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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. Mental Health‏ @Sectioned_ 20 Jul 2014

      Sometimes on twitter you stumble across conversations about what doctors really think about each other & patients. Paternalism lives.

      2 replies 1 retweet 5 likes
    2. Elin Roddy (Jones)‏ @elinlowri 20 Jul 2014
      Replying to @Sectioned_

      @Sectioned_ Paternalism is easier and less frightening than shared decision making. It's how many of us were 'brought up' sadly.

      4 replies 0 retweets 2 likes
    3. Mental Health‏ @Sectioned_ 20 Jul 2014
      Replying to @elinlowri

      @elinlowri Yes, it seems central to doctor training pathways to gradually take more responsibility - ie learn to take autonomous decisions.

      3 replies 0 retweets 0 likes
    4. Elin Roddy (Jones)‏ @elinlowri 20 Jul 2014
      Replying to @Sectioned_

      @Sectioned_ Partly because I've realised, the older I get, that most of medicine is grey, not black and white. So decisions must be shared.

      3 replies 1 retweet 1 like
    5. John Clarke‏ @C7RKY 20 Jul 2014
      Replying to @elinlowri

      @elinlowri @Sectioned_ Never quite sure about shared. Doc decides what options are clinically appropriate but pt makes the decision, surely?

      1 reply 0 retweets 0 likes
      John Clarke‏ @C7RKY 20 Jul 2014

      @elinlowri @Sectioned_ ...patient capacity assumed, of course.

      1:41 PM - 20 Jul 2014
      2 replies 0 retweets 0 likes
        1. New conversation
        2. Mental Health‏ @Sectioned_ 20 Jul 2014
          Replying to @C7RKY

          @C7RKY That's an easy rider to add, unless you've experienced psychiatry where capacity can mean agreeing with the doctor's view. @elinlowri

          1 reply 1 retweet 0 likes
        3. John Clarke‏ @C7RKY 20 Jul 2014
          Replying to @Sectioned_

          @Sectioned_ @elinlowri I don't add it lightly, honestly. I recognise what an unscientific nightmare dealing with psychiatry is. Sorry...

          3 replies 0 retweets 0 likes
        4. Mental Health‏ @Sectioned_ 20 Jul 2014
          Replying to @C7RKY

          @C7RKY There's plenty of science in psychiatry. The problem is the fallback of coercion facilitates the lazy use of paternalism. @elinlowri

          1 reply 0 retweets 1 like
        5. John Clarke‏ @C7RKY 20 Jul 2014
          Replying to @Sectioned_

          @Sectioned_ @elinlowri I don't personally accept that observation/opinion without clinical test is scientific, but I bow to your experience.

          0 replies 0 retweets 0 likes
        6. End of conversation
        1. New conversation
        2. Elin Roddy (Jones)‏ @elinlowri 20 Jul 2014
          Replying to @C7RKY

          @C7RKY @Sectioned_ I guess the information is shared and then the decision is discussed. It's a complex thing, power not always balanced.

          1 reply 0 retweets 0 likes
        3. John Clarke‏ @C7RKY 20 Jul 2014
          Replying to @elinlowri

          @elinlowri @Sectioned_ I have to be honest, since I learned the rules of consent, I make sure the balance tips firmly in my direction. :)

          1 reply 0 retweets 0 likes
        4. Elin Roddy (Jones)‏ @elinlowri 20 Jul 2014
          Replying to @C7RKY

          @C7RKY @Sectioned_ That's good. But (as I'm sure you know) hard for some patients to do with some doctors.

          1 reply 0 retweets 1 like
        5. John Clarke‏ @C7RKY 20 Jul 2014
          Replying to @elinlowri

          @elinlowri @Sectioned_ Absolutely. Tho I think that may have a lot to do with people not realising what they ought to expect when consenting

          1 reply 0 retweets 0 likes
        6. End of conversation

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