There is a GP out there that I'm not very happy with. But I'm not sure what I want to do about it.
Our call was to a sixty year old female who'd had a seizure in the GP office. Now, if you were a doctor, what would you do with someone having a fit? Would you provide the immediate care of giving them oxygen? Would you check more of their vital signs than their blood pressure, maybe even their blood sugar? Once the fit had subsided would you then lay them on the couch in your examination room in case they had another fit? Would you write a good letter to the hospital explaining what had happened? Would you volunteer to talk to the ambulance crew when they arrived in order to provide a professional handover?
Or would you leave the patient sitting in the busy waiting room with the receptionists to 'keep an eye on'?. Would you scribble a letter that had just a blood pressure written on it – no description of the actual seizure, how long it lasted for, no previous medical history or current medications? Would you write that the patient smells strongly of alcohol even when they don't? Would you hide in your consulting room when the ambulance arrives and let the receptionists deal with us?
Guess what decisions this doctor made?
I did challenge the doctor, he hand-waved about 'being busy' (the three other patients in the waiting room were obviously more important than the woman having a seizure). I decided to talk to the doctor about the presentation of the seizure – I'm not entirely sure that he was truthful to me. He told me that she was on no medications, something I later found out to not be true.
I'm sure that he's very good at dealing with sore throats and nappy rash – but surely his medical training wasn't so long ago that he's forgotten how to deal with a seizure?
It's too late for me to put in a formal complaint against him – but should I have done more than been sarcastic to him, if only because I think said sarcasm probably went straight over his head…
I mean, I'm just a big white taxi driver.
It's Eid tomorrow, so…erm… Happy end of Ramadan? What this means in a more practical fashion for me, as I start work on a run of night-shifts, is that hopefully some of the people of Newham might actually be asleep at night and not calling me. I live in hope.