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 |
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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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. |
Mentions her brother’s physical and mental disability.
Discusses how the smell of tripe and drisheen reminds of father who died when she was young
Recounts her surprise and confusion as a child learning that her mother had remarried and her new husband was to live in the family home.
Outlines the routine on farm including looking after the cows, feeding hens, making bread, and how their dinner changed with seasonal availability of produce.
Talks about her commute to school on a bicycle with sister and standing up to boys who hassled them. Learned some subjects through Irish. Recalls her sister disliking being singled out by teacher because of her attractive eyes and hair.
Remembers seeing a young JP McManus cycling.
Explains how she always considered becoming a nurse. Discusses training and hospital experiences including with nuns. Believes that nurses who had worked abroad had a broader perspective on life.
Outlines the role of the Public Health Nurse which required entering patients’ houses and assisting them with births and deaths. Other features included the need to be able to read emotions and build trust with others and managing your work largely independently.
Describes some memorable cases as a PHN. A family singing Boney M to a baby with a severely lif-limiting condition. Waiting for an ambulance for a man struggling to breathe who lived without electricity. Trying to find help for an older woman struggling with dementia who was being passed from one agency to another without resolution. Fumigating a woman’s accommodation to rid it of fleas, the poor living conditions she found there and the ambivalent reaction of the woman to this health intervention.
Discusses vaccines, their role in eliminating polio and the varying attitudes to vaccination.
Recounts the story of social welfare officers in Grattan Street providing a bed to a woman who promptly sold it on the Coal Quay.
Reflects on the mutually beneficial mix of medical disciplines in Grattan Street and the positive relations between the staff.
Outlines the problems, changes and tensions relating to the car parking situation for Grattan Street staff and others in the surrounding community.
Talks about a child welfare issue where she had to attend court as a PHN.
Speaks of the deficiencies of the Grattan Street building including plaster falling off walls, the waste of paperwork, dry rot, bars on windows and a very out-of-date photocopier. Suggests future uses for the building.
Tells the story of the 2010 floods when the vaccines had to transferred with difficulty to St Finbarr’s Hospital for safety.
Discusses the desirable feature of the new building in Gurranbraher including it having a central meeting area and parking as well as being of a manageable size, accessible and approachable.
Reflects on how she found her career of helping others rewarding.
]]>‘Mary’ grew up on a farm in county Limerick, part of which was rented to a mental hospital to be worked by patients. By interacting with these patients she quickly learned who you could trust and who you couldn’t.
Mentions her brother’s physical and mental disability.
Discusses how the smell of tripe and drisheen reminds of father who died when she was young
Recounts her surprise and confusion as a child learning that her mother had remarried and her new husband was to live in the family home.
Outlines the routine on farm including looking after the cows, feeding hens, making bread, and how their dinner changed with seasonal availability of produce.
Talks about her commute to school on a bicycle with sister and standing up to boys who hassled them. Learned some subjects through Irish. Recalls her sister disliking being singled out by teacher because of her attractive eyes and hair.
Remembers seeing a young JP McManus cycling.
Explains how she always considered becoming a nurse. Discusses training and hospital experiences including with nuns. Believes that nurses who had worked abroad had a broader perspective on life.
Outlines the role of the Public Health Nurse which required entering patients’ houses and assisting them with births and deaths. Other features included the need to be able to read emotions and build trust with others and managing your work largely independently.
Describes some memorable cases as a PHN. A family singing Boney M to a baby with a severely lif-limiting condition. Waiting for an ambulance for a man struggling to breathe who lived without electricity. Trying to find help for an older woman struggling with dementia who was being passed from one agency to another without resolution. Fumigating a woman’s accommodation to rid it of fleas, the poor living conditions she found there and the ambivalent reaction of the woman to this health intervention.
Discusses vaccines, their role in eliminating polio and the varying attitudes to vaccination.
Recounts the story of social welfare officers in Grattan Street providing a bed to a woman who promptly sold it on the Coal Quay.
Reflects on the mutually beneficial mix of medical disciplines in Grattan Street and the positive relations between the staff.
Outlines the problems, changes and tensions relating to the car parking situation for Grattan Street staff and others in the surrounding community.
Talks about a child welfare issue where she had to attend court as a PHN.
Speaks of the deficiencies of the Grattan Street building including plaster falling off walls, the waste of paperwork, dry rot, bars on windows and a very out-of-date photocopier. Suggests future uses for the building.
