Tuesday, 21 December 2010

Who licks P.C.T ass are worthless GPs.

Let me talk about the doctors who licks P.C.T'S balls today.In my life time as a GP I have come across some GPs who licks P.C.T'S balls.These guys are pen pushers who works for P.C.Ts.One of them I know is a PEC chairman in our P.C.T.He is a poor clinician and hate to do clinical job so he seek a pen pushing job in P.C.T.Every body knows him as a useless bugger who never is on the side of doctors but always on the side of the health authorites.He is a traitor and acts on behalf of P.C.T and not on behalf of the patients and doctors.He is the advisors to P.C.T how to make cuts in precribing and services across the area.Bloody awafull personalty and kerniving bastard.In person he is a fat blob who boast around in meetings saying that he is the paymaster and took proud in that.What a f**king idiot and a total waste of time.I wish he would rot in hell his kind of doctors should be struck off G.M.C register and never allow to practice medicine.

Monday, 20 December 2010

P.C.T or Waste of time.

Again I have to say something about the "Primary care trusts" for they are a handfull of people who needs to be put up against the wall and shot.They are the people who restrict the GPs from giving good medical treatment to their paitiens.They are the barrier between patients and treatment.They are the people who decide which servises to cut down in their area they control.

According to them cost is more important than lives.They will not let the doctors decide what is good for the patients.All problems in N.H.S are caused by them.If a GP start prescribing good medication which is expensive they will try and find fault with that GP and try to get him removed from their list or get struck off.I have seen very good GP removed from the primary care list for not towing the P.C.T line.Our N.H.S is controlled by these people who knows nothing about medical treatment.They are telling the doctor what to prescribe to patients.No wonder the death rate is rising in U.K.These P.C.Ts kill more people than Afgan and Iraq wars put together.They deserved to be abolished.Well done Prime Minster and Colatition goverment.

Friday, 16 July 2010

My morning pages.

I woke up feeling happy today, because its weekend and we will go out shopping to Doncaster.First we will eat breakfast in a restaurant and go to shops. In the afternoon I will go to book shops and browse around while my wife will go to clothes shops to do some shopping.Then we will eat lunch in Chinese restaurant and come home.If the weather is sunny we might go to garden center to look around and buy some plants. Or come back home and had a barbecue in the garden.I am looking forward to it.

My morning pages

I woke up this morning and listen to BBC news and heard that the goverment had decided to scrap the primary care trusts PCTs and give the power back to the GPs who knows what they are doing.I felt so haapy to hear that news it is like music to my ears.I am a retired GP and during my working days PCT have make my life hell.Because I am that kind of doctor who would fight for my patients to have good treatment.I refused to prescribe cheap drugs to my patient and would not towe the PCT line.I was marked by PCT and they try to accused me that I did not hit the PCT targets and try to lable me as a poor preformance doctor.I got so stressed up and my blood pressure went up sky high and had a cerebreal haemorrhage.I was in hospital for three months and when I came out of hospital I retired.I was overwhelmed with joy when I heard that PCTs are going to be abolished.Well done Prime Minister and the Tory- Lib dem coaliation goverment.Thank you.

Monday, 12 July 2010

Effective/ Cost Prescribing.

In next few months the NHS reforms will start by the goverment.The coliation goverment will produced a white paper for NHS reforms.Which will get rid of PCT bureacrats and put the power back in the hands of doctors.Then only doctors will be abale to prescribe effectively for their patients.PCTs sponceors cost/effective prescribing but doctors will do effective/cost prescribing.Which means effectiveness come first rather than cost, wherelse in PCT prescribing it is cost first and effectiveness second.They want us to prescribe the cheapest drugs of inferior quality to our patients then less effective.LOW COST MEANS LOW EFFECTIVENESS.

HURRAY FOR THE GOVERMENT. LONG LIVE THE COALIATION OF CONSERVATIVE AND LIB-DEM.

Thursday, 1 July 2010

We dont need more immigrants.

