Re: tackling a difficult case

From: G Xpetros (chpetros_at_hotmail.com)
Date: 11/14/04 

Date: 14 Nov 2004 02:06:15 -0800

Dr. Steve <drsteve@no-spam.com> wrote in message news:
> >George
> You do not have to agree with me, but that seems to be a poor plan.
> How will you ever learn to do quality work under NHS?And, you are not
> making enough money to ever got ahead of your bills.
> ..

Steve, Stovie,

It's not impossible to do decent work under the NHS. If you have
learnt to divide your time among patients effectively and don't worry
too much about your income, you can maintain a good level of quality,
at least for most restorative and prostho procedures. Right now I
don't get crazy money but I don't care. This is my first year in work
and the money I get is enough to lead a relatively comfortable life.
And I'm not afraid to invest in my abilities. When I asked you about
posterior composites, I went ahead and bought flowables and packables
out of my pocket instead of waiting to hear another one of my boss'
lectures ("we always used these and we didnt have any problems, blah
blah blah). I don't regret it a bit, and I actually think it turned
into a profit for me.
 I know that I'm not staying forever in the NHS, but... I just don't
feel ready. I still do terrible mistakes (well, I at least think
they're terrible) and have to improve my skills in areas that may seem
simple to you, like diagnosis, treatment planning and manual
dexterity.
  I'm probably going to start my own practice next year with a friend
of mine who has 12 years of experience under his belt. It's going to
be NHS but under a new system that promises toreduce bureaucracy and
paperwork significantly, so at least you'll get more time sorting out
the patient. The money isn't bad; with some scheduling and good
management I can achieve a very respectable income, but the main thing
is trying to develop a relationship of trust with a patient base so
that I can move to private after a few years. I already have an idea
about that, that sounds like too crazy.
  Oh, and London isn't that bad Stovie. The centre is colourful I
think!

Thanks for all the interest and the advice,
George

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