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Old 18 November 2012, 09:26 PM
  #91  
john banks
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I'm relaxed about it now, and most patients appreciate that whilst google is powerful I can help them interpret and weigh what they have read, putting it into context. The "entitled demander" who cannot be reasoned with is trouble though.
Old 18 November 2012, 09:35 PM
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Originally Posted by john banks
I'm relaxed about it now, and most patients appreciate that whilst google is powerful I can help them interpret and weigh what they have read, putting it into context. The "entitled demander" who cannot be reasoned with is trouble though.

My Dr. asked this week if I would like him to spell out what he thought was wrong so I could google it. Which I did, as understanding a little helps, if only in your mind.

Last edited by yellowvanman; 18 November 2012 at 09:45 PM.
Old 18 November 2012, 09:41 PM
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john banks
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I sometimes do that if the patient is interested to read more, although prefer to give a specific link or leaflet to ensure the quality/selectivity.

Google is one of the better medical search engines and it is particularly powerful for linking symptoms that normally wouldn't be linked.
Old 18 November 2012, 10:06 PM
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I'm very happy to take as much time as is needed to expand on what people may have read on the internet. Actually the more questions they ask the more fulfilling the patient/doctor interaction can be.

I can allay their anxieties at this point and this often makes for a better outcome. And the people who ask the most questions (in a sensible way) are also often the most self motivated and therefore often do far better.

I enjoy having these conversations with patients as it establishes rapport.
Old 18 November 2012, 10:12 PM
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99mrbe
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Originally Posted by john banks
I'm relaxed about it now, and most patients appreciate that whilst google is powerful I can help them interpret and weigh what they have read, putting it into context. The "entitled demander" who cannot be reasoned with is trouble though.
Iv actually had a doctor type in my symptoms into google
Before whilst I was in his office, as he wasn't sure! Ha
Nice bloke actually and it turned out to be correct!
Old 18 November 2012, 10:37 PM
  #96  
Dingdongler
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The bottom line of this thread is whether the treatment by the GP of the OP's wife was within what one might call accepted (or even good) practice.

Anybody can have an opinion but one person has decided to declare categorically that it is not and insist they are professionally qualified to make that call.

That same person doesn't actually understand these drugs, cannot prescribe them, cannot administer them and indeed cannot even spell them correctly.

He then goes further to insist he has an in depth understanding of acute medicine (with no formal training) and most recently that he can interpret radiological investigations (again with no formal training)

At one point he says he can do all these things in a similar way to how he can service his car but has never trained as a car mechanic!


If I challenge this I am accused of being arrogant, self righteous, up my own a88 etc. I'll make no apologies for saying these things are difficult enough for those of us who have spent years studying them and have been formally trained and examined in these fields. You cannot compare them to changing the oil on your car, though I'm pretty sure most people appreciate that.

Personally I find it quite worrying this guy is wandering around a hospital.....

Last edited by Dingdongler; 18 November 2012 at 10:41 PM.
Old 19 November 2012, 12:27 AM
  #97  
need4speeduk
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Okay, I was bowing out, and I will after this final post.

Originally Posted by Dingdongler
The bottom line of this thread is whether the treatment by the GP of the OP's wife was within what one might call accepted (or even good) practice.

Anybody can have an opinion but one person has decided to declare categorically that it is not and insist they are professionally qualified to make that call.

That same person doesn't actually understand these drugs, cannot prescribe them, cannot administer them and indeed cannot even spell them correctly.
What I said was, In my opinion, of which I am entitled to, I thought the use of said drugs as a first line treatment was OTT and suggested a milder analgesia and anti inflamatory may have been better to start off with and assessing their effectiveness rather than starting off with the strongest stuff first of all.

As for not understanding their use, I would hope anyone working in the NHS would have at worst a basic understanding of the medications commonly used in their specific area. You do not need to be a doctor to understand that or be able to read a BNF.

Originally Posted by Dingdongler
He then goes further to insist he has an in depth understanding of acute medicine (with no formal training) and most recently that he can interpret radiological investigations (again with no formal training)
Again, I said I have a understanding of acute back pain management. As for interpreting x-rays and CT's, of course we had training at university. Probably not quite as in depth as yourself I admit, but of course we had training.

Originally Posted by Dingdongler
At one point he says he can do all these things in a similar way to how he can service his car but has never trained as a car mechanic!
Wrong. You constantly try to belittle me (And many other professions) by saying "I have some crappy biomedical science degree" and because I am not a doctor I do not have a clue about this or a clue about that. That statement is totally wrong. My example was that if a problem arose with my car, because I am not a qualified mechanic does not mean I would be clueless as to what that problem may be.


Originally Posted by Dingdongler
If I challenge this I am accused of being arrogant, self righteous, up my own a88 etc. I'll make no apologies for saying these things are difficult enough for those of us who have spent years studying them and have been formally trained and examined in these fields. You cannot compare them to changing the oil on your car, though I'm pretty sure most people appreciate that.
Again inaccurate. I accuse you of being arrogant and self righteous because of the complete lack of respect you show to anyone you deem beneath you. You constantly try to belittle people on this site, taking the pi55 out of their grammer, spelling, or because they hold a crappy biomedical science degree. You can also be downright rude and insulting to people on here and I am not the only person to notice this.

Originally Posted by Dingdongler
Personally I find it quite worrying this guy is wandering around a hospital.....
This is the last thing you need worry about. As someone who takes their job very seriously and always puts their patients well being at the top of their priorities I ensure I am constantly aware of my own limitations (of which there are many) and therefore when such situations arise, I will seek the help/assistance/advice of people better qualified than myself (often doctors). Why? because unlike you, I do not always think I am right, I do not always think I know best, and most importantly, I value the opinion, expertise and advice of my colleagues, regardless of their profession.

Last edited by need4speeduk; 19 November 2012 at 12:31 AM.
Old 19 November 2012, 12:45 PM
  #98  
john banks
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It is disappointing that you're bowing out without addressing the point on which you said I was incompetent, yet when I've presented evidence and reasoned argument to the contrary you ignore it. Does this mean you concede the point by your silence or are you simply disinterested or unskilled in debate about your own assertions and the evidence to confirm or refute them? I'd be unpleasantly surprised if you won't engage in reasoned debate with a mere generalist about a topic you should be red hot on.
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