Dr Rant has just had the nauseating, but frustratingly gripping, experience of listening to this week's Desert Island Discs. This weeks 'castaway' was Lord Darsehole of Islington.
Once again, thanks must be extended to the BBC for making the situation so crystal clear. I think I've got this right;
A bloke who grew up in Baghdad with his Armenian family, moved to Dublin to study medicine where he met and married and Irish woman and trained to be a surgeon. After becoming ever more specialised as a surgeon, he ends up getting the gig to destroy the least shite bit of the NHS - General Practice in England.
Well that make perfect sense doesn't it?
Guess what he chose as his 'luxury'? Go on have a guess!
A PENCIL
Yes, that's right - a fucking pencil. What a guy!
If anyone has any suggestions for what Lord Darzi can do with his pencil, answers on a postcard to the usual address........
Dr Rant
Dr Cardigan
Dr Blue
Dr Brown
Rev Dr Green
Dr Mustard
Mr Orange
Dr Pink
Dr Purple
Mr Salmon
Dr White
Mr Beige
Ms Scarlet
Dr Informed
52 comments:
That he is Armenian or from Iraq is immaterial Dr Rant! He is a BRITISH citizen and a genius of a surgeon and innovator with worldwide reputation and honours. Attack his policies all you like but this?!
:(
Sam, hear hear!
1) He ain't elected.
2) I couldn't give a fuck where he's from.
3) He's a politician.
4) He's got fuck all to do with UK General Practice.
Growing up in Bahgdad, he obviously had ample opportunity to visit his local NHS GP on a regular basis, growing up with the concept of the stable doctor-patient relationship on a free at the point of need basis.
Did he fuck!
Most of us GPs have vivid and overwhelmingly positive childhood memeories of visiting our GPs which had an enormous influence on our future choice of careers.
I love NHS General Practice, because I spent so much time getting familiar with it as a child.
Darzi came to Britain as a foreign trained doctor. That's why he wants to "separate that fantastic relationship between GPs and their patients" (slip of the sic-tongue).
Don't try and tar me with your bleeding-heart-brush. A fuckwit is still a fuckwit. Even foreigners and brown people can be fuckwits too - I don't discriminate - you obviously do. Being patronising is covert raciscm. Be warned Sam and Jayann - we'll have no racism here!
I listened too. If I had not known who he was, I would have thought he was Irish. And we know that don't understand how thinks work in the UK:-
'Y'know' said the Scotsman, 'I still prefer the pubs back home. In St Andrews there's a wonderful little bar called McTavish's. The landlord there goes out of his way for the locals, so much that when you buy 4 drinks he'll buy the 5th drink for you.'
'Well', said the Englishman, 'At my local, the Red Lion, the barman there will buy you your 3rd drink after you buy the first 2.'
'Ahhhhh, that's nothing', said the Irishman. 'Back home in me own Killarney, there's Ryan's Bar. Now, the moment you set foot in the place they'll buy you a drink, then another, all the drinks you like. Then, when you've had enough drinks they'll take you upstairs & see that you get laid. All on the house.'
The Englishman & Scotsman immediately scorn the Irishman's claims. But he swears every word is true. 'Well,' said the Englishman, 'did this actually happen to you?'
'Not to me me-self, personally, no,' said the Irishman ...'but it did happen to me sister.'
This explains how I feel about it all. And it makes me laugh. It will not make Jayann laugh. Lord Khazi did not make me laugh. Quits.
John
If there is one thing I can't stand, it's fuckwits who shout 'racist' every time someone mentions a foreign country.
Did you see Dr Rant make a racist comment?
Did you see Dr Rant say people from Baghdad were in some way intrinsically inferior?
Do you even know what colour, race, or background Dr Rant is?
(I'll give you a hint, at least one team member was not born in the UK).
No, you just jumped on you're 'every mention of non-British background is racism' chipped-shoulder bandwagon.
Self-righteous idiots.
My dog was born in a stable. Does that make it a horse?
BREAKING NEWS:
North Wales Police are looking for an Islamophobic hate attacker in Rhyl.
I had thought of applying but it's too far to commute from where I live, what with today's petrol prices and all.
BTW - before someone throws the standard "Racist!!" at me:
I was married 24 years to an Asian woman, and my only child is mixed race.
