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Katharine Morrison

  • The dreaded words: 'Mum, I want to be a doctor'

    Katharine Morrison's comment 30 Apr 2019 11:21am

    If your son is smart enough to be a doctor he is smart enough to do something worthwhile. One of my boys said he wanted to be a doctor. It was like telling me he thought he had cancer. I suggested he do some aptitude tests. These clearly indicated that he would hate medicine and now he is a mathematician. He dodged the bullet. Good.

  • We can do more to help doctors with depression

    Katharine Morrison's comment 16 Apr 2019 11:29am

    The NHS is built very much like the British Empire was, by exploitation of the workers. I remember the 145 hour weeks and the third of your wage paid for overtime. Terms and conditions are a lot better now, but the intensity and pressure are even worse. What needs to happen is a fundamental change to what the NHS delivers. It never could and cannot be all things to all people at all times. Overt rationing is needed. Instead of pursuing endless life expectancy and "improvements" in medical innovation, a realistic expectation of what a publicly funded health care system can and should deliver needs to be done. And it needs to be done now to prevent a total implosion of the system that affects the people working in it and the patients who are relying on it.

  • The opportunity cost of a portfolio career

    Katharine Morrison's comment 16 Apr 2019 11:20am

    Taking on other, less difficult, less risky, more interesting work, and often better paid work, also keeps GPs in the game for longer and reduces burn out. I don't know how I would have got to 59 as a GP on its own. I suspect I would have crashed and burned long ago. Long live the portfolio career.

  • RCGP set to remove honorary title from Sultan of Brunei

    Katharine Morrison's comment 13 Apr 2019 11:49am

    Are they going to give the cash back?

  • The life-changing magic of leaving general practice

    Katharine Morrison's comment 15 Feb 2019 12:21pm

    The idea is to keep things that are either necessary or beautiful. (Not that I do this myself). Although GP land certainly isn't beautiful, it is currently necessary to bring in the money for day to day living, especially if you are a single parent. Also, it is necessary to build up a decent pension fund for your future. I am surprised that the A and E department axed the GP jobs since they are clogged up with attendees who are neither accidents or emergencies.

  • Truth is the first Casualty of medical dramas

    Katharine Morrison's comment 29 Jan 2019 11:38am

    At least the dog was actually ill.

  • GPs should routinely test COPD patients for vitamin D status, says study

    Katharine Morrison's comment 13 Jan 2019 3:00pm

    Utterly pointless in testing. I tested many of my practice population, in Ayrshire, about 12 years ago. ALL were deficient. You can buy Vit D3 for £10 a year including postage from Amazon.

  • Health secretary bans GP practices from using fax machines

    Katharine Morrison's comment 15 Dec 2018 3:59pm

    Having back up when the computers fail isn't such a daft idea. It's one thing to stop buying new ones and another to ban the use of perfectly useable machinery.

  • GPs prescribing diabetes drugs at a cost of over £1bn per year, show NHS data

    Katharine Morrison's comment 09 Nov 2018 11:10am

    If our counter productive Eatwell Plate dietary advice was scrapped and replaced by a lower carb diet without pro-inflammatory fats, diabetics blood sugar and metabolic control would improve for those who stuck to the diet. This would save at least some money on medications.

  • BMI linked with death risk from all major causes except transport accidents

    Katharine Morrison's comment 06 Nov 2018 11:20am

    You also get out a lot less, can barely walk to the bus stop, and need to buy two seats on a plane. So you are on transport a lot less.

  • Ombudsman must make clinical standards clearer for GPs, says MDU

    Katharine Morrison's comment 23 Oct 2018 12:51pm

    As SIGN states: Guidelines do NOT represent the standard of care so cannot be used to determine whether a GP acted appropriately or not.

