john.r.davies Posted April 14, 2020 Report Share Posted April 14, 2020 Iain, Eh? "Family Medics"? GPs? They have been retiring early in droves, worn out by the pressure of their work and lack of recompence. John Quote Link to post Share on other sites
ntc Posted April 14, 2020 Report Share Posted April 14, 2020 5.11 This Forum is not a soapbox for airing political or religious beliefs, opinions or ideologies. Quote Link to post Share on other sites
JohnG Posted April 14, 2020 Report Share Posted April 14, 2020 24 minutes ago, john.r.davies said: Iain, Eh? "Family Medics"? GPs? They have been retiring early in droves, worn out by the pressure of their work and lack of recompence. John John, I can see where you're coming from re pressure of work, I'm not so sure about the lack of recompence. My GP was happy to work until her early 60's, when she retilred as a GP, about 18 months ago. She continues to work at the big hospital, 2 days a week as a skin specialist Quote Link to post Share on other sites
AndyR100 Posted April 14, 2020 Report Share Posted April 14, 2020 indeed, my old GP told me he chose to go semi-retired/part-time because the remuneration was so good - he was very open about it. ....... Andy Quote Link to post Share on other sites
barkerwilliams Posted April 14, 2020 Report Share Posted April 14, 2020 More recompense = early retirement Minimum wage = work till you drop. Alan Quote Link to post Share on other sites
Nigel Triumph Posted April 14, 2020 Report Share Posted April 14, 2020 (edited) 8 minutes ago, barkerwilliams said: More recompense = early retirement Minimum wage = work till you drop. Alan Then there's pension arrangements to consider. Nigel (still enjoying work at 64) Edited April 14, 2020 by Nigel Triumph Typo Quote Link to post Share on other sites
Peter Cobbold Posted April 14, 2020 Report Share Posted April 14, 2020 Tragically some medics are perforce prematurely and permanently retired from this world. Its a stressful job and fewer and fewer are applying to study medicine. In 2000 there were around 16 applicants per place, now its down to around 10. Covid deaths of medics may make the profession even less attractive. 8pm clapping or not. They are worth every penny. Peter Quote Link to post Share on other sites
JohnG Posted April 14, 2020 Report Share Posted April 14, 2020 1 hour ago, Peter Cobbold said: Tragically some medics are perforce prematurely and permanently retired from this world. Its a stressful job and fewer and fewer are applying to study medicine. In 2000 there were around 16 applicants per place, now its down to around 10. Covid deaths of medics may make the profession even less attractive. 8pm clapping or not. They are worth every penny. Peter No arguement Peter, worth every penny 8pm clap? Once, OK, but every week? If you want to show your appreciation, do it the way Capt Tom Moore is doing Aim to raise a goodly amount of very useful Queens shillings, for the NHS. Do it as he planned to do it; quietly, unless you want to show everyone just how much you can raise. Quote Link to post Share on other sites
iain Posted April 15, 2020 Report Share Posted April 15, 2020 12 hours ago, john.r.davies said: Iain, Eh? "Family Medics"? GPs? They have been retiring early in droves, worn out by the pressure of their work and lack of recompence. John Poor expression, 4 of my family are medics. Quote Link to post Share on other sites
john.r.davies Posted April 15, 2020 Report Share Posted April 15, 2020 16 hours ago, ntc said: 5.11 This Forum is not a soapbox for airing political or religious beliefs, opinions or ideologies. If you're a moderator, ntc, moderate me. But you're not, are you? Report me if you like. John Quote Link to post Share on other sites
john.r.davies Posted April 15, 2020 Report Share Posted April 15, 2020 (edited) 22 hours ago, Peter Cobbold said: Tragically some medics are perforce prematurely and permanently retired from this world. Its a stressful job and fewer and fewer are applying to study medicine. In 2000 there were around 16 applicants per place, now its down to around 10. Covid deaths of medics may make the profession even less attractive. 8pm clapping or not. They are worth every penny. Peter Even more tragically, a large proportion of those medics who have died have had Asian or African origins. I hope it makes the Brexiters think again who want them to £%**^$ off . Edited April 15, 2020 by john.r.davies Quote Link to post Share on other sites
Tony_C Posted April 15, 2020 Report Share Posted April 15, 2020 35 minutes ago, john.r.davies said: Even more tragically, a large proportion of those medics who have died have had Asian or African origins. I hope it makes the Brexiters think again who want them to £%**^$ off . Good on you JOhn, Have you.. All.. seen this: https://mobile.twitter.com/mrpranpatel/status/1250167541177225221 Quote Link to post Share on other sites