My missus never once encountered racism anywhere, ever. Mainly, I suppose, 'cos she didn't go round with a chip on her shoulder looking for it everywhere. She actually said that herself - and that was through the seventies, eighties and into the nineties when there was none of this "race hate" shite being liberally splashed all over anyone who didn't mind his Ps and Qs.
"Even foreigners and brown people can be fuckwits too -"
Absolutely, f wits are everywhere!
However, it is a good thing you removed your other post where you called him a 'freak' a while back.
And please, tell Sir Henry; when he's found the petrol money and applied for that Islamophobe whatever, to occassionally remind you that people do get hurt by such remarks even though they know you mean no harm.
As for the man's polyclinics, I too do not like them too
Also please excuse my spelling and/or grammar mistakes. I was not born here. I hope you do not mind.
I will say that I too listened to the radio show with Lord Darzi. He has accomplished more than the entire Rugabe clan cobbled together. You have SCREAMED, PUT DOCTORS IN CHARGE, you didn't ask for FUCKING ELECTIONS.
So now you have a doctor in charge and what happens? You put the boot in! Fucking predictable you freaks! He wants you to change.
I will now wait for the Rugabe stick wielders to hurl abuse and the sick little man himself to delete my post. Enjoy your rally, won't last much longer, would appear Darzi is sending in the UN.
Before 1990, Iraq had one of the best medical care systems in its region. That is though somewhat irrelevant as Darzi spent much of his childhood in Ireland.
as a foreign trained doctor
Ireland, where he studied medicine.
A fuckwit is still a fuckwit
so, no need to mention Armenia/Iraq
Do you even know what colour, race, or background Dr Rant is?
(I'll give you a hint, at least one team member was not born in the UK).
do you know what colour, race, or background my mother was? (I'll give you a hint. She was not born in the UK.)
Being patronising is covert raciscm.
carry on wriggling, rants
Of course Rugabe is a racist. Beware the blue range rovers...............................
Sorry, you wanted ideas for the pencil. I hope he shoves it up Rugabe's arse. Looks like he has already started!
Lord Darzi. He has accomplished more than the entire Rugabe clan cobbled together.
You mean Professor Darzi, yes he did and I am a proper fan, even from before he became a minister. But I must say that I find it baffling as to why take away a man of such exquisite caliber from the amazing work he does best and can continue to achieve lots more in?I think that he himself is an example of the waste and confusion that is happening today!
Can you explain the logic behind that to me please?
The same is happening with Doctors, who are now so insecure and frustrated, now that they are on a career rollercoaster and are threatened with unemployment, degrading, the creep of others on their duties, absolutely no protection and being thrown to the skip after this country spend £250.000 on their training and after they endured a lifelong preparation to hecome doctors and serve their people or, like GPs, after spending their lives giving their all to their patients!
Can you see the amazing parallel of how talent is being wasted up to the highest level?
Can you imagine what would have happened if say, Einstein was taken away to do something else before he finished his work that benefitted the whole of humanity?
'So now you have a doctor in charge and what happens? You put the boot in! Fucking predictable you freaks! He wants you to change.'
I better make it clear Niku that I too am totally against the way doctors are being treated these days and the humiliation and disrespect this noble profession is being attacked with. So, I too do not agree with most of the things you say here. Actually, when it comes to putting forward an opinion that I, due to language/ability limitations, can not put forward properly, Dr Rant and his team say exactly how I want it for me, as they do for countless number of doctors as well as patients but it seems nobody, for some reason, wants to take note and 'listen' then correct all the injustices that are happening these days.
So, regardless of whether this will make any difference to him/them, I am a proper supporter of what Dr Rant and his team stand for.
That said, there is nothing wrong with drawning the attention of those you admire when they do/say wrong sometimes, it's called 'democracy'. Indeed this is what everybody is trying to do hoping that Lord Darzi will take note and fix .. and I believe he can fix providing he 'really' listens.
...
I meant to say drawing not drawning, excuse.
'I hope he shoves it up Rugabe's'
Niku, has it ever occured to you that by 'scr**ing' the Rugby 'team', British rugby will lose out worldwide? That if you want to maintain your position as 'world class', as was the case before and until very recently, that you 'must' nourish, encourage, motivate and reward the rugby team instead?!
