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GPs buried under trusts' workload dump

Dr JeanMarie Sandor

  • 'No guarantee' £350m a week of EU cash will be spent on NHS, says Nigel Farage

    Dr JeanMarie Sandor's comment 24 Jun 2016 3:54pm

    Did anybody had a thought to British Expats? They are getting for free within Europe top quality cares...
    And most of them are pensioners in the Sun!
    Or what about the many British having a second home in France or Spain or Portugal or Italy???
    Now they will have to pay for healthcare! Reciprocity is not evident! How many Europeans have a second home in UK,or being retired in UK???

  • NICE urges GPs not to prescribe antibiotics for bronchiolitis

    Dr JeanMarie Sandor's comment 24 Jun 2016 3:23pm

    YES! But first review the procedures! A&E: aerosols + inhaled salbutamol, AND emergency respiratory physiotherapy, at the hospital then at home! AND fight against mites at home, AND Vitamine D AND iron supplementation if chronic ENT... And of course correct diagnostic! To do a correct diagnostic a minimum is a CXR and a FBC! Do not anymore send back home without treatment or some "paracetamol" the poor baby! Just a question: how many physio know how to make a baby spit, and to teach the mother to do it???
    Of course if not done, the British weather, possible bad housing, crowed homes, then the secondary chest infection is quasi systematic!!

  • Dr Chaand Nagpaul: 'Pressures on general practice have sunk to new depths'

    Dr JeanMarie Sandor's comment 22 Jun 2016 8:29pm

    AT least true facts about the real work load of NHS GP's... As a private GP, I can say that this is the reason fort mistrust of many patients in the system...too long waiting lists, too short consultations...witch may lead to late or wrong diagnostics... I must say that as Private I have explain to patients that their Family NHS Dr is doing his best, that his competence is not the problem, the problem is that he has so much burden on his head: Budget, CQC, his MP's who receive complains from the patient...
    Definitively he needs support not only from the government, but also needs recognition and respect for his work...
    Private GP's would have no reason to be if so...
    The patients (Migrants or else!!)are so unhappy that they go abroad to France Germany or Spain were Healthcare is based on Ethic and Humanism...and not on budgets!
    AND all the Expat say there are so happy to get fast, efficient and human cares that they are deeply afraid of #leave# vote tmw!
    If #out# vote: no more reciprocity so no insurance abroad!!!

  • GPC funding body supports judicial review against CQC inspections

    Dr JeanMarie Sandor's comment 06 May 2016 1:00pm

    At least! Basic Human Rights to be able to contest easily an administrative decision! And during that contestant action, the CQC decision being suspended! Unless REAL immediate danger for the public! But which real danger to the public can come from a appraised/revalidated GP???
    The CQC inspection should be a pedagogic one, helping the GP to manage better his surgery, not a repression one!!!

  • GPs still in favour of mass resignation despite support package

    Dr JeanMarie Sandor's comment 03 May 2016 2:33pm

    I worked 15 years as independent private Dr.
    And very successful. Because affordable fees, and what I thought a good service: no waiting list, much more time to examine patients and discuss their treatment...so very often no need for specialist referral. Or if so, letter to the NHS family Dr, with the patient's consent. In case of emergency of course I would send them to A&E...
    There was such a demand, that I wondered why not more such independent Drs! Money was not a problem, even for poor people, because they had the TRUST... But of course I had to deliver good medicine, with good results! I had the challenge to be always up to date, and honest. If not, patients would desert my premises!
    No publicity, only word of mouth!!!
    SO COURAGE GP's, GO INDEPENDENT PRIVATE!

  • Tell patients not to consult GP with cold or flu symptoms, says NICE

    Dr JeanMarie Sandor's comment 09 Sep 2015 2:17pm

    If an other diagnostic is responsible of theses infectious symptoms (fever and cough) like possible start of a pneumonia, and missed, who will be liable??? The Doctor or the Government??

  • Government experts want everyone to take vitamin D supplements

    Dr JeanMarie Sandor's comment 04 Aug 2015 5:27pm

    it is not matter of putting everybody on high doses of vitamin D3: it matter (public health) to be sure child get the correct dose of vitamin D3. Then for adults necessity to "fill them up" first, after OTC or food systematic supplementation will be enough. Think that only to get the daily allowance dose, we need 2 hours of sun a day, if we are not too covered by clothes. So good to wear shorts trousers, short shirts sleeves.in the summer!..
    Vitamin D even interfere on fertility...
    Another problem is to have the correct available oral vitamin D3 from the pharmacist! In other countries you have drinkable ampoules of 200,000 iu of vitamin D3 you need only 3 of them to fill up somebody.

