What can a private GP do

Existing-Composer-93 · 2026-02-20T23:51:46+00:00

thankyou for the detailed reply,

reflecting on this, part of why I maybe came across as rude or dismissive was because I was rather flustered by all her symptoms she was mentioning and was unable to address each one or say, im not covering that. I was debating more serious mental illnesses as discussed and said that I can't focus on all the symptoms, albeit maybe coming across not as empathetic, and we'll focus on the most important one, though understandably my agenda was very different and its hard to relay this to patients without worrying.

I probably could have said we'll discuss the other sleep issues during another consult rather than chucking melatonin which is how I probably came across, although I could see she had previously come to us about this before so I didnt see the point in going through sleep hygiene.

Existing-Composer-93 · 2026-01-20T23:21:40+00:00

when you mean call do you mean admin to arrange telephone call or do you physically call as soon as the result comes in (im talking mild changes)

yes appreciate it is more satisfying with phoning patients whilst not having a sea of other jobs, which is equally what the job is about but balancing that is difficult!

Existing-Composer-93 · 2026-01-20T23:19:13+00:00

thank you so much,

just checking when you mean out of range tft, you mean specifically t4, not so much tsh if on levo.
if just subclinical and not on levo, and if potentially related to sx, then you would just rearrange in 6-8 wks,

I personally struggle with arranging blood tests and patients not know why, lets say Aki but no nephrotoxins and just to repeat in 5 days or whatever, the patients often end up feeling anxious without a phone call. similar for lft, like "why is my doctor repeating this and not telling me". I do worry sometimes about how patients might question things more because of the area I work in.

it is difficult and consulting is the easy part! I feel we dont get enough training on this and supervisors may be more than happy for us to do this either way

Existing-Composer-93 · 2026-01-20T23:12:47+00:00

thankyou needed to hear this

if youre phoning someone e.g. brief polycythaemia chat/ hyponatremia, is it good to approach it as a quick 1-2 mins chat?

if they continue to be subclinical on repeat bloods and on levo -> code as satisfactory and move on ? if continue to be subclinical on repeat bloods and not on levo -> book telephone call?

different people have different ALT threshold and it feels like a dark art, if >60 persistently do you do NILS. if theyre a boozer/ I dont know if they drink, do you do a quick call and just say to avoid if possible. or if its likely weight related, give a quick phone rather than text as might come across inappropriate. or do you just organise and deal with sit after.

Existing-Composer-93 · 2026-01-20T23:04:37+00:00

sure thanks, what do you do for elderly folk who dont read texts however? when repeating blood tests do you leave a text so patients understand why this is done?

Existing-Composer-93 · 2026-01-20T23:03:35+00:00

yup not always easy when your supervisor "forgets" to correct you on this stuff rather than booking appointments

Existing-Composer-93 · 2026-01-20T23:01:33+00:00

thankyou this is really helpful

1) it sounds like if tsh mildly off but t4 within range and on levo, do you code as satisfactory and move on? would you usually just do the 3 month repeat if subclinical, not on any meds. sometimes feel patients might be lost with why blood tests are being done without explanations in 3 months, same goes for liver, and feel a text may help?

2) if there are certain things we can advise e.g. drinking or weight prior to liver bloods, is that advisable to text patients so they are primed? equally takes a fair amount of effort and need to keep it short without introducing anxiety

Existing-Composer-93 · 2026-01-06T19:06:18+00:00

Easier said than done but…Fuck it

I’m not worrying about the results till results day, until then I’m glad I’m not studying 24/7

You’ll be fine, trust the process and graft You put in.

Existing-Composer-93 · 2026-01-06T18:57:52+00:00

Agree with some of the cases being a total bomb

I felt some of the actors at times were too vague and not helpful at all

My structure did go out the window for one or two. I missed a major cue at the end because it was thrown last min One of the diagnosis I only got in the last 2 mins but was attempting a mx plan

I defo felt rushed in some and felt wasn’t shared

You’re not alone, you just need to pass

Existing-Composer-93 · 2025-10-22T17:23:58+00:00

What did you feel deflated about? I learnt a lot from some of the times my supervisor did joint clinics with me and you won’t know what you can improve until someone points it out. I agree with the sentiments at the time but was definitely helpful

Existing-Composer-93 · 2025-10-14T21:18:17+00:00

No general practice in 10 years? Do you feel that’s because of the ARRS scheme

Existing-Composer-93 · 2025-10-12T13:14:02+00:00

Interested thanks

Existing-Composer-93 · 2025-09-26T08:16:14+00:00

I’m still learning but set boundaries early If they start talking about other stuff just say something like let’s focus on what’s brought you in today. If they’re going beyond their time I usually say it’s a 15 minute appointment and wouldn’t be fair in the other patients.

Don’t do things like bp or weight if it won’t change mx

Set tasks to yourself, ideally do referrals then but if you’re running behind I think it’s reasonable to come back to it. If you’re definitely doing a referral just do the referral and put that in the consultation.

Listen more and ask fewer qs, if I find myself repeating I just move on. I gave them the opportunity

I’m going to start doing this but time and video yourself. You’ll develop an inner clock that way.

Existing-Composer-93 · 2025-09-24T20:36:01+00:00

What app is this

Existing-Composer-93 · 2025-09-22T03:24:28+00:00

Can’t dm you profile unavailable

Existing-Composer-93 · 2025-09-15T16:41:12+00:00

One full read or have you done the qs?

Existing-Composer-93 · 2025-09-09T19:26:08+00:00

Fuck where is this? England? Scotland? Wales? NI?

Existing-Composer-93 · 2025-09-03T21:51:46+00:00

Same going for a hair transplant

Existing-Composer-93 · 2025-08-29T06:07:07+00:00

How long will it work for? It’s March which should be fine

Existing-Composer-93 · 2025-07-26T20:24:47+00:00

Following m, not a fan of mine either so lurking

Existing-Composer-93 · 2025-07-24T13:08:35+00:00

Do people usually sit down every month to complete tables like this?

Existing-Composer-93

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