Paramedics acting as doctors
Discussion
Made an appointment today to see a doctor for a chest infection. I've got an appointment with a fecking paramedic. As much respect as I have for paramedics, having worked closely with them for years, I don't believe they are the right people to diagnose chest infections. First, we were given doctors, then nurse practitioners, now paramedics, what's next, fecking St John's Ambulance people?
lornemalvo said:
Made an appointment today to see a doctor for a chest infection. I've got an appointment with a fecking paramedic. As much respect as I have for paramedics, having worked closely with them for years, I don't believe they are the right people to diagnose chest infections. First, we were given doctors, then nurse practitioners, now paramedics, what's next, fecking St John's Ambulance people?
You've already diagnosed yourself - so what the issue here?You've got an appointment for a cough / for shortness of breath / for pain when you breath - aha, then you need diagnosis
You've got a chest infection - you need treatment
If the paramedic isn't able to diagnose you, then i presume you aren't qualified to diagnose yourself
Why don't you believe a paramedic can? they can observe you, take your history, auscultate your chest and prescribe appropriate treatment, whats the issue?
Are you a snob? or a muppet?
If you've got an issue with the way the nhs works then Cough up (get it!) and go private, if not surely an appropriately qualified person is appropriately qualified to diagnose you (even though you've already diagnosed yourself)
lornemalvo said:
Made an appointment today to see a doctor for a chest infection. I've got an appointment with a fecking paramedic. As much respect as I have for paramedics, having worked closely with them for years, I don't believe they are the right people to diagnose chest infections. First, we were given doctors, then nurse practitioners, now paramedics, what's next, fecking St John's Ambulance people?
I'm assuming if you called 999 with a real emergency you'd be very glad to see a "fecking paramedic"........lornemalvo said:
Made an appointment today to see a doctor for a chest infection. I've got an appointment with a fecking paramedic. As much respect as I have for paramedics, having worked closely with them for years, I don't believe they are the right people to diagnose chest infections. First, we were given doctors, then nurse practitioners, now paramedics, what's next, fecking St John's Ambulance people?
Call a paramedic in some countries and a fireman could turn up.scotlandtim said:
lornemalvo said:
Made an appointment today to see a doctor for a chest infection. I've got an appointment with a fecking paramedic. As much respect as I have for paramedics, having worked closely with them for years, I don't believe they are the right people to diagnose chest infections. First, we were given doctors, then nurse practitioners, now paramedics, what's next, fecking St John's Ambulance people?
You've already diagnosed yourself - so what the issue here?You've got an appointment for a cough / for shortness of breath / for pain when you breath - aha, then you need diagnosis
You've got a chest infection - you need treatment
If the paramedic isn't able to diagnose you, then i presume you aren't qualified to diagnose yourself
Why don't you believe a paramedic can? they can observe you, take your history, auscultate your chest and prescribe appropriate treatment, whats the issue?
Are you a snob? or a muppet?
If you've got an issue with the way the nhs works then Cough up (get it!) and go private, if not surely an appropriately qualified person is appropriately qualified to diagnose you (even though you've already diagnosed yourself)
I recently had exactly the same thing. I asked very nicely why I wasn't seeing a doctor and it was basically that they get the 'easy' ones. If they aren't happy, then it goes to a doctor. She was extremely thorough and followed up with a second appointment, an ECG and chest x-ray.
My first reaction was to be non too happy about it, but it was fine.
I was very happy to be seen quickly, and on a Saturday morning.
My first reaction was to be non too happy about it, but it was fine.
I was very happy to be seen quickly, and on a Saturday morning.
Edited by R6tty on Monday 23 October 10:19
Some exceptionally stupid replies to this post. Yes, I have a chest infection, that's pretty obvious. Is it bacterial or viral? no idea. Are antibiotics appropriate? No idea. Would I be glad to see a paramedic if I was in an RTC? Of course I would. We are acutely short of paramedics on ambulances so that's exactly where they should be. I've already stated that I greatly respect them and have worked closely with them, many times at RTCs. I trained to EMT level so know exactly what capabilities paramedics have. The fact is, they are not doctors. I can't believe that people are so laid back about this constant dilution of standards.
As for the people who are making pretty aggressive, personal comments, the usual internet trolling gobs
tes, I'm pretty sure you would not say these things to my face, you can go and fk yourselves.
