Somehow I managed to get #2313 on the high score list.

I think I beat you, but I was down there somewhere.

Quite a lot of effort. One way to try and get men to eat the stuff I suppose. Or at least buy it and give it to a woman in a nice brown frock.

In the hope that she changes in and out of it?

After Stella Artois Cidre,
Carling are now making cider too. (WTF?)

I'll stay with my westons, ta very muchly.

Impeccable taste there. Weston's make some bloody lovely stuff.

I'm partial to a Thatcher's from time to time as well. Not long until proper cider weather, with any luck...

The single specie Katy and Cox ciders are really good.

A cheeky Frome valley is also rather tasty.

*books a train ticket to Bristol*

http://www.themoderatedoctor.co.uk/the-rules.html

Wish I could post it up in the waiting area, despite not agreeing with all of the points.

I don't agree about the "seeing your doctor should be the last resort". Surely ER are the last resorts so what are GPs there for?

Yeah, I wouldn't post it up. You wouldn't want all your patients to think you're a ****.

Well I can say that most of the time I could agree with most of that. Though how would I cope without a list? Then later (rule 19) it mentions having a list of your prescriptions. Make your mind up!

As for scans my brothers doctor ignored his requests for help with pain after his back surgery for a scan, they then did one to shut him up for it to show two collapsed discs. Sometimes doctors can be very wrong, and allowing a condition to deteriorate like that should result in disciplinary action.

Much of the letters bit is fine but many government departments ask for them now. If doctors do not want to do them then they should stop government departments asking for them. It also ignores the fact that many conditions are not visible, so unless you take a letter you struggle. I never bother my GP about my condition because statistically he will not come across another case for 125 years.

So even though I am registered as disabled I have not seen my doctor in years because I do not need to.


Sent from my iPad using Tapatalk.

I did mention I didn't agree with all of it.

wrt to "last resort" - I've had patients in who've not taken paracetamol for a simple headache. I've had parents fail to give their child calpol/nurofen for a fever. I've had patients who've had a sore throat for one day and come in. People don't allow things to progress naturally or take the appropriate response. Sure - if the headache's not settling with painkillers, or the child's unwell, or the sore throat has been going on for days, by all means come in. But a lot of patients don't seem to be able to manage simple things.

wrt "lists" - for the majority of people, either they have too much time on their hands to make the lists, or they're depressed. I've so far had a 100% detection rate on people bringing in lists of 5-6 problems and diagnosed them with depression. It takes one careful sentence and they'll break down in tears and tell me everything. We had elderly patients who can't always remember, but they generally have only 2-3 small things on the list which you can zip through.

wrt "letters" - there is no NHS service for writing letters for various things. The Med3 or "fit note" really only applies for people over the age of 18 and who are supposed to be working. We have people wanting us to declare they are fit for xyz where xyz is say ski diving. I'm not a sky diving expert. I don't know what problems you're like to encounter. There should be someone employed by the sky diving company who can arrange medical fitness for customers who want to sky dive. But they don't. I have to phrase my letters to avoid me basically green lighting it. It's all about who carries the can if something goes wrong. Hence we charge £££ for it.

wrt "scans" - I think I alluded this in another thread. People often have various ailments that magically disappear once they've had a form of imaging. They lie in their history, they lie when you examine them and hence when the scan is normal, the pains have resolved. They just wanted a scan for the sake of it. Nothing wrong with doing a scan for back pain if it isn't responding to analgesia. I've also stated previously that if you scanned people without any back pain symptoms that the MRI can show severe degeneration and prolapsed discs. There's a very poor correlation between scans and symptoms/findings.

I have on numerous occasions had to remind my surgeon not to MRI me *facepalm*.

Tablet fail, you need a keyboard with arrow keys...

Here it is a little different. I have to hand over a illness certificate, signed by my doctor on the second morning of my illness, so that means going to the doctor's on the first day, or latest for morning surgery on the second day of illness.



For me, it is the other way round. The scan was negative, but the scans persist. It isn't gluten, directly, but eating wheat or corn products gives me diarrhoea. Not sure what it is, thinking it maybe yeast, although eating gluten free bread seems to be a solution, apart from you can't really can't call it bread. A couple of members of my fiancé's family suffer from Crohn's, which is irritated by grains, so those are the next two things to check...