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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 @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
    2. 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
    3. 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
    4. 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.

      7 replies 7 retweets 14 likes
    5. 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
    6. 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
    7. 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
    8. 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
    9. 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
      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.

      5:39 AM - 7 Oct 2018
      • 2 Retweets
      • 4 Likes
      • Trisha Elliott marie kelly Will Powell Ken Lownds
      2 replies 2 retweets 4 likes
        1. John Clarke‏ @C7RKY Oct 7
          Replying to @cpskeetmom @doctorcaldwell and

          I'm so sorry to hear that. Children are another minefield when it comes to consent. I'm a strong advocate for parental rights, but they seem to be relatively meaningless in the current environment. Stuff of my nightmares.

          1 reply 0 retweets 2 likes
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        2. Yoseph Elkaim L.L.B ACAMS‏ @TheRealYElkaim Oct 7
          Replying to @C7RKY @cpskeetmom and

          John, The whole reason anyone become a medical professional is because they are drawn to service. Anyone can make money but not every one can serve...this distinction mandates self reflection...you are an amazing individual for owning that...

          2 replies 1 retweet 1 like
        3. John Clarke‏ @C7RKY Oct 7
          Replying to @TheRealYElkaim @cpskeetmom and

          I'm not sure I understand what you think I'm 'owning', Yoseph? Could you elaborate please? I think people are drawn to the medical profession for a variety of reasons tbh. Service, sure. But things like family connections seem to play no small part for some too. Several dynamics.

          0 replies 0 retweets 0 likes
        4. End of conversation

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