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GPs go forth

Anonymous Coal Face

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

    Anonymous Coal Face's comment 02 May 2020 1:47pm

    Very glad to read Claire's experience, as a 60 year old woman it's settling, every patient will have a narrative, some unfortunately told by a colleague or a relative, this does not negate a survival experience, we think 80 % are mild, many asymptomatic, Clare was asked to detail her experience, which occurred before the lockdown. After reading some of these vile comments from doctors why would anyone want to contribute to a UK forum, let alone a professional one. I am a Wits trained South African doctor who trained during the HIV epidemic, and "survived a needle stick HIV positive TV meningitis high viral load wi days of massive dose AZT it was all we had. I've contributed 20 years of this education to the most vulnerable groups in this society, I do regret coming here but my Cumbrian ancestry (dad)called. I fully expect rude and savage commentary should my note be read. Dr Gerarda I'm so glad you survived this awful virus and came out safe.

  • Second trust recognises BAME staff as 'vulnerable and at risk'

    Anonymous Coal Face's comment 02 May 2020 1:20pm

    Almost certainly genetics,as the same group of patients are prone to diabetes and hypertension, whatever the reason, it is obvious that this group is vulnerable and need to be protected urgently,as well as protecting thier families, careers and incomes.

  • Government advises against coronavirus home testing kits

    Anonymous Coal Face's comment 21 Mar 2020 4:31pm

    All registered doctors should have access to kits to self test ongoing into the crises. Some of us work in the private sector.

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

    Anonymous Coal Face's comment 05 Dec 2019 11:39am

    South African doctors, especially from my Medical School and era have excellent training and experience which means nothing to the RCGP.... 20 years experience, 5 in SA and 16 UK: occupational medicine, prison, psych, substance misuse inpatient and community, forensics police, army, rehabilitation....all the hard and soft skills needed to take real care of people in GP land....blocked and goal posts constantly the only solution would be full gp training...but I cant get fy2 equivalence signed off without taking a junior hospital post to tick a few boxes ie insertion of a urinary catheter after being trusted to treat gunshots and stab chests on MY Hillbrow hospital
    ...beggars belief after 16 years here I'm sick to death of the place, the attitude to "foreign" doctors despite solid British heritage due to accent has become untenable since brexit...screamed at by an elderly man in public in Wales as "being a racist from a country ...everybody knows is racist"... and at my age looking to relocate again!!!!

  • Hancock approves plan to pay GP pensions tax but warns of 'tax avoidance'

    Anonymous Coal Face's comment 27 Nov 2019 9:24am

    Robocock an Capitalisation in cohoots wif taxman! lololol

  • Collect feedback following every GP-patient interaction, says GMC report

    Anonymous Coal Face's comment 21 Oct 2019 1:13am

    Just moderated my own comment spoke to a senior doctor at rcgp this week.... arrogant and totally clueless......good luck UK...find someone else to take this crap.

  • PM aide's advisory role with Babylon 'raises conflict of interest questions'

    Anonymous Coal Face's comment 11 Oct 2019 7:30pm

    Dont think this weird shifty character should be our PM's advisor

  • Coroner criticises GPs for not following NICE guidance after suicide of patient

    Anonymous Coal Face's comment 08 Jun 2019 10:30am

    My heart goes out to her parents and to all the professionals involved. As an FME, I have attended several University and community suicides. Both the police and myself are always saddened but realistic about the involvement of health,social, university and family find these associations culpable is ridiculous, damaging and also approximates a witchhunt.
    I also work in custody daily with suicide risk assessment.
    None of us want to witness a completed suicide.
    It is a huge ask to prevent a suicide in someone who has capacity, we cant always find grounds for admission and our units have very limited beds.
    Even admission does not prevent suicide... as we all know.
    We are not going to suddenly have access to more services either.
    Medication does help but as a Wits trained doctor I find the NICE police exhausting and have been prevented from trying many useful regimes in the UK. Also in psych medication due to genetics there are so many variable responses by patients that often negates the rough one applies to all NICE approach. Doctors are not encouraged to use thier vast clincal intuition based on years of study and experience in the UK.

    I believe we need to take a step back.

    Doctors are being demonised in the UK
    GMC, Patients and NHS management police rule with fear
    Nursing staff and any other jobsworth... tell us what to do

    We have no autonomy and no ability to say I could not help this patient!

