Grandparented practitioners letters after name!

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All,

As anyone who works in the private sector knows, the arrival of the new yellow pages is an occasion for potential espionage and acute paranoia! Checking out the competition's adverts and comparing them to your own, followed, perhaps, by phoning their clinic to check-out their price list (don't claim you haven't done this!), is one of the sad realities of working in a competitive market.

However, grandparenting has introduced a new and disabling dimension, namely, letters after names i.e 'qualifications'.

e.g. Mr. Grandparented M.Inst.Ch.P; L.Ch; H.Ch.D.

or Miss Always Been State Registered BSc(Hons), MChS

Unfortunately, the grandparented look more impressive!

We've actually lost a grouping of letters (SRCh) and with it our 'edge'?

What do the letters in the example mean?

If I want more letters, I would have to do a masters/PhD/Pod Surg training!

I really don't mind about grandparenting at all, as I mainly work in Musculoskeletal Podiatry, but I think the use of these letters is quite misleading, especially as we've been asked to drop ours!

Does anyone know if this was discussed before the grandparenting process began? Does anyone have any spare letters I can have!!

Bit of a rant, I know, but it does seem like we've gained very, very little from the grandparenting process!

Regards,

 

letetrs after name

The SoCaP have said you can purchase a DPodM from them which you can use instead of SRCh?

Not sure how this is going to work though.

 

What do you want for £20? Another Degree!

Hi nicpod1,

SRCh. has always been meaningless with reference to education as far as the patient has been concerned? All it means is he/she is registered with a registrar of the Government body or Proxy-body possibly approved for the job?

S.R.Ch = H.P.C.-Reg.Ch./Pod. as of today. That's it!!! Impressive isn't it!

If you are talking about education, I'll match my B.A.(Comb. Hons.) with any B.Sc. Hons.for academic standards in research, reasoning, and general awareness! At the end of it all we are all ignorant in the vast fields of knowledge we have not specialized in, but now we know it!!! Indeed my field is probably wider in outlook than yours??? Even if the spelling isn't?

If we are talking about the Podiatry side of the Science Degree I would not be surprised if some of the Diplomas are deeper and broader in their limited fields than the general degree's Diploma! After all the degree is taken to enlarge and deepen the trained thinking mind, then again? The Diploma is there to tell you and train you in how to do it!!!

People who have achieved LCh.; HCh.D; DCh.M etc.,etc.,etc., are hard earned specializations in Podiatry. Nuts and bolts of the job, that is what it is there for! This D.Pod.M. is equivalent to them is it not do I detect a nose looking downwards!?

I would assume D.Pod.M. also has been earned and worked for within the B.Sc. That is why the Society is encouraging the use of it, the Pod. can do it, it is saying! The £20 fee is I am sure the cost of printing and issuing it! Trouble is it is coming over as a sale price for this Diploma which is a shame for I am sure this is not the case? Should not the Society challenged this?

Is it not the case that there are a number of members of the Society with the D.Pod.M. only, (No degree?), I'm sure they are just as well educated as the rest of us who do not have a degree to back it up!

There has always been a dimension of disharmony in the Private Sector mainly brought about by one side not talking to the other! Now for a few years my friend it seems you are stuck with us.

Now that the NHS. is removing the nail-cutters from it's general treatment list, where do you think some of them will be going I wonder? One suggestion is to beef up the treatment of Diabetics? And about time too! I wonder, however, whether some of them may be coming our way, and soon?

Of course the grandparent's letters are more impressive to the patient, that is why a Diploma as well as the degree is in the offering! But remember we have more diplomas than you anyway, so there!

By the way, we had to pay for everything we achieved with our own money! Who paid for yours, and who is still paying for yours??? But don't worry for I think the NHS. is about to disable your influence with Assistant Foot-health Practitioners at half price! And I haven't even mentioned the FHP. staring at you from across the High Street until now!

Question: Are we going to send the FHP. to Coventry as was done to the Chiropodist before July of this year?

