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Abdul QADRI

Abdul QADRI

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  • NHS 111 'not sensitive enough' to pick up potentially fatal conditions

    Abdul QADRI's comment 27 Jan 2016 0:09am

    Frankly speaking when Govt introduced Non Medical staff to answer 111 Operators in 2013 , this kind of disaster was waiting to happen. Besides Prescribing bosses are always watching the antibiotic usage & Gps are under constant pressure to reduce the referrals to the A/E. There is too much interference by the NHS bosses and they make mockery of qualified Clinicians. children & elderly are most at risk if appropriate treatment is not initiated in time. In the last 32 years of practice , I have prescribed antibiotics on odd occasions as a precaution if child looks unwell or mother is requesting for it since she is concerned about the welfare of the child. Let us hope that this tragedy result in the meaningful changes in the system. Ideally Clinicians must attend the 111 calls & they should be fear free to refer the most sick patients to the A/E.

  • NHS 111 'not sensitive enough' to pick up potentially fatal conditions

    Abdul QADRI's comment 27 Jan 2016 0:09am

    Frankly speaking when Govt introduced Non Medical staff to answer 111 Operators in 2013 , this kind of disaster was waiting to happen. Besides Prescribing bosses are always watching the antibiotic usage & Gps are under constant pressure to reduce the referrals to the A/E. There is too much interference by the NHS bosses and they make mockery of qualified Clinicians. children & elderly are most at risk if appropriate treatment is not initiated in time. In the last 32 years of practice , I have prescribed antibiotics on odd occasions as a precaution if child looks unwell or mother is requesting for it since she is concerned about the welfare of the child. Let us hope that this tragedy result in the meaningful changes in the system. Ideally Clinicians must attend the 111 calls & they should be fear free to refer the most sick patients to the A/E.

  • GPs face 'double jeopardy' under new GMC power to appeal tribunal decisions

    Abdul QADRI's comment 08 Jan 2016 6:41am

    one can sense the low morale & frustration among the vast majority of GPs. They want to remain anonymous , Why ? They simply don't trust the Current Thinktank of NHS. All GMC is bothered about is so called Patient Safety. In the media , GMC is all the time attacking GPs Patient management skills that itself causes lack of trust between the Patients and the Doctor. I am afraid whole system is in real mess ever since CQC has come into existence. Sadly Carer as a GP is going to be the lowest among future Propective Young students.

  • Young women avoid discussing sexual health with GPs because of fear of saying ‘vagina'

    Abdul QADRI's comment 20 Aug 2015 7:04am

    This is unnecessary exaggeration. Nowadays young women are smart and donattend women's clinic or Doctors practices regarding their sexual problems. Yes they prefer to see Practice Nurses than Gps. Raising awareness of Any cancer including ovarian by displaying posters and so on is way forward.

  • Politicians must 'jettison pipe dreams' of seven-day access, says GPC chair

    Abdul QADRI's comment 10 Jun 2015 11:00pm

    Besides you have to worry about not One but more of Big Brothers watching .. Loving patients , Respected Lawyers with their barrage of commercials adv people to get real Cash , CQC, GMC , medical defence unions & so on. Need all the cells in the brain working 365 days.

  • Politicians must 'jettison pipe dreams' of seven-day access, says GPC chair

    Abdul QADRI's comment 10 Jun 2015 10:42pm

    For heavens sake , gps are really human with family to support too. Is it too much to educate people or patients to take over the weekends to take care of their trivial symtoms like summer flu, allergies related illness & so on. Regrettably our dermography has significantly changed & so have demands. Thanks to our friend / foe Mr Google , patients have an urge or rush to seek medical for simple things. This is the curse of technology at its worst. Every sitting govt has been using Health service as a political tool to impress voters & Mr Caneton and his Conservative compaigning was no exception. Aftermath of the election is that Mr Cameron PM has to come across as using his majority muscles on poor Gps who have been absorbing political flames since the arrival of Lady Thatcher( god bless her soul). Mr Cameron PM is leaving politics at the end of the term or sooner , therefore why should he care about the implications of 365 days cover by Gps. Sadly if Health think tank don't get it right very soon , more around 60 years will say Good bye to GP & there will be real recruitment crisis. Result , hiring of Doctors from Europe , AFRICA , Middleeast or subcontinent leading to further communication problem for the real vulnerable Patients & long wait in the waiting area since 10 minutes appointment can turn into 30 minutes due to language issues.
    Have I reached to any conclusion after these comments , simple answer is No & I want you hard working class gps to ponder on.

