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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. John Clarke‏ @C7RKY Jan 16
      Replying to @MikeStone2_EoL @katemasters67

      Good old Kate. Dignified, but strong in her message... as ever. I just can't believe she's still found herself having to engage in this same, tiring debate as recently as last year. It's called a court 'ruling' for a reason. Not sure that's sunk in.

      1 reply 0 retweets 4 likes
    2. Kate Masters‏ @katemasters67 Jan 16
      Replying to @C7RKY @MikeStone2_EoL

      Thanks John..it all started with the unexpected backlash to the ruling, and my curiosity as to why it’s so hard to just talk to patients about DNACPR. I’ve learned a lot, shared a lot about why. That BMJ piece seems years ago now, but is still as relevant today.

      1 reply 2 retweets 2 likes
    3. John Clarke‏ @C7RKY Jan 16
      Replying to @katemasters67 @MikeStone2_EoL

      Just a matter of months, sadly. We know the medical world won't budge easily on much, but in this matter the court says they must, so the time has come to embed, not debate.

      1 reply 0 retweets 0 likes
    4. Kate Masters‏ @katemasters67 Jan 16
      Replying to @C7RKY @MikeStone2_EoL

      Will never forget a nurse saying to me as I left one hospital after an event ‘don’t stop doing what you’re doing’ and when I said ‘I’m any relative at the side of bed every day, what’s different?’ he said ‘because it takes us away from that and makes us think’

      2 replies 2 retweets 4 likes
    5. John Clarke‏ @C7RKY Jan 16
      Replying to @katemasters67 @MikeStone2_EoL

      Changing behaviours can be hard -even harder when those concerned work in an environment where the old way still lingers. Never underestimate the difference your voice can make at such events - as that nurse amply proved.

      2 replies 1 retweet 3 likes
    6. Mike Stone‏ @MikeStone2_EoL Jan 18
      Replying to @C7RKY @katemasters67

      Also - psychologically difficult for clinicians to think they might be getting it wrong, because of the consequences if they are getting things wrong - surely?

      2 replies 1 retweet 2 likes
    7. John Clarke‏ @C7RKY Jan 18
      Replying to @MikeStone2_EoL @katemasters67

      I'm sure that only adds to the challenge, yes. If acknowledging a truth might mean you've caused harm, I'm sure it's tempting to dismiss it instead.pic.twitter.com/4nkZWXRaBU

      1 reply 6 retweets 4 likes
    8. Kate Heydon‏ @kateheydonorg Jan 18
      Replying to @C7RKY @MikeStone2_EoL @katemasters67

      #LearnNotBlame obstacle of the incentive to cover up systemic failures unanticipated medical outcomes. Due to fear of personal blame if acknowledging. This was discussed on Radio 4 yesterday evening. Opportunities to report, learn, avoid repeating was discussed constructively.

      2 replies 0 retweets 1 like
    9. John Clarke‏ @C7RKY Jan 18
      Replying to @kateheydonorg @MikeStone2_EoL @katemasters67

      John Clarke Retweeted

      I missed that Radio 4 thing, so I'll look out for that - thanks Kate. There's a lot that needs fixing about our healthcare environment. Candour needs to become a reality, but we've a long way to go. https://twitter.com/drnhs2018/status/948209781977812994 …

      John Clarke added,

      This Tweet is unavailable.
      2 replies 0 retweets 1 like
    10. Kate Masters‏ @katemasters67 Jan 18
      Replying to @C7RKY @kateheydonorg @MikeStone2_EoL

      Hence why everyone needs to hear experiences like Kathryn’s . She never mentioned her trust..a lot of learning in that fact alone.

      1 reply 1 retweet 1 like
      John Clarke‏ @C7RKY Jan 18
      Replying to @katemasters67 @kateheydonorg @MikeStone2_EoL

      Indeed. That being; if you're looking to protect your reputation, be honest with people about what went wrong and include them in improving safety, then maybe they won't feel the need to be shouting your name in a negative perspective. Seems like a good lesson to learn.

      5:24 AM - 18 Jan 2018
      • 1 Retweet
      • 1 Like
      • Kate Heydon
      1 reply 1 retweet 1 like
        1. New conversation
        2. Kate Heydon‏ @kateheydonorg Jan 18
          Replying to @C7RKY @katemasters67 @MikeStone2_EoL

          With my 2012 GP, he did immediately verbally apologise; though he explicitly stated that he was scared of being sued. No idea why, as I didn't threaten to sue for delayed DVT diagnosis; I asked to work with him to walk again, for access to NHS care re: anticoagulation oversight.

          3 replies 0 retweets 2 likes
        3. Kate Heydon‏ @kateheydonorg Jan 18
          Replying to @kateheydonorg @C7RKY and

          Weirdly, things got worse. He'd left me without access to NHS care for 5 1/2 weeks pre-diagnosis. But then went on to - unknown to me; decline me access to NHS Haematologist oversight whilst on anticoagulation + decline a Factor V Leiden test that I needed, wanted, had asked for.

          3 replies 0 retweets 1 like
        4. John Clarke‏ @C7RKY Jan 18
          Replying to @kateheydonorg @katemasters67 @MikeStone2_EoL

          John Clarke Retweeted John Clarke

          Oh...why? He seemed to be getting it right when I read your first tweet, despite his obvious fear. Why then block your treatment options? I just don't understand. No learning. No safety. This is only a crude framing for discussion but something must changehttps://twitter.com/c7rky/status/937068760502079488 …

          John Clarke added,

          John Clarke @C7RKY
          Well, there you have it. Discuss... #NHS #DutyOfCandour #RobbiesLaw pic.twitter.com/A1KU7QWL52
          1 reply 0 retweets 2 likes
        5. Kate Heydon‏ @kateheydonorg Jan 18
          Replying to @C7RKY @katemasters67 @MikeStone2_EoL

          Presumably because of his irrational fear of being sued? My DVT was photodocumented-symptomatic for a couple of weeks pre-diagnosis. I'd asked at that time about ? DVT; as I had parental history of iliac DVT. But no idea that a DVT could be related to the shortness of breath etc.

          2 replies 0 retweets 1 like
        6. John Clarke‏ @C7RKY Jan 18
          Replying to @kateheydonorg @katemasters67 @MikeStone2_EoL

          So just frightened they'd missed a diagnosis & might be sued? *sigh* We've got to create an atmosphere where without fear, clinicians feel compelled to be honest about mistakes and to react to them. To rectify them where possible. Minimise damage & anguish where not. Learn always

          1 reply 1 retweet 2 likes
        7. Kate Heydon‏ @kateheydonorg Jan 18
          Replying to @C7RKY @katemasters67 @MikeStone2_EoL

          The irony is, was that I asked to be treated like an NHS-diagnosed patient (he'd refused me d-Dimer or NHS investigations. So Bupa found DVT). Needed: access to help walking/mobility (walking boot, wheel chair etc; so less housebound) +NHS haematologists to diagnose mass earlier.

          1 reply 0 retweets 1 like
        8. John Clarke‏ @C7RKY Jan 18
          Replying to @kateheydonorg @katemasters67 @MikeStone2_EoL

          We all get our own little areas of mini-expertise through experience on this journey, but I'm afraid this isn't mine. I get that you didn't have access to the help that you needed though, despite identifying the problems privately.

          0 replies 0 retweets 0 likes
        9. End of conversation

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