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Forgot to say - sent from my 27" iMac - lovely machine and I really do
think - NOTHING comes close (personal view)
On 26 July 2012 14:51, Paul Bromley <[log in to unmask]> wrote:
> 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
--
Best Wishes
Paul Bromley
www.informatiks.com
Custom EMIS LV Software.
vuE | GPLabels | GPDocs | eGFRChecker
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