  • Nuclear option: Rise in practices seeking to close or merge

    Abdul QADRI's comment 07 Mar 2015 6:06am

    Frankly it is a scandal & unfair for the patients in the long term. Let us do some calculations: if A practice with 3000 patients is forced to close down due to present chaos. Neighbouring practices are given incentive of £25.00 per patient , in this case £ 75000.00 as a one off payment. This is to create a kind of greed culture among the group practices & they would be tempted to accept these patients. After few months , these group practices will feel the heat of extra work & the poor salary Gps will have to put up with it & in the long term will affect the patient care.
    Single or two doctor practice were backbone of General practice & used to serve the community within the populations for so many decades. Their staff were patient friendly & wouldn't be restrained by the rediculous 10 minute appointment slots & so on.
    Having worked in General Practice for over 30 years , I am deeply saddened to see the destruction of this noble profession. Both Gps & Patients are so so unhappy & the clinicians are at low time low in their morale. Otherwise why on earth Gps as young as 55 years are deciding to quite General Practuce & are openly saying that they don't want to work to their death. I retired at the age of 62 in March 2013 due to severe stress & was lucky to detect stress related cardiac problem. Reading the comments of my Colleagues , My heart goes for them as there don't seem to be any feasible solution in the near future. Our political parties are playing politics as usual with nations precious treasure GENEAL PRACTICE & I hope that the British electorate take them to account on May the 7th 2015.

  • Doctors need resilience training like soldiers in Afghanistan, GMC head says

    Abdul QADRI's comment 07 Jan 2015 6:34am

    Retired after working for 30 years. Average no of patients saw per week: 160 ( face to face consultation) after working 9 sessions.
    Let us work out now sir , 160*52*30= 249,600.00
    Nearly quarter of a million patients.
    Besides if I add , telephone consultations, paper work like acting on investigation reports , home visits etc etc etc & list will be boring for everybody.
    Sir GMC is completely out of touch with the reality of what GPS have to face in real time in their working lives. GMC is only good at making lives of GPS HELL when any complaint is lodged against them. I am afraid whole system sucks & it is no surprise that once noble profession has turned into real NIGHTMARE. By the way , thank God , I never had to Face GMC in long distinguished 30 years of GP carer & it was all due to following the basics. Sadly there have been so many unnecessary computer data filling exercises introduced in the General practice & every month , new ideas are circulated into the system. Commuters are nothing but distraction between the patient and the Doctor. Let us hope that some thing good comes out this dreadful loss of Doctors lives who must have worked so hard to achieve their medical degrees. Besides let us not forget their loved ones who will have to live without them.

  • GMC to introduce 'emotional resilience' training after finding 28 doctors under investigation committed suicide

    Abdul QADRI's comment 06 Jan 2015 0:17am

    If GPs are faced with the hostile & toxic environment in the form of GMC, I am not surprised to see the upward trend of suicides in this noble profession. NHS has become the battlefield for the political parties & GPS are in the news headlines all the time. We are already seeing claims & counterclaims by Labour & Conservatives about the chances of seeing GPS after 5 years. Patent expectations have gone sky high & GPs are supposed to open 12 hours a day & provide designated Gp based care 24 hours a day. Family life gets messed up by increased stresses at the work places. For Heavens sake GPS are human & can make mistakes. The problem is medical negligence insurance companies are praying on vulnerable patients & advertise their services & financial incentives to the patients. GPS themselves pay heavily for their defence organisations but as soon as a compliment is brought against the doctor , tone of defence team changes. It would have been far better if GMC would behave like a BIG SUPPORTING BROTHER. For example if say X Doctor is struggling with drugs , alcohol or domestic problems, can he or she ever dare to disclose it to GMC. That is where the problem is & if GMC would act as a bridge between the patient & the Doctor in constructive manner , then we wouldn't be writing about These unnecessary loss of precious lives among the hardworking General practitioners fraternity. May their souls rest in peace & tranquility.