Do you think your post has got me going? Well it has! Patient's would only blink at this? All they want is,

1. If they pay they want their monies worth?

2. If they don't pay in NHS. premises. They can always be demoted to a social service rather than a medical service! Then the local authorities have got them? They are just going to love that! You and I are going to be busy and the treatment will now be demoted to 'Carer level'? Now there is a new brick in the pool! Carers at B.Sc. level in academia before the year is out!?!

3. D.Pod.M.? What's wrong with that anyway? What do you expect for £20? Another Degree?

Regards,

Colin. (Spleen firmly vented and Tin-hat recovered from Dust-bin!).

PS. Forgot to mention the Two or more Podiatry Degree's about to come through my old Schools affiliated to their new University's in the near future!

 

Hi Nicpod1

Edge ?? I have managed without it for my career it's a worthless title anyway as has no relation to education as such.

No I don't suppose you have !!

If you read your own prejudiced boring them and us post being perpetuated yet again under a different heading with the same old lines??

Pleeeezee!!

We are all HPC registered now so are all equal irrespective of letters, job titles or specialities we are ALL EQUAL inasmuch as we are registered Podiatrists !!

That means I'm the same as you a podiatrist !! how many more times do you people need to have it spelt out for you ??

We are here ,we will not go away so what are you going to do about it ??

Just keep moaning on and on knocking at us at every opportunity, or try and break the antiquated mindset you have and try and get a united profession (that's if it's not too late already by the way).

Do you think unite and educate could be a way forward??

How would you go about it ??

At least post something constructive for Christ's sake !!

Yes you got me going as well

Cheers

Derek

 

Oh dear!

For the information of the previous two posts, this kind of aggressive posting was why a number of us left 'www.thatfootsite.com'!

If you would kindly refer back to my original post, you will see that I said I didn't have a problem with grandparenting, but that, basically, we are not playing on a level playing field with respect to how many letters we can chuck after our names, in that, if I put letters after my name, it would have to be through a masters degree etc, etc.

There are, unfortunately, so many misinterpretations in both the previous posts that it would take hours to reply to them all, but I think it demonstrates that debate is going to be significantly restricted if people's lids are flipped so easily!

Just to state my case, I graduated top of my year's class,in 1999, with a first class BSc(Hons) Degree in Podiatry, I have worked in Podiatric Surgery, Advanced Local Anaesthesia, Sports Injuries, Musculoskeletal Podiatry and Acute Diabetic Foot Clinics. I now contract myself out privately to NHS and private clinics as Co-Head of Hospital Podiatry and as a Musculoskeletal Podiatrist. I do not need any more letters after my name as I am a rational and very experienced practitioner. I was just making a point!

By the way, no-one paid for my 3-year BSc(Hons) Degree, except my parents and you're certainly not paying for anything to do with me now!

I apologise for any offence that was interpreted, but it seems from both your posts that you deeply despise those of us who were formerly State Registered, not the other way round?

I believe that there is a significant amount wrong with our current system from a SOCAP and HPC point of view in that the grandparenting process was all about standards, but, in reality, I have never been fromerly assessed since I graduated. I believe CPD should be mandatory, that the profession should be united and that the term Chiropodist should be dropped eventually! I voted at the last AGM to allow grandparented individuals to join the SCP if they wanted, but this was overruled to our iminent detriment by proxy vote.

However, going back to my original point, how can the profession be united, if we don't even have the same letters after our names? I don't even know what yours mean! So how is that a united profession?

Perhaps a more level-headed debate is needed?

Regards!

 

Hi Again Nicpod1

It is not aggression it is pure frustration there is a world of difference. If you took it as aggression I unreservedly apologise it was not my intention.

My teaching institution is SMAE

My track record
March 1988 part1 Theory Chiropody Diploma
June !988 part 2 Practical Diploma= MSSCh
April 1990 Cryosurgery
November 1991 Biomechanic & Orthotics Diploma
Collectively=FSSCh
July 1995 Sports injuries / medical electrotherapy
Collectively = Diploma Podiatric Medicine (Dip Pod Med).

I built opened my surgery in 1990 at a then cost to me of £30.000.
I work alone and my last years equipment outgoings were £15,000

Since been doing regular CPD in a range of core subjects etc.

