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Dissident

  • The NHS is the little old lady waiting for an ambulance

    Dissident 's comment 08 Jan 2019 10:56am

    Does anyone know whether ambulance services conduct serious investigations into the completely inappropriate use by the public and 111? Working in an UCC opened my eyes to how common worry calls for an ambulance and speaking to crews just got me a shoulder shrug. Some appear quite happy to be social workers, the odd team are as annoyed as I am but are there any attempts to look into this seriously??

  • Losing continuity may mean fewer Xmas gifts – but it will be worth it

    Dissident 's comment 13 Nov 2018 9:22pm

    I recently had a highly dysfunctional, manipulative and aggressive frequent attendee in a UCC whose GP summary of 168 pages did NOT ONCE describe her various "oddities" despite her obvious psychopathology.
    What has become of us?
    Are we too scared or do we just not care about anything but our own hide?

  • Losing continuity may mean fewer Xmas gifts – but it will be worth it

    Dissident 's comment 13 Nov 2018 9:15pm

    Instead of continuity I suggest consensus amongst doctors, consistency and courage.
    It is clear to all that continuity is essential for the sick and frail, but for the vast majority, the worried well and those whose worry drives them to overuse medical resources good record keeping including honesty re one's impression of the patient and their health seeking practices is the essential factor.

  • GPs defending patient complaints to be asked which guidelines they followed

    Dissident 's comment 03 Sep 2018 2:56pm

    Ivan Benett how many patients do you currently see? And what are your other current roles? I believe you opted out of seeing patients as your main job a long time ago didn't you? So don't be smug at me about guidelines or have you turned into one of these Dement(educat)ors yourself now? Appraiser perhaps?

  • Top GP issues mental health warning as 400 doctors die by suicide

    Dissident 's comment 03 Sep 2018 2:32pm

    My doctor friends in other countries have long been shaking their heads in disbelief over the complaints culture here and how GMC/NHS England/indemnity insurances/CQC etc respond and collude to make us the scapegoats for a dying system. Now this: although on one side glad it is not just me this is getting to I am fuming that patients' complaints are allowed to endanger our sanity to that degree. I have equally started - out of sheer desperation - to turn selfdoubt back into the appropriate reaction which should be anger and challenging the maliciousness, lack of respect and willingness to bite my hand off with which a lot of patients think they can treat me. Certainly the preferred option to suicide.

  • After the storm, what now for Dr Bawa-Garba?

    Dissident 's comment 15 Aug 2018 9:00pm

    I would be very happy to have her care for mine!
    If I could give her a job I would.

  • Appeals court rules in favour of Bawa-Garba appeal

    Dissident 's comment 14 Aug 2018 12:29pm

    Another complete disgrace in my opinion is the case against nurse Amaro.
    Everyone should read the CHARGES AS READ-NMC against her. A completely biased statement.
    I fully understand Isabel Amaro's reasoning and wonder if another "protect your own" mechanism is at work here.

  • Appeals court rules in favour of Bawa-Garba appeal

    Dissident 's comment 14 Aug 2018 12:07pm

    Panorama says clearly that the mum RECALLS to ask A nurse who then asked Another doctor who said yes give it...
    Why haven't we heard of this other doctor in this whole saga? Has anyone heard of him/her before?
    Wouldn't he/she ALSO be on trial or at least have been mentioned more consistently?
    I encourage everyone watching last night's Panorama and make up their own minds.
    To me it also sounds like a cover up and if it is then the shocking truth is that no doctor is ever safe as the public just have to claim something which then counts as evidence.
    What really got to me on an emotional level was the photo of Hadiza's proud family on the day of her graduation.
    What a beautiful shot!

    And her tears.


  • Appeals court rules in favour of Bawa-Garba appeal

    Dissident 's comment 13 Aug 2018 11:06pm

    Yet:

    Jack's mother Nicky Adcock said the verdict was an "absolute disgrace" that set "a precedent for doctors to do exactly what they like," pledging to fight the decision to the Supreme Court.
    (Sky news)

    Doctors doing "what they like"...

  • Appeals court rules in favour of Bawa-Garba appeal

    Dissident 's comment 13 Aug 2018 10:42pm

    Thank you TER.
    As doctors we have opportunities and in my eyes a duty of care in medically educating our patients and parents but sometimes it seems "the system" rather prefers us to keep quiet at the dangerous expense of leaving them in the dark.
    Mentioning obesity and addiction - painful as it may be for them it is for us, too, as we risk complaints - are more examples.
    Not conducive to the adult-adult relationship we so ethically aim to achieve.

  • Appeals court rules in favour of Bawa-Garba appeal

    Dissident 's comment 13 Aug 2018 10:13pm

    Is PULSE also now slave to daily mail style public perception??
    Worrying.

  • Appeals court rules in favour of Bawa-Garba appeal

    Dissident 's comment 13 Aug 2018 10:12pm

    Anonymous ex GP comment - removed. Why?
    What is offensive exactly?
    Moderator, answer please.

  • Appeals court rules in favour of Bawa-Garba appeal

    Dissident 's comment 13 Aug 2018 10:09pm

    The moderator has also removed DS's comment asking questions re Enalapril. Why?

  • Appeals court rules in favour of Bawa-Garba appeal

    Dissident 's comment 13 Aug 2018 10:03pm

    This comment has been removed by the moderator

  • Appeals court rules in favour of Bawa-Garba appeal

    Dissident 's comment 13 Aug 2018 5:45pm

    This comment has been removed by the moderator

  • The law is an ass when it comes to medical negligence

    Dissident 's comment 06 Mar 2018 1:57am

    https://thesecretbarrister.com/2018/01/31/some-thoughts-on-dr-bawa-garba-and-our-faith-in-the-jury-system

  • #IamHadiza: The full story of the legal case that shook medicine

    Dissident 's comment 05 Mar 2018 10:00pm

    What is shocking in my opinion is the unquestioned collusion of all the powerful institutions such as GMC, "expert" witness who can themselves go unquestioned, media and the doctor's employer with a mother who successfully deflected attention from her own wrongdoing to the person with the most vulnerable position who had tried her best to keep the child safe despite its risk having been admitted to an appalling failureridden system. This is more than apathy, it is scapegoat searching and finding and it is even transparent. No-one is asking obvious questions. Everyone is glad to have found and convict a potential suspect. How very great an insult to intelligence and scientific approach. And yes, I agree, from own experience I know that presence/absence of sepsis as opposed to organ failure from drop in cardiac output as cause of death cannot be proven beyond doubt. Put this to the GMC and they will go on their hind legs to destroy the ones who do the reasoning.
    And perhaps BH failed on the utterly damaging "reflection", otherwise known as confession obtained under duress. KMA...

  • #IamHadiza: The full story of the legal case that shook medicine

    Dissident 's comment 02 Mar 2018 8:37am

    2 questions:
    How come Jack's mother gave him his ACEinhibitor?
    Did she check with staff?
    2.Did he have a postmortem?

  • GP trainee claims he was reprimanded after highlighting A&E safety concerns

    Dissident 's comment 18 Jan 2018 0:15am

    @Gary: he dared, you don't. Grow some spine now and stand by your young courageous colleague.

  • Pressurised GP out-of-hours see serious incidents increase by 26% in a year

    Dissident 's comment 16 Jan 2018 11:43am

    @anonymous Locum GP:
    I agree. Blaming the individual when something goes wrong is a fine distraction from organisational failure. And the minimum an OOH GP should be able to expect from their provider is some effort to manage demand or else at least stand by their staff when things go wrong. But the crisis has led to increased anxiety to be made accountable, to blame and shame of the already rare doctors willing to do the job, the defense organisations colluding with NHS England and the GMC in encouraging submission instead of whistleblowing and as a result further deterioration of GP moral with unwillingness to do the job.
    But as long as the public does not sympathise - doctors earning too much in their opinion - and the media having such a hold on public opinion that game goes on.