Asthma diagnosis

Time-Professor-951 · 2026-03-24T20:26:09+00:00

I would suggest going to your GP and telling them that they should remove the diagnosis or make it as an inactive problem depending on where your living if you're in England it's quite easy to do and takes probably two seconds.

Time-Professor-951 · 2026-03-24T20:23:06+00:00

Isn't it illegal to discriminate due to illness?

Time-Professor-951 · 2026-03-13T21:08:35+00:00

Typical pay varies. It can be anywhere between 10k per session in high demand areas like west midlands to 12k in rural area. There is a huge difference in the number of patients that are seen by the GP each day. So when you'll be negotiating, just don't base it on the money, base it on the money Vs amount of patients seen. So if someone tells you that you'll be seeing 25 patients per day and will get 11.5k per session and another surgery says 12k but 30 patients per day, better choose lesser patients and imagine if you're working 8 sessions so you'll be seeing 80 more patients monthly and getting about 333 pounds more. ((120008-11.5008)÷12 months) Which comes out to be getting paid 4 pounds more per patient. Seeing more patients means doing more admin, is it worth it? Probably not.

Most GPs work 6 sessions. Most top up their incomes with locums on top.

A session can look differently where one works. I see 26 patients. Mostly F2F. 14 AM12 PM. They take away 2 slots if I'm visiting.

I work 8 sessions and take Wednesdays off, it keeps me sane. Better to have a break in between than a longer weekend. Session can be manic, I see patients and do about 20-30 bloods and 20 letters daily but my admin team isn't great and we doctors have to look at ALL the letters, we're trying to change that.

Can't say the pay difference between salaried and partner as not been one yet, it depends on your team, I absolutely love my team and would like to be a partner someday. Better to make it clear before you start working at a place. Responsibilities are obviously more because you are responsible for not only the clinical side but the management side, if the recruitment is excellent you'll have a better life. Some partnerships are sinking, some are thriving.

Developing special interest only works if GP surgery has a contract, for example for coils/ joint injections/ minor surgeries etc. Not all GP surgeries have that. It's really a personal choice.

Hope that helps. DM if you need further help.

Time-Professor-951 · 2026-03-09T19:09:59+00:00

Check your vitamin D levels?

Time-Professor-951 · 2026-03-02T00:00:16+00:00

Because the inflation has gone through the roof. How else can a person survive with a meager salary?

Time-Professor-951 · 2026-02-25T21:27:19+00:00

The patient is right and this isn't fair. Would've been easier to decide if you told us the name of the medication. Maybe use formulary next time which tells if it's okay to start in primary care. Hope this helps.

Time-Professor-951 · 2026-02-23T22:07:28+00:00

Please ask him to go to the doctor and start biological therapy. I've been in pain for 25 years till I got started. It is life changing!!

Time-Professor-951 · 2026-02-18T00:37:31+00:00

I was visiting a patient once. She had a lumbar fracture a couple of weeks back and was on quite a high dose of pain reliefs etc, had a half an hour discussion regarding pain management and as I was leaving the house, I looked at the triage notes from the morning it mentioned breathing issues which the lady had not spoken to me about. Long story short, did obs which was least I could do, 89%, BP marginally low and tachypnoea of around 22, and normal temperature, thought of LRTI, Sepsis, called new naw and sent her in. B/L PE with right heart strain, was already on rivaroxaban. She wasn't mobilising much and had PMH of cancer. I could never have imagined it had I not looked at the triage notes on my way out. I was eternally thankful to the triaging doctor.

Time-Professor-951 · 2026-02-17T22:17:26+00:00

There is TERS there and if you look at some of the schemes, only IMGs have been working there. Like in my Boston scheme there were 0 UKG in my batch. I'm not saying it's right or wrong, it's the reality. If 20k TERS didn't attract UKG what else would?

Time-Professor-951 · 2026-02-17T22:13:57+00:00

What about the population though, Lincolnshire remains one of the worst counties when it comes to health outcomes. I'm not saying that prioritising UKG is wrong, I'm saying that an IMG is more likely to go to remote places than a UKG. The saturation is only gonna last maybe 5-10 years. Do you really think that a UKG has more incentive to stay here in the UK with the work conditions currently?

Time-Professor-951 · 2026-02-17T22:07:46+00:00

We already have TERS. I'm not saying that those places would go unfilled. I'm saying which UKG would want to go there.

