I have a long time friend who is a very senior nurse at a big London Hospital, she only trains and lectures now but spent many years on the wards. In her view its about a 60 / 40 split in general in medicine, with only 40% should be in the job th rest are just making up the numbers.
I've had a shed load of problems with GPs, probably the worst episode, although far from the only one was quite long time ago a new GP started treating my acute Psoriasis (skin condition) with steroid creams, he kept giving me stronger and stronger cream and refusing to refer me to a dermatologist, it got worse and I was using allot of very strong steroid cream twice daily.
Then he panicked and suddenly refused to give me any more and referred me to the dermatologist, I said he could leave me without any treatment for weeks like that, I was probably at about 30% body coverage at this time, but he wouldn't have it. Fortunately I got the appointment through for about 4 weeks away but within a week my skin was really bad and I started to feel ill at work and actually collapsed. I was OK but I wasn't feeling right at all. I soldiered on until the appointment thinking it might be something else making me ill, maybe all the pills (MDXX) I was doing, I didn't connect anything up.
Went to the appointment and the dermatologist was spot on she said that the GP had been totally irresponsible in his actions as the rebound effect from coming off the steroids had caused my psoriasis to really flare up to a state where it was becoming life threatening at nearly 50% coverage, during the discussion she asked if I had been feeling OK and I said no and explained the symptoms, she was concerned that I might have an issue with my adrenal gland as I had been taking in so much steroid so I had to have a synacthen test, it test how well your adrenal gland is working, well mine wasn't and I collapsed after they gave me the shot and woke up on oxygen.
I had to go on oral steroids for months then slowly taper off as well as go on a course of Cyclosporine which is a nasty immune system suppressant they usually give to kidney transplant patients to get my skin under control, it made me ill for fekin ages.
I learnt through that that if your GP is shit see another one and repeat until you find one that's OK you don't have to give a reason, I never see me official doctor at the surgery I go to now, he's a useless waste of space who never even looks up from his screen and pays no attention to anything that you say. The one I see won't use the stupid speaker system he comes out and finds his next patient, always shakes my hand and asks how I am before getting down to medical business.
Sorry for the long post but believe me that's the tip of the ice berg
