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

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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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    1. Bill Russell‏ @bill_russell3 Oct 7
      Replying to @doctorcaldwell @DrUmeshPrabhu and

      But so many of the public want 'the crap'..... they want extended GP hours they want antibiotics they want to go to A&E for a cut finger they want a pill to solve life's problem AND we want good quality care when we and our loved ones are really ill and in need of care.

      2 replies 4 retweets 5 likes
    2. Dr Gordon Caldwell‏ @doctorcaldwell Oct 7
      Replying to @bill_russell3 @DrUmeshPrabhu and

      I believe most patients want to see a doctor well briefed on their known medical conditions, treatments and results and get a thorough consultation and then timely professional advice

      3 replies 4 retweets 8 likes
    3. Bill Russell‏ @bill_russell3 Oct 7
      Replying to @doctorcaldwell @DrUmeshPrabhu and

      right treatment right time right place That slogan is, what, 20 years old? #wepatients are still waiting. Go into any AMU to see the reality of that

      1 reply 2 retweets 3 likes
    4. Dr Gordon Caldwell‏ @doctorcaldwell Oct 7
      Replying to @bill_russell3 @DrUmeshPrabhu and

      https://www.dropbox.com/s/skav1aiql2ureos/Quality%20and%20Safety.pdf?dl=0 …pic.twitter.com/TPllRJQVUr

      2 replies 2 retweets 2 likes
    5. Bill Russell‏ @bill_russell3 Oct 7
      Replying to @doctorcaldwell @DrUmeshPrabhu and

      can we add in ' the patients achieves their desired outcome'

      1 reply 1 retweet 1 like
    6. Dr Gordon Caldwell‏ @doctorcaldwell Oct 7
      Replying to @bill_russell3 @DrUmeshPrabhu and

      What if the patient’s desire is unachievable or unrealistic or both?

      3 replies 1 retweet 3 likes
    7. Katherine‏ @Katie497 Oct 7
      Replying to @doctorcaldwell @bill_russell3 and

      Then that conversation is even more valuable

      1 reply 1 retweet 5 likes
    8. Bill Russell‏ @bill_russell3 Oct 7
      Replying to @Katie497 @doctorcaldwell and

      Any consultation that fails to ask about desired outcomes and explains in an understandable way, the risks & benefits, is a flawed consultation. It may take several consultations before a decision can be made. How often does that happen in a hospital?

      4 replies 2 retweets 5 likes
    9. Dr Gordon Caldwell‏ @doctorcaldwell Oct 7
      Replying to @bill_russell3 @Katie497 and

      Hospitals are not conducive to Shared Decisions Makinghttps://www.dropbox.com/s/dcnsymnxf555tnz/What%20factors%20mitigate%20against%20shared%20decision.pdf?dl=0 …

      1 reply 3 retweets 8 likes
    10. John Clarke‏ @C7RKY Oct 7
      Replying to @doctorcaldwell @bill_russell3 and

      "I believe if we don’t make that small connection with the person, who is becoming a patient, we start on the slippery path to disease centred care". >That is without doubt the best piece I've seen of yours. Right up my street. Excellent read and very much on point - thank you!

      1 reply 5 retweets 11 likes
      John Clarke‏ @C7RKY Oct 7
      Replying to @C7RKY @doctorcaldwell and

      For the record, I don't believe in shared decision making. I believe it's my decision and mine alone. A clinician's role is to guide me in that decision using their specialist knowledge. Always more likely we'll defer to 'expertise' in an emergency situation though. Me included.

      3:57 AM - 7 Oct 2018
      • 7 Retweets
      • 14 Likes
      • Heaven007 Linda de Cossart Trisha Elliott Kara GN Marie Rolli ✨✨Celebrating Adam✨✨ MonroW Dr Gordon Caldwell
      7 replies 7 retweets 14 likes
        1. New conversation
        2. Dr Gordon Caldwell‏ @doctorcaldwell Oct 7
          Replying to @C7RKY @bill_russell3 and

          But so often we Doctors make the decisions ‘You will have these blood tests, these X rays and scans’ with no or little explanation

          3 replies 6 retweets 8 likes
        3. Dr Gordon Caldwell‏ @doctorcaldwell Oct 7
          Replying to @doctorcaldwell @C7RKY and

          Doctors hold so much power in the Patient Doctor Consultation that we greatly influence the patient’s decisions @trishgreenhalgh @JohnLauner

          2 replies 7 retweets 10 likes
        4. Dr Umesh Prabhu‏ @DrUmeshPrabhu Oct 7
          Replying to @doctorcaldwell @C7RKY and

          #doctors are powerful so we must never misuse that power and use it always for the #patients benefit and not our benefit. Doctor and leader is simply serving humanity with sincerity honesty and integrity @willcpowell @GarethR08754256 @didoharding @RobBehrens1884 @RameshMehta15

