Why GPs work best when they’re in a social network medicalrepublic.com.au/why-g…
My research in 20 minutes.
Presentation for GPs on how they do what they do so well. Utilising social networks as a work resource.
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
The university introduced open plan offices to encourage people to talk to each other.
This has been a great success.
Now they spend all day talking to each other about how hard it is to work in open plan offices.
#PhDchat #PhDForum #academicchatter
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
Loneliness is an occupational hazard for healthcare workers.
The harmful and silent impact of loneliness at work needs acknowledgement and action
bmj.com/content/395/bmj-2026…
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
Guy shows how nothing is real now on social media.
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
Honestly I’ve hit my breaking point. On call this week and just crushed. It’s insanity to do a specialist consult on a complex patient in 20 minutes. If I take longer then urgent care is delayed and the pile gets bigger.
Now Sechelt hospital has no physician capacity and patients are being sent over to me in the night. For the first time in 22 years of medical practice I said no. It felt terrible because the patient gets caught in the middle.
It’s unsafe. It’s hurting me. It’s hurting my family. It’s hurting patients. Leadership at the highest level in the VCH health authority need to lead. I have dedicated 22 years to Lions gate hospital. I’m seriously contemplating resigning.
Whoever forms the next government needs to make people in highly paid positions in administration accountable. Done with mediocrity. Politicians can’t fix the system but they can demand accountability from those they hire in to these roles.
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
US primary care shortages affect 92M people; >30% of adults lack regular primary care, and nearly 1 in 5 family medicine residency slots went unmatched in 2026. The crisis is urban and rural. Payment, training and workforce policy must align. #PrimaryCare
doi.org/10.1001/jama.2026.19…
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
A flight’s medical kit held epinephrine only at the strength used for cardiac arrest, in a device the doctor who answered the call had never used.
Samara Friedman, MD, a pediatric orthopedic surgeon in private practice, was on a long flight when the call came: is there a doctor on board?
A 20-year-old college student had eaten the meal, found nuts in it, and could not find her auto-injectors. A nurse had already given her an allergy pill. When that did not help, the nurse said, "Maybe it’s a panic attack. Why don’t you sit down, relax, and see how things go?"
Dr. Friedman took a history. The student’s throat was itchy, her nose was running, her pulse was fast. No hives and no wheezing, and nobody could say yet whether it was anaphylaxis.
Her reasoning is worth saving. If it was anaphylaxis and went untreated, the ramifications could be disastrous. If it was a panic attack, the cost was a painful shot with minor side effects. With limited resources on an airplane, she says the right call was unquestionably to give the epinephrine.
The flight kit did have epinephrine, but not in an auto-injector and not at a concentration meant for anaphylaxis. It was the cardiac arrest kind, in a device she was completely unfamiliar with. "I had to MacGyver this epinephrine." She got it into a needle and syringe and converted the dose herself. The injection came out to about 10 times the volume of an auto-injector, because the concentration was 10 times more dilute. Within minutes the itchy throat and runny nose resolved and her pulse returned to normal.
Her point is the system, not the rescue. In a flight of 300 or 400 people, she says, there are at least three or four who cannot eat the food. She says an airline could afford auto-injectors: "They probably prefer not to, and they just push that off to you, the doctors that have to deal with it when the issue arises."
As an orthopedic surgeon she uses maybe three or four medications in her practice, and she says she would not have known the proper anaphylaxis dose offhand without a personal reason to know it. An auto-injector, she says, could be used by a flight attendant, a paramedic, or a nurse.
What should an airline medical kit hold so that anyone on board can use it?
Listen to the full conversation on The Podcast by KevinMD. Link in the replies.
Search "The Podcast by KevinMD" wherever you listen to podcasts.
#FoodAllergy #ThePodcastbyKevinMD
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
Thank you @hjluks ! 🙏
An orthopedic surgeon and a performance coach developed a resistance training routine that protects and strengthens knees by improving the body’s ability to move.
Here’s how to do these exercises: wapo.st/4hX2Liz
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
The Most Important Exercise Advice May Be the Simplest
We have quite the bubble here... many are running sub-3 marathons... some much more than that... but the reality for most people is that they average 4-5k steps/day.
I love when the science catches up to what we’ve observed in the office for decades. It’s always been clear that those who are able to move the most… thrive. Far better than those who are sedentary. And oftentimes… any movement works.