In my previous life I did 24 years in pre hospital care which included endotracheal intubation , intravenous infusion ,drug administration,ECG and all performed by my diagnosis and volition.
I trained in a variety of specialist operating theatres and under the supervision of consultant anaesthetists and revalidated (for at the time legal reasons) every 6 months ( 2 weeks back in theatre)

So I hope that has given you some idea of how the other half have been living,and perhaps sorted out in your mind some of your questions.

Despise is a really strong term and one I find wholly inappropriate.

I am a great believer in speak as you find I have some good friends and have made some recently that are specialist pods all originally with the same attitude problems that hold back the profession.
They took the view to try and get on and speak with honest intent and with an OPEN MIND and do you know what ? It works !!

They were surprised by my standards and I was very grateful to them for imparting some of their specialist knowledge to me which before that I had no access to but was desperate to find out. We were educating each other!

We thought a good Idea would be to start a new organisation with letters MMChS= Member of the Muppet's Chiropody Society !
The rules of entry are simple you ALL join assuming you know nothing ,but on joining you must impart knowledge to every member ,get the idea ?

It's got to be better than what we have now ?

so to conclude, Despise? NO tired of the same old same old with no resolution? Yes

Cheers

Derek

 

Derek,

Couldn't agree more, but I don't have an attitude problem thanks (although I am a muppet quite frequently)!

I think there are faults on both sides, which can only be resolved by strong leadership, which we do not have. Both the HPC and the SCP are incapable at pulling this profession together, as they provide no clear direction.

A good number of the Podiatrists I qualified with do not even work as Podiatrists anymore as they were so disillusioned. We were over-educated for the job we ended-up doing in the NHS!

I now act in a managerial as well as a clinical lead role in the NHS and am trying to change this and I also co-ordinate CPD programmes in the private sector, either as the lecturer, or the facilitator.

The only way to progress this profession is for us all to qualify in the same way, have the same groups of letters after our names to denote what we have achieved and to have mandatory CPD. We all, also, need equal access to the same education, which as HPC-registered Podiatrists we should all now have.

I am not re-hashing any unresolved issues. I was merely trying to clarify what the situation with letters after our names is! I'd ring the SCP, but we apparently pay them to switch on their answerphones and bugger-off every day, so posting here is usually quicker and more informative!

I really, really, do not mind what people are doing out there, but I do mind being referred to as having 'an attitude problem' because I have views about my own profession, which is the only profession I've ever known and have worked very hard to progress within! I think I have a right to ask a question don't I?

In synopsis, Derek, I'm afraid the resolution you are looking for will not happen until we are on an equal footing (which we quite clearly are not), and that doesn't mean that I think grandparented practitioners are further down the ladder than formerly SRCh's, it means that within my own peer group, I know there are a number of people I wouldn't trust with a scalpel in my very presence, but without manadatory training standards, what are we going to do about it?

 

Hi nicpod1

So bloody formal ,any chance of a more informal name please ??

Sorry , again bad posting ( comes from a lack of academic education) you must accept there IS a section of the profession with one though ??

Muppet's ? OF COURSE aren't we all at times ?? that is the whole point .

If we can all accept our own shortcomings then doesn't that make it easier to understand and tolerate the shortcomings of others ??

Just the sort of specialist I was talking about . Thank you.( I do hope that includes non SCP programmes ?)

In the future that will happen . It is the NOW that is the problem.

We have to accept there is a difference in the academic standard and training levels, no one is disputing that BUT (there it is again) That doesn't detract from the fact we ARE HERE in limbo with frankly nowhere to go except to entrench ourselves in an impossible position !!

What do you expect us to do ( seriously) ??

Exactly , we are not going to throw in the towel and disappear as much as some would like us to.

The only answer is to integrate , unite and educate HONESTLY .

Well done for a solid opinion

OF COURSE YOU DO !!

And by the same token I have the same right of reply ( albeit at times badly put)

And so do I!! most of them I believe have taken to using a drill instead ?? Perhaps not such a bad thing from the patients point of view ??

As I have said, NOW there is nothing we can do except integrate and educate. That is the only way this profession has a future!!

Cheers

Derek

 

A New and Disabling Dimension?

Hi All,

Quote from nicpod1:-"However, grandparenting has introduced a new and disabling dimension, namely, letters after names i.e 'qualifications'!"

New, new, we have been using them or their older equivalents for the past 50yrs. plus!

If you people had been using your eyes and ears you might have seen and heard this? Did you really not know that these letters behind our names have been valued as greatly I suspect as your First Class Honours? I take my hat off to you for that, not many of you about! Money helps for degree's I am quoting the now! Not, possibly how many years ago did you earn your degree academically speaking of course?

By the way, "Quite right, the term Chiropody should be dropped eventually." Trouble is it's going to be replaced quite soon by Registered-FHP. (With a new degree in the very near future perhaps? Promotion to Registered Podiatrist perhaps?). Why? Because the door in July of this year was not even partially closed! You have explained above why now we have 'Associate members' as door stops. Thus making sure it, the door, does not close for a very long time!

But beside all this the people want Chiropodists, not the rarely needed Podiatry Specialist! There now, please explain why I'm wrong?

QUESTIONS,


1. How many patients in the NHS. are there demanding specialist podiatric skills?

2. How many Specialist Podiatrists are there?

3. How many redundancies are there going to be when Chiropody, (Nails, corn, callus cutting), are generally abolished?

You haven't even started to address 'Unity'. If educational standard is referred to as Unity? Goodbye 'Unity' for the next 50yrs.? FHP-Registered and all that, doing the Chiropody that Podiatrists have just withdrawn from!

Regards,

Colin.

PS. Yes, I see the similarity in your post and mine with 'Thatfootsite', I have mistaken your approach with that sort of aggression and answered with the same. Appologies nicpod1 if there are any needed but you couldn't have picked a better subject to light the fuse! I like lighting fuses but I think that this subject touches on our sink or swim for the foreseeable future and needs to be raised a little above that don't you think, then again!

The point is that decisions in a certain place no longer matter at this time because the door is still wide open and like me I was trained in depth to always walk through them. That is how you gather information when society closes in on itself!!!

PPS. Sorry nicpod1, hello Derek! Two on to one is not fair, isn't it great, Mark is still on holiday!!!

We seem to have two of us ganging up on you nicpod1 (Very like gazing at the driver of a car with very dark type windows just before you hit him with yours!). A first name will do even if it's not yours! You seem to be high up in what you do?

 

IMHO ...

Number of letters after name = size of ego
Number of letters after name is inversely proportional to how good someone is.

Claiming membership in an organisation as a credential is idiotic.

IMHO - everyone use use ONE - ie the highest ACADEMIC qualification that reflects their discipline..... the rest of the world has gone (or is going) that way....

 

Heavy Headed?

Hi Craig,

Take the point! Unfortunately here in the UK. the "EGO" in Podiatry with Organizational add ons means some need an A3 rather than an A4!

Most when signing in anywhere will use their highest relevant one to where they are signing in!

I need them written down to remember them all,(Sickening isn't it). Now I'm feeling light headed?

Quote:- "Claiming membership in an organization as a credential is idiotic."

Meet the profession of idiots then!!! Now you are pushing your luck 'Bucking the Sacred Cow' Craig. I think we should rename the UK. Forum as The United Kingdom Forum of Podiatrist's, I.D.I.O.T.S. for we are all at it!

I have found and edge Folks! In my local Thomson I've just dustbinned all the letters and changed my name from C. Bain to Bain C.

I can hear the howls of derision rising already, he's just jumped the queue it should not be allowed! But I don't care, I'll just retire for the third time!!!

Serious though Folks. I have so much work at the moment that I'm thinking of coming out of the Yellow Pages or doubling my Fees!!! Now where have I heard that one before???

Regards,

Colin.

 

Colin,

Perhaps the use of phrases such as 'you people' when referring to the likes of me would prevent the thatfootsite.com comparison!