What you are suggesting will 'destroy' rugby and this country will suffer .. greatly.
Sam - I agree that by being too negative, the team will be destroyed, and yet that is the mode of operation for this blog. Is calling the man Darsehole and disparaging him the way to engage in a meaningful discussion about the issues? I think not. The same scenario you predict above is true of this site and it's followers. If they continue to throw rocks in the pond, engage in meaningless, immature name calling and behavior, they will remain, rightfully, outside the discussion. Any anger about changes they don't like will be self-inflicted as it was in 1948 when the BMA voted by 89% of its membership to have nothing to do with the then new NHS ever.
Rugabe is his own worst enemy. If he really wanted to make a difference, whether that was to argue for the status quo or engage in dialogue around modernisation, remove the mask, enter the fracas on the same terms Darzi has. But we all know he lacks the backbone to do that. People would then be able to see exactly where he comes from on issues, challenge outside his comfort zone, the Rugabe blog, call him names behind his back like Rugabefuckwit. All too dangerous territory for a spineless wonder who hides behind anonymity. I completely disagree with your use of the term democracy to describe anything to do with this blog, it is a black hole. You don't know anything about the commentators, it ridicules when challenged, does not tolerate a different point of view. That's fascist actually. I would imagine they would love to burn my computer, and me for that matter. I guess it could be the Salem Witch trials.
If you really knew Ara to the extent you say you do, and admire him in the way you characterise, you would find the behavior here repugnant, and say so.
If you don't like the humour and cynicisim of the Rantmeister, why don't you bugger off!
I'm in total agreement with DR John Crippen.
"There is a more serious point, though. Dr Rant, like all medical bloggers, is to some extent (not totally) writing about himself and about all doctors.
Have you considered this? When patients want to complain about doctors there are all sorts of avenues down which they may pursue the complaint. What does a doctor do when he is treated like shit by a patient? It happens you know. You just have to get on with treating them and take it on the nose. So it's good to have somewhere to let of steam from time to time and also perhaps to make people aware of some of the problems doctors face."
Also Dr Rant's anecdote recalling all the times he (as have most doctors) have been assaulted whilst trying to help.
Until you have been in such situations and experiences, how dare you pass such misinformed opinion.
Do you enjoy any part of your life? Troll.
Doc Doc
'I agree that by being too negative, the team will be destroyed'
But they are not being negative Niku, they are afraid! And me too, mothers don't let the internet control their lives for near enough to 2 years unless there is something terribly wrong.
The current climate of confusion makes everybody wonder what tomorrow holds and if there is a future for our children after all the incredably hard work and the sacrifices. For the older doctors, they wonder if there will be food on the children's tables so, it's about 'livelihoods', when things are that bad, people will resist and rightly so. The problem is, no one knows why is all this happening? And no one is explaining!
So, the result is fear and this, as you know, is the strongest human emotion, it is bad. You can not conduct meaningful debate under these conditions. Those in charge need to counter this first then start the talks.
As for the Rant team language, I admit that I find it OTT sometimes but, through following everything he writes, I have come to understand why he does so, as explained above, he too has children and he too is afraid for them and for his own livelihood. I hope you too will rise above his language and understand, I have ... although they needed a little tweek as you can see above, but that was all because I know they mean well. They're only human like the rest of us afterall.
And I do know about Prof Darzi, respect and admire him. Indeed, I hope one day my own children, who have the potential, will be like him .. Only I don't know if they will ever have the opportunity like the Professor did. So far, the eldest was discarded because he did not know some 'buzz' words in a crazy system that did not even allow him to show what he is truelly made of, a system that would have surely discarded the professor himself if he was younger. Now my eldest, who was saved in round 2, is now alone at the other end of the country instead of being next to the professor himself had their been justice. What are the future consequences for this? I wish I knew :(
And, no, the 'king' should not be name called or treated with disrepect, definately not. But, I assure you that everybody is a fan of the Professor, including the Rant team IMO, but, the politician needs to put his people's mind at ease first then ask them to cooperate and, as far as I can see, this is not happening as no one is explaining why the need for change and IMO, this should be the first step.
