Nice one!
On 26 July 2012 14:03, John Clegg <[log in to unmask]> wrote:
> Thank you for your email - unfortunately it has been cleansed by Apple-corer
> (R)
>
> ( :-p )
>
>
> On 26 July 2012 13:41, Paul Bromley <[log in to unmask]> wrote:
>>
>> Hi John,
>>
>> That would be very useful. Will be in touch.
>>
>> Best wishes Paul
>>
>> Sent from my iPad (NOT an Android - just for you John!!!)
>>
>> On 26 Jul 2012, at 11:30, John Clegg <[log in to unmask]> wrote:
>>
>> My wife has good contacts in Cornwall practices if we can help
>>
>> J
>>
>> On 26 July 2012 11:27, Paul Bromley <[log in to unmask]> wrote:
>>>
>>> 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
>>
>>
>
--
Best Wishes
Paul Bromley
www.informatiks.com
Custom EMIS LV Software.
vuE | GPLabels | GPDocs | eGFRChecker
|