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★ Doctor

Take her to the foetus-frightening room.  Monty Pythons The Meaning of Life 1983 starring Graham Chapman & John Cleese & Terry Gilliam & Eric Idle & Terry Jones & Michael Palin & Carol Cleveland & Patricia Quinn & Simon Jones & Matt Frewer et al, director Terry Jones, doctor in theatre

 

And get the machine that goes ping!  ibid.

 

And that’s the most expensive machine in the whole hospital.  ibid.  doctor to patient

 

Hospital Administrator: Ah, I see you have the machine that goes ping.  This is my favourite.  You see we lease this back from the company we sold it to and that way it comes under the monthly current budget and not the capital account.  ibid.    

 

 

A legally valid, or real, consent consists of the following elements: (a) it is given by a competent person; (b) it is given voluntarily; (c) it is an informed consent.  I Kennedy & A Grubb, Medical Law (2nd ed)  

 

 

In the realm of diagnosis and treatment there is ample scope for genuine difference of opinion, and one man clearly is not negligent merely because his conclusion differs from that of other professional men, nor because he has displayed less skill or knowledge than others would have done.  The true test for establishing negligence in diagnosis or treatment on the part of a doctor is whether he has been proved to be guilty of such failure as no doctor of ordinary skill would be guilty of it acting with ordinary care.  McNair J, Bolam v Friern Hospital Management Committee [1957] 2 All ER 118  

 

  

To allow expert medical evidence to determine what risks are material and, hence, should be disclosed and, correlatively, what risks are not material is to hand over to the medical profession the entire question of the scope of the duty of disclosure, including the question whether there has been a breach of that duty.  Supreme Court of Canada, Reibl v Hughes (1980) 114 DLR (3d) 1  

 

 

I think that’s enough.  You are a doctor after all.  Sherlock Holmes 2009 starring Robert Downey junior & Jude Law & Mark Strong & Rachel McAdams & Kelly Reilly & Eddie Marsan & Geraldine James & Hans Matheson & James Fox & Robert Maillet et al, director Guy Ritchie

 

 

Every physician almost hath his favourite disease.  Henry Fielding, Tom Jones

 

 

The first important point to emerge from this symposium is that information is essential for autonomous and therefore rational decision-making.  One cannot reason or deliberate about alternative courses of action if one has no information about them ... patients are likely to make irrational decisions if their doctors gives them inadequate information.  R Gillon (1983), 9 Journal of Medical Ethics 131

 

 

Out with your leeches and your brew!  Jackals!  Bloodsuckers!  May the devils of Kurdistan seize you!  King Richard and the Crusaders aka Talisman 1954 starring Rex Harrison & Virginia Mayo & George Sanders & Laurence Harvey & Robert Douglas & Michael Pate & Paul Raymond & Lester Matthews & Antony Eustrel et al, director David Butler, King Richard upon sickbed   

 

 

There are over 63,000 junior doctors working in Britain’s hospitals.  As young as 23 they are the foot-soldiers of the NHS.  They’ll welcome us into the world; they will be there at the end.  But they are working in hospitals that are treating more patients than ever before.  These doctors have become a symbol of the state of the NHS.  Confessions of a Junior Doctor, Channel 4 2017

 

‘To be a good doctor you have to care.’  ibid.  junior doctor

 

The gap is largely filled by foreign doctors.  ibid.

 

‘There’s never enough staff … This job’s broken me.’  ibid.  junior doctor

 

 

‘I love Resus [A&E].  It’s what you imagine when you think of being a doctor.  It’s the cool stuff.’  Confessions of a Junior Doctor II

 

Reporter [Northampton A&E]: What’s the longest wait time?

 

Doctor: Twenty hours and sixteen minutes.  ibid.

 

 

‘We’ve got no room, no beds, no space.’  Confessions of a Junior Doctor III 

 

‘To survive as a junior doctor you must have courage.’  ibid.

 

Up to 20 sick babies are in his care.  ibid.  Fahim on neo-natal ward

 

 

There comes a point where they specialise in their training.  Confessions of a Junior Doctor IV

 

But time at the operating table has to fit around his other jobs.  And Zeeshan has night-shift responsibilities  he’s overseeing around 200 patients across seven wards with an on-call team in support.  ibid.

