@AllisonPearson
@cpeedell
Four years ‘campaigning’ vs Clive’s 20 years as a Consultant Oncologist seeing and talking to cancer patients everyday. Please tell me how experienced you are again?
@DrRebeccaTidy
@airbnbs
Rebecca I have a spare room she is welcome to, can’t fit in the whole family but can get her out of the cold- DM me if you want to get in touch X
2021 is the 1st year I can recall I kept my
#NewYearResolution
- every time I went to the supermarket, I bought and donated something for the food bank. I wasn’t perfect, had to go back/make up a missed one - but I did it all year. I just wish I didn’t need to
@TrussellTrust
@doctimcook
@wesstreeting
I say it a lot but it seems to need repeating to Wes and his advisers that an underfunded, under resourced system CANNOT work efficiently. It’s too busy trying to keep afloat. Fund first. Beds first. Staff retention first.
@ruskin147
My not so little diva has been with me since he was a pup. He still runs away from me when he sees the harness (if he doesn’t it means he is super desperate for a walk). As soon as it’s on he runs to the front door (almost 7yrs) 🤷🏻♀️🤦🏻♀️ he looks angelic now…
@CraigNikolic
My next strike posters will be saying:
‘I drive a 2016 (2nd hand) Vauxhall’ and
‘The only part of gold I can afford is the ball’
Lots of old but entrenched prejudices about doctors driving expensive cars and living life on the golf course. Need to be stamped out
On my way home from a brilliant show in Nye
@NationalTheatre
… sad to have missed
@michaelsheen
but so glad to have seen this. Unexpectedly funny, expectedly gut wrenching about the cost of private healthcare and a world without the NHS 💔
@AdamRutherford
A few stopped off a few months after I moved to my house. Had a friendly chat but they gave up when I said half my family were geologists and we were going to have serious disagreements if they tried to claim the earth was only 6000 years old. Haven’t had any back in 5yrs
@sociabledog
@ruskin147
The first night I brought my dog home when he was 9 weeks old I sang to him to settle and calm him. I still do it when he’s stressed or at the vets. I don’t know if it does make him feel better or just make me feel I’m doing something but it’s lovely bonding time 🥰
@RoshanaMN
@theJeremyVine
We all have runs of ‘bad luck’. We all feel like death walks with us on some shifts. But I have *never ever* heard any individual blamed for patient deaths. For *7 CONSULTANTS* (cumulative clinical exp. 100s of yrs) to have concerns is unprecedented and should always b listened 2
@zackferguson
I’m PG14 (grad 2010). I’m qualified longer than some consultants and won’t be done until at least Feb 26 - yes I’ve taken a slightly long way around but each year has contributed positively to my clinical practice today.
@GaryNosam
@Milzhino
I don’t want to be *that* one but the words ‘pretty and willing’ have an obvious gender implication. Not cool. Not ok in 2022. Hope you’ll reconsider your phraseology
@HSJEditor
‘Can’t cover everything’ is an interesting take on the reason for the third ever EGM for a 500yr old medical institution and the source of a fairly major self implosion of senior medical leadership…
@jdrwilcox
Also a pertinent point to those complaining about why so many trainees are LTFT now. They can’t afford the childcare needed to work full time.
@ruskin147
How much does
#sophiefromromania
weigh? I struggle to carry my 17kg standard dachshund when he refuses to walk because it’s too far, his paw hurts, the pavement is too gravelly or he just doesn’t want to
Next time someone mocks me for the essays I write in patient notes I will just remind them that a GP’s written documentation was considered less reliable in a court of law than a patient’s memory of their clinical encounter…20 years later.
#iamphilipmitchell
@drkeithsiau
A very wise Professor of EM at your hospital Keith once told me (after he saw an Orthopaedic surgeon reforming to stereotype as my senior) ‘if an Orthopaedic surgeon asks where the fracture is on an X-ray… hand them an ECG… and ask which way up it goes!’ 😂❤️
@Tim_Burgess
I’ve been repeating one of my favourite aphorisms a lot recently - picking which Tory should be leader is like being asked which strain of penicillin resistant gonorrhoea you’d like to be infected with.
@cardiacpolymath
@jdrwilcox
I made the same analogy when interviewed on the picket by local news - pointing out that
@SteveBarclay
became an MP the year I qualified - he’s a Senior MP and I’m still a ‘junior’ doctor. And Rishi would still be a junior because he became an MP in 2015 😤
@DrRaviJ
@trishgreenhalgh
What I find most admirable though is that you kept going back. You have all kept working. You have kept going and kept looking after patients and working in that unit. That also takes remarkable courage. X
@SteveBarclay
Steve AI sounds great and everything but could we start by getting computers that log on in less than five minutes, have all the apps they need and more than 1 printer between 20 staff. This is like buying an iPhone when your charger cable only works on a Nokia 3310
@drokane
@dr_shai
The little ticker tape of doom every day asking people to ‘identify and prioritise discharges and focus on forward patient flow’
… like that’s not what we’re doing every damn day…
@MarkVipond
@bbcquestiontime
I was a junior doctor 13 years ago. I still am. And will be for another 2 years. Your consultant was a ‘junior doctor’ the day before they became a consultant
@mstotty88
Because surgeons do an intervention the registrar can’t always do. There are few meaningful interventions overnight that a consultant can do that a med registrar can’t. There aren’t enough physicians to staff most medical takes AND OP clinics already let alone pointless nights
@CatrionaRennis1
@micmicmic1
@OrthopodReg
@NHSBartsHealth
Cue sign saying’ an the doctors not leave their bags on the floor as it creates a mess and the cleaners can’t clean’. Pointed the problem with this to a matron once complaining about it and she did not get the irony…
@KateBurkeNHS
@philmoss1
One of the noticeable differences in the Best/most organised trust I’ve ever worked in was the senior management presence on the shop floor regularly. Chief Exec in ED in an when patients had bedded down o/n. Chief nurse doing walk rounds and helping change beds.