As for the people who are making pretty aggressive, personal comments, the usual internet trolling gobs
tes, I'm pretty sure you would not say these things to my face, you can go and fk yourselves.Riley Blue said:
scotlandtim said:
lornemalvo said:
Made an appointment today to see a doctor for a chest infection. I've got an appointment with a fecking paramedic. As much respect as I have for paramedics, having worked closely with them for years, I don't believe they are the right people to diagnose chest infections. First, we were given doctors, then nurse practitioners, now paramedics, what's next, fecking St John's Ambulance people?
You've already diagnosed yourself - so what the issue here?You've got an appointment for a cough / for shortness of breath / for pain when you breath - aha, then you need diagnosis
You've got a chest infection - you need treatment
If the paramedic isn't able to diagnose you, then i presume you aren't qualified to diagnose yourself
Why don't you believe a paramedic can? they can observe you, take your history, auscultate your chest and prescribe appropriate treatment, whats the issue?
Are you a snob? or a muppet?
If you've got an issue with the way the nhs works then Cough up (get it!) and go private, if not surely an appropriately qualified person is appropriately qualified to diagnose you (even though you've already diagnosed yourself)
Riley Blue said:
scotlandtim said:
lornemalvo said:
Made an appointment today to see a doctor for a chest infection. I've got an appointment with a fecking paramedic. As much respect as I have for paramedics, having worked closely with them for years, I don't believe they are the right people to diagnose chest infections. First, we were given doctors, then nurse practitioners, now paramedics, what's next, fecking St John's Ambulance people?
You've already diagnosed yourself - so what the issue here?You've got an appointment for a cough / for shortness of breath / for pain when you breath - aha, then you need diagnosis
You've got a chest infection - you need treatment
If the paramedic isn't able to diagnose you, then i presume you aren't qualified to diagnose yourself
Why don't you believe a paramedic can? they can observe you, take your history, auscultate your chest and prescribe appropriate treatment, whats the issue?
Are you a snob? or a muppet?
If you've got an issue with the way the nhs works then Cough up (get it!) and go private, if not surely an appropriately qualified person is appropriately qualified to diagnose you (even though you've already diagnosed yourself)
Mr Pointy said:
Riley Blue said:
scotlandtim said:
lornemalvo said:
Made an appointment today to see a doctor for a chest infection. I've got an appointment with a fecking paramedic. As much respect as I have for paramedics, having worked closely with them for years, I don't believe they are the right people to diagnose chest infections. First, we were given doctors, then nurse practitioners, now paramedics, what's next, fecking St John's Ambulance people?
You've already diagnosed yourself - so what the issue here?You've got an appointment for a cough / for shortness of breath / for pain when you breath - aha, then you need diagnosis
You've got a chest infection - you need treatment
If the paramedic isn't able to diagnose you, then i presume you aren't qualified to diagnose yourself
Why don't you believe a paramedic can? they can observe you, take your history, auscultate your chest and prescribe appropriate treatment, whats the issue?
Are you a snob? or a muppet?
If you've got an issue with the way the nhs works then Cough up (get it!) and go private, if not surely an appropriately qualified person is appropriately qualified to diagnose you (even though you've already diagnosed yourself)
lornemalvo said:
Riley Blue said:
scotlandtim said:
lornemalvo said:
Made an appointment today to see a doctor for a chest infection. I've got an appointment with a fecking paramedic. As much respect as I have for paramedics, having worked closely with them for years, I don't believe they are the right people to diagnose chest infections. First, we were given doctors, then nurse practitioners, now paramedics, what's next, fecking St John's Ambulance people?
You've already diagnosed yourself - so what the issue here?You've got an appointment for a cough / for shortness of breath / for pain when you breath - aha, then you need diagnosis
You've got a chest infection - you need treatment
If the paramedic isn't able to diagnose you, then i presume you aren't qualified to diagnose yourself
Why don't you believe a paramedic can? they can observe you, take your history, auscultate your chest and prescribe appropriate treatment, whats the issue?
Are you a snob? or a muppet?
If you've got an issue with the way the nhs works then Cough up (get it!) and go private, if not surely an appropriately qualified person is appropriately qualified to diagnose you (even though you've already diagnosed yourself)
1 - To set the record straight -- yes, I would call you a muppet to your face.
2- you have diagnosed yourself, you've said you have a chest infection. Do you mean a pneumonia, perhas CAP, or was it iatrogenic. Maybe, not, could it be Upper Respiratory Viral Infection, no, perhaps if just a cold? oh, no, its a chest infection - well done you. (Try eliciting Sx, rather than Dx. Cheers)
If you don't like the NHS - then go private or accept what you get - nothing wrong with ACP's, whether ANP's, Para Prac's or whatever it might be. Appropriate training is provided.
