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Sensible Doc

  • PHE publishes updated guidance on use of PPE

    Sensible Doc 's comment 02 Apr 2020 4:41pm

    This is exceptionally dangerous guidance and should be binned immediately. COVID-19 kills.

    Most of the governments claims are based on politics and rationing because they messed up their planning despite adequate warnings from the WHO and affected countries. A few weeks ago they let Cheltenham Festival go ahead and now people are sick. The government allowed people onto crowded tube trains whilst the police followed people around the Derbyshire dales with drones. This sort of policy only makes sense in the minds of Boris and Dominic Cummings (who are infected).

    COVID-19 quickly contaminates indoor areas. It's spread is not well understood but appears to occur via the oropharynx and eyes, particularly where there is close and sustained contact, whatever the context.

    In the civilised world where corronavirus is under control and not infecting healthcare staff, a proper gown, respirator, eye protection, hair covering and long gloves are regularly used.

    DO NOT FOLLOW GOVERNMENT ADVICE IF YOU WISH TO LIVE AND DON'T WANT TO SPREAD COVID-19!

  • GMC to ‘limit impact’ of FTP procedures while NHS England ‘pauses’ complaints

    Sensible Doc 's comment 02 Apr 2020 2:17pm

    The GMC will need to be closed after this is over, it's their fault things have become so bad. The obsession with micromanaging front line staff and blaming them for everything that goes wrong in an under-resourced system has done nothing but harm. We are drowning in regulation but cannot even provide basic PPE for staff at risk. This must stop. Instead we need a simple list of who people are and what they do. A small number of doctors will always fall foul of the law and some will do wrong but we have courts to deal with this. Doctors must be restored to making clinical decisions about their patients. The UK almost uniquely destroyed its collegiate medical culture. We need to start listening to experts again.

  • Every GP practice now has PPE against coronavirus, says NHS England

    Sensible Doc 's comment 23 Mar 2020 4:26pm

    Pants on fire! A paper mask, bit of plastic apron and short gloves will not protect you against COVID19. Medics are at high risk and make up 8% of infected Italian patients. They get repeated exposure and then can pass it on - potentially to hundreds of people, it's not the same as those who may have fleeting contact with the infected, the viral load is potentially much higher. NHSE are being reckless by not supplying WHO recommended kit to the front line - it's fairly easy to see what is going wrong if you look at any pictures of overseas medics then compare to us. This is a disaster - like lambs to the slaughter.

  • First coronavirus patients detected via opportunistic GP testing

    Sensible Doc 's comment 06 Mar 2020 9:50am

    If we are now in the community spread phase, how exactly are we supposed to notify it when we haven't been issued with swabs or instructions for taking them? All this work is still going to 111 which according to Radio 4 this morning is struggling to keep up with demand.

  • CQC will not cancel GP practice inspections despite coronavirus

    Sensible Doc 's comment 04 Mar 2020 8:49pm

    This is totally reckless. We need to know the names of who approved this policy so they can be prosecuted. COVID-19 is the worst health threat the world has seen since the 1918 flu. If we can’t control it, it will kill 10s of thousands of U.K. patients. There is only one priority job at the moment.

  • The gender divide is a result of an inflexible partnership model

    Sensible Doc 's comment 27 Jan 2020 10:03pm

    The feminists lied to you. They told you could have it all, a career and a family and both would be equally fulfilling. The reality is that full time hours are a grind and children are demanding. No matter your intelligence you can’t juggle all these demands and be happy, it’s inevitable you will fail at one or another. The NHS has remorselessly exploited female agreeability and conscientiousness but the price is unsustainable and working for huge companies is likely to be far worse as they must also pay dividends. Returning to the 1950s model is far more sustainable for all in the long run.

  • Straight to detest

    Sensible Doc 's comment 10 Jan 2020 11:14am

    2ww was another tiresome scam that GPs stupidly accepted as an improvement. In reality it transferred all the risk of triage and diagnosis to us in an unmitigated fashion. This lead to all sorts of potential for legal profit when attacking GPs over 'missed cancer.' The same thing happened with sepsis and we fall for it every time.

  • Children rejected by NHS mental health trusts as criteria for GP referrals tightens

    Sensible Doc 's comment 03 Jan 2020 1:07pm

    The English absolutely hate children. The UK has the lowest age of criminal responsibility in Europe. Waits for ASD/ADHD diagnosis are often over 1y. We keep them inside on PlayStations and feed them until we have high rates of childhood obesity and even diabetes. Volunteer work is impossible with endless checks and long hours for adults and a general culture of mistrust. They are divided by class and the really unfortunate ones are packed off to boarding school and then we wonder why we see so many enduring mental health problems?