The American College of Cardiology just published a new scientific statement on exercise prescription. The central message is simple: the biggest cardiovascular benefit often comes from going from doing nothing to doing something.
The relationship between physical activity and cardiovascular risk is not linear. The largest absolute risk reduction occurs when a sedentary person becomes modestly active. More activity can add benefit, but the gains become smaller as volume rises.
The statement still recommends at least 150 minutes per week of moderate aerobic activity or 75 minutes of vigorous activity, along with resistance training for most adults. But it also emphasizes that some movement is better than none, and that exercise should be safe, individualized, achievable, and sustainable.
It also reinforces another important point: meeting an exercise target doesn't fully offset spending most of the rest of the day sitting. You can train in the morning and still be highly sedentary afterward.
Meaningful benefit appears at lower levels than the ever-present 10,000 steps per day we see online. Observational data link around 7,000 steps per day to substantial reductions in cardiovascular and all-cause mortality.
The bottom line: move more, sit less, lift something regularly, and choose a level you can keep doing… even on your worst day.
h/t to @EricTopol, who posted this article first. ,
jacc.org/doi/10.1016/j.jacc.…
What young people want.
academic.oup.com/heapol/arti…
Five main themes for well being and mental health.
Massive response.
The survey ran from October 2022 to October 2023 and elicited 1 510 004 responses from young people aged 10–24 years
What the world needs.
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
Simply excellent news from The American Medical Association as they released a new governance framework to ensure the safe and effective use of AI agents in healthcare!
A very important and bold step forward, as the whole industry is about to start using a swarm of AI agents in healthcare management.
"The framework is based on the principle that for agentic AI solutions to perform clinical functions, they must be backed by evidence and maintain high-quality performance.
It provides four questions focused on which tasks AI tools should be allowed to perform and in which situations, as well as who is accountable for the tools’ actions."
Here are the 4 questions.
What clinical function is the AI performing?
What demonstrates that it can perform that function, and what happens if it fails?
What should the AI be permitted to do, and under what conditions?
Who is responsible for the risks and outcomes?
Source: healthcaredive.com/news/ama-…
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
Yes. 👍 Check this out, and please read Laplanche on this subject, too.
ALSO: please read Freud.
Jeffrey Masson’s conclusions from his findings have been infinitely repeated by all the many people who have never read or studied Freud. Many have been relieved to have any good excuse not to have to study Freud.
This one has been so useful for all of the many people who want to believe, very badly, that Freud was a Bad Man.
So many people have been eager to cancel him, retroactively.
Or, at the very least, to say that “although Freud got some things right, he got many more things wrong” — which they know, because they are smarter and better than Freud.
Psychology teachers and therapists love that one. We love to convey, “I am smarter and better than Freud.”
So if we can accuse him of something terrible? Great news for us!
It’s too bad that what too many believe — that Freud denied all women’s stories of their childhood sexual abuse, particularly those that implicated their own fathers, for political and patriarchal reasons — is untrue.
At first, Freud argued with his women patients, who insisted that they had NOT been sexually abused by their fathers, that actually, they must have been.
At the time, he believed that women with hysterical symptoms must be repressing a specific thing: sexual abuse from their fathers.
But he finally accepted that hysterical symptoms could occur even in women who had never, as children, been sexually abused by their fathers.
He had to accept that not all hysterics are repressing a literal scene of incest, or are childhood sexual abuse victims.
Why? Because some of his patients were telling him that they had NOT been sexually abused. He listened to them, as he did for the patients who said otherwise.
He ceased trying to convince women who had never been sexually abused that they must have been, but they had just repressed it all.
That remains a very important lesson for therapists and patients alike to learn!
We should thank him for having had this shift in his thinking — as his understanding of the unconscious became more sophisticated over the course of his professional life.
We should not underestimate the power of the unconscious.
Freud had to stop believing that if someone has a certain symptom or set of symptoms, then invariably, that person must have suffered from childhood sexual abuse.
Why? Because, to put it bluntly, more people have hysterical symptoms than not.
So no, it does not have to be that literal.
So yes, we can still develop our various neurotic symptoms, even severe symptoms, without having been abused.
We can now understand that one’s development of sexuality is itself inherently traumatic. Psychosexual development will leave its mark on everyone.
Patients can suffer because of many reasons, and from the many childhood experiences they endure — including sexual abuse for some, but not ONLY because of that.
