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What Seems To Be The Problem?: The heartfelt medical memoir telling the true story of an NHS doctor's pioneering, holistic approach to care

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Officers whose duties include investigations of traffic accidents “are qualified experts and may properly testify concerning their opinions as to the various factors involved in such accidents, based upon their own observations.” ( Neumann, supra, 59 Cal.App.3d at p. 460 ; Hart v. Wielt (1970) 4 Cal.App.3d 224, 229; Risley v. Lenwell (1954) 129 Cal.App.2d 608, 631; Zelayeta v. Pacific Greyhound Lines (1951) 104 Cal.App.2d 716, 723-727.) A “traffic officer who has spent years investigating accidents in which he has been required to render official reports not only as to the facts of the accidents but also as to his opinion of their causes, including his opinion, where necessary, as to the point of impact, is an expert.” ( Hart, supra, 4 Cal.App.3d at p. 229; Kastner v. Los Angeles Met. Transit Authority (1965) 63 Cal.2d 52, 57.) Aside from point of impact, discussed above, officers may provide opinions on other factors involved in car accidents, such as path of travel and use of headlights.

Right, I thought, yet another documentation of someone doing their job and wanting us all to read it etc, still, it drew me to it and was keen to see if this Dr was indeed different Compelling and essential . . . will appeal to everyone who enjoyed Adam Kay’s This Is Going to Hurt’ Philippa Perry The first step with an officer is qualifying or disqualifying the officer as an expert for whatever the topic is at issue, which should be done during deposition before trial. Parties seeking to introduce an officer’s opinion testimony must qualify the officer as an expert. ( Hodges v. Severns (1962) 201 Cal.App.2d 99, 109.) There are two steps for qualifying/disqualifying an officer: (1) training and experience, and (2) investigation of plaintiff’s specific case. Below are specific questions on how to do so; these questions are by no means exhaustive, but should lay enough foundation for testimony to establish liability. Created with the help of doctors, artists and complementary health practitioners, Dr Laura's pioneering holistic approach was revelatory. From those whose lives were changed by 'ineffective' drugs, to those for whom alternative therapies, kindness and trust proved transformative, her patients began to flourish. Penalty points for editing errors (spelling, grammar, punctuation, etc.), for children who act too mature or too young for their age (this is a bugbear of mine), or if there is something in the book that just really pisses me off for any reason.Officers frequently provide opinions as to speed. Several cases have noted that an officer “whose duties include the investigation of automobile accidents may qualify as an expert entitled to give an opinion respecting the speed of automobiles involved in an accident, based on his observations obtained in the course of his investigation thereof.” ( Davis v. Ward (1963) 219 Cal.App.2d 144, 148; Enos v. Montoya (1958) 158 Cal.App.2d 394, 399 [noting that because jury’s knowledge of the subject roadway must be limited to that shown by the evidence, it cannot be said that a prudent speed on the subject curve “was a matter exclusively within the jury’s fact finding power which should not be ‘invaded’ by opinion evidence”].) Whether an officer has sufficient qualifications to give an opinion regarding the speed of the vehicles involved in the accident is “a matter committed to the sound discretion of the trial court.” ( Davis, 219 Cal.App.2d at p. 148.) Additionally, properly qualified officers may also give testimony as to what would have been a “reasonable and prudent speed” at the location and circumstances at issue during the accident. ( Hart v. Wielt (1970) 4 Cal.App.3d 224, 230; Enos, supra, 158 Cal.App.2d at p. 399.) In Hart, a CHP officer testified what would be a reasonable speed in and around the area of the accident. ( Hart, supra, 4 Cal.App.3d at pp. 228-229.) First, the CHP officer was qualified to provide such an opinion because the officer “had been in the Highway Patrol for 13 years, had extensive training and schooling in accident investigations (including proper speeds under various conditions), and had investigated more than one accident weekly.” ( Id.) Then, the officer testified that if the road was wet due to snow and ice, a “reasonable speed” in and about the area of the accident would be 10-15 miles per hour and that “a person driving under these conditions, in and about the area of the accident, at a speed of 30-35 miles per hour [i.e., the defendant’s estimated speed], could anticipate he might slip, slide, and have an injury accident.” ( Id. at p. 229.) This testimony was allowed because an officer who has spent years investigating accidents and who was required to make official reports with both the facts and potential causes of the accidents “is an expert,” and the officer’s opinions go to weight and not admissibility. ( Id.at pp. 229-230 , citing Kastner v. Los Angeles Metropolitan Transit Authority (1965) 63 Cal.2d 52, 57 .) In this powerful and deeply personal memoir, award-winning GP Dr Laura Marshall-Andrews introduces us to the patients who have shaped her radical approach to medicine.

Officers responding to car accidents are usually the first to investigate those accidents; taking photos, measurements, and gathering other evidence. This evidence can make or break your case on liability, and often goes towards causation and damages. You need to know how to use these officers’ findings to plaintiff’s advantage. Really glad read these memoirs, and re taught me the lesson ‘never judge a book by it’s cover’ ( or blurb ) If the officer does not list the subject at issue in Plaintiff’s case, you must specifically ask about that subject.] Coming into the classroom, my knowledge of Design Thinking was insignificant. Case in point, when asked what I wanted to achieve from the weekend, I responded with the statement, “The definition of Design Thinking.”I was assured that the class was designed for everyone, “regardless of your title, role, profile, initiative or current way of working”.I was skeptical, and still, I remained open minded to the possibilities of the course and what it would mean to me.

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What is the full horizon of truth when it comes to managing patients? Marshall-Andrews was a GP trainee when she had an epiphany of sorts in the form of a patient named Julie. Julie was a 54-year-old bookshop owner who, on being diagnosed with terminal oesophageal cancer, eschewed standard medicine in favour of acupuncture, massage, and reflexology. Julie serves both as a catalyst to Marshall-Andrews’ journey into integrated medicine — ‘a way of caring for patients that sees them as unique individuals, not just as cases, and sets out to meet their emotional needs and those of their families’ — and also serves to open the book for the reader to join Marshall-Andrews from GP trainee to founder of, and long serving partner of, the Brighton Health and Wellbeing Centre, one of the country’s first integrated general practices. PLEASE PLEASE PLEASE make more of these, Audible. With exactly these two guys, in the exact same format, forever. The fact that they don't have a podcast where they talk about weird medical history facts is a CRIME.

On an unrelated note, it blows my mind as an Aussie that GP's in the UK do house calls regularly. Maybe there are a select few that do it here, but I've never seen it or heard about it. I definitely would be an expensive service to offer, but I can see it being so helpful to so many people! I believe it's derogative, or at least condescending, but it sounds more polite } than "what's your problem", which is more to the point. Very highly recommended. This book is extremely emotive. I cried a lot but I also got angry and upset on behalf of the patients who'd been sidelined and also on behalf of Dr Marshall-Andrews herself who appears to be fighting an uphill struggle at times against those who want no change. However I also laughed a lot at the joy tiny changes brought about. An officer may provide an opinion as to the point of impact based on the officer’s examination of the physical evidence. ( Robinson v. Cable (1961) 55 Cal.2d 425, 428; Francis v. Sauve (1963) 222 Cal.App.2d 102, 114.) Further, an officer’s opinion can be based on a driver’s statement rather than physical evidence. ( Arellano v. Moreno (1973) 33 Cal.App.3d 877, 886 [providing that “the possibly partial hearsay basis of the officer’s opinion went to its weight and not to its admissibility.”].) Additionally, a diagram made by the officer at the scene may be admitted into evidence for the purpose of illustrating the officer’s testimony to the jury. ( Robinson, supra, 55 Cal.2d at p. 429.) Simply, an officer can opine as to the points of impact, provided the foundational requirements above are met. Specific questions to ask can be:

Engaging in the class with the other students, I experienced my “A-Ha!” moment and laughed to myself.I recognized this style of thinking had previously been employed upon me.You see, I am a Veteran of the US Army. As such, there are 2 things you never forget: the love of your mother, and your drill sergeant. Reading this reminded me of The Compassion Project: A case for hope and humankindness from the town that beat loneliness, a book about how building a strong community in the town of Frome has improved health and wellbeing. This has seen hospital and GP visits go down, which has also reduced pressures on the NHS. Linking the two books together, if we could build strong communities, we can improve health and wellbeing. And if we adopt a holistic approach to healthcare that seeks to treat the whole person, then when someone does get ill, it will ensure they get the help they really need. As I said I have read lots of NHS stories from different professionals and enjoy reading the patients and doctors experiences. This one is different as we get to see the normal doctor approach but Marshall-Andrews takes a more holistic approach and once she gets her own gp surgery we see what it is like to work with other professionals in a holistic manner and how it can affect and impact the patients. Mark Watson made me burst out laughing in public several times. For some reason, while I was going from Boston to Providence, I could not stop giggling at the moment when they're talking about how Aristotle's conception of the brain took off while Plato's didn't, and Mark goes, “Ahh, Aristotle. A bigger cheese, as it were.” I literally cannot tell you why my brain decided this was the most important quote humanity had ever devised. I've been saying, “Ahh, a bigger cheese, as it were” in any context it could possibly make sense, which, considering I study medieval history, is actually quite a few. It has made it into my notes. It has made it into my fanfiction. Other students have started saying it from mere osmosis, with one friend occasionally altering it to sometimes say, “Ahh, a smaller cheese, as it were.”

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