Now, I don't know who you are Niku but if you really want a dialogue and you really are a person of authority, then maybe you should remove your annonimity first, at least so that you can aid the removal of this culture of fear and start the dialogue. I am sure the team here will tone down then co-operate and enter proper dialogue.
If you prefer, I will not comment again when you are discussing with the doctors so that there is no interference.
Let's all hope for the best.
Re "When patients want to complain about doctors there are all sorts of avenues down which they may pursue the complaint."
None very effective in the NHS
The nhs neither reacts to customer feedback, learns from it, or allows the customers to force change by voting with their feet like they do in every other consumer focussed business
Re "What does a doctor do when he is treated like shit by a patient?" kick them off his list if he is a GP, put at the back of the inevitable queue if a hospital doc, treat without pain relief etc
Re "You just have to get on with treating them and take it on the nose." bollocks
It would be better if the patients and the docs could genuinely choose each other, rather than have their meeting forced on them by apparatchiks of the PCT and NHS
Got to agree with the point the Darzi proves the point that putting docs in charge is the last thing we need, we need real genuine patient empowerment so that the medical provider looses money when the patient walks off site and goes to another site, until that happens we are going to continue to go downhill
http://notdrrant.blogspot.com/
you are of course free to comment. I may not agree but am grateful it is done with respect.
I must again take exception to what you have said though. If you have respect for someone, you don't brand them darsehole. Also, even if these people live in fear of the environment hey work in, coming to a place like this and letting lose the type of hate filled salvos so often read on this blog is a funny way to behave. All I know is that at least Darzi has made his views public, not hidden his identity, and is willing to defend his position like an adult. runt and the gang would appear incapable.
It would appear from the outside they are doing the same thing they did in primary school; taking a pop at the establishment. Only problem is, they are the establishment now.
"If you have respect for someone, you don't brand them ... "
Sure but that works both ways and the doctors do not feel respected at the moment. However I also did say:
" And, no, the 'king' should not be name called or treated with disrepect, definately not"
And I meant it (Ara means king). Actually I would go further and say that both sides are wasting valuable intelligence and energy on name calling at the moment. This could be better used to resolve the current situation, only it seems that those in charge forget sometimes that doctors do possess those qualities and this needs to change if there is going to be mutual dialogue based on understanding and respect.
"Only problem is, they are the establishment now."
How? It actually seems far,far from it, so, please explain.
I also must add that we are all waiting for the Lord Darzi report when it comes out at the end of the month. Of course this is an opportunity to 'prove' intentions like the one you just stated above because just talking won't work with doctors, they need proof; something solid.
Here is 'one' opportunity, Lord Darzi is also to decide on the future of the juniors training and I, as the mother of three medics, am hopeful that he will protect this country's investment in them and also raise their morale which is non existant at the moment.
BTW, everybody, including Dr Rant (look for his first post when Lord Darzi was appointed :), were very optomistic that a doctor was finally put in charge but then everybody became a bit dismayed when policies started rolling without explanation or dialogue. However, all is not lost because the opportunity is still there, only I hope Lord Darzi will give the doctors a 'positive' sign so that positive negotiations and indeed cooperation can be achieved.
And unity doctors, unity .. hopefully behind another good doctor who's aim is for all of you to prosper.
All Lord Darzi needs to do is show us all a sign that everybody can trust.
I am hopeful :)
I tell you what Niku, if I were in Lord Darzi's shoes now, I would ring fence the moneies for the juniors training as well as assure them they will not be wasted to left to rot in a dead end career.
For the senior hospital doctors, I would return autonomy, respect and a secretary.
For the GPs, I would give some kind of a guarantee that the current senior GPs livelihoods will not be affected by Polyclinics, maybe through a new contract that guarantees viability and a minimum income or something similar?
As for us patients, I need a guarantee that I will not have to battle with a nurse or two if they stand in my way when I 'need' to see a doctor and I do appreciate a doctor/patient relationship and insist on it because I do not want to be just a number amongst the other 49,999 numbers in a polyclinic.
This maybe be is a very crude and naiive outlook coming from a mother who does ring fence money for different responsibilities and who also always does her best to be fair with her children. Take the same principal and enlarge to suit and then it will work
Any thing 'Macro' starts as a 'micro' ... that I am sure of because it is from personal experience :)
Actually, why don't doctors who attend here come and put forward some suggestions. Maybe Lord Darzi visits here sometimes, tell him what you want .. maybe it will then work out .. I hope it will.
