.@C7RKY very detailed account of management of #JackAdcock
http://thehealthcareblog.com/blog/2018/08/05/the-doctor-who-thwarted-the-charge-of-the-general-medical-council-part-1/ …
Dr Cusack is a hero, in my opinion
@DrUmeshPrabhu @djnicholl @DrJennyVaughan
@gmcuk should hang it’s own head in shame
Q What was the GP's presumptive diagnosis? A The Adcock's took Jack to his GP who instantly recognised he was *ILL* Q What was his diagnosis? Did the GP suspect sepsis? A He recognised Jack was *ILL* No recognisable presumed diagnosis in there I can see. Just ill, apparently >>
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That’s how most people arrive acutely in hospital - ill with no clear diagnosis and then Doctors have to work out which of the 1000s of diagnoses in the World Health Organisation book is/are active in this patient. That’s the challenge of Doctoring in acute care
@DrGrumble -
Totally understand that. But the question remains - did the GP flag up any suspicions of sepsis? It's entirely possible he may not have done so and therefore I'm fishing in the wrong pond here. But if he did, I don't think it helps BG's cause. I'd like to know which it is now.
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He's avoiding the question. Being ill is not a diagnosis I can easily imagine a competent GP quoting as reason for referral to CAU. So what's he avoiding? I find myself wanting to see that referral now.
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A Diagnosis is something that evolves over time - sometimes quickly coming into sharp focus, sometimes slowly emerging from the mists, and sometimes only ever made in retrospect The relation between GP’s referral letter & final diagnosis is not strong - if only it was that easy
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In this case, I think the link between GP referral and cause of death may be the more significant factor. Let's see. And how did Dr Cusack get access to the autopsy report btw? Bit confused by that reference in the interview.
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