John Morrison Posted April 15, 2020 Report Share Posted April 15, 2020 Having watched said video, I do not consider anything here contavenes our rules, anymore than showing a video of the public clapping at 8.00PM tomorrow would. Lets all stay within reasoned debate, passion is fine, but PLEASE stay polite, there is more than enoungh bad in the world just now. Thanks, John. Quote Link to post Share on other sites
mike ellis Posted April 15, 2020 Report Share Posted April 15, 2020 59 minutes ago, john.r.davies said: Even more tragically, a large proportion of those medics who have died have had Asian or African origins. I hope it makes the Brexiters think again who want them to £%**^$ off . Dark skin in Northern Hemisphere, I wonder what their Vitamin D levels were. Bet no-one is checking it out. I am sure Peter has a view on it. Quote Link to post Share on other sites
Peter Cobbold Posted April 15, 2020 Report Share Posted April 15, 2020 1 hour ago, john.r.davies said: Even more tragically, a large proportion of those medics who have died have had Asian or African origins. I hope it makes the Brexiters think again who want them to £%**^$ off . http://www.drdavidgrimes.com/2020/04/vitamin-d-and-doctors-in-uk-dying-from.html Its tragic that a few pence per day might well prevent BAME NHS deaths and in the wider community. Peter Quote Link to post Share on other sites
Peter Cobbold Posted April 15, 2020 Report Share Posted April 15, 2020 23 minutes ago, mike ellis said: Dark skin in Northern Hemisphere, I wonder what their Vitamin D levels were. Bet no-one is checking it out. I am sure Peter has a view on it. Hi Mike, You are bang on the money, See link above. We are trying to get the message out but there seems tobe obstacles at every turn, the worst being the word "vitamin" And the scientific ineptitude of most journos. https://www.voice-online.co.uk/news/coronavirus/2020/04/09/are-black-people-more-likely-to-die-from-covid-19/ https://scotsneedvitamind.com/covid-19/ We are all low on D3 if we do not supplement, and isolation indoors is making it worse - incidental sunlight on face and arms helps keep our D3 jsut above deficincy most years. (but not BAMES: the UK gudelines are for WASPs) Peter Quote Link to post Share on other sites
Peter Cobbold Posted April 15, 2020 Report Share Posted April 15, 2020 UK-born Asian applicants to study medicine outnumber anglo-saxon applicants 2:1. Dunno why...banking pays better, and s*d its appalling status ?? Quote Link to post Share on other sites
john.r.davies Posted April 15, 2020 Report Share Posted April 15, 2020 (edited) America has the same problem. Many African Americans are dying of Covid, more than their proportion in the population. In New York, or Detroit, a relative lacking D3, made worse by a dark skin, might be a factor. But it's the same in Louisiana, which is at 30 degrees of latitude, the same as, Cairo, Kuwait, Pakistan and Northern India. Edited April 15, 2020 by john.r.davies Quote Link to post Share on other sites
Peter Cobbold Posted April 15, 2020 Report Share Posted April 15, 2020 9 minutes ago, john.r.davies said: America has the same problem. Many African Americans are dying of Covid, more than their proportion in the population. In New York, or Detroit, a relative lacking D3, made worse by a dark skin, might be a factor. But it's the same in Louisiana, which is at 30 degrees of latitude, the same as, Cairo, Kuwait, Pakistan and Northern India. Nort vs South India lower castes will be worth watching- lots of exposure in lifestyle but more UVB in south Upper class Indinas more at risk due to sun avoidance, another to watch. Pakistan, Egypt, Kuwait - no white popltn to compare. I look out for gender difference in Muslim countries: clothing. Louisiana... interesting, do you have a link? Blood level of D3 is not an absolute determinant of its effects. High/middle/low responders are known in caucasians, possible relfecting polymorphism of the VDR ( a ahndful are known). Not sure about Africans, Asians. Peter Quote Link to post Share on other sites
AndyR100 Posted April 15, 2020 Report Share Posted April 15, 2020 In items on both this morning and this afternoons ITV news (reporting the deaths of medical professionals) the point was made that Vitamin D3 supplements could be beneficial, so it certainly isn’t unrecognised. ....... Andy Quote Link to post Share on other sites