    This guideline is not intended to be construed or to serve as a standard of care. Standards of care are
    determined on the basis of all clinical data available for an individual case and are subject to change
    as scientific knowledge and technology advance and patterns of care evolve. Adherence to guideline
    recommendations will not ensure a successful outcome in every case, nor should they be construed as
    including all proper methods of care or excluding other acceptable methods of care aimed at the same results.
    The ultimate judgement must be made by the appropriate healthcare professional(s) responsible for clinical
    decisions regarding a particular clinical procedure or treatment plan. This judgement should only be arrived
    at through a process of shared decision making with the patient, covering the diagnostic and treatment
    choices available. It is advised, however, that significant departures from the national guideline or any local
    guidelines derived from it should be fully documented in the patient’s medical records at the time the
    relevant decision is taken.

  • My tolerance for suffering fools has reached full capacity

    Katharine Morrison's comment 22 Oct 2018 11:20am

    I agree Christopher. Free at the point of delivery is a major problem with the NHS.

  • A universal basic income could free GPs to focus on their real job

    Katharine Morrison's comment 16 Oct 2018 11:38am

    Good idea. There should be no incentive to become obese, an addict, or otherwise "ill" either physically or mentally. Workers should not be unfairly penalised for working. A basic minimum income for all would avoid a huge amount of wastage in the NHS.

  • Little Johnny’s back again

    Katharine Morrison's comment 17 Sep 2018 4:08pm

    Posters all over the place warning of the dangers of sepsis diagnosed too late don't help either.

  • University appoints GP to lead new medical school

    Katharine Morrison's comment 17 Sep 2018 11:43am

    I agree Truth Finder. If your smart enough to get into medicine you are smart enough to do something worthwhile.

  • It’s all English to you!

    Katharine Morrison's comment 08 Sep 2018 11:02am

    Doctors often use code language to tell each other what they really think. Eg This patient has anterior knee pain syndrome and would benefit from physiotherapy, would become, this patient has a sore knee and there is nothing I can do about it.

  • The dreaded resuscitation discussion

    Katharine Morrison's comment 08 Sep 2018 10:57am

    Filling out these forms would be easier if the benefits and harms of resuscitation both in and out of hospital were actually on the forms with numbers needed to treat recorded.
    Eg for a cardiac arrest in hospital for every 100 rescuscitation attempts X no of people survive neurologically intact Y no survive but sustain brain damage and Z do not survive.
    Same info for out of hospital. This would put the futility of most attempts into context instead of what people see on the telly.

  • Dr Bawa-Garba was in a 'perfect storm', says supervisor ahead of appeal verdict

    Katharine Morrison's comment 13 Aug 2018 4:48pm

    Well done to her legal team and the BMA and journalists who have supported her. It has been a marathon but will hopefully influence the GMC to behave more reasonably to doctors. Also it should encourage hospitals to improve their systems rather than letting them treat doctors as expendable material.

  • It’s not all hiking and bungee jumping down under

    Katharine Morrison's comment 21 Jul 2018 6:51pm

    Hi Christine, Katharine Phelan here! If you would like to get in touch I'm still at the surgery in Mauchline or via my website
    I also enjoy these posts as I do wonder what working life in OZ and NZ would have been like. Some things are better and some are worse. I had no idea there was a big barefoot culture and that rheumatic fever was still a major health problem.

  • We must support patients struggling with disability benefits

    Katharine Morrison's comment 21 Jul 2018 6:37pm

    The benefits system has to change so that people are not paid to be alcohol and drug addicts, have mental health problems, sore backs, neuralgia, fibromyalgia and so forth. Career lifelong patient-hood is rife with a permanent get out of work ticket, loads of drugs of dubious benefit and considerably more money than unemployment benefit. You even get someone to cut your grass. I pity the many workers who sometimes toil long unsocial shifts in unpleasant jobs who are on zero hours contracts and the minimum wage. Meanwhile, because we are so complaint averse due to our ridiculously punitive GMC and litigation system, we have little choice but to accept what skivers say at face value because we can't prove otherwise. Some patients genuinely can't work but many who claim benefits can and they exploit the system ruthlessly. If they don't get signed off with one thing they come back with another symptom that needs another round of medicolegal investigations and referrals.