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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

Tweets

John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    Two-way (sending and receiving) short codes:

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    1. Kathryn Mannix‏ @drkathrynmannix Sep 14
      Replying to @drkathrynmannix @MikeStone2_EoL and

      A single number may not='blanket' response. For exmpl, in NE, a pall care advice line for clinicians has a single number, but the provider service is shared between teams on a weekly rota; the caller always reaches a specialist: the work is shared, the number remains the same 2/

      2 replies 0 retweets 0 likes
    2. Mike Stone‏ @MikeStone2_EoL Sep 14
      Replying to @drkathrynmannix @C7RKY and

      Kathryn, both of my parents died at home, and I was a carer. Myself, I would prefer to know when I make the call, who I'm expecting to be on the other end: 'my GP', a cover GP, etc. Then 'I know, what they should already understand' when I'm talking to the person.

      1 reply 1 retweet 1 like
    3. Mike Stone‏ @MikeStone2_EoL Sep 14
      Replying to @MikeStone2_EoL @drkathrynmannix and

      Should we Twitter Poll this? Would family carers during end-of-life, prefer to know who was going to answer their phone call, when they make the call?

      1 reply 0 retweets 0 likes
    4. Celia Kitzinger‏ @KitzingerCelia Sep 14
      Replying to @MikeStone2_EoL @drkathrynmannix and

      The 'cover GP' at my mother's surgery clearly did NOT already understand what my mother's wishes were. When I called after my mother had a stroke, this (unknown) GP attempted to persuade/coerce me to calling an ambulance + was hostile+unsupportive when I said she didn't want one

      2 replies 2 retweets 4 likes
    5. Mike Stone‏ @MikeStone2_EoL Sep 14
      Replying to @KitzingerCelia @drkathrynmannix and

      Why would a cover GP understand what your mother's 'wishes' were? Why would ANYONE who had not either asked your mum, or 'shared her life', understand 'her wishes'?

      1 reply 0 retweets 0 likes
    6. Celia Kitzinger‏ @KitzingerCelia Sep 14
      Replying to @MikeStone2_EoL @drkathrynmannix and

      Because she had an Advance Decision to refuse treatment which she'd discussed (and had countersigned) by her own GP - I expected cover GPs (and everyone else in the practice) to have access to this.

      1 reply 0 retweets 2 likes
    7. Mike Stone‏ @MikeStone2_EoL Sep 14
      Replying to @KitzingerCelia @drkathrynmannix and

      Access to doesn't mean already familiar with - and GPs are 'busy'. There is a paradox there - https://www.bmj.com/content/355/bmj.i5705/rr-15 … GPs don't have the time to get to know patients as is often implied. BTW - you should know better - an ADRT is her DECISION, so not 'her wishes'!

      1 reply 0 retweets 0 likes
    8. Celia Kitzinger‏ @KitzingerCelia Sep 14
      Replying to @MikeStone2_EoL @drkathrynmannix and

      Uhm, well, actually her ADRT purported to refuse admission to hospital - which you can't use an ADRT to do (because admission to hospital is not classed as a 'treatment') so I think her "wishes". Legally binding decisions were also in the ADRT but this wasn't one of them.

      2 replies 0 retweets 0 likes
    9. John Clarke‏ @C7RKY Sep 14
      Replying to @KitzingerCelia @MikeStone2_EoL and

      You can't? I didn't know that. Does an admission to hospital not come under the heading of examination? As in 'consent to examination or treatment'. We have the right to refuse both with capacity, so is an ADRT unable to reflect that fact?

      3 replies 0 retweets 1 like
    10. Mike Stone‏ @MikeStone2_EoL Sep 14
      Replying to @C7RKY @KitzingerCelia and

      I've done it John (probably won't surprise you) - read https://www.dignityincare.org.uk/Discuss-and-debate/download/297/ …

      1 reply 1 retweet 1 like
      John Clarke‏ @C7RKY Sep 14
      Replying to @MikeStone2_EoL @KitzingerCelia and

      This rabbit hole seems to have endless capacity for tumbling down, doesn't it? Your focus still appears to be on treatment refusal there though. Is examination refusal not recognised in this regard?

      5:06 AM - 14 Sep 2018
      • 1 Like
      • Trisha Elliott
      2 replies 0 retweets 1 like
        1. New conversation
        2. Stroppy Ambo Woman‏ @Stroppyambo Sep 14
          Replying to @C7RKY @MikeStone2_EoL and

          I may be in danger of applying oversimplification of complex legal issues here, but there is no point in hospital exam/assessment if intention is to refuse hospital treatment/admission. Assessment and treatment at home, within the constraints of this, may still be acceptable.

          2 replies 0 retweets 2 likes
        3. John Clarke‏ @C7RKY Sep 14
          Replying to @Stroppyambo @MikeStone2_EoL and

          Yes, I'm wary of half dipping into legal discussions too, but common sense also has its place. Medical futility is something we hear plenty about, but few things seem more futile than taking a dying person to hospital if they don't want to be treated. Nature: Ambulance Purpose: ?

          0 replies 0 retweets 2 likes
        4. End of conversation
        1. New conversation
        2. Mike Stone‏ @MikeStone2_EoL Sep 14
          Replying to @C7RKY @KitzingerCelia and

          The relevant section of the Mental Capacity Act uses these words, John. can you see the problem?pic.twitter.com/CgJFDTpBZQ

          1 reply 1 retweet 1 like
        3. John Clarke‏ @C7RKY Sep 14
          Replying to @MikeStone2_EoL @KitzingerCelia and

          If the MCA attempts to allow for our prior consent to be respected upon subsequent incapacity, why does it not reflect all aspects of consent? Why is it not an ADRET?

          1 reply 0 retweets 0 likes
        4. Mike Stone‏ @MikeStone2_EoL Sep 14
          Replying to @C7RKY @KitzingerCelia and

          I do often write - 'it is often easier to think in terms of interventions being refused' - but the Act uses the word 'treatment' in its sections on Advance Decisions. And - to be frank - the understanding of the MCA within clinical circles is hopeless, so 'they look at words'.

          0 replies 0 retweets 0 likes
        5. End of conversation

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