  • 'We are being regulated to death'

    Abdul QADRI's comment 22 Dec 2014 1:19pm

    It is so sad that these 5 Gps had reached to such a low point that they took their own lives. One can't imagine , what kind of turmoil these gps must have been in for months or years before reaching to the dead end. More & more gps are making painful decision of retiring at 55. Future of Gp is bleak to say the least as Seniors are leaving Gp too soon & passing the responsibility to less experienced juniors. Can you blame them ? There was a time when gps could boast to other professions that they can work till 80 & trust me they used to do fantastic job as there was no interference from the so called regulators. So many regulatory bodies or so called think tank have come & gone. They have left horrible legacy behind & ruined the morale of the gps. I have worked as Gp for nearly 32 years & for the best part of 20 years enjoyed the job. Patients would value my advice & wouldn't force me to refer them for unnecessary investigations. This was only possible by trust between the Doctor & the Gp. I am afraid that TRUST has been ERODED seriously by the successive STUPID THINK- TANK. Patients best friend is now GOOGLE & they come with list of expensive demands before Gp & put them under enormous pressure. Besides CQC from the start came with dictatorial attitude & stated criticising everything about Gp. CCG is supposed to represent gps but they have the pressure from CQC , Govt & most importantly private sector who are waiting to take away the services from the gps leaving with less income.
    Frankly it is all mess & no wonder why more people are rushing to A/E causing long waits for really needy patients. Only 15 years ago , I could give timely advice to my patients on telephone & patients had confidence to stick to that advice. Now Gp position has been damaged by CQC after publically labelling the practices as dangerous without thinking about the morale of the gps. Besides biggest bully is the GMC. Even if there is a case against a particular Gp , they need to treat them with respect & equals. After all they are also human & can make mistakes. In my opinion , anybody who receives a complaint from the GMC must & should receive psychological support from day one to prevent this tragic loss of our qualified Colleagues. Finally a simple humble request : DO WE EVER FINDOUT WHAT HAPPENED TO THEIR LOVED ONES ?

  • GPs urged to ring vulnerable patients over weekend in attempt to cut A&E attendance

    Abdul QADRI's comment 15 Dec 2014 6:09pm

    Out of service has been working tirelessly for many years. Nhs England is trying to give impression that they are proposing this service. At the same time, it is not a bad idea to contact vulnerable patients over the weekend but one needs to keep in mind that gps have also got family life & they need resources to provide that service.

  • Damp treatment and prescribing lunch clubs should form part of 'holistic' NHS approach, says Hunt

    Abdul QADRI's comment 10 Dec 2014 11:39am

    Let us remind our naive Secretary of State for health Mr Hunt that there are designated departments like housing & social services for tackling the issues of damping, elderly living in isolation & so on. CCG is there to make sure that the Gps are providing the appropriate medical care to their patients in the community according to the local needs.
    Mr Hunt needs to understand that Gps are Doctors & have been taught in the medical school to treat the real patients & not finding company for a lonely patients or providing dampness items from their prescribing budgets. This is really crazy & laughable.

  • I’m no Kate Moss, but I don’t need to lose weight to help my patients

    Abdul QADRI's comment 26 Nov 2014 10:05am

    BMI of 29.9 is almost Obesity & need to use common sense to bring down the figure to 23. We as Gps lead a sedentary lifestyle & make excuses to follow the guidelines. We are good at preaching our patients & ignore to lookafter ourselves. Loosing weight is beneficial to our own health , why give incentives. As already pointed out , overweight Doctor giving advice to his patients about weight reduction shouldn't be a problem. In fact they can complement each other & exchange facts regarding overwight or obesity management.