  • Government experts want everyone to take vitamin D supplements

    Dr JeanMarie Sandor's comment 04 Aug 2015 12:37pm

    Also: Child with recurrent ENT/Chest infection diagnosed with "asthma", It is also favored's by hypovit D!!! but also the MITES in a dusty bed/bedroom full of toys, teddy bears...

  • Government experts want everyone to take vitamin D supplements

    Dr JeanMarie Sandor's comment 04 Aug 2015 12:33pm

    Another case: you are in the street, and you see a small child (5 yo) who cries because he refuse to walk, and his mother (or father) do not want to carry him:
    This is hypovit D, for the same reason: not enough sun, no systematic supplementation before...

  • Government experts want everyone to take vitamin D supplements

    Dr JeanMarie Sandor's comment 04 Aug 2015 12:26pm

    If you have not done some (easy) diagnostic of hypovit D, of course you think that it does not exist!
    See a person, afraid to be exposed to sun (she is very white and her dermatologist specialist has told her to protect from sun), with "pain everywhere", fatigue... a GOOD dose of vitamin D3 (the same than the naturally metabolized one, vit D2 will not do anything), and you will be surprised of the fast improving!!! it was OSTEOMALACIA, in a country (UK) with not much sun, and a lot of dark skinned people, covered from head to toes...Search on Google, and you will be amazed of the importance of vitamin D!!!!

  • BMA wholly rejects NICE recommendations on asthma in scathing response

    Dr JeanMarie Sandor's comment 16 Jul 2015 8:45pm

    Sorry dear Colleagues, but correct diagnostic of asthma is a very important issue! As a private Dr, people can come and see me freely for second opinion. And I am sad to say that I have seen too many wrong diagnostics , specially with child's, their "asthma" was in fact chronic lung infection not treated correctly, with all the consequences on the future... A real matter of public concern... So even if it looks annoying (.easyer to say "it is asthma, there is not much I can do, take these brown and blue inhaler and don't come back".). It was bronchus dilatation, going directly toward chronic BPCO and disability for life...And very low vitamin D, adding to that problem (immunity)

  • GPs can only do so much - we need legislation against sugar

    Dr JeanMarie Sandor's comment 16 Jul 2015 8:38am

    The problem is not in repression! it is in INFORMATION/EDUCATION!
    It is amazing how people are not educated in this field: currently, some of the most vulnerable from Africa do not know what quantity of sugar to eat, the quantity of sugar in popular sodas... Correct information in the medias, at prime time, could change much more the habits.. But is there sugar lobbies??

  • GP premises fund raided to boost seven-day access pilots

    Dr JeanMarie Sandor's comment 16 Jul 2015 8:17am

    sorry, error : if 30 drs, a WE in duty a year and a half is enough! (52weeks)

  • GP premises fund raided to boost seven-day access pilots

    Dr JeanMarie Sandor's comment 15 Jul 2015 7:53pm

    Dear Colleagues! Wake up! Do not let such irresponsible projects and spending of tax money (our money) by organizing ourselves to emergency response! The solution: create an association with -says- 30 family doctors, take a 24h permanency day each, so one every 30 days, and a full WE every month, and ask for the money for ourselves!!

  • GP records to be shared without patient permission to tackle 'high cost' patients

    Dr JeanMarie Sandor's comment 09 Jun 2015 9:02pm

    Another breach of HUMAN RIGHTS!!!
    I thought UK was a free country respectful of humanity!!!
    It is unbelievable something like that is even spoken about!!!
    And the objective is of course to add burgen to the Family Doctor!! No respect for what he is, after 10 years of studies,..
    Definitivly there is something rotten in the Denmark Kingdon!