Are "polyclinics" the solution? I don't know, it must depend on individual geographies to come up with the solution. The problem with EVERYONE'S polarised behavior is that it attracts these missiles from the DofH. This is not dissimilar to Gaza, Norther Ireland. Everyone is intrenched and unable to climb out of their foxholes. The truth is that the majority of GP's go to work and want to make peoples lives better. The reality is that you have a polarised faction that will not, cannot, whatever the reason may be, engage with the people who ultimately control their livelihoods. The government does not behave any better admittedly. In the middle you have the patient. We don't really care who's ego remains intact, we just want a modern and efficient health service that is safe and clean.
In many areas we don't get that right now. It is criminal. But I maintain, and I know Rant disagrees, that doctors have a far greater ability to impact the delivery of care on a day-to-day basis than they choose to.
There has to be a truce or people will continue to die unnecessarily, that's the other thing that pisses me off. People die needlessly right now and both sides carry blame.
If Rant et al can be angry and aggressive because they are blowing off steam, why can't we? Unfortunately , it will only insure we are at the same place tomorrow we are today but what the hell!
If you want positive solutions for Lord Darzi, then I would put it to him that patient care is pretty good in GP land, we respond and react well to change but primary care should be left alone for a while ie. no poly clinics, 1.2million signatures from patients in 3 weeks should give an indication of what the public wish.
However secondary care, staffing levels in hospitals too many targets/managers to count these, and sort out the MTAS situation and create a structured and robust training scheme for hospital doctors.
Recent article in medical press quotes each polyclinic would need at least 250K per annum to run. On top of building costs. Our practice receives 20K to ultimately do pretty much to same.
Lord Darzi needs to balance his books before forcing PCTs to build polyclinics.
"we just want a modern and efficient health service that is safe and clean."
At last, a common goal! :) Of course we all, including Dr Rant, want to reach this goal whether we are patients or doctors. And you are right, nothing will be done if both sides just kept on screaming at each others day in and day out.
'Are polyclinics the solution?'
What?! The impression at grass roots is that the government wants them everywhere, hence the current resistance! The government then needs to look at their PR because it is sending out the wrong message!
You say there are pockets or areas where the government believes they need attendance. Surely, it is logic to start by addressing those pockets first to bring them up to standard but what is happening now is like another hurricane similar to MTAS but aimed at GPs. Worse still, while it wants to engulf, it 'accuses' and this is perhaps the dangerous combination that is GPs to do nothing else but resist 'everything' including things they want and agree with had the sea been calmer. The government needs to stop the media hate campaign against doctors in general and GPs in particular if it wants real solutions. Then it needs to engage, not with the NHS managers or anybody else but with the doctors who work in those failing parts. Then it needs to meet with those doctors and talk and 'listen' to what they give as reasons for the performance you consider as below standard (unrealistic targets, management interference, etc) then start the fixing .. 'together'.
When this is done, there will be more trust and it will then be easier for both sides to cooperate and to innovate and raise the standards of the whole.
Let's start here, hold a small scale truce now, you don't call him/them 'Runt' and he/they do not name call those in charge, please
Look for common goals everybody and give peace a chance :)
"Then it needs to engage, not with the NHS managers or anybody else but with the doctors who work in those failing parts. Then it needs to meet with those doctors and talk and 'listen' to what they give as reasons for the performance you consider as below standard (unrealistic targets, management interference, etc) then start the fixing .. 'together'."
Sam, I understand your sentiment and agree with your views, but you need to be aware that negotiations between the DoH and the doctor's union The BMA broke down at the end of last year because the government wanted to, and subsequently has, imposed Extended Opening hours for GP surgeries, but with no extra funding, infact a pay cut.
The negotiated New Contract for GPs some 4 years ago has been renaiged upon and changed unilaterally by NuLabour. This is why GPs do not trust the government.
Polyclinics are a solution to the underdoctored areas of the country where NIKU must live, ie mainly inner city areas, but you cannot apply a "one size fits all" logic to this situation.
Lord Darzi, if you are listening, Wake Up and Smell the Coffee!
