Dr Goblin
@DrGoblin3
Followers
3K
Following
27K
Media
1K
Statuses
17K
Late Friday. Cases of cold sweat-inducing clinical risk kept out of hospital. Just me, taking it on the chin. All far beyond my remit because other services say no. If something happens they’ll throw me to the wolves. Nobody would help. You’ll miss us. #buckstopshere.#justaGP.
2
7
79
Blazing-fast image creation – using just your voice. Try Grok Imagine.
263
516
3K
Complaint from son. Upset at situation and feels wrong treatment given, delaying Dx. States symptoms of fatigue, thinning hair and weight loss were wrongly attributed to thyroid under-treatment by GPs. Feels they’ve been negligent. Considering legal action. 8/8
8
5
109
BT done. TSH unchanged; mildly suppressed. New IDA on 🩸 done at same time. Urgent call to patient and son. Results relayed, need for further testing to exclude malignancy explained. 2ww colorectal - malignancy found on colonoscopy. 7/n.
2
3
45
F2F appt with senior partner. Son brings 📑 again. Patient looks thin and pale. GP mentions LT4 might be too high, needs new TSH. Declines raising LT4 until this is checked. Pt and son angry, threaten complaint. BT arranged 1w hence. 6/n.
1
2
41
2m later pt and son request call from senior partner - refuse appts with other clinicians. 3w later ☎️ with senior partner. Pt feels no better, unhappy higher LT4 hasn’t helped. Asking for ⬆️ dose. GP partner hesitant w/o seeing F2F. Son unhappy. F2F arranged in 2w. 5/n.
1
1
39
2 months go by and the new TSH arrives. Mildly suppressed. Patient sent message checking for any symptoms of over treatment - denied by patient. New dose established. Plan to rpt TSH in 3m. 4/n.
1
2
35
Complaint responded to, ☎️ with senior GP partner offered. Brief discussion had, apologies offered for miscommunication. LT4 issued. Partner reasons TSH higher end of normal. Complaint closed. 3/n.
2
1
33
GP attempts to gather more information. Patient and son increasingly 😡 , push for ⬆️ LT4. GP declines to issue new script, wants more information about symptoms. Patient and son storm out. Complaint put in. 2/n.
1
2
45
Treating healthcare like Amazon, a cautionary tale:. An 80+ yr old female on LT4 comes with her son to discuss her dose. Recent TSH was normal. Keen for a ⬆️ dose. Son presents a sheet of symptoms from a thyroid charity. ⬆️ dose demanded. 1/8.
18
45
202
Enlightening thread re: why GP surgeries are up against it.
My 16yr old had surgery for pilonidal abscess. After I ran out I tried to get dressing’s prescribed at Gp. They refused to prescribe the dressing til wound assessed by them, but next appointment is 4th Sept….absolute madness. NHS for you….& I’m an NHS nurse!.
10
6
134
I’ve got a patient roughly my age who’s really sick. Terrible cancer. It scares the shit out of me and I find myself thinking about it a lot, at home too. God this job is hard.
29
9
368
Squandered your goodwill??.The heath service has been running on doctors’ goodwill for decades!.
The doctors’ strikes have ended and the BMA have invited me back to the negotiating table, which is ironic because I never left. I’ve written to them today to continue the conversation where they left it, before they inflicted five days of harm on patients and the NHS.
30
116
628
RT @Anisocyte: There has been a lot of discussion of doctors’ pay progression in the NHS, arguing this is a valid reason as to why F1 docto….
0
106
0
Funny little fact I can’t quite get my around:. Cutting down smoking is no more helpful than not stopping. Is this true? I feel like this isn’t true.
12
0
11
Anyone else seeing slightly odd glandular fever? Focal oedema, conjunctivitis etc? Not so much the typical sore throat, glands and fatigue etc.
3
1
9
The PA uniform should be obvious to patients, classic and memorable. Probably white to convey cleanliness. Something to suggest a sense of scientific association. Pockets would be helpful, too. Collars are smart. Any ideas?
6
1
21