Describes attending school in cold substandard buildings. Preferred self-directed learning to rote memorizing. Her love of nature and science was evident early and evolved into her passion to follow medicine as a vocation and career, despite the opposition of her parents and GP who feared it would be a hard life especially for a woman.
Reflects on the deficiencies of medical training in University College Cork, especially the deliberate use of fear and humiliation in teaching which has left a negative mark on her and other colleagues. Suggests that the need to imprint so much information through humiliation is no longer necessary due to improvements in technology.
Outlines her career path through various roles, experiences and responsibilities including working in Accident and Emergency and time in New Zealand.
Discusses her impressions of Grattan Street Medical Centre both as a physical building with leaks and in disrepair and as a unique workplace with a community of multiple disciplines which function well together.
Speaks about her current work as an Area Medical Officer, the kind of patients she sees and typical issues that arise including developmental checks on babies and following up with parents.
Reflects on attitudes towards medicine and the HSE especially among parents, and how as a doctor she has to deal with this in order to achieve best outcomes for child patients.
Outlines the problems with Grattan Street staff car parking and the issues it cause.
Talks about the outlines of the history she has gleaned about Grattan Street Medical Centre Building as a Quaker Meeting House and as a public dispensary.
Speaks of the marriage registry office which is part of the Grattan Street building, where weddings happen during her work day creating a strange but joyous contrast.
Discusses the amount of paperwork and documentation required for all the work in Grattan Street that remains from past decades which fascinates her.
Reflects on her hopes and the possible futures for the Grattan Street Medical Centre building, and the fate of services that will move to St. Mary’s Primary Care Centre in Gurranabraher. Compares the two locations and emphasizes the importance of a good workplace culture within a building. Talks about possible patient attitudes to the new building. Hopes it will have a communal staff canteen.
Outlines the importance of administration staff in contributing to positive experiences for patients and facilitating the efficient work clinical staff.
Reflects on the difficulties of a medical career including 90 hour weeks, missing out on parties and travelling, and having to tell mothers that their babies have died.
]]>Edith grew up in Youghal where she recalls playing childhood games including Red Rover, chainey, a makeshift tennis and sandcastles on the beach.
Describes attending school in cold substandard buildings. Preferred self-directed learning to rote memorizing. Her love of nature and science was evident early and evolved into her passion to follow medicine as a vocation and career, despite the opposition of her parents and GP who feared it would be a hard life especially for a woman.
Reflects on the deficiencies of medical training in University College Cork, especially the deliberate use of fear and humiliation in teaching which has left a negative mark on her and other colleagues. Suggests that the need to imprint so much information through humiliation is no longer necessary due to improvements in technology.
Outlines her career path through various roles, experiences and responsibilities including working in Accident and Emergency and time in New Zealand.
Discusses her impressions of Grattan Street Medical Centre both as a physical building with leaks and in disrepair and as a unique workplace with a community of multiple disciplines which function well together.
Speaks about her current work as an Area Medical Officer, the kind of patients she sees and typical issues that arise including developmental checks on babies and following up with parents.
Reflects on attitudes towards medicine and the HSE especially among parents, and how as a doctor she has to deal with this in order to achieve best outcomes for child patients.
Outlines the problems with Grattan Street staff car parking and the issues it cause.
Talks about the outlines of the history she has gleaned about Grattan Street Medical Centre Building as a Quaker Meeting House and as a public dispensary.
Speaks of the marriage registry office which is part of the Grattan Street building, where weddings happen during her work day creating a strange but joyous contrast.
Discusses the amount of paperwork and documentation required for all the work in Grattan Street that remains from past decades which fascinates her.
Reflects on her hopes and the possible futures for the Grattan Street Medical Centre building, and the fate of services that will move to St. Mary’s Primary Care Centre in Gurranabraher. Compares the two locations and emphasizes the importance of a good workplace culture within a building. Talks about possible patient attitudes to the new building. Hopes it will have a communal staff canteen.
Outlines the importance of administration staff in contributing to positive experiences for patients and facilitating the efficient work clinical staff.
Reflects on the difficulties of a medical career including 90 hour weeks, missing out on parties and travelling, and having to tell mothers that their babies have died.
0.00.00 - 0.00.23 |
Intro |
0.00.23- 0.02.04 |
Games Played as Child in Youghal Grew up in Youghal. Children’s games: chasing games, Red Rover, What Time is it Mr Wolf?, Chainy. Elastics game: Long piece of elastic tied into a loop with a person at each end with complex rules about how to jump in and out and over and back. Played tennis: in the tennis club and also “over the gate”. It was the era of John McEnroe, Martina Navratilova and Bjorn Borg. Played a form of football. Made mud pies. |
0.02.04- 0.02.26 |
Describes game Chainy or Chainey in more detail Still played in her child’s school. One person catches another and they must keep holding hands and keep catching people until they are all holding hands in a long chain. |
0.02.26- 0.03.06 |
Describes Red Rover or Bulldog She didn’t like Red Rover. Stand in chain and chant “Red Rover, Red Rover, we call over X” Begins with 2 children holding hands and the person who is called over must try to run through their hands and break the link, which Edith says always hurt and as she was “quite small” she was usually the weak link. If someone didn’t break the link they had to join that chain. |
0.03.06- 0.03.47 |
Games on The beach Not much time in the water/sea because it was too cold. Made sandcastles, sand tunnels, forts, dams to keep the sea out or bring the sea in. These plans never worked and Edith says “you learned about futility as a smallie”. |
0.03.47- 0.04.38 |
Playing Without Adult Supervision Spent a lot of time quite bored in fields or on bikes. “We’d just head off on the bikes for the day: I don’t really know where we went or why we went.” Only television was RTE 1 and RTE 2- “Poverty 1 and Poverty 2” there was nothing to watch. Call to friend and come back when felt like it. No phones. Improvised ways out of problems. Reasonable amount of time without adult supervision. But there were always watchful adult eyes: “if you were doing something you shouldn’t be doing your parents would usually hear about it.” |
0.04.38- 0.05.00 |
Where not allowed to play Places not allowed to be on bikes when little: out the front on the main road where cars were quite fast. Not supposed to go on the back fields where there was a bull. (Suggestion in her response is that they may have not always obeyed!) |
0.05.00 - 0.05.16 |
Home Mum, dad and sister 3 years older. Mum was primary school principal. Dad worked Monday-Friday 9-5. |
0.05.16- 0.06.51 |
Primary School Remembers being cold and very bored. Went to school in “Park” on a crossroads on the top of a hill in the middle of nowhere. Where her mum was teacher. 2 teacher outside toilets and no central heating when she started school. There was a stove to heat the classroom very like the school in Muckross Farms. Two “boot rooms” or cloakrooms. Inside toilets eventually installed. Very few students. |
0.06.51- 0.09.50 |
Secondary School Went to Loreto in Youghal it was also very cold. Some years were in prefabs. The school was near the lighthouse. When you were bored you could look out to the sea from an old redbrick house which was left to the nuns. It was very exposed to the weather- wind, rain and salt spray from the sea-wall. Enjoyed maths and science. Lots of repetition in the schoolwork. Would prefer self-directed learning not just learning by rote. For people with other kinds of intelligence it wasted their potential and opportunity. Heuristic learning- learning through play and experience. She learned how to sew a button, balance a cheque book and pay a bill. Skills for living in the world: how to cook how to clean how to look after your physical health, mental health should be taught. |
0.09.50- 0.11.19 |
Love of Nature and Science leading to Medicine. Was always interested in nature and biological sciences: “mad about nature”. When 13 or 14 a friend brought a roadkill mink to science class to dissect it. The teacher was a bit squeamish, but Edith said she would do it “no bother”. Remembers “pure awe” at how remarkably perfect the insides were, “how it all fitted, and it all worked”. Had dissected earthworms before. Drifted then to wanting to do medicine. Set her heard on it. |
0.11.19- 0.14.09 |
Medicine as a Vocation, the Determination Required Mom and dad really didn’t want her to do medicine at all. They called in the local GP to tell her not to do it- which had the opposite effect. She applied for medicine at 16 when she sat her leaving cert for the first time and had to repeat it because she didn’t get enough points. In some ways in hindsight her parents were probably right. It is a hard life and requires working very hard for a very long time. Edith was a premature baby and was always physically small and thin and her parents were concerned. Her colleague with an Italian grandmother described the need to do medicine as being like a holy fire [Note: “sacro fuoco” maybe?] similar to a vocation but perhaps not spiritual. If you have this fire nothing else will do. She also applied for computer science. If she hadn’t done medicine in college, she thinks she would have gone back to do it later in life. Local GP told her it’s a very hard life for a woman- which is not the thing to say to a 15-year-old. Thinks the nuns that taught her was feminist in their way as they were ambitious for their students. The GP said that you don’t want to do nightshifts when pregnant or be on call when you have small babies. The cards are very much stacked against you to make it in medicine as a consultant as a woman. Edith says he was right but that you don’t want to hear that at 15. |
0.14.09- 0.15.17 |
Nuns’ Ambition for the girls Only one in school to do medicine. Many of the students did honours maths. There was competition between the boys’ school and the girls’ school. They’ve now combined. Some schools didn’t offer honours maths or honours science subjects to leaving cert for girls. |
0.15.17- 0.18.40 |
Medical Training in UCC University College Cork Didn’t love medicine in UCC. Didn’t find the training easy- a culture of throwing people in to it. Students told that most of them would become GPs and that medical students learn themselves they don’t need to be taught. Lectures often had little relevance to what was in the book. Clinical training involved bullying, teaching by fear, humiliation. Consultant was seen as god. Lots of waiting around for people who didn’t turn up. Mental fallout for some of the people in her class. And the system may not have made them better doctors. Saw how students were taught differently overseas. Students were getting sick in the morning with nerves before clinics. Had friends who weren’t doing medicine. Met her now husband at 19. Always had something outside of medicine to stay grounded. Always liked the clinical work and the patients. |
0.18.40 - 0.23.40 |
Clinical Training Book learning- through lectures. Clinical placements for students with a particular service for a time follow their team and learn how to take a patient history and examine a patient. Initially must ask about everything when taking patient histories until you know what to look for. Lived in nurses’ home in Limerick for six weeks. Consultant would take you to see an interesting patient to ask you questions. Some were fine but some were set up so that you would definitely fail so that you know that you know nothing and be humiliated. It was done to everybody no one was singled out. Describes how the consultant asked students questions. Thinks that the experience has left a mark on her and otherwise confident colleagues as they sometimes have difficulty answering questions in group settings, or when in a particular tone. Describes it as like being triggered. Edith didn’t go to one consultant’s clinics because she found she wasn’t learning from him. No one would notice if she wasn’t there. Jokes that she hopes UCC doesn’t as they’ll take away her degree! |
0.23.40- 0.25.25 |
Why this teaching system was used in UCC Consultants wanted to imprint the exceptions and rare cases on their minds so they wouldn’t forget. It was basically the Socratic method. They were once told that they weren’t good enough to be medical students. Then not good enough to be the vets in Ballsbridge and lastly that they weren’t good enough to be the medical correspondent in the Irish Times! Sounds funny now but at the time they were devastated. But Edith still remembers the name of the particular type of amputation due to this scene. This system of teaching & learning was designed when people need to remember a lot of information. Now things have changed as “all the information is there” now you need to learn how to use it. An interesting patient is one which had something which was rare. Edith describes it as something with four legs, a tail and neighs but is a zebra not a horse. |
0.26.05- 0.30.07 |
Career Path for medical students SHO- senior house officer. After qualifying you become an intern. After a first year as an intern you can become an SHO. Then become a Registrar, then a Senior Registrar, Specialist Registrar and eventually a Consultant. SHO could be 2-4 years long. SHOs are the general grunts they do all the hard work. Edith did 6 months surgery in Mercy Hospital, 6 months of medicine in the South Infirmary Hospital and really enjoyed them. Every thirds week in the Mercy they worked 110 hours. In hindsight they had “ridiculous levels of responsibility”. Then did the 2 year specialist paediatric training scheme in Dublin. Then did paediatrics in New Zealand, then accident and emergency. Did GP training in New Zealand. Returned to Ireland when her eldest daughter was 1. Worked as GP in Cork. After her twins were born Edith went back to work when they were 8 months old. She worked for Swiftcare for 5 years. Husband stayed at home to mind children and was going to go back to work. She was clinical lead with Swiftcare which included corporate, management and clinical. Looking to reduce her hours and her friend asked if she would be interested in a job in Grattan Street and she started March 2013. |
0.30.07- 0.33.44 |
Enjoyed Accident and Emergency work in New Zealand Edith says A&E in New Zealand is fabulous. It was real doctoring. The immediacy of it. See lots of different things. Got her clinical confidence- could deal with anything. Security removed anyone who was abusive. There was always enough resources, staff, beds. People weren’t burnt out in the way they are in Ireland. Requires being on call on nights. Did A&E in the Hutt outside wealthy Wellington CBD Central Business District and Porirua. Deprived areas around the Hutt so there were cases of self-harm, domestic abuse and patients from lower-socioeconomic areas. Gravitated towards those areas, similar in her time in Temple Street. In Cork Edith works mainly in the Northside. The social supports either weren’t there or didn’t work in her experience in Ireland. Children unable to access basic dental care was unheard of in New Zealand where they have better primacy care. |
0.33.44- 0.36.36 |
Early Memory & description of Grattan Street Medical Centre A woman working downstairs said it was like coming to Colditz [German WW2 Prisoner of War Camp]. Arrived with a friend. Everyone was so nice. An old Quaker Meeting House. In busy urban areas between a school, busy road, houses, church complex. Hodgepodge! Kind of Victorian road frontage. Older building at the back made of cut stone. Higgledy-piggledy. Different types of signage. There’s a bit of a railing and bit of a ramp. Building kept together with duct tape and bits of binder twine. It’s a bit sad looking. But it has been here a long time and will be here in the future. A building that’s seen use and is embedded in the community. In keeping with Middle Parish. |
