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Headline

It’s a dirty job, and I’m not going to do it

Comment

Northwestdoc makes a very salient point- consultants opinions/requests for action are made in an advisory capacity and we are free to act upon them or dismiss them after considering whether or not they are valid. But to come to a fair conclusion does require the exercising of ones capacity to think along with an evaluation of what we know about our patients. I am very impressed by Dr Tea, who on seeing the anomalies I mentioned, conclusively and confidently established without any further work-up that the problem was insignificant.Perhaps he/she has the ability to dream up the bloodfilm findings without it having been done; and at the end of the day, if it signifies something bad, well, not to worry because the patient will be back and suffering.And will then get a hematology referral. He/she demonstrates an excellent approach to managing uncertainty, something his/her patients would be grateful for and the assessment of "undifferentiated findings and clinical uncertainty" (which are actually quite differentiated and glaring when thought about), a forte of us GPs , is also inspiring. Its easy to say that is irrelevant when the diagnosis is made, and less easy to make the diagnosis. The focus he/she has shown on diagnosing issues early is also thoroughly reassuring for his/her patients. The other point to consider is usually after a patient has been admitted, observed and treated over the period of their stay, issues which need evaluation by someone are identified. Some of these may not require additional specialist input, as determined by the GP, but that does not mean the issues have disappeared. And if no further referral is deemed necessary, assessing these will be the GPs job.

Posted date

30 Aug 2018

Posted time

7:44pm

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