When you or your child has fever and feeling tired and weak, what do you do?
More than half of people with similar symptom treated themselves, 48% consulted a doctor but 22% did nothing. 60% of people consulted and received prescription.
If you are the one “who did nothing” or was reassured by a nurse, paramedic or a chemist – we worry about. The number of people not accessing service due to cost or difficulties has increased.
Suppose, you had mild fever and did not think it is serious. Three days later you notice a rash that looks like heat rash and so used a cream given to your sister or bought some Vaseline.
Others may have been reassured by a nurse in the walk-in-clinic and advised to continue paracetamol, lemsips and drink plenty of water.
Next day you collapsed at home and was taken to hospital. The doctor in the hospital tell you have severe infection that cannot be cured with antibiotics.
What can you do?
This is what we saw when the NHS started allowing nurse-led clinics, walk-in-centers and primary care centers to ease demand.
Our concern was not taken serious but resulted us subjected to harrasment, bullying and humiliation. Failure to act has only brought shame to the nation and loss of trust and respect to our profession.
Report of 1200 avoidable deaths in Mid-Stafordshire Hospital, Increase in admission of children with snuffles, cold, cough, high fever, sore throat and neglecting old and frail patients speaks volume about the quality of care offered in the NHS.
Promoting self-care, avoiding contact with infections and reduction of antibiotic abuse is mandatory to prevent the spread of these hospital acquired bacterial infections in our community. We must reduce the risk of medical errors, avoidable death and drug reactions to re-establish the lost human face of medicine.
This is said to be due to systematic failure of primary care (GP, out-of-hours, NHS Direct, and A&E) in NHS (UK)Our profession has not only endured criticism and humiliation, but is now threatened by resistant strains of common bacteria, virus and fungus are likely to bring an end of healthcare.
This may sounds like a B-movie on the Sci-Fi Channel, but the bacteria now living in hospitals, and some in the community are all too real. This has proved just how vulnerable we are, despite all our scientific know-how and advances in medicine.
The medical professionals have failed to understand it is their responsibilities to make sure junior doctors are clinically trained to help identify un-well child early to prevent complications.
Develop clinical acumen to diagnose and offer treatment takes years to master but ver important for doctors to manage any illness. Allowing them to use pre-printed assessment sheets, algorithms, protocols and guidelines has resulted in doctors not using their knowledge and skill adequately. By using nurses to work as doctors after minimal training has made the situation worse.
Knowing healthcare advice and treatment cannot be offered using algorithms based on statistically significant data is not only insulting to our profession but result in delay to diagnose and offer the correct treatment. Nurse managers have assumed the role of consultants and are offering advice to junior doctors.
This has resulted in avoidable deaths and trauma and risk inflicted to vulnerable child in the NHS.MAYA is the only tool that was developed to help patients based on clinical acumen, knowledge and thirty years of clinical experience. This tool was developed to educate patients to help reduce antibiotic abuse and hospital acquired infections spread in our community.
We anticipated the quality of care to decline if pre-printed assessment sheet (Dr Sri, Quality & safety, BMJ.com) and using Manchester scoring system to priorities admission. The over enthusiastic commercialize emergency and triaging patients using algorithms and protocols to advice critically ill patient in emergency care has resulted in systematic failure of primary care in UK.
This is safe and will help you decide and seek treatment early, reduce wasted consultation, complication, hospitalization and cost.
Illness or Illusion?
Since Antibiotics became widely available we were encouraging you to consult and seek advice early and often prescribed antibiotics. This has not only undermined your confidence but also made bacteria stronger and more resistant.
Doctors stopped managing illness based on history and clinical examinations but gave more importance to investigation.
This was partially not doctor’s fault but must blame some patients, media, GMC and the courts for making life difficult by penalizing them for not investigating. People were made to believe test diagnoses illness and scans are essential.
We have worked in hospitals and community. The truth is that we have NEVER relayed upon investigation to offer our diagnosis. The blood test, urine tests, ECG or scan helped us confirmed our diagnosis.
Often these tests were wrong and mislead but patients were always right. They knew what was wrong and often helped us derive at a diagnosis.
Common disease commonly occurs, rare disease rarely happen. Doctors often manage minor illness with uncertainty and using common sense. The culture of dependency has resulted in undermining your confidence.
Asthmatics and chronic cough were labeled as wheezy bronchitis or bronchitis, viral infections or flu and often treated with antibiotics.
Similarly, a sore throat was labeled “tonsillitis”, ear pain as “ear infection” and very high fever as serious infection and admitted to hospital diagnosed as URTI.
The number of children admitted to hospital diagnosed as URTI or LRTI has almost doubled in the past decade. This is said to be due to “Systematic failure of Primary Care”
Investigations or tests are often may not be very accurate, expensive, misleading and are often not necessary. It is unethical to make you wait before instigating treatment and make you pay for tests you don’t need.
ROLE OF PHYSICIANS
Healthcare industry has become the battleground where politicians and administrators are struggling for control, claiming modernization of healthcare is essential in the interests of patient care. Doctors are not in control and are often criticized and claimed to be obstructive to implement changes in the NHS.
NHS in UK has forced doctors and nurses to conceal the truth using “Gag Orders”. This is un-ethical and as doctors we must have the freedom to speak the truth in the interest of fellow human.
We found 78% of patients consulting doctors actually had no illness that required doctor’s. Only 16% of the patients visiting a doctor required to be clinically examined.
Medical literature does not have a chapter named “Common Ailment” but is used by non-medically trained person.
More than half of people with a new minor ailment treated themselves, but22% did nothing. Sixty-two percent of people with a minor illness received a prescription; 48% with a new symptom visited their GP.
You often pay or spend £60-£80 to ask or consult a doctor but this could rapidly escalate depending on the doctor’s experience, your perception of the illness and emotional stability.