Rachel Hopkins asked:
RA> Please educate an ignorant GP registrar and tell me what is wrong
RA>with changing your patient from warfarin ( a notoriously bothersome
RA>medication) to subcut (self-administered)lowmolecular weight heparin -
RA>which doesn't require any monitoring? If you are already supervising
RA>his/her warfarin INRs presumably you will save a lot of effort and if you
RA>are not it shouldn't create much extra work to give a prescription for
RA>heparin instead. The only trouble I spot is teaching the patient or
RA>relative to do subcut injections- in my experience, not too difficult.
RA>Rachel Hopkins
RA>GP Registrar, East Oxford Health Centre
RA>GP Registrar Observer at RCGP
^^^^^^^^^^^^^^^^
Here may be a pointer to the question.
Many believe that the RCGP had a hand in the debacle of the
1990 contract. Yes GPs can do it, and the RCGP would be good
at saying how and when. They just are not very good at saying
how we ought to be resourced.
Please ask your course organizer for tutorials on medico
politics and get your LMC secretary along and your local GMSC
rep.
Most GPs just can not take on more work for nothing.
Is your trainer really happy to do more and more with no
extra resources?
______________________________________________________________
Dr. David Jobson
The Surgery, Main St Surgery Tel +44 (0)1728 830526
Leiston Surgery Fax 832029
Suffolk Home Tel 831100
IP16 4JG email [log in to unmask]
* SLMR 2.1a *
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