"GPs do not trust the government."
doc doc, I think you can safely generalise this statement to include all doctors at the moment, but the current climate of 'us' and 'them' and the constant name calling will never bear fruit.
And, broken down talks lead to nowhere, that's why the situation has decended into anarchy!
The government now needs to show 'proof' that they have good intentions and the doctors need to talk and cooperate.
If Lord Darzi is coming here himself/sending staff here as Niku claims, then he wants to talk. I personally think it would be stupid to waste the opportunity so, everybody needs to tone it down a bit and try some diplomacy, even on the smallest of levels, here on a blog ... you never know.
And Lord Darzi needs to show that he IS one of you somehow by not siding with the government whom he represents all the time. Maybe by demanding that the media hate campaign be stopped or something. But give the man a chance if he is showing readiness to cooperate.
As for ideas, well, you ARE the professionals concerned, come put them down here (Calmly in an adult way) and let's get talking ..
Sam
"If you want positive solutions for Lord Darzi, then I would put it to him that patient care is pretty good in GP land, we respond and react well to change but primary care should be left alone for a while ie. no poly clinics, 1.2million signatures from patients in 3 weeks should give an indication of what the public wish.
However secondary care, staffing levels in hospitals too many targets/managers to count these, and sort out the MTAS situation and create a structured and robust training scheme for hospital doctors."
I agree that a positive outlook is best for negotiations, and that Dr Rant's rantings and florid use of the anglosaxon may be seen as counter-productive, he's just pissed off and letting of steam. Not sure he'll change this site to Dr Convivial though!
Main problem in NHS is secondary care as pointed out above. Also reduced number of hospital beds, 4hr cas target, 13/17 week outpatient targets number of operations/waiting time for ops targets.
Each year more people are seen in cas, outpatients, GP land, more operations are needed, medical advancements and patient expectation are main reason for this, but there is no real year-on-year advancement and development to allow this, just more cutbacks and reduced staffing levels in hospitals.
GP land has expanded to take on more staff since the new contract and fulfilled the objectives set out in that contract.
The changes proposed by Lord Darzi regarding polyclinics are not based on any clinical evidence, while the medical profession has to provide this for any new treatments, research projects etc. Double standards!
Am sure NIKU will point out that number of staff in hospitals has increased but not in the right areas and mostly (bean counting)managers.
Will be intersting to see if Lord Darzi takes on board the petition signed by 1.2 million britons.
Perhaps this is usual goverment tactic, promise a lot and give a little, demand a lot and get a little.
Seems easier to accept in the human brain.
"Dr Rant's rantings and florid use of the anglosaxon may be seen as counter-productive, he's just pissed off and letting of steam. Not sure he'll change this site to Dr Convivial though!"
Don't urge him on then! :-)
I like Dr Rant's article in Remedy's new magazine so much. He was softly spoken and, as usual, with stamina and intelligence .. and it suited him better IMO.
And, has it ever occur to anybody that Dr Rant's abilities, other than the anglosaxon stuff, are part of the reason why 'they' chose to came here, rather than to other medical bloggers?
Dr Rant, why are you so silent? This maybe is an opportunity so take it and speak up please 'softly, softly', omit every anglosaxon word that tries to escape for a while. Ability reaching cieling level, I do not know much about the technical stuff Doc Doc is talking about so, you take over please.
Maybe Dr Rant is the 'Jimmy carter' needed for the negotiations to start and until a suitable truce is signed.
To show 'good will' please Dr Rant, remove the offensive words from this post and let's see if 'they' are 'real' and really mean business. Happens in diplomacy all the time. People on both sides want to talk so,be the ambassador to help them :-)
All the best everybody ;-)
Sam,
I think you misunderstand who Dr Rant is.
Yes, the members of the team are (hopefully!) intelligent and articulate doctors, and (hopefully!) our print articles will reflect that.
And, from time to time, Dr Rant will take his neuroleptics and produce a thoughtful, non-anglosaxon post here too.
However, the purpose of Dr Rant is to stand up, rent his clothes, and scream. Dr Rant is a warning to people of what lies ahead on this read. Dr Rant is a wailing lost soul.
You don't negotiate with Dr Rant. You negotiate with moderates in the medical profession because you want to avoid Dr Rant.
