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Growing fears UHG cancer services may be withdrawn

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Date Published: 06-Jul-2012

By Dara Bradley

There are growing fears that oesophageal and stomach cancer services provided at Galway University Hospital, a designated ‘cancer centre of excellence’, could be withdrawn this year.

The plan under consideration by the National Cancer Control Programme (NCCP) would force hundreds of cancer patients in Galway and the West of Ireland to travel to Dublin every year for treatment.

At the moment, nationally, there are four regional units with the expertise that are designated to provide specialist care for patients with cancer of the oesophagus including Galway, Cork and two Dublin hospitals, Beaumont and St James’.

It was proposed in 2007 by NCCP that the number of specialist delivery care centres be halved to just two, although this recommendation wasn’t acted upon, until now.

A committee set-up last year by NCCP to decide on the future of oesophageal cancer services is understood to have reached agreement and in the coming weeks will be formally recommending to the Minister for Health, James Reilly, that the Galway and Cork facilities be withdrawn.

Surgeons and consultants at GUH fear that the prop

osal to withdraw Galway and Cork and concentrate specialist cancer care in the two Dublin hospitals would result in patients in Galway and the West of Ireland being forced to commute to Dublin for investigation and treatment of stomach and oesophageal cancers.

The Galway centre also investigates and treats patients with non-cancerous conditions such as stomach ulcers and heartburn.

The Minister is expected to come under severe political pressure from patient groups and cancer charities in the West and South, as well as healthcare professionals, to reject any recommendation from NCCP to withdraw this cancer service from the regions.

Withdrawing the Galway specialist centre would exacerbate the ‘Dublin bias’ but could also result in several million Euros of GUH’s budget being transferred to the Dublin hospitals.

A Health Service Executive (HSE) West spokesperson yesterday referred all queries to the National Cancer Control Programme.

In a statement to the Galway City Tribune, a spokesperson at the NCCP offices in Dublin, said NCCP “is nearing the conclusion of the strategy for cancer services for upper gastrointestinal cancers”.

“There has been excellent input into the ongoing process from the clinicians in the four cancer centres which currently provide radical oesophageal surgery, radiation therapy and chemotherapy. No decision has been announced,” it said.

The statement explained that oesophageal cancer is a “relatively uncommon cancer” which typically occurs in older patients, particularly those with a history of smoking.

The spokesperson said only a minority of patients are deemed suitable for radical treatment, as the cancer is often incurable at presentation or the patient is too frail for surgery.

“Putting it in perspective – on average, in Ireland, approximately 137 patients per year have been treated with curative intent and underwent oesophageal resection with or without chemotherapy and radiotherapy, of these, an average of 13 to 15 patients per year had surgery in Galway,” the statement added.

Galway in Days Gone By

The way we were – Protecting archives of our past

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A photo of Galway city centre from the county council's archives

People’s living conditions less than 100 years ago were frightening. We have come a long way. We talk about water charges today, but back then the local District Councils were erecting pumps for local communities and the lovely town of Mountbellew, according to Council minutes, had open sewers,” says Galway County Council archivist Patria McWalter.

Patria believes we “need to take pride in our history, and we should take the same pride in our historical records as we do in our built heritage”. When you see the wealth of material in her care, this belief makes sense.

She is in charge of caring for the rich collection of administrative records owned by Galway County Council and says “these records are as much part of our history as the Rock of Cashel is. They document our lives and our ancestors’ lives. And nobody can plan for the future unless you learn from the past, what worked and what didn’t”.

Archivists and librarians are often unfairly regarded as being dry, academic types, but that’s certainly not true of Patria. Her enthusiasm is infectious as she turns the pages of several minute books from Galway’s Rural District Councils, all of them at least 100 years old.

Part of her role involved cataloguing all the records of the Councils – Ballinasloe, Clifden, Galway, Gort, Loughrea, Mountbellew, Portumna and Tuam. These records mostly consisted of minutes of various meetings.

