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  • GPs being sent 'out-of-date' face masks with 'concealed' best before dates

    IDGAF's comment 16 Mar 2020 5:55pm

    I discussed this with NHSE and was told that from the spiritually enlightened perspective time is an illusion. I thanked them for the reminder.

  • As a GP who's overcome coronavirus, here's what I want you to know

    IDGAF's comment 16 Mar 2020 2:42pm

    This comment has been removed

  • GP told to continue practising after seeing a confirmed coronavirus case

    IDGAF's comment 13 Mar 2020 1:54pm

    Interviewer-"But what about PPE?"

    Matt Hancock-"Ah yes- I fondly recall my carefree days at Exeter College studying PPE. Wonderful curriculum".

    Interviewer is rendered dumbstruck.

  • Primary care should consult patients remotely, says health secretary

    IDGAF's comment 12 Mar 2020 8:59pm

    "Being remote? How difficult can it be- just follow my example and you will see its not hard. You can't get much more remote than I am from the reality of the NHS frontline". Attributed to Matt Hancock, allegedly.

  • Government may call in retired doctors to help deal with coronavirus outbreak

    IDGAF's comment 06 Mar 2020 6:02pm

    Dr Gin, 3 Mar 20 @11.11am.

    Read Ninjadocs past again. Its written in English and is not a Rorschach chart.

    You're welcome.

  • CQC specialist adviser quits role due to disillusionment with inspection process

    IDGAF's comment 27 Feb 2020 11:15am

    But they are our critical friends.

    "Listen, you piece of sh~t, this hurts me more than it hurts you".

    In the 14th paragraph, should it not say 14 hours as opposed to 14 days? ( Or are those lazy bast@~d GPs exaggerating their woes again?).

  • Petition urges GMC to take responsibility for wellbeing of GPs under investigation

    IDGAF's comment 26 Feb 2020 6:04pm

    So much wisdom in the comments, and commendable openness from contributors who have direct experience of such matters.

    I would imagine that any support the GMC would offer would be somewhat analogous to the reported procedures used in certain prisons in post-revolution Iran where dialysis was provided to prisoners who had sustained rhabdomyolysis during their interrogations. Just to ensure they were well enough for more of the same.

  • This has been a lost decade for tackling health inequalities

    IDGAF's comment 26 Feb 2020 10:45am

    And the paradox of it all is that the governmental approach allows this "assisted decrepitude" to flourish but withdraws the right to assistance to actually end ones sorry life at the very last.

  • We need to tell the time wasters to bugger off

    IDGAF's comment 25 Feb 2020 11:11am

    Personally I would be glad to get a case of yellow nails after lacquer use- it would allow some catch up time and a pause in the relentless onslaught of the work. Tell the patient- "Look up resorcinol".Job done.

    The other factor to bear in mind is that its easier for a qualified doctor to assess something as not serious than it is for someone in the position of not knowing; such uncertainty is anathema for most cognizing persons and raises the possibility that it implies something potentially bad, and berating them for their ignorance should merit a pause for a little self-reflection.

    I don't think Ideas, Concerns, Expectations alone is enough, but can enhance ones clinical prowess if afforded the role it serves.

    There are no easy answers.

  • RCGP remains opposed to change the law on assisted dying

    IDGAF's comment 24 Feb 2020 12:23pm

    The universe does not revolve around humans despite the strongly-held and self-serving delusion we hold that it does.

    The whole of life is riddled with "assisting", from IVF,the event of birth, the avoidance of infections through vaccinations, "fighting illness" etc and this manipulation produces new existential distinctions such as old age and infirmity in massive quantities.

    If this assistance is noble throughout life, is withholding it at the unavoidable conclusion of the process also noble?

    A neutral stance seems entirely reasonable to me.

  • Almost half of over-60s with CKD are undiagnosed, research suggests

    IDGAF's comment 19 Feb 2020 3:26pm

    What exactly is a Primary Care researcher?

