Glad things are ok Graham.
However, my disapointment with the lack of knowledge of clinical
performance remains. I think the lack of data (I assume, maybe I just
don't know where it is) and consequently the inability to use it to
inform patient flows, is one of the great failings of modern practice.
In effect we have lost the best "darwinian" force which should be
driving clinical outcomes improvement, sometimes with disastrously
(e.g. Bristol).
If we actually knew who was good (as well as who pleased the patients)
we would have a professional imperative to advice patient flows to the
best units/teams/clinicians, they would flourish and the dross would
(rightly) wither on the vine or pull their socks up.
Should apply to 1' care too ofc.
On 25 March 2012 08:35, Graham Balin <[log in to unmask]> wrote:
> On 25/03/2012 11:50 AM, Julian Bradley wrote:
>>
>> No personal information, and I agree with the question, but not
>> necessarily the idea that non-surgical interventional cardiologists /
>> electrophysiologists are all the same any more than all GPs being the same.
>>
>> Some people are simply better at their job, cannulate more reliably, hit
>> the right spots for ablation more regularly, maybe they hear better, maybe
>> they know more or can just focus on the right information. There are also
>> significant differences in risk acceptance / aversion, and different
>> thresholds for surgical referral when that is a consideration.
>>
>> Just Googling and looking one finds eg:
>>
>> http://www.consultant-search.co.uk/consultants/oliver-segal
>> http://www.consultant-search.co.uk/consultants/anthony-chow
>>
>> In an ideal world I'd look for several factors: relevant technical
>> competence, bedside manner / ability to empathize with patient's world view
>> and priorities, being "lucky" (where true "random" luck is usually only a
>> minor factor).
>>
>> Anyway all good wishes to you and particularly your daughter for a speedy
>> recovery.
>>
>> J
>
>
>> Admittedly I was being a bit facetious, Julian, but I wondered if anyone
>> had personal knowlege as this would rule out the patronising and the
>> uncaring. Google certainly provides loads of names but the comments from the
>> list are preferable, and much appreciated.
>
>
> Thanks all for your good wishes, she is fine at the moment.
>
>
> --
>
> Cheerio,
>
> Graham
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