Statins decrease your risk of heart attack and stroke.
Statins do not effect mortality.
Heart attack and strokes, which are reduced by statins are leading causes of death.
? Therefore statins kill you some other way?
Also some people will live longer undoubtedly, but others balance it out.
In Canada I write - "please provide most cost effective PPI" or "whichever similar COCP is in stock" and the pharmacists help the patients. Like professionals. It's mad.
What everyone else said. Surely this is just a referral?
Nah Christopher. You need to let EU docs in to replace all the Brit docs leaving for Aus / Canada.
Like me. It actually is much, much better here.
You are welcome to an opinion. Expressing it might be an option you should consider, rather than rush into.
If there is a practice graded exceptional by CQC locally that's always an easy offload :)
"this place is good, but you deserve exceptional"
Please go to UK on holiday before deciding if you want to return for good. We didn't and it made a mess. Should have stayed abroad. Going back now.
In one way the 9ers are solid heroes doing their best for society.
In another way they are perpetuating a system which is untenable.
Bang on. Part time because any more would be intolerable.
I also agree that the system is abusive, especially of partners.
I don't know, talking about the negatives achieved me moving to Canada. Good job team.
I'd take two issues with this:
The pregnancy is theirs, not his. Rightly she'll get more rights if they split.
She couldn't have known your colleague was attractive over the phone.
Apart from that do what you want. If someone tried sex addiction as an excuse on any of my patients I'd likely recommend chucking them. If it's an addiction why did it start after children? Was the addiction not in remission during the pregnancy? I can see it as a continuous destructive pattern, but as an excuse in someone otherwise doing well? I prefer these conversations face to face.
Have you seen the guardian article about how junior doctors are treated?
Over the last few years I've come to the conclusion that the NHS basically runs on abusing it's staff. More unfunded work anyone? Enforced pension tax?
I wouldn't reccomend a patient stays in an abusive relationship so why do we? I'm off overseas, I hope those left behind get treated better but suspect unless we grow a collective spine it will never happen.
Thank you for your excellent column
God what a bunch of whingers. I'm a man, I recon the average female GP probably is better than the average male GP. Also women attend more and live longer, so I recon women for the win.
Christopher, if that is your real name, respect to your brass balls.
Are you willing to say "I Christopher Ho, am willing to see poor people, and their children, suffer and die, because I believe it is farer that way"?
If you aren't it's all just socialism. Which I personally am in favor of for healthcare.
Without informed, rational, choice the market is not efficient. There is not informed meaningful choice in health care markets. The USA has a huge spend for moderate results, at a population level, is this what you think the answer is?
Me moving to Canada (aged 40, GP ex partner). Hooray!
Good luck everyone.
Is this not just the summer bump as people qualify or start registrar posts in August?
I'd ban the electric ones apart from the patients using them at home. Agree with IDGAF
Just made the decision to emigrate. Out at 40, madness.
This is a tragedy of misgovernance.
On a more serious note. Any solution must be acceptable to the profession as a whole. By the look of it, this isn't. Isn't this what urology specialist nurses are for?
There are so few new partners or places where you can offer proper care, because there is enough time, that systems should be as robust as possible. A knackered locum doing god knows how many bloods past home time is not a robust system.