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jammed

  • Great escape: why GPs are drawing pensions at a younger age

    jammed's comment 05 Feb 2018 11:51pm

    Hit 55 this year and hit with an extra tax bill of £30K due to loss of annual allowance. No brainer- I am retiring this year and working as a locum after 24hr retirement.

  • Dr Rangan Chatterjee: ‘Medicine is missing the big picture’

    jammed's comment 05 Feb 2018 11:43pm

    sorry should be "not starting medication straight away"

  • Dr Rangan Chatterjee: ‘Medicine is missing the big picture’

    jammed's comment 05 Feb 2018 11:42pm

    We had a patient with a new diagnosis of type 2 DM. We spent a great deal of time pushing lifestyle changes and finally adding a small dose of metformin. His HBA1c was excellent. He then saw a locum Dr and decide to stop his medication after a documented discussion (against the advice of the locum).

    He failed to turn up for a repeat HBa1c or follow up and took up drinking. Landing in hospital with a complication. He is now trying to claim compensation as he claims the locum stopped his medication. It didn't help that the hospital reg blamed GPs for starting medication straight away!

    So beware of just offering lifestyle changes in our compensation culture.