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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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    1. Margaret McCartney‏Verified account @mgtmccartney 24 Jun 2014

      free link BMJ col; why doctors should not be legally required to discuss futile treatments like CPR with patients. : http://bmj.com/cgi/content/full/bmj.g4180?ijkey=vWtsMd2L3jHzkhR&keytype=ref …

      12 replies 50 retweets 24 likes
    2. Dr Gordon Caldwell‏ @doctorcaldwell 26 Jun 2014
      Replying to @mgtmccartney

      @mgtmccartney @WhistlingDixie4 I have made a "Full ward care and DNACPR" sticker GMC is OK with my using it often without discussion with pt

      4 replies 2 retweets 1 like
      John Clarke‏ @C7RKY 27 Jun 2014
      Replying to @doctorcaldwell

      @doctorcaldwell @mgtmccartney @WhistlingDixie4 I'm sorry? A sticker? Without discussion with the patient? Surely that's now unlawful? No?

      6:40 AM - 27 Jun 2014
      • 2 Retweets
      • 3 Likes
      • karen armstrong ✨✨Celebrating Adam✨✨ Kate Masters
      5 replies 2 retweets 3 likes
        1. New conversation
        2. Dr Gordon Caldwell‏ @doctorcaldwell 27 Jun 2014
          Replying to @C7RKY

          @C7RKY @mgtmccartney @WhistlingDixie4 Ethics Autonomy Beneficence Non malificence Justice You want to choose just painful futile treatment?

          1 reply 1 retweet 0 likes
        3. John Clarke‏ @C7RKY 27 Jun 2014
          Replying to @doctorcaldwell

          @doctorcaldwell @mgtmccartney @WhistlingDixie4 No. But I want the right to make that decision where I'm able to. Not have it made for me.

          1 reply 1 retweet 0 likes
        4. Margaret McCartney‏Verified account @mgtmccartney 28 Jun 2014
          Replying to @C7RKY

          @C7RKY @doctorcaldwell @WhistlingDixie4 different from judgement -about informing not making decisions. SDM in my blood. See #patientparadox

          1 reply 0 retweets 0 likes
        5. John Clarke‏ @C7RKY 28 Jun 2014
          Replying to @mgtmccartney

          @mgtmccartney @doctorcaldwell @WhistlingDixie4 Forgive me..SDM? Appreciate point re informing, not making decisions. (Tho I don't like it!)

          2 replies 0 retweets 0 likes
        6. Margaret McCartney‏Verified account @mgtmccartney 28 Jun 2014
          Replying to @C7RKY

          @C7RKY @doctorcaldwell @WhistlingDixie4 shared decision making, sorry

          0 replies 0 retweets 0 likes
        7. End of conversation
        1. New conversation
        2. Dr Gordon Caldwell‏ @doctorcaldwell 27 Jun 2014
          Replying to @C7RKY

          @C7RKY @mgtmccartney @WhistlingDixie4 when pushed a true professional behaves ethically even if that means punishment under the law?

          2 replies 0 retweets 1 like
        3. John Clarke‏ @C7RKY 27 Jun 2014
          Replying to @doctorcaldwell

          @doctorcaldwell @mgtmccartney @WhistlingDixie4 Not clear how telling pt compromises ethics? If your case is so strong, why not convince pt?

          3 replies 2 retweets 0 likes
        4. Dr Gordon Caldwell‏ @doctorcaldwell 27 Jun 2014
          Replying to @C7RKY

          @C7RKY my point is why do we HAVE to discuss and get agreement to decline a futile treatment? We don't HAVE to discuss any other futile RX?

          3 replies 1 retweet 0 likes
        5. John Clarke‏ @C7RKY 27 Jun 2014
          Replying to @doctorcaldwell

          @doctorcaldwell Because people get a bit touchy if someone makes a decision that could end their life without consultation perhaps?

          3 replies 3 retweets 0 likes
        6. Dr Gordon Caldwell‏ @doctorcaldwell 27 Jun 2014
          Replying to @C7RKY

          @C7RKY this is why Gold Service Framework, Amber Care Bundle, Advanced Directives are so important. Failing to prepare is preparing to fail.

          2 replies 1 retweet 1 like
        7. John Clarke‏ @C7RKY 27 Jun 2014
          Replying to @doctorcaldwell

          @doctorcaldwell I'm with you on this one. I now have a power of attorney for my mum & a clear idea of her wishes. But fear drove me to do so

          2 replies 4 retweets 0 likes
        8. Dr Gordon Caldwell‏ @doctorcaldwell 27 Jun 2014
          Replying to @C7RKY

          @C7RKY not fear compassion. Neither of my parents wanted heroics. One died peacefully in a hospital one in nursing home. No drips just peace

          1 reply 0 retweets 0 likes
        9. John Clarke‏ @C7RKY 28 Jun 2014
          Replying to @doctorcaldwell

          @doctorcaldwell Sorry - I missed this at the time. I can assure you it was fear in our case doc. Sad maybe, but absolutely true I'm afraid.

          0 replies 1 retweet 1 like
        10. End of conversation
        1. New conversation
        2. karen armstrong‏ @ashkarmstrong 28 Jun 2014
          Replying to @C7RKY

          @C7RKY @doctorcaldwell @mgtmccartney @WhistlingDixie4 its unlawful now and was always thus.my mam had 2dnr notices lcp without consent

          3 replies 0 retweets 0 likes
        3. Margaret McCartney‏Verified account @mgtmccartney 28 Jun 2014
          Replying to @ashkarmstrong

          @ashkarmstrong @C7RKY @doctorcaldwell @WhistlingDixie4 judgement clear drs cannot be forced to perform futile interventions, the judgement/

          0 replies 1 retweet 2 likes
        4. End of conversation
        1. New conversation
        2. Dr Gordon Caldwell‏ @doctorcaldwell 27 Jun 2014
          Replying to @C7RKY

          @C7RKY @mgtmccartney @WhistlingDixie4 not if you read GMC guidance carefully. Maybe illegal but not unethical. Ethics rule professionalism?

          1 reply 0 retweets 0 likes
        3. John Clarke‏ @C7RKY 27 Jun 2014
          Replying to @doctorcaldwell

          @doctorcaldwell @mgtmccartney @WhistlingDixie4 GMC guidance is waste of paper imho. Legally unenforceable. Case law's all that truly matters

          0 replies 0 retweets 0 likes
        4. End of conversation
        1. karen armstrong‏ @ashkarmstrong 28 Jun 2014
          Replying to @C7RKY

          @C7RKY @doctorcaldwell @mgtmccartney @WhistlingDixie4 just because our loved ones fall no evidence to say terminal lcp undignified death.

          0 replies 0 retweets 0 likes
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