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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. Mark MacGregor‏ @MicMac650 19 May 2015
      Replying to @C7RKY

      Culture is what people do when no-one's looking... And you can't always be looking. @C7RKY @ShaunLintern @HSJnews

      1 reply 5 retweets 1 like
    2. John Clarke‏ @C7RKY 19 May 2015
      Replying to @MicMac650

      @MicMac650 @ShaunLintern @HSJnews I entirely agree. Which is why safeguards which work when nobody's watching must be built into the system.

      1 reply 1 retweet 2 likes
    3. Mark MacGregor‏ @MicMac650 19 May 2015
      Replying to @C7RKY

      Such as? @C7RKY @ShaunLintern @HSJnews

      1 reply 1 retweet 0 likes
    4. John Clarke‏ @C7RKY 19 May 2015
      Replying to @MicMac650

      @MicMac650 @ShaunLintern @HSJnews Well I make no claims to have the monopoly on good ideas, but it seems to me that a few mandated aspects >

      1 reply 1 retweet 0 likes
    5. John Clarke‏ @C7RKY 19 May 2015
      Replying to @C7RKY

      @MicMac650 @ShaunLintern @HSJnews of consent form design would help: 1. Grid of boxes for procedures/risks - 1 procedure per box, no spaces

      2 replies 0 retweets 0 likes
    6. oatc‏ @_oatc_ Feb 11
      Replying to @C7RKY @MicMac650 and

      A problem I had twice was a pre-typed consent that I wasn't allowed to amend to match what surgeon said. In 2nd instance it turned out his juniors did the surgery according to the consent (with him "listening from office") not according to our agreement.

      1 reply 1 retweet 0 likes
    7. John Clarke‏ @C7RKY Feb 12
      Replying to @_oatc_ @MicMac650 and

      I'm sorry to hear that. The consent form is supposed to be a record of the conversation that took place in consultation. Now, if I felt it wasn't an accurate reflection I'd refuse to sign it personally, given how important I've come to appreciate it is. And ALWAYS take your copy.

      1 reply 0 retweets 0 likes
    8. oatc‏ @_oatc_ Feb 12
      Replying to @C7RKY @MicMac650 and

      If you don't sign they don't do the surgery. In both the cases I mentioned they were life or death. In the first, which claimed to limit my legal rights, I asked if I could sign "under protest" or call my solicitor, but it was 06.30 & I was due in theatre at 07.00. 😱

      1 reply 0 retweets 1 like
    9. John Clarke‏ @C7RKY Feb 12
      Replying to @_oatc_ @MicMac650 and

      Hmm. That time pressure changes the dynamic, I understand. Off the top of my head, I think I'd be tempted to write my own clarification notes somewhere near the signature location if possible. Document the differences (on the actual form) to your satisfaction. Just a 1st thought.

      1 reply 0 retweets 1 like
    10. oatc‏ @_oatc_ Feb 12
      Replying to @C7RKY @MicMac650 and

      I should have done that in the 2nd case, where the surgeon made an agreement with me, but he assured me there was no need. It was a precaution to prevent paralysis that he agreed was sensible; I turned out paralysed for 6 months. 😱

      1 reply 0 retweets 0 likes
      John Clarke‏ @C7RKY Feb 12
      Replying to @_oatc_ @MicMac650 and

      Oh no! I'm so sorry. As you've learned the hard way sadly, there's often a need. There is no correlation between charm and honesty, as it turns out.

      3:39 AM - 12 Feb 2018
      1 reply 0 retweets 0 likes
        1. New conversation
        2. oatc‏ @_oatc_ Feb 12
          Replying to @C7RKY @MicMac650 and

          Indeed. Still his NHS team saved my life. The thing is, as you were saying, to try to find ways for future patients, & of course hospitals, to be better at informing, consenting, & documenting it.

          1 reply 0 retweets 0 likes
        3. John Clarke‏ @C7RKY Feb 12
          Replying to @_oatc_ @MicMac650 and

          Indeed. It's about recognising the seriousness of the consenting process and the criminal line that it contains which must not be crossed. Anything which might safeguard that line can only be helpful, imho.

          0 replies 0 retweets 0 likes
        4. End of conversation

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