  • Consultants refuse to accept GP referrals for smokers

    Dr JeanMarie Sandor's comment 14 Aug 2014 2:41pm

    Along all the discussion, the main question has been forgotten: "should a consultant refuse TO SEE a patient because of a wrong lifestyle"???
    The response must be NO!!!
    The GMC should do his job by sanctioning the consultant who would refuse!!!
    If he does not, the Daily Mail, RT etc..., would jump on that case!!
    First the patient is not responsible of having started to smoke, and fall into that very strong addiction... It still is a profitable authorised business...and a few time ago everything was done for the person to start smoking! Like free tobacco to soldiers..adverts etc..
    Secondly, if he suffers from pain, or his life is in danger, everything must be done to help him...
    Thirdly, the patient is not a medical professional and his fundamental human right is to ask and to be seen by a doctor, and if the dr feels the need to get a consultant advice, this cannot be refused, and has to be done in a correct delay if necessary.
    The funding of Health is not the problem of the doctors. This is a political choice between public spending things, a choice between the construction of a nuclear submarine and a sufficient number of consultants/hospital beds in England..
    The only first obligation for the doctor is to deliver the best quality and up to date medicine, without discrimination of any kind, race, religion, nationality, or lifestyle.. Funding comes secondly!!
    Dr Jean-Marie Sandor

  • Practices to be given 12 months before closure following poor CQC rating

    Dr JeanMarie Sandor's comment 14 Aug 2014 2:40pm

    Along all the discussion, the main question has been forgotten: "should a consultant refuse TO SEE a patient because of a wrong lifestyle"???
    The response must be NO!!!
    The GMC should do his job by sanctioning the consultant who would refuse!!!
    If he does not, the Daily Mail, RT etc..., would jump on that case!!
    First the patient is not responsible of having started to smoke, and fall into that very strong addiction... It still is a profitable authorised business...and a few time ago everything was done for the person to start smoking! Like free tobacco to soldiers..adverts etc..
    Secondly, if he suffers from pain, or his life is in danger, everything must be done to help him...
    Thirdly, the patient is not a medical professional and his fundamental human right is to ask and to be seen by a doctor, and if the dr feels the need to get a consultant advice, this cannot be refused, and has to be done in a correct delay if necessary.
    The funding of Health is not the problem of the doctors. This is a political choice between public spending things, a choice between the construction of a nuclear submarine and a sufficient number of consultants/hospital beds in England..
    The only first obligation for the doctor is to deliver the best quality and up to date medicine, without discrimination of any kind, race, religion, nationality, or lifestyle.. Funding comes secondly!!
    Dr Jean-Marie Sandor

  • Consultants refuse to accept GP referrals for smokers

    Dr JeanMarie Sandor's comment 12 Aug 2014 6:35pm

    And I would add, if an accident arise as a consequence of refusing to see or examine a patient, how a civil tribunal would juge?? Of course all the responsibility would be the consultant's one!
    and our professional insurance would again go up!!!

  • Consultants refuse to accept GP referrals for smokers

    Dr JeanMarie Sandor's comment 12 Aug 2014 6:35pm

    And I would add, if an accident arise as a consequence of refusing to see or examine a patient, how a civil tribunal would juge?? Of course all the responsibility would be the consultant's one!
    and our professional insurance would again go up!!!

  • Consultants refuse to accept GP referrals for smokers

    Dr JeanMarie Sandor's comment 12 Aug 2014 6:17pm

    Only a decade or so it was normal to smoke. We will remember that smoking was allowed in movie theaters, only in England..! Tobacco business was an important one.. Remember also some adverts about the good of menthol cigarettes, good air replacing a WE at the country or in the woods..! And to be a man like the Cow Boy of the advert (he died of lung cancer), you had to smoke! In England, women used to smoke heavily, thanks to all that junk adverts, even in the street, you would not have seen that in another European country..
    I remember having been at a lecture with Prof Guillemet and Prof Soots (France) saying all the stress of the patient if he was refused care.. This is still not possible in France, because there is a severe law about " Non Assistance a personne en danger"' which could conduct to heavy fine and jail if not respected.. So for the Ethic to refuse to examine a person because of anything would be discrimination, against the Human Rights!
    Finance is not the problem! there will be always enough money to build big nuclear submarine boats, but not enough to take care of people??? Or make the tobacco makers responsible and pay individually for consequences of smoking..
    To smoke is a severe addiction, and very difficult to get off.. And it is still authorised.. The GMC should have a word to say about that discrimination of refusing to even see and examine patients!!