Many years ago British goverment had imported millions of Parkistanis to work in the mills in Yorkshire and Lancashire. And after the war came the influx of Indian Aand Parkistani doctors.At least these people come with work permit to work in England and now they had setteled down and have grand children, the third generation of immigrants.Most of them are not on dole and they work hard for their living.
But recently there is an influx of whites from eastern Europe who invaded England not to work but to gey dloe money and council houses.British Goverment should keep a tight control on these people.They are losers in their own countries and just come to Britain to have dole money and benifits.We dont need these people for they never contribute to the culture or economy of this country.I wellcome the goverment policy of restricting immigration. STOP PEOPLE FROM EASTERN EUROPE COMING INTO BRITAIN.

Friday, 25 June 2010

Centers for healing.

Alchemical healing.

The first step towards healing is to understand that we are connected with the inexaustible source of energy that formed this universe.When you understand that, inevitably life and spirit pour abundantly through you.Health and wellbeing spontaneously arises and a new life begins as our point of view undergoes this radical change.
The second step, lies in somewhat different direction.It involves regulated rhythmic breathing.The way to practice this is as follows.
Sit comfortably or lie flat on your back, in a perfectly relaxed state.Let the breath flow while mentally counting,one,two,three,four... Then exhale counting the same beat. Learn to adress each tensed muscle from toe to head as you sit or lie comfortably.Think of your blood flowing copiously to each organ in response to your command, carrying life and nourishment everywhere producing a state od glowing and radiant health.
By doing this you will find that you are in tune with the energy of universe.Hea;th and wellbeing will automatically follow.....

Energy

This blogg is based on the book of ALCMEMICAL HEALING written by Nicki Skuly.
In order to practice healing you need to develope the awareness and sensitivety to energy.Movement is energy. Emotion is energy.To someone who cannot see it or feel it,it may not appear to exist.Yet even the most insensitive person can see energy rising from the pavement on a blistering day.And we all know when we are lacking in energy ,without it we cannot function.Energy is active it heats our houses,it runs our cars.The universe contains infinite potential energy,inorder to manifest healing we need to tapped into this sourse of energy and direct it as a force for healing.
The power of healing comes from this understanding of energy.Just as intelligence permeates universe energy is infused with consciousness vitalizing life and informing the patterns that connect all things.We are all connected to the universe and every one and affected by the thoughts of all others.All life is composed of cooperative symbiotic relationships because energy is at the basis of life.We can move and control energy by intention and direct it for healing purposes.

to be continued.......

The power of forgiving.

Forgiving is very important in the process of healing the negative aspects of your life.It clears the way for the larger current of energy to flow through you.It takes effort to hold onto old guilt grief and pain, just as grudges and gripes contribute to stress.Forgiving is what takes us back to before the giving of the hurt.Forgiveness is releasing rathar than accepting.It frees up energy that has been holding stressfull patterns in place.Thats why it is very important to forgive to everyone and everything which had cause you grief and pain in the past.If you can do that your life will be healthier and happier and stress free, it is the basic of psychology in human race.So from today I have forgiven everyone and every incidence that had caused me pain and grief in the past. May my life be healthier ,happier and prosperous.

Thursday, 17 June 2010

Of mice and man.

I have never thought that I am clever. My IQ is just average and I have never been outstanding in my class when I was at school.But I know I have common sense and think before I do anything.

I plan to tackle the problem before I start.There is a little incident at my house today with the electritian who came to fix the bathroom light.We had a new bath room and a shower put in the upstairs of my house, it is nearly finished only the celing light needs changing.The old light we used is an ordinary light bulb light and the new light they going to put in is a three point light which used two pin light bulbs.The electrician who came to fix the light got up to the bathroom and fixed the new light on the ceiling but he had not brought the light bulb to go with it.Just like a doctor who go and see the patient without his stethoscope and blood pressure cuff, so he cant do anything its a waste of trip and he had to come back tomorrow.Is he thick or what?If I go to see patients without my instrument bag it could get struck off.But thats why they are labourers and and I am a doctor. It is the intelligence that draws the line between man and mice.

Tuesday, 15 June 2010

POLITICS.

A boy asked his dad, What is politics dad?

Dad-" It is like our family.I am the father so I am the prime minister.
Your mother looks after the finances so she is the goverment. Your nanny works for us so she is working class. You are the children so you are the people, And the baby is the future"

So the boy went to bed that night thinking about it.He heard the baby crying, so he went to have a look and found the baby had soiled his nappy.So he went to nanny rome it was locked ,he peeped through the keyhole and found that his dad is in bed with the nanny.
He went to his mother's room it was locked and through the keyhole he found his mum fast asleep.So he can't have any help and went back to bed.

In the morning he said to his dad.

"Dad I know what politics is."
Dad-"Well tell me in your own words what you know about politics."
The boy said" The prime minister is screwing the working class while the goverment is asleep.People can't get any help and the future is in deep shit."

Saturday, 12 June 2010

Who are the racist

In Oxford English dictionary a racist is defined as somebody who has hostalities or discriminations against people of other races other than one own.In that case Burmese are the worse racost in the whole world.Just look at my inlaws they don't want to mix with any english people and their 18 year old daughter cannot bring any english friends back home from school.They said if she mixed with english girls she will become a slut like them.How racist are they.They should know that Burma had more sluts than England at least English girls do not sleep around for money but Burmese do.
My brother in law said when his daughter go to university he will follow to the place where she go to keep an eye on her so that she will not go out with English boys.His aim is to get his daughter to university and when she graduated he will move out to Singapore and she can have a job there and she will have to support the family when they are old.The doughter will be their slave because he had never worked in his life and there is no pension coming for him.
The last thing he need is his daughter run off with an English feller and become like him thats why he hate the english so much.

WHO ARE THE RACIST TELL ME?

Friday, 28 May 2010

Me and my patients.

Where I practiced is a small town situated near the coal mines in West Yorkshire most of my paitent came from miners family.But when I started my practice there the whole town is in a devastating situation because of the pits were closed.It was just after the miners strike and the whole area is highest in unemployement.Crime was rampant and people are in a desperate situation.

In the beginning I was downhearted but when I came to know the people and the place it wasn't half as bad as I thought.People are friendly and down to earth although simple and not very educated.Most of them were working class only a very few were of middle class.The working class people are beautifull and good natured and honest only the middle class could be sometimes tricky.Igot along with them fine and within a short period I became a well accepted person in the town.

I tried to be honest with them and told them that I dont know everything but I will try my very best to help them.If they need to see the specialist I will not hesitate to reffer them to hospital.They acepted that and they think I am somebody who they could come for help if they had any health problem.

to be continued.......

Tuesday, 25 May 2010

THE TALES OF WAKERDIDDY.

Wakerdiddy is a small town in the north of England in Yorkshire.The people who live are weak in the head and strong in the arms in other words they are not very clever but simple and honest country folks.The town had one main road and population of 17000 inhabitants.They were look after by a health authority called "Primary care trust" or P.C.T. The health authority is lead by a highly sexed nurse and pen pushing doctor.Iam going to tell you the story of this place and how the health of the people are managed there. This is a fiction based on true facts.For I know a GP who practice there who was love by his patients and hated by the P.C.T. because he try to give his patient the best medical care they can have.P.C.T. do not care about the people of Wakerdiddy but only care about the cost because they are in debts for £30 millions health spendings.P.C.T dont like doctors prescribing good drugs to patients because good drugs cost more money.So the story goes......

