Yup just got through this patch with my six month granddaughter and two anxious parents (daughter and son in law).
She's a bit of a puker and she did have several colicy sessions a day which lead to fat belly granddad doing the walk whilst calming screaming child. Meantime grandad's head is thinking of the differential GORD, CMPI, Lactose Intolerance, Intussusception to name a few. Rotavirus oral vaccine seemed to worsen it. Infacol, Calpol eventually Colief seemed to help a bit. No logic to this BTW.
But at other times she was normal cheerful self. Good weight gain. Mum settled. Dad happy. Grandpops wipes his brow with relief.
All fine now. Settled at 4-5 months. No alginate, H2 or PPI. Needed constant house calls (100m down the road) and reassurance.
I would agree with Top Cat, a ColiClinic to provide the backup to parents who don't have a retired GP and Midwife (my wife) to call on for help. Which is most of them.
Only about 10 years too late.
I said it many years ago and will say it again.
Medicine is NOT a popularity contest.
The GP with unfailingly good feedback is more likely to be the doctor who gives antibiosis for viral infections, sick notes for spurious reasons, letters to the Council, OTC scripts to name but a few.
The Doc Martins (ITV) of this world would score badly but whom would you rather see if you were genuinely ill?
I was relieved when both my daughters decided not to do medicine despite being bright enough. They said they remembered the nighttime calls before the Co-op and when they worked at the surgery with the punters.
Part of me was disappointed but mostly I thought they had dodged a bullet. Nowadays they think the same, what with the Horlicks the Government is making of the NHS.
But whatever you think, be mindful of Philip Larkin's admirable poem "This Be The Verse". A must read for any wannabe parent.
Ah another ivory tower merchant.
Helpful comment mate unlikely to be received with any welcome.
Perhaps PHE would like to take over the vaccination programme? We can then sit on the sidelines and snipe. See how you like it.
Dr Chand, for once we are in agreement. 5 stars.
To paraphrase Einstein “As our circle of knowledge expands, so does the circumference of ignorance surrounding it.”
Or perhaps Donald Rumsfeld " The more we know we know, the more we know we don't know".
Without going into unknown unknowns :-)
Dr Bhatti is against the proposal and then goes on to state "where someone is such a bad criminal that we don’t want them to get their pension out of the public purse".
Public purse? This is the "criminal's" money, deferred income if you will. It is tantamount to double punishment, one by the courts and one by the SoS for health.
From what I see even if you are retired and no longer a GP they can stop your pension. Is this really true?
God these gobshite politicians are truly the dregs of the scum of this earth.
Excuse me for copying Jaimie Kaffash’s current blog but;
“Dr Henshall gave stark figures: one in three GPs suffers burnout, depression or both; female doctors have four times the suicide risk of the general population; and the average age of GPs accessing England’s GP Health Service is just 38”.
Perhaps we should give a little less of ourselves?
"the move is a response to receiving about 150 referrals for urgent dermatology outpatient appointments every week, most of whom do not have cancer".
Oddly that applies to all 2WW referrals. So that excuse is out the window then.
This is a clear money saving exercise leaving GPs with the legal liability. Unacceptable.
How many of us have sat through dermatology lectures with slides, aka photographs, of lesions which defy analysis, let alone the diagnosis given to them by the expert?
How many of us have tried using phones, cameras, whatever, to photograph a skin? Very difficult to get the focus (even if auto) distance, contrast, positioning, shadowing, lighting right in order to do justice to the lesion.
Even then the suspicions of a Mark 1 eyeball 'hands on' view may be inadequately expressed.
Mistakes will be made and I hope those refusing the referral will be made to take the responsibility. It will concenrate their minds.
IDGAF, seriously I don't. Eminently non qualified person for a non job.
I think the current vernacular term is 'Gammon' for Mr Hammond.
Plus I can see his flappy lips moving but fail to hear what it is he is saying.
So Gammon Flaps applies then.
Yep I'm sure the Sultan will not be sleeping tonight through worry that the RCGP will do this.
Seriously if it worries you that much JFDI! Stop getting involved in "gesture politics" by letting us all know how righteous you are.
Agree 3:14pm. It takes two to tango plus may reduce male genital cancer and catch the MSM group.
Cost saving or sexism?
Now a bit of good news for a change.
Nothing is free. Someone has to pay and with this FATPOA system it isn't the user.
Sensible? Eat a lot less. Move more. My bill is in the post.
So if I may infer from the figures the original prog was for 100,000 people of whom 17,000 attended more or less regularly and who lost on average 3.3kg each.
So 83,000 did not attend regularly and did not lose any weight.
Is it just me or do I hear the sound of Health pounds being p1ssed up the wall again.
A piece of puffery, bombast, overblown, self promoting, not so joined up, overplaying of one's trumpet.
Sorry Dr MSW this won't do a jot in improving the lot of the GP.
I note Dr Hopkins has little to say to the Vets who 'monitor' antiobiotic use in Animal Husbandry.
Figures are difficult to find but it seems that each 1mg of antibiosis prescribed to humans, 2mg is given to food animals as growth promoters or similar.
(Admittedly the figures are a decade old but it makes a good headline)