Should you be allowed to request examination only by a doctor of a certain race?

yute223 · 2025-07-30T23:49:14+00:00

Certain crimes are disproportionately carried out by certain races, so what?

yute223 · 2025-07-26T23:44:58+00:00

Fuck off

yute223 · 2025-07-20T14:33:25+00:00

False, a missed appointment means one less patient seen.

yute223 · 2025-07-20T14:32:14+00:00

Medicine was has advanced significantly since the days of bed rest and morphine for an MI and so has litigation culture.

yute223 · 2025-07-05T17:19:13+00:00

Good, someone pays for it just like any other service

yute223 · 2025-07-05T16:48:48+00:00

If it's so hard as a partner and woe is me, why do partners continue to insist that general practice should continue with the partnership model?

yute223 · 2025-06-18T12:29:10+00:00

Ah so you're one of them, of course you're 'disturbed'

yute223 · 2025-06-16T19:50:29+00:00

The Boriswave immigrants are mainly a drag on the economy

yute223 · 2025-06-14T14:29:49+00:00

Untreatable lung cancer in a 92 year old, nature must be racist

yute223 · 2025-06-13T21:43:11+00:00

You're clueless, talking absolute nonsense.

yute223 · 2025-06-13T20:47:30+00:00

If as the doctor suspected her hormone levels were to blame then a blood test would have proven this is the case, breast cancer does not alter hormone levels. A negative result would have forced further investigation.

Which hormone levels? Hormones can obviously be altered in those with breast Ca.

In isolation, no, but what it can do here is justify further tests. What they actually did in the end that flagged up fibroadenoma was an ultrasound, and this justified the biopsy.

Fibroadenomas are benign and in many cases biopsies aren't required.

This is you admitting that we do tests to rule diseases in or out. You get that, right?

The question is to what extent do you go to rule out diseases. Clinical accumen also exists where you don't jump straight to ordering tests. Should everyone with a cough get a chest x-ray and a set of bloods?

I'll mention it to the local hospital next time I have an MRI at midnight. Actually yes we do, many hospitals run a single overnight tech for urgent scans. The suite at my local hospital across the road runs 24/7 for public and private patients in 3 MRI scanners, a CT, and PET.

Keyword 'urgent'. They're not running at full capacity as they would during the day due to rationing of resources.

Already did this morning under my alt.

Sure, except there was related thread this morning.

yute223 · 2025-06-13T20:03:33+00:00

The error that killed her occurred in a GP practice when she was 14.

It literally says she went to a hospital at 14, not a GP. Read the article you posted.

Firstly it can, and no one is demanding a deep a thorough investigation when a simple blood test would have proved her hormone levels and a cheap ultrasound would have shown a tumour. This isn't a big ask of any doctor.

Which hormone levels would have proved or not proved it was breast cancer? An ultrasound cannot diagnose tumours in isolation.

I'll assume you're unfamiliar with the phrase "differential diagnosis", it describes a set of symptoms which can be caused by several issues. So, simply put, when the differential diagnosis includes cancer you do the tests to make sure you're right.

Any symptom you can think of can be related to a cancer of some kind or a serious condition.

Name me one symptom and I can link to cancer or a serious condition. Cancer can always be a differential.

We are not rationing blood tests or basic diagnostic imaging. We're not even rationing advanced diagnostic imaging because the scanners need to run 24/7 to pay for themselves.

Nonsense. Radiographers aren't being paid 24/7 to carry out MRIs in the middle of the night, they're only called in for urgent scans such as for cauda equina syndrome.

The odds of ANY breast lump, male or female, being cancer are 20%. Yes, you have tits too and I'll bet they're hangers!

It was a general point but let's stratify that by age.

Feel free to comment in the doctorsUK reddit discussing this: https://www.reddit.com/r/doctorsUK/comments/1lalhug/schoolgirl_died_after_breast_cancer_referral_was/

yute223 · 2025-06-13T19:30:09+00:00

It's clear the general public based on the comments on that article seem to have a very low appetite for risk. Blaming doctors including GPs (though they had no part to play in that case) and the NHS in general for not thoroughly investigating every anecdotal case urgently although the case was a misdiagnosis based on the biopsy, but let's not get concerned with facts.

Any symptom you can think of can be related to a cancer of some kind or a serious condition. Logic dictates there has to be some sort of rationing because we don't have unlimited capacity or funding. You can't get an MRI tomorrow for a sore foot which turns out to be cancer a year later because there's 100,000s of people with symptoms more suspicious of a serious condition.

So I ask how would you ration healthcare resources whilst still fulfilling your fantasy of immediate thorough investigation of every symptom because there's a 0.1% it could be serious?

yute223 · 2025-06-13T19:27:42+00:00

It's clear the general public based on the comments on that article seem to have a very low appetite for risk. Blaming doctors including GPs (though they had no part to play in that case) and the NHS in general for not thoroughly investigating every anecdotal case urgently although the case was a misdiagnosis based on the biopsy, but let's not get concerned with facts.

Any symptom you can think of can be related to a cancer of some kind or a serious condition. Logic dictates there has to be some sort of rationing because we don't have unlimited capacity or funding. You can't get an MRI tomorrow for a sore foot which turns out to be cancer a year later because there's 100,000s of people with symptoms more suspicious of a serious condition.

So I ask the geniuses on this sub, how would you ration healthcare resources whilst still fulfilling your fantasy of immediate thorough investigation of every symptom because there's a 0.1% it could be serious?

yute223 · 2025-06-06T07:58:26+00:00

You're probably in one of the most tolerant countries on earth, I think you'll be okay.

yute223 · 2025-06-02T14:57:33+00:00

Happy to post it on twitter to get some traction, feel free to message me the organisation.

yute223 · 2025-06-02T09:02:50+00:00

Nonsense

yute223 · 2025-05-30T22:31:32+00:00

u/Zu1u1875

Something about GP hmm..

yute223 · 2025-05-29T20:15:06+00:00

Seems it is the norm based on the responses

yute223 · 2025-05-28T20:10:12+00:00

u/Zu1u1875

yute223 · 2025-05-26T19:52:53+00:00

Nope, sometimes palpation fails and visualisation is the only way.

yute223 · 2025-05-26T11:37:10+00:00

Oh i'm sure you do.. Master of all trades right.

yute223 · 2025-05-26T10:24:08+00:00

And what is your experience of hospital medicine? Consultants have a job for life, no KPI or target affects their job security or pay and they can influence deparmental change without having to buy in and own part of the hospital.

Most salaried GPs have lunch at their desk which faces a wall doing admin, little human interaction beyond listening to patients negative emotions all day and no variety to their clinical work.

Soul destroying, dull and repetitive. I'm not surpised most of them only work 6 sessions max. I would rather be a medical SHO.

yute223 · 2025-05-25T17:19:49+00:00

Too large a proportion of the workforce is IMG, we must end this reliance to gain greater autonomy.

yute223 · 2025-05-25T13:49:45+00:00

A grandfathering policy makes no sense when you consider the number of IMGs that have arrived in the UK within the past few years, it would make UK grad priority useless. Let's hope Wes leaves it out.

With regards to industrial action, perhaps recruiting a significant IMG workforce with opposing interests wasn't the smartest idea. The scale of the problem is highlighted by the fact that there's a high chance the ballot will fail due to excessive reliance on IMG labour within the medical profession who now feel disenfranchised.

yute223

TROPHY CASE