0.36.36- 0.39.02 |
Services in Grattan Street Medical Centre Health centre which provides community-based services for people based in Middle Parish, inner-city area, eye clinic provides community eye services for all of the North Lee HSE area- from Blarney to Carrigtwohill. Community podiatry clinic. Community medical doctors: child development clinics and vaccination services for North Lee. Public Health Nurse (PHN) services based in Grattan Street. Home Care Services Unit. Community dental services has moved out. Girls at front desk do European Health Visit Card and stamp forms- eye clinic etc. Community Welfare Officer used to be there as well but they have moved. Vaccination services. Similar but disparate services. Serve different populations within the community. Community based services are geographically decided rather than by your condition. |
0.39.02- 0.40.40 |
Engagement with a Community Based Service Hopes that services run in the community for the community get a better engagement rather than traveling to a tertiary centre. More likely to engage with a PHN who you may have been to before than an anonymous person in an anonymous clinic that changes each time you go. Community knowledge of Grattan Street in a way that there isn’t for CUH. Grattan Street doesn’t deal with life and death so expectations are different to a hospital. Physically less distance for people to travel in the community. |
0.40.40- 0.43.44 |
Working in Grattan Street Communal Building Uses Grattan Street for office-based work. Some clinics in Grattan Street but the demographics have changed and there are fewer babies and young children in the area. Primarily paper-pushing and renewing the connections that you have with the people who work in Grattan Street. Clinics in South Doc so it’s possible for Edith not to meet any other healthcare professionals only patients so Grattan Street is a social hub and important part of the job where information is transmitted in a more informal way not through writing. Importance of feedback. And Grattan Street facilitates that. Communal building. Can see people walking past and talk to them if you leave your office door open. Facilitates those networks. You will know who is in the building and check in with Celine in the office to see who else is there and what is happening. AMO- Area Medical Officer now Community Medical Doctors. |
0.43.44- 0.51.20 |
Clinics and Patients in Grattan Street Afternoon clinic downstairs in room 4 in Grattan Street. 6-10 patients in an afternoon clinic from 2:30-4pm. Anything referred in by the PHN or the assessment of needs- the disability services, and early intervention- concern with an ongoing developmental delay in child in the community. Checks for vision, head checks, hip checks. Partly routine partly not routine. Patients tend to be very early or very late. People will turn up 30 minutes early or 15-20 minutes late. Other places people turn up on time or a few minutes late. But with small babies delays happen for parents. Staff has high tolerance for that. Sometimes a mum will come with other children as well, or with a granny or granny will come with the children or there will be a friend or helper there too. Majority of patients come from PHNs. Form from PHN saying who their GP is and why they’re being referred. Always checks their names especially as more and more patients don’t have a typical Irish name. Some of them change mobile numbers often so checking those details is important. Change of address is also a problem. Some come from Edel House a women’s homeless service. Takes a background history or birth history- where they were born, birth weight, past medical history. Discuss risk factors, examine patients and how to proceed and be very clear with follow up instructions with the parents. We only remember 30% of what we are told. Usually don’t see patients again- not a follow up, ongoing service, don’t provide therapeutic intervention. “Good at normal”- this is within the range of what we expect. Much of medicine is about the abnormal. Most usual medical issues she deals with: Vision checks for squint, hip checks- concern about deformation, head checks. Developmental assessment- concern about autism or global developmental delay or intellectual disability. Preschools are good at spotting developmental concerns and referring them. |
0.51.20- 0.54.53 |
Attitudes of Parents towards Health & Medicine and HSE Parents want the best for children and are happy to do the best what it takes. Rare case where parent is in denial about their child’s situation- Edith doesn’t hassle them so as not to sour therapeutic relations down the line. Most people engage unlike adult medicine. Some parents may have complicated or chaotic lives and social workers may need to get involved. Advocate for the child’s best interests and is represented in the family. Even parents with most complicated lives can address the child’s needs. HSE is different. Expectation of a bad service especially where Grattan Street looks a bit rough and ready, but surprised that they get a good service and Edith is pleasant and doesn’t rush them out. Difficult conversations about telling parents of long waiting lists. Edith cannot speed up assessments. |
0.54.53- 0.58.43 |
Most Unusual Cases come across Doesn’t like unusual. Should not be seeing anything acute or sinister. A child staring into space could have autism sometimes it could be an absence seizure which needs a difficult treatment. Genetic abnormality which causes a developmental delay. Acute cases usually picked up by the paediatricians. Be careful about not scaring parents. Sometimes parents are reluctant to go to hospital. Acute cases are the ones that you think about when you go home and are not at work. Acute is something which cannot wait. Less concerned about something which is stable and isn’t going to change eg if someone is fragile X a chromosomal condition which causes developmental delay, commonest cause of intellectual disability- if a patient has this it is not going to go away. But if there’s a child you think has a brain tumour which has given them an acute squint which has come on over 24 hours out of nowhere then you don’t want to wait. |
0.58.43- 1.01.44 |
Dealing with Parents Reluctant to go to Hospital Most parents want what’s best for child. Sometimes parents can sometimes be preparing to fight to get what they think their child needs, and be adversarial. Can spend much of consultation time to get the parent onside. Have to be careful to not reinforce the idea that the parent thinks they need to push harder to get what they want. Explains that she wouldn’t do for someone else’s child what she wouldn’t do for any of her own. That can be a powerful message for a parent. If that doesn’t convince them then she has to start thinking about social workers: is there child abuse, is the parent drunk or stoned. |
1.01.44- 1.02.30 |
Why People may be reluctant to go to Hospital Down to resources: can’t afford taxi, no one to mind children, don’t want to go to CUH Cork University Hospital. Often single mums, mums without social supports, or trying to work and mind children. Physical upheaval is difficult. Logistically and economically difficult for parents. Example from Gurranabraher. |
1.02.30- 1.04.58 |
What it is like to work in Grattan Street Unique. Communal building, sense of community. Even people that you don’t deal with clinically you get to know which is important. Buildings are about the people in them not just the services they provide. Physicality of the building- open gallery- you can see & hear who is there. Would prefer it if was a warner building. Survivor bonding over the deficiencies of the building. Problems with parking. People say they work in Grattan Street not in podiatry. |
1.04.58- 1.06.24 |
Parking Small area for parking, not big enough for all the people who work there. Have to move your car to let people out. Didn’t park in the car park when working a half-day because wouldn’t be able to get out. School and houses also use the parking area and they can get cross if they are blocked. |
1.06.24- 1.09.12 |
Past of the Building Quaker meeting house. Building is set up like a church- entrance with arch and sweeping staircases, ceiling roses, curved picture rails. Awareness of the thickness of the walls and windows, not the typical shape for an office building or healthcare centre. Stone plaques outside in the parking area which commemorate the building. Was a dispensary from the 1940s one of the school nurses on the list of interviewees has a friend whose father was the dispenser or pharmacist there. Some of the came to Grattan Street as children for speech and language therapy. No anecdotes about when the lights went out or when it flooded. Cultural understanding of dispensary is that it was a publicly funded pharmacy but that they were fairly grim places for the ordinary not the great and the good. Lots of rooms and big building. |
1.09.12- 1.11.37 |
Weddings in the Registry in Grattan Street Other part of the building is the registry office at the front where people get married. Weddings out the front when coming to work. Children crying and elderly people. Swathe of human life. Unusual to see weddings in the urban work environment which makes everyone smile. And she will miss that when they move. Thinks other employees will have stories and anecdotes. |
1.11.37- 1.15.00 |
Paper & Documents in Grattan Street No one would believe how much paper is in the building. No one removes paper because no one knows who it belongs to. Paper based system for records. Accretions of paper. Shared office space where very little is thrown away. Extraordinary volume of paper created and used. Referrals done on duplicate books with carbon copy. Referral books for services which no longer exist- going back as far as the 1970. Old computers unused. Random boxes of leaflets. |
1.15.00- 1.18.10 |
Words to Describe Grattan Street and its future Community. Resilience. Service. If it was a dog it would be a Labrador, and old smelly one with bad teeth that farts a lot! A pet that everyone loves. Would hate to see the building closed and empty. Sense of spirit in the building. Understands that Quakers signed over the building with the view that it would be used for health services to the community. There’s no disabled access or toilets at present. Buckets in kitchen when it rains. Won’t do well if it is left empty and cold. Community based health resource rather than offices and admin. |
1.18.10- 1.22.13 |
Future of Services moving from Grattan Street Services moving to St Mary’s health campus. Podiatry moving to St Mary’s. PHN have moved already. Vaccination will move to St Mary’s. Eye clinic will move to St Finbarr’s. Dental has gone to Finbarr’s. Unsure about European Health Cards. Home Care may stay here. Marriages will stay. They have had little information about the services. Understands the complexity of project managing the move. Eye clinic will be physically remote from St. Mary’s. Lose sense of networks even though you can still pick up the phone. Lose contacts and networks and personally knowing people in other services. Personal knowledge of how other people work. It gives you more information about how to triage or perceive a referral when you know the people. Anything that interferes with getting information relevant to the patient and decision-making will make her job slightly harder. |
1.22.13- 1.25.19 |
Sense of Patients’ Perspectives Some clinic space may have to be kept in Grattan Street because of the most vulnerable patients in the area eg. from Edel House and newly arrived immigrants, and people who have moved out of direct provision. Families where English might not be first language and from backgrounds where there might be poor healthcare. Travel may be difficult for these patients, especially going “up the hill” to St Mary’s. Will advocate strongly to keep a clinic in Grattan Street- it’s easier to move 1 doctor to see 30 patients than vice versa, and do not need any specialised equipment. Grattan Street is a disaster for people with cars- St Mary’s is much better it has parking, space and coffee shops. Ensure that better services elsewhere don’t leave more vulnerable patients behind. |
1.25.19- 1.27.47 |
Comparison between Grattan Street and St. Mary’s St Mary’s will have: heating, lifts disabled toilets, large waiting areas, easy access. [Edith’s phone vibrates during this section] In Grattan Street if you are on crutches you can’t come to work. St Mary’s will fix these problems. Change is hard. [Edith’s phone vibrates during this section] With a new start if gives the staff a chance to effect the culture of the new building. Everyone in the building making small inputs. Christmas lunch potluck and baby showers in Grattan Street for which there is no policy or permission required people organised it themselves- autonomy and power. |
1.27.47- 1.31.31 |
Culture of the New Building & Importance of Admin People need to feel they have some autonomy of their workplace eg. the signs in Grattan Street which people put up without needing permission. Every clerical and admin staff can hear the patients who come into Grattan Street so they understand that they are not a piece of paper or a number. Further away people are from the person they provide the worse the service provision. Service lives and dies on its administrative staff. When admin staff goes on holidays the clinical staff are bereft! Importance of admin staff even though their role can be minimised. But in Grattan Street there is a good balance. St Mary’s may be isolated in separate rooms. |
1.31.31- 1.33.02 |
What Makes Good Admin Support? Patience. Being able to spin so many plates. First point of contact for people who use the service. People who understand that it’s really important. Although HSE gets a bad reputation every admin staff has been helpful and gone above and beyond. Celine in Grattan Street is very patient. |
1.33.02- 1.35.14 |
Patient Expectations of St Mary’s Big scary, bewildering building. Hope that people will be made to feel welcome. Scale of foyer area is colossal and may be overwhelming. Community should have some autonomy over the building in the same way the staff should. Comfortable seats and accessible baby changing facilities may be enough to make people feel welcome. |
1.35.14-1.38.08 |
Centralised Canteen Would like to see centralised canteen for the staff with access to healthy food. Small things become important. Easy to walk around and access healthy food. Sense that the community can use the space- not much green space on the northside. Chance to look at a different model of healthcare. Moaning is easy and can create a toxic culture if things never change. Small kitchen room on St Mary’s health campus. St Finbarr’s has a centralised canteen but CUH doesn’t. Give people healthy options on site. |
1.38.08-1.40.43 |
Community connection with Grattan Street more generally Edith has little interaction with Middle Parish community. Sees people coming and going from Middle Parish Community Centre and from the SHARE Centre, may help them across the road. Very little interaction which she finds quite sad. Would know some of the support workers in Edel House through working with them and phone calls. Reality of life is everyone is very busy. No funding for other community outreach projects. May run ante-natal classes in Grattan Street which would be good. The more engaged the community can be with the building the more likely they will be to turn up to their GP appointment or diabetic nurse appointment. |
1.40.43-1.43.40 |
Reflection choosing Medicine Would not want any of her children to do medicine. Comes at a big cost. Have to work 90 hour weeks and tell mother that their babies had died while her friends were traveling and going to parties. Have to go through hard parts of job to get to a role that you like. Came first in paediatrics in UCC please don’t tell Prof Carney/Kearney that she only went to about 2 paeds lectures! But spent a lot of time in the wards. Children are direct and Edith likes that. Interview Ends |
He describes his routine on school days, attending St Aloysius school and awareness of tenement houses en route. All the family except his father who was traveling returned for a big meal at lunch time prepared by a local woman who worked for them. Always ate fish on Friday. Recalls respectability being very important.
