So we managed out first GP group meet for ages and over curry talked shop.
Lots of frustrations with communication between hospital and primary care. Lots of worries about local plans to put groups of GPs into groups working together.
Then we had a debrief about an ENT update course Ally had been on and talked about ENT examination, cholesteatoma diagnosing acoustic neuroma and Bells Palsy.
None of this put us off our curries I'm pleased to say!
Today a 2 page piece in the BJGP about training at White House Surgery where I have been locuming this week, by my former trainer, Richard Watton.
A good read and explains why there are so many young people working each time I go there !
Friday, 23 March 2012
Tuesday, 6 March 2012
Julian Tudor Hart
A letter from JTH in this months BJGP. As usual very clever but also straightforward and making important points. I like that he looks to history to solve dilemmas of the era. I also like that the answer he finds to alot of problems is solid generalism and good general practice.
I also appreciate his truly left wing politics!
Reminds me to get back into his book from the 80s I bought before Christmas.
I also appreciate his truly left wing politics!
Reminds me to get back into his book from the 80s I bought before Christmas.
Friday, 24 February 2012
Podcasts galore!
Hello! All my learning for the past 3 weeks has been podcast- based and it's all been good! Having new headphones helped alot to keep my attention!
I've managed 2 inside healths- lots of interesting discussion on cholesterol and statins, gout, cough with ACE inhibitors. The speakers are always excellent on this and the sound quality is vastly superior to the BMJ and MEREC offerings.
Despite the sound quality the MEREC podcast talking about this months papers was still useful and an excellent BMJ podcast on menopause and hrt, where we are at and current best practice, with a professor of women's health .
That's nearly 2 hours ! I feel much better informed!
I've managed 2 inside healths- lots of interesting discussion on cholesterol and statins, gout, cough with ACE inhibitors. The speakers are always excellent on this and the sound quality is vastly superior to the BMJ and MEREC offerings.
Despite the sound quality the MEREC podcast talking about this months papers was still useful and an excellent BMJ podcast on menopause and hrt, where we are at and current best practice, with a professor of women's health .
That's nearly 2 hours ! I feel much better informed!
Wednesday, 8 February 2012
Yet more podcasts!
So, a grim Grey February day. After playgroup I had a podcast session while making dinners for the next couple of nights.
I listened to Inside health as usual- and it was excellent as usual! Gluten Intolerance that isn't coeliac disease and gout were the highlights.
Next 2 BMJ podcasts- one wasn't very relevant and the other was highly relevant- looking at epilepsy and discussing with 2 neurologists drugs, depression and quality of life. I had to listen to it 3 times in the end as I kept missing the important points- sometimes multitasking really doesn't work when you need to focus on something! The sound quality on the BMJ podcasts is not as good as the BBC so with headphones I finally got it 3rd time around! I e-mailed 2 of my 1st year students to et them know about the epilepsy podcast as the Community Attachment patient they saw had epilepsy. One e-mailed back to say thank you.
Also, following stuff in the press and from e-mail alerts from RCGP about the Health and Social Care Bill.
half term next week so I'll have a week off
I listened to Inside health as usual- and it was excellent as usual! Gluten Intolerance that isn't coeliac disease and gout were the highlights.
Next 2 BMJ podcasts- one wasn't very relevant and the other was highly relevant- looking at epilepsy and discussing with 2 neurologists drugs, depression and quality of life. I had to listen to it 3 times in the end as I kept missing the important points- sometimes multitasking really doesn't work when you need to focus on something! The sound quality on the BMJ podcasts is not as good as the BBC so with headphones I finally got it 3rd time around! I e-mailed 2 of my 1st year students to et them know about the epilepsy podcast as the Community Attachment patient they saw had epilepsy. One e-mailed back to say thank you.
Also, following stuff in the press and from e-mail alerts from RCGP about the Health and Social Care Bill.
half term next week so I'll have a week off
Wednesday, 1 February 2012
Opinions and feelings
2 interesting topics - decisions about end of life care and asking patients about thier faith raised as topics this week.
A friend working on the other side of the city is trying to write an information sheet for carers of end stage dementia patients entering the local EMI home to get relatives thinking about how and where their beloved might end their life.
A hard one to get right but definitely important.
Secondly a Facebook discussion, a 20 something friend who I don't really know very well posted on the site she was shocked when her GP asked if she had any faith to turn to. She thought it was inappropriate. I think it's a well phrased nice open question! Some comments agreed with me but some people thought it was inappropriate to ask as well. A hard one to judge again.
A friend working on the other side of the city is trying to write an information sheet for carers of end stage dementia patients entering the local EMI home to get relatives thinking about how and where their beloved might end their life.
A hard one to get right but definitely important.
Secondly a Facebook discussion, a 20 something friend who I don't really know very well posted on the site she was shocked when her GP asked if she had any faith to turn to. She thought it was inappropriate. I think it's a well phrased nice open question! Some comments agreed with me but some people thought it was inappropriate to ask as well. A hard one to judge again.
Friday, 27 January 2012
More Inside health
Another excellent episode !
Mark Porter did well not to be rude to the health minister, discussing NHS reforms and also a good slot on tinnitus and vitamin d.
Http://www.bbc.co.uk/iplayer/episode/b019rqcq/Inside_Health_24_01_2012/
MEREC monthly 46 battles with hypertension again and critiques the latest NICE update-
Www.npc.nhs.uk
Mark Porter did well not to be rude to the health minister, discussing NHS reforms and also a good slot on tinnitus and vitamin d.
Http://www.bbc.co.uk/iplayer/episode/b019rqcq/Inside_Health_24_01_2012/
MEREC monthly 46 battles with hypertension again and critiques the latest NICE update-
Www.npc.nhs.uk
Friday, 20 January 2012
Another attempt!
Okay! Happy 2012! Time to do what I said I'd do in my appraisal....
This week I have listened to Mark Porter's new radio 4 program Inside health and can recommend it thoroughly.
http://www.bbc.co.uk/iplayer/episode/b019fxb5/Inside_Health_Health_bill_Memory_Resuscitation_Flu/
And I've just read this....
http://adc.bmj.com/content/97/1/21.full?keytype=ref&siteid=bmjjournals&ijkey=l806wm3AJxrfQ
I think my take home message from this is as usual back to basics- good clinical examination to detect pneumonia as opposed to URTI. I seem to have spent alot of time not giving abs to coughs the past few weeks, so I'm going to take on board this paper.
Byee!!
This week I have listened to Mark Porter's new radio 4 program Inside health and can recommend it thoroughly.
http://www.bbc.co.uk/iplayer/episode/b019fxb5/Inside_Health_Health_bill_Memory_Resuscitation_Flu/
And I've just read this....
http://adc.bmj.com/content/97/1/21.full?keytype=ref&siteid=bmjjournals&ijkey=l806wm3AJxrfQ
I think my take home message from this is as usual back to basics- good clinical examination to detect pneumonia as opposed to URTI. I seem to have spent alot of time not giving abs to coughs the past few weeks, so I'm going to take on board this paper.
Byee!!
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