Explaining John Watson's Medical Discharge

[wellingtongoose]

I explore the reasons why John Watson was discharge from the army. I also explain the discharge process and calculate John Watson’s army pension from his CV.

I have written before that doctors are very valuable to the armed forces - they would not be discharged for a shoulder injury or a psychosomatic limp. Both of these things do not prevent

Comments

[frodosweetstuff]

Thank you!! This was so very interesting (like all your metas!). I was wondering about how much his Army pension would be, especially, so thank you for the info.

[kizzia]

This is really interesting - especially the Veteran UK info and the Army pension calculation (even if i don't believe a word of that CV other than the names of the educational establishments John went to

[wellingtongoose]

That is a fair request. Should have phrased it better. Thank you for pointing it out to me.

[kizzia]

Thank you for not minding :)

[rifleman_s]

Fascinating and informative, as always - thank you so much.

It's also interesting to note from John's CV that he's specialised in "Post operative oliguria hypotension [whatever that might be!!] and post op infections which could be as a result of his own . . .

(And may I ask you a question from his CV - what does it mean by "Crusader of clinical governance"? If it's easy to explain, that is!)

[wellingtongoose]

I've been in the process of writing a meta about John's CV for the last three months. It's turning into a terribly long essay.

Clinical governance are the methods healthcare works and their managers use to ensure that the standard of medical care is up to scratch. GP are given a great deal of leeway in managing themselves but they are encouraged (with money) to meet government set targets for healthcare. Clinical governance is often quite a tedious job involving a lot of audits and form filling. John is putting himself forwards as a guy who is willing to do this as well as his normal work. Basically a subtle way of saying: hire me - I'm more than a one trick pony.

[kizzia]

Now I'm really looking forward to that meta! Can't wait to see what gems of information you'll provide in there.

[rifleman_s]

Oh thank you very much for explaining that - it's always useful to know how these processes work.

I can see that with John being so steady, it would be a good (if boring) job for him to undertake.

[mirabile_dictu]

Thank you! This is wonderful information.

[blackcat348]

I really like your metas, but MRSA is more serious than you make it sound. I've spent a year and a half working with it in the lab. While MRSA does stand for Methicillin Resistant Staphylococcus aureus, research has found that usually MRSA is resistant to multiple antibiotics, not just Methicillin. MRSA has also killed more people than AIDS in the US in the last couple years. I agree that it is a bacterial infection, and that S.aureus is found normally on the skin, and in the nose, but it is a serious one.

Other than my issue with how you represented MRSA, I love that you explain all of these things that we wouldn't normally know.

[wellingtongoose]

I agree that MRSA can be a serious infection but so can non-resistant strains of staph aureus. Staph aureus infections tend to run aggressive causes due to the nature of the bacteria and its victims.

My point is that MRSA is not particularly special in that most common bacteria are resistant to multiple antibiotics. Strep pneumoniae resistance is now significant for beta-lactams, macrolides,tetracyclines and fluoroquinolones. Each region in the UK now has to have its own tailored antibiotics policy for pneumonia because strep pneumoniae has such a wide spectrum of resistance profiles. Whereas MRSA in the UK is still very much susceptible to glycopeptide antibiotics.

Strep penumoniae is the major cause of pneumonia and kills far more people than MRSA simply because it is a much more common infection.
MRSA is not nice, but it is also not the end of the world.