He recalls the Haggart or “Haggy Field” at the bottom of Wyses Hill where “ponnies” or chamber pots were emptied.
He remembers family adversities: death of his mother, father’s heart attack and his brother’s autism.
He outlines more of his family history: paternal grandfather involved in construction of Fitzgerald’s park and the 1902 Cork Exhibition, maternal grandfather Cronin was a cattle dealer, Cronin’s Field at the top of Cathedral Road may be named after him.
He mentions pawn shops and how the family christening cups would “go missing” and be located in the local pawn. Also recalls a “shawlie” asking him to fill her a jug of porter from a bar as she did not want to be seen going inside herself.
He describes his Christian Brothers secondary school, the violence of corporal punishment, the teachers and cycling to and from school. Discusses the emphasis on rugby at the school, the elitism of this and the uniform. Reflects how in retrospect the school failed to address personal or emotional problems the pupils had. Mentions the one-day-a-week school nearby. Describes the Eglinton Baths.
Talks about studying for the Leaving Cert at Holy Trinity College with “Doc Payne” before attending UCC. Recalls studying and socialising at university before outlining his further medical training, specific cases in hospitals (North Infirmary, CUH (Cork University Hospital) and St. Finbarr’s) and ultimate career trajectory towards becoming a GP.
Reflects on improvements in medical care including vaccines, nutrition, public health and improving survival rates for many diseases. Remembers delivering his first baby and reviving a child who died from cardiac arrest.
Describes ultimately working on Grand Parade as a GP in the surgery of Dr Michael Cagney who had fought in the Spanish Civil War.
Discusses making house calls in “The Marsh” area, and the treatment of psychiatric problems.
Finally, Derek reflects on his career, the sense of guilt and hypervigilance instilled in his medical training, and how mistakes are made when not following your intuition.
]]>Originally from Winter’s Hill, Derek describes his home and family: siblings, grandmother, his GP mother and his father who worked in insurance. He outlines his mother’s tasks and equipment as a GP.
He describes his routine on school days, attending St Aloysius school and awareness of tenement houses en route. All the family except his father who was traveling returned for a big meal at lunch time prepared by a local woman who worked for them. Always ate fish on Friday. Recalls respectability being very important.
He recalls the Haggart or “Haggy Field” at the bottom of Wyses Hill where “ponnies” or chamber pots were emptied.
He remembers family adversities: death of his mother, father’s heart attack and his brother’s autism.
He outlines more of his family history: paternal grandfather involved in construction of Fitzgerald’s park and the 1902 Cork Exhibition, maternal grandfather Cronin was a cattle dealer, Cronin’s Field at the top of Cathedral Road may be named after him.
He mentions pawn shops and how the family christening cups would “go missing” and be located in the local pawn. Also recalls a “shawlie” asking him to fill her a jug of porter from a bar as she did not want to be seen going inside herself.
He describes his Christian Brothers secondary school, the violence of corporal punishment, the teachers and cycling to and from school. Discusses the emphasis on rugby at the school, the elitism of this and the uniform. Reflects how in retrospect the school failed to address personal or emotional problems the pupils had. Mentions the one-day-a-week school nearby. Describes the Eglinton Baths.
Talks about studying for the Leaving Cert at Holy Trinity College with “Doc Payne” before attending UCC. Recalls studying and socialising at university before outlining his further medical training, specific cases in hospitals (North Infirmary, CUH (Cork University Hospital) and St. Finbarr’s) and ultimate career trajectory towards becoming a GP.
Reflects on improvements in medical care including vaccines, nutrition, public health and improving survival rates for many diseases. Remembers delivering his first baby and reviving a child who died from cardiac arrest.
Describes ultimately working on Grand Parade as a GP in the surgery of Dr Michael Cagney who had fought in the Spanish Civil War.
Discusses making house calls in “The Marsh” area, and the treatment of psychiatric problems.
Finally, Derek reflects on his career, the sense of guilt and hypervigilance instilled in his medical training, and how mistakes are made when not following your intuition.
0.00.00 - 0.01.58 |
Family and House Grew up on Winter’s Hill between Blarney Street and Wyses Hill on northside of Cork. The third of 4 children all delivered by caesarean section. His mother was very small and the local GP, one of the first “lady doctors” of which there were only 4 or 5 at the time, and they covered for each other. Father worked in insurance and had a good job as assistant manager of insurance company. Mother worked full-time. Always family member in the house to help out, including a grandmother. An old male relative lived in the 3rd floor of the house. That wasn’t unusual, it wasn’t always one room per person. But it solved childminding issues. |
0.01.58 - 0.02.20 |
Grandmother Remembers grandmother’s lap, her dark blue apron with designs on it and knitting needles. She died when he was about 3. |
0.02.20 - 0.04.33 |
House and Mother’s GP Surgery 3 storey detached house, a bit unusual. Further back from the road than others, with passage in called “the passage”, hen house in front and back of house, which was normal at the time. Mother did house calls in the morning. In the evening they had to go to the dining room because the front room became the waiting room and she had her surgery upstairs. Learned young how to answer the phone. People might arrive with urine in a Paddy whiskey bottle. In retrospect she was checking pregnancies or urinary infections. He was frightened of her steriliser- an electric pot with instruments in it. Syringe needles were sharpened on an oil stone before being put in steriliser, and no one seemed to get infections. |
0.04.33 - 0.07.59 |
Routine/ Typical Day at Home & School Walked down Wyses Hill to school in St Al’s (St Aloysius) which was a girl’s school. Teachers Miss Brett, Miss Curran (Chris Curran’s sister maybe), Sister Aloysius in first class which was more challenging because she didn’t like the boys. There was two thirds girls in the class. At that time this was normal practice. Walked across Vincent’s bridge across by the Mercy Hospital and across by lark’s bridge. Recalls where the labour exchange is now (Intreo Centre Hanover Street) there were beautiful Georgian Houses (tenement houses) in terrible condition with lots of washing out and women out talking to each other and several generations playing, and that was normal. No one thought there was anything right or wrong with it, it was just the way it was. Went home for lunch, and often had soup and a main course especially in the winter time. A lighter meal in the evening. All the family returned home for lunch except his father who might be traveling to Bantry or Skibbereen which was a long way at the time. A lady prepared the meals for the family. People who worked in the house lived locally and were like members of the family. They might work for 2 or 3 years and move on, often when they got married. Someone else would come then, often by word of mouth, perhaps through his mother’s GP practice. Always ate fish on a Friday which he didn’t like. Suspects there was a rota for meals. ‘Meat and two vegetables’ was always the meal. Felt privileged to have that as not everyone could, and there was a good bit of poverty around. Recalls a “soundbite” from Blarney Street: “Johnny come in for your rasher and two eggs!” There was a great respectability, everyone respected everyone else and there wasn’t any talking down to people- it wasn’t acceptable.
|
0.07.59 - 0.09.49 |
Playing near Home & the Haggard Didn’t get out of the house all that much. Played football outside the door for a while. Area called “the Haggy” across from where they lived, the Haggard* which was a kind of wasteland roughly where fancy apartments at bottom of Wyses hill are now. People used to dump their “ponnies”** in the old days. It wasn’t regarded as a place you’d go, it was just a steep hill. But people went there with their (chamber) pots. But the stigma of it not being a clean place remained even maybe 100 years after running water and sewage came in. So when playing football if the ball went down the haggy no one wanted to fetch it. Was not allowed to go out to play football, mother would have had a “conniption fit” had she known they were out doing that. [*Haggard or Haggart: A farmyard or small enclosed field; a vegetable patch or kitchen garden. Or area adjacent to the farm yard or what once was a farm yard. Traditionally this was an enclosed area on a farm for stacking hay, grain or other fodder. (sources: Wiktionary, meathfieldnames.com] **[ponny or ponnie: earthenware or metal pot or mug (Source: A Dictionary of Hiberno-English: The Irish Use of English ed. Terence Dolan)] |
0.09.49 - 0.12.43 |
Family, Changes and Adversity Mother died when he was 13. Dad had had 1st heart attack previous year and he had retired from work and started an insurance brokerage as a hobby. Sister Catherine did medicine and went to America and didn’t want to return. Different doctors tried to keep mother’s GP practice going. Older brother in insurance now retired. Younger brother Michael born hypothyroid and had severe autism slept in his room and found it normal to share a room with a practically non-verbal brother. Remarks on how people what people can accept as normal even if inconvenient and that people are strong in the face of adversity. Discusses the resentment and rage which is normalised by the internet which has also contributed to the polarisation of politics “it’s as if only extremes are correct”. History suggests consensus is what works. The manipulation of social media has contributed to this phenomenon. |
0.12.43 - 0.14.47 |
Mother, her GP work and her car Mother was very bubbly. Black hair with white stripe in the centre very careful about appearance hair was always done properly. Very hard worker with patients and at home. Expected high level of neatness and cleanness. She had a bubble car maybe 200cc with a door in the front. She covered other GPs. She went to Hettyfield and left 10 year old Derek doing his homework in the bubblecar. A 13 year old girl asked what it was and said “ours is a Consul Cortina”. The first time Derek felt his car might not be adequate. Bubble car had two seats at front one at back entered from the front. Recalls 4 children and his mother in the car! That was normal. |
0.14.47 - 0.16.53 |
Mother & Father: Backgrounds and relatives Mother and father put great store in education. She was youngest of 11 and one of the first to go to university. Dad was youngest of 17 children many in the family had been engineers. Derek’s grandfather had been married twice. Derek’s paternal grandfather died in 1917 before his father was born. Paternal grandfather was a builder/engineer/contractor had a lot to do with building of Fitzgerald’s Park, he has photographs of the grandfather with his workers dressed in Victorian outfits for the Cork Exhibition (1902 probably). Maternal grandfather was cattle-dealer Cronin. They lived up in Fair Hill which was subject to a compulsory purchase order in the 1960s by Cork corporation. Google maps lists Cronin’s Field at the top of Cathedral Road, assumes that this was the same field. Knew relatives at top of Hollyhill who were farming until Hollyhill as we know it was build. |
0.16.53 - 0.18.04 |
Pawnshops and stolen goods Two pawnshops on Lavitt’s Quay and one at bottom of Patrick’s Hill. Doesn’t recall who ran them. The Christening Cups were stolen a few times by the same person from the waiting room in the house and were located by the Gardaí in the local pawn shop. |
0.18.04 - 0.21.36 |
Secondary School: transport, teachers, shawlies, baths Went to Christian Brother’s College (CBC) after St Aloysius, his grandfather, father and brother had gone there. One teacher Mr Richard McCarthy known as Dicky Rashers called Derek by his father’s name because he had taught him as well. The story with Dicky Rashers was that he had dietary issues and after Christmas an announced that he had had rashers. He was a nice man. If it was raining they got the number 14 bus down Wyses Hill which came every 20 minutes. They used to hide because Dicky Rashers would offer them a lift which they didn’t want from a teacher. Also cycled to school. Got wheels caught in railway track going to Eglinton Baths. Those railway bridges opened until the 1970s. Goods trains and Guinness trains used to cross over them. Cycled up Patrick’s Hill to get to the Christian’s rugby field (Landsdowne). Cycled down the hill when it was raining, breaks failed and stopped where Brown Thomas is now. Only 4 or 5 cars on Blarney Street at the time. When 15 a shawlie stopped him near the Templeacre Bar (Gurranebraher Road) and she gave him a pint jug and asked him get her Guinness from the snug. She would not be seen going into the pub but wanted her Guinness. |
0.21.36 - 0.24.09 |
Secondary school teachers Christians was somewhat elitist which a lot of people were not comfortable with. Many teachers were old and not qualified teachers. Mr Murphy taught him art for leaving cert, but he had been teaching junior infants. He was very small his feet would not touch the ground when sitting on a desk. Mr Townshend music teacher and great musician. All characters. Violence of corporal punishment, queuing around the classroom to answer questions on Geography or Latin. If you weren’t very academic you got a lot of beatings on the hands. Some of those less academic pupils became very successful businessmen. The Christian brother told the boys in the B class to be nice to boys in the C class because they might need to get a job from them later. |
0.24.09 - 0.26.04 |
Secondary Schools in general, elitism & ‘One Day a Week School’ The uniform was part of the school’s elitism. There was a school nearby “the Wana” (one day a week) and there was a clear difference between them and CBC. CBC had disciplined and scheduled classes all day. The one day a week school pupils were obeying the law, 12 or 13 years old selling papers to make money. They had to attend school until a certain age. People with dyslexia were beaten and treated with contempt. Scoil Mhuire girls private school was nearby and quite posh. Around the corner was St Angela’s was less posh. Rivalry between Christians and Pres (PBC, Presentation Brothers College). |
0.26.04 - 0.27.22 |
Secondary School: lack of empathy, attitudes towards sports Was in first year of secondary school when mother died. There was no recognition of that in school and he dropped from A class to B class. A little help would have gone a long way. In retrospect there were probably a number of pupils with ongoing issues which were never addressed by the school, while the emphasis was on playing rugby. Rugby in Cork was elitist then too. Derek joined Tramore Athletic soccer club. A cousin played tennis quite well and a Christian brother said “why wouldn’t he take up a boy’s game?” |
0.27.22 - 0.28.44 |
Eglinton Baths, swimming, chipper Eglinton Baths had a boys’ pool and a girls’ pool. Probably 25 yards. White tiles with balcony around each pool. Communal hot showers, but the pool itself was freezing and stinking of chlorine. “It wasn’t unusual to be blue and wet!”. Went home via Maylor Street and went Matt Kiely’s chip shop to warm up a bit. |
0.28.44 - 0.29.30 |
Changes after mother’s death, father’s career Younger brother went into full-time care when his mother died. And his dad was involved in local politics and trying to run a business. He was a Fine Gael councillor for over 20 years in the North Central part of Cork which would have been unusual. He was involved in the health board and the building of the regional hospital. He was chairman of the hospital board for years and of the health board. |
0.29.30 - 0.31.36 |
Repeating the Leaving Cert with Dr Paye Derek always assumed that he would be a doctor. He was offered a place in dentistry in college which he declined. His dad got him into the Holy Trinity College on Washington Street “Doc Paye’s” which was a military camp for getting your leaving certificate. He is grateful to Dr Paye and Miss Paye. For this school your hair was cut very tight, you wore a humiliating uniform, “you arrived on time or you didn’t arrive at all”. Mixed class, boys wore black, girls wore red with tartan. Every class was structured 45 minutes and took serious notes. They had studied the leaving cert papers and knew what needed to be learned. Still sees Dr Paye around and she must be a good age. |
0.31.38 - 0.34.15 |
First experience of University: courses and social and sport life After he resat the leaving cert he went to UCC in a course call First Common Science. This was an experiment when Pre-Med and Pre-Dent courses were done away with. In First Common Science you competed for your course. Had little experience of social mixing, and enjoyed going to the Kampus Kitchen (Campus Kitchen) to smoke cigarettes and drink coffee, and drink beer in the evening if you could afford it. First Common Science was not a problem because of the work done in Dr Paye’s. 60 got into medicine, 20 into dentistry and the rest did other science degrees maybe dairy science and science. Glad he got to mix and get to know more people. Thinks that his son who went to Trinity to do medicine probably missed out on that aspect of social life as he went straight into medicine. Small group of people in his course. There used to be rugby matches in the quarry in UCC where the Boole Library is now. The pitch was very muddy in winter. Dentistry were not able to field a team as there were not enough men doing the course. Playing the quarry you were just as good as everyone else because everyone was terrible. |
0.34.15 - 0.37.39 |
University: playing cards, betting, debating society, studying For the first year or two Kampus Kitchen was the place to play cards and a lot of money was won and lost there. He stopped playing cards because he saw people lose their grants. He once lost the money to be spent on a shirt for the Med Ball and had to attend with a pink shirt. As regards clubs and societies looking back he thinks he should have attended the Philosoph (UCC Philosophical Society, college debating society). People who were from Cork probably got less involved in clubs and societies, whereas those living on or near campus would have become more involved. Thinks the Philosoph would have broadened his education, mentions how Theo Dorgan was there during his time in college and thinks that Theo got a broader education compared to the narrower field of medicine. His education was greatly advanced in 2nd Year Medicine while in the library fretting about a physiology exam maybe 2 weeks before the exam. A mature student around 35 years old told him “the information in a book is inversely proportional to its size”.
|
0.37.39 - 0.39.37 |
What’s needed to become a doctor and to practice No one asks him as a doctor where he came in his class, and it wouldn’t make a difference anyway. Many people who were academically gifted would not have been suited to being doctors. Is concerned that a medical education which requires strong left-sided brain skills to remember and regurgitate material may not produce great communicators and not great doctors. Someone with an average IQ could be a very good doctor. The economics of being a doctor suggest that maybe it should not be so attractive for people and they would be better in IT or science. Once you qualify in medicine that is only the beginning: you have to graft for jobs, get relevant experience and only then try to make a living. It’s just a primary degree unlike dentistry where you are a qualified dentist once you complete the degree |
0.39.37 - 0.42.48 |
Working in North Infirmary: learning, some memorable cases Went to the North Infirmary. Lovely hospital to work in, was very well-treated. Very hard work. 3 medical interns, 3 surgery interns, maybe 2 SHO (Senior House Officer) and 2 Registrars. Recalls first night he was on for surgery when a patient from motorbike accident was to arrive in and the SHO left before the patient arrived. Nurses were excellent. Learned how to do things. Learned how to recognise cases that were too hot to handle. When on call started 9am Friday finished Monday at 5. There were very few GPs out of hours so got big queues in North Infirmary. Went to bed 4am one Sunday morning and he was told there was a young man with chest pain. The young man looked pale and sweaty and was wearing ex-army jacket which was “all the rage” at the time. Discovered that the man had been playing darts, had gotten a dart in the back and had a chest full of blood. Learned to be careful and not take things at face value. Another night a man was brought in by his friends. At the time Match of the Day (football highlights and analysis TV programme on BBC) was at 7pm or 8pm. The man had been in the pub and “his leg was swinging in the breeze”, he had fallen off a bar stool and broken his hip around 7:30pm but had stayed in the pub until Match of the Day was over before coming to hospital. |
0.42.48 - 0.51.04 |
Changes in healthcare: preventative medicine, vaccination, alcohol Suggests people may have been tougher in the past. Then reflects on the improvements in medicine and that “the good old days weren’t so good”, people didn’t live as long, not vaccinated, poor nutrition. As nutrition improved children became taller than their parents. Improvements in prognosis. Enthusiastic about preventative medicine. Although the medical card system did not take that into account, doctors were not paid for vaccinations on the medical card but they did it anyway. Gay Byrne encouraged people to get the measles vaccine. And there was a change in the demographics of the measles incidents over two years after that. Didn’t see cases of measles for 15-20 years, and it only reappeared when anti-vaxers (anti vaccination campaigners) appeared. Thinks it’s a scandal. Vaccination for measles is not individual it is based on herd immunity it requires 80-90% of the population to be vaccinated or the vulnerable will get it: people with immunodeficiency, leukaemia, chemotherapy. Discusses the changes in gender demographics in relation to cardio-vascular diseases and risk factors. There had been an economic difficulty with alcohol-you could only afford a small amount of alcohol (or cigarettes). But now alcohol is cheaper and cigarettes are more expensive. Mentions the trend of pre-drinking. Suggests problems of alcohol appear to occur further north of the equator. Discusses the off-licenses in Sweden where you had to order alcohol a bit like the system of ordering products in Argos. If your order for alcohol exceeded accepted level you were not served. This didn’t prevent people drinking as they made their own. Discusses the positive effect of smoking ban and the way people use the “nanny state” argument to oppose basic public health measures. Talks about the improvements in treatments and survival rates particularly for cancers and cardio vascular diseases. Compares this to reactions of indignation. Points out the hidden nature of preventative health care which can be effective but is rarely seen of credited. Preventative care is also less well understood compared with waiting times for doctors or ambulances, number of hospital beds. Thinks the question should be about quality of life and what can be done to improve it. |
0.51.04 - 0.52.47 |
North Infirmary working routine, cost of hospitals In north infirmary there was a doctors’ room and dining room where you had your own seat and there was a colour television which was unusual at the time. 6 interns. You worked every day and every third night as well and every third weekend. But if someone was on holidays you had to work every second one. The cost of a bed per night in the hospital was £80 and when it was closed the cost in other hospitals was £200-£300 per night. Discusses the merits of centres of excellence and lower-tech hospitals. |
0.52.47 - 0.57.07 |
Further training in St Finbarr’s & CUH, reviving a child, CPR After North Infirmary did obs and gynae (obstetrics and gynaecology) in St Finbarr’s Hospital and CUH (Cork University Hospital). Great training, lovely, practical and kind obstetricians. A small nurse Sister Tutor called him at night for a mother giving birth. The nurse cleverly directed him in delivering the baby with a forceps while making it seem like he was the one doing all the work. “Without the nurses we’d be nowhere”. His daughter is a nurse and sees how knowledgeable and capable they are at the coal face. Unwise for doctors to ignore what nurses say. The importance of everyone being on the same team. Recalls an A and E (accident and emergency) nurse who had all the equipment ready while the doctor was looking up what was to be done. Recalls a child around 7 years old who was dead from cardiac arrest after getting electrocuted on a Saturday afternoon. They used intubation, put up a drip, drugs, cardiac massage, and defibrillation. They didn’t have time to look up dosages they divided them amounts by 4 for a child. They had a good success rate at reviving dead bodies in North Infirmary- community response is key today. “an ambulance on its way doesn’t keep your heart beating.” Believes everyone should learn the basics of CPR. Recalls CPR in his GP practice. |
0.57.07 - 0.58.50 |
Further medical training and useful A & E experience After obs and gynae he did paediatrics, psychiatry, and a year in A and E where he learned that a little smile went a long way. Talked about how to politely and carefully deal with cases which were not serious enough to be in A and E. Public who might be waiting all day did not see the very serious cases that were happening out of sight. It was good training for a GP practice. |
0.58.50 - 1.04.21 |
Own GP practice, Dr Cagney’s GP practice & Spanish Civil War, Set up own GP practice on northside in their house. Found it lonely because there were so few patients coming in. He then practiced with Dr Michael Cagney until he got a stroke. Dr Michael Cagney was a remarkable man, big burly, chain-smoking man very kind to people. He would tell people to give up cigarettes while he was smoking at the same time. He was doing surgery and he returned to GP practice because he father had been running a practice but became ill. When Dr Michael Cagney sat his leaving cert he was too young to go to college so his dad and General Eoin O’Duffy decided to send him to fight in the Spanish Civil War. He rarely spoke about his time in that war, and must have been traumatised by it. He probably thought he was going out “to help the raped nuns.” Many people from Ireland went to fight in that war. And it was not that long ago. Reflects on children today being used as soldiers in other countries, and being involved in drug gangs in Ireland and on those who leave to fight for Al Qaeda today and crusaders in the past. Dr Michael Cagney was probably born around 1920. The practice was in 51 Grand Parade, 2 floors up. It was a very good practice, he was very ethical and kept very good notes on large A4 file in alphabetical order which was probably unusual for the time. They used the Merck Manual which was an encyclopaedia of therapeutics. You could ring surgeons for advice. There was a great sense of responsibility and great collegiality. Refers to the changing ways of doctors referring patients to hospitals. |
1.04.21 - 1.06.09 |
First day in new GP Practice, changes in care, responses to bad cases Remembers first day in Dr Michael Cagney’s practice which was in a back room and patients wanted to see Dr Cagney rather than Derek: “With respect to you doctor I’d like to see the doctor!” After time people came to see him specifically. Did everything, including: antenatal, postnatal and smears- it was perfectly normal for a male doctor to do a smear in those days before there were headline cases of doctors who did the wrong thing. Derek became deskilled in that area because it was too much of a risk. Suggests that new practices are often introduced in response to hard cases. Mentions the response to the Dr Harold Shipman murders in England where GPs had to list the number of patients they had who died in one year to prevent a similar case. One GP made a mistake in their statistics and rang up to clarify them, but was told no one would ever read the statistics so it didn’t matter. Says that lots of information is gathered but never really used. |
1.06.09 - 1.08.05 |
Learning on the job, diseases not disappearing Dr Michael Cagney learned surgery but had to learn paediatrics on the job. Thinks most people of average intelligence can learn very quickly when put in a situation. Recalls a patient with a rheumatic heart and the hospital intern found it hard to believe. Derek says “diseases don’t go away they’re just waiting for you to forget that they happen”. Thinks there will be more outbreaks of diseases due to lack of vaccination. Polio outbreak in Amsterdam 20 years ago. “diseases don’t go away because you are sophisticated or rich or white.” |
1.08.05- 1.09.51 |
Attitudes to vaccination, TB Treatments in Cork Discusses the positive attitude towards vaccination in the past. People had seen children with whooping cough and adults who had holes in their lungs because of it. Doctors had patients who had limps from polio epidemic in Cork in 1950s, knows of a patient who died of post-polio syndrome in their 70s. TB was common but few admitted to having it- stigma associated with it comparable to leprosy or HIV. Mentions Mr Hickey in Sarsfield’s Court who was able to collapse lungs and do pioneering surgery to treat TB. Thinks vaccination is question of statistics not opinion. |
1.09.51 - 1.12.20 |
Routine as GP: house calls, pager, patients not going to hospital Typical day started around 9am. Might do 10 house calls in a day because people didn’t go to hospital or if they did not for very long. House calls were also more common back then because of the lack of transport options for patients. Discusses the pager service, finding a public pay phone and how getting in contact with a patient an hour after they used the pager was considered fast. Dealt with a lot of pathology at home if patients did not wish to go to hospital. Could visit a patient at home every day for a week or two if they had a serious condition. It was very gratifying when patients recovered. |
1.12.20 - 1.15.06 |
Public Health Nurse care Had little contact with the Grattan Street dispensary and health centre. Mentions the dental service there, ophthalmologist Dr O’Sullivan and public health nurses (PHNs). When doing the membership of general practice in London he was not believed when he said there were only 2 PHNs for Cork city centre. PHNs medical care had a physical, psychological and social side. Knows that dispensary doctors had limited treatments: “blue tablets, red tablets and liquids”. They worked before the medical card system, which he thinks came in the 1970s. When Derek became a doctor the system was ‘fee per item’ you were paid a small amount for each thing you did as a GP. Everything had to be written in a duplicate book. |
1.15.06 - 1.17.52 |
‘The Marsh’ memories. Case of anaemic man Dad was in the St Vincent De Paul and many in the Marsh were living with 2 or 3 families (in some case 5 families) living in the same big Georgian Houses. Many of these were knocked down in the 50s and 60s and many moved to Cathedral Road and Fair Hill. Some families had lived for generations in the Marsh. Recalls visiting a man a PHN was concerned about. Man lived with his dog and had a picture of Elvis on one wall and Jesus on the other. He was very anaemic but wouldn’t go to hospital. The remedy was some injections of B12, iron and oral folic acid and Meals on Wheels. Believes the problem was nutritional- living on spam sandwiches. |
1.17.52 - 1.20.35 |
People with psychiatric problems lived in the community in the past, now are being hospitalised Some people who lived in the city centre had come from elsewhere where may have been rejected. Some had mild schizophrenia or personality problems. They came to live in the anonymity of town. Many muddled along living in bedsits and had as much company as they wished. Now similar cases are put in hospital maybe in situations that do not suit them. Discusses the idea of putting anyone with psychiatric problems into the same category. Compares how we treat other illnesses- there is no “abdominal ward” which would treat a huge array of different illnesses, these are catered for separately. Similarly he thinks it doesn’t make sense to put people who are depressed or hearing voices in the same place as those with an eating disorder. Does not think the problem will be solved by additional money alone. |
1.20.35 - 1.21.40 |
Ability of people to cope. Publican ran bar walking on her knees Highlights the extraordinary ability of people to cope. Recalls an elderly lady (who probably had polio) and ran a bar walking on her knees on a bench behind the counter. Thinks that today there is more a demand for everything to be perfect and this can lead to unhappiness. |
1.21.40 - 1.24.15 |
Reflects on career, mistakes and medical training Thinks that when he made mistakes it was because he had ignored the inner voice that suggested something didn’t smell right. One of the things that was instilled in learning to be a doctor was basic guilt. The default was guilt, the sense that if something went wrong it must be your fault. That is the downside of medicine: trained into a guilt-trip. Makes you vigilant all the time which can be tiring. Wouldn’t change anything, felt privileged and happy to meet people and make a connection and friends. It wasn’t possible to be friends with your patients, there had to be a dividing line, though he is friends with them now. You couldn’t do business with or have a relationship or a social life with a patient. Peggy Cronin O’Connell and Vincent O’Connell were his parents’ names. Interview Ends 1.24.15 |
Speaks of the poverty in the Middle Parish which necessitated buying goods on credit and selling clothes and jewellery to pawnshops. Mentions pawn locations. Mentions bringing empty bottles to shops to fill them with milk.
Discusses the conditions of the tenement houses in the Middle Parish including the sanitation arrangements such as outdoor toilets and the use of newspaper as toilet paper, he also mentions heating issues including timber, turf and coal which was available via a voucher scheme. Further discusses cooking, washing in the tenements including the introduction of gas and electricity. Also mentions medicines for lice and worms administered at home.
Says that boys and girls played different games separately when he was growing up. Mentions some of these games in more detail.
Discusses foods (including tripe and drisheen, pig’s tongue, Connie Dodgers) meal routines and the shops where food was purchased. Liam and his mother brought lunch to his father where he worked on the docks.
Returns to the topic of corner shops and shopping and the types of food available there, further comparing this to supermarkets today.
Speaks of the death of his mother and the change in living circumstances that this entailed.
Describes getting a vaccination in the dispensary, what it was like inside and who worked there.
Mentions fights outside bars at night time.
Talks about air raid shelters built in Cork city during the Second World War, what they looked like and where they were located.
]]>Liam Ó hUigín: Grattan Street, Healthcare, The Marsh
Liam grew up on Henry Street in The Marsh and recalls playing football on Grattan Street which was busy and full of activity with businesses, pubs, shops a fire station, barber shops and tenements. He discusses some shops and games in more detail.
Speaks of the poverty in the Middle Parish which necessitated buying goods on credit and selling clothes and jewellery to pawnshops. Mentions pawn locations. Mentions bringing empty bottles to shops to fill them with milk.
Discusses the conditions of the tenement houses in the Middle Parish including the sanitation arrangements such as outdoor toilets and the use of newspaper as toilet paper, he also mentions heating issues including timber, turf and coal which was available via a voucher scheme. Further discusses cooking, washing in the tenements including the introduction of gas and electricity. Also mentions medicines for lice and worms administered at home.
Says that boys and girls played different games separately when he was growing up. Mentions some of these games in more detail.
Discusses foods (including tripe and drisheen, pig’s tongue, Connie Dodgers) meal routines and the shops where food was purchased. Liam and his mother brought lunch to his father where he worked on the docks.
Returns to the topic of corner shops and shopping and the types of food available there, further comparing this to supermarkets today.
Speaks of the death of his mother and the change in living circumstances that this entailed.
Describes getting a vaccination in the dispensary, what it was like inside and who worked there.
Mentions fights outside bars at night time.
Talks about air raid shelters built in Cork city during the Second World War, what they looked like and where they were located.
0.00.00 - 0.00.31 |
intro |
0.00.31 - 0.02.55 |
Memories of Grattan Street and surrounding area Shops and Buildings Grattan Street was a busy street with many businesses. Most important was the fire brigade. When the new St Francis Church was being built (Broad Lane church as it was called by people in the Middle Parish) the fire brigade amalgamated with Sullivan’s Quay and the priest of Old Broad Lane church moved into the old fire brigade building while new church was being built. Children missed the excitement of the fire brigade. Very vibrant street. 6 pubs: Kellehers, Crosses, Landers, Carrols (later called the Tostal Inn), Ramble Inn (owned by Mrs Brick) two Murphys public houses near Broad Lane which runs from Grattan Street to North Main Street. Shops and sweet Shops: The Rodisses, The People’s Dairy, The M Laundries, 2 Gents Hairdressing Saloons (called barber shops): Leahy’s and Keanes. Where the Community Centre is now was called Mechanics Hall, because the mechanics had a union and meetings there. Later it was known as Matt Talbot Hall. There were lots of tenement houses in the area. [Liam’s phone rings.] |
0.03.06 - 0.05:04 |
Tenement Houses, Lanes, playing in Graveyard Where Patrick Hanely Buildings are now there were tenement houses. Liam only barely remembers them as they were being demolished in the late 1940s and early 1950s. They were derelict sites for a while, which was his playground. St Peter’s Cemetery down Peter Church Lane, playing among the headstones, and hiding or planking cigarettes. Shops: Manning’s Shops at corner of Henry Street and Grattan Street, Mrs Mullins at corner of Coleman’s Lane. From Coleman’s Lane to Adelaide Street there were 4 or 5 houses there with 4 or 5 families in each house. Remembers Shinkwin? Family, the Dineens. When they moved out they went to Gurranabraher, Ballyphehane and the suburbs in Ballincollig. |
0.05:04 - 0.06.56 |
Childhood Games and Activities Very little Traffic on the roads at the time. Liam was living in Henry Street round the corner from Grattan Street. Recalls soccer matches from one end of the street to the other and wouldn’t see a car. Friends who came from Blarney Street or Barrack Street couldn’t understand why the streets were so wide and loved it for a game of football. If a woman with a pram approached while they were playing football they would pick up the ball or if they played near the Mercy Hospital they knew that they should keep quiet without anyone telling them and Liam thinks that has changed today. Many of his friends live in Grattan Street and everyone was a happy family until there was a row and they had a battering match with “stones down the quarry”. They used to swim by the Mercy Hospital by the ladder. And then on to ‘the pipe’ up the Lee Fields and then the weir and every second day they had the Lee Baths one day for boys one for girls. Today it’s mixed. |
0.06.56 - 0.11.32 |
Poverty-Buying on Credit and using Pawn Shops Could get messages or shopping on tick or on credit. Milk, bread, quarter (pound) of cheese. There was no bottle of milk you had to bring in your own jug. If you ran out of money the shopkeeper would write it into a book and at the end of the week you could pay it off. A few people could afford not to be ‘on tick’. There were a few pawn shops on the North Main Street one near north Gate Bridge Jones, another across from Coleman’s Lane called Twomeys. There may have been more. There was one at the bottom of Shandon street owned by Jones as well. There were 18 or 19 pawn shops around the city one at bottom of Patrick’s Hill, one by fire brigade station on Sullivan’s Quay, two on Barrack Street. People would pawn clothes. Tradesmen would pawn trowels on Monday morning. Often for drink/ alcohol. Wives would pawn husband’s suit and take it back the following Saturday for going to mass. Nearly everyone used the pawn it was the forerunner to the Credit Union. If you pawned a pair of shoes for 10 shillings, you got a docket and you had to pay 11 shillings to get it back. Wives would be stressed making sure they could get the husband’s suit back in time for mass. It was a thriving business. If you didn’t claim your pawned items after a certain period it was put for sale in the window. Some people would pawn things openly. Other people would hide it under a shawl, or pretend to be pawning something for someone else. People felt ashamed. Almost everyone was scraping a living. Even some shopkeepers looked after people who may not have had enough to pay at the end of the week. At Christmas the shopkeeper would give you a present of a Christmas Cake or Christmas Candle depending on what type of customer you were. |
0.11.32 - 0.13.02 |
Work, Pawns, Showing off Wealth Liam doesn’t remember what or whether his family pawned. Liam’s dad was a docker which was paid on a daily basis and his mother was shrewd enough to put away some money every day. He knew that relations of his pawned things though. Bracelets, wedding ring, engagement ring, rarely a watch very few people had watches. Liam knew someone who went to work in Dagenham and he came back a Dagenham Yank with a different accent “a twang” and a watch. He walked into centre of Henry Street, pulled up his sleeve and pretended to be winging his watch while looking at Shandon clock tower just to show off his watch. |
0.13.02 - 0.13.46 |
Telephone Phones were also very scarce. One shop in Henry Street had a phone and there was a queue there for people wanting to use it. There was another phone booth by Vincent’s Bridge coming down Sunday’s Well. Liam remembers playing there and being afraid to go in to answer the phone. |
0.13.46 - 0.18.37 |
Tenement conditions, Emigrants, Social Comparison, Fuel Poverty Laneways around there: Philip’s Lane from Grattan Street to North Main Street. Skiddy’s Castle from Grattan Street to North Main Street. Coleman’s Lane, Peter Church Lane (now Avenue), Broad Lane (at the back of the church), all on to North Main Street from Grattan Street. Conditions were basic looking back with an outdoor toilet. One family on Henry Street had ten families with one cold tap in back yard and one toilet between them. They had to clean out every morning and bring an enamel bucket upstairs every morning. Had an inferiority complex about relations coming home from England. The relatives would be dressed up in finery but later Liam discovered they were also badly off but made the effort when coming home. The story of someone’s uncle who came back from America after 40 years and the family had moved out to the suburbs and they had a barbeque. And the uncle used the toilet inside the house. He said he used to eat inside and the toilet was outside and now it is reversed! They used newspaper instead of toilet paper. Turf and timber blocks for fuel for heating which father got going out the Straight Road. Some people got a voucher for a peck of coal which might only be a large shovel full. Some families got vouchers for free shoes like in the shop Furlongs in South Main Street (owner may have been lord mayor later) Liam wasn’t sure where the vouchers came from- maybe the Health Board. Doesn’t think there was any child benefit. Maybe the Sick Poor would provide the vouchers. They would visit people and the people would try to hide that they were calling. |
0.18.37 - 0.22.42 |
Cooking, Bathing, Hygiene and Medicines No cooking facilities only the fire. Mother would cook pot of potatoes on the fire and then transfer to the hob. 1948 no electricity in Henry Street at the time. When they got gas in mother told him not to leave kitchen door open to hide it from Liam’s grandmother who lived upstairs and was the real tenant. It wasn’t an oven it was a thing on a stand with two rings on it. Older people were afraid of being gassed. Saturday night the galvanised bath was put in front of fire with hot water and washed, and if you were the last person in the bath the water would be dirty. And then the children were lined up against the wall to get a weekly does of cod liver oil, or Brutlax, California syrup of figs, Senna? All because of worms. Some newspaper put on the table and hair combed with fine tooth comb to get rid of lice- it was an ordeal. Brutlax was like chocolate but a laxative. Milk of magnesia used as well. Given those every Saturday night to prevent you getting sick. Some of them had a terrible taste. If someone got sick taken to the dispensary. |
0.22.42 - 0.24.12 |
Children’s Games Different for boys and girls Spent much time in the derelict site where Patrick Hanley Buildings are now, used to connect to Cove street. They had battering matches with stones and they were going to the Mercy Hospital 4 or 5 times a week. They used to play chasing hiding from the nuns around the Mercy Hospital. Could bring a spinning top and hit is with a whip up and down the road without fear of traffic. Girls would tie a rope to a pole and swing around it and skipping as well. |
0.24.12 - 0.31.57 |