Just a recap; the reason I posted was to see if anyone knew anything about what would happen to letters after our names, so if anyone has any info on that, I would be most happy to recieve it and:

1) My name is irrelevant as I already get enough flak for being opinionated in other areas, so nicpod1 it is then!
2) I qualified in 1999, so am not a dinosaur, but did not get my education paid for!
3) As my main referral sources are from Foot and Ankle Specialist Orthopaedic Surgeons, Physios, Other Pods, Osteopaths and Chiropractors, I am a specialist Podiatrist and a good number of the Pods I know are specialised aswell.
4) Where, Colin, do you get your info re the NHS situation? Where's all this stuff about Podiatry services being abolished coming from? Within the NHS managerial work I do, the emphasis is on treating patients more comprehensively to enable discharge following succesful treament more rapidly, via the ongoing evolvement of my staff clinically and academically. We have no foot care assistants and no HCA's/nurses specialising in feet, so I'm a bit surprised at the info you have! Do you also work in the NHS? If so where and are these changes happening there? I'd be interested to know!
5) My ego is fine thanks, considering I'm a Podiatrist, and I would be more than happy if we could all just settle on one grouping of letters to symbolise our HPC-ness!

Regards!

 

Ye of little Faith or something like that?

Hi nicpod1, (And the Rest),

I gather your identity could put you on an official footing possibly, happy to leave it as it is!

Quote:- "Where, Colin, do you get your info re the NHS situation."

My patients, (Granted locally!), and mainly this site where those in the NHS. have been very open and honest in their views and understanding of the NHS. system which is obviously strapped for cash, among other things? Although I'm sure our illustrious Leader would strongly deny it if he were asked?

Delays of one year in the case of the 101yr. old sailor etc. seem to be the norm rather than the exception! Am I insulting your intelligence with this? I assumed you would be familiar with it already before your original posting was posted!

Quote:-"emphasis is on treating patients more comprehensively to enable evolvment of my staff clinically and academically."

How can this improve 'cut and come'? If I don't know how to treat that by now I never will! Or from someone who should know, is there really a pairing down of the NHS. lists and down grading of 'cut and come' from medical to social service status taking place? Or has someone just started a rumour out of mischief and my patients are either misguided or disgruntled by the four to six month waits between their visits? I will assume that it is not happening then shall I?

Quote:-"Do you also work in the NHS?"

Now this time I really am speechless? But I'll try I really will try! As a Grandparented HPC. Registered Chiropodist/Podiatrist, I am rather surprised but sure you know that from other statements made on this Forum that this is impossible! Just in the broad sense,
1. My qualification is not acceptable! Possibly why your original posting was I suppose jumped on!

2. I do not belong or wish to belong to the organization that is acceptable! This refers to qualifying for the NHS., or those controlling this section of it!

3. I'm allergic to large monopolies! Even when money is involved!

Quote:-"My ego is fine thanks."

Good! Please stop denting mine then, reference your original post? That is why it was easy for me to rise to the bait and take offence!!!

Quote:-"I would be more than happy if we could all just settle on one grouping of letters to symbolize our HPC-ness!"

Letters, impossible I fear! Abolish them all!

HPC. hint at none at all! Just Chiropodist/Podiatrist Or possibly would it be a good idea now that there are no others around us but us, Mr.Name. Chiropodist. or Mrs. Name. Podiatrist. But human nature being what it is,

THE PIGS ARE FLYING HIGH AGAIN!

Regards,

Colin.

 

Hi Nicpod1

Taking as read that we both have mutual respect for each others abilities, that neither of us have a desire to score points and that we both would want to progress things, albeit traversing some of our inate biases.

How would you suggest we progress:

1. towards a common lettering structure? (it cannot be on qualification letters as I do not possess a degree as yet and don't think I come into the category of getting an honoury one!)
2. towards unity whilst retaining our seperate professional bodies? (elsewhere I have discussed with Mark Russell how I feel this may progess forward - mind you it does not mean he agrees with me)

regards
Ian

 

Ian,

Thank you for a more subtle tone!

