Oh, I forgot my worst ever type of meeting.

The ones where they’ve brought in outside “consultants” who are helping us in a “collaborative learning exercise” to which they’ve applied a predetermined agenda.

The most recent one where they wanted to unveil their (crap, wishy washy) mission statement for the organisation.

@onehundredthidiot apparently because I’m paid to be there and there’s very important information to be disseminated.

As mentioned it’s an ego trip for the practice manager, and she can’t stand the fact that people might be slacking off.

Suggestion 1 – suggest a better agenda.  If you can’t,  then shut up till you can  – moaning without a solution is just noise.

I can, and I have. It’s been nixed. As said previously the partners are too scared of the likely fallout to do anything about it.

I think that part of the problem is that the meeting is held in the protected learning time, and the practice manager hates the thought that people might get off early.

@trail_rat

Why’s it broken now then?

Because the knob is made out of cheap plastic and I presume it has degraded. The rest of it is fine.

@argee, go on then, how much do you think I make?

A pipe cutter works absolutely fine on aluminium bars BTW.

So I shouldn’t be using a pipe cutter on carbon bars? ;-)

@oldschool

but aren’t you a partner?

No I’m not. I’m a salaried GP.

Then we/you/government/the general public etc wonder why doctor’s don’t “know” how to run the business side of the surgery.

However the evidence shows that we do it better than the hospitals which do have professional business management?

@BoardinBob – you have my sympathy. I’m lucky to have a job that I (mostly) enjoy and that feels like I achieve something meaningful.

Aren’t the GP partners the Practice Managers boss?

She’s been there longer than any of them and they’re scared of her.

It is possible to decline meeting invites.

It’s compulsory.

Oh, and every 6 months I give the wheels a shake – if there’s no sound I add a bit more Stans.

This is the way.

@sharkattack if I could give one piece of advice to my younger self, it would be not to let not knowing stop me from getting started on saving.

If we’re including dead people, Amy Winehouse.

It’s not technical, but fun all the same. Very XC for the non-cheeky stuff.

<Sigh> That Ragley in that colour is lovely. ;-)

GCN did an interesting video on this.

I think about 5 years ago.

Having been quite ignorant of them in the past, I’m also a massive fan of new school/hardcore hardtails.

They’re just so versatile. I’ve taken mine to a bike park, touring and riding enduro trails in Scotland and am planning on doing the Great North Trail on mine. It’s not perfect for any of them, but it’s great fun on all of them.

I’ve got 140mm forks on my Ragley Marley and it’s pretty confidence inspiring down most things. I’ve not found dive to be a particular problem.

I loved Whiplash’s ambiguity and the acting.

Midsommar absolutely **** with my head for a few days.

Schindler’s list is brilliant.

<smug mode>I saw Prince at the Camden Roundhouse, and he was just as good as you would imagine.</smug mode>

@johndoh I paid a lot of money (at the time) to see Roger Waters tour The Wall and it was almost as good as the Prince gig above. It made me understand why people rave about Pink Floyd.

I was gutted to miss AC:DC this year because I was in the Alps.

I’d pay a lot of money to see Depeche Mode.

@dyna-ti

Just wondering if its a better idea than my investing elsewhere in the usual isa type of thing.

It depends on what the money’s going to be used for.

The law of small numbers means that relatively small amounts held for a short time are quite likely to have below inflation returns.

However for something like an emergency cash fund that you don’t use, over time it would be a better investment, with the added bonus that it’ll never go down in nominal value. However an instant saver account would do the same, especially if you’re below the tax threshold.

If it’s for long term investment, IME, it would be far better in a stocks and shares ISA.

I’m enjoying it.

I’ve got a Lezyne Pocket Drive HV. It’s OK. It does have a tendency to unscrew valve cores.

One thing I’ve found with keeping a pump inside my frame is that it’s a real faff to get to it when I need it. It’s one thing that I’d prefer to have on an external bracket.

Short travel FS. A Stooge or similar.

Traws Eryri, Great North Trail, La Grave.

Clean a black jump line. Do the rock garden on Ace Of Spades in St Foy.

Take the wheel off, shake it, can you hear it slosh?

her being present every time there was a unexpected or suspicious death

My understanding is that is not what the chart shows.

It shows that she was present every time that there was an unexpected or suspicious death that they have decided to prosecute her for which is an entirely different thing.

If there are a number of excess deaths, and they’ve decided to only prosecute her for some of them because she was present for them then the chart means nothing. It’s circular logic.

@theotherjonv

Ignorance, not casting doubt on peoples assertions but the 1/73m cot death thing; is there a link or can someone explain simply why the claim is false. I’m not a statistician so I’m sure the answer is statistics; I (thought I) understand probability though.

Some cot deaths are likely due to genetic abnormalities outside of current medical knowledge, therefore if you had one of those genetic abnormalities in your family, you could expect an increased risk of cot deaths. So having more than one unexplained death isn’t de facto evidence that it’s foul play.

I enjoy my actual job

Sorry @tjagain I forgot who I was discussing with. I bow to your superior knowledge of General Practice.

I wonder if you are getting burnt out and losing sight of your values?

Yes we are. Because we’re doing everybody’s work for them, and people like you seem to think that’s ok as long as it’s convenient for the patients.

Dogs that know that they’re misbehaving but won’t come close to me because they know I’m angry with them.

Thanks @easily.

Yes there have always been a few, but in the past 6-12 months it’s reached epidemic proportions.

Do you not employ practice nurses for community monitoring of chronic complex diabetes?  My practice does

Yes we do, and usually there’s a good reason that they’ve been escalated to secondary care. Not least because our nurses are not specialist diabetes nurses.

The fact of patient transport being poor is a reason to improve patient transport not for them to have lesser care because it’s more convenient.

This is what happens again and again, because it’s easier for the GP to pick up the pieces, people rely on us to do so. There’s only so far that can go because it’s papering over the cracks and sooner or later we’re going to run out of paper.

which is better for the patient?  Certainly not the ordeal of patient transport.

Please don’t conflate convenience with effectiveness. One of the lessons of the Berwick report into patient safety is that we too often prioritise convenience over effectiveness in the NHS, when it should be the other way round.

Safety first, effectiveness second, patient convenience third.

• I love a spreadsheet for visualising things and setting up repetitive calculations etc – which isn’t surprising as that’s what they’re designed for
• Have something that is accessible wherever you are, so ideally from a work phone as well as a computer
• Start badly, but start and persevere with it
• Review it on a regular basis to tidy it up

We’re not even told how long waiting lists are these days.

@Edukator – thanks but funnily enough I enjoy my actual job, it’s just the presumption that I can (and should) do everyone else’s as well that I don’t enjoy.

Re emails – not everyone uses email, so you’d be replacing one modality with two.

@TroutWrestler

While we can write a referral, we can go into no greater detail than the GP,

I’m interested why you think that GPs will have more information than the school?