basingwerk wrote:
Mad Moggie wrote:
You would certainly NOT get to decide your own treatment on basis that (and I know it sounds very arrogant of me - and you will be muttering "typical ******** medic who thinks he is GOD!

) - and bottom line is - am expert in my job and you are not!
Yes, we can agree that the medical profession is another one of those 'behind the times' professions (like solicitors), stuck in a local minima. Can't last forever though - even the government is talking about 'choice' being the main thing, so get with it, Moggie.
Do you mean "choice of hospital" - "choice of doctor" - "choice of treatment" and when government of whatever colour talks of choice - I would not take bets on what they mean by "choice". "Choice" to a wally in Westminster is not what me and thee necessarily understand by "choice!"
You cannot get over the fact that when it comes to choice of treatment - I have initimate knowledge of a patient's inner workings. I know their medical history to even their patterns of farting! I have intimate knowledge of their bodies, medical histories and can thus prescribe which medication will suit and cure them the quickest! It is not necessarily the most expensive either. Medicines are drugs and affect each individual's body chemistry differently. I have to know about what my drug options are and how they may affect my patient.
I have to decide if surgery if appropriate - myocarditis and endocarditis for starters - and sometimes even liaise with the transplant team down in Manchester. We may specialise in specific fields - but our fields of expertise often overlap as would be normal with such a complex human machine.
My wife is bio-chemist. She knows how bodily chemicals inter-act with each other. She is also known expert in her field.
You forget that one thing can never change - at least in our life time as evolution occurs over thousands/millions of years - the human machine and its capabilities and capacities.
According to scans - my next child (we have asked not to know the sex - my wife and I are old-fashioned and want the thrill of looking and seeing in the delivery room! Though - if the last three times are any indication - poor old me could end up with being called lots of very rude names and getting a black eye!

Still - got until November to make my escape plans...........

)
Oh yes - I was on about .... my next child appearing to be developing in time honoured fashion - according to the specialist treating my wife.
basingwerk wrote:
Mad Moggie wrote:
But designing roads and deciding on form of treatment based on very intimate knowledge of human body, anatomy, individual's medical history, specialist knowledge of available medications, treatments and potential side-effects and combinations with other treatments for other related and non-related ailments is certainly not the same thing.
I can't see how you can compare the hit-and-miss medical profession with engineers who have to design roads and decide modifications based on very intimate knowledge of physics and mathematics, statistics, individual history of areas and layouts, specialist knowledge of safety practises and costing estimates, material handings, people and project mangement, local politics and potential side-effects and combinations with other on-going engineering work for other related and non-related situations. It is certainly not the same thing. Is it?
Hit and miss? You go to GP and describe how you feel and where it hurts. He makes initial diagnosis and then refers up the ladder for further tests. I have very intimate knowledge of how a body actually works - and each body chemistry is different - chemically, genetically and psychologically. I have to have very intimate knowledge of this - and I need to know a person's medical history as well to diagnose and decide on best course of treatment. I have to have specialist knowledge of how much the drug I prescribe is going to cost my department and the NHS (or the taxpayer),. I have to be aware of the side effects drug and operation may have on patient and his/her family, whether or not treatment will affect any other ailment patient may be being teated for. Diabetic heroin addict with HIV or AIDS for example ! I have to have another possible course of treatment and modified doseage up my sleeve.
You mention specialist safe procedures! Why do you think I wear latex and lycra from head to foot on occasions? For fun?
Maths? Physics? Bio-Physics? Bio-Chemistry? You think I just see people and say "open wide -= say "Ah!" for me and burp!?
My research is never ending. My wife's research is never ending. Other medics in this family - neurologist in Wales, heart surgeon in Cambs, oncologist in Oxford, urologist in Stirling --to list just four of us within both mine and my wife's families! It is never ending! We learn something new about our human machine every day!
I think it is safe to say that the medical profession is darned sight more focussed than the road engineering profession. On aggregate - we do much better than computers and engineers and so-called safety prats!
I also think that we medics meet the intellectual demands the public expect - and on aggregate - we do very well indeed.
As for MRSA - it is everywhere. It exists in Swiss hospitals. Swiss paper "Le Matin au dimanche" of 11/07/04 carried story of Swiss concerns that this was rife and raging in their hospitals. "Blick am Sonntag" (Swiss edition carried same story and "Le Figaro" and "FAZ" have also highlighted that hospitals in both France and Germany are also plagued by this. It is not a British phenomenum. But then -- not many Brits read a foreign language - so they are not likely to be as aware of this as perhaps they should be!

I can get the gist and reasonable take - but naturally my wife will just read them as natural. She is fluent !
basingwerk wrote:
But freedom has led to abuse ... the cameras detect those and shock theem into better performance
My colleague is still contesting a ticket for 34 mph in 30 mph zone. Lancs may claim it has never done this - but my colleague has such a ticket and numerous people in this county state that they too have received such tickets. On that phone-in they had on the radio - people rang in stating similar and were told to contact the Constabulary. Um - You tried ringing that number? My colleague has! The nurses who have been NIPped have! No-one bothers to pick it up!

They know they do this - but will insist they do not! Chap here may have been on course where all 14 had ticket at 35mph - but I have heard too many stating otherwise - and my colleague showed me his ticket at the time - it said 34 mph! Three months or so have elapsed and he is no wiser as to what will happen. He did get a reminder to name the driver and got his lawyer to respond. It has been a bit quiet since!