P.C.T or the waste of space

The health authorities called PRIMARY CARE TRUST or P.C.T they are the enemy of the people and they should be abolished.Wakerdiddy PCT is the the worse of all.Lead by the nurse called Ellen Fattymer.She is a fucking bitch who put bananna in her vagina in a party. That kind of people are leading the health service in Wakerdiddy. What hope have we got.Thats why the death rate is high in Wakerdiddy than any part of country.They controlled the prescribing and nurses services in Wakerdiddy and the Doctors hands are tied by them. There are doctors like Dr Patrick Kernshaw who is a brainless idiot very weak in knowledge of medicine but very good in pen pushing, becomes the director.He always talk in front of people that he is the pay master.If only we can get rid of people like Ellen Fattymer the bitch on heat and Patrick Kernshaw the idiot pen pusher people from Wakerdiddy will have a good health service.As for myself I would like to say to hell with PCTs and the likes.They can go to hell.F**k them all.(This is all a fiction so dont take it seriouslly)

Monday, 24 May 2010

THE LAZY SLOTH( My brother inlaw)

THE OLD CRONE.( My mother inlaw)

SEND THEM HOME IN A BANNA BOAT.

I want my inlaws to be send back home to Burma in a Banana boat a quickly as possible.I can't stand these stupid, lazy, ignorant people.They only come to England for dole money and a council house.Pathetic losers they are. Not only that they are ,making our family life hell.If any one knows how to report them to home office please let me know. I will report the whole lot of them to be deported from UK.I am Burmese myself but I am British citizen now.I don't like to see foreiners exploiting the country.I am also a taxpayer and had worked all my life not like the f**king immigrants. My inlaws they really make me ashamed of my being Burmese.I want to show that Burmese are honest hard working people not dozers like my inlaws they make people look down on Burmese immigrants.I am also an immigrant but Ihave worked hard all my life.

INLAWS AND PARASITES.

My inlaws are parisites to our family.My mother inlaw is 80 years old shrivelled women with only one tooth in her mouth.She said she was pretty when she was young but it could have fooled me. My brother inlaw is a nincompoof who had no idea how to earn a living.And his wife is brainless women whose only attribute is her big boobs.Out of all their family only my wife is a doctor and can earned a decent living.The rest of them are parasites.

Their daughter my inlaw niece is 18 year old now and they refused to give her a birthday party for her.The girl is also diddy headed and cannot onderstand her parents.Her parents wants her to be typical burmese and would not let her wear short pants in summer.If they want to be so burmese why dont they go back to Burma and live there.I would like to say " SEND THEM HOME IN A BANNA BOAT TO BURMA"

Saturday, 22 May 2010

ALL MY INLAWS.

While I am talking about my life as a doctor.I must tell you a storey about my inlaws who came from Burma.I mother inlaw, a brother in law, a sister inlaw.They give my family a lot of troubles.They only come to Emgland to live on social security but not to work.For them UK is the land of plenty where people do not have to work for a living.So they become very dependant on my wife and me for their living.They are very lazy and want money from us all the time.They think we are bottomless pit from which they could get as much money as they like.In other words they are bloody nusience.Even when I retired I still have to support them.This morning my mother inlaw want to go to hairdresser and we have to give £40 for her to have a hair do.My brother inlaw is the most lazy person I ever come across in my life.He was a dentist in Burma but when he come to UK he dont want to be dentist and live on dole money.They are poor because of their own fault but they blamed it on the Burmese goverment.They are all stupid lazy and pathetic.Thats all I can say and always emotionally blackmail my wife.

to be continued......

Monday, 10 May 2010

A Tale of Two Indian Doctors

I was told an interesting story by a former patient who now lives in Torquay. He was waiting in the queue at reception and overheard a man asking if he could see a doctor.

At the time there was no appointments system and people just turned up. My former senior partner (Dr. S.) and a younger doctor (Dr. Q.) were the two doctors at the practice in those days. Both came from India but their approach to patients was totally different. The younger doctor clearly was favourite as can be confirmed by the conversation that was reported to me:

Patient: "Is Dr. Q. on tonight?"
Receptionist: "No, it's Dr. S."
Patient: "Oh bloody 'ell!"

Yet another example of the outspoken Yorkshireman who made it clear he did not want to see the senior partner at the practice. He was not alone.

MY SENIOR PARTNER

Sunday, 9 May 2010

In the Footsteps of a Legend

My surgery was for many years run by a doctor who was a local legend. He was respected by the local community and his patients were very sad when the day finally came for him to retire.

