Sometimes helpful to phone consultant ( if known to be reasonable) and ask
for more info "in case anything like this again". Both these cases are
rather unusual and current practice may have changed recently.
Honest consultant will probably say they didn't really know either / always
did it that way but knew others did it differently / etc. In that context
mentioning that family of case 1 were told your management was incorrect
should lead to denial / apology / bollocking of SHO etc....
Some weeks are just like that.
Chris
Chris Burton
GP; Sanquhar Dumfriesshire
-----Original Message-----
From: [log in to unmask]
[mailto:[log in to unmask]]On Behalf Of Owen dempsey
Sent: 25 June 1998 21:59
To: GP UK
Subject: humble pie
had a tough week so thought I'd seek solace
first I saw a nine day old baby with a mild dose of chicken pox; no
obvious contact; didn't think too much about it and was very reassuring;
3 days later said baby admitted urgently quite poorly and given iv
aciclovir; g'ma remarked to a partner the next day that the 'hospital
doctor' had said that the baby should have been admitted when first seen
by yours truly. a dr-pt relationship sliding down a slippery slope as
you can see; what to do?
secondly lady becomes pregnant with coil in situ, wants to keep baby,
question is what to do with the coil; i ask partners who suggest that
there is 'some evidence' to suggest its safer to leave it where it is; i
go along with this line, patient equivocal and obstetrician advises its
removal; patient trust in gp damaged, i did a retrospective medline
search this pm and couldn't find what looks like a decent study
so there you go
feeling touchy ;-) so only helpful comments (goes against the grain i
know..........)
owen dempsey
General Practitioner
Huddersfield,
work:01484-654504
home: 01484-654794
e-mail: [log in to unmask]
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