Maths brains versus fluffy ones - Scores versus words . Why don’t we say what we mean ? 999 Ambulance required. “Karnovsky score 4.9 “
versus 999”Hi there we’ve a very sick patients here in the surgery please get a sprint on “
Let’s stop scoring - it only works for accountants -
Who are we supporting - The no can do mob or the patient ? THE RCGP I joined had make the care of the patient my first concern .If someone in the private sector takes a good history and suggests the sl off LFTs might be due to the Celtic side of the family and heamochromatosis do I ignore it ? If a patient has actually beef laid down and examined and a pulsating abdominal mass found do I say - no you stupid person I won’t get an ultrasound done ? Private checks are often because the 10 minute one problem check out queue is not ft for purpose .
Then protocols for referrals need not to ask for results of ESR ANF Rho La etc prior to accepting them -
Saves PATIENT AND GP time to get all the tests done at once - if there is a fishing element in this fine as GPs are essentially looking for pathology. The mesh size needs setting to catch the unusual eg 1/10,000 as our population pond is where they swim- missing them until they get so ill they end up
In ED is a professional failure -
POOR PATIENTS -lists cancelled as dedicated anaesthetists can’t afford to work extra hours - they have been covering for missing appointees by just doing the work - With the pensions fiasco they can’t - Carefully planned ordinary lives wrecked , leave booked by relatives to come and help post op- all for
for nothing as lists cancelled - Surgical teams frustration and sadness at letting down their patients -
How about limiting access to specialist registers to those who have done say 2 years in general
practice- This would ensure surgeons physicians obstetricians had all see proper life stories before embarking on a specialist path and all would benefit - This is the pathway provided to the military as an RMO prior to specialist training - Its the way forward -
Chloramphenicol eye ointment is my desert island drug after Calpol fast melts that is.
Good fun , just have to be careful of the jabbing versus scrolling -cost me marks grrrrrrrr
Now with the added game hazard of being sent to prison for manslaughter if we get anything wrong ever , we should probably let them get rid of us and tell everyone to go straight to hospital - It seems they are trying to cut down on surgery numbers so it is indeed the big idea to save all those expensive referrals and prescriptions ..
Why does the govt buy such expensive D3 ? It cost 99 p for 90 at our local chemist , a fortune is being spent on Adcal D3 etc which are making big pharma a good living .
How many of you who think calcium is "required "have ever tasted the tablets! They are truly disgusting, all of them . And if you still do a home visit occasionally you will find them stacked up in White Cliffs of Dover style barricades in the medicine cabinet . Very few take them at all even if they get ordered
The mantra should be 25 micrograms or 25 mins of sun on bare unmoisturised skin per day . Works for the fair skinned , if dark probably no point advising sunbathing alternative ?