Dr Paul Jepson
@dr_jepson
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GP 🩺 • Prison Doctor ⚖️ • Clinical Audit Lead 📊 • Father 👨👦👦 • Lazy Health Club 🦥
Manchester
Joined October 2023
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@JanjuaAdam
I found out today that I didn't make the interview stage for a relatively low paid bog standard salaried job. 40+ applicants apparently...
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@RoshanaMN
I guess at a certain point it becomes a question of how deep the rabbit hole goes.
To fix primary care it would be helpful to fix poverty, substandard housing, broken communities, broken families, the food industry, capitalism.......
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@drphilhammond
@UKLabour
Fixing public health would solve the other three but not over the course of one parliament.
Plus it's a much harder sell than "today we are announcing an extra seven kajillion to train squirrels to perform simple operations".
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@DrNeenaJha
It's easy to forget that for patients seeing a GP - or any doctor - is likely (hopefully🤞) a rare event.
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@DoctorMayJay
Because any surgeon willing to spend their career doing 20+ Lasiks a day cares more about money than how super cool they'd look without glasses.
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@JanjuaAdam
Thanks. I'm in the lucky position of not *needing* the work (but it would have been more convenient in terms of commute and working hours). But I know lots of GPs who are feeling it at the moment.
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@DrEilidhMaria
The PA in our practice is excellent.
I'm a little torn on the whole thing.
She manages patients appropriately and discusses all of them at the end of the clinic. We get slots blocked out to supervise her, so it actually makes our clinics easier.
And we know she won't leave.
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@LoCarbFreshwell
I suspect the patient had good levels of health literacy and the time/money/motivation to make these changes.
How should we approach a patient in whom these factors are missing?
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@JimBethell
@jtoop
@BiteBack2030
@DollyvanT
I find this such a fascinating area.
On the one hand shouldn't we be free to make occasional unhealthy choices?
But on the other, are we really free in the choices we make in relation to these things when billions are spent finding the best ways to make us buy them?
I also
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@benonwine
On the scale of Prime Ministers he's not the worst.
Remember Thatcher? 🥛 Blair? ☢️ Cameron? 🐖 Johnson? 🍆 Truss? 🥬
But he's not Disreli ⚖️, Brown 👛, Churchill 🇬🇧 or Corbyn ✊🏾 either.
🤷🏼 So... somewhere in the middle?
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@SebPillon
@DrNeenaJha
Doesn't the sheer number of these mean it's more likely a systemic error than hospital doctors not being "arsed".
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@ProfMarkTaubert
I really hate the people who insist that the patient signs the form before they can leave. By all means have a chat, assess their capacity, understand that our priorities aren't always in alignment and let them go with a bit of safety netting advice.
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@DrK_W1984
Fascinating.
I came to this post from a repost in which a geriatrician robustly defended the term being used in A&E.
I think it has utility but clearly care needs to be exercised.
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@elonmusk
Isn't there a risk that AI might see the problem and come up with a novel "solution" that's even less palatable that this?
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@Megsenmumdr
@DrEilidhMaria
Her kids have just started at the local school and she owns nearby. But you're right it's no guarantee. However, we know for sure that our F2s will leave.
Our F2s aren't used for service provision. They get 4 patients per session.
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@pierre3_st
@5MinuteBody
As many have said, the human body can produce glucose quite easily. Fats and proteins are the only *essential* macronutrients.
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@ankitkant
I think it's just a phrase that people have latched on to, like "patient denies".
It's mainly down to a lack of training in the art of letter writing.
Personally, I'd rather that secondary care ask me to review a lot of these things. I probably know them better than any other
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@drsorchahume
@DrEilidhMaria
Well, ok you got me there. We can't *know*. But we do know the exact date that our F2s will leave.
Our F2s get four patients per session and we get three slots blocked out to supervise.
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@5dollarmlkshake
@5MinuteBody
I'm not sure if a man who drives a car is an "elite athlete" but I'm sure I'll stand corrected.
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@JaneDunning35
@sarahhudsonuk
@JanjuaAdam
I didn't. Looks like a good advert but probably a bit far from home for me. Thanks though!
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@DrNeenaJha
I think everyone should take time out for themselves from time to time. There is *so* much more to life than work, or even being a doctor.
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Almost midnight... Struggling to Sleep?
Here’s Your Ultimate Guide to a Restful Night.
1. Create Your Sleep Sanctuary: 🛏️
-Ditch the Devices:📱➡️🚪 Plug your phone in a different room.
- Perfect the Ambiance:🌙 Ensure your space is dark, quiet, and at a comfortable
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@DrOKaneAgain
It's true that things have changed rapidly in recent years, but on that third point, if you're not willing to work anywhere in the country then you shouldn't really apply to do medicine.
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@lowcarbGP
David. Seriously?
What is life if you can't - just occasionally - enjoy a nice piece of cake?
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It's had to argue. Fruit isn't as "natural" as you think.
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@doctor_oxford
I get that agreeing with Matt Hancock is unfashionable but his words seem eminently sensible.
Linking it to gay rights is a little bit odd, I'll agree, but surely there must be parallels even if a little inelegant?
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@LoCarbFreshwell
Thank you for your really helpful reply. You've given me lots to think about!
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@DrNeenaJha
@DrAsifQasim
It's not abysmal. I could well imagine an F1 with low confidence, who partied through their pre-clinical years doing this.
At least they know that 60% is less than 100% so credit where credit is due.
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As a GP and lifestyle coach, I've discovered the power of a simple 30-second yoga routine before bed. 🧘♀️
For 8 years, I've been:
- Reaching up
- Touching my toes
- Doing a plank
- Arching into a cobra
- Stretching my back and neck
Ending with a kneeling pose and turning my
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@DRIISYD
@DrEilidhMaria
A fully qualified GP would be more efficient. But whoever controls the money decided they don't want to do that.
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