In answer to: 1) One group of letters to denote HPC-registered Podiatrist such as the use of MD for medics in the USA. I'm afraid that, if you have a BA, BSc, BSc(Hons), MSc, DHRes or PhD, it is your right to display them, but it does not indicate your professional standing like FCPodS with respect to Podiatric Surgeons. My BSc(Hons) should not be displayed as BSc(Hons)Pod, as some would have it! It is a BSc(Hons) and nothing else. Before 'closure' the SRCh symbol was used as a statement of 'legality', not competence, not intelligence, not scope of practice, purely the fact that this person is a State Registered Podiatrist and, therefore, can be struck-off in the case of a malpractice. In reality, because CPD is not and was not mandatory, SRCh did not mean that you were competent, but it did mean that you had followed an approved educational course and that, if the Podiatrist concerned cut your toe off, the patient had legal recourse and the Podiatrist could be prevented from practising.

However, if you have achieved an academic qualification as with all other professional individuals, it is your right, and achievement, to display them. I certainly woudn't go through the academic duress of a PhD if I couldn't display that fact (the lettering, though, obviously, wouldn't be the only reason I would do it!).

I agree that my usage of MChS is suspect and should be dropped as it means absolutely nothing! I would be quite happy with the universal group of letters whatever they may be e.g Ch/Pod perhaps and then any other universally-accepted academic denotations such as the BA, BSc(Hons) malarky. This is what happens in most other professions!? I don't think we could ban them all though!

2) As for unity, the only way forward, if we are retaining our professional bodies, is for a stronger HPC, with powers like those of the GMC. We have common ground in that we work within Podiatric Medicine and our united front can only come from nationally accepted clinical competency. Anyone who refutes that fact should not be treating patients, as that it what should be foremost in their brains! i.e. this is 'x' pathology and, according to evidence base and 'best practice' should be treated in 'y' fashion, rather than 'this is 'x' pathology, I was always taught to treat it like this and that's exacly what I'm going to do'. And that's aimed at all of us! If you haven't had your practice or knowledge assessed in your whole career and knowledge updates are not mandatory, how can the profession be united (again, aimed at all of us, as I have never had my professional practice reassessed)?

What say you Ian?

PS Colin, information is best gained from the primary source with respect to e.g. NHS Podiatry. As the primary source, I feel well-placed to correct multiple wrongs in your post:

The ego reference was aimed at Craig in response to his original comment by-the-way!
I didn't realise that all 101-year old sailors were entitled to free NHS Podiatry care (I'll have to put that in our protocols!)
The NHS Podiatry service that I manage within offers the following specialist services:
1) Musculoskeletal Podiatry
2) Acute Diabetic foot care (in and out-patient)
3) Tissue Viability
4) Health Promotion and Education
5) Nail surgery
6) Skin surgery and ulcer debridement under local anaesthetic
7) Ultrasound

Our community Podiatry service accepts any referral from any NHS source and assess people's needs on their pathological status and inherent risk factors.

Nail care is only offered to 'high-risk' patients if it will prevent further pathology (in the absence of any other Podiatric Pathology).

The NHS is there to provide care that is free at the point of use. I would like my National Insurance contributions to be spent on advancing live-saving and palliative treatments, not on cutting old ladies' toenails!

Our waiting lists do not even approach 1 year! New patients are seen according to urgency of need i.e. gangrene (straight to my department at the hospital), thickened toenail, approxiamtely 3 months wait for a community clinic appointment, i.e. triage. The gap between appointments is also dependent on need and ranges from weekly to 6-monthly. We also offer short-course treatments (i.e. we resolve the problem and discharge them).

The reason I asked the question about you working in the NHS was because you were talking about it as though you worked in it! I didn't realise it was all second and third-hand information. I suppose you also think that NHS Podiatrists cause Diabetic foot ulcers do you? If so, I would like to invite you along to my clinics to see what is actually going on!

I'd have thought that a professionally-diversified person like you would know better than to believe all that you read in the papers (or, dare I say it, all that your patients have told you! I have known a large number of my patients to be wrong in the past! It's something called psychology, which is why you should be backing all your verbal info with written info! Perhaps one of your patients is off at this very moment telling some Orthopaedic Surgeon/GP/Other Podiatrist all about how you caused her ingrowing toenails! Undoubtedly not true, but surely you know that this happens very, very frequently??)