    The level of dissociation from reality, as DrDeath notes, is ketamine-tastic!

    talking of all things disso-ed, back in the day before the advent of the Novel Psychoactive Substances Act, when one could legally purchase ketamine analogues, the users/buyers of such compounds also referred to themselves as "researchers". Only they were independent and not affiliated with a university.

    Still, the spirit it would appear lives on.

  • Why we decided to open our practice to the media

    IDGAF's comment 18 Feb 2020 11:24am

    Heres a challenge for you- find a medically qualified journalist, allow them to scrutinise the notes with the patients permission, watch the consultation and let them decide how well/thoroughly the "nuts and bolts" of clinical practise are actually being performed.

    This would be a better evaluation than achieved by a generically trained journalist attempting to appraise a complex field. The devil is in the details, something which is essential for quality clinical medicine, and can be not even on the radar of the "exposure" alluded to in the article.

  • What I really need is some *enhanced* enhanced additional roles

    IDGAF's comment 13 Feb 2020 1:09pm

    Enhanced means better. The in-house psychologist at a CIA black site based in Morocco told me so.

  • GP practices to send out distress signals when facing ‘unsafe’ workload pressure

    IDGAF's comment 13 Feb 2020 1:04pm

    Like sending out a red flare from a sinking ship whilst knowing the coastguard is colour-blind.

    If one tries hard enough, the wail of the siren can fuse with the white noise of silence...

  • 'Two GPs' among eight confirmed UK coronavirus cases

    IDGAF's comment 10 Feb 2020 4:48pm

    DMarlow @4.30pm.

    I think Dr Chands insightful piece had its title truncated by omitting the words "badly, in line with the current ethos of the NHS".

  • GP trainees to spend longer training in general practice under new contract

    IDGAF's comment 09 Feb 2020 3:55pm

    So a year to get secondary care experience of paediatrics, psychiatry, O+G? Or does this year also provide training in another field such as General Medicine too? Either way, the subsequent 2 years in GP land are to provide the fine-tuning (by GPs who are likely to have 6 months in these 3 or 4 areas in secondary care)in these areas?

    "Just a GP" as it currently stands is going to be an unwarranted accolade for these 21st century Noctors, and requires the creation of a new-term to make a distinction between this breed and noctors as we currently understand it.

    This also makes allowing pharmacists to get medically qualified in 3 years a reasonable approach, and quite probably a route to getting a modified version of MRCGP.

    Secondary care scorn towards primary care can only increase, and will become even more warranted as they see all providers of primary care as equivalently inept.

  • Straight to detest

    IDGAF's comment 11 Jan 2020 12:14pm

    I agree with all contributors.

    For the GI cases which will get scopes first on a 2WW basis and no clear pointers on the bloods IDGAFs thus far successful policy is to write/type on the form "needs scope(s) and if NAD, CT".

    Successful here means blame deflected by thinking a step ahead. I have had more than one apology letter from a consultant when their premature dismissal of a case has resulted in cancer being missed. IDGAF has also found increased traction with subsequent referrals.And probably some unexpressed hatred.

    Its all a fu##king game folks.

  • Practice forced to declare ‘serious incident’ following IT failure

    IDGAF's comment 07 Jan 2020 3:27pm

    anonymouse3 @2.19pm.

    So you admit not reading the notes properly (or at all) before a home visit? Even when IT has not failed?

    There should be a difference between unavoidable circumstances (eg IT failure) and deeming sloppiness as being equivalent.

  • How the CQC stole Christmas

    IDGAF's comment 19 Dec 2019 12:33pm

    But Shaba- are you so disparaging towards your other "critical friends"?

  • BMA Wales secures extra legal protection for junior doctor whistleblowers

    IDGAF's comment 19 Dec 2019 12:28pm

    Fantastic stuff.

    Those who bleat will be given a sterilised scalpel from surgical appliances along with an anatomical depiction of the popliteal fossa outlining clearly where the cuts need to be made to hamstring ones own career.