Food, traditions, routines. Lunch at Work Porridge for breakfast which you eat if you were given. His grandchildren now have a choice of 5 cereals. Goodie- bread and milk mixed maybe with sugar sprinkled on it. Some shops on North Main Street like Simcox or Currans Bakery you could get bread wrapped in soft tissue paper which was kept in a drawer at home for when visitors came to use for the toilet because it was better than newspaper. Potatoes and cabbage. Father loved pigs meat: pig’s heat, backbone, pig’s tail, crubeens. Liam still loves a crubeen except for the trouble of cooking of it, and it’s messy to eat. Mother was reared around Vicar Street. Barrack Street, Blarney Street, Shandon Street: that’s the way people lived because there was little Gurranabraher built and Ballyphehane wasn’t built yet. Tripe and drisheen is still a favourite, can get from Reilly’s in the market. Tripe cut into little pieces, with cornflower, onions, “white sauce”, drisheen put in later. Tripe and drisheen would be weekly. Liam loved the pig’s tongue because it was lean. Set day for each food. Liam’s dad was a docker and he would cut the ear off the pig’s head, put it in a sandwich with bread and butter, wrap in newspaper and that was his lunch. He wasn’t the only one. Thinks tripe is from sheep’s stomach. Blood in the drisheen. Connie Dodgers for Lent allowed one meal and two collations. Con Lucey said you could have a biscuit with a cup of tea as a collation. Liam thinks it was Larry McCarthy’s bakery that made a biscuit twice as big as the normal one. For Lent had to fast every Friday and couldn’t eat meat, except for people of a certain age. Religion was a big thing for people at the time. Lent didn’t bother Liam’s dad. Dockers worked hard. Where Elysian Tower is now, where the Eglinton Baths were Liam went with his mother and a bowl of soup and bread and butter and a tea towel over it. The dockers sat on the kerb eating their soup and sandwiches and they were all black with dirt no washing of hands. All the work was shovelling coal, Liam worked there for 2 days and had enough of it- nearly wanted a small shovel to fill the shovel he had. His dad was small but very wiry and strong. “They were marvellous people” |
0.31.57- 0.37.05 |
Pastimes, Shops and Opening Hours Dad spent time in the pub maybe too much. People listened to the radio or sat in front of the fire reading the newspaper. Some people with go hunting or play football or hurling. Liam plays golf now but at the time it was only for the elite doctors and solicitors. Liam’s dad never stood inside a golf club. Liam was 10 when his mother died she would offer him tripe and drisheen or a creamy cake for dinner and he would choose the cake. The corner shops are gone now because of the supermarkets. Corner shops on Henry Street were: Bode’s?, Mannings, Horrigan’s, Dermot’s on Adelaide Street. Dermot’s was first all-night shop in the city- wouldn’t be there during the day. Open from 8pm to 8am. A salesman in coca cola told Liam that Dermot lived on Pope’s Quay and owned a Morris Minor car and he drove it to Adelaide Street 7 days a week and the car was ten years old and there wasn’t 5,000 miles on it because that was all the driving he did. In Ballypheane Liam sees people carrying lots of bags after shopping in Aldi on Tory Top Road. Liam remembers going to Dermot’s for quarter pound of cheese (3 or 4 slices), half pound of tea, 2 eggs, there were no fridges so you bought and you ate them there was little storage. Dermot would put greaseproof paper over the blade and cut perfectly a few slices of cheese which had come from a timber box. Girls were interested in the box for making cots for dolls. There was no variety of cheese available just the one block. Sugar was available in quarter pounds rather than big bags. Men coming home from the pub would be sent back out to get a box of cocoa or milk from Dermot’s. There was no one on the street after 12 o’clock unlike today when there’s lots of people around after nightclubs. |
0.37.05 - 0.39.00 |
Death of Mother and Family Living Arrangements When Liam’s mom died his aunt who had 6 children moved upstairs from Liam. She has 5 daughters and 1 son and the son died of meningitis at 4 years old. Liam’s grandfather was dead. Aunt moved to grandmother in Vicar Street to look after her. Liam was going to school in Mardyke, father’s place during the day, went to grandmother’s in Vicar Street for food and washing and then back to the Marsh to sleep. He skipped school for almost 3 months (‘on the lang’) until the school wrote to his dad, who gave him a lecture. He was nearly 14 then and on the verge of leaving school anyway. |
0.39.00 - 0.44.13 |
The Dispensary now Grattan Street Health Centre, Tinsmith and Nurse Lots of cases of meningitis. Everyone in Cork used to go to the Dispensary. Everyone now in their 70s seems to remember Dr Cagney. He would give a bottle of coloured water. If you forgot your bottle you had to go to Mr Gamble the tinsmith in Grattan Street. He made ponnies, gallons, billycans. But when plastic came in there was no need for tinsmiths. Remembers getting injection or vaccination from Dr Cagney, thinks it may have been for smallpox but is not sure. He dreaded the needles for the syringes which were “like six-inch nails”. You went through a gate, into a yard and there were steps leading up to the entrance. A grey-haired woman maybe called Mrs O’Keefe. There were benches like in a church. There were hatches. You queued up for the doctor. And the hatches gave you the medicine. Other place for illness was Mercy Hospital. Recalls a midwife Nurse Anthony who called to people’s houses. Liam thought when younger than it was the midwife who brought babies on her bicycle. Aunt lived on Thomas Street (a continuation of Peter’s Street) to the back entrance of the Mercy Hospital where the “dead house” was where Liam’s mother was laid out. Remembers the Quirkes and the Horgans, Glandons?, McCarthys living there too and they all moved out when Mercy took over the whole block. Liam doesn’t remember playing around inside the Dispensary. |
0.44.13 - 0.45.35 |
Making vs Buying Lunch People who worked in Dispensary didn’t live in area. Doesn’t think people make lunches for work anymore. In modern day people go to shops like Spar for sandwiches and rolls. Wives/mothers used to make “lunches for them in the morning” for children who were working and there was a can with milk, tea and sugar. |
0.45.35 - 0.46.14 |
Families Living in Dispensary Grattan Street Thinks Mrs O’Keefe was only working there, possibly the cleaner. Mrs O’Keefe may not have been her name. Liam doesn’t think they were charging people in the dispensary. |
0.46.14 - 0.50.55 |
Attitude to health, Pubs, Fights, Market Gardens, Childhood Mischief There was no such thing as being left on a trolley. The Mercy hospital was the only hospital Liam knew, and every child in the Marsh went there at least once after a fall, hit with a stone on the head, a few stitches. Although, Liam’s aunt lost a son to meningitis. Didn’t have the medicines we have today. They were simple times but he doesn’t remember going hungry ever. Lots of pubs on Grattan Street and people were spending lots of time and money which put a burden on the family. Saturday night on Grattan Street there would usually be a fight, stripped to the waist. Bonfire night used to be a great night but no longer. No awareness of mental health. Called the Lee Road the Madhouse Road. First coloured person Liam ever saw was on Sheares Street and when they saw him they called him “Johnny the Black” and they got a chase. A chase was very important for children at the time. Fisherman on Wise’s Quay near Vincent’s Bridge the children used to throw stones in to frighten the fish away and the fisherman would chase them. Tuesday, Thursday and Saturday the market gardeners would bring their produce on horse and carts to the Coal Quay and the shopkeepers would come to buy vegetables off them. Liam and the children would steal (“knock off”) some cabbage and carrots. “Oliver Twist was only trotting after us”. |
0.50.55 - 0.51.15
|
Sweets You’d get a few sweets in Woolworths from the girls who worked there, to prevent them trying to steal them! |
0.51.15 - 0.55.10
|
WW2 Air Raid Shelters in Cork Three air raid shelters on Sheare’s Street, 2 in Henry Street and maybe a few in Grattan Street, at least one. O’Connell on Sheares Street was in charge of air raid shelter no 3. Fear of being bombed by German’s during World War 2 mass concrete buildings rather than underground. Liam has photograph of an air raid shelter on Patrick Street outside the Victoria Hotel and a photograph of it being knocked down. The son of the man who had the key to air raid shelter no 3 would rent out the space to old children if it was raining and they wanted to use it to play cards. In the 1940s. he lived at corner of Moore Street and Sheares Street. They were being demolished in 1948 or 1949. Air raid shelter remains inside the door of Elizabeth Fort and there are 2 on the grounds of the South Infirmary (Victoria Hospital), they’ve now been converted to stores. If you stand at bottom of South Terrace and you look up at “Rock Savage” on top of the hill at the back of the South Infirmary you can see it protruding out. Liam remembers the LDF became the FCA and that their “top coats” were good as blankets during the winter as you could put your hands into the pockets. Nearly every house had an army coat on the bed. Everyone was issued with a gas mask, Liam has one from a friend of his. Everyone had to be measured for their gas mask at the city hall or in schools. Liam’s dad wasn’t not in the LDF but his uncle was and it was his coat that was on the bed. |
0.55.10 - 0.59.24 |
Grattan Street, Dispensary, surrounding lanes, Terence MacSwiney connection Grattan Street was busy, vibrant street, always something happening there. Can’t believe seeing the traffic there now. Liam took a photograph of Prince Charles stopped in traffic outside the plaque to Patrick Hanely Buildings. The Dispensary was a historical place, there was a time when Grattan Street was a river and Meeting House Lane from North Main Street (at the side of Bradleys) was the entrance to any of the buildings on Grattan Street. Henry Street was known as Penrose Quay. On Adelaide Street at the back of where Curran’s Restaurant was there was a square called Penrose Square- after the Penrose Family that lived in Tivoli. If you come down Coleman’s Lane from Grattan Street and enter North Main Street up on the wall there are four plaques for the building where Terence MacSwiney was born. People think he was born in Blackpool because they confuse him with Tomas MacCurtain. Terence married one of the Murphy brewers. Liam is very interested in Terence MacSwiney and loves talking about him, maybe because he comes from the same area in Cork. |
0.59.24 - 0.59.41
|
Outro. Interview Ends. |
Describes the family home and routine chores. Speaks about the importance of sport especially tennis in her family upbringing.
Recalls her school days including instances of corporal punishment and the negative effects it had on people. Went home for lunch, mother prepared their dinner using meat from their butcher shop.
Describes secondary boarding school in Loreto Fermoy, especially the structure it imposed.
Speaks of how she had always intended to become a nurse. May have learned traits and habits useful for her career from her mother’s work ethic. Describes her nursing training in the Mercy Hospital and how the rosary was said there every night.
Describes her path to Public Health Nurse training in Dublin. Talks about her desire to work in the community rather than in the constraints of a hospital. Describes the wide range of PHN duties from pregnancies, births, infants, acute injury support, addiction, disability, older adults to dying and palliative care.
Discusses her current role as Assistant Director of Public Health Nursing where she advocates for early intervention to prevent behavioural issues in children. Mentions the large staff turnover due to the difficulties of the work. Much of the work involves building relationships.
Speaks about how poverty, social disadvantage, addiction, alcoholism affect children’s health and create a negative cycle which PHNs have a role in breaking. Speaks of how difficult it is for someone who hasn’t had parental role model to function as a parent themselves.
Talks about the move from Grattan Street to St. Mary’s Primary Care Centre and how she misses the other medical teams.
Describes Grattan Street as happy place to work, enjoyed the building and its quirks such as the gallery which facilitated casual conversation and the rattling windows. Believes people enjoyed working there because they got something positive from the building. Mentions the difficulties with parking there and its impact on the wider community. Feels that the building owned them.
Speaks of her hopes for the future of Grattan Street building once services move out.
Discusses caring for and moving vaccines as a School Nurse.
States that Grattan Street was a special place.
]]>Eileen grew up in Tallow in west Waterford in a family of seven. Her father ran the family butcher business attached to the house. She recalls him singing and whistling, and the sawdust on the shop floor. Recalls meat and tripe being sold and drisheen being made by her mother, explains this process.
Describes the family home and routine chores. Speaks about the importance of sport especially tennis in her family upbringing.
Recalls her school days including instances of corporal punishment and the negative effects it had on people. Went home for lunch, mother prepared their dinner using meat from their butcher shop.
Describes secondary boarding school in Loreto Fermoy, especially the structure it imposed.
Speaks of how she had always intended to become a nurse. May have learned traits and habits useful for her career from her mother’s work ethic. Describes her nursing training in the Mercy Hospital and how the rosary was said there every night.