Peter Cobbold Posted April 15, 2020 Report Share Posted April 15, 2020 40 minutes ago, AndyR100 said: In items on both this morning and this afternoons ITV news (reporting the deaths of medical professionals) the point was made that Vitamin D3 supplements could be beneficial, so it certainly isn’t unrecognised. ....... Andy Tks Andy, had not seen that. Maybe things are starting to move. However Scottish govt has merely reiterated standard recommendations of dose, whcih is nowhere near enough. Peter Quote Link to post Share on other sites
iain Posted April 16, 2020 Report Share Posted April 16, 2020 Should we not also recognise that mortality in ethnic groups is related to many comorbidities at much higher levels than would be considered normal; Hypertension, CAD, Obesity, Diabetes to mention just a few. https://patient.info/doctor/diseases-and-different-ethnic-groups#nav-0 An observation from my son, anaesthetist, working in an ITU at the moment.............all COVID patients in this unit are white , male and age between 55-65yrs with Hypertension. Demography perhaps is also playing a role in the headline figures. Stay safe. Iain Quote Link to post Share on other sites
john.r.davies Posted April 16, 2020 Report Share Posted April 16, 2020 (edited) 13 hours ago, Peter Cobbold said: Nort vs South India lower castes will be worth watching- lots of exposure in lifestyle but more UVB in south Upper class Indinas more at risk due to sun avoidance, another to watch. Pakistan, Egypt, Kuwait - no white popltn to compare. I look out for gender difference in Muslim countries: clothing. Louisiana... interesting, do you have a link? Peter Quote, Guardian article "It's a racial justice issue" 8/4/2020: "Louisiana has the fourth largest number of Covid-19 cases in the country, and the majority of the Covid-19 deaths are in New Orleans, where black Americans constitute 60% of the population. “Slightly more than 70% of [coronavirus] deaths in Louisiana are African Americans,” the state’s governor, John Bel Edwards, said in a press conference on Monday. “That deserves more attention and we’re going to have to dig into that to see what we can do to slow that down.” Midwestern cities including Detroit, Chicago and Milwaukee are also reporting an increasing imbalance. Detroit, which is almost 80% black, has the most concentrated coronavirus cases in the state of Michigan. The death rate in the city accounts for 40% of overall deaths in the state. Americans, and European, with African ancestry have a greater incidence of obesity, high blood pressure and diabetes than the white population, so this is a valid factor to explain the high incidence of severe Covid infection and death among BAME people, without seeking a D3 explanation. But if a geographical ditribution could be shown that would be most interesting. I'm also interested, and concerned for myself, in the association of high blood pressure with severity. ACE inhibitors, the '-prils', are widely used to treat hypertension, but it is the ACE2 receptor on cells that Covid uses to attach itself and gain entry. Treatment with an ACE inhibitor leads to a proliferation of ACE2 receptors, and it is suggested that with many more available to the virus, it is able to attack more cells and overwhelm their defences more easily. A theory, not one that should make any one stop taking their ACE inhibitor, because the 'rebound' effect on blood pressure of stopping may be more dangerous. Edited April 16, 2020 by john.r.davies Quote Link to post Share on other sites
Peter Cobbold Posted April 16, 2020 Report Share Posted April 16, 2020 5 hours ago, iain said: Should we not also recognise that mortality in ethnic groups is related to many comorbidities at much higher levels than would be considered normal; Hypertension, CAD, Obesity, Diabetes to mention just a few. https://patient.info/doctor/diseases-and-different-ethnic-groups#nav-0 An observation from my son, anaesthetist, working in an ITU at the moment.............all COVID patients in this unit are white , male and age between 55-65yrs with Hypertension. Demography perhaps is also playing a role in the headline figures. Stay safe. Iain D3 deficiency is a known risk factor for hypertension, coronary heart disease, metabolic syndrome and type 2 diabetes. Also depends where your son works, if catchment has low BAME population then he would see few despite higher risk. D3 deficiency is a vastly more importnat contributor to morbidity than 99% of health professionals recognise. Peter Quote Link to post Share on other sites
Peter Cobbold Posted April 16, 2020 Report Share Posted April 16, 2020 (edited) Open Letter to Ministers of Health, CMOs, health care professionals, health correspondents: Appeal to governments and professionals 16_4_20-1.pdf ref 5 correction: https://cks.nice.org.uk/vitamin-d-deficiency-in-adults-treatment-and-prevention#!scenario:1 Edited April 16, 2020 by Peter Cobbold Quote Link to post Share on other sites
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