sorry some typos in above comment - had to work last night...( on-call, no fun, no room to sleep etc.etc )
anonymous 7.6.15 all talk no action----- we could round your house and harm your hamster or hippo and then we could discuss what it means all talk no action...at the very LEAST : it DO NOT COMMENT without at least revealing your name......remember - IP address is linked to you unless you went to a public area computer and did from there ( send the email I mean )
grgrgrgr AKH , Nr7 0AJ
again, this is just an exercise of pushing some Zeros ( money ) from one account to the other and
the DoH lo longer liking/'liking any responsibility to do with it :
once the sh*t hits the fan they'll be happy to skid in and out of it and thennn,,,,,,drumroooollll: blame GPs
...us lazy lot and looking to retire ?? before 65 --even some lucky ones aged 55
the ( DoH and some colleagues) do not want to
understand that , hmmmmm it's a job, a vocation a duty sometimes ( remember though : today's favour can be tomorrows duty ......) and when oh when are they likely to try and understand this ?
SameDifDiffSh***t as the kids would say nowadays
AKH, Principled GP, NR7 0AJ
we should offer 7/7 access for all, obviously with own GP and organised by virgin airlines/"Richard- the- too much- successful."...and than wait and wait a little longer as the NHS finally implodes and as the nhs is more frog than bicycle - as in can not be deconstructed ad infinitum...wait and watch panic ensue
And watch out ; SARS virus popped it's head up again in Hong Kong ...so watch this space ( our patients and staff ) for signs of panic..
WTF as my goddaughter says often to summarize things....indeed WTF ?
sorry obviously meant (...word...) not work...
I agree with Una C.--- >> --)'
really this is yet another CLUSTERFUCK all the way to N11 or N 10 and back ( via Jezza ) ( the work in capitals sadly no my invention but I stole this from Jon Steward of ' The Daily Show '- John should run for President or at least stand for the RCGPs hoopla leadership.....
thanks re NTT but as always ; NNH ??
so hard to explain to patients -lay people -
and even colleagues and do not even get me started on NICE or Jezza. H$$t......and his larger family
so close to the actual it is painfully funny,
thank you Kevin Hinkley
Sorry if I sound a bit annoyed/angry
But really - have we ( German, English etc ete )
not learned anything
PRIMUN NIL NOCERE - should be the rule that rules us
again, what the PHUQ ??
the rising risk of burnout is keeping track of rising risk of dementia - hoopla ( and that also applies to some colleagues - I mean the dementia risk ..)If patients complain " but I am turning 50 next year and tummy is not flat or six-pack has been replaced by some sort of despair ) ---just say " most people would prefer turning 50 than not turning 50 "...and than star at the computer refusing any eye contact
well, if you feel you can triage people neatly by 12 signs ( yes, pisces, aries, etc etc ) than life could be easier ....we, doctors would not get away with ...but heck, whatever helps his process in Germany one would call him either ' bauernschlau ' oder saubloed
zopiclone induces metal taste - vv unpleasant side effect in 10-30% of people and zolpidem does not but can induce some really weird ,rare things : sleep eating and in the US it was at some time described effective to temporarily meddle with vegetative states
We have disrespected our profession and allowed the Politicians ( their main career drives: money, power, sex , more money and ohhh I forgot they do not best and have a mandate) ....25% of the population that could have voted for Tories...,
33 million votes cast during the general election, hey hoy 40 million cast for x-factor )...so they - politician redefine mandate and need ( everybody deserves a health care free AT THE point OF DELIVERY but oh boy , we, our profession deserve RESPECT , and or at least deserve to be left alone to try and sort this out.... boy, we are trained to triage without emotion/bribability in mass ' disaster ' - at least in Germany one trained for that .... drill no established crash lead- my first drill had one major error - nobody called the consultant radiologist.....
Respect yourself , respect others , but in order to try and do so you / one has to respect .
RESPECT - look the definition up in and dictionary - it will sort of make sense.
and 2nd comment "guy appalled by title" ---- when we senior GP say managerheremanagertheremanagereverywhere
we do know that we not want to include all of them - just a few big, influential cowboys and cowgirls
Nigel has done excellent work, his interview with hoopla was great ( next time with suit and tie please ) but really would you like us to invent a -Read code for useless with managers and or a grading
welllll, we re-directed somebody with hardly-existing-language skills back to his/her country of origin without ever questioning his or hear competence , sorry, 'we' that is one of my GPVTS training practices
And thank you to Vinco Ho-for song and comment on agent 'SEE_YOU_NEXT_TUESDAY ' -name
silverpoon on mouth and other openings I would guess
I believe you emailed me once -probably because I identified myself via email in a survey - sorry, do not remember which.
Please email again email@example.com
and we could both speak to Jon Snow or one of his colleagues . Best wishes and please do so,
Dr AK Hoffmann
depends whether you have- oh-my-god-I-can-not-sleep- chronic insomnia or whether this is a genetically fixed/flawed trait you are looking to seek+cure ; the end-points are bound to be weak
and in order to PREVENT something we would need to have a reliable tool/diagnostic criteria for acute or chronic orrrr acute on chronic insomnia .And CBT is now thrown at Everything & Anything and no, it does not work for everything.
Hang on, there is a lot of truth in this at least for old guys ( med school entry 1987 + several qualification and Regitrierung zum Arzt 1993 ) ....
Not saying that weeks of 120 hour on call were productive or taught one something ...HOWEVER:
one can not teach, let along fake empathy , no amount of ICE - teaching ( yes ideas, concerns, ideations ...a blablabla ) will instil you with vocational drive, or instinct or well anything which will forever distinguish you , the doctor from a 'n'octor (notadoctor,buta wellpain specialist nurse for )......I did not have to take eMRCGP aka MRCGP light'...however I had to work six weeks after the death of my fiancée, had work 2 days after my best ( female ) friend passed away in peace ,whilst holding all our hands...Why : well , had to , no family support, no other financial income and taking more time off would have left me with too much time to grieve..
Life was never designed to be fair - If in Germany you do pass the Baccalaureate ( Abitur ) you can study what you want ( the one's with the highest grad have first pick but if you wait a year or two you could start...you could be out after 2 years if you do not pass the Physicum at the third attempt...