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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. Mike Stone‏ @MikeStone2_EoL Feb 8

      Mike Stone Retweeted Mike Stone

      @C7RKY I don't think you were one of the 4 others John (I did look!) and I think you'll find the URL to Grimstone in the thread (not a long ruling to read).https://twitter.com/MikeStone2_EoL/status/956473191605723136 …

      Mike Stone added,

      Mike Stone @MikeStone2_EoL
      Replying to @louise_austin12 @BristolUniLaw and 4 others
      1/4 Hi Louise, I've read Grimstone. I quickly wrote a short PDF, which I've screengrabbed 'as 3 JPGs'. I've also added a 4th JPG. I think the conclusion was arguably correct - but section 14 is troubling! pic.twitter.com/6BHFB7qlDP
      1 reply 1 retweet 1 like
    2. John Clarke‏ @C7RKY Feb 8
      Replying to @MikeStone2_EoL

      Yes, I've seen that Mike. My view is that he is obliged to explain all treatment options that are of overal benefit to the patient, not just his personal preference, whatever his reasons. It's the patient's decision to choose from the available options, not the surgeon's, imho.

      1 reply 0 retweets 1 like
    3. Mike Stone‏ @MikeStone2_EoL Feb 8
      Replying to @C7RKY

      1/2 I think it could be argued that the patient had limited the explanation necessary by stating her objectives - I covered that in my tweets. A bit more annoyingly - judges usually throw in 'would it have altered the outcome' a bit 'too liberally' I sometimes think. He isn't

      1 reply 0 retweets 1 like
    4. Mike Stone‏ @MikeStone2_EoL Feb 8
      Replying to @MikeStone2_EoL @C7RKY

      2/2 supposed to involve his 'personal preference' but he clearly is expected to use his clinical expertise/knowledge in describing the likely clinical consequences of the options he describes (otherwise, why would you be asking?).

      1 reply 0 retweets 1 like
    5. John Clarke‏ @C7RKY Feb 8
      Replying to @MikeStone2_EoL

      Understand the point you make about limiting her choice, but I still think there's plenty of reason to believe she should've been told all available options. If he'd complied with 9k alone, I reckon it would be enough to make most ask about other options. https://www.gmc-uk.org/guidance/ethical_guidance/consent_guidance_sharing_info_discussing_treatment_options.asp …pic.twitter.com/t6eFwe6V3e

      3 replies 0 retweets 1 like
    6. Mike Stone‏ @MikeStone2_EoL Feb 8
      Replying to @C7RKY

      @louise_austin12 Fundamentally, I'm with you - but did she effectively ask 'what flights could I take to holiday in South America?' instead of asking 'what flights could I take to holiday abroad?'.

      1 reply 0 retweets 1 like
    7. John Clarke‏ @C7RKY Feb 8
      Replying to @MikeStone2_EoL @louise_austin12

      I'm sure any half decent defence lawyer would try to make that argument, yes. But a patient may not always appreciate what's important to mention at the time. Knowing all the options & associated risks may in itself broaden their thinking. I'm eyeing your 'Lady Hale' tweet here.

      1 reply 0 retweets 0 likes
    8. Mike Stone‏ @MikeStone2_EoL Feb 8
      Replying to @C7RKY @louise_austin12

      There are quite a lot of half-decent lawyers out there - and, peculiar that lay EoL campaigners are often told by HCPs 'you need to ask a lawyer about that' when both sides of court cases seem to have lawyers!

      1 reply 0 retweets 1 like
      John Clarke‏ @C7RKY Feb 8
      Replying to @MikeStone2_EoL @louise_austin12

      Ha! Quite.

      6:20 AM - 8 Feb 2018
      1 reply 0 retweets 0 likes
        1. New conversation
        2. Mike Stone‏ @MikeStone2_EoL Feb 8
          Replying to @C7RKY @louise_austin12

          Then why - and this happens all the time - if you are trying to 'thrash out what the MCA must mean' with a nurse or a doctor, do they often throw that 'you'd need to ask a lawyer' line at you? @DrMarkTaubert @KitzingerCelia

          1 reply 0 retweets 0 likes
        3. Dr Mark Taubert‏ @DrMarkTaubert Feb 8
          Replying to @MikeStone2_EoL @C7RKY and

          Not sure I've ever done that, the MCA is pretty vague in a number of its wordings and definitions. Btw I quoted you in a talk to 60 GPs earlier Mike.

          2 replies 0 retweets 0 likes
        4. Mike Stone‏ @MikeStone2_EoL Feb 9
          Replying to @DrMarkTaubert @C7RKY and

          No, you have never done that Mark. But it does happen a lot, I assure you. By the way - I've just received something that I find deeply disturbing in an e-mail from the CQC (see bottom of https://www.dignityincare.org.uk/Discuss-and-debate/Dignity-Champions-forum/An-issue-with-ReSPECT-which-I-will-be-pointing-out-to-the-Public-Guardian/960/ …) The quote at the top of the JPG - 'bonkers'!pic.twitter.com/lD9WxZgxVH

          0 replies 0 retweets 0 likes
        5. End of conversation

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