    Too much (huge amounts) of vexatious stuff gets through and is used against us

    There is no common sence or compassion left in UK medicine towards our profession and often... as I have witnessed among ourselves.

    No wonder we have a doctor crises

    Our own profession has one of the highest rates of completed suicides.

    We cant blame mental health services when they have been cut to the bone

    Depressed people often shun the groups, activities and the very support including meds that they have been offered and battle thier own expectations of themselves whilst resisting the very succor that could help!

    I had to take a break away from one area as I had witnessed so many suicides in young men over a 6 month period. The overriding cause was a breakdown in thier personal relationships.. including that a Male doctor colleague who took his life (personal and GMC

    We need a less vexatious less spiteful approach. The Inquisitions need to be returned to the dark ages and compassion returned.

  • GMC fails in case against surgeon exonerated of manslaughter

    Anonymous Coal Face's comment 13 Mar 2018 11:51am

    In South Africa in the 90's, I was taught by many fine surgeons practicing well into thier 70's. For the love of medicine. Jack Allen was a legend and taught us Anatomy in his 80's whilst co writing academic tomes. I am shocked by what i have seen and experienced in the UK. At 59 i feel trapped

  • Police 'to discuss' calls to prosecute hospital over Bawa-Garba case

    Anonymous Coal Face's comment 03 Feb 2018 12:02pm

    Well done BAPIO There are now 3 elephants in the room..CPS seem to have totally disregarded

    Corporate responsibility all the way up to hunt and his precious charlie. The same hunt who ignored junior doctors concerns....

    The Consultant saw the blood gas

    Im sorry to highlight this but it seems the mother gave unauthrised medications that would certainly have had an effect on a critcally ill child in sepsis in a hospital setting while the doctor who was responsible for him was NOT? CONSULTED?
    HOw could they even consider her responsible for this poor childs death
    Doctors are members of the public too not slave aotmations why has the hmc not protected the foctor as well

  • Bawa-Garba: timeline of a case that has rocked medicine

    Anonymous Coal Face's comment 31 Jan 2018 10:12pm

    Oh yes...cps as well

  • Bawa-Garba: timeline of a case that has rocked medicine

    Anonymous Coal Face's comment 31 Jan 2018 10:06pm

    Tragic ... for all
    Every time I read about this case I become enraged at the sledgehammer used against this professional.

    First headlines Nigerian female what

    Nigeria and the rest of Africa along with other internationals make up over 35% of NHS staffing.

    Nigeria has excellent Medical schools

    Women outnumber men at medical schools in many countries

    Hadiza studied for her BSc at Southhampton

    Hadiza is a British trained medical doctor .... Leicester medical school

    St6 Reg with nonexistan SHO cover for 3 wards

    The Consultant saw the blood gas results

    76 systemic lapses withheld from the jury by the cps ( oh yes remediated by the time of her trial).....disgraceful

    Just back from maternity leave...did she have an adequate phased return to work...hmmmm an umblemished record ..methinks they thought she could be relied to dump on as much work as possible

    When i worked on the wards the lab or radiology would call through critcal results.... so the computers crashed why is this her fault?

    I want to hug her and I wonder at the strength she has exhibited. This woman is an example to us.

    Finally tonight .... I read that this poor childs Mom gave him his enalapril... a child in hospital??? Given meds by his mum.

    I cant comment i dont / wont work in pediatrics...

    A critically ill child in a hospital setting? given cvs meds by his mom in a professional setting. Enalapril on top of septic shock...who authorised this action...????

    No further comment

    I said if her erasure was upheld... I would leave medicine or the country...Actively Looking to do so

    This case is a complete disgrace and she needs to get advice to sue the lot if them hunt gmc leicester trust.....etc

  • GMC successful in High Court bid to strike off junior doctor

    Anonymous Coal Face's comment 25 Jan 2018 12:41pm

    Disgraceful This doctor now bears the full weight for a Trusts failings

  • GP trainee claims he was reprimanded after highlighting A&E safety concerns

    Anonymous Coal Face's comment 18 Jan 2018 9:48pm

    Things are at breaking point in training and the NHS...but...the media is not the place to start...see gmc best practice guidelines...all of us need a defence union and the bma...tell your defence union that you are working unsafe hours, get the bma involved. Keep your mouth shut and do it dispassionately and professionally. Let the NHS ..know..via these organisations that they forcing you into unsafe practice. Read all you can about the Nigerian born British trained pediatric registrar who has been convicted with manslaughter after being expected to work an unsafe shift.......cold and professional is the way