 

 

Connected to Florida there’s been a spate of doctors dying … in very suspicious ways … These doctors are still dying … Bradstreet managed to shoot himself in the chest and chuck himself in the river … The three Mexican doctors just went missing the same day later found dead … The other two doctors died … Murder at home … Went missing … Now includes lots of other people.  Graham Downing, lecture Alternative View 7 conference, ‘The Null Hypothesis: Dead Doctors Don’t Talk

 

Is GcMAF the real reason why holistic doctors are being found dead?  ibid.  Natural Health 365 online article

 

GcMAF for the treatment of cancer, autism, inflammation, viral and bacterial disease … Nagalese: During vaccination  you were deliberately having your immune system compromised … Highly illegal in the United States.  ibid.  Foundation for Alternative and Integrative Medicine article David Noakes    

 

Commitment to the church, commitment to working with underprivileged people, to victims.  ibid.

 

The Summit Church: Physical rescue of those who are trafficked.  ibid.  

 

Something to do with children and human traffickers.  ibid.

 

 

Playing God with his patients.  Botching surgery.  Performing needless operations.  And putting lives at risk.  For more than a decade Ian Paterson wreaked havoc in NHS and private hospitals.  In this programme the catalogue of complaints and warnings that could have stopped the Butcher Surgeon earlier.  The Butcher Surgeon: Why Wasn’t He Stopped? Channel 5 2017

 

Guilty of wounding with intent on all charges.  ibid.

 

Arrogant, aggressive and a bully.  ibid.

 

In many cases there was nothing wrong with them.  ibid.

 

 

Their public personas couldn’t be further from their inner demons.  These two twins (Drs Blankenburg) will break the ultimate taboo, and when the shocking truth comes out it’s like nothing this small town has ever seen … These doctors are hiding a horrifying secret … pills for oral sex.  Evil Twins s3e3: Do No Harm, CBS 2012

 

‘The doctor would find a way to do the exam without the parent there.’  ibid.

 

The Blankenburg twins are arrested and charged with over 70 counts of sexual crimes.  ibid.   

 

 

The online doctor sites selling prescription-only drugs.  And the celebrity TV doctor who promotes one of them.  We go undercover to meet a doctor struck off for cavalier prescribing who’s still cashing in online.  Panorama: Online Doctors Uncovered, BBC 2018  

 

 

Should doctors and nurses be blamed when mistakes are made in the NHS?  Are criminal convictions appropriate or fair?  Should they be banned from practising?  Or was this junior doctor scapegoated for a struggling NHS?  Panorama: Doctors on Trial, BBC 2018

 

 

1Right across Britain patients are anxious to see their doctor.  It’s harder and harder to get an appointment.  Is it affecting our health?  GP practices are closing but patients are fighting to save them.  And will the government’s new plan make it easier to see our GP?  Panorama: GPs: Why Can’t I Get an Appointment, BBC 2019

 

 

Panorama goes undercover inside Britain’s biggest GO network.  We discover one practice seriously short of doctors.  A backlog of important patient’ documents.  And GPs replaced by cheaper, less quality agency staff.  Panorama: Undercover: Britain’s Biggest GP Chain, BBC 2022

 

Operose: now runs 70 surgeries with nearly 600,00 patients.  ibid.

 

 

An incredible revolution is happening in the world of healthcare that some claim could be the cure that doctors and patients desperately need: Artificial Intelligence.  Horizon: Diagnosis on Demand? The Computer Will See You Now, BBC 2018  

 

If the AI is working well, it will filter out all of the people with non-serious conditions, leaving human GPs to treat the patients who really need their expertise.  ibid.    

 

 

Dr Harold Shipman was a well-liked GP trusted by his patients.  Nobody believed that he could possibly kill one of them.  He was arrogant and believed he was invincible.  But this was just the start of the revelations.  He’d been killing for years.  Many think Shipman started killing as a Manchester GP in the 1990s, but he killed for the first time when he was just 25 years old as a junior doctor in Yorkshire.  He also became addicted to powerful painkillers … In Hyde he would murder over 200 more … Britain’s most prolific serial killer.  Harold Shipman: Driven to Kill I & II, 2014

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