  • Pulse 2019 review: Practices closing in record numbers

    Sensible Doc 's comment 01 Jan 2020 7:29am

    All going according to plan then.

  • Higher GP funding associated with better CQC ratings, research shows

    Sensible Doc 's comment 10 Dec 2019 5:55pm

    CQC ratings were always proxy poverty and deprivation indices. It's the same with Ofsted which Labour have suggested replacing because these quangos simply increase social inequalities.

  • Genomic screening to take place in GP practice for first time in new study

    Sensible Doc 's comment 09 Dec 2019 5:53pm

    So what's this really about. A DNA database of every UK subject and risk assessment for genetic diseases, what could possibly go wrong? At least it'll make life on Tinder easier for the select few - boy seeks girl; has 6 figure salary, GSOH, Top 5% DNA...

  • British GP unable to work in NHS as GMC says laws are 'not fit for purpose'

    Sensible Doc 's comment 05 Dec 2019 4:15pm

    There is severe power abuse in UK medicine that's got far worse in the last 10y. It's causing suffering both for GPs and patients to the extent that we are now in a full blow crisis. The profession only has itself to blame though by standing by whilst we are pulled apart and suffocated by educationalist and regulatory red tape. The tragedy is that it's the patients that suffer at the end of the day.

  • Are there too many posh doctors?

    Sensible Doc 's comment 03 Dec 2019 8:17pm

    With the exception of a few orthopaedic consultants and niche interests, medicine is now such a low rent job that it might be good to bring the posh kids down a rungs by joining the rank and file of NHS doctors.

  • Only one in 20 GP trainees will work full-time in general practice in ten years

    Sensible Doc 's comment 02 Dec 2019 4:57pm

    The workforce is feminised now. This might be good or bad but either way, it's reality and not compatible with working longer hours. The historical model of work was one guy working himself into an early grave dying not long after retirement. No woman in her right mind would accept this and we'd all need the support of social services if you wanted to wind GP hours back to the 1950s or else have neither families or children.

  • GP leaders to call for removal of home visits from contract

    Sensible Doc 's comment 11 Nov 2019 6:16pm

    Patients have to understand that in the time it takes us to do a visit, travel, write it up and arrange things, we could see 3 or 4 patients. In an era where we are short of 6000 GPs, driving around town is a luxury.

  • DNA testing plans to 'brand' children at birth without their consent

    Sensible Doc 's comment 08 Nov 2019 9:30am

    The Tories finally realise their dream of the ultimate class system.

  • NHS Property Services was ‘set up to fail’, says public accounts report

    Sensible Doc 's comment 05 Nov 2019 12:28pm

    This hasn't been dealt with properly - the police should be involved. Taking over public property and then issuing service charges way over competitive market rates should be treated as financial crime because it has real world consequences for patients, it's not victimless. The whole thing has put extraordinary pressure on surgeries at a time of extreme distress in the system. We can only speculate if this was done by accident or malice.

  • A third of GPs have reduced their hours over the past year, says GMC

    Sensible Doc 's comment 24 Oct 2019 4:08pm

    IT can only get worse. The younger so-called 'snowflake' generation don't have the grit and resilience of their older peers. It's not the case that they won't work longer, they can't. Medicine in the UK has been deliberately reduced to just another sector of the service economy to be exploited for corporate greed. We only have ourselves to blame.

  • Primary prevention statins benefit 'may be marginal’ for healthy patients, says study

    Sensible Doc 's comment 19 Oct 2019 2:43pm

    Fascinating although I think most GPs have known this for some time. NICE encourages us to prescribe statins at a 10% risk threshold which puts GPs in a difficult position and uses up vast amounts of clinical time whilst waiting times for GPs are going up. What I want to know is why are so few people scrutinising the authors of these guidelines which inevitably become a legal standard the moment a complaint comes in?

  • NICE revises antidepressant guidance to warn of 'severe' withdrawal symptoms

    Sensible Doc 's comment 17 Oct 2019 10:50am

    Isn't this just scare-mongering?

    To quote NICE: "...there is
    a clear patient voice, as well as support groups, charities and organisations that have highlighted that adverse effects can be particularly
    severe and/or long-lasting ...
    While there is some published research showing that symptoms on and after stopping antidepressants can persist for several weeks and longer (Horowitz and Taylor, 2019; Fava et al 2018), there are limited high-quality data in this area."

    In other words a lobby group has successfully petitioned NICE to increase liability on GPs for side effects that are unusual. NICE has done what it always does and publish edicts on poor quality evidence which we will no doubt be measured against the next time a complaint comes in. NICE is past it's sell-by date and should be closed.