When she was cataloguing them she realised their worth to local historians and researchers, so she decided to compile a guide to their content. The result is For the Record: The Archives of Galway’s Rural District Councils, which will be a valuable asset to anybody with an interest in history.

Many representatives on these Councils were local personalities and several were arrested during the political upheaval of the era, she explains.

And, ushering in a new era in history, women were allowed to sit on these Rural District Councils – at the time they were not allowed to sit on County Councils.

All of this information is included in Patria’s introductory essay to the attractively produced A4 size guide, which gives a glimpse into how these Rural Councils operated and the way political thinking changed in Ireland during a short 26-year period. In the early 1900s, these Councils supported Home Rule, but by 1920, they were calling for full independence and refusing to recognise the British administration.

“I love the tone,” says Patria of the minutes from meetings. “The language was very emotive.”

That was certainly true of the Gort Rural District Council. At a meeting in 1907, following riots in Dublin at the premiere of JM Synge’s play, The Playboy of the Western World the councillors’ response was vehement. They recorded their decision to “protest most emphatically against the libellous comedy, The Playboy of the Western World, that was belched forth during the past week in the Abbey Theatre, Dublin, under the fostering care of Lady Gregory and Mr Yeats. We congratulate the good people of Dublin in howling down the gross buffoonery and immoral suggestions that are scattered throughout this scandalous performance.

 

For more from the archives see this week’s Tribunes here

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Galway have lot to ponder in poor show

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Date Published: 23-Jan-2013

SLIGO 0-9

GALWAY 1-4

FRANK FARRAGHER IN ENNISCRONE

GALWAY’S first serious examination of the 2013 season rather disturbingly ended with a rating well below the 40% pass mark at the idyllic, if rather Siberian, seaside setting of Enniscrone on Sunday last.

The defeat cost Galway a place in the FBD League Final against Leitrim and also put a fair dent on their confidence shield for the bigger tests that lie ahead in February.

There was no fluke element in this success by an understrength Sligo side and by the time Leitrim referee, Frank Flynn, sounded the final whistle, there wasn’t a perished soul in the crowd of about 500 who could question the justice of the outcome.

It is only pre-season and last Sunday’s blast of dry polar winds did remind everyone that this is far from summer football, but make no mistake about it, the match did lay down some very worrying markers for Galway following a couple of victories over below par third level college teams.

Galway did start the game quite positively, leading by four points at the end of a first quarter when they missed as much more, but when Sligo stepped up the tempo of the game in the 10 minutes before half-time, the maroon resistance crumbled with frightening rapidity.

Some of the statistics of the match make for grim perusal. Over the course of the hour, Galway only scored two points from play and they went through a 52 minute period of the match, without raising a white flag – admittedly a late rally did bring them close to a draw but that would have been very rough justice on Sligo.

Sligo were backable at 9/4 coming into this match, the odds being stretched with the ‘missing list’ on Kevin Walsh’s team sheet – Adrian Marren, Stephen Coen, Tony Taylor, Ross Donovan, David Kelly, David Maye, Johnny Davey and Eamon O’Hara, were all marked absent for a variety of reasons.

Walsh has his Sligo side well schooled in the high intensity, close quarters type of football, and the harder Galway tried to go through the short game channels, the more the home side bottled them up.

Galway badly needed to find some variety in their attacking strategy and maybe there is a lot to be said for the traditional Meath style of giving long, quick ball to a full forward line with a big target man on the edge of the square – given Paul Conroy’s prowess close to goal last season, maybe it is time to ‘settle’ on a few basics.

Defensively, Galway were reasonably solid with Gary Sice at centre back probably their best player – he was one of the few men in maroon to deliver decent long ball deep into the attacking zone – while Finian Hanley, Conor Costello and Gary O’Donnell also kept things tight.

For more, read this week’s Connacht Tribune.

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Real Galway flavour to intermediate club hurling battle in Birr

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Date Published: 23-Jan-2013

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