MagicPharm @magicpharm8

Magician and pharmacist. views my own Joined April 2016

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Turning the Tide @Turningthe_Tide

3 weeks ago

ARISE - A neutral trial is not a neutral message The ARISE FLUIDS trial compared two approaches to early septic shock: giving less fluid and starting vasopressors earlier, or giving more fluid before moving to vasopressors. The result was described as neutral. Patients in both groups had the same median number of days alive and out of hospital at 90 days. It would be easy to conclude that the choice between fluid and vasopressors does not matter. That would be the wrong lesson. Read about it here fluids.info/news/arise-a-n…

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MagicPharm @magicpharm8

2 months ago

@medicalmodelbri @human_frozen_ @kcisc Fair enough. I think what is needed is standard regulation from the nursing and AHP regulators to set reasonable standardised experience levels to be eligible for advanced practice courses. It would be useful to see data on the median time to transition too.

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MagicPharm @magicpharm8

2 months ago

@medicalmodelbri @human_frozen_ True and agree for certain professions this would be more worrying. Pharmacists start at band 6 and that is no where near enough experience to be safe for ACP. My point though was it didn't seem likely for nurses you'd be getting 1yr qualified applying.

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MagicPharm @magicpharm8

2 months ago

@MedRegoncall1 5) to catch that 1 in 10'000 bizarre presentation.

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MagicPharm @magicpharm8

2 months ago

@MedRegoncall1 4) can a pharmacist differentiate these really atypical presentations from the 99% the way a GP can? No and they're not pretending to. It's the debate about whether it's good health economics to send 100 simple earaches (with no other symptoms or co-morbidities) to a GP ...

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MagicPharm @magicpharm8

2 months ago

@MedRegoncall1 The validity of your argument is lessened with clown symbols, bro, dude and general rudeness as well! You haven't actually been able to offer cogent civilised counterarguments which says something I think

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MagicPharm @magicpharm8

2 months ago

@MedRegoncall1 But they're not 'doing doctors jobs' that's the point. It's a handful of minor ailments allowing patients to get treatments OTC rather than seeing a GP against strict protocol. How is that doing a GPs job? It's decongesting the system a little that's all!

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MagicPharm @magicpharm8

2 months ago

@medicalmodelbri @human_frozen_ It says they should be at band 6 level for at least 1 year. Newly qualified nurses are band 5 and it's generally 2-5 years in a speciality as a 5 to get a 6 so you are looking at 3-6 years here. Please report accurately. Details matter in medicine after all!

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MagicPharm @magicpharm8

2 months ago

@MedRegoncall1 2) they are offering treatments previously POM for a few extra minor ailments. I would wager that represents ~0.25% of the scope of a real GP if that. So,sure, your unemployed F2s could do 0.25% of a pharmacist's job. I'm not your bro. Please

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MagicPharm @magicpharm8

2 months ago

@MedRegoncall1 1) Incorrect. The average MBBS/MBChB is ~5-10% pharmacology MPharm + pre-reg year ~30%. Also includes pharmaceutics/medicines design, pharmacy law, procurement legislation and pharmacognosy not covered in medical degree. Lazy argument.

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MagicPharm @magicpharm8

2 months ago

@MedRegoncall1 9) bottom line is not everything minor needs a doctor and a lot of the GPs I know don't want people with infected insect bites clogging up their waiting rooms to get a course of fluclox when primary care increasingly has very complex chronic disease to manage.

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MagicPharm @magicpharm8

2 months ago

@MedRegoncall1 8) a cold sent to the GP. Even under the kind of medical system you would want funded (which is unaffordable) it would collapse. The NHS RELIES on the public using tools (including pharmacies) to self-manage minor ailments. And a lot of the public like the improved convenience.