Bugger 😞
My cat of 17 years who I got while in university has died
I would love to say he was a good cat, but he was a bossy git.
He got shot twice, fought all the foxes, would sleep on my granddad's wheezing chest, demand cuddles then scratch you & I loved him.
Jasper
Unfortunately I have some very sad news to share. Alice has passed from her injuries and is now eternally swimming in the Big Fish Tank In The Sky. RIP
This is totally legit and really important for people to know. 🤷♂️ We want people back on their feet asap and back to their normal lives. Sex is part of peoples normal lives
I actually don't mind doing sick notes.
Many times I've had someone getting sicker and sicker and I've asked "do you need signing off?" And they just break down in tears because it's the system that's making them sick all along
GP’s will soon be stripped of the ability to sign people off work as part of a major government inititive to crack down on ‘sick note culture’
Rishi Sunak says people should stop 'over-medicalising the everyday challenges and worries of life'
I'm the duty doctor working in this GP surgery 👇
I have been here since very early this morning and will be here till quite late at night.
We have dealt with hundreds of patients today old and young, healthy and sick.
We are exhausted and this is nonsense.
Once again
"Your job is so important that if you don't work, hundreds of thousands of operations will need to be cancelled.
No you aren't important enough to be paid appropriately"
#JuniorDoctorsStrike
#payrestoration
Gang, I'm raging. 🤬
Hypothermic patient in their own home
Secondary to fuel bill of £4000 👍
It shouldn't be the GPs job to prescribe basic human rights
#TeamGP
#MedTwitter
🏆New fear unlocked🏆
The door handle on the other side of the door fell off and I got locked in my clinic room with a patient and had direct screen message the receptionist to let me out
Big shout out to
@Derriford_Hosp
whose response to my wife's (an orthopaedic registrar) request for a parking permit was
"Sorry we already gave out too many permits than spaces"
Cool I guess if you need her in this major trauma centre she can call in on teams
Gets GP appt
Diagnosed with likely MI
999 called
.
.
No ambulances
Son ends up driving him to hospital
Arrests on route
Dies
This is EXACTLY what we are afraid is going to happen daily.
This is the Tory NHS
Nurses are most trusted profession and politicians are some of the least
So when the nurses say they need to be paid more, are using food banks and see no choice but to strike, but politicians say the opposite..
Who do you think you should believe?
#NursesStrike
I had a medical student that had to get "signing death certificate" signed off
There was a section for "patient feedback" to which I put "patient dead"
👍 I'm a gift to medical education
Just done my first "session" (aka a morning) as a proper GP
14 phone calls
5 f2f
3 referrals
4 questions from nurses
11 tasks
I'm duty doctor this afternoon
And I've not started on my test results or my letters yet
BUT I DID IT!!!
💪💪💪
#teamGP
Big shout out the my grandad who waited up till 1am for me to arrive to Manchester so we could have a roast dinner together
@hhjhammond
#bloodydelicious
When I was an F1 years ago a patient came in
Dx- liver Mets - likely weeks to live.
They wanted to get married beforehand & asked the consultant if they could have champagne with the liver failure
The consultant said "yes, whatever you want"
I've never forgotten that
When Uncle had terminal
#cancer
I told him to eat whatever he wanted
His
#GP
phoned to tell me off - his
#diabetes
control wasn’t great, affecting the surgery’s stats
You can guess my response!
The last thing he ate was clotted cream ice cream & I am forever grateful for that
The joys of medicine in the UK 2023
If you suspect a stroke do you...
A) call an ambulance that they can wait 7 hours for, missing the 4 hour stroke window
Or
B) tell their elderly relative to drive them in, and gamble that nothing happens en route
#MedTwitter
Ah...damn ..
My car got broken into last night and the only thing gone was my doctors bag with nothing of value to them....only to me
My stethoscope from start of med school, my otoscope and my Dr shenanigans stickers, you served me well.
#teamGP
On the discussion of what we should call junior doctors
Did we agree to use the jedi nomenclature? I feel like we did
Youngling - F1
Padawan - SHO
Knight - reg
Master - consultant
#MedTwitter
Just a reminder that if you are unbelievably unpleasant to a med student you potentially ruin their opinion of that specialty/themselves/their abilities for life.
Don't be a d*ck 👍
#MedTwitter
I remember a family member begging me not to tell them their partner had died over the phone
"Why couldn't I see them??"
