Alan Almond: as a 'part time' GP,I probably work longer hours than most full time non doctors. Oh, but I do get part time salary.
I barely manage to stay sane for 7.5 sessions per week. I often wonder how 'full time' GPs survive.
The general public have absolutely no idea of how hard we work, and no interest either. But let's face it, or colleagues in other medical and surgical specialties don't know either, and generally think we are lazy and overpaid.
You're spot on.
"I'm sorry, Mrs Smith, but since you've spent 9 minutes moaning at how hard it is to get an appointment, you only have 1 minute left for me to sort out your 11 problems ("I don't come often, so I've brought a list"), and try and get through all your QOF prompts..."
So difficult these days, when everybody contacts us for any slight sniffle, or for d&v of 30 minute duration. We can't possibly see everyone. Patients lie (usually exaggerate their symptoms, but sometimes go the other way). 111 are no use whatsoever. Pharmacists not much better.
Difficult times, Indeed.
Apparently they have a plan....
Anyone else not holding their breath just jet?!
I find being at work for long periods of time causes stress and anxiety in me, too.
Perhaps we should open a spa in the waiting room? With luxury seating, and cocktail waiters serving all our needs.
My ultimate heat sinks are those that present every week, with the same long list of symptoms, none of which correlate with any clinical signs, and a full list of normal investigations. Generally the underlying issue is a lack of patient desire to take any responsibility for their condition or symptom, and an expectation that further increases in trama-citalo-gaba-orlistat-epam will fix things.
But it's hard to tell people: "I've done everything I can for you. What do you think you can do that might make a difference?". Cue blank looks and tumbleweed...
Time for a United front. There's no point 4/5 doctors politely asking people to buy OTC stuff themselves, when the 1/5 cardie_wearer happy to prescribe absolutely everything without comment, muttering "it's not worth the argument". Well yes, it is with it, and I've found a lot of patients quite happy to do so
I had abuse hurled at me recently, for not prescribing a few day's worth of paracetamol tablets. Patient was happier to drive to WIC (petrol and parking costs involved) instead of paying with 20p. But I didn't give in, and sent a strongly worded letter about their behaviours.
Sadly none of my 'fibro' patients (cringe at the title) have any interest in taking any responsibility for their illness.
Feeling much more normal after reading this! Feel like I've constantly got 6 balls in the air... And I am terrible at juggling.
8.16pm... well said. Why are parents encouraged to give paracetamol or brufen for fever? As you said, anti pyretics potentially prolong symptoms, presumably because fever is an infection defence mechanism. Medication should only be used t
As analgesic, if needed, not anti pyretic.
I see no reason whatsoever to prescribe anyone, including children, calpol etc, although for those who take 8 paracetamol per day for chronic pain, I think it's a different issue entirely, as otherwise they could only buy 3 days at a time off the shelf. Perhaps the ridiculous rule of only buying small quantities should be scrapped? After all, if you're determined to overdose, you will just visit a couple of shops!
About time the GMC backed us and told the public to start looking after their minor ailments
Referring to a patient's "minor illness" (in front of them) usually annoys them and I find us best avoided, as they feel trivialized
5 th may, 08.30.... Well said.
Public apology from Mr hunt please. Especially to families of those who suffered as a result of not attending hospital at weekend because they were scared there would be nobody to look after them.
Blood on your hands, Hunt
I would think this depends largely on what availability there is during the week, e.g late evenings, and your practice demographic. Horses for courses.
Well said kiddo!
Perhaps Dr Summerton has forgotten his time as a trainee? I'm sure there will be a gap on a rota somewhere for him to do a week of night shifts, perhaps as a medical SHO? He may well then revise his opinion.
So no medication, psychological services hopelessly overstretched... Er, what do we do with them?
"Please refrain from attempting suicide for the next 18m while we wait for camhs appointment"? (By which time they'll be bounced to adult services or will be dead).
Women are advised to avoid contact with the virus if they've not had MMR. Hmmm. Look out for those people with "stay away, I've got early rubella and am contagious" badges.
And new patients to the practice requesting immunisation status? I foresee hours sifting through Lloyd George notes (if they turn up). Got nothing better to do....
Another excellent reason to jump ship! Soon we'll pay more in indemnity than we earn...
08.47. I couldn't agree more.... I wonder how some parents manage to get up in the morning, let alone look after children. Oh, wait, they don't.