For a brief period an Australian doctor took over the practice. He soon became liked and respected for his easy-going style. He did not stay very long and was soon replaced by an Indian doctor.

The people of Normanton are generally friendly and welcome newcomers to the town. Unfortunately the Indian doctor did not have the right approach to settling into the area. His attitude was simply not right. He could have helped himself considerably by maintaining the standards set by those before him.

Patients noticed a fall in standards at the surgery. The waiting room was not being kept as clean as it once was. One patient was more than a little upset when he found the toilet was not very clean. His comments were typical of the style of speaking in the area. He said: "It's all reight foh them buggers, they stand up ont seat."

In these days of political correctness such comments may be considered racist. In reality the comments were just those of a plain-speaking Yorkshireman.

Saturday, 8 May 2010

THE PAITENT WHO NEVER DIE.

So the story continues......

While I was practing in Normanton I had reffered a patient to bowel surgeons because he had a bowel problem.He got an appointment to see the consultant bowel surgeon in Pontefract General Infirmary in few weeks.The consultant surgeon did the biopsy of his bowels and told him that he had bowel cancer and will die in one year.So the patient went home and prepaed for his death.Firstly he made a will for his wife and children. Then he redecorated his house so that his wife will not have to decorated it again.Then he went to the undertakers and paid for his funeral. He evan arranged how he want to be creamated and also organised the church for his own funeral services.He did everything he needed to do before he die.But he goes on living and after a year his friends and neighbours keep saying " You are suppose to die now,why are you still here". So he came to see me and said that he is very embarassed to go on living when he is supposed to die and everyboby is complaining becouse he not dead.So I send him back to see the bowel surgeon.And he found out it was the wrong biopsy result and it was meant for another patient he was not suppose to die from the beginning.So he sue the consultant for the cost of his preparation to die.

My Senior Partner and the Patients

My senior partner at the practice came from India. His age and cultural background were reflected in his interpersonal skills with patients. Many of them thought he was more than a little abrupt at times.

One day an elderly lady sought his advice regarding her worry that she was losing so much of her hair. The patient was no doubt hoping that some treatment may be available to stop or reduce the hair loss. The doctor did not show a great deal of understanding for her plight, as can be seen from the conversation that took place between him and his patient:

Patient: "What do you think the problem is, doctor?"
Doctor: "You are going bald."

People in Yorkshire are accustomed to straight speaking but I doubt if the patient was expecting such a cold-hearted response to her request for help.

Thursday, 6 May 2010

NON JE NE REGRETTE RIEN

So the story continues......

After a year or so I got used to being called "CORK" but actually in Normanton it means something precious.The people of Normanton are not very clever but they are honest country folks and friendly, if they dont like you they will tell you to your face but if they like you ,you can get away with murder.I haven't murdered any one but there are people who are my patients they said to me" I cant talk anything bad about you in the pub if someone overheared me he will come and defend you".Thats how they are in Normanton.So I got eyes and ears in Normanton.My eyes and ears are my patients and they are very loyal to me.And I liked that.Even now when I have retired there are many patients still keeping intouch with me and talked to me and seeked my advise.I tried to help them as much as I could but I am not superman or a magician so I cannot wave a magic wand to get rid of all their problems. I wished I could.I honestly wished I could have a magic wand to make their troubles go away.

to be continued.......

Monday, 3 May 2010

NON,JE NE REGRETTE RIEN.(I have no regrets)

I have been a GP in Normanton for more than 20 years. I am retired now, but if anyone asked me whether I want to be practicing as a GP somewhere else other than Normanton, or if I have any regrets being a GP in Normanton, my answer would be " Non, je ne regrette rien"( I have no regrets)like the song of the French singer Madame Edith Piaf .

When I accepted the post as GP in Normanton, I thought I had landed in a dump. At that time the pits had recently closed and there was alot of unemployment in that area. Many of the people were poor. There was a lot of petty crime in the area and hardly any middle class. I felt downhearted and thought I had chosen the wrong place to practice.