Describes her path to Public Health Nurse training in Dublin. Talks about her desire to work in the community rather than in the constraints of a hospital. Describes the wide range of PHN duties from pregnancies, births, infants, acute injury support, addiction, disability, older adults to dying and palliative care.
Discusses her current role as Assistant Director of Public Health Nursing where she advocates for early intervention to prevent behavioural issues in children. Mentions the large staff turnover due to the difficulties of the work. Much of the work involves building relationships.
Speaks about how poverty, social disadvantage, addiction, alcoholism affect children’s health and create a negative cycle which PHNs have a role in breaking. Speaks of how difficult it is for someone who hasn’t had parental role model to function as a parent themselves.
Talks about the move from Grattan Street to St. Mary’s Primary Care Centre and how she misses the other medical teams.
Describes Grattan Street as happy place to work, enjoyed the building and its quirks such as the gallery which facilitated casual conversation and the rattling windows. Believes people enjoyed working there because they got something positive from the building. Mentions the difficulties with parking there and its impact on the wider community. Feels that the building owned them.
Speaks of her hopes for the future of Grattan Street building once services move out.
Discusses caring for and moving vaccines as a School Nurse.
States that Grattan Street was a special place.
0.00.00 - 0.00.25 |
Intro |
0.00.25- 0.02.04 |
Background Started in Grattan Street 2002 had been in different positions but haven been there full-time since 2012 as Assistant Director of Public Health Nursing. Covers the nursing staff for the City North-West area population 27,000. 10 area PHNs [Public Health Nurses] community RGN teams (Registered General Nurse). Eileen is PHN, RGN and registered mid-wife. You have to be an RGN to become a PHN. Worked as an RGN first in the community in North Cork prior Grattan Street. Then did PHN course in Dublin UCD (University College Dublin). Returned to Grattan Street, work as PHN on the ground, in schools, preschools, inspecting in nursing homes, assistant director of PHN since 2009. She was in two other sectors before that. |
0.02.04 - 0.04.21 |
Childhood in Waterford Born a long time ago! In Tallow west Waterford. From family of 7, has an older brother and four younger brothers and one younger sister. Father was a butcher, family business. Went to school in Tallow, then Loreto in Fermoy and then to the Mercy Hospital and did RGN training, then Dublin to Hollis Street for midwifery training. [Eileen’s phone rings but she mutes or turns it off and continues the interview] There were about four butchers in Tallow but now only a Supervalu. She remembers her dad singing and whistling below in the shop when she was in bed in the morning. He and his father were good singers and whistlers. Remembers sawdust in the shop and it going all over the house. Father and mother going to the marts getting sheep and animals coming to the back yard and into the slaughter house. Grew up with it so didn’t see anything unusual in it. Good happy childhood. Brothers and her all involved in sport. She and parents played tennis. “We were brought up in a tennis court” played some hockey in school. Lots of sports, golf as well. But now doesn’t have time with work. |
0.04.21 - 0.06.36 |
House at Home Growing up Two storey house on the street. Shop was attached to it. Downstairs there was a living room, a kitchen and a back kitchen and a room off the shop and four bedrooms upstairs and a bathroom, a big garden, a shed and a slaughter house. Grew up as an only girl, her sister is 14 years younger. She had gone to boarding school/secondary school by the time she was born. Had lots of friends in Tallow, still has them, still keep in touch. Did a lot of work in the house, as she tells her mother who’s now 92. They were all given jobs to do. She had to hoover the sawdust. She was involved in the weekly bath for her brothers, making sure their shoes were polished every Saturday evening. Thinks that today it is different, perhaps because of parenting. Dad died 10 years ago suddenly from a heart attack which she says was lovely for him. Siblings all alive, one in England. |
0.06.36 - 0.10.57 |
Produce in the Butchers Drisheen, Tripe, Black Pudding. And the making of them. Meat was sold in the butchers and some onions. Mother made drisheen and black pudding every Thursday to be ready for Friday and Saturday. Sometimes she would get some tripe from the market in Cork and it would be sold in their shop. They didn’t make the tripe themselves but they did the drisheen and black puddings using the serum. Serum from the blood and milk and pepper was used in it. It is supposedly good for you. And they ate that every Saturday night on top of sausages and rashers and they keep that tradition going but without the drisheen. Very mild flavour. It’s the frying that gives it a flavour. Maybe someone who wasn’t used to it might find a stronger flavour. Doesn’t remember the flavour of any herbs. It was a light grey colour in comparison to black pudding. Possibly some kind of sausage meat added to the black pudding. There was a machine where it would come from. Serum is separation from the blood when it is allowed to settle and there is a strainer. You use what floats to the top and discard the rest. Father and sister loved tripe but Eileen never “acquired the flavour for tripe” served “with boiled onions and milk”. Eileen doesn’t remember the butcher shop selling pork. But she thinks she might be wrong about that because her father kept a pig and he won a trophy for his prize pig when Eileen was about 7. |
0.10.57 - 0.15.09 |
School, Corporal Punishment, going home for Dinner School in convent in Tallow. Carmelites enclosed order still in Tallow, they didn’t teach but it was in their area. Boys had a separate school at the time but now it is co-ed: boys and girls. Enjoyed school. Reasonably well-behaved because terrified. Teachers could slap you, corporal punishment. Eileen didn’t get slapped often because she was a good girl. Remembers a small ‘roundy’ stick which would be used to hit children around the knuckles. Some teachers had less patience than others and found it difficult but the students didn’t understand that. She is glad corporal punishment is gone because it lowered self-esteem, and put you at a disadvantage. It wasn’t just the slap, it was that someone had carried it out on you. You felt brutalised. It was very common, right up to the time her children were in primary school, some of the teachers at the ends of their careers there had a reputation for corporal punishment. Would get a slap if they thought you weren’t paying attention or if you were talking to someone. Spoke about corporal punishment with her friends subsequently. And she discovered terrible things that happened to people which she wasn’t aware about at the time. Slaps across the face, pulling of ears, hit on the head. “You were an easy target. They had the power.” It was difficult. She thinks that if you were involved in sport you were treated a bit differently, though not if you were academic. They had outside toilets in primary school- “leaves and cold and wet”. Was able to go home at lunchtime and have dinner. “My wonderful mother had my dinner ready every day. For the nine of us.” |
0.15.09 - 0.15.48 |
Dinner and Types of Foods For dinner they would meat that hadn’t been sold in the butcher’s shop. They might have steak for a treat on Thursday night but usually more reasonable cuts of beef and lamb. Always meat, vegetable and potatoes. Mother was a great cook and baker so they always had something sweet to eat as well. |
0.15.48 - 0.19.01 |
Secondary School Boarding School Boarded in Loreto Fermoy, her brothers went to De la Salle in Waterford. Her parents worked hard to get them that education. Her mother had boarded but her father had left school early. Some of her friends from home went to Loreto as well and she also made new friends there. There for 5 years. Happy enough time. Initially allowed home every third weekend, eventually allowed home every weekend. As an only girl it was good to be around female company, she thinks she would have just been bossing the boys around at home. First impression was of the structure of the place: all your recreation time was spent in the one place. And you were there with your class, it was all set out for you and you had to fall into line. “I wasn’t unhappy there.” Calls by day, hockey in afternoon- sometimes go to Cork for a match. Every Saturday they were not at home they went for walks, they walked through the town, on parade in their uniforms. Had music at night in the social room listening to records. Abiding memory is of seeing Dana winning the Eurovision. Maybe she saw something about Bloody Sunday as well.” |
0.19.01 - 0.20.36 |
Career Choice. Nursing. Mother’s education. Role of Religion. Mercy Hospital “For some reason I always had nursing in my head.” Maybe because her mother said she would have done nursing if she could- she had left school after her Junior Cert and did a year in a technical school where she got her baking skills. Mom was a great worker so thinks she would have made a great matron rather than a nurse because she would have wanted everything done properly. Eileen says she may have some of those traits herself. After Eileen’s training when she went into the hospital she felt claustrophobic “for some reason it didn’t sit well on me.” She did 3 years in the Mercy. There were nuns there at the time: “Great fun, hard work.” |
0.20.36 - 0.22.07 |
Role of religion in the Mercy Hospital. The rosary was said every night on the wards. Had to go down on your knees at 6 o’clock and shout out the decades of the rosary. Biggest thing was that they had to know the joyful, glorious and sorrowful mysteries. They went to mass every morning around 7am when they stayed in the nurses home for the first year and a half. Nuns were strict. She was only 17 when she was there so she thinks it might have been good. She didn’t regret doing nursing but she didn’t take it too seriously either. |
0.22.07 - 0.23.18 |
Nursing Training in Mercy Hospital Three years training but only got a certificate. Learned anatomy, physiology and putting it into practice and managing patients/clients, eventually managing a ward. Managing night-time with patients coming in. managing a children’s ward. Dealing with everything: clinical care, surgery, people dying. Children dying. Recalls children dying in St. Anne’s Ward that will never leave me. Delighted to see the Mercy is busy and expanding. She has fond memories of it. |
0.23.18 - 0.26.55 |
Route to PHN and Grattan Street Did a little bit of work there wasn’t much work for qualified nurses at the time. Went to Fermoy Hospital, a community hospital. Worked there for a few months. Went to Hollis Street and spent a year there- very interesting. Opening into a different experience in the capital. She was madly in love at the time came home frequently. Eventually went back to Fermoy Hospital and got married at 23 in June, and by October of the following year she had her first son and so gave up nursing. Husband was self-employed and was often away and she felt one of them needed to be there they had three children. When the children got older she decided to do a course in fitness and taught exercise classes for 8 years. She had tried to get into PHN but hadn’t enough experience. She met a friend in Fermoy in 1998 and she said why not go into the community they are looking for RGNs in North Cork. She applied, got it and then “got the bug for the community” and applied twice to UCC for PHN course and they didn’t think she was suitable. She was accepted in Dublin and found it challenging. She was 47 at the time. She was up there for three week period. She came home every weekend. She came home on placement for a two week period placed in North Cork. That’s how it operated for the academic year. it was manageable and she had always wanted to do it. She was going back into a group of nurses who had been working, who knew everything, who knew computers and Eileen could barely send a text message on a phone. She was accomplished at essays by the time she was finished. She entered Grattan Street 2002. |
0.26.55 - 0.28.25 |
Public Health Nursing Eileen enjoyed the freedom of PHN, didn’t like the constraints of the hospital and the regimental nature of it. PHN suited her. Liked going into clients’ homes and fitting in with them rather than them fitting into a structure in a hospital. She wonders about the broad, complex, extended and manic nature of what is being attempted in the community now. She hasn’t been out working in 2009 but she has been working managing staff inside and supporting them in client management. |
0.28.25 - 0.33.06 |
Role of Public Health Nurse Looking after clients from the ante-natal (pregnancy period) to the end of life care. Anything and everything in between that. A huge sphere. Looking after mums to be, babies, mums after birth, young children, acute discharges who need support around wound care, clients with mental health, addictions, disabilities, older adults, dying and palliative care. Thinks it’s now too broad now because the type of discharges are very complex, almost providing a hospital type care within the community. Sláinte Care- clients being discharged into the community. Eileen doesn’t think this can happen until they had sufficient resources to match the numbers being discharged to them, she needs an increased budget. City north west is an area of great disadvantage there are 20 DEDs (Electoral Divisions) in it 15 of which are designated as disadvantaged or very disadvantaged. Lots of complexities around parenting. This leads to children with behavioural issues. Eileen is always advocating for early interventions. Role of PHN was always health promotion and illness prevention. More hands on now doing clinical, assessments, referrals, ordering supplies, reviewing things. So what was formerly the PHN’s main role is no longer their main role. Early intervention is key, it would be very beneficial. In the city northwest area there are many non-statutory bodies area-based childhood programme, (Atlantic Philanthropy was supporting this for a while now it’s Tusla) they support families, parents, teachers, childcare workers increasing capacity around infant mental health. Springboard run by Tusla which support families. “Niche” in Hollyhill a family support agencies, and Barnardos as well. Eileen is involved with all of them in child welfare and protection. Would like to get the issues resolved at child welfare stage. Everyone that comes to work here gets great experience but no one stays for very long. Lost two staff in April. 1.5 staff were on maternity leave and not replaces and another 2 going on maternity leave. |
0.33.06 - 0.35.30 |
Turnover of Staff Turnover due to the challenging work. Often chasing people, offering them appointments to bring their children, but they don’t. When you go back they won’t answer the door, or their phone, and change their phone number, or don’t tell you that they’ve moved house. Not all people they deal with are like that but a core group are because they have had no parenting themselves and the cycle continues of disadvantage, poverty, poor education and housing, unemployment. “Entitlement stage” their parents were entitled to everything. In PHN there is no entitlement which they try to get across. Eileen thinks that people born and reared in poverty and with poor parenting have no chance of catching up because they don’t realise the level they are at. Eileen doesn’t know where to break that cycle though she thinks that PHN plays some role. Places in Dublin and Limerick also have areas of disadvantage. Eileen think that sometimes her staff give people what they think the people need but it may not be what they really need and sometimes the staff can’t get that information from people. It’s all about building relationships but it’s hard to build that relationship when people don’t want what you have to offer people. |
0.35.30 - 0.40.25 |