  • First GP practices receive 'outstanding' CQC ratings

    Abdul QADRI's comment 24 Nov 2014 11:40am

    Shortcuts to get excellent ratings.
    Have weekly meetings away from the practices & keep in contact with chief executive.
    Send your practice nurse to local supermarket to raise awareness about stroke , Diabetes, heart attacks, dementia & so on.
    Make sure , your patients don't end up getting re admitted time & time again by preparing magic care plan.
    Make sure patients get seen say day irrespective of their clinical needs.
    In summery keep patients & local public happy. Forget your own health & the family by worrying about patients making a complaint against you.
    Come on think tank has gone crazy , GPs & their hardworking Nurses have been working all the time to involve patients to improve their lifestyle by stopping smoking, keeping weight under control by dietary & exercise advice and not forgetting the unplanned teenage pregnancies. There can never be universal fair rating system in Gp practices as the demography of the population is changing all the time especially follow freedom of the people in the European borders. With respect , the lifestyle of the East European people is appalling & they come with baggage of chronic diseases. Besides the majority of the lower socioeconomic class of the indigenous populations are real challenge for the General practice in the 21st Century. They live on benefits but make sure to pay regular visits with the young children to the fast food chains like Chips shops etc. CQC executives need to go around the breakfast , lunch & afternoons and see how kids are enjoying all sorts of unhealthy food. Who has a responsibility to change that culture -of coarse you GPs & practice nurses. Teenage kids never listen a word what their Doctor or nurse is saying. These unhealthy lifestyles are picked up from their homes since parents don't take their responsibilities seriously & only know to complain about it to Doctors when it already too late.
    Every practice is different & the practice staff are best people to address the needs of their locality. Leave them to deal with it & stop demoralising Gps in the media. How on earth can patients have confidence in their Gp practice if it is rated as inadequate or not safe. Currently senior Gps are taking early retirements & junior Gps are refusing to commit to partnerships. In reality Medical Practices need the blessings of senior Gps at least until 65 years of age. This would have given junior Gps time to adjust & get the necessary experience to be the next Clinical leader of the practice. This smooth transition of responsibility has been eroded by the on going unnecessary changes in the Community medicine. Let us hope that the political parties will not make NHS as a football again in the forthcoming elections & the new Government would rather bring back the well deserved respect to the Gp practices.

  • Hang out the tinsel! The Friends and Family test is here

    Abdul QADRI's comment 20 Nov 2014 7:47am

    Reading few comments , it seems to me that there is no appetite for partnerships now due to barrage of media criticism created by the so called reformers like CQC. As has been pointed out already , what is the point of FFT feedbacks since some of the trouble patients use it against the Doctors. So they have no choice but to play it safe & get such surveys done with so called loyal patients & the survey results will be fantastic. This is all nonsense , the good old on the spot problem solving is the way forward. This certainly strengthens the Doctor - Patient relationship in the long term without the unnecessary involvement of outsides bodies & that has got to increase the overall Doctor morale. If Govt don't stop experimenting on Gps with new tools almost every 6 months , things will get bad to worse. We will end with Salary & locum Gps who will not be prepared to listen to the beaurocrates. They will work for their particular session or hours & leave the rest boring administrative stuff for the non clinician to sort out. That is going to finish the gps as we knew it in the UK & were proud of it. I worked in the GP as a successful Single handed practitioner for nearly 32 years & had to retire due to extreme stress that affected my health. However I had planned to return to do few sessions as locum's or in the management to contribute in any way since General practice has been so close to my heart. After seeing the recent handling of the GP practices by the so called reformers like CQC , am disappointed & decided to watch the whole sargar at a distance. Some how , total frustration forced me to write these comments today.

  • At-risk practices granted reprieve following patient campaigning

    Abdul QADRI's comment 20 Nov 2014 7:08am

    Some good news at last about the importance of keeping some of the core surgeries running in the rural England. Doctors work so hard in those areas as the no of home visits are well above average due to comorbidity of the elderly populations.

  • GP practices set to be rated out of five stars on 'TripAdvisor-style' websites

    Abdul QADRI's comment 16 Jul 2014 8:50pm

    Oh lord help my GP Colleagues who are bombarded with another set of quality checks. By repeated changes, successive Govt's have achieved nothing. Now traffic light system is in the pipe line. If our Geriatric patients from particular practice are admitted repeatedly via A/ E , practice , that practice will get RED score. What a joke , think tank have gone crazy. Let us face it , bless our elderly souls , their clinical conditions or circumstances can change any time. Trust me, this will not deter dedicated GPs to look after our precious geriatric patients. They deserve access to A/ E when needed & in fact the last thing they ever want is to go to the hospital. I have retired after working successfully for long 30 years & realised that the only bench mark for the quality care is when your patients are on your side & never want to leave your practice. As soon as Politicians & so called think tank creat confusion among young public , confidence in the GP is seriously compromised. General practice is precious in the UK and still unique in the world. Let us not degenerate it publicly & stop humiliating Doctors, otherwise very soon , you will have to recruit Gps from so called third world & now East European Countries and face the music of communication issues.

  • GPs to manage millions more patients on statins as NICE halves primary prevention threshold to 10%

    Abdul QADRI's comment 12 Feb 2014 11:44pm

    It must good news for Statin manufacturing pharmaceutical companies. Nice guidelines have become a joke. One minute simavastatin is good and recommended as no 1 & next minute Atorvastatin is idle as no 1 since USA have said so. It is ironic that a prominent American Cardiac Surgeon question the need of Statin use. Make up your own mind. Here is the article to refresh your memory :

    Heart surgeon speaks out on what really causes heart disease

    Dr. Dwight Lundell
    PreventDisease
    We physicians with all our training, knowledge and authority often acquire a rather large ego that tends to make it difficult to admit we are wrong. So, here it is. I freely admit to being wrong. As a heart surgeon with 25 years experience, having performed over 5,000 open-heart surgeries, today is my day to right the wrong with medical and scientific fact.
    I trained for many years with other prominent physicians labelled "opinion makers." Bombarded with scientific literature, continually attending education seminars, we opinion makers insisted heart disease resulted from the simple fact of elevated blood cholesterol.

    The only accepted therapy was prescribing medications to lower cholesterol and a diet that severely restricted fat intake. The latter of course we insisted would lower cholesterol and heart disease. Deviations from these recommendations were considered heresy and could quite possibly result in malpractice.

    It Is Not Working!

    These recommendations are no longer scientifically or morally defensible. The discovery a few years ago that inflammation in the artery wall is the real cause of heart disease is slowly leading to a paradigm shift in how heart disease and other chronic ailments will be treated.

    © n/a
    We physicians with all our training, knowledge and authority often acquire a rather large ego that tends to make it difficult to admit we are wrong. So, here it is. I freely admit to being wrong. As a heart surgeon with 25 years experience, having performed over 5,000 open-heart surgeries, today is my day to right the wrong with medical and scientific fact.

    I trained for many years with other prominent physicians labelled "opinion makers." Bombarded with scientific literature, continually attending education seminars, we opinion makers insisted heart disease resulted from the simple fact of elevated blood cholesterol.

    The only accepted therapy was prescribing medications to lower cholesterol and a diet that severely restricted fat intake. The latter of course we insisted would lower cholesterol and heart disease. Deviations from these recommendations were considered heresy and could quite possibly result in malpractice.

    It Is Not Working!

    These recommendations are no longer scientifically or morally defensible. The discovery a few years ago that inflammation in the artery wall is the real cause of heart disease is slowly leading to a paradigm shift in how heart disease and other chronic ailments will be treated.

    The long-established dietary recommendations have created epidemics of obesity and diabetes, the consequences of which dwarf any historical plague in terms of mortality, human suffering and dire economic consequences.

    Despite the fact that 25% of the population takes expensive statin medications and despite the fact we have reduced the fat content of our diets, more Americans will die this year of heart disease than ever before.

    Statistics from the American Heart Association show that 75 million Americans currently suffer from heart disease, 20 million have diabetes and 57 million have pre-diabetes. These disorders are affecting younger and younger people in greater numbers every year.

    Simply stated, without inflammation being present in the body, there is no way that cholesterol would accumulate in the wall of the blood vessel and cause heart disease and strokes. Without inflammation, cholesterol would move freely throughout the body as nature intended. It is inflammation that causes cholesterol to become trapped.

    Inflammation is not complicated -- it is quite simply your body's natural defence to a foreign invader such as a bacteria, toxin or virus. The cycle of inflammation is perfect in how it protects your body from these bacterial and viral invaders. However, if we chronically expose the body to injury by toxins or foods the human body was never designed to process,a condition occurs called chronic inflammation. Chronic inflammation is just as harmful as acute inflammation is beneficial.

    What thoughtful person would willfully expose himself repeatedly to foods or other substances that are known to cause injury to the body? Well, smokers perhaps, but at least they made that choice willfully.

    The rest of us have simply followed the recommended mainstream diet that is low in fat and high in polyunsaturated fats and carbohydrates, not knowing we were causing repeated injury to our blood vessels. This repeated injury creates chronic inflammation leading to heart disease, stroke, diabetes and obesity.

    Let me repeat that: The injury and inflammation in our blood vessels is caused by the low fat diet recommended for years by mainstream medicine.

    What are the biggest culprits of chronic inflammation? Quite simply, they are the overload of simple, highly processed carbohydrates (sugar, flour and all the products made from them) and the excess consumption of omega-6 vegetable oils like soybean, corn and sunflower that are found in many processed foods.

    Take a moment to visualize rubbing a stiff brush repeatedly over soft skin until it becomes quite red and nearly bleeding. you kept this up several times a day, every day for five years. If you could tolerate this painful brushing, you would have a bleeding, swollen infected area that became worse with each repeated injury. This is a good way to visualize the inflammatory process that could be going on in your body right now.

    Regardless of where the inflammatory process occurs, externally or internally, it is the same. I have peered inside thousands upon thousands of arteries. A diseased artery looks as if someone took a brush and scrubbed repeatedly against its wall. Several times a day, every day, the foods we eat create small injuries compounding into more injuries, causing the body to respond continuously and appropriately with inflammation.

    While we savor the tantalizing taste of a sweet roll, our bodies respond alarmingly as if a foreign invader arrived declaring war. Foods loaded with sugars and simple carbohydrates, or processed with omega-6 oils for long shelf life have been the mainstay of the American diet for six decades. These foods have been slowly poisoning everyone.

    How does eating a simple sweet roll create a cascade of inflammation to make you sick?

    Imagine spilling syrup on your keyboard and you have a visual of what occurs inside the cell. When we consume simple carbohydrates such as sugar, blood sugar rises rapidly. In response, your pancreas secretes insulin whose primary purpose is to drive sugar into each cell where it is stored for energy. If the cell is full and does not need glucose, it is rejected to avoid extra sugar gumming up the works.

    When your full cells reject the extra glucose, blood sugar rises producing more insulin and the glucose converts to stored fat.

    What does all this have to do with inflammation? Blood sugar is controlled in a very narrow range. Extra sugar molecules attach to a variety of proteins that in turn injure the blood vessel wall. This repeated injury to the blood vessel wall sets off inflammation. When you spike your blood sugar level several times a day, every day, it is exactly like taking sandpaper to the inside of your delicate blood vessels.

    While you may not be able to see it, rest assured it is there. I saw it in over 5,000 surgical patients spanning 25 years who all shared one common denominator -- inflammation in their arteries.

    Let's get back to the sweet roll. That innocent looking goody not only contains sugars, it is baked in one of many omega-6 oils such as soybean. Chips and fries are soaked in soybean oil; processed foods are manufactured with omega-6 oils for longer shelf life. While omega-6's are essential -they are part of every cell membrane controlling what goes in and out of the cell -- they must be in the correct balance with omega-3's.

    If the balance shifts by consuming excessive omega-6, the cell membrane produces chemicals called cytokines that directly cause inflammation.

    Today's mainstream American diet has produced an extreme imbalance of these two fats. The ratio of imbalance ranges from 15:1 to as high as 30:1 in favor of omega-6. That's a tremendous amount of cytokines causing inflammation. In today's food environment, a 3:1 ratio would be optimal and healthy.

    To make matters worse, the excess weight you are carrying from eating these foods creates overloaded fat cells that pour out large quantities of pro-inflammatory chemicals that add to the injury caused by having high blood sugar. The process that began with a sweet roll turns into a vicious cycle over time that creates heart disease, high blood pressure, diabetes and finally, Alzheimer's disease, as the inflammatory process continues unabated.

    There is no escaping the fact that the more we consume prepared and processed foods, the more we trip the inflammation switch little by little each day. The human body cannot process, nor was it designed to consume, foods packed with sugars and soaked in omega-6 oils.

    There is but one answer to quieting inflammation, and that is returning to foods closer to their natural state. To build muscle, eat more protein. Choose carbohydrates that are very complex such as colorful fruits and vegetables. Cut down on or eliminate inflammation- causing omega-6 fats like corn and soybean oil and the processed foods that are made from them.

    One tablespoon of corn oil contains 7,280 mg of omega-6; soybean contains 6,940 mg. Instead, use olive oil or butter from grass-fed beef.

    Animal fats contain less than 20% omega-6 and are much less likely to cause inflammation than the supposedly healthy oils labelled polyunsaturated. Forget the "science" that has been drummed into your head for decades. The science that saturated fat alone causes heart disease is non-existent. The science that saturated fat raises blood cholesterol is also very weak. Since we now know that cholesterol is not the cause of heart disease, the concern about saturated fat is even more absurd today.