After a few months of practicing I found that the folks in Normanton, though they may be poor, were very decent people. Whenever I went out to visit a patient I was welcomed into their house . They let me sit in the best place in the house and offered me a cup of tea. I began to like these people, their simplicity and their honesty. Over time I became attached to these people.

Some older generation patients didn't call me doctor. They would call me "Cock." Typically they would greet me on the streets by shouting out loud: "Eh up cock" when I passed by them.

to be continued........

Edith Piaf - Non, je ne regrette rien (1961)

Flu jabs

Hi folks every year just before the flu season GPs have to organise flu vaccintions for patients who are elderly or suffer from chronic illness. A patient of mine came to see me because he was worried about his 18 year old daughter who suffers from asthma and was refusing to have the flu vaccination. I advised him to make an appointment for his daughter to see me and reassured him that I would try to persuade her that it was in her best interests to have the flu vaccination. He made the appointment as advised.

The following day the girl arrived at my surgery to see me. I explained to her that because she suffers from asthma it is very important that she be given the vaccination to prevent her from getting flu. She accepted my advice and agreed to have the jab. I told her to get herself ready while I prepared the vaccine.

When I returned to the consultation room I was shocked and somewhat embarrassed to see the girl lying on the couch naked. I said: "I am only going to give you an injection in your arm, there was no need for you to undress." The girl replied: " Aren't you going to inject it in my flu?" as she pointed her finger at her private parts. I told her to get dressed. I later gave her the injection in the arm.

Her comment had left me completely confused until I found out that the word "flu" was used by locals to describe the femail private parts. The moral is that it is essential to explain to a patient exactly what is involved with a particular procedure before going ahead with it.

MENU FOR THE ROTARY

There was this funny thing that happened in Normanton practice when I first joined the practice.My senior partner was an asian doctor and had a very heavy indian accent. One day he phone one of his patients who is a pig manure maker to deliver some manure for his rose trees since he was a keen gardener.

He said " I want some manure for the rose tree."but the chap on the other end of the line said "Oh! yes doctor I got it I will put it through the letter box."
My senior partner said " No I don't want it through the letter box,I want it in the garden."
What happened is the patient heard that the doctor wanted The menu for the Rtory Club in Normanton.Thats why he said he will put it through the letter box but the doctor want the manure delivered in his garden for his rose trees.
See how an accent could change the whole meaning of the conversation.

Normanton Practice

I have been a GP in Normanton since 1990 to 2008.I retired due to ill health.During the years of practice I have found out that to be a good GP and to be helpfull to the patients all you need is a pleasent personality and understanding of the problems that your patient have.I have never patronised any of my patient and truely tried to help my patients,which make me a very popular doctor in Normanton.I started with 1500 patients when I took over the practice from my senior partner Dr M.S.He retired due to ill health in 1993. but when I left the practice in 2007 there are 3000 patients registered in my practice.I have sold my practice to a group of doctors but they had messed it up and now they have only half of the patients left in the surgery.The patients are unhappy with the new doctors and new management and they have all move to other neighbouring practices in Normanton. Still a lot of my patients who knows my phone number or email still contact me and seek advise whether the treatment they are getting from the new doctors are right for them.Ihad to admit I dont know everything but what I know I know well. Even when I am retired Iam recieving many phone calls and email from my patients for medical advise.

to be continued..........

NORMANTON PRACTICE

Hi folks, I am a retired general practitioner. For nearly 20 years I practiced single handedly in a small suburban town called Normanton in West Yorkshire. In 2008 I retired after suffering a cerebral hemorrhage brought on by stress. I decided that the time was right to retire and I am now a man of leisure enjoying life to the full. No more getting up early in the morning to get to surgery by 8.30 am and finishing at 6.30pm if Iam lucky.

The following chapters are a factual account of my life as a GP in Normanton. In order to observe confidentiality I have not mentioned the real names of any persons but the events that happened are true.

I welcome your comments on my posts and thank you for subscribing.