.@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
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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I don’t know the details of this specific instance. But as a medical registrar accepting GP (and A&E) referrals for adults, often there is no diagnosis, even presumed - the referrer doesn’t have the diagnostics available. Also referral usually by phone so not documented.
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Recently a patient met the criteria for Sepsis Six & I was told must have 2 iv antibiotics stat. This is all very well apart from the fact the patient did not have sepsis at all. Diagnosis is not cook book unthinking adherence to NICE or Specialist Society Guidelines & Pathways
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