How a patient’s symptoms manifest from their own unconscious is individual to the patient.
So, QUESTION: what can we conclude, with absolute certainty, MUST be true about a patient’s past experiences, if they present with a specific symptom, or specific set of symptoms?
ANSWER: Nothing.
We can conclude nothing from that.
Every patient is unique — with their own lives, their own unconscious, and their own symptoms.
If we are certain that we can know MORE about what the patient has experienced than what the patient has said, then we are making a serious mistake.
As Lacan later explained, the patient’s transference to the analyst may be that the analyst is the “subject supposed to know,” but we do NOT “know,” and cannot “know.”
Freud came to understand this well over a century ago.
We are still waiting for the rest of the world to join him.
Replying to @proud_penelope
Anyone interested in the actual history of Freud’s thinking should listen to this
open.spotify.com/episode/1Lw…
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
Ps- i did a 6 year medical course and have practiced medicine for 25 years, passed multiple postgraduate exam and I wouldn't be safe seeing undifferentiated patients in Primary Care. I would be a danger to patients in this setting.
Therefore why do some people have you believe that having no medical degree and doing a two year course somehow gives people magical abilities to be able to see undifferentiated patients in primary care and be safe.
If physician associates are able to train in "medicine" and are magically able to see patients independently in two years - why does it take doctors 5 to 6 years medical degree and 10 years postgraduate training before achieving independence?
We have to decide whether we want a safe healthcare service delivered by fully trained doctors or go back to a free for all where anyone can practice medicine with a cursory level of knowledge/ training and do away with medical degrees / medical training
It's like living in a parallel universe where simultaneously you need over 15 years of training to be considered safe as a doctor but anyone else can do a simple course and get stuck in.
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
Not just nurses, but many flavours of "Never set foot in medical school" are cosplaying doctor in the NHS, and now another patient - another child - is dead as a consequence. My deepest condolences to the family and my gratitude to all those fighting this dangerous quackery, in hope that those who are responsible for this dangerous social experiment are held accountable sooner rather than later, in order to prevent more avoidable deaths. UK patients don't deserve this reckless exploitation in their time of need.
His GP had sent him to A&E with suspected appendicitis
There, he was examined by woman in dark blue scrubs whom his father believed was Dr “All night I thought she was a Dr”
@RCollEM @RCEMpresident how many preventable deaths like from Dr substitution ?
telegraph.co.uk/news/2026/10…
The proposed protocols, if enacted, would effectively enable the NHS to continue to dangerously use PAs. We are clear - PAs must not assess, diagnose, or manage undifferentiated patients in any healthcare setting. Read the proposals here:
cdn.intelligencebank.com/eu/…
THIS from both poles of the earth.
Triage only happens after a provisional early approximation of diagnostic category.
All of it private. Much of it sacred or terrifying or ignominiously unglorious.
We used to have triage in emergency care.
Then as it got busier, that became streaming.
Now it's "initial assessment" which can apparently be done in public. No need for privacy.
Except of course, there is. Complications from an abortion - yeah let me say that infront of everyone else in the queue.
Penile/testicular pain - sure, the queue can sympathise.
Assaulted by your partner - everyone can share.
You CANNOT safely do this in public space. 😡🤬😡🤬😡
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
We used to have triage in emergency care.
Then as it got busier, that became streaming.
Now it's "initial assessment" which can apparently be done in public. No need for privacy.
Except of course, there is. Complications from an abortion - yeah let me say that infront of everyone else in the queue.
Penile/testicular pain - sure, the queue can sympathise.
Assaulted by your partner - everyone can share.
You CANNOT safely do this in public space. 😡🤬😡🤬😡
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
In 1992 Peter Ratcliffe received this rejection from Nature.
Almost 30 years later he won the Nobel Prize for the same discovery.
Don't lose faith in the things you believe in.
Adj Prof Karen Price, 20-22 RACGP Past Prez retweeted
Good to see an attempt to understand why highest suicide rates are in middle-aged men.
What is driving this?
Economic factors - highest rates began after 2008 recession.
Alcohol - a policy blind spot for successive Govts.
Physical ill-health, isolation, offenders.
Family breakdown and financial crises have changed the profile of those who are most likely to take their own lives thetimes.com/uk/healthcare/a…































