Wow - what an amazing GP and human being
I am really uncomfortable about financial incentives for screening uptake by patients.
Screening should occur only after a well informed and robust shared decision making process so the patient is acting according to their values.
Money has no place in this dialogue as it may bias the quality of balanced information given.
I've stopped asking people how they are. I ask them what they would like to discuss today.
Sorry you are going through all this and thanks for your really honest insights
Please see my post
When my son started year 6, I expressed my concerns at a parents evening, when I noticed the huge disparity between his written and verbal work. My concerns were dismissed when I was told he was lazy!(which I believed!)
It also went unnoticed when he started secondary school but I started noticing his spelling was worse than his youngest sister who was a full 4 years younger than him. Still no-one at school said a thing
His behaviour worsened as he couldn't write or keep up so in desperation I got him tested privately. I was told he was a barn door case of dyslexia with high intelligence.
My nephew was diagnosed in the 1st year of uni. It is common to miss the diagnosis in people with a high IQ who compensate for this disability.
Thanks for sharing.
Dyslexia often goes undiagnosed in above intelligence kids because they are still performing averagely or above.
I had huge problems having my concerns addressed for my son until I arranged a private assessment and he is barn door dyslexic.
It is NOT a middle classes excuse for doing badly at school. My son is now much happier using a laptop and typing instead of writing at school
Ivan - I would really like to see how many patients would accept a statin (or any other preventative drug) if a genuine shared decision making consultation had taken place, with the appropriate patient tools, time and clinician knowledge.
I suspect very few....
This is fantastic news for general practice.
Not sure I was reading the same article as everyone else but I actually thought this was a pretty balanced view
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