h

[h @Flydoc54]

@MedicineAtUL Well done Liam. The dilemmas facing rural GP presented with clarity and authority and pointing the way to at least part of the solution.

[h @Flydoc54]

@AmbulanceNAS I always felt only 3 reasons to use an ambulance 1 Risk of deterioration enroute, 2 need for treatment enroute3 immobility or needing transfer in a recumbent position. Otherwise use a car,

[h @Flydoc54]

@AmbulanceNAS Delighted to see you all achieving your ambition.

[h @Flydoc54]

@drbosheaGP @illonaduffy @ritakj @Medcafe1 @IMT_latest Agree with Rita- they need a refresher course on the role of a GP. Times was when a low referral rate was regarded as a quality marker of a good GP

[h @Flydoc54]

@ElonMNews Yes

[h @Flydoc54]

@rachelgemma90 Agree entirely- offer to help but do not get in the way- they are the experts.

[h @Flydoc54]

@AvroHeriMuseum @ColdWarPod Yes and I believe ge mentioned his father in law (me) who is also a fan. Thanks for looking after Alan so well!

[h @Flydoc54]

@drbosheaGP @Raythedoc @LiamGGlynn @BJGPjournal @IMT_latest @WalleyRay @mike0callaghan @todowd Well done to Ray and the team

[h @Flydoc54]

@PriscillaLynch The key issues here are leadership and funding. You need a CIO who is empowered to make decisions without endless meetings and the authority to bring the individual fiefdoms in to line with a budget to hire the best external expertise and sack them if not performing.

[h @Flydoc54]

@todowd @ICGPnews I was a trainer for 32 years and it is probably the thing I miss most since retirement. A huge privilege to be involved in the training of our successors. Best of luck to these new trainers.

[h @Flydoc54]

@jglash @LifeFlight_Aus Congratulations John- every publication helps add to the profile and makes all your friends here at home so proud to know you.

[Tom O'Dowd @todowd]

A GP/orthopaedic initiative on waiting lists saw surgeon John Quinlan visit us this evening. 11 patients in urgent need of treatment discussed. Some expedited, management advice on others. Very educational and productive. @HSELive @DonnellyStephen @ICGPnews

[h @Flydoc54]

@MCallanan1 Clearly remember when I was involved in. Doctor, two ambulances (four crew) and Gardai tied up for over two hours by a hoax call at 4 am. Perpetrators should be pursued and find the true cost of their actions.

[h @Flydoc54]

@andyjjordan1 @roinnslainte @HSELive @LeoVaradkar @SimonHarrisTD @DonnellyStephen Absolutely agree. FEMPI meant that 10 years practices could not afford to hire newly qualified GP,s who were left with little option other than emigration to countries that offered not alone a job but a better quality of life. 10 years of graduates were lost.

[h @Flydoc54]

@Omarcaigh @aomarcaigh Having had a number of conversations with him about a particularly challenging case many years ago I can personally vouch for his incredible care and professionalism. May he enjoy many happy years of retirement.

[h @Flydoc54]

@ritakj Happy retirement Rita. I am 2 years in. Miss the patients, procedures and emergencies but not the intolerable burden of pointless paperwork that spoiled the good bits. Enjoy every minute.

[h @Flydoc54]

@todowd Congrats Tom on your continued dedication to the people of Tallagh and the vocation of General Practice. I still remember with amusement your verbal jousting when I was a 1st year and you were a 3rd year on the Cork GP scheme with the great Bill Shannon.

[h @Flydoc54]

@amymorgangp Retired for 18 months and no longer being a trainer one of the things I miss most after 32 years as a trainer. It is a privilege to help train the next generation of GPs but is both challenging and rewarding. Best of luck in your new role.

[h @Flydoc54]

@illonaduffy There was not a manpower crisis until FEMPI cuts. Reduced income=no money to hire assistants who might become partners. No GP jobs so 10 years worth of potential GP’s lost to others areas of medicine or emigration.