.@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
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Replying to @doctorcaldwell @DrUmeshPrabhu and
Glad you raised that one. I barely got started reading the interview and I already have questions. For example, can you steer me towards the NICE clinical guidelines for 'ill'? I seem to be struggling to find them.
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Replying to @C7RKY @DrUmeshPrabhu and
I am pretty sure NICE do not have guidance on The Ill Patient I composed a
#BookmarkForBetterCare for Ill Patient No Diagnosis It is in this set https://www.dropbox.com/s/5lqbjh38tfpl2tk/Full%20set%202011.pdf?dl=0 … Bookmarks same size as#Checklists on a Lear personal jet!@Angiebridget2 replies 1 retweet 3 likes -
Replying to @doctorcaldwell @DrUmeshPrabhu and
My query was tongue-in-cheek. We both know no such guidelines exist, but perhaps someone should tell that to Dr Cusack, because he pointedly fails to answer the very first meaningful question put to him - twice. And now it's a question to which I want to know the answer. >>
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Replying to @C7RKY @doctorcaldwell and
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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Replying to @C7RKY @doctorcaldwell and
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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Replying to @C7RKY @doctorcaldwell and
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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If a GP called & said they’d seen a patient who looks unwell, had abnormal observations (pulse, blood pressure, oxygen levels) & non-specific (maybe normal) examination findings, I’d accept for investigation/assessment. They’d go on a list of “to come in” with short synopsis.
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Appreciated. Still want to see that referral now though, so we can avoid speculation.
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