also in September 2024 the UK's OBR (Office for Budgetary Responsibility) stated that the national debt would treble (three times GDP) over the next 50 years due to an ageing population, climate change and geopolitical tensions. We now had the highest debt since the 1960s, the highest taxes since 1940s. It was clear that in addition to a technocracy we needed vision. Whilst we could rebuild the nation fit for the twenty-first century by importing cheap electric cars and biomes from the PRC, what would they want in return, for we were now making so little that the economy was in decline. Paying our way through patents and copyrights was not realistic without a science based society. The recently announced Groq AI chip could answer a question instantly and produce a book in 100 seconds, which inferred that any new patents are likely to be swiftly superseded, as are websites. In mid September the UK's PM Keir Starmer announced a series of changes for the NHS which would be completed in ten years. They included the complete digitisation of NHS records, medical equipment would be linked to that IT system. Early problems would be dealt with at home, with an emphasis on prevention. There would be further support for life science research in the UK, but what about every other branch of science? The huge expenditure on the Covid-19 pandemic will dictate government economic policy for decades to come. Far less money will be spent on the next pandemic, and will the politicians be anymore intelligent?

As junior doctors received their 22% pay rise, following months of industrial action, the economic status of the nation became clear, in a report by Aston Universities Business School. In the three years since Brexit, exports to the EU had declined 27%, whilst imports from the EU had fallen 32%. Many smaller UK  companies had simply given up, due to too much red tape. The only sectors doing well were rolling stock, aircraft and tobacco. I could not see how things could improve. Just why we were defending nations that hated our guts I failed to understand. Maybe we should mine the English Channel and Irish Sea, and stop all military aid to Europe. Meanwhile work on the HS2 track from London to Birmingham continued at a final estimated cost of £55.7 billion, just to reduce travelling time by 25 minutes. That's the purchase price for 55 guided missile destroyers. I could not see how the UK was going to get out of this economic madness, and that includes the state of the NHS. HMG announced that a booster injection was now available for Covid-19 XEC variant and for m-pox, the latter for sexually active people. Whilst HMG wanted a fully IT integrated NHS, there was no mention of AI. Would NHS reform be affordable, or another white elephant?

I pondered this hopeless state, and then whilst reading MSN an idea suddenly came to me. The energy sector in the UK pays millions to consumers, to use most of their electricity off peak. The scheme works. HMG should do something similar to get people to only eat healthy foods, in healthy amounts, with a healthy dash of exercise, in order to maintain the correct BMI, instead of handing out billions to an NHS, which can't even recommend the use of vitamin pills.

Not to be left out, here's a Microsoft News article on the state of NHS dentistry in the UK. At this moment in November 2025, I am also looking for a dentist in Birmingham, UK. One of my top front teeth, an implant, has broken off, whilst the outer one next to it is slightly loose, and may not support a bridge. So I may need a two tooth denture, as this other tooth is too large and the wrong colour, and hence will also need to be replaced. Currently implants cost £2,000 to £2,500 each, and simply not worth it at my age of 77 years.