Friday 19 February 2021

Pandemic Resurrection by Lawrence Youlten

 

It was surprisingly difficult to get myself “voluntarily erased” from the Medical Register. As in the case of Police Officers who retire early when facing disciplinary proceedings, the GMC seemed to assume that by applying to have myself de-registered, I was trying to avoid the stigma of being “struck off”. It was 2014, I was aged 78, and only working one day a week, at the private clinic I had helped set up some 30 years previously. I had gradually retired from my NHS commitments, at Guy’s and at Addenbrooke’s, shortly before. Both the GMC and the Medical Protection Society had gone back on their commitment to grant 65 year-old doctors continuing free membership for as long as they wanted to go on working. The MPS asked me for £2750 a year, although I was only intending to work one day a week in a low-risk speciality, and had never in 53 years had a claim, or even an enquiry for them to answer. Working involved a 20 mile drive from Winchelsea to Ashford, a train to St Pancras, a bus or taxi to and from Wimpole Street, as well as exorbitant car-parking charges at the station. I worked out that in any year it would be the third week in August before I earned anything that would stay in my pocket, rather than benefitting the Inland Revenue, British Rail, the GMC, the MPS etc. I was asked by the GMC to produce some evidence from my manager that I was not under any cloud. They seemed to find it hard to grasp that being part-owner and Medical Director of a private clinic I was essentially my own manager. Eventually I succeeded in being “voluntarily erased” and settled into a well-earned retirement.

I was surprised, in the light of the above, to get an e-mail from the GMC, shortly after the start of the pandemic, telling me that they had, without my asking, restored me to the Medical Register. I gathered that this honour would not involve my paying a subscription. Among the useful roles the GMC thought I might be able to help with were “manning 111 lines” and “signing death certificates”. This unfortunate juxtaposition made me wonder if they believed the latter might be the consequence of the former. I responded positively to this offer, and a long form arrived for me to fill in on-line. I was subsequently phoned by what sounded like a teenager on job-experience working through a pro-forma he didn’t really understand, the object being, I understood, to match me to a suitable role, if any such existed. There was then no further communication, but the newspapers’ correspondence columns were full of tales of retired medically qualified volunteers like me being put through all sorts of fire and safety, diversity awareness and various other training courses before being let back within a syringe-length of a patient.

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I was subsequently contacted by a group of retired Guy’s doctors to see if I could help the immunisation effort, in this case offering the incentive of getting my own jabs before I could start. After a longish silence I had an e-mail to say that they hadn’t enough supplies of vaccine to occupy all the volunteers. I’ve now had both  my injections at our local centre, and will have to consider carefully whether I want to start commuting to London again, if the call ever comes.

Friday 12 February 2021

News from Peter Curtis

 

After my retirement in 2000, I plunged into family archives, wrote a 100-page family history illustrated with photographs, maps and documents. I went on from there to write a fictional trilogy based on my family’s escape from Nazi-occupied Prague in 1939. The third volume was published in 2020. Now, I’m writing more fiction—a series of short stories that illustrate a medical career which twisted and turned because I could not make my mind up about the kind of doctor I wanted to be. Writing is fun, stimulating and takes up loads of time which is very helpful in a time of COVID. I belong to two writing groups.

I and my wife Carolyn, and our 2 boys came to the USA in 1976. For that I can thank Malcom Forsythe who was enthused about America’s modest turn toward primary care and persuaded me to join Robert Smith, the chair of the new Department of Family Medicine at the University of North Carolina (UNC) Medical School. I had been a GP near Winchester for 8 years and took a sabbatical year at UNC.

We were seduced to move permanently to the States by the fabulous outdoors, the incredible summers and beaches, an offer to double my income and the chance to change the direction of US health care. I worked in North Carolina for 28 years.

We moved west to Seattle in 2007. Wonderful mountains and Pacific forests. For a while we took advantage. Hiking, skiing, fishing and an IT city, now overpriced like San Francisco. It has been a great run for both of us. Carolyn went on to get a university degree and a great job running international clinical trials. I became a GP academic. The UNC department ended up the #1 department of Family Medicine in the USA. Sadly, US Health Care (I don’t use the term Health Care System – because there isn’t one) has only got worse through the wide inequality of services, over investigation and over-intervention, and mind-blowing cost. Carolyn and I are heavy consumers now: hypertension, osteoarthritis, cancer, pacemaker, knee replacements and so on. Now we watch the lives of our families, who by a wonderful chance, also live in Seattle.

At the same time, we have observed the NHS from a distance. Difficult to judge really, but I have the impression there is less commitment and effectiveness than 40 years ago. Still have great memories of rural practice in Hampshire. 

Here we are with Pacific NW wolf: