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Gold, incentives and meh

Vinci Ho

  • International GPs will not be required to take second language test

    Vinci Ho's comment 17 Sep 2019 6:32am

    Ha ha ha
    This government, quintessentially , is fraught with utilitarianism . Keep topping up the number of GPs will solve this crisis ?
    My gentle reminder to you , Robocop and MojoBojo (and all the subordinates) : discern the fact of the matter before applying the principles and virtues . Why are you haemorrhaging GPs way faster than you could employ ? Stop putting the cart in front of the horse , you stupid f***🥴

  • New health minister for Brexit and workforce announced

    Vinci Ho's comment 15 Sep 2019 12:35pm

    You see
    This history of Brexit will become a must-read teaching material in future university courses of history and politics . So toxic with so many ‘casualties’ , ha ha ha.
    Cannot resist the temptation to buy Lord Vader’s new book , For the Record , when it is published next week . It is obviously about pointing fingers in a game of ‘blaming each other’ . While I never forgive the passing of Health and Social Care Bill contributing to our(GP) current crisis , the only credit I would give him for this book is donating some of the book’s profits to a charity on behalf of his son who died of epilepsy and cerebral palsy .
    And for those die-hard fans of the two ‘big’ parties, politics was simply a medium which had exposed unreservedly the weakness and dark side of human beings in your ‘beloved’ party .
    Poignant.

  • Buy your high-dose statins here for double loyalty card points

    Vinci Ho's comment 14 Sep 2019 8:09am

    There are some ideological dilemma and hence , arguments here :
    (1) Are patients actually customers in 21st century technology driven world ?
    (2) The ‘fascinating’ story about statin , especially in primary prevention, is the way side effects can happen . Remember the evidence that there is actually a nocebo effect ?
    June 27, 2017
    Nocebo Effect May Account for Statin Adverse Events
    Anita Slomski, MA
    JAMA. 2017;317(24):2476. doi:10.1001/jama.2017.7582
    (3) Hence , the patient was more likely to develop side effects if more information about adverse effects was given to them ??
    Then one found oneself in a ‘damned you do ; damned you don’t’ situation. As you guys alluded , the pharmacists would be tempted to run a different philosophy by simply treating a customer to ensure the pack of high dose statin would appear in the checkout basket . Full stop , ‘happy days’ for everyone(less likely to have side effects ??). GPs , please shut up , say less is better , ha ha ha .

  • BMA highlights NHS 'culture of fear' in new vision for reform

    Vinci Ho's comment 13 Sep 2019 2:28pm

    You see
    This feels like the chief executive officer of Hong Kong government finally withdrew , in totality, the infamous extradition law causing the mayhem in last 3 months .
    Problem is : too little , too late , Robocop .
    As I wrote before , we had been sleepwalking into this scorched earth politics which is nobody wanted to see . The inevitable damages to NHS could not be undone in short space of time .

  • NICE may have inadvertently boosted antidepressant prescriptions in under 18s

    Vinci Ho's comment 10 Sep 2019 7:13pm

    Age 16-18 with mental illnesses is the group of ‘lost child’ as far as our local CAMHs is concerned.
    Suspected ASD and teenager-to-adult ADHD in this group is virtually no man’s land. Something is not right in the ‘system’

  • One in four adults prescribed addictive medicines, says PHE review

    Vinci Ho's comment 10 Sep 2019 5:12pm

    Thank you for the insight on OST to clarify my usual ignorant rantings . 😄😇

  • One in four adults prescribed addictive medicines, says PHE review

    Vinci Ho's comment 10 Sep 2019 3:52am

    (1) The reality of these patients who are heavily dependent on opiates(Co-codamol, Dihydrocodeine , Tramadol ( I called it CDT and etc ) and lately , gabapentinoids, are no different from those on methadone blue prescriptions . Even reducing the latter from 50 mls to 45 mls a day was confronted by strong objection from patients , for instance. And GPs have 10 minutes to complete this debate with a patient! Seriously?
    (2) The recommendations from PHE are sound but was quintessentially written in a bookworm fashion , ideological and intangible. Somebody needs to get real and mobilise resources to help the frontline.
    (3) Pain clinics need to take more responsibilities in monitoring the patient being initiated and maintained on all kinds of complex pain medications, rather than throwing them back to GPs to ‘continue’ .

