Hi Mary and others,
Thanks for your replies. I have realised that the talk should be about
how things have changed since I 'embarked' in 1981. I made the
ultimate goof around 1982 when my cousin who was working in computers
at the time asked if they could be useful in GP - I said I thought
not!! What a goof!! I wish he had suggested we try one instead of
trying to make a fast buck out of us at the time.
As you say - treatments then, going out of surgery for 1 hour to sort
out a chest pain, on call from 8.00a.m Friday till 6.30 p.m. Monday,
cases of measles (still remember these vividly), sc Bricanyl in kids.
Oh all the memories!!! Do I prefer this or QOF??
I am retiring as a principal, but am considering doing locums and may
see if I can do them in Cornwall somewhere. I am giving the talk in
Congleton where I had been a partner for 24 years until 8 years ago
when I moved. Some may or may not know me.
Thanks all
Paul
On 24 July 2012 21:36, Mary Hawking <[log in to unmask]> wrote:
> Link your stories to changes in treatment - and the way treatment is
> delivered - and recorded.
> Look back at the changes in treatments available for common conditions such
> as asthma: when I entered general practice (1979)we were going out to acute
> asthma attacks and giving i.v. aminophylline very, very slowly: some years
> later, nebulisers came along - and really progressive GPs carried a
> foot-pump nebuliser in their car boot: there was very little idea of
> prevention: the drugs didn't exist - and if they did, checking which
> patients had asthma - and the criteria for diagnosing asthma - was
> difficult.
> (in 1990, when disease registers were introduced, there was a meeting
> between the then PCO and local GPs to thrash out what the new regulations
> meant in practical terms: after a long discussion on asthma, - seasonal,
> exercise-induced, other asthma and so on) one GP suggested that asthma was
> reversible wheezing for which the patient was receiving inhaled prophylaxis:
> the GPs thought this would solve the reporting problems - but I don't think
> this definition was implemented ;-<)
>
> These days, it is expected that acute attacks of asthma should not occur in
> the first place - and what is more, with disease registers and prescribing
> stored on computers, *we know where you live* - and yes, our asthma nurse
> *is* out to get you if you *don't* behave!
>
> Do you intend to tell them why you are retiring - and is it retiring from
> being a partner or from general practice altogether?
> The Mother's Union will know about your intentions.. if where you practice
> is anything like where I do!
>
> Mary Hawking
> "thinking - independent thinking - is to humans as swimming is to cats: we
> can do it if we really have to." Mark Earles on Radio 4.
> don't forget patients like Fred!
> http://primaryhealthinfo.wordpress.com/2012/03/11/whats-holding-fred-back/
> EMIS NUG Annual Conference - will you be there?
> www.emisnug.org.uk
> Warwick Conference 5th-7th Sept
>
>
> -----Original Message-----
> From: GP-UK [mailto:[log in to unmask]] On Behalf Of Walter Tim (FALKLAND
> SURGERY)
> Sent: 24 July 2012 11:31
> To: [log in to unmask]
> Subject: Re: Mothers union!!!
>
> How about...
>
> When I was a lad... we saw a pt with MI, tucked 'em up in bed with a bit of
> morphine and hoped they'd still be there in the morning...
>
> These days... Ambulance, thrombolysis, angioplasty, statins, quad therapy,
> CDM, cardiac rehab classes, as well as primary prevention, QRISK, audits etc
> etc. etc
>
> Add in a bit of colour and its still anonymous.
>
> --
> Tim (work email)
> Falkland Surgery Monks Lane Newbury RG14 7DF
> Tel 01635 279972 Fax 01635 279973
> In surgery most days
> ________________________________________
> From: GP-UK [[log in to unmask]] On Behalf Of Paul Bromley
> [[log in to unmask]]
> Sent: 24 July 2012 11:22
> To: [log in to unmask]
> Subject: Re: Mothers union!!!
>
> I can't see how we can tell any stories with patient confidentiality etc??
