Holy Smoke Batman
So face to face consultations are basically useless. Doctor-as-drug can be easily done via skype
Dr Cusack, is it true that the evidence that the mother, off her own bat, gave a crucially deleterious drug to the child at a crucial moment in the natural history of the illness on that day was NOT put to the court because (and I have read various formulations) it would have needlessly upset the family of the deceased child at the time?
You were there. What is the truth?
I think it is fair to reflect that the omission ' upset' Dr BG's cause
Eat less. Exercise more.
I'll cry a tear when those four words are decommissioned
Actually, "Eat less; exercise more" just slimmed the slogan from two sentences to one with figure-hugging semi-colon
Have you ever heard yourself explaining to the TATT patient about these "little chemical imbalances in your brain" and if you take these little pills they will get all smoothed out. But the imbalances are pesky blighters and you won't notice any effects for about three weeks at all. "And what's the best length of time I need to take these pills doc?" And you hear yourself saying that the best evidence points to anywhere within the tight limits of 6 weeks to 6 years. Now go shred YOUR medical degree!
The author is on a slippery slope. Homeopathic prescribing is on a par to antidepressant prescribing as far as ridiculous nostrums that GPs have bought into over the decades. Until you look at numbers needed to harm...
"No government ever voluntarily reduces itself in size. Government programs, once launched, never disappear. Actually, a government bureau is the nearest thing to eternal life we'll ever see on this earth!"
Imagine the short life of NICE if it was a subscription - only service for interested clinicians only ... it is a massive Government gravy train, and as such, is unstoppable
Who made the above impeccable observation (look it up yourself)
Another great disaster in our public life you can sheet home to the UK labour oarty
The limits to sovereign government "spend" are TWO
1. The effect of too much money on general prices. Milton Friedman's "demand pull" inflation
2. More importantly, the simple will/desire of the politicians in government. In other words IF governments WANTS to double the GMS global sum tomorrow - it can. The government is the sole legal issuer of money in UK.
Who and how much to tax is likewise a political decision AND NOTHING WHATSOEVER TO DO WITH the capacity to "spend"
Your 9 letter Countdown Conundrum starts now...
E K A L F W O N S
Peter J Gordon
you'll be posting your school swim certificates next
How. Can. A. Clinician. Promote. Debate.?
People like stuff for free.
If "Free Universal Health Care" is the famous leftie mantra, then food is as much a human right as health care. Yeah? So why isn't food free at the point of eating ?
People are also, let's face it with TOny Copperfield, really thick. Did you see the utter effect of the smallest price signal in that real-life experiment of making plastic bags cost 5p or whatever?
At the level of primary care, a TINY cost signal will wreak a massive change.
But it requires the law-makers to do their job
they won't , hey
So...the apprentice is as skilled as the master, because that makes for a more etymologically consistent world. Great. Well done on that problem smoothed out
"Gatekeeper " - one of the crassest ideas to get lodged in our collective brain. Why have I spent years 18-28 of my life studying to be a nightclub bouncer?
Speaking of rationing, the word "narrative" will attract a 50 pound fine from now on
Errrrr....how about the fingertip on the end of the doctor's finger. Irregular in rhythm and volume, anyone go to medical school
Robotic far-patient diagnostics is my futurology prediction
BTW Bladerunner 2049 was movie of 2017 for me...a masterpiece
The descriptors you seek, Dr Hoenderkamp, are:
1. Soviet communist era economic wisdom
2. Self-serving bureaucrasy
3. Vultures around large carcass labelled "free government money HERE"
4. no or perverse incentives to make things better....communist practices again
" rattle through the dross"
Oh dear...sometimes I despair of my GP colleagues and have to side with the Daily Mail.
Ranks alongside Hillary's "deplorables" comment.
I remember when I was a med student, they brought out the Oxford handbook Of clinical Specialties (blue and red)And the first line in the GP section went soemthing like "The GP is an expert in Mrs Jones the person" I thought at the time, what a flimsy basis for choosing a career. Frankly, it made GP a joke..
"The job is very much the same on the last day as the first" nothing is more depressing than letting this thought circulate around your brain for a couple of minutes.
and...also ... avoid reaching into their underwear and fondling their genitals while lining up Barry White mood music on your smartphone.
Only the FINEST common sense Below The Line at Pulse
"Calling for" + "change in culture " ...two of the most useless phrases and aspirations in the English language
As usual the better analysis is by Anonymous Locum compared to the original article.
Just wondering if the author has heard of the role of glucose-6- phosphate in human cellular metabolism? Does it come from:
a) your Twitter feed
b) your high horse