          2 replies 3 retweets 9 likes
        5. Dr Gordon Caldwell‏ @doctorcaldwell Oct 7
          Replying to @DrUmeshPrabhu @C7RKY and

          Put an 85y patient with end stage renal failure before 2 renal Physicians, one will persuade patient to have dialysis and the other persuade patient to not have dialysis such is the power of the Doctor We should at least know the power of our position

          5 replies 10 retweets 18 likes
        6. John Clarke‏ @C7RKY Oct 7
          Replying to @doctorcaldwell @DrUmeshPrabhu and

          And then be mindful of that power when it comes to a patient's consent being voluntary? Perhaps this list should explicitly include doctors, rather than just implying it with 'others'? https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/consent/part-2-making-decisions-about-investigations-and-treatment#paragraph-41 …pic.twitter.com/3DAlIP0S6h

          1 reply 2 retweets 2 likes
        7. Tweet unavailable
        8. John Clarke‏ @C7RKY Oct 7
          Replying to @cpskeetmom @doctorcaldwell and

          Absolutely right. That's why the power of MH 'professionals' terrifies me. I only have the luxury of taking my current stance as long as I have capacity. WHOLE other game emerges once you cross over that line, I accept.

          2 replies 2 retweets 4 likes
        9. 2 more replies
        1. New conversation
        2. Daniel Bayley‏ @DanielBayley80 Oct 11
          Replying to @C7RKY @doctorcaldwell and

          It's my decision alone. But the ugly problem which rears its head in the #NHS is where arrogance & egos reign - "We know best". This is very dangerous for patients, their basic rights & indeed #PatientPatient as a whole is put at risk.

          3 replies 0 retweets 5 likes
        3. Adrienne Cullen‏ @AdrienneCullen Oct 11
          Replying to @DanielBayley80 @C7RKY and

          Why does the medical profession lend itself to arrogance and rampant egos? This is not an NHS/UK phenomenon. It characterizes health-care in the Netherlands and it used to in Ireland too (improving now). If we could find what's causing it, we might be able to eradicate it?

          3 replies 1 retweet 1 like
        4. Dr Umesh Prabhu‏ @DrUmeshPrabhu Oct 11
          Replying to @AdrienneCullen @DanielBayley80 and

          We select brightest people of the society to be doctors. We dont select people for their attitude. Bright people also have strong personalities and most do not get feedback and they work in stressful environment. Most doctors are good and manage well but many need help support

          3 replies 0 retweets 2 likes
        5. Dr Gordon Caldwell‏ @doctorcaldwell Oct 11
          Replying to @DrUmeshPrabhu @AdrienneCullen and

          I disagree. Medical Students are selected for being bright and having attitudes appropriate for a caring profession. Sadly the current #NHS Money, Targets, Bean Counting and Bureaucratic Culture grinds that out of many of them within the Foundation Year @nlafferty @rakeshspatel

          4 replies 2 retweets 8 likes
        6. Minh Alexander‏ @alexander_minh Oct 12
          Replying to @doctorcaldwell @DrUmeshPrabhu and

          What's the evidence that this is always the case Gordon? Years ago, St Georges Medical school had a notorious algorithm that weeded out foreigners & wasn't too keen on female applicants How much empirical evidence do we have that a more enlightened medical culture has spread?pic.twitter.com/nCQlHmS3e1

          0 replies 2 retweets 5 likes
        7. End of conversation
        1. Adrienne Cullen‏ @AdrienneCullen Oct 10
          Replying to @C7RKY @doctorcaldwell and

          Couldn't agree more! My doctors are my expert advisors - the decision I make is mine alone (with husband). It might only be semantics, but "shared decision-making" does have a cachet of doctors involving patient in the decision they're making. This is the wrong emphasis.

          0 replies 1 retweet 3 likes
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        1. Linda de Cossart‏ @ED4MEDPRAC Oct 7
          Replying to @C7RKY @doctorcaldwell and

          Yes

          0 replies 0 retweets 1 like
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        1. Dr Gordon Caldwell‏ @doctorcaldwell Oct 11
          Replying to @C7RKY @bill_russell3 and

          If we Doctors learned to say ‘My recommendation is ... ‘ or ‘These are the feasible options ...’ that would place the decisions more into the patient’s lap

          0 replies 1 retweet 0 likes
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        1. Daniel Bayley‏ @DanielBayley80 Oct 11
          Replying to @C7RKY @doctorcaldwell and

          Views of doctors just that, views & can be subjective or biased by their own beliefs. In some health economies, independent 2nd opinion services are common & even required. It's little surprise these services are eyeing up the UK market given the 1 sided nature of the #NHS.

          0 replies 0 retweets 0 likes
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        1. DocXology‏ @dymonite69 Oct 8
          Replying to @C7RKY @doctorcaldwell and

          Shared decision making may be the wrong phrase but an individual’s decision affects many stakeholders and they also need to be aware of that.

          0 replies 0 retweets 0 likes
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