LostDaze

Nothing special

[permanentlyexhaustedpigeon @2manypeople4me]

@DanHallettPharm @Parody_RCGP @NeilTrainis @ICPmagazine PF cost £645million for 2yrs. That would employ you about 2500 WTE GPs, offering about 26 million appts with fully medically qualified Drs over that time. Which is better and safer for patients?

[LostDaze @LostDazes]

@KS02896298 @PaulaMc007 Is there a chance these cases got reported anywhere? So much fragmented care & undermining of GPs, that other "providers" get unsafe actions not recorded.
@DrSteveTaylor @DoctorsVoteUK

[KS @KS02896298]

@PaulaMc007 They will half treat the infections and we can expect drug resistance to go up. One sore throat was paratonsillar abscess ruptured and another sinusitis burrowed into brain causing pituitary apoplexy...cases can get worse quickly..it's not "simple" urti or sinusistis

[LostDaze @LostDazes]

@PaulaMc007 @benn_elisbenn They are not being used to fill gaps as such.
Pharmacies are losing business & this was lobbied for.
5x cheaper & safer to fund GPs properly
They (not ANPs pharmacists etc) are trained to cover minor & riskier illness & health concerns.

[LostDaze @LostDazes]

@drokane @spartywrx @pgipe Also CTs miss so much. Bowel perfs that are new, SAHs that are beyond a few days, some calculi. Over reliance on radiation.

[LostDaze @LostDazes]

@JessPected What is the "gatekeeper" insult about?
Another type of gaslighting I guess but what is it about, undermining boundaries?

[The BMA @TheBMA]

We've written to the Secretary of State and NHS England CEO calling for urgent action to address unsafe doctor substitution by employers.

The letter comes in the wake of our survey report revealing doctors' serious concerns over patient safety. 🔗 https://t.co/tqhjxqUQU6

[LostDaze @LostDazes]

@teshytarah @Dr__Sarmy If you make the question binary there's no consideration of patient harms from no understanding of
- 95% of medicine
- interactions
- side effects
- contraindications
- disease changes

If you want barely trained roles prescribing you'll have C diff, resistance, toxicity.

[LostDaze @LostDazes]

@agdyker @alexander_minh Agree. Though white cells are raised in gastritis/ vomiting often. Would lactate or BE or pH be better markers?

The xray would have shown dilation.
How was she never considered an SBO if she hadn't opened bowels for few days with pain & vomiting?

[LostDaze @LostDazes]

@Megsenmumdr From someone's request (not mine):

[LostDaze @LostDazes]

@Megsenmumdr She saw NPs in UCC & ED.
& also involved GP in UCC, in ED a reg & consultant & another consultant. Unsure how the NPs & doctors were interacting but the latter might only have been senior discussions. I've not seen wards not have fluid & input/ output charts. It's shameful still.

[LostDaze @LostDazes]

@medicalmodelbri @LNWH_NHS @jamesmurray_ldn Such a notoriously busy unsafe hospital doing a great disservice to their population with doctor replacement with more costly, far weaker trained PAs & ACPs @harrowonline

[@medicalmodelwithabriochebun @medicalmodelbri]

No money for resident doctors @jamesmurray_ldn @SKinnock @karinsmyth

It’s a political choice isn’t it @RachelReevesMP ?

[LostDaze @LostDazes]

@DrGoblin3 @Xeon4f145d96s1 Yes, it wasn't closed loop, & loud & disruptive.
The nurse should only have been taking instructions from the lead.
A PhD calling themselves doctor in a medical emergency is inappropriate.

[LostDaze @LostDazes]

@nursebro01 @Oxfordite @m9QD6L4IgW @Megsenmumdr @medicalmodelbri @alisonleary1 @nmcnews Different point. Not multiple doctors. UTCs shouldn't see abdo pain if no doctors.

[LostDaze @LostDazes]

@nursebro01 @Oxfordite @m9QD6L4IgW @Megsenmumdr @medicalmodelbri @alisonleary1 @nmcnews You don't have good evidence.
It was a UTC run by nurses & paramedics. They didn't examine her even.

[LostDaze @LostDazes]

@agdyker @alexander_minh I wouldn't trust an xray

[LostDaze @LostDazes]

@PhilipSteart @alexander_minh Inquest was only yesterday
https://t.co/0AWgVOWCMl

[LostDaze @LostDazes]

@alexander_minh https://t.co/MQRXcsttjx

[LostDaze @LostDazes]

@PhilipSteart @alexander_minh Is there a coroners report?