>
> Paul
>
> On 23 July 2012 17:51, Walter Tim (FALKLAND SURGERY) <[log in to unmask]>
> wrote:
>> Indeed, even I (someway off retirement yet) can remember the crashing LVF
> that we treated at home, the MI you tucked up in bed with a bit of morphine,
> the sudden realisations, "so you're married to...", the continuity of seeing
> the girl for the OCP that you delivered 18yrs (!) ago, the 3am drive to the
> patient imagining a friend had died in the bed...
>>
>> Much more fun than being grumpy, how would you wish to be remembered..?
>> --
>> Tim (work email)
>> Falkland Surgery Monks Lane Newbury RG14 7DF
>> Tel 01635 279972 Fax 01635 279973
>> In surgery most days
>> ________________________________________
>> From: GP-UK [[log in to unmask]] On Behalf Of Piers Longhorn
> [[log in to unmask]]
>> Sent: 23 July 2012 17:38
>> To: [log in to unmask]
>> Subject: Re: Mothers union!!!
>>
>> Why not make it a valedictory speech? Talk about what's changed since you
> started. E.g. How often do you refer to diabetologist now cf then? Vast
> majority of NHS health encounters occur in GP, all our chronic disease
> management. You can talk about the burden QOF and commissioning impose as
> well but say what it is/was you valued/enjoyed about the doctor patient
> relationship.
>>
>> Piers Longhorn
>>
>> On 23 Jul 2012, at 17:17, Paul Bromley <[log in to unmask]> wrote:
>>
>>> for my sins, I recently agreed to a short talk at the local mothers
>>> union (or similar). This is to be based on general practice, and I
>>> would like to be giving a very positive and upbeat talk. The problem
>>> is I don't think I can! I will be doing this just a few days before I
>>> retire, and one of the reasons I am packing in is because I have just
>>> about had enough of QOF etc. I have thought about things, and probably
>>> decided that maybe the best thing to do is to do a talk entitled
>>> something like "Don't beat your GP", and cover the pressures that we
>>> are under with prescribing, referrals, QOF, and everything else going
>>> on in general practice at the present time. Has anybody on the list
>>> any ideas about an upbeat talk that I could give? I have already got
>>> out of this tool once last year, but not put down again this year!
>>>
>>> --
>>> Best Wishes
>>>
>>> Paul Bromley
>>>
>>> www.informatiks.com
>>> Custom EMIS LV Software.
>>> vuE | GPLabels | GPDocs | eGFRChecker
>>
>>
> ****************************************************************************
> ****************************************
>>
>> This message may contain confidential information. If you are not the
> intended recipient please inform the
>> sender that you have received the message in error before deleting it.
>> Please do not disclose, copy or distribute information in this e-mail or
> take any action in reliance on its contents:
>> to do so is strictly prohibited and may be unlawful.
>>
>> Thank you for your co-operation.
>>
>> NHSmail is the secure email and directory service available for all NHS
> staff in England and Scotland
>> NHSmail is approved for exchanging patient data and other sensitive
> information with NHSmail and GSi recipients
>> NHSmail provides an email address for your career in the NHS and can be
> accessed anywhere
>>
>>
> ****************************************************************************
> ****************************************
>
>
>
> --
> Best Wishes
>
> Paul Bromley
>
> www.informatiks.com
> Custom EMIS LV Software.
> vuE | GPLabels | GPDocs | eGFRChecker
>
> ****************************************************************************
> ****************************************
>
> This message may contain confidential information. If you are not the
> intended recipient please inform the
> sender that you have received the message in error before deleting it.
> Please do not disclose, copy or distribute information in this e-mail or
> take any action in reliance on its contents:
> to do so is strictly prohibited and may be unlawful.
>
> Thank you for your co-operation.
>
> NHSmail is the secure email and directory service available for all NHS
> staff in England and Scotland
> NHSmail is approved for exchanging patient data and other sensitive
> information with NHSmail and GSi recipients
> NHSmail provides an email address for your career in the NHS and can be
> accessed anywhere
>
> ****************************************************************************
> ****************************************
--
Best Wishes
Paul Bromley
www.informatiks.com
Custom EMIS LV Software.
vuE | GPLabels | GPDocs | eGFRChecker
|