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Post by Miranda on Feb 11, 2019 21:03:19 GMT
I am so glad that consultants are now taught to be more patient-centred. Could the one this week have been more cold and unfeeling?
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Post by cakewalk on Feb 11, 2019 21:09:32 GMT
The scene where the trainee doctors were watching her examination was toe curling I really felt for her.
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Post by Miranda on Feb 11, 2019 21:20:07 GMT
Thankfully they can't do that now without asking you first.
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Post by cakewalk on Feb 11, 2019 22:00:45 GMT
Thankfully they can't do that now without asking you first. I could probably put up with any other examination being watched by student doctors, but nothing 'down there'! That really would have to be the worst.
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Post by Miranda on Feb 11, 2019 22:15:29 GMT
I have had that done by a student doctor. But I was asked first and told what would be happening. The doctor was next to him, talking him through it. I won't say it was pleasant because it wasn't. It never is. But student doctors do have to learn on someone.
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Post by cakewalk on Feb 11, 2019 22:41:03 GMT
I have had that done by a student doctor. But I was asked first and told what would be happening. The doctor was next to him, talking him through it. I won't say it was pleasant because it wasn't. It never is. But student doctors do have to learn on someone. One on one is not so bad, and I guess I, too, would agree to it. But to be faced with over half a dozen pairs of blank eyes who you have never met before plus then being talked about like a piece of meat would be my idea of hell! I know it was even worse in the early Victorian days when actual operations were performed in front of a whole gallery of students (hence the word 'theatre') but I was still quite shocked that so many were there on CTM in 1964 just to observe.
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Post by Miranda on Feb 11, 2019 22:42:09 GMT
Oh no, there were students watching. I was just glad they didn't all want a go!
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Post by cakewalk on Feb 11, 2019 22:43:49 GMT
Oh no, there were students watching. I was just glad they didn't all want a go! Really? No, I wouldn't agree to that!
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Post by Miranda on Feb 11, 2019 23:37:47 GMT
If I remember rightly, they send the students in to ask you beforehand. The one who came to me sat down, introduced himself and talked to me about my problem before he asked if he could do the exam. We had a good chat and he told me what would happen and that I could say no if I wanted. So I felt quite comfortable about letting him do it. Well... as comfortable as you can be with that examination.
But the woman in a bed opposite, her student turned up a few minutes later and asked her straight out with no preamble. She winced, crossed her legs and said 'oh no, I really don't think I could do that, sorry.'
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Post by beverley61 on Feb 12, 2019 12:45:47 GMT
I remember a bunch of doctors being threatened with criminal prosecution at a major London hospital for queuing up in theatre and having a go (sorry being taught) at an internal investigation, some of them had a few goes. There were quite a few of them as I recall (double figures at least) and the new theatre sister reported the consultant and the doctors to the police after telling the patient. There was a lot of ribaldry and use of colloquialisms etc. I think the police were considering an actual bodily harm prosecution but it may have been that the woman involved took them to court privately and got a large compensation deal, I know it did not go to criminal court in the end and she did get compensation. It was relatively common practice up until the 70s early 80s but never to the degree above. You were talking one or two students suitably supervised by a senior doctor. After that patients had to given consent and had to be awake. I think it was this case that sparked the change.
Also if you are in hospital and 15 junior doctors all start standing around your bed for the ward round, remember that you can tell them to back off and go away. You can agree to one, two , five or none to be present during this consultation with the doctor. When confronted with an intimidatory pack of doctors patients have been known to agree to all sorts or play down their problems to get it over with. Shouldn't be done, so remember your rights.
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Post by Miranda on Feb 12, 2019 14:10:45 GMT
I had a suspicion that what happened in CtM would now be considered assault. It sure as hell looked like one.
It must be that case I had in mind, Beverley.
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Post by Deleted on Feb 12, 2019 14:15:01 GMT
When I was having my first baby the consultant came in to check on me accompanied by several students. I was in those awful stirrup things but as he was trying to examine me my knees just automatically kept closing together !. He actually said ‘ I don’t know how you got pregnant if you’re so embarrassed’ I said that when I got pregnant I didn’t have a load of people round the bed watching. I’ve aalways been a very private person and I found it mortifying.
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Post by vicky on Feb 12, 2019 18:15:11 GMT
During a long and difficult labour in the late 1960s, it was a medical student who was the only person who was kind to me and who probably saved my baby by insisting the (horrible) midwife sent for a doctor to deliver her as she had got stuck in the wrong position.
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Post by marion on Feb 18, 2019 15:08:17 GMT
I quite enjoyed this week's episode, even though Miriam Margolyes was in it. Thankfully the ghastly Timothy had very limited air time. The unforgiving mother was played by Cully Barnaby!
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Post by Deleted on Feb 18, 2019 18:06:32 GMT
....and I thought MM did quite well even though I don't particularly admire her also,Marion ! More prominent themes of the times, I keep guessing what I was up to in the 60s with all these things happening elsewhere in the big city as I had just started teaching 1959.
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