>What does anyone think of this?
>On Friday I saw a lady who had a simple sore throat, took a T/S, gave usual
>advice re PCM etc and off she went. Monday am she was first patient v. angry
>"you ruined my week-end, I had the doctor out on Friday night only 8 hrs after
>seeing you, he said it was definitelya bacterial tonsillitis, gave me
>penicillin and within 8 hours I was feeling better". Unfortunately the doctor
>was in the SE and I can't get hold of him. The T/S came back positive for
>strep. I am v unimpressed by the use of antibios in preventing sore throats
>going on to tonsillitis- the diagnosis sounds v dubious in this case anyway-
>or of their use in tonsillitis, although do give them for tonsillitis. I don't
>have a crystal ball!! Despite my explanations, said lady has sent in a
>complaint to my senior partner who always gives antibios for sorethroats. I am
>most pissed off. What would you have done?
>
>
My comiserations Paul. Looking on the bright side, at least you heard about
the complaint before it went to and LMC hearing (or whatever).
I'm always interested in forums with GP's and specialists doing things in a
very super way, giving out antibiotics only where indicated for a specific
indication, and then going back to their surgeries and handing them out like
smarties.
To me this highlights the dichotomy of a GP, or any medical practitioner,
wanting to appear to be a brilliant scientist in front of his colleagues,
and a hail-fellow-well-met to his patients. This applies to myself also,
so is definitely not a dig at anyone in particular.
I was most impressed with the book "The Inner Consultation", and by looking
at the five fingers of my left hand I should be able to remember the five
stages in a consultation (but I can't). Nonetheless, the first finger is
for "connection", which deals with tuning in your verbal language, body
language, names for rude parts of the body etc to those used by the patient.
......YAWN... Yes, allright allright, I feel I am loosing your attention
here GP-UKers.
Moving quickly on to the 4th finger "safety netting", begging the question
"what if i'm wrong here", negotiated follow up plan and basically making
yourself look an ok sort of guy even if you're "180 degrees out" to use Gulf
War speak.
5th finger of course is "Housekeeping", or looking after yourself,
physically, spiritually, cerebrally, which is what you're doing here (Hullo
Paul).
By the way, who did I lend my book to??
Greetings from Gisborne, NZ
Tom James.. Member of No Royal Colleges .. Hypodiplomatosis support Group.
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