Sorry Fred, perhaps I didn't make myself clear. It is not other specialties
doing the labelling of these patients but clinicians within the A&E
community! I have no interest in assuming care for other peoples cast offs
unless there is a good reason.
Simon McCormick
----- Original Message -----
From: Fred Cartwright <[log in to unmask]>
To: <[log in to unmask]>
Sent: 17 December 2002 20:27
Subject: Re: clinics
> --- Simon McCormick <[log in to unmask]>
> wrote:
> > I am
> > dissappointed in the situation that sees groups of
> > patients who others are
> > not interested in being labelled as inappropriate
> > attenders, not worth of
> > specialist input or effectively removed from the
> > collective conscious of the
> > specialty.
> >
> Sorry, but I don't agree with this. Just because
> another speciality thinks that we should do something
> that they don't want doesn't mean that we should.
> There is a question of training and expertise. This is
> the major objection I have to running the MAU as the
> physicians want. I reckon I could give a reasonable
> opinion on respiratory medicine and cardiology. My GI
> is not bad and neuro is ok, but mainly because I see
> HI's regularly. However renal, endocrine are decidely
> dodgy. I can remember the difference between nephrotic
> & nephritic syndrome and I know what the loin
> pain/haematuria syndrome is, but I'm well out of date
> on drugs, investigations etc. This doesn't matter
> because there is a medical consultant available, but I
> don't think I could replace them anymore than they
> would be happy managing major trauma.
>
> Cheers Fred.
>
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