Child Development Problems- Multiple Causes, Complex Solutions Should they ensure that all children in primary school are fed? Or is that too late? An infant mental health specialist with young Knocknaheeny area child-based programme 0 to 2 years is pivotal in nurturing and bonding and if it doesn’t happen children end up with low self-esteem or behavioural problems. These become bigger problems later as the children have not developed skills in coping because they haven’t been shown them. And if it’s not there by age two they miss out on a lot. Ante-natal period classes with Young Knocknaheeny to build a relationship with the mothers when they have their babies which they have to see until they are 5. There are a lot of services for people but sometimes they don’t want to be seen as a target for the services, they don’t want to be seen as different. Eileen was initially shocked by that attitude, someone said “another service being thrown at us” and maybe they were saturated with services and it wasn’t something they wanted at all. If Eileen knew how to break that cycle she would patent it. She read an article by someone in charge of Bessborough- how can we expect young mums to parent a child when they were never shown and they had no role model. How to build trust and build a relationship because they can be very wary and distrustful of services. Parents think that if they don’t do what the PHN says or thinks is right that there could be child protection issues involved because this happened a lot in the past and sometimes a child was removed. But for social workers the last resort is to remove a child- the child as almost always better with the parents from their point of view. Eileen thinks that approach is a bit unusual, especially if there is no bond between parents and the child. Sometimes a child is removed for a period of time, and there are health professional meetings, case conferences, families come together and everything is discussed. Sometimes it doesn’t work but you have to try. In those cases there is a health professional meeting or a case conference meeting and the children go into foster care and maybe go back to the parents after a period. |
0.40.25 - 0.45.40 |
Social and Medical Issues in North Cork Area Most of the moms are single with different partners for the different children. Housing is an issue, expenses for school, dependence on drugs, alcohol, polypharmacy, mental health, self-neglect. A number of clients are alcoholics who come home and expect the HSE to provide services. They can refer clients to the mental health services but the client has to agree to go. And there is a lot of that. Lots of young people with disabilities which she was surprised at she felt she had been very “sheltered”. When she came from North Lee so many people had disabilities or something wrong with a lot of people. The stats are quite high. North Cork is rural but North Lee is exceptional. One third fit into that category. Mental health and addiction issues are shocking. Grandparents are minding grandchildren because their children aren’t capable. She had no exposure to this until she arrived and so she was unprepared for it. Eileen could retire any time she wants but she likes the work but will retire in a few years. She tries to make a difference. |
0.45.40 - 0.49.40
|
Compares Grattan Street to new St Mary’s Primary Care Centre. Car Park issues. Get pleasure from the new building in St Mary’s so different to Grattan Street. When in Grattan Street they loved it and linking in with the team and got stuck in the car park. Eileen had a database with all the cars and numbers and if anyone was in a parking space who wasn’t registered they would get a note on their car. The car park nearly broke their hearts. Eileen was in a 7:20 every morning to get the parking space and would dread having to go anywhere because your space would be gone. When she went there as a novice PHN she didn’t like the outside of the building but once inside she felt comfortable there, and the staff were nice in there. They always knew if someone was sick or had a bereavement. When she left Grattan Street she had a room there but it is now full with other things and incontinence wear. Jokingly blames Sean Higgisson the porter for this. Some of the rooms in Grattan Street are beginning to look neglected and old. Some of the team are not looking forward to moving up to St Mary’s. They are anxious about the move. But many with Eileen were as well before they moved but at least her team are all in the one place now. She feels they are well-settled in St Mary’s now and they like it and she told Sean the porter and Celine in admin this. They’re not really missing Grattan Street. |
0.49.40 - 0.57.13
|
Typical Day in Grattan Street and Changes. Hospital Discharges. Arriving in Grattan Street first it was similar to what she had been used to in North Cork. (North Lee is from Youghal to Macroom) Was in Mayfield for a year. Was in Glanmire St Stephen’s for 2 years. 2012-2019 in Grattan Street. A typical day in Grattan Street was getting there early to park the car to be able to get out quickly. When traffic in Grattan Street became one way it really affected staff in Grattan Street- previously they were able to leave and go up Shandon Street but now they have to turn through narrow streets. Doesn’t feel they were told or consulted about that change. After getting their early she went for a walk because initially she didn’t have a key to the health centre. Walk to the quays, North Main Street into St Francis Church to pray for everyone (and for herself not to kill anyone). Back to Grattan Street, Sean would be there, have coffee, reply to emails, manage staff annual leave, sick leave professional development, pre-discharge meetings. She is on various boards and bodies which entailed various meetings. Would go St Finbarr’s [Hospital] head office once a week. Busy. Trying to find solutions to problems. Would think of something in bed at night but forget it by the time morning comes. Sometimes write a note in the phone and go back to sleep. In Grattan Street working with clients, working through correspondence, going to meetings: multi-disciplinary teams with more views, suggestions and options. Could be about a client having issues with self-neglecting, a client who deteriorated and needed extra supports. Mercy today for pre-discharge meeting for a very complicated case coming home. Previously the person had been discharge and within 36 hours he was found on the floor and the door had to be broken down- required the Gardaí, ambulance, nurse and home help. He refused to go to hospital. The following morning he was unwell again and he was sent to hospital. Now they want to send him home again. Many complexities come from not having next of kin and the nurse shouldn’t have to take on that responsibility. Capacity bill. Not always safe discharges. Reiterates connections with Young Knocknaheeny, Niche, Barnardos, Springboard. Try to link in with other groups and social work but feels they need to focus on their own work. Their cases are too big to be involved. Feels pulled and dragged a lot. As a PHN you are a manager of an area of 3,000 population which isn’t huge but the complexities make it hard. In a rural area there might be a population of about 5,000 but they wouldn’t all be active. |
0.57.13 - 1.01.40 |
Social Aspect Aoife O’Brien is great to get people together, comes up with idea, advertise, follow up, plan order things, get back to people and doesn’t force people and takes photos. Eileen takes pride in the Christmas party and restarting it. It’s the only time they really had events in Grattan Street. Allows you to have fun, eating and relaxing and speaking about plans. Someone made punch but with the change in driving laws and when that woman left they didn’t have it anymore. Lots of young people in Grattan Street now who go out after work to a bar but Eileen wouldn’t have done that. There was a lot of moving or transferring staff and they would do something for them like a lunch. Mixed well with admin, nursing, podiatry, school nurses, ophthalmology. Everyone knew where everyone was. When they came to St Mary’s first in early February (5th & 6th of February after the nurses strike) they really missed the other teams. Expected the other to follow shortly after but they haven’t. When meeting people in the corridor in St Marys there might not be eye contact and they aren’t used to that coming from St Mary’s. Now they are smiling and saying hello. They are integrating into the new building. When people finally come up from Grattan Street it might be easier for them now that Eileen’s team has managed the transition. |
1.01.40 - 1.07.10
|
Everyone loves Grattan Street Some people wanted to leave but only for parking. Grattan Street reversing out and cars double parked on both sides. Saw a lorry bringing in windows for a school extension. People in the school sometimes try to take their spaces. The lorry reversed in- surprised how good a driver he was. Teams close together in Grattan Street but separated now in St Mary’s. Podiatry will come up. Home Support Service is in St Marys. PHN have rooms for clients downstairs. While everyone is in St Mary’s they are separate. They are beginning to get used to all the space. Thinks it’s more productive in St Marys. Sector 4- City Northwest touches on the Mardyke and Western Road a bit but most of it is on the Northside. It made no sense for staff to be based in town and come up to the Northside and then back down. Grattan Street Health Centre is part of Mayfield Sector 3- City North East. So really they were in temporarily lodgings there. In St Mary’s can respond to thinks more quickly, nurses can do their calls more easily. Can’t think of negative things, maybe the room with 20 of the nurses instead of 2 to 5 people. But people are getting used to it. Some health centres have a mix of disciplines but in St Mary’s it’s all nursing which Eileen prefers. Canteen in Grattan Street was homely and functional. But in St Mary’s it’s clinical, not big and equipment is ok but it’s very loud. Eileen goes there when it’s quiet and looks out the window at the trees which has a preservation order on them. |
1.07.10 - 1.11.08
|
Interaction with Surrounding Grattan Street Community Fraught interaction with the surrounding area in Grattan Street to do with the car park. There’s 6 parking spaces for anyone. And the ones at the back wall and the other side area for HSE. There might not be enough space for residents. And HSE staff would try to get in early enough for a space. They had a good relationship with the school [Education Together] until they started taking the HSE parking spaces. Sean had a good relationship with the school and the locals because he would have more dealings with them. Only the back door of people’s houses were connected with the car park their front doors faced elsewhere. There was a hall. And the area in which Grattan Street is located isn’t covered by the PHN area that Eileen was in, it was covered by Mayfield. So Eileen feels they were a bit disconnected from the Marsh. Not much interaction with shops. Raised blood pressure due to the car parking and arguments and they nearly shot each other over it! Eileen told someone that they couldn’t park there because they weren’t working there and she was shocked at the angry verbal abuse she got after it. Sometimes arguments would start badly but in the end they would be smiling and wondering what all the fuss was about. |
1.11.08 - 1.14.18
|
Describe Grattan Street A happy place to work. Liked the building and its peculiarities, its rattling windows. Arguing to get a new window where the bottom part was falling out and tin foil was blocking the gap. In her room the wind was coming in and the window wasn’t replaced. Bars on the window. And obscure glass so you could only see out when you open the top. Thought that the two stairs going to the 2nd floor in Grattan Street was cool when she was there first and the gallery all around and the open space it created. An old quaint building being pushed into something it was never meant to house. Glad to hear that there is talk of people going in there. The gallery made things different. And you could see if someone was waiting for you and have a bit of craic. An opportunistic up and down conversation. Not as easy to catch people in St Mary’s. “We will always have happy memories of Grattan Street. Always. And I’m sure it will become even more embellished with time.” |
1.14.18 - 1.18.30 |
Why do people like Grattan Street? Eileen thinks it’s partly because of the people working there. The building lends itself to that. They got something good from the building. When you entered the building there were no lights on you had to go to the reception area to turn them on. One morning she heard something flush when she went in. She locked herself in her office. And called Sean (Higgisson the porter) who said the toilet just flushed itself- another peculiarity. Sometimes people were difficult in Grattan Street and Sean was calm and dealt with it. Being near town gave you lots of options for places to go which isn’t the case in St Marys. Someone could come in shouting and verbally abusive and demanding to see someone. Someone collapsed once and Sean had to get him to the Mercy Hospital in wheelchair. Try to diffuse the difficult person- Sean would be good at that and might get someone else to assist. Sean gives a relaxed attitude and talks to people. He would keep it from escalating. Eileen thinks she might not be so calm! |
1.18.30 - 1.20.02
|
Varying Views of Grattan Street Medical Centre Other people who came to Grattan Street may see it as shabby, or somewhere they didn’t get what they wanted. Or there was no proper queue or waiting too long for something. They might have had trouble parking. Another person might think it’s convenient in the city centre and an interesting unusual space. “But they won’t ever see it the way we saw it. We felt we owned it. Or it owned us, you know that kind of way. Sometimes it just felt like something wrapped around you.” Felt good there. “Everyone loves Grattan Street. Put that on my epitaph.” |
1.20.02 - 1.21.00
|
Definition of Patients and Clients Call people clients when working with them in the community. Patients in the hospital. Clients because they have some need but it is not always an illness. It’s always been like that in the community setting. |
1.21.00 - 1.23.15
|
Anything you would change about Grattan Street besides the carpark? Could have been painted. Paint the door. Make it more attractive people to get a better sense of the place before entering. Improve the exterior to make people aware they were going someplace nice. The building needs it. Down and outs sleep out the back of it so there is lots of rubbish out there. Some clear glass in the office and take away the bars. Improve the canteen a bit. St Marys is fresh, new and practical. Grattan Street not much can be done with it. |
1.23.15 - 1.24.28
|
Unexpected Responsibilities and Workload Eileen didn’t expect when she started out to be working so hard and carrying so many responsibilities at the age she is now. There was no reflection on where you were going at the time she started. She always wanted to work in community not hospital. |
1.24.28 - 1.26.15
|
Future of Grattan Street Would like to see it occupied and whoever was in there was happy in there and the building was looked after. Nearly better to close off the car park. Eileen thinks it can never be sold off. And she would like services to be in there because it is an ideal central location. H111 European Health Insurance Card is done in Grattan Street. There’s a box shaped reception which was thrown up and is not in keeping with the building she would like to see that changed. Plaster on the walls. Holes in the ceiling. |
1.26.15 - 1.29.13
|
Vaccines, School Nurse, Grattan Street Ghost. Vaccines- had to mind the fridges when she was a schools nurse. School nurses had to deal with AMO Area Medical Officer now called Community Medical Doctors. The room the fridges were in had no air-conditioning or coolant and sometimes the temperature would get too high. As a school nurse she would have to take the vaccines in and out and maintain the cold chain in the transfer of the vaccines. In St Mary’s there will be a cold room for those fridges. Never saw the ghost. And she had plenty of time to appear when she was there alone in the morning. Grattan Street was special. Met people with different problems. Outro. Interview ends. |