  • Mr Hunt, your apologies won't help those waiting for surgery - like me

    Anonymous Coal Face's comment 13 Jan 2018 4:13pm

    A lobotomy is not required for this shrivelled brain of an excuse of a person hunt

  • Mr Hunt, your apologies won't help those waiting for surgery - like me

    Anonymous Coal Face's comment 13 Jan 2018 4:11pm

    So very sorry to hear about your situation. You should not be at work at all but resting quietly at home until your operation and then a few months to recover. Hunt and co need to pay for a locum until you are properly well again. We put ourselves and our families last to everyones detriment... we need doctors in charge of the NHS not the ...hunts ...managers and jumped up nurses.

  • ​Anger as GMC tries to overrule its own tribunal and strike off junior doctor

    Anonymous Coal Face's comment 14 Dec 2017 0:41am

    I commented previously and have since read up as much as i could about the case published on the internet
    Disgraceful on behalf of the trust cps and gmc
    This doctor qualified at leicester medical school..

    deemed good enough to be accepted into a british training school and graduate

    She apparently retuned from a 13 month maternity leave on the day the tradgedy happened

    No phased back to work plan

    Her fellow registrar was absebt from work leaving her to manage 2 wards and all emergencies on the intake seems the nurse did not do serial obs on the child..woe betide any trainee who demands this... i tell my team obs obs obs they baulk but doctors have list authority

    With two wards an no support she was probably a bit disorientated and had no update from the nursing team about the childs deterioting obs

    It seems the child was given enalapril not her prescription...?not ideal in sepsis in a child with comorbid cardiac compromises

    She made a mistake in the dnacpr order ...ja first day back after 13 months off an your colleague takes off... an you are the most senior on the wards..???

    She did not react to the blood results well it seems i may be wrong but the consultant wrote them down before the child required cpr for shock

    74 problems in the trust and the cps can use a loophole to get a conviction...witout alliwing the jury to evaluate the case..prob were not told about the lack of support it probs and that it was her fist day back with double responsibility and no phased return....whete was the bma or was the poor woman not a member

    Deep empathy for the childs familey...

    But the foctoe is a uk graduate with uk training trusted to train to be a paediatrician

    Something stinks

    Overloaded undersupported overwelmed no timely nursing reports

    The system was not functioning

    I have heard a low persentage of leicester graduates choos to train further in the trust

    No Phased return
    Lack of nursing support
    Consultant reaction to results
    Possible medication error by someone else?
    74 systemic problems.
    Cps possible use of loophole to convict
    A jury without the full facts
    Two people received a conviction without the jury aware of the full situation

    The GMG is not comfortable with the conviction .... understandible

    This case is so important to doctors working in the uk

    It does not seem right that she is canned for what appears to be a multisystem failure on a horrendous day she has ..after all worked safely since no doubt with appropiate support and above average performance ...that she did not receive on her first day back from 13 months maternity leave...?????

  • Tribunal 'wrong' to allow doctor to continue to practise, GMC tells High Court

    Anonymous Coal Face's comment 09 Dec 2017 1:25pm

    Publish the full facts of the case. Who was the Senior doctor on the shift? What were the systemic failures..sounds like a travesty of justice that these factors were with held from the Jury..the excuse that they were remedied does not pertain to the shift in question. The decision to hide them from the jury does not appear transparent. Why have they allowed her to continue to work. This woman must have nerves of steel.

  • ​Anger as GMC tries to overrule its own tribunal and strike off junior doctor

    Anonymous Coal Face's comment 07 Dec 2017 5:31am

    .Worked safely for 5 years post
    .System errors hidden from jurors
    .Unsupported unmanageable shifts
    and rotas
    .Exonerated by Tribunal
    .Glad I cancelled my training
    .Many oversees doctors are far
    better trained than local doctors
    .Seen and experienced gross
    .This stupid non medical
    management culture is sucking
    both the Coffers and doctors dry
    .This case even before Tuesday has
    decided my emmigration
    .I wish her well may she be
    protected and strong and then sue
    the pants off them