    The cholesterol theory led to the no-fat, low-fat recommendations that in turn created the very foods now causing an epidemic of inflammation. Mainstream medicine made a terrible mistake when it advised people to avoid saturated fat in favor of foods high in omega-6 fats. We now have an epidemic of arterial inflammation leading to heart disease and other silent killers.

    What you can do is choose whole foods your grandmother served and not those your mom turned to as grocery store aisles filled with manufactured foods. By eliminating inflammatory foods and adding essential nutrients from fresh unprocessed food, you will reverse years of damage in your arteries and throughout your body from consuming the typical American diet.

  • CQC threatens to send 'OFSTED-style' letters to patients in poor practices as Field unveils findings from first 1,000 inspections

    Abdul QADRI's comment 13 Dec 2013 10:51pm

    Professor Field said he was searching for ways to ensure patients ‘really know’ when their practice is inadequate, and he said the OFSTED system of writing to pupils in a language they understand was ‘a great one’.
    There is no excuse whatsoever if maggots are found in the treatment room in one practice. Also if the vaccines are out of date and kept in the fridge that is not acceptable. I would have thought that following the last few years of QOF visits, these kinds of things should have been checked. I recall preparing for the QOF with the Practice Manger and the Practice Nurse. My Practice Nurse would make sure to check the temperature of the fridge and Vaccine dates on regular basis. She would make sure to inform the Doctor or the Practice Manger if anything needed to be changed. The practices that have failed to do this basic checks need to ask themselves a simple question: Did they follow the QOF requirements at the time of annual visit?
    Having said that, it is so painful to see how Professor Field’s remarks have already damaged the reputation of the hard working GPs up and down the Country. There are around 7500 Practices in the UK and 1000 have been inspected. One third of those i.e. around 330 have been found to have failed in one of the so called standards inspection. Maggots were found in the treatment room of one practice. Now see the immediate impact in the press for our patients:
    Dangerous GP surgeries are named and shamed
    Inspectors carrying out first spot checks of family doctors in England find maggots in treatment rooms and queues so long that patients brought in stools to sit on
    Their report concludes that hundreds of patients’ lives are being put at risk by an “unacceptable” variation in quality. The inspectors also highlighted a worrying lack of competence among GPs, saying that some were simply “not up to it”. Doctors unable to use basic life-saving equipment. Some GPs were accused of “tick-box” attitudes that left cancers undiagnosed. Prof Steve Field, the chief inspector of GPs warned that hundreds of lives could be at risk because of the failings. Last week NHS data on 4,000 practices showed that half of patients diagnosed with cancer were not fast-tracked to see a specialist within two weeks. Problems getting an appointment and a reliance on “tick-box” systems meant too many cases of cancer were being missed, Prof Field said. “If people have symptoms — if they might have cancer — if they are turned away they might not go back,” he added. Roger Goss, of the campaign group Patient Concern, said the failings were “unbelievable and inexcusable”. The nine practices found by the CQC to have the most serious failings were: All were ordered to make urgent improvements or close.
    I honestly don’t know where to start. CQC Boss is comparing our patients like Pupils who need to know about the standard of the Practices they are registered with. He wants to inform them the language they can understand. British Public is not so stupid & know where to register in NHS. They also know if they are not happy with the Practice, they can easily leave the practice without any notice and register with another Practice. It would be interesting to know the reaction of the patients of those so called failed practices. It also begs a question as to why Patients are still registered at those so called failing Practices. Patients nowadays are smart enough to know when to complain against a Practice as there are Clinical Negligence Lawyers advertising every dayto approach them on the National TV. Besides GPs themselves know the consequences of their clinical negligence. They can be reported to the GMC and loose the license to Practice.
    The current attitude by the CQC will deter Junior Doctors to peruse a career in General Practice. The population of GPs over the age of 60 Years is growing and they had enough of the scrutiny and I am afraid might decide to leave early. There is already confusion about the way Appraisal and Revalidation is being conducted. There have been so many changes brought in to the General Practice. To have a GP and Nurse in the Inspection team is nothing new. We used to have same kind of Inspection Team when QOF used to visit Practices. If ticking the boxes is criticized by Prof Field, One can ask him to look into the Target templates as Doctors payment depends on those boxes. There is already shortage of Locums and the Gross root GPS like I are dismayed by this initial threatening report.
    By naming and shaming the 9 Doctors will not solve anything but make our Medical Graduates to think twice to join General Practice. Incidence of stress related illness is rising among GPS and I am afraid if constructive approach is not adopted by CQC and Revalidation Agencies, future of General Practice in UK is looking bleak.
    Finally I will say this:
    • GOD SAVE OUR QUEEN
    • GOD SAVE OUR NHS

  • RCGP chair calls for 'urgent review' of support for doctors under GMC investigation

    Abdul QADRI's comment 04 Dec 2013 1:39pm

    It seems majority of comments have been deleted and yet professor Claire Geralda wants to hear the real concerns of the Doctors.
    As soon as GMC gets involved in any case, Doctors try to seek help from Medical Defence agencies. I remember a case where a male patient of mine took sick note for 1 week as he had some kind of stress at work as he put it. He didn't want to discuss the problem further. After one week , he left message at the reception to have 2 more weeks sick note to get better. I issued certificate & left message with the receptionist to book appointment if he wants more certificate or to discuss any problem. After another 3 weeks , there was a news article in the local paper with his picture , reporting that he had killed himself and his 4 children in the car after setting it on fire. Obviously we were shocked to see that and had no clue for the reason behind it as his wife and children were not registered with me.
    I looked into my records and entered the notes on a new card as the writing in the old card wasn't that clear. At the time we were not using computer for consultations. After a week or so , Detective came to see me to get the copies of the attendance notes from me. I contacted medical defence and informed them about the case. They appointed a lawyer from the city who came to my home as I was off sick for 2 weeks due to back problem and stress. Solicitor took statement and copies of the notes. 2 days after meeting the Solicitor , my wife who was practice Manager pointed out to me that , we didn't tell him that the last clean card notes were written afterwards as the original were not written clearly. So the real HELL started when I informed the solicitor. He decided to involve Medical defence & sent his Junior Solicitor to see me. He interrogated me and my staff about the case. Afterwards , I got a call from Medical Defence union that one of them is coming to see me at the Solicitirs office in London to make sure that the contents on the new card are accurate , otherwise they wouldn't be representing me at the Coronors hearing if am called. You can understand the stress it caused to me & my family. My wife and my cousin who is professor in Kings College hospital accompanied me for moral support. Both of them were told to wait outside and I was alone with the Senior Solicitor , junior Solicitor & the representative from defence medical union ( who was so tight lipped ).
    They interrogated me for 3 hours and the Senior Solicitor kept on reminding me that they have to make sure that the contents of the new page is accurate , otherwise I would have to face GMC. During 3 hours, I wanted to runaway miles from that room but had to think about my family and mortgage. After 3 hours , medical defence representative commented, the entry in the new card are accurate and they will be representing me at Coroners hearing if I am called. Finally solicitor prepared a statement for the detective and I received a bill of around £ 12000.00 to pay for the time wasted : From the time I reported to the Solicitors about the entry of the consultation on the new card to the satisfactory conclusion of my honesty at the Solicitors office with the medical defence union representative. In the chargeable sheet there were items entered that upset me most when my worried wife used to ring junior Solicitor crying out to get reassurance that case will not go to GMC and the solicitor was timming the call and charging accordingly. I didn't have a clue that my wife is being charged for her crying on the phone.
    At the end , the irony is this: THE CORONORS OFFICE didn't bother to call me. I had nothing to do with the case. My Patient had marital problems & was about to get divorce. Social services were involved and my patient had seen Psychiatrist privately in Harley Street and I wasn't informed by anybody about his marital issues or any psychiatric treatment.
    Thank heavens , I have just retired in March this year after working in Geberal Practice for 30 years. Doctors are professional people but are very vulnerable before GMC, Medical defence agencies and of coarce Solictors. Besides they have to worry about CCG targets , CQC visits and last but not the least Patients Satisfaction. It is no surprising that the stress related tragedies among Gps & Dentists is rather alarming. I honestly feel sorry for the new breed of Doctors who will have to take care of their families and mortgages if God forbid things go wrong. Our so called Supportive organisations like GMC, Medical defence don't care. It is high time that some form of real support system is in place to prevent further tragedies.