So, when you are talking to Darzi and taking a leaf of faith that he might not be a lying stooge out to corporatise the NHS to line big business pockets with the blood of those who have no voice, you can remind Darzi of the alternatives.
When or if we need a medical blog of moderate, sensible opinion then we'll set up a Dr Sensible and Moderate Opinion blog. Until then, let Dr Rant stand as a warning to those who cannot yet see where the road we have embarked on leads.
"You don't negotiate with Dr Rant. You negotiate with moderates in the medical profession because you want to avoid Dr Rant."
Fair point but, let's give a little room for this to happen. Please produce thoughtful and aticulate posts without the trims for a while. I am sure everyone who visits here wants to know if Niku is for real and everybody wants a solution, the only way to find out about both lies with you.
If at all possible, please remove the 'stuff' from this post, if only to show good will and allow for discussion.
I sincerely hope you and team will cooperate and I will only you this once, I promise .. please :)
Please insert the word 'ask' somewhere ...
:)
Give me strength! Rugabe is such an asshole because only he can predict what will happen in the future and people should listen! What a load of festering shit. Do you sit on the toilet dump a load and see the future????? You are such an arrogant fuck.
And to the point of "Oh, Rugabe wails here because doctors don't have anywhere else to complain boo hoo hoo, You know patients always treat us badly and we have to fend off 4 to 5 attempts to kills us a day. And the Rugabe blog is a parallel universe where everything we say is true and everything you say is false." Fuck off, you lead some of the most privileged lives on the planet. You can't package post after self-serving post as some type of physco bable based relief valve. If an airline pilot had a blog like this the CAA would hunt him down and subject him to a physiological exam to see if he was fit to fly.
Just to prove you are a fraud, can't stand criticism, are completely full of shit but most of all a hypocrite, delete away Rugabe.
You must be self-medicating. Badly
WOW!
"Just to prove you are a fraud, can't stand criticism, .... delete away Rugabe."
I thought you said you wanted to talk! Dr Rant said nothing to warrant this vement attck!
Sorry Niku, I don't think you are who you claim you are. I had some doubts when you didn't recognise that 'king' is the meaning of ARA but your this latest comment confirms it. You are now raging because you wouldn't know what to do if Dr Rant obliged, would you?
What motivates people to do what you do .. playing around with people's emotions?! :(
With or without you, I hope the Rant team will tone it down a bit.
care in GP land is pretty good? oh how we laughed
yea its pretty good IF you are lucky enough to live in one of the small parts of the country still populated by decent GPs
as I invited before I really could show you medics some shit GPs if you wanna follow me around
I may even record some of the conversations with the receptionists and post them on my blog, that would bring you back to reality
http://notdrrant.blogspot.com/
a pencil, oh dear and glorious leader how you inspire this young convert to the profession, with your high and admirable music choices, Tubular Bells and Finnegan's Wake the music of the revolution- where we will sing and praise at the polyclinic church of Darzi. For our leader will shower only good things to the NHS.
All hail Darzi
The thing I found interesting was that the Noble Lord seemed to like songs without having really listened to them. Thus the Supertramp "Logical Song" - which he picked, as I recall "because it reminded him of all the time spent studying and swotting" - is actually a song fairly clearly CRITICIZING "intellectualisation" and implying that people should stick with instinct. Can't stand the song, but I did think it oddly instructive that Lord D hears what he wants to hear.
Also amazed that someone who trained outside the UK, and only came to the UK as a consultant SURGEON, should get charged with "fixing" GP care (leaving aside the question of whether it needed fixing by stealth privatisation, which every GP I know is vehemently opposed to). If Darzi had been put in charge of sorting out the kind of internecine warfare and waste of resources in hospitals evident in Gerry Robinson's TV shows a year or two back, that might have made some sense. But GP-land?
Another thing that came over strongly was that Lord D sees himself as a "manager of change". He made several comments about "stuck in their ways" types, so it seems clear how he is casting the GPs... very much in line with Govt thinking.
Doctors are one of new Labour's favourite targets as either "a force of conservatism" and "a vested producer interest"
Actually the whole of the NHS reforms over the last 18 years (all based on the fatally flawed idea of an "NHS internal market") have been wrong in concept and execution.