Tells the story of the 2010 floods when the vaccines had to transferred with difficulty to St Finbarr’s Hospital for safety.
Discusses the desirable feature of the new building in Gurranbraher including it having a central meeting area and parking as well as being of a manageable size, accessible and approachable.
Reflects on how she found her career of helping others rewarding.
0.00.00 - 0.00.25 |
Intro |
0.00.25 - 0.02.29 |
Background Grew up in County Limerick. Dad died when young. Early memory as 3 year old feeding a calf. Trained in St Johns Limerick, midwifery in Glasgow, 1975 went to Australia- Melbourne, Sidney, Brisbane. Returned after a year. Worked in Orthopaedic hospital in Croom, Limerick. Came to Cork, worked in Sarsfield’s Court [Glanmire] in the chest unit. Met a man which is why she stayed in Cork. Nursing involved night-duty and weekends, and "Mary" was thinking forward and did the Public Health Course to become PHN Public Health Nurse- first assignment was Middle Parish based in Grattan Street. |
0.02.29 - 0.05.26 |
Early Memories: Father’s Death, Family Women with tea and USA biscuits. Seeing lines of men in the hay barn and animals coming out- must have been auction of the animals. One older brother mentally & physically handicapped, 2 younger sisters. Mental Hospital St Joseph’s in Limerick rented land from their farm so there was an income coming in without the mother taking sole responsibility for running the farm. It was therapy for the patients working on the farm despite being out in all weather. "Mary" thinks that many of the male patients were there as a result of the war. One man was called Sergeant. "Mary's" family also got fresh vegetables from them. Learning process for them, learned who they could trust and who not- “heightened our awareness of mankind”. Some people were fit and healthy and others had mental issues. |
0.05.26 - 0.09.30 |
Memory of Smell of Tripe Cooking reminds of dad When in St Johns in 2nd year of training ages 19 or 20- she had a memory of a taste and smell. Walking on corridor in 1st floor she got the smell. Found her way to room 8 and a priest was having tripe and drisheen or tripe and packet as it’s called in Limerick. You could get the smell passing Shaws abattoir on the way into Limerick City. They had a hooter which would sound at 1pm and 5pm or 6pm in the evening which could be heard by "Mary" at home. Says that tripe is the lining of a sheep’s stomach. “Villi”- nooks and crannies. Still buys it in the English Market on the left hand-side when you enter from the Grand Parade- and there was someone in front of her in the queue so she wasn’t the only one buying it! Advises opening a window to let the small out! |
0.09.30 - 0.10.35 |
Typical Day on the Farm when Growing up- making bread They had a cow on the farm. Woman called May who helped out their mother on the farm. They would put on their “busy coat” or “duds” to milk cow, bring in milk, make brown soda bread. Remembers mother making bread around 10am in an earthenware crock with sour milk in it which went into the Aga oven. |
0.10.35 - 0.13.05 |
Learning about her Mother Remarrying Tom worked with the mental hospital and he would call in and there was a china cup for him. "Mary" asked her mother whether Tom slept in the house now, and previously asked May where her mother was and was told she was on holidays. Subsequently she realised that her mother had married Tom and they had been on honeymoon. Reflects on how little information she was given about this change in situation and how it applies in her nursing role and thinks that sometimes less information is better when dealing with young children who may not fully understand everything. |
0.13.05- 0.16.00 |
Typical Day on the Farm when Growing up In winter deal with the cow: hay, water, and muck out. Cow let out in the field in spring and summer. Dinner would be any time after the cake was made- ready about 12:30. Dinner usually bacon, cabbage, carrots, parsnips. As season moved on more turnips and potatoes. Seasonal. Started with Ker Pinks then Golden Wonders, didn’t like soapy Aran Banners. Then apple or rhubarb tarts. Supper at 5pm or 6pm: beans, bananas, eggs. They had hens which had to be fed. Went to bed at 8pm or 9pm. In evening have to bring the cow back down and there might be 10 or 12 bullocks following you- nightmare that they would trample you to death? Mother and May made the food. When "Mary" was 7 or 8 years old May was let go as "Mary" was considered old enough to help out. |
0.16.00- 0.17.57 |
Interaction with the Patients of the Mental Hospital Looking out the window watching them. Sheep shearing and rolling of the wool. Taking off the “daggings” and rolling the wool into fleeces. Or bringing in the hay watching them piking and the change from horses to tractors. There was an archway into their yard and it became harder to get larger machines through the arch over time. Later on it became bales of hay rather than wines of hay (in Limerick) whereas in Cork they would call it trams. |
0.17.57 - 0.19.17 |
Animals, Games and Mushrooms They prepared the animals with special soaps for the Limerick Show in August [Limerick Agricultural Show Society]. As children they would sit on the walls in the cow house (cowhouse) and use the chains as stirrups and pretend to be riding horses. Picked mushrooms in fields often along the path the cows had made where you’d find mushrooms. |
