Well done Helen and Kamal
I did a retrospective audit of lung cancers in our practice (following a diagnosis in a young patient who had a normal CXR 8 months earlier)
High platelet count was one of the risk factors
I wonder if ethnicity would impact on these parameters though?
PS. I always over investigate infrequent attenders because you know they have self-managed their milder illnesses in the past.
I am so very sorry to hear this.
Sending you lots of positive and loving vibes. You are amazing to be helping educate others through your experience. Thank you.
How sad that the courage of a GP Trainee to speak up for the rights of all has been hijacked - but hardly surprising considering how tribal we have all become.
Anthony makes some really good points and his blog has certainly made me reflect on how easy it is for me to have pictures of my kids and one of me at the peak of a mountain on honeymoon with my husband.
That's because I have heterosexual privilege. I can display my personal life without fear of bigotry or worse.
If you don't get it, don't knock it. Just open your mind and ask.
Proud to know you Jaimie and so well deserved x
Goodness Coppers - I've had this low level melancholy for last few months and you have articulated why in this excellent column
I am no longer a Partner but wild horses wouldn't get me back to doing it now - and I was really hoping there would be something in the partnership review or a new contract that would attract me back again.
Excellent article Kamal.
The starvation of the partnership model has been sustained and deliberate, in order to create individual resignations and contract hand backs. This breaks down the model without any conflict.
The profession has not responded with any meaningful rebuttal because our duty of care for patients has been exploited.
We are in check mate.
I still secretly want one of my children to do medicine.
It's a wonderful job. That's why we all do it. It's the NHS that's not so hot.
Firstly, what is "full-time"? Most people have historically regarded it as 8-9 sessions, but we all know this is more than full time. 6-7 would be a more appropriate level for a 40 hour week
Secondly, I agree with Clare Gerada. I work around 50 hours a week but only 4 sessions in clinical practice. My May blog will explain why
Finally, this is not a male/female thing. It is a workload thing. Also - guess what? It's 2019 and men may actually wish to share the childcare with their female partners.
But it's the workload that's making it unsustainable to commit to more than 6 clinical sessions. Because 6 sessions is practically a 40 hour week - even for a salaried GP. For a Partner, it's significantly more.
We're just being paid a part time salary, that's all. What a great deal we have got.
It is heart breaking to repeatedly watch these scenarios over and over again.
No extra money for partnerships but plenty for caretaker organisations with a short term APMS contract.
It's almost as if they want us to fail
The world of medicine is going mad Coppers
Indemnity is not being paid in Wales - it is being subsidised y GP Partners.
If this was happening in England, there would be at least 30 comments to this article by now.
I can't believe how England-centric we have become
Thank you for highlighting this Jaimie
I, for one, was in tears following this speech.
Why? Because we know how close we have all been to the distress felt by many doctors who end up taking their own lives.
We must care for ourselves first
This is wrong on so mamy levels and big pharma will be licking their lips with joy.
Firstly - the emphasis needs to be on population prevention such as smoking, exercise and obesity, rather than process. Legislation is a key part of population prevention but governments are too squeamish for this.
Secondly, all 65 year old men fsll into the high risk CVD category. Why the hell are we medicalising the ageing process?
Lastly, why the hell is the target to increase statin use in 40 - 74 year olds? Surely the appropriate target is to reduce their risk score by stopping smoking or reducing BP through weight loss and exercise?
We have completely lost it in modern medicine when drugs come before lifestyle. Drugs should be last resort, not first.
Jaimie - I thank you from the bottom of my heart.
I have just had 2 consecutive horrendous Friday on calls and yesterday morning I dreaded going into work.
We cannot go on like this.
Oh dear - I have a 2 hour LMC meeting after an 11 hr day on that Monday. Completing the survey will be interesting!
This groundhog day scenario is genius Coppers!
If there is no harm from supplementing those with levels above 25, why bother testing?
Why not just encourage self-care for all?