tag:blogger.com,1999:blog-16638275.post4209537886061835681..comments2024-01-05T19:30:12.040+00:00Comments on Dr Jest's Caseblog: "This is the end.....Doctor Jesthttp://www.blogger.com/profile/14446967855995345815noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-16638275.post-74570540181193389792009-10-09T16:54:04.197+01:002009-10-09T16:54:04.197+01:00I consider myself lucky to have found my GP! In a...I consider myself lucky to have found my GP! In a recent survey by the surgery I was asked what was the best thing about my health care. I named her:)<br /><br />Given the last few years, however, I suspect she may very well wish not have ever met me!alhihttps://www.blogger.com/profile/17874650104335249662noreply@blogger.comtag:blogger.com,1999:blog-16638275.post-33207423665609019912009-10-07T10:48:37.813+01:002009-10-07T10:48:37.813+01:00Ooops. Just realized I didn't touch on the rem...Ooops. Just realized I didn't touch on the remote registration thing. Since 2004 we've not been "onbliged" to offer home visits as part of the service. But if you're taken ill in office hours and need someone to see you then really they need to be within a sensible radius to do so, or you will end up having either to call for paramedics, or to wait it out till the out of hours provider kicks in. You might feel this is a risk you're ready to take-- right up to the point you get renal colic, or pacreatitis, or gallstones. Trust me it makes more sense to find a new Doc closer to home.Doctor Jesthttps://www.blogger.com/profile/14446967855995345815noreply@blogger.comtag:blogger.com,1999:blog-16638275.post-15519543737039664392009-10-07T10:44:26.913+01:002009-10-07T10:44:26.913+01:00A.S.-- Hot potato indeed. You're right of cour...A.S.-- Hot potato indeed. You're right of course and *if* we had a model where the patient controlled the access to the record that would be fine, but even with the NHS Spine I'm hearing anecdotes from a well connected IT savvy GP of NHS staff using their computer access to stalk patients and track down ex-partners, and it's not hard to imagine any number of scenarios where unauthorized people can access our existing records, which is why, for now, I and many of my colleagues are opted out of having our data held on the spine.<br /><br />Z-- A: You'd think requests for Methadone would cause antennae to twitch, but a desperate patient in front of an inexperienced Doc can exert all kinds of pressures, that aren't always that easy to resist. Even us old hands struggle with some of the most troubled and troublesome.<br /><br />B: Indeed. And have the time and the tools to do said research with. A good consultant is likely to be busier, but often well worth the extra wait to see.<br /><br />C: Well yes. To a point I agree, and this particular case raises some questions about the contract between patient and the state, BUT my fundamental objection is to the idea that a non-clinician is asking to to pretend I haven't seen something I have for a couple of weeks so a Trust can continue to meet its targets. That cannot be allowed to happen, and especilally not when a cancer diagnosis is probable. <br /><br />Alhi-- I'd agree about responsibility, but the monolith that is the Acute Trust is very poor at coping with normal humans who may have child care issues, partners with dementia who will need day care and any of a zillion other examples that can confound a nice orderly appointment system. I'm afraid that all of these can mess with their targets, but I object to being told by and administrator when and how I am to be permitted to refer. <br /><br /><br />And to both yourself and Z above, your GPs are lucky to have you as patients. So seldom do we get any positive feedback, so a thousand thankyous on their behalf.Doctor Jesthttps://www.blogger.com/profile/14446967855995345815noreply@blogger.comtag:blogger.com,1999:blog-16638275.post-20104052938315709842009-10-02T21:34:41.579+01:002009-10-02T21:34:41.579+01:00This comment has been removed by the author.ageing studenthttps://www.blogger.com/profile/16645590270175914544noreply@blogger.comtag:blogger.com,1999:blog-16638275.post-3895215517798456992009-10-02T13:33:28.573+01:002009-10-02T13:33:28.573+01:00I have to say while I agree with a lot of what you...I have to say while I agree with a lot of what you say, if I was suspected of having cancer and referred under the 2 week rule, I would cancel all plans of going away: a patient also has to take responsibility for their health. <br /><br />As regards being able to register with a GP anywhere: is there no way a person could opt out of being able to have home calls. My GP is wonderful, knows me, knows my records and if I was to move outside of the practice area I would very much wish to remain within it and forego things such as home visits. Admittedly, I can see scenario that you raise coming to fruition. Safeguards perhaps such as no prescriptions till medical records come through? Or perhaps more reason to extend the availability of patient records to patients so Drs can ask patients to log on and show their records to them?alhihttps://www.blogger.com/profile/17874650104335249662noreply@blogger.comtag:blogger.com,1999:blog-16638275.post-47511450251837126972009-10-02T08:55:00.945+01:002009-10-02T08:55:00.945+01:00A It all depends on whether such things are ironed...A It all depends on whether such things are ironed out at the start and whether a doctor can refuse to take on a patient - and if a new patient who lived nowhere near the practice asked for methadone, wouldn't that raise a slight suspicion anyway?<br /><br />B And if you don't feel too ill or anxious to do all the research.<br /><br />C Well yes, like Tony Blair was really surprised to find that if a surgery hadn't got a space for an appointment within the designated time, the patient was told to phone the next day instead, because he thought he'd sorted the problem with a stroke of the pen. <br />Mind you, if I thought I had cancer it would have to be an extremely important trip not to cancel it.<br /><br />I've just had such a helpful consultation that I wrote and thanked my doctor for his advice and the referral. Never feel unappreciated, dear Dr J.Zhttps://www.blogger.com/profile/00822383355869390919noreply@blogger.comtag:blogger.com,1999:blog-16638275.post-91538364722949245532009-10-01T22:03:52.151+01:002009-10-01T22:03:52.151+01:00I do understand what you are saying about addicts,...I do understand what you are saying about addicts, but for the man in the street (or student at University) not having to re-register with a local doctor during the long summer vacation makes sense. Of course, if everyone's medical records were centralised (what do you mean - a hot potato?) then it would make it more difficult for patients to obtain multiple prescriptions, wouldn't it? Or am I being naive?ageing studenthttps://www.blogger.com/profile/16645590270175914544noreply@blogger.com