Also - and finally my important point, instead of my above points which are just to piss you off because, you're a bit of a twonk, please explain what you mean by diluting standards. As you are clearly an expert at this, please explain to me the difference between a GP's training in respiratory diagnostics, as opposed to perhaps a GPST, or an ANP, or a paramedic.
I look forward to your scholarly reply my dear chap.
Fastchas said:
I booked a phone consultation with my Dr's this year and a paramedic called me back. She said she was qualified to assess me over the phone. In fact, she was more attentive than my doc has ever been.
This is the thing. If they're operating within their scope of practice the quality of the consultation depends almost entirely on the calibre of the professional you're talking to.A switched-on paramedic will be a lot better than an uninterested GP in many situations.
Slowboathome said:
Fastchas said:
I booked a phone consultation with my Dr's this year and a paramedic called me back. She said she was qualified to assess me over the phone. In fact, she was more attentive than my doc has ever been.
This is the thing. If they're operating within their scope of practice the quality of the consultation depends almost entirely on the calibre of the professional you're talking to.A switched-on FECKING paramedic will be a lot better than an uninterested GP in many situations.
Mr Pointy said:
Riley Blue said:
scotlandtim said:
lornemalvo said:
Made an appointment today to see a doctor for a chest infection. I've got an appointment with a fecking paramedic. As much respect as I have for paramedics, having worked closely with them for years, I don't believe they are the right people to diagnose chest infections. First, we were given doctors, then nurse practitioners, now paramedics, what's next, fecking St John's Ambulance people?
You've already diagnosed yourself - so what the issue here?You've got an appointment for a cough / for shortness of breath / for pain when you breath - aha, then you need diagnosis
You've got a chest infection - you need treatment
If the paramedic isn't able to diagnose you, then i presume you aren't qualified to diagnose yourself
Why don't you believe a paramedic can? they can observe you, take your history, auscultate your chest and prescribe appropriate treatment, whats the issue?
Are you a snob? or a muppet?
If you've got an issue with the way the nhs works then Cough up (get it!) and go private, if not surely an appropriately qualified person is appropriately qualified to diagnose you (even though you've already diagnosed yourself)
scotlandtim said:
Slowboathome said:
Fastchas said:
I booked a phone consultation with my Dr's this year and a paramedic called me back. She said she was qualified to assess me over the phone. In fact, she was more attentive than my doc has ever been.
This is the thing. If they're operating within their scope of practice the quality of the consultation depends almost entirely on the calibre of the professional you're talking to.A switched-on FECKING paramedic will be a lot better than an uninterested GP in many situations.
Sorry, I was assuming the term referred to some new-fangled subspecialty.
lornemalvo said:
Some exceptionally stupid replies to this post. Yes, I have a chest infection, that's pretty obvious. Is it bacterial or viral? no idea. Are antibiotics appropriate? No idea. Would I be glad to see a paramedic if I was in an RTC? Of course I would. We are acutely short of paramedics on ambulances so that's exactly where they should be. I've already stated that I greatly respect them and have worked closely with them, many times at RTCs. I trained to EMT level so know exactly what capabilities paramedics have. The fact is, they are not doctors. I can't believe that people are so laid back about this constant dilution of standards.
As for the people who are making pretty aggressive, personal comments, the usual internet trolling gobstes, I'm pretty sure you would not say these things to my face, you can go and fk yourselves.
btw - if you "put the paramedics back on the ambulances" "exactly where they should be" they will leave!As for the people who are making pretty aggressive, personal comments, the usual internet trolling gobs
tes, I'm pretty sure you would not say these things to my face, you can go and fk yourselves.Responding paramedic is a crap job, with awful pay and poor working conditions - the good ones leave. better to offer them opportunity in the NHS rather than force them back into the vans on the road where they will simply leave and earn more working in Tesco.
primary care offers them better pay rates, autonomous practice and healthy working hours thus job satisfaction - also keeps experience in the NHS so you have argued yourself out of your own point - thus = muppetry
see what I did there ... i used logic and rationale to make my point.
Slowboathome said:
scotlandtim said:
Slowboathome said:
Fastchas said:
I booked a phone consultation with my Dr's this year and a paramedic called me back. She said she was qualified to assess me over the phone. In fact, she was more attentive than my doc has ever been.
This is the thing. If they're operating within their scope of practice the quality of the consultation depends almost entirely on the calibre of the professional you're talking to.A switched-on FECKING paramedic will be a lot better than an uninterested GP in many situations.
Sorry, I was assuming the term referred to some new-fangled subspecialty.
lol! apology accepted
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