We are right to be offside with them, (we retain a functional internal crap detector) and will be delighted when their failure becomes obvious to everyone.
We might then get a chance to knock Nye Bevan off his pedestal, and sort out a modern, probably European model system based on plurality of providers under social insurance.
No other country except Cuba has an NHS...and no other country wants to copy our NHS or our soccer tactics. Perhaps they know something we don't.
And for all Lord Darzi's surgical brilliance I think I have more knowledge of primary care in my little finger than the noble Lord has at all. He's the wrong man to tackle primary care. He'll do as much good for primary care as Beeching did for the railways.
More bullshit from big bad Niku, who I *still* haven't heard from regarding my generous offer to rearrange his nasal cavity. What a gobshite.
I'd love to see Karzi do one DAY as a GP.
He'd be pissing his knickers after the fourth consultation, trying to re-program vision and compulsively masturbating out of fear.
As regards the suggestion of what he can do with his pencil; there was a story going around our school that one lad got so depressed in his Maths A-level, he sharpened 2 HB pencils, placed them up his nose and 'nutted' the desk as hard as he could.
I suggest that 'Lord' Karzi does the same.
what a cunt.
well said Dr Blue
why dont you write more here? rather than your communist nhs supporting brothers rant you actually make sense
http://notdrrant.blogspot.com/
I agree with no one, well written, objective, clear and relevant Dr. Blue.
br left my local's post code on the blog last week waited for you all day. Never showed.
I am mystified by all your negative waves. Also, you seem to have a penis fixation. I understand that there are women, and men, who don't think size matters. You could always opt for a penis implant.
Will be at my local this Saturday, please drop by if you get a chance.
Like fuck you did you fucking wankpellet.
As I said, you have my email address.
sorry br have just noticed from your lack of vocab you must either have a brain injury, or you are just the village idiot.
Post code to my local, waited for you saturday will wait on last time this saturday:ZE1 0LX
3 hours to go, until it's lauchned here, I am all aquiver in anticipation.
Me on June 23: "But I must say that I find it baffling as to why take away a man of such exquisite caliber from the amazing work he does best"
Today I found out why! Ara Darzi is 'committed' to saving British medicine! And he will!
Lord Darzi has just nailed the final nail in the coffin of the NHS!
All patients to receive any and all drugs that may possibly help them and the government have put forward £100m for this! ten times that won't even cover the bill, each year!
Lord Darzi is led by the NuLabour government whose agenda is to cause the NHS to fail and blame the doctors and staff for its failing.
Let's just hope the next election comes about before too many irreversible changes have been brought in.
Again i ask the question where is all the money going to come from?
Answer, MORE TAX! nothing changes.
The NHS is destined to be a poor service for the poor as those with the means move away from it.
The "employees" of the system are just as, if not more, responsible for the miserable situation in which we find ourselves. You fought just as hard as Labour/Conservatives did to change and modernise, to keep the status quo. You are reaping what you sow. Enjoy the meal.
Kama-Karzi-by-proxy's long-awaited report...
QUOTE from website
Launch event report
* posted: 1 July 2008
The report will appear here soon.
-----------------------------------------------------
I wonder if they've given themselves the notional 18 weeks to find out on whose lost/pilfered laptop they left the report...?
BTW - As a reasonable-middle-way-turned-to-the-Dark-Side-by-NHS-'treatment' sort of person, I can only suggest that Darzi uses his pencil to get writing job applications.
I'm sure that the EU would be perfect for him. That's where all the politicos go, isn't it, when they've so pissed off their home populace that they need bodyguards/good lawyers?
Kick him upstairs.There's bound to be some cosy little sinecure which, by dint of uber-bureaucracy, will ensure that his Notional Health Service [TM] polieclinique frolics etc will get all the 'primary care' they deserve.
Frank, have you gone missing again??
Have you taken a couple of weeks off sunning yourself in Magaluf or Benidorm?!
Was it intentional going away just at the time the darzi report was published?
Or have you collapsed and not regained full consciousness since reading the report?
Has Mrs Frank removed your computer so you can spend some "Quality time together"?
Please come back Frank, sad old people like me need some cheering up.
That Kirsty Young evidently isn't tough enough in her line of questioning!
He came across as a top bloke on DID...
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