@sianharries_
As a hero of the NHS and certainly a personal hero but infamous in my family as the scallywag who ditched my great aunty when they were engaged and ran off with another woman 😬😲
@PhilipPullman
I enjoy
@jimalkhalili
on
@BBCRadio4
‘s ‘The Life Scientific’ for exactly that reason. It’s rare that it doesn’t leave me feeling more hopeful and upbeat for the future/mankind. I highly recommend
@nikinoona
I *hate* the ‘illness is a fight/battle’ narrative. Recently I tweeted ‘illness is not a fight to be won. Death is not giving up. Care never ends’. It’s really important as clinicians we don’t use such metaphors. It’s super unhelpful/toxic in the long term.
@RobynJ85
Trouble is no one has to wait for anything anymore… except In NHS. 24/7 Tesco, Deliveroo, Amazon prime, one click shopping apps… modern culture tells people they shouldn’t have to wait and countering this narrative is extremely hard
@Neuro_Matt
Normally I’d envy that degree of self confidence but In the clinical field the inability to reflect on dissenting opinion (esp overwhelming as it is here) is extremely worrying
@f_shallis
@danielgoyal
OMG all of these tweets. It’s of course terrible the system is being underfunded but it is being asked to do too much as well. We’re not allowed a differential anymore. It’s got to be right first time. ED are stated to have missed something if they didn’t pick up on a non acute
@TheSuzieMiller
@zackferguson
No but it should worry everyone when even ‘professional’ roles are struggling to pay the bills. We have always incentivised higher skilled/responsibility jobs.. also doctors and NHS staff have seen a *much more* significant impact on their pay than average workers
@Dr_JSA
Respectfully these are different issues. Abortion being criminalised with legal exceptions and what the threshold of viability should be seen as. Criminalising abortion and prosecuting women helps no one.
@AndrewJD
I politely disagree but bit busy to expand but... I think a lot of people go straight into anaesthetics without more than foundation training experience which is no where near enough to cover medicine basics .anaesthetics isn’t medicine. MrCP does not a physician make
@WelshGasDoc
@SteveBarclay
@Jeremy_Hunt
@SteveBarclay
You don’t adequately fund the service you’ve got and you want to extend it? That’s like Jesus inviting 25 disciples not 12 to the Last Supper only this time it’s more of a ‘Last Snack’
@MartinRCGP
My GP friend is really struggling w/ acute exac of chronic MH probs .. he does 8PAs/wk after recent period s/leave. Recently had to go home early after he found out his pt committed suicide. PM told him he is a ‘burden’ to the practice. This is awful. How can I help?
@rosieICM
‘Toxic doctors’ ground down by an underfunded understaffed ill-governed NHS.
Deflecting (as always) from the root causes facing the NHS that are within the influence of NHS super structure managers and government.
@DrAmer_Rad
@LauraHeyneman
@EmergencyBod
Took a trauma patient to CT for a head scan after he fell down the stairs pissed. Looked at the scout and thought ‘wtf?!’. Bemusedly asked to ‘if you ever remember being shot in the head?’. By his brother as a child >50yrs ago.. ‘’why.. can you tell?’ 🤦🏻♀️
@GaryNosam
@Milzhino
Also ‘pretty and willing’ doesn’t recognise the *huuuge* power imbalance and advantage taken by the more senior person in that relationship. I think there are better ways and words to frame such relationships.
@HalimaNyomi
Makes my efforts to learn a few words of Nepalese to communicate with patients
@FrimleyHealth
seem very poor! But you’d be surprised how far learning a few body parts and the word pain goes!
@jowhiley
It might be a bit late Jo but I have used music to great effect when looking after patients with LD. I ask what their favourite song or band is (or a film/musical they like) and I sing along to that as we do tests with masks etc I try showing on a favourite toy can help too.
@drruthannharpur
@theodoraclarke
Her individual experience aside
@theodoraclarke
as a Tory MP has facilitated, encouraged and taken part in the decimation of the NhS the underfunding, understaffing and poor future planning that allowed unsafe maternity services to flourish… lack of insight re this frustrating
@mancunianmedic
More believable than the caller who said no one had done anything for social care except Boris Johnson 😭😭😭😭😭😭🤦🏻♀️🤦🏻♀️🤦🏻♀️🤦🏻♀️🤦🏻♀️🤦🏻♀️🤯🤯🤯🤯🤯
@DrNeilStone
Ortho - I should have guessed.
