Re: Wake me up
85 publicly visible posts • joined 15 Oct 2012
had it been, I'd have recounted the tale of my Picanto, which kept misfiring and occasionally ground to a halt.
No amount of diagnostic checks showed any specific cause for the problem, and the garage wanted to change expensive parts for trial and error.
I went back to basics and checked the air filter - to discover that a field mouse had come in from the cold and chewed the air filter into fairly small pieces [supplemented bt bits of paper and cardboard from the garage floor]. These scraps were being injected directly into the cylinders!
When I was a medical student in Oxford, The [only] cardiac surgeon, who drove an car that was both very expensive and very fast, was similarly pulled over on the M40. He explained he was going to perform life-saving heart surgery at the Radcliffe Infirmary. They too gave him a police escort with blue lights and all that. Bur sadly, they couldn't keep up with him...
On holiday in Norway a few years ago I visited Bergen harbour fish market.
Whilst perusing their wares, a seagull dive-bombed me, landing its payload of fishy sh*t straight down my right external auditory meatus. Strangely, it felt pleasantly warm!
So plug those lugs when you're in the company of excited seagulls!
And they're all from the USof A, so some of the bits of traffic lights or whatever that are seen in the corner of an adjacent square may be hard to recognise this side of the pond. Most UK traffic lights are on a pole; many in the US hang from wires. Where does the 'traffic light' stop and the network of supporting wire begin? Pedestrian crossings have some differences, too.
The human version learns as it goes along, by its mistakes. Hence M&M [mortality and morbidity] meetings, MDTs [multi-disciplinary teams] and SUI [serious untoward incident] analysis.
Will adaptive AI be able to do the same - meetings not required, and all the info is likely to be available in the patient record?
Maybe they could employ some more staff?
Yes. Only 5 years or so AFTER basic medical qualification to train as a radiologist.
You'd have to fund more posts and then wait for the manpower to qualify.
Better would be to improve working conditions etc so that existing radiologists don't retire early, emigrate or go part time. All due to stress and relatively poor remuneration in the NHS.
Many radiologists are also going part time and/or stopping extra sessions [eg waiting list initiatives] due to punitive pension taxation rules.
Any old person with a chronic condition needs to be seeing a specialist.
Rubbish. Hospital appointments are in just as short supply as GP appointments. They need to see specialists occasionally, but for monitoring long-term problems the GP is best placed. Much will be done by a practice nurse, anyway. And good luck with monitoring bloods online!
All that can be done online is a history and visual examination [and the latter will be sub-optimal]. No palpation of the lump or tender area. No ophthalmoscopic exam of the eyes. No dip test of urine, and no blood tests - have to make another appt for that, probably at the hospital.
And it won't take less time for the GP who will get more info from the patient in 10 mins face-to-face than in an online consultation.
"You don't hold the title to the vehicle. The 'log book' document specifically says THIS IS NOT PROOF OF OWNERSHIP. The DVLA own your vehicle, you are simply the keeper and the driver. Driving is illegal which is why the DVLA have to sell you a licence."
It'ts not proof of ownership, as the owner of the car doesn't need to be registered at DVLA - just the person who keeps [and uses] it.
The vehicle may be owned, eg, by a hire purchase company. You still keep and use it, but YOU don't OWN it until the finance is all paid off.
""Late 2001, my optician wasn't happy about my field tests, and wrote to my GP requesting a specialist consultation."
This is your problem right there. Why is the optician contacting your GP? Your optician should let YOU know and YOU should contact whatever healthcare provider you want to provide the service."
The right answer would have been for the optician [primary care] to refer direct to local hospital's Ophthalmology dept [secondary care]. They have the ability to do that.
referral from one primary care body to another is just workload dumping on the GP.
If you want to be pedantic, Nuclear Magnetic Resonance is a physical phenomenon that can be exploited to obtain computed tomography images, but interpreted differently it can be used to give the characteristic spectra of individual molecular species for biochemical analysis both in vitro and in vivo.
I was involved with the specification and procurement of an electronic patient record under NPfIT. We had just got to the board meeting at which the successful supplier was to be announced. On the way to the meeting [literally - in his car], the chairman received a call from NHS Central to say that the plan had been scrapped, and a new one was to start - so all funding withdrawn.
This set HNS clinical IT back by nearly ten years.