FSM

Like the ones in 1918 and 1957?

That’ll be the ones made by PPE medpro then…. 😀

The numbers on that aren’t even correct. Average doses for best quartile is 1.73 not 1.61. Someone divided total by 13 but there’s only 12 in that column. 🙂 more importantly : Correlation. Does. Not. Equal. Causation.

Clue is in the name…”Labour” party. A political party founded on the notion of supporting those who work for a living. same with the tory party… “As a political term, Tory was an insult (derived from the Middle Irish word tóraidhe, modern Irish tóraí, meaning "outlaw", "robber"”

Ah. Come on. I’m a 51 year old doctor. The only time in my living memory when the health service worked anything like it should is 1997 - 2010. It’s conservative ethos to dismantle the NHS. Always has been. Boils my piss that people keep voting for these jokers cos they think they’re middle class and the tories will look after them. Wake up.

https://www.gov.im/media/1373642/gp-2020-contract-blank.pdf

US fluid ounce is slightly bigger…By about 1ml.

1/5 gill = 1 fluid oz = 28.4ml

Yes I understand. But his admission was proven untrue by the prosecution’s own expert, so should be disbelieved anyway. To then use that admission as a basis for “proving” him guilty seems wrong to me, but I’m not a lawyer. Not clutching at straws but I’m with Mr Bumble on this one.

But if admissions clearly and provably untrue? He could have had ten pints the night before, or two ( or ten) just before driving) His “admission” was a lie. Prosecution chose to assume theformer scenario. If he had a lot just before driving levels would be increasing for up to 2 hours(UK official guidance) back calculation shouldn’t be used if levels may still be on increase. If prosecution are using his account as gospel, 2 pints night before would be undetectable so clearly not a safe basis to make a calculation?

Don’t agree, and neither does official UK guidance https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/915637/220_Alcohol_Back_Calculation_v2.0.pdf back calculations absolutely do depend on what and when he claims to have imbibed.(which he obviously lied about) alcohol level may continue to increase for between 30 minutes and 2 hours after consumption. Chap stopped by police, scared , just had 2 pints, says he had a drink the night before. Clearly lied. Prosecution assumes he drank a lot more than he admits to the night before. Assumption, unproven. Not denying it’s likely the prosecution is right but standard of proof is beyond reasonable doubt isn’t it?

I know. But back calculations only usually used in the UK in cases of death or serious injury or if defence of post incident consumption invoked. Assumptions are just that. Defendant clearly lied about his consumption so all assumptions and consequent calculations should be invalid. If he had 2 pints just before driving and lied about it, his levels would be on the way up and might never have reached the limit. He obviously lied about how much and when he drank so to base a calculation on clearly incorrect information seems suspect at best. Not defending him but to convicions based on unproven suppositions shouldn’t happen.

There is a limit, or there isn’t. Bullshit science. Only proven is the level when the test is done. If he was under he should walk. Agree he’s lied about his consumption. 2 pints the night before would be undetectable. But if he drank 2 pints just before driving levels could be on the way up, not down.

Our resident trauma surgeon might want to answer this.. Currently, I imagine a UK trauma centre would provide more exposure to managing these types of injuries. Otherwise, junior doctors are a heterogenous group. Some want to work in tertiary centres managing the rare and unusual, others relish being a part of the life of a small community. There are a thousand places in the UK which provide the latter, without the inconveniences of the IOM

Definitely. We all learn something new almost every day. My patients are my greatest teachers. This week I have seen 3 patients with a condition which had me reaching for the textbooks and making notes for future reference. That’s a fairly average week.If the CPD requirement suddenly changed to 200 hours I don’t think I’d have a problem meeting it. We also train medical students and junior doctors, teaching someone else always teaches you about yourself.

Minimum of 50 hours per year. Mandatory training inCPR and safeguarding. Annual appraisal and revalidation every 5 years.

The requirements to be a consultant are in the public domain. Just have a look at the relevant royal college website. Essentially you complete a qualifying medical degree, then 2 years as a foundation doctor. Then speciality training of between six and ten years, speciality exams at entry and exit of training. I’m “just” a GP. Five years at university. One year as a house officer (2 nowadays) then 3 years postgraduate training. Exams every year at university. Summative assesment at the end of GP training, plus MRCGP exams. Nine years training, qualified in 1998, so 23 years experience post qualification. About 62% of my life so far…

Not sure if all surgeries on island do this, but we do send a text confirmation of an appointment when booked and a text reminder the day before. Our computer system does this automatically. Missed appointments are unusual. I personally have about 115 “routine” appointments per week (and a similar number of urgent extras) and on average about one person per fortnight doesn’t turn up.

Agreed. Waiting lists for (some) secondary care services are unacceptable. Manx Care has said so publically and are taking steps to try to improve things. The situation is a big driver for GP workload. I can refer somebody who needs to see a specialist and then see them another 5-6, or more, times to try to help their symptoms, before they get seen by a consultant. (This isn’t unique to the island, I worked in the Uk for 13 years before moving here and the issues were similar, especially after 2010)

Yes… and no. The minor ailment pharmacy scheme has been running for a few years now. Some surgeries have nurse practitioners, we have a prescribing nurse, who deals with a lot of chronic disease management- diabetes, asthma etc. we’re moving towards mental health and physiotherapy in primary care. Some doctors and physios use accupuncture. The problem is, practitioners seeing unselected/self selected patients have to have a really broad based training, they need to know what they don’t know. These people are in short supply. I don’t think the NHS will be funding the “alternative” stuff (osteopathy, chiropractic TCM, homeopathy, naturopathy etc.)

I could. But that would identify the surgery and probably me 😀 Suffice to say we have about 1800 patients per whole time GP. (I think this is about average for the island).

It might seem so, but we haven’t. Several surgeries are struggling to recruit doctors and demand is far higher than I have ever known it (in 23 years as a GP). The surgery is open from 8 to 6 and we often have 50 and sometimes 60 patient contacts per day, each. A mixture of face to face, phone/video calls and emails, but all need detailed evaluation. Thats one person every 10 minutes for 10 hours, to take a history, examine, decide a management plan, prescribe, sometimes refer and complete all the paperwork. Plus we have up to 150 lab reports and imaging results to deal with every day. And up to 90-100 medicine management queries. And around 100 incoming clinical letters. And we’re doing flu jabs, and covid boosters. Not complaining BTW, I enjoy my job, just trying to explain why it can sometimes be difficult to provide the level of service we’d like to.

Medics aren’t regulated by the BMA, it is our trade union. (And has recently moved to a neutral position on assisted dying)

Tried it today. Log on to the NHS website, get the pass/QR code. Takes 2 mins. Automatically refreshes each time you access it from the website, or you can download it as a pdf, which expires after 30 days, but you can get a new one anytime.

Nope.