Well done Adrian. It’s a pity your more senior colleagues aren’t as brave as you.
Not wishing to teach anyone how to crack an egg...but I'm always somewhat surprised when reading guidelines and protocols re avoiding acute asthma attacks that so little emphasis or importance is given to ensuring adequate hydration . Invariably acute asthmatics are sub-clinically dehydrated and should be advised to double their fluid intake. Especially important in young children .
I can hardly believe some of the comments above. GP s begrudging writing a script for paracetamol and other OTC items. The same lot have already got rid of OOH care , personal lists, small practices and left most patients no longer able to name their GP. What's left ?....and we blame Hunt !
Perhaps it's a variant of sudecks atrophy (facial!) in which case oral steroids and perhaps calcium antagonists maybe beneficial / cureative ???? .I' d be grateful for Professors opinion.
No provision for chest, heart or psychiatric patients. No provision for training of juniors. Staffed by presumably full-time Nhs Consultants. ( where do they get the time ! ). The good GPs should sort out the poor management at their DGH instead of creating a cherry picking monster which would seem to have no future for the NHS.