0.19.17- 0.21.36
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Going to School and Standing up for Yourself Walk across the fields to get to the road to school which was 2 miles away, wear wellies if raining. When older cycled to school. Had the younger sister in the carrier. Fell off the bike coming down Ryan’s Hill and the sister fell into the bushes and the nettles. Mother gave out to them for falling off the bike. In 6th class coming up the hill on was home from school at cousin Mick Clancy’s hill boys thought it was fun to hold on to the carrier to hold them back. "Mary's" mother advised to throw a stone at the boys. The next time it happened she picked up a rock and the boys ran away. It was lesson for "Mary" for life to stand up for herself and that the threat was enough to work. |
0.21.36- 0.25.44
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School 5 years old when she started school, thinks it might have been around Easter time. Small two teacher school. Mrs McAvoy the principal of the school had taught her father, and was distantly related to "Mary". "Mary's" sister was put on the teacher’s desk to be admired because of her beautiful eyes and hair- which she disliked because she was being made to feel different. 6 pupils in her class in 5th class and they were given the choice to do History and Geography through English or Irish and they chose to do it through Irish. The teacher was from Dingle and from him they learned a “love and appreciation” for Irish. Had good spoken Irish in a secondary school in Limerick City. Her knowledge of Irish helped later on as a PHN when she was assigned an area which had a Gaeltacht in it. Most Gaeltacht schools were insistent that the PHNs did use Irish. "Mary" went to Secondary School in the Presentation in Sexton Street. |
0.25.44 - 0.27.57 |
Neighbour’s House and JP McManus on a Bike A little old lady, a spinster called Noni lived in road opposite them. She had old open fireplace with bellows, and thatched roof and two dogs. "Mary" had a step-brother and a step-sister. The step brother was quiet and calm in Noni’s house but he was cross and looking for attention when he was at home. A guy in secondary school used to cycle past in a red bike and "Mary" later discovered it was JP McManus [businessman and racehorse owner] and her younger sister knew him. |
0.27.57 - 0.29.49
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Starting in Nursing after School Always in the back of her mind to do nursing. Did leaving cert when 17 and did interview for nursing. Had started a commercial course. The Blue Nuns ran St. John’s Hospital and knew she was due to start in February. Millford House in Castletroy was run by Blue Nuns and they had a nursing home and "Mary" dropped the commercial course and worked there as a nurses aid. It was a good introduction and confidence building exercise for her. "Mary" thinks that for the nuns patient care was paramount and the written work less important but it is almost the reverse today. |
0.29.49 - 0.34.51
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Decision to do Nursing and Other Career Options Looking at magazines and what nursing involved. Career guidance consisted of blue leaflets. Through the commercial course "Mary" heard about the Junior X course to get into the civil service and the ESB jobs which she hadn’t been aware of through school. Travel was something that she considered and nursing catered for that. The nurses who had lived abroad were easier to work with they had a broader perspective on life and “didn’t sweat the small stuff”. When you started nursing you got to see the different fields and "Mary" liked theatre work and enjoyed the labour ward when she was doing midwifery. Matron had said to her that she should considered doing the tutoring course. Thinks this is because she was questioning what her tutor was reading out of textbooks. She applied for the tutoring course. But she while she had anatomy and biology for the leaving cert but not chemistry and physics. So she did leaving cert physics and chemistry that year but dropped the physics because she had also taken on introduction to psychology. But she had already gotten the Public Health so she chose that. |
0.34.51 - 0.43.07 |
Public Health Nurse: Role and Duties PHN you are on your own to some extent you can plan your day, assess the patient. Communicate with the patient GP and hospital. You were independent to a large extent. Had continuity you could see things improving or ‘disimproving’. House visits, vaccination clinics as part of a team, coffee or lunch in Grattan Street where you met other disciplines not just nursing. A mix. Could be rostered for a dressings clinic in Grattan Street. They might have been referred after discharge from the Mercy Hospital. Now the Mercy would have its own dressings clinic. Going to schools dealing with healthy children and teachers. Originally had an admin person with them but now just a doctor and nurse when going to vaccinate in schools. HPV vaccination a big team goes to try to get the first years done in one go. Health promotion going into houses and dealing with young mums. Private houses, corporation houses built in 1950s and 1960s, apartments or flats as they called them then. Leave a note for someone who you couldn’t find in a flat. Maybe a baby that wasn’t feeding very well. Hear that the mother has moved house and start detective work to track her down asking neighbours. And the nurse in their new area would be informed. Write letters to council about the poor conditions of housing. And then neighbours would ask for letters then as well. |
0.43.07 - 0.51.42 |
Perspective & Expectations of Patients on Healthcare Most people were welcoming and giving you tea that you didn’t want. A few were trying to get the PHN to adapt too much to their own schedules. For patients the PHN came at the beginning of life and at the end of life. Would be asked “do you think it’s better today nurse?” and trying to read the emotions of the other family members. Understanding with the GP about what the family situation was. Some people would ask for everything they thought they could get other families would never ask for anything. PHN has to decide how necessary a request is or how much someone needs to be persuaded. Try to stay on side and be persistent. Older people at the time had the idea that you only left a hospital in a box. So it could be hard to persuade them to go to hospital. Fear of lack of independence as well. Reflect on how nursing training prepares PHN for these situations. "Tread wearily" and "feel the vibes" when entering a new patient environment. Privilege to be with people in their time of need because you felt that you were doing something and you were a support to the family especially in the time before morphine pumps. Even saying “I don’t think anything is going to happen tonight” might be the simple reassurance that the family wants. Fear with a bedbound patient is that they would get pressure sores. One of the ways to avoid this is to change their position. And there was some education involved in ensuring whoever was moving the patient when the PHN isn’t there was doing it correctly. Extended family would assist with a patient in a way less common today. |
0.51.42 - 0.55.45
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Memories of mothers and their babies and music Remembers a family who lived in one of the lanes off North Main Street. “me mam” was what the family called the beautiful mother who had a lame leg, she had grey-blond hair. One of the daughters had a baby that had a life-limited condition. The whole family were supporting them. They were always well made-up and the sick baby was in the middle. The baby didn’t survive only lived for 8 or 9 months. The family used to sing “Brown Girl in the Ring” by Boney M and the baby used to recognise it and respond. Sleet and rain coming up North Main Street. Pound shop maybe called Powers Jim Reeves and Bing Crosby singing White Christmas which lifted her heart. Streets were full at Christmastime. |
0.55.45 - 1.01.36
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Patients and Cases and conditions in the Grattan Street/ Middle Parish Area Remembers rickety stairs leading to flats above shops which you wouldn’t realise were there. Old man lived in laneway off Grattan Street in a tenement house like those in Glasgow she had seen near York Hill, with red sandstone buildings. Went to this man on a quick “social visit” and he had rasping breath. Just “kippins” or laths on the fire. No electricity. Waiting two hours for ambulance to come. Man didn’t survive. Something else in place of the building now. There may not have been a door on the house you could just walk straight in. |
0.55.45 - 0.58.18 |
Patients and Cases and conditions in the Grattan Street/ Middle Parish Area- difficulties of nursing and dealing with different agencies. Woman with dementia in 1970s one room flat in warm house. Bathroom outside. Wasn’t able to look after herself. Had the newspapers stored on top of the electric cooker. GP trying to get her somewhere. Woman would lock herself out. Half naked walking across Sheare’s Street. "Mary" put her in own car and brought her to Our Lady’s Hospital to be seen by psychiatrist. They wouldn’t take her because of her age. Arranged geriatrician appointment who wouldn’t take her because she was psychiatric. A “street woman” (homeless woman) moved in with her and was able to make sure the house wouldn’t be set on fire. Meals on Wheels or Penny Dinners sharing the one meal. "Mary's" frustration with the bureaucracy. |
0.58.18 - 1.05.20 |
Woman with Flea Bites/ Flea Marks "Mary" being polite said told her it was a rash but the woman had no qualms about calling them fleabites. "Mary" got temporary eviction order to clean out her flat. Process was traumatic for "Mary" & the woman. Woman spent her time in St Francis Church while her flat was being cleaned. The woman had collected things from bins and stored them in her house in case she might use them and they removed 57 bags of rubbish. Found a beautiful photograph album. Mounds of rubbish as high as the bed. Bucket to empty into the toilet. Candles in danger of burning the house down. The woman was upset that her stuff had been taken but they had put her things in storage in case she wanted them. As PHN you can wear your own clothes but "Mary"wore white uniform in case of infestation in the flat. Man from environmental health section sprayed the flat. "Mary" counted 57 dead fleas on her uniform when she took it off in the bath when she got home. Later with her boyfriend at the time the same woman shouted “Hello nurse!” at her. |
1.05.20 - 1.18.38
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Vaccines, Vaccination and the anti-vaccination People were pro vaccinate after 1956 polio outbreak in Cork. Many people would have been familiar with Polio, its devastating affect and that you can be vaccinated against it. People had to come to the clinic 3 or 4 times with a baby which might be difficult for families with many children and buggies. Remembers vulnerable family in Knocknaheeney. The mother was poor with keeping appointments and she came in the pouring rain with 4 or 5 children. Cost of taxi was 11 pounds or euro even though she had to live on social welfare. The staff suggested that she could get a bus. But she pointed out that one of her children was ADHD (attention deficit hyperactivity disorder) and that he would be climbing on the bus stop. "Mary" says the woman deserved a medal and reflects that they as staff had been judging her for her predicament. Crowds of people and buggies. Role of extended family in assisting with child rearing. Some children may be difficult to deal with. Obstacles to families getting children vaccinated. Vaccination card files. Brought from City Hall to the place of vaccination and not locked. Vaccines were taken from a fridge in City Hall and brought in a biscuit tin along with adrenaline in case someone had a reaction. Compares this to the modern method of cold-chain. After Professor Wakefield made an association between MMR vaccine and autism the vaccination uptake reduced and it’s been an uphill battle since to reverse it. In 1970s and 1980s there was memory of measles, mumps, meningitis and polio. "Mary" worked in a school where a child refused vaccinations in junior infants in the early 1980s. That child got measles, encephalitis and was in a wheelchair by 1st class and by age 8 or 9 she was dead. HCA (Handicapped Childrens Allowance) allowance handicapped children’s allowance financial support for the extra care that was needed for the child. Thinks of the scaremongering about vaccines and the consciences of those people if they knew what the result of not getting vaccinated was. That incident happened in the early 1980s. Worked with a doctor who had difficulty walking after he had got polio in the 1950s. Young mothers in 1970s and 1980s had mothers who influenced them based on their accounts in the diseases in 1950s. Rural approach to vaccines: if you eat healthy and are healthy then you won’t contract the disease. "Mary" says that while a weaker person succumbs to a disease faster it’s not a protection against a disease. Rural culture which still exists of “I don’t believe in vaccines”. HPV vaccines. With all vaccines certain percentage of risk even though it is very rare. Weigh up the advantages versus the risk of something happening. Vaccine cold chain from manufacturer to the administering to the child is much more streamlined. Incidence of polio came down so vaccines were effective. |
1.18.38 - 1.21.46
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Earliest Memories of Grattan Street Waiting room now it’s opened up with pillars and a balcony. When "Mary" started it had a ceiling and so was enclosed and it had a wooden floor where you could hear the “clip clop” of people walking across it echoing. They didn’t have access to the upstairs with stores and pigeons. According to Anne [a friend who worked there] there were stores of the things leftover from when Grattan Street was used as a dispensary/pharmacy/chemist. Old fashioned metal chairs with a timber seat. Queue in the mornings for the dressing, older people with big swollen legs. Mr Hart and Mr Condon were the social welfare officers and they would have clinics which had crowds of people waiting for them. People would receive bed linen or washing machines. Mr Hart advised "Mary" once that when he started out he was given a sob story and he got someone a number of beds and later he saw them being sold on the Coal Quay! Smoking was allowed at the time so there was the smell and fog of smoke. |
1.21.46 - 1.23.14
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Repairs and Revamp/ Refurbishment of Grattan Street Transferred to the City Hall while there was revamping or refurbishing of Grattan Street. Once they returned one of the admin staff noticed that a there was some dry rot on part of the wood in the jam of the door and more repairs had to be done. Beautiful once the repairs were done. Opened up the ceiling with the balcony. The big tea room could be used for meetings and there was a fridge and kettle- luxury! |
1.23.14 - 1.27.35 |
Grattan Street as a Workplace “You could never call it glamorous!”. Bars on the windows. Hose reel for the fire. For fire drills the bars on some windows could be opened. The people to work with were fabulous. Dave in podiatry said ‘the building was crap but the people were lovely’. Building was fine, serviceable. "Mary" had a sense of history of the building and that it was privilege to work in it. Beautiful cut limestone blocks. Appreciated that and the big windows. Anne set off the alarm once when she went out the back door. There was once a mix up with the keys. The cleaners would lock up and throw the keys in the letter box and someone else would open up in the morning with another set of keys. But somehow both sets of keys were in the letter box. "Mary" climbed in through a window that was opened and was able to open the door from the inside! Sean the porter would remember this story and Pam from the eye clinic would remember it as well. |
1.27.35 - 1.30.11
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Description of Grattan Street Historic, homely, old grandeur, comfortable but uncomfortable, people are willing to work and find solutions. Nice building at one level but primitive at another level. Staff were always lovely and gelled. Started with 3 disciplines and that expanded. People were caring and good sense of comradery, work spirit and work ethic. Old photocopier that was there for 20-30 years which was always breaking down. They used to repair it themselves. When they asked for a new one they were told “it’s not pride is making ye ask for a new one!” |
1.30.11 - 1.31.23
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The Effect of the Mix of Disciplines Levelling effect. Nobody thought they were above anyone. Meet people from other disciples who could make exceptions or give advice- could tic-tac with one another. It was very personal. You weren’t going into someone else’s territory through some doors. They all met in the tea rom. |
1.31.23 - 1.33.08
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Car Park No car parking when "Mary" began. Staff and outsiders could park there. There was some kind of grandfather clause which allowed non-staff to park there. There used to be agro between the staff about it until they realised they were all in the same boat. Then the Educate Together School opened up and they were trying to park their cars there too. It’s hassle. Manic at times. Compares it to Mr Bean. Residents had parking. |
1.33.08 - 1.35.46
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Child Welfare Case Child welfare issue was brought in front of Judge Clifford. The mother had issues with alcohol and depression (those problems could affect children not getting vaccines as well). "Mary" remembers child or 4 or 5 years of age with bottle in their mouth and the bottle had whiskey in it. The fridge had one tomato in it. What should the staff wear to court- should they wear a hat? "Mary" was obliged to call to the house as a result of the case. And the child was eventually fostered. Wheelchairs and how tough it was for families and children growing up and needing bigger wheelchairs. Makes you think how lucky you are according to "Mary". |
1.35.46 - 1.37.39
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Curiosities and Quirks of Grattan Street Building Pigeons could be heard upstairs and the exterminator came. Plaster crumbling off the walls in Grattan Street. Paperwork and records. New letterheads and they were ordered to dump things while people downstairs were looking for things but there was money being wasted on paperwork being thrown out. |
1.37.39 - 1.41.50
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Floods 2010 and Transporting Vaccines Vaccines were stored in a special room with fridges wired directly to the mains, there was a fear the power would be lost. Water was at the door. Vaccines should be transferred to St Finbarr’s hospital. "Mary" and Sean the porter waited for a van to come to transport them. Eventually a fiesta arrived with 2 big men. They had 20-30 boxes like cool boxes. They made two trips in "Mary's" car to bring the vaccines across town through the floods. Describes herself as a determined person. Onetime borrowed waders from Meitheal Mara on Crosses Green and walked to Grattan Street in them. |
1.41.50 - 1.43.18
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Future of Grattan Street Building Historical connection with William Penn. Would like to see Grattan Street be a visitor centre or a place for weddings. Could have a little garden or courtyard. Current waiting room could be used. Catering could be provided there as well. |
1.43.18 - 1.46.50
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Hopes for St. Mary’s Primary Care Centre Hopes there is suitable parking. And tied up thinking from the planning department and developers. Encouraging people to go green and use bicycles etc. is fine but closing parking isn’t the place to start. There should be a place to make a cup of tea yourself. Good service for people who need it and people feel they can access it. Hope it isn’t too big, and there won’t be sections that you will never meet. A central meeting place is desirable where you could meet someone you don’t directly work with. |
1.46.50 - 1.48.40
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Making the Building Approachable Easy access. Does there need to be a service for mothers to get up the hill to the health centre? Will there be a place for children to play in? People should be given specific individual appointments not 20 appointments sent out for 2pm. Access to water like a watercooler. |
1.48.40 - 1.52.00
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Decision to Become a Nurse Would choose to be a nurse if she had the option over again. Has enjoyed life and had a good home life. Have had lots of opportunities. Could have become pigeonholed in one area. In one way "Mary" feels she has cut herself off from other aspects of nursing that she was interested in- clinical and theatre related work. Rewarding helping mothers and children with bed wetting issues. |
1.52.00- End |
Outro. Interview ends 1.52.13 |