  • Rees-Mogg apologises for comparing no deal medical expert to Andrew Wakefield

    Vinci Ho's comment 06 Sep 2019 6:04pm

    And furthermore , the health secretary wished to play ‘ good cop, bad cop’ tactics by claiming to be glad for the apology .
    Please give us a break and look at your own mirror , you are only a Robocop , not really a good one after all , LOL

  • Rees-Mogg apologises for comparing no deal medical expert to Andrew Wakefield

    Vinci Ho's comment 06 Sep 2019 2:44pm

    Some interesting points here :
    (1) When Red Skull made his official apology OUTSIDE HoCs , was he apologising for the part about ‘ being irresponsible’ or the comparison with Wakefield or both ? Bear in mind , the former could be a fair comment based on assumption of ‘scaremongering’ and the latter is potentially defamatory.
    (2) Obviously , we remember well the story of Wakefield who was ultimately investigated and struck off by GMC . Did Red Skull imply that this neurologist colleague should be treated by GMC in the same way .
    (3) Parliamentary privilege, no doubt , is an essential right bestowed to parliamentarians to speak and debate freely in House of Commons but yet the liberty to express is not indefinite with no restrictions and in fact , is still under supervision :
    ‘’The rights and privileges of members are overseen by the powerful Committee on Standards and Privileges. If a member of the House is in breach of the rules then he/she can be suspended or even expelled from the House. Such past breaches have included giving false evidence before a committee of the House and the taking of bribes by members.’’(Wikipedia).
    That probably explains , to some degree , why Red Skull realised that he had to apologise.
    (4) Furthermore, being the leader of of HoCs , he is no longer an ordinary parliamentarian and possesses additional power and authority. Is his opinion then representing the common consensus of the House or is this merely an insouciant , self-pleasure driven ‘ejaculation’ of words which had objectively alienated a medical professional who also enjoys freedom of speech as an ordinary citizen?
    (5) The morality and code of conduct of this government and its cabinet members are now subjected to serious scrutiny in the eyes of the public , especially when the leader of the House had repeatedly acted with disrespectful demeanour, starting from reclining himself over three seats in the HoCs during a serious session of debate .

  • Rees-Mogg apologises for comparing no deal medical expert to Andrew Wakefield

    Vinci Ho's comment 06 Sep 2019 10:43am

    Ha ha ha
    Red Skull
    After Agent Hunt , MojoBojo, he is another one I absolutely ‘love’ .

  • Pharmacist to dispense high-dose statins without GP prescription under NHS plans

    Vinci Ho's comment 05 Sep 2019 6:19pm

    Ha ha ha , I had a 70 years old gentleman came to see me asking for a ‘note’ to prove he was ‘clean’ to submit to his wife :
    As the story goes , they were in a party and a lady friend wanted to go home earlier. He drove her home out of courtesy and drove back rejoin his wife in the party . He then was accused of having an affair with this lady friend .
    😄

  • Patients to access GP video consultations in Boots pharmacy stores

    Vinci Ho's comment 05 Sep 2019 6:13pm

    You see that coming anyway . If pharmacy is to sell more high dose statin , the ‘legitimacy’ can be supported by these video consultations inside the pharmacy. Let them ! As I wrote , this morning , the government and its health secretary needs to make a decision who needs who more in this equation. If they decide that we and hence , continuity of care , are not that vital and essential. Fine , we are not there to pick up pieces and they will have to bear the political consequences.
    While more and more experienced GP colleagues will walk , we are already sleepwalking into scorched earth politics ( if you know what I mean) . If the government wants to throw itself off the cliff ( sounds familiar, doesn’t it? Oh , the Brexit story ) , let it f***ing do it .🤨🤪

  • Pharmacist to dispense high-dose statins without GP prescription under NHS plans

    Vinci Ho's comment 05 Sep 2019 10:05am

    .... we(GPs) need it .....

  • Pharmacist to dispense high-dose statins without GP prescription under NHS plans

    Vinci Ho's comment 05 Sep 2019 10:03am

    Chill , fellas
    Let it be if this is what Simon and his bosses want . We just need to stamp on the political narrative that we are not there pick up pieces should any f***ing ‘problems’ arisen as a result. The pharmacists might just need to increase their premium for indemnity , ha ha ha . Happy days
    We cannot force Simon and the government to accept the truth that the government needs GP more than we(GPs) need if they don’t want to .