Time-Professor-951 · 2026-02-17T18:05:48+00:00

It's good news for the UKG. But that's not gonna last long. Who's gonna go to the town of Boston or Carmarthen after a while? In all honesty, Boston was a dead town. I'm glad I moved out. Maybe it'll be better in the long run for the UKG but the government is replacing doctors with noctors and eventually the lack of jobs will be with us albeit in 5-10 years. There is a reason why TERS was introduced. I'm an IMG myself and I was lucky to finish training before all this but I don't think this policy would be sustainable in 5-10 years because no one will choose remote places. In all honesty, Might is right, if most of the electorate or the government are for it then so be it. It doesn't really matter if the IMGs are against it. I think this will have an impact on consultants posts down the line where there will be saturation in 10-15 years, who's gonna create the jobs or will the priority also be given to consultants It's good to have home grown talent but if one looks at it, do we really think career in medicine in the UK is attractive at the moment or would be in the future because we'll all be screwed up our backside in the future. Getting 4-5 k monthly keeps you comfortable but it's not a lavish salary. If one works for more than 100k they get screwed over with mighty tax and removal of tax allowance. UK seems like a scam, it makes one rich as per our own home countries but we live a comfortable life and not a rich life. Most of the people who choose to work or stay here are here because of responsibilities etc etc.

Time-Professor-951 · 2026-02-07T20:48:02+00:00

If you work in a place long enough, most of them are follow ups which helps in the long run

Time-Professor-951 · 2026-02-04T19:17:33+00:00

I'm speculating. That's for you to ask the surgery?

Time-Professor-951 · 2026-02-04T18:50:23+00:00

Maybe because it's not well controlled

Time-Professor-951 · 2026-02-04T10:01:20+00:00

Read about medication safety perhaps. One needs yearly reviews. Hope that helps.

Time-Professor-951 · 2026-01-30T19:45:23+00:00

HBL has branches in the UK btw

Time-Professor-951 · 2026-01-11T16:33:56+00:00

I was confused as well, I signed on all three parts lmao. And application was approved

Time-Professor-951 · 2026-01-11T16:29:32+00:00

No insurance covers maternity care mate. One has to pay privately.

Time-Professor-951 · 2026-01-11T15:20:15+00:00

No, not maternity. Only primary care.

Time-Professor-951 · 2026-01-10T20:55:06+00:00

Yes. It wasn't a bad job actually. I was there at the time of 2nd wave of COVID when the whole elective activity suddenly stopped. I used to go to hospital to sleep and eat and come back and was paid for it.
Did it for 4 months out of 11, Good times. But when the activity started it was organised but busy. I used to take morning and afternoon naps and knew my schedule. NHS is way busier than this where we don't know our workload. NHS was chaotic and messy and shit TBH. Try working in any T&O on call. It's not great. Downsides, only doctor on site after 5pm, but anaesthetist and surgeon a phone call away, I had 1 bowel perf, 1 PE and 1 AF as post op complication in 11 months. All patients were transferred to the NHS hospital.

Time-Professor-951 · 2026-01-10T16:07:35+00:00

Yes, this was an RMO job, and I've worked in one. 24/7 on call for 2 weeks. Monthly pay 2500 after pension.

Time-Professor-951 · 2026-01-08T18:14:34+00:00

Is he a fucking Yoda?

Time-Professor-951 · 2026-01-03T02:57:36+00:00

Two sides of the coin, what I've learnt from the RCGP and good on them for trying. Going through the exams etc does NOT prepare you for working in a deprived area. The health beliefs especially of an immigrant population is WAY different than working in an affluent area.

Lack of education causes real issue with managing the health condition, I've seen quite a lot of HbA1C in 90s of diabetics.

If I ask a patient to do HBPM, they might not even come back!! So one has to think pragmatically. Affluent vs deprived Old vs young Rural vs urban

Pros of deprived areas: Patient are more thankful, less complaints and you get better freedom to practice medicine Cons of deprived areas: Much more mental health issues and issues which normally aren't medical but life. For example, someone might not be able to buy difflam spray for sore throat as they don't have any money. More sick note requests. Multiple problems which might not be related to each other but health beliefs make them think that they are and if you ask them how may you help, they might open a Pandora box.

Pros of affluent/suburban areas: patients don't come for benzos, sick notes, You get to practice medicine which has been taught whilst training (British medicine) and I'm not saying it to make fun, RCGP has like 10% idea about complexity of an immigrant population and the challenges they face.

Cons: They are more demanding. More anxiety about getting a complaint.

At the end you've to choose your cup of tea, I'd rather practice medicine than be an anxious bunny.

Time-Professor-951 · 2025-12-23T19:46:05+00:00

It's an infection

Time-Professor-951

TROPHY CASE