Tbh the ‘awkward professional headshos’ feel very commercial and corny to me and in keeping with the consumerist approach to medicine in the US. I think there are better ways to make trainees feel included and trained
@BMA_James_Steen
PA scope of practice issues aside i have to say the whole ‘face on the side of the bus’ is quite weird (and a little too American/consumery PP for my liking)
@bfhermann
@residencyreview
Why assume that those most able to endure humiliation, emotional exhaustion, lack of empathy and insight are those most capable of being a surgeon? Manual dexterity is only one part of the job, good team working, situational awareness (requires empathy) , good comms all vital
@drtimothyli
Got referred a low risk patient for admission for serial troponins once ?nstemi. Referring doc said at the end of the chat ‘it’s probably nothing but his grandson sat on him a few days ago’. I said humour me and do a sternal XR… grandson was 14 and 80kg… # sternum….
@DrRobgalloway
Point 1 is very true but should go further - the NHS is where all the last 13 years of underfunding in dentistry, social care, surestart, schools, education, community services come home to roost. As you say much of this is down to poverty and limited life opportunities 😞
@AaronDelays
as well as being a huge
@Delays_
fan I became a keen supporter of
@GregDelays
artwork. So much so my Mum made this Christmas decoration for me.. so every year Greg and his talent lives on as a part of my Christmas ❤️
@bfhermann
@residencyreview
Rigorous is not the same as malignant. You can have rigorous training without toxic behaviours. It’s what the best teachers I’ve had exhibit. The idea that you can’t work to high standards without being toxic af is twaddle of the highest order
@jabberwock951
Regs can tie up threads of complex cases and make them simple. Or pick up nuances that others miss in the swamp of info who get bogged down in the detail. It can work both ways. The more senior I get the fewer tests I do but the more I write.
@EmergencyBod
This is SO unbelievably depressing and sad. These prejudices and ideas are so entrenched it’s hard to see them ever being convinced otherwise even when presented with the evidence.
@dog_rates
@Trupanion
@BindiOntherock
You rate a lot of dachshunds on here. And that is just and proper because they are the best says Doodles cause look how cute I am! X
@DoctorJLam
I’d be interested in corresponding CFS… I’m a keen deprescriber but 75+ is a bit eary id say given we are CABGing to eary 80s.
80+ it’s a conversation and 85+ I’m keen. All context dependent though (and I’m acutely based)
@AaronDelays
I had to leave Dec 2006 Delays Southampton gig suddenly because my Gramps was critically ill(he died that night)….now I’m listening to FSG for the first time on my gramps (repro) record player. Feels right somehow X
@bennoivory
@elfyn_thomas
Aww. I think for my first night he really encouraged me to think for myself …. ‘I want to know what *you* think is going on/we should do’. It’s a quiet vote of confidence but a gentle encouragement at the same time. Plus he’s
#taffia
🥰
@CarlosDuong
I had a robust 96 year old in sustained haemodynically stable VT cardiovert after amio, mag, calc and x3 shocks… my young good looking SHO went to check on her a while later.. fluttered his eyelashes once and she was back in VT 😂😱😤… lignocaine infusion finally sorted it
@EricIdle
I never underestimate what a patient with dementia can remember or do after an experience as a v baby doc trying to exit a secure ward - and spotted an elderly lady with dementia find and fold up a piece of paper and try and ‘swipe card’ her way out after me..🤫
@djnicholl
@TheBMA
@OpenJusticeCoP
@TheDA_UK
Bruno Quintaville- the go to barrister for the Christian Legal Centre who are often the money behind these cases. I should have guessed.
I can’t believe they won the appeal - what was the legal basis (not clear from article).
@Cheapoflurane
Not sure it was DATIX’d but SiteCo phoned ITU to complain that ‘the doctor has taken the patient outside for a cigarette!’
The quadriplegic patient.
With a trache.
He was enjoying the sun on his face- the bed was just next to an air vent 🤦🏻♀️
@jowhiley
I’ve taken blood gases singing along to Mamma Mia, anaesthetised another to ‘Do You Wanna Build a Snowman?, used ‘Feed the Birds’ from Mary Poppins soo many times to soothe agitated, confused patients (and done a lumbar puncture)..
@Medic_Russell
As awkward as I find them I beach clean as a hobby and one of my many collections is of washed up bottle caps and I’ve been meaning to make a Christmas wreath from them but haven’t got round to it yet. Anything to reduce plastic waste which I get very anxious about
@drsarahedwards
My favourite has to be the 96yr old who came in ‘off legs’… who turned out to be drinking half a bottle of vodka a day. Some tosser made her see the Alcohol Specialist Nurse. I would have just said - don’t drink so much you fall over and end up back in here and left it at that!
@WelshGasDoc
I can’t believe they are getting mileage out of this argument again.
@SteveBarclay
trotting out
@Jeremy_Hunt
‘s greatest hits of sticks to beat NHS staff down with…