Medix here. A first year doctor asked me to give him a reference for a job in new Zealand which I was only too happy to do. It was TEN (10) sides of A4 and had to be written in pen. My god.
July 10, 2025 at 4:32 AM
Medix here. A first year doctor asked me to give him a reference for a job in new Zealand which I was only too happy to do. It was TEN (10) sides of A4 and had to be written in pen. My god.
Unfortunately getting caught is exactly PA strategy. I have an acquaintance (daughter of a friend) who has a trial hanging over her still for a PA arrest several years ago. Horrendous chilling effect on her life and activism.
June 23, 2025 at 5:52 AM
Unfortunately getting caught is exactly PA strategy. I have an acquaintance (daughter of a friend) who has a trial hanging over her still for a PA arrest several years ago. Horrendous chilling effect on her life and activism.
or middle meningeal artery embolisation in chronic subdurals) as a sign of failure of the clinicians involved without acknowledging that a driver might be their lack of confidence that the treatment might be effective. (/3)
January 31, 2025 at 4:37 AM
or middle meningeal artery embolisation in chronic subdurals) as a sign of failure of the clinicians involved without acknowledging that a driver might be their lack of confidence that the treatment might be effective. (/3)
I wouldnt criticise a paper showing low provision of a contentious treatment (whether I as an individual agree or not with the treatment treatment - such as say atrial appendage closure in AF, (/2)
January 31, 2025 at 4:37 AM
I wouldnt criticise a paper showing low provision of a contentious treatment (whether I as an individual agree or not with the treatment treatment - such as say atrial appendage closure in AF, (/2)
With respect, it isn't a ludicrous contention. It's pointing out that he's strayed past the boundaries of his usual scientific analysis of published papers into a value statement that is partisan. (/1)
January 31, 2025 at 4:36 AM
With respect, it isn't a ludicrous contention. It's pointing out that he's strayed past the boundaries of his usual scientific analysis of published papers into a value statement that is partisan. (/1)
Thanks for posting that. Have you looked at the research from any of the other implementations of this? I know the New Zealand implementation forbids clinicians from raising the issue or discussing it. You have to refer to a specialised service when the patient raises it.
January 29, 2025 at 6:51 AM
Thanks for posting that. Have you looked at the research from any of the other implementations of this? I know the New Zealand implementation forbids clinicians from raising the issue or discussing it. You have to refer to a specialised service when the patient raises it.
I haven't read the paper (sorry!) but why did they choose as control groups two other conditions with high rates of associated mental health problems, and not the background population?
January 29, 2025 at 6:33 AM
I haven't read the paper (sorry!) but why did they choose as control groups two other conditions with high rates of associated mental health problems, and not the background population?
With regards to (2), a different analysis would be that the clinicians didn't think more than 10% needed medical treatment. You seem to be implying that that is a sign of failure. (It might be but that isn't necessarily true. I'm not qualified to make that claim and I don't think you are either).
January 29, 2025 at 6:31 AM
With regards to (2), a different analysis would be that the clinicians didn't think more than 10% needed medical treatment. You seem to be implying that that is a sign of failure. (It might be but that isn't necessarily true. I'm not qualified to make that claim and I don't think you are either).
Sorry, I mean I'd like to have access to it at consultant or ward level. Might be available on our trust data dashboard, but I've only seen 30-day readmission rate which isn't actually useful in my population group (as they are frail so frequently readmitted with different pathology).
January 28, 2025 at 9:53 PM
Sorry, I mean I'd like to have access to it at consultant or ward level. Might be available on our trust data dashboard, but I've only seen 30-day readmission rate which isn't actually useful in my population group (as they are frail so frequently readmitted with different pathology).
Id like "failed discharges" as a metric so we can benchmark ourselves and keep abreast of where we lie. In older adults, there is always a tension between taking risks to prevent hospital-associated delirium/infection etc and discharging too early.
January 28, 2025 at 1:40 PM
Id like "failed discharges" as a metric so we can benchmark ourselves and keep abreast of where we lie. In older adults, there is always a tension between taking risks to prevent hospital-associated delirium/infection etc and discharging too early.
“Totalitarianism in power invariably replaces all first-rate talents, regardless of their sympathies, with those crackpots and fools whose lack of intelligence and creativity is still the best guarantee of their loyalty”
-Hannah Arendt, The Origins of Totalitarianism (1951)
January 25, 2025 at 1:14 AM
“Totalitarianism in power invariably replaces all first-rate talents, regardless of their sympathies, with those crackpots and fools whose lack of intelligence and creativity is still the best guarantee of their loyalty”
-Hannah Arendt, The Origins of Totalitarianism (1951)