Sorry Ian!

 

Wavelength?

Hi Nicpod1,

Sorry but you and I do not appear to be on the same planet I fear! I and any other Podiatrist has a right to use that set of letters behind their name that they are entitled to! This is even if you or I do not agree with them! It is not for you or anyone else to tell them what to do with them, or is it? I would like to in some cases but Admin. would probably bar me if I did!

As a woman working in the Cambridge area I would have thought you would have excepted a certain amount of the statues quo by now? Regarding letters behind names and what they mean? An example, "I don't understand much German but a German does! Does that make the German is wrong to use his language just because I do not know what he is saying or writing? Or again am I wrong? I'm sure you would prefer just to get on with what you are doing and let others get on with what they are doing would you not!

By the way I watch very carefully what my People, the NHS., Nurses and FHP.'s. are doing. I do take what my patents say with a pinch of salt and don't always believe them immediatly, however, in this case it, the same information, is coming from everywhere strongly, thick and fast, and the story never changes!

NHS. at the point of entry, free, then who knows, gobbledegook if I can remember how to spell it. But very good gobbledegook I'm happy to say when I hear it coming from certain quarters!!! It usually means in the nicest possible way and using highly science orientated language, "Get lost, we are not cutting your nails anymore, we are sick of doing it, so there!"

Regards, (With no hard feelings!!!).

PS. This is the problem with not using one's name in a post. A man can get both barrels, metaphysically speaking, and so you did! A woman, it took me a little while to twig why I wasn't getting back what I expected, (At least three missing front teeth, metaphysically speaking of course! I could be wrong of course reference a woman's logic here?)! I am still not getting back what I expected even if it is directly against my thinking, that does not matter! We are not even on the same wavelength so on this one I have said more than I intended to say, anyway! Your reasoning is not my reasoning, I'm sure you have guessed that without any help from me!

PPS. Craig, ego! I'll send you a head-bandage!

Best wishes,

Colin. (I haven't sat down and study your latest, I'm sure others will!).

 

Hi Again Nicpod1

Whilst Colin is perusing your post I would like to make a couple of observations.

I sincerely hope you do because the brainless politically correctness of not doing so in my opinion borders on criminal neglect. If we in this country cannot look after the bodily needs of someone of that age the what is the point the NHS ?

in my practice we treat 1,2,4,5&6 if required

Not any HPC registered source ??

Having spent 24 years of my life in your first preference and now in your second I can assure you that those same old ladies feel the monies they have paid in should be spent on their needs !!

Ahh yes what a wonderful nonsense word that is !! Let's have your thickened nail brought in after 3 months for "triage" and then send it away again for another long period of discomfort for the patient then bring it back again and treat it, 2 visits instead of one two treatments instead of one.

Makes your figures look good though? shame about the patient.

Can I come as well ?? I can bring the hospital consultant that works with me here if you like?? Where would we have to come to ??

But not half as frequently as we get told about the disgraceful treatment the NHS is /is not providing to many deserving patients.

But hey what do they know ??

Cheers
Derek

 

Nicpod1,

Dont get too upset about letters after names. Keep up your specialist work and soon patients will respect and request the NAME not the letters. Also, when you get referrals from GPs, Physios, Consultants, most will not list all their letters, just the highest ranking, so musculoskeletal practitioners like ourselves should do the same.

 

EXACTLY my point above .... why is this even an issue?

 

Sadly, I will be bowing out as, because of my weaker gender, I have to run away of course!

Or am I going to study the pathomechanics of wounds for 3 days (mmmmmm, who knows!)

Looks like I'll have to re-sign-on as a man then, huh!?

Thank you Ian and Peter, the basis of a level-headed debate may not be entirely lost!

 

Hi Nicpod1

Next time you want to hyperventilate and try to inflame "them and us" debate's through yet another theme which many of us for a long time have been trying to dampen down to try and get unity within the profession.

Perhaps you should try a mirror image of your qualifications to keep you happy and quiet.

Just a thought

Goodbye

Derek