@celticchickadee I agree, although I think less patchy than prior to #LCP - but clearly issues of patchy implementation of the LCP
@DocMartin68 @celticchickadee Problem is, any protocol which will kill the recipient, should not be allowed to be 'patchy' in implementation
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@C7RKY@celticchickadee We should always try to improve - but there will always be variation in an organisation as big as the NHSThanks. Twitter will use this to make your timeline better. UndoUndo
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@C7RKY@celticchickadee Because some hospitals did#LCP badly, I will no longer be able to use itThanks. Twitter will use this to make your timeline better. UndoUndo
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@C7RKY@celticchickadee If some hospitals did heart operations badly, would we stop all hospitals from doing heart surgery? -
@DocMartin68@celticchickadee Of course not. But at least pts can be reasonably certain that their consent will be sought for heart surgery. -
@DocMartin68@celticchickadee I'm not anti-LCP as a tool per se. Do object to a decision making process that commonly bypasses pt/family tho -
@C7RKY@celticchickadee completely agree there!
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@C7RKY@DocMartin68@celticchickadee The ultimate misconception :(#LCP does not 'kill' a pt. It helps an already dying pt's symptom control -
@LobeckDR@DocMartin68@celticchickadee I am under no misconception. Withholding food, water & medicine will kill anyone. Not all are dying. -
@LobeckDR@DocMartin68@celticchickadee Qn for me is, who decides? I don't want a ward doc, under pressure to clear beds, deciding w/o me. -
@C7RKY@LobeckDR@celticchickadee I agree, key question - but interesting that many patients/families want a doctor to take responsibility
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