  • How artificial intelligence is changing the GP-patient relationship

    Vinci Ho's comment 04 Sep 2019 9:57am

    Look , something is missing philosophically here as far as these arguments on AI development and algorithms (hence, protocols) are concerned.
    Fundamentally , it is about interpersonal relationship opposing technical connection . Why do we use the terminology ‘doctor-patient relationship’ instead of ‘doctor-patient connection’ ? Face to face consultation followed by physical examination before sharing a diagnosis and decision with your patient is a form of human touch . We have been called ‘healing hands’ instead of ‘healing machines’ . That is the reason why medicine is an art but not science.
    While I would never deny the success of evolving technologies making our lives ‘better’ , they are not there , however, to replace human beings. The quintessential question is , ‘what is primary ; what is secondary?’
    The outcomes of NHS 111 we have witnessed as well as the controversy over ‘cherry picking ‘ by Babylonians , epitomise the shortsightedness of this government run by successive leaders of a party fraught with utilitarianism( but also undergoing implosion due to Brexit) . Of course , there was also a backdrop of austerity after the financial crisis in 2008 . Quantity was virtually ‘better’ than quality . ‘Cost-effectiveness’ becomes more important than safety .But as time goes by , this would only become an ‘excuse’ rather than true reflection of the mindset of our politicians.

  • Lack of GP time and workforce shortages a factor in late cancer diagnosis

    Vinci Ho's comment 04 Sep 2019 9:54am

    Sigh
    Once again , my mother is w woman . Thanks ( but no thanks) for telling me that .

  • What happened when Pulse tested symptom checker apps

    Vinci Ho's comment 04 Sep 2019 5:58am

    Look , something is missing philosophically here as far as these arguments on AI development and algorithms (hence, protocols) are concerned.
    Fundamentally , it is about interpersonal relationship opposing technical connection . Why do we use the terminology ‘doctor-patient relationship’ instead of ‘doctor-patient connection’ ? Face to face consultation followed by physical examination before sharing a diagnosis and decision with your patient is a form of human touch . We have been called ‘healing hands’ instead of ‘healing machines’ . That is the reason why medicine is an art but not science.
    While I would never deny the success of evolving technologies making our lives ‘better’ , they are not there , however, to replace human beings. The quintessential question is , ‘what is primary ; what is secondary?’
    The outcomes of NHS 111 we have witnessed as well as the controversy over ‘cherry picking ‘ by Babylonians , epitomise the shortsightedness of this government run by successive leaders of a party fraught with utilitarianism( but also undergoing implosion due to Brexit) . Of course , there was also a backdrop of austerity after the financial crisis in 2008 . Quantity was virtually ‘better’ than quality . ‘Cost-effectiveness’ becomes more important than safety .But as time goes by , this would only become an ‘excuse’ rather than true reflection of the mindset of our politicians.

  • NHS 111 updated protocols after it was blamed for death of six-year-old boy

    Vinci Ho's comment 04 Sep 2019 5:53am

    Look , something is missing philosophically here as far as these arguments on AI development and algorithms (hence, protocols) are concerned.
    Fundamentally , it is about interpersonal relationship opposing technical connection . Why do we use the terminology ‘doctor-patient relationship’ instead of ‘doctor-patient connection’ ? Face to face consultation followed by physical examination before sharing a diagnosis and decision with your patient is a form of human touch . We have been called ‘healing hands’ instead of ‘healing machines’ . That is the reason why medicine is an art but not science.
    While I would never deny the success of evolving technologies making our lives ‘better’ , they are not there , however, to replace human beings. The quintessential question is , ‘what is primary ; what is secondary?’
    The outcomes of NHS 111 we have witnessed as well as the controversy over ‘cherry picking ‘ by Babylonians , epitomise the shortsightedness of this government run by successive leaders of a party fraught with utilitarianism( but also undergoing implosion due to Brexit) . Of course , there was also a backdrop of austerity after the financial crisis in 2008 . Quantity was virtually ‘better’ than quality . ‘Cost-effectiveness’ becomes more important than safety .But as time goes by , this would only become an ‘excuse’ rather than true reflection of the mindset of our politicians.

  • Women expected to seek GP advice over new HRT study

    Vinci Ho's comment 30 Aug 2019 1:20pm

    Here we go again

  • RCGP chair-elect revealed as UK's most influential GP for 2019

    Vinci Ho's comment 29 Aug 2019 5:03pm

    Chill , mate , chill
    The word ‘influential’ could be neutral . Hence , whether is good or bad influence can be referred as ‘influential’ .
    Role model can be positive as well as negative one .
    Donald Trump is by far , the US president hitting the headlines most frequently and has kept entertaining and amusing me everyday , I would call him ‘influential’ on me , ha ha ha 🤪😂😆