No. Come and sit with us in our M&M meetings where we tear one another apart for failure. Come and sit in our homes where we cry. Come and console the families of my friends who have committed suicide over the feeling they have failed a patient or family.
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Replying to @iceman_ex @doctorcaldwell and
No one is denying that the majority of medical staff are committed and caring. No patient/ relative attendance at M&M or feedback, little candour due to multiple factors.
2 replies 1 retweet 3 likes -
Replying to @lynn_laidlaw @iceman_ex and
Would relatives attending M&m help? Unless things have changed greatly, I think it’d be even more traumatising. They’re often vicious, ego-filled bearpits where people literally accuse each other of being unsalvagably incompetent killers. Every week.
9 replies 1 retweet 13 likes -
Replying to @DrAnneMurphy @lynn_laidlaw and
Yup. And we do this to hide the dark painful truth of medicine. That much of the time we are passive observers to the disease process. Our drugs and devices are often ineffective.
7 replies 6 retweets 33 likes -
Replying to @iceman_ex @lynn_laidlaw and
And the line between good care and blatent negligence is so thin, you normally can’t see it. All day, every day, dancing along an invisible boundary, guesstimating your way thru unresearched territory. A swamp of uncertainty. You sometimes see islands. And miss the mined areas.
7 replies 8 retweets 18 likes -
Replying to @DrAnneMurphy @iceman_ex and
I am quite surprised at this. I think there is a gulf between good care and negligence. I think people have to do things seriously wrong to be negligent.
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Replying to @Allyncondon @DrAnneMurphy and
And that’s the real problem. “Good practice” and “negligence” is based on expert opinion at one point in time. Medicine has failed to be clear about that.
2 replies 5 retweets 16 likes -
Replying to @iceman_ex @Allyncondon and
Part of the problem is that it will vary so much from case to case, situation to situation.
1 reply 0 retweets 2 likes -
Replying to @4AdsthePoet @Allyncondon and
And that’s why being a clinician, and being ill, is so hard.
1 reply 0 retweets 3 likes -
Replying to @iceman_ex @Allyncondon and
It is why the most important thing in medicine is good communication, between
#HCPs & between#HCPs, patients & families. Poor communication is at the root of many if not most serious incidents.5 replies 7 retweets 17 likes
John Clarke Retweeted Shaun Lintern
"Whatever Mr Ridgeway's strengths as a surgeon when carrying out the operation... Mr Ridgeway was not a good communicator about the risks of operations"https://twitter.com/shaunlintern/status/961262039904727040 …
John Clarke added,
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Replying to @C7RKY @4AdsthePoet and
Soon, as common in U.S. tge Trusts lawyer will draw up your consent form
2 replies 2 retweets 1 like -
Replying to @GrumpyOldDoc @4AdsthePoet and
I'm torn on this, because I generally find avoiding lawyers to be a good plan. Given that we're supposed to understand what's said to consent, we shouldn't need one. But the consent process is definitely worthy of far more scrutiny than it currently gets, based on my experience.
0 replies 3 retweets 2 likes
End of conversation
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