Be the Change
BMJ recently had very good article on direct to consumer genetic testing. There's a widely held public belief that the results are in the form of 'you have the gene for x but don't have the gene for y'. In reality whole genome testing will find hundreds of variants that might or might not have clinical significance, many will be false positives. Definitely agree that this type of test needs the informed consent of the subject ie adults, not newborns!
the article is incorrect. Locums are not entitled to 1 month of inactivity. That's why it is so unfair. if I work 2 days a week for 46 weeks of the year then my earnings (for the purpose of which tier of contributions I pay) are multiplied by 365/92. This will put every locum in the highest tier of 14.5% regardless of actual earnings.
"The hospital told me to come here to get my results". I hear this about 3 times a day. Not just dumping but medicolegally wrong
Why high dose statins? isn't atorvastatin 20mg the recommended primary prevention dose?
Let's not jump to the conclusion that any woman requesting a termination is irresponsible about their contraception. I know of at least 2 patients who fell pregnant with an IUD in place - and ovulation occurs in some cycles even with perfect use of oral contraception.
I agree with hello sunshine. I'm pretty sure that in future we'll find there is a spectrum of bronchial responsiveness, the worst of which we call asthma. If exposed to enough triggers such as allergens and viral infections many people without formal diagnosis could wheeze.
prashant, please credit Una Coales as the author of most of your post
can't remember seeing a Fran cartoon yet where the GP is female!
As pension is based on career average earnings it makes no sense that 2 people earning the same could have to pay vastly different sums in contributions for the same pension. There is no justification for annualising and it is solely punitive
Today I read that due to funding cuts our local sexual health service will no longer offer contraception to those over 25 unless they need a coil or implant, and that 4 local clinics will close with those patients expected to see their GPs. So when SH won't see them for nothing we have to! And failure to get an appointment for pill now GPs' fault.
Now extrapolate to every other service who sends their excess to us as said by hospital doctor above.
I don't get it. Insurers can also decline to pay out and often spend a lot of effort working out how to do so - modified car for example
my favourite: "how often do you use your blue inhaler?" "only when I need it"
Should prevent patients being discharged as 'much improved' when they told the consultant just the opposite. (something I'm seeing a lot of)
CT chest abdomen and pelvis. Next!
Requests for antidepressants are now coomonplace. Patients feel you're not taking their distress/sadness/stress/panic attacks seriously unless you issue a prescription. (cf antibiotics)
study shows people with CKD have higher rates of these illnesses but it cannot make any comment on the quality of care these patients received or state that 'better' care would have reduced incidence.
As with all the CR*P about apps and AI, the technology tail is wagging the dog. NHSE and HMG need to look at evidence alone and take less heed of lobbying (advertising) by IT companies
AI is based on so many fallacies that it should never replace humans. In the messy undifferentiated world of primary care symptoms a, b and c rarely equate to diagnosis x. and how does AI deal with an evolving problem or would it deal with each episode of contact in isolation?
Now challenge their management of our pension contributions and statements. This really is criminal.
3 million patients complain they did not get what they wanted/demanded/ deserved/were entitled to