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Independents' Day

Dr Tea

  • GPs should certify over-75s' fitness to drive every year, says Harriet Harman

    Dr Tea's comment 24 Aug 2017 10:06am

    that's a lovely idea. well done, Harriet.
    now.. what else been in the news lately- oh, cyclists!
    I wander if GPs could be nice enough to go around checking front wheel breaks during their admin time/home visits?

  • Smile, it might never happen

    Dr Tea's comment 22 Aug 2017 8:08pm

    Yes, the DNA. He telephones at 18. 25 and somehow reception put him through to you. He says he is feeling suicidal and he is asking for a home visit. He has already spoken to mental health crisis team, who advised that he needs to see his GP today. He says he will not see anyone but yourself.

  • Smile, it might never happen

    Dr Tea's comment 22 Aug 2017 12:39pm

    two weeks later you hear that patient 1 was admitted with steroid induced stomach ulcer. then your ear irrigation device breaks down and since there is no funding for this service, partnership decides not to replace/repair it. patient 3 walks out of the door and writes a complaint that their concerns were not taken seriously and they should have been offered urgent MRI angyogram as was their aunt who lives in USA.
    sorry... I am also having a great day

  • Whole region risks 'losing general practice' due to GP shortage

    Dr Tea's comment 19 Aug 2017 12:12pm

    The (long term economic) Tory plan working

  • GP trainees locked out of MRCGP exam could get 'sixth' attempt

    Dr Tea's comment 15 Aug 2017 7:14pm

    Vote of no confidence in RCGP long overdue

  • GPs should prescribe dog walking to boost physical activity, study says

    Dr Tea's comment 09 Aug 2017 10:42pm

    "While this study is undoubtedly incredibly informative and illuminating in highlighting correlation that exists between animal ownership and levels of physical activity, it doesn't consider long term environmental sustainability of such recommendations (of animal ownership). We believe that more research is needed in order to address this issue."
    RCGP lead GP of environment&sustainability responded

  • GPs should prescribe dog walking to boost physical activity, study says

    Dr Tea's comment 09 Aug 2017 10:16pm

    First we need a guideline on how to estimate likelihood of patient cleaning after their dog's done a cqc in the middle of a pavement. Not being able to do so would put public at risk.

  • GPs to be incentivised to refer patients to diabetes prevention programme

    Dr Tea's comment 01 Aug 2017 10:38pm

    Eh.. maybe NICE can work out how to incentivise GPs to carry on working?

  • GPs asked to quiz high-rise residents on smoke alarms and escape routes

    Dr Tea's comment 31 Jul 2017 7:24pm

    Surely they will find a GP somewhere to blame for not referring/ not acting on a fire safety concerns. Just wait.

  • RCGP: GPs are feeling 'let down' by NHS support package

    Dr Tea's comment 31 Jul 2017 9:49am

    this is unbelievable and probably unprecedented, but it would appear that RCGP got this one right. certainly sense of listening to grass-roots as opposed to autistic mantra of previous leadership ("never been better time" etc)

  • Two new GPs needed for every retiree, warns report

    Dr Tea's comment 29 Jul 2017 11:06am

    Last year we lost one of the partners in our three partner practice. He was exactly what's described- experienced and working 10 sessions a week. We now have 3 part-time GPs and an ANP, some of whom are also very experienced, to replace him and they are not covering neither his clinical nor administrative workload and that is at considerably higher cost to the practice. The net result was that we, remaining two partners, had free up time to cover (and try to stay sane), which essentially means cutting our own clinical sessions. So when Copernicus says it would take three to replace him, I agree completely. I've seen it.

  • RCGP reviewing whether MRCGP exam is ‘fit for purpose’

    Dr Tea's comment 28 Jul 2017 11:11am

    agree, not fit for purpose. huge subconscious bias in CSA

  • Why GPs should prescribe a low-carb diet for type 2 diabetes

    Dr Tea's comment 27 Jul 2017 7:48pm

    I completely agree with physiological basis of this recommendation.
    A bit uncomfortable with word PRESCRIBE. A patronizing and not sufficiently supportive verb, that doesn't empower patient to take control. Instead we should PROVIDE (low carb diet)- source, cook, serve and clean after and patents will reward us with positive FFT and MSF. Don't forget to leave a pack of Amoxicillin, Citalopram or Atorvastatin in the cupboard. Better safe than sorry. Surely big part of government's anti-obesity strategy.

  • Life IS a piece of shit, when you look at it

    Dr Tea's comment 27 Jul 2017 7:17pm

    Can't imagine how it's possible to blame our so called "leaders" for anything. They have zero influence and due to huge diversity of ways of working and regional and practice circumstances they represent no one other than own practices. Who ever cared what RCGP had to say or about their so called standards that only work inside the minds of few cardigans doing 2-4 sessions a week? And as for GPC- they are against powerful machinery of DOH and NHSE and in real world Goliath usually wins. As stated in previous blog- what do we want?...

  • GPs urged by MPs to prescribe poetry and painting

    Dr Tea's comment 23 Jul 2017 4:23pm

    Sorry won't be able to memorize referral criteria. Still trying to learn how to do boiler checks

  • GPs set to be banned from prescribing homeopathy

    Dr Tea's comment 23 Jul 2017 4:14pm

    It amazes me that there are doctors here who appear, at least from their comments, to be in favour of using homeopathy and even describe it as "natural" and "recommended". Not talking about using as placebo, but actually believing that homeopathy works. Really surprised by this. I do hope no one still practices blood-letting or healing with crystals, or adjusting energy/vital force circuits in primary care on NHS.
    But then MPs apparently urge us to prescribe poetry, so why not spiritual healing?

  • Not in front of the children!

    Dr Tea's comment 19 Jul 2017 9:11pm

    Young ones, I speak truth. Yes,
    working in general practice is pretty horrendous, but so is working in secondary care. It's just different aspects of work/pay/life-ballance that NHSE/societal expectations/line management screw you over. In summary, if you want to be a doctor in the UK, you're screwed. Better to realise it early and, if you still want this, get on with it.
    If you have a non medical spouse and family, try to educate them early. So you have a chance to be understood.

  • Man jailed for four months after threatening to 'flatpack' GP practice staff

    Dr Tea's comment 14 Jul 2017 11:16pm

    6 months sentence reduced to 4 months because he pleaded guilty. I wander if a more cost effective approach would be to just let him go if he pleaded to really meaning to flatpack the whole lot of them and to reflect in his e-portfolio.

  • NICE urges GPs to sign up to new online forum

    Dr Tea's comment 10 Jul 2017 8:56pm

    Here's an idea on guidelines improvement- get rid of guidelines!
    Sorry, won't be signing up to this forum. Too much work, too little time.

  • ‘I feel compromised without support’

    Dr Tea's comment 02 Jul 2017 7:02pm

    A five page online form that crashes half of the times? Wouldn't be my problem. One try and I am dictating a letter where I outline my concerns and ask them to put it on any form they like using this time of year or get on with the job. Having said that, I do have some sympathy for their position which is not so dissimilar to ours. Essentially, ever rising expectations and ever shrinking resources.