Their screams are still with me now
I called so many people on the phone to tell them their loved one was dead or dying in December 2020.
"Can I come and see them?"
"We have to protect everyone we can from this. No visitors are allowed. I'm so sorry."
"I understand."
Meanwhile in CCHQ…
Unbelievably shocked and disappointed by the
@TheBMA
Kicking out a council member for merely pointing out a fact.
There are reports after reports confirmed racism in the UK and the medical field. This is not a good look for
@BMA_JuniorDocs
Brave
#medstudent
armed with clipboard & optimism: "so when did this pain start?"
"& that's not normal for you?"
"& how would you describe the pain?"
"Have you had any past issues with arrows"
"Any family history of bow injuries?"
"What are your expectations?"
Gonna be honest lads, I'm still going to use whatever language is appropriate for whichever patient I'm dealing with. If they want me to use they/them pronouns then I will and no culture war fueling Tory scum is going to stop me 👍
As the health secretary plans to bring back 'sex-specific language' to NHS, chief exec of the
@NHSProviders
says they will 'need to take a look at what is being proposed' but that "NHS staff have a full appreciation of inclusivity and respect"
📺 Sky 501
Dear NHS management
Do those emails where you say "we are still on OPEL4, please can GPs be mindful about sending people on to hospital" actually work?
I can be mindful but I'm still sending my sick patient to hospital. I leave it to you guys to improve things there
Much love
referral form rejected due to lack of info
I'm really sorry I didn't get everything about the patient's life & struggles in the 8 minutes I had to talk to them and the 2 minutes to write your five page form
I look forward to having to rewrite it again in my spare time👍
#teamGP
When I see paediatric patients I always put extra info that I wouldn't for an adult patient
E.G.
"Came with very nice unicorn headband"
"Found the word fart particularly funny"
"Their favourite dinosaur is the triceratops"
Not sure it adds much but it makes me Lol
#TeamGP
My grandad finally spoke to his GP
👴: "I'm so glad I got to speak to you, I couldn't bear listening to 'your call is important to us' anymore. That woman had such annoying voice"
👩🏽⚕️:"....that's my voice"
🤦♂️
My wife (the orthopod): "I've taught lots of people fractures it's easy. Just ABCD"
Me:"and what does that stand for?"
My wife: "not sure but I know the B stands for bone"
🤦♂️💀
Omg you guys are the sweetest most loveliest people in the whole wide world!!
#MedTwitter
Got the worlds poshest stethoscope (might actually be able to hear a murmur now)
A beautiful case
AND
vouchers for clothes for thirsty gym selfies!!! 💪💪💪
Coldest day of the year so far ☑️
Last day before the weekend ☑️
Soring cases of viral illnesses ☑️
Unusual early peak in strep ☑️
Media fuelled panic ☑️
Underfunded NHS☑️
Full moon ☑️☑️☑️☑️
Looks like I'm on call/duty, gang!!
#teamGP
#MedTwitter
When I was born, I was the first breach delivery in the hospital (back when all breaches went for c section)
None of the consultants knew what to do 😬
2 registrars (1 from Nigeria other from Somalia) stepped to the plate & delivered me with the entire hospital watching💪💪
We have gone to a point on tiktok where talking about mental health has gone too far & now normal human experience is "mental health"
Also the flippant way people use "intrusive thoughts" "triggered" etc belittles people who are having true mental health problems
Rant over
When a teenager ACTUALLY turns up to clinic, they have either been made to and something is wrong with them or something is REALLY wrong with them.
They are quite neglected medically.
I know this isn't the point of this article
But I really hate sweeping statements like this
'The time for niceties has passed. There are no magic resources in the NHS. Every minute spent discussing a moody teenager is a minute less spent seeing a palliative patient,' says columnist
@dr_musgrave
Signed some pretty important legal documents today.
The cameraman took so many nice pictures
Or at least he would have .... If his camera lens wasn't all dirty 🤣🤣🤣🤣
Some of our wedding photos got back.
Here are some examples of how ridiculous we are.
It was a pretty good do.
And yes the surgeon got the knife...I got the fork
Your first intubation attempt failed. You have to bag the patient back up before you go to plan B.
This is what your patient should look like...
It's far easier to bag when you've double-barreled their nose and placed an OPA.
#emergency
#emergencymedicine
#foam
#foamed
US match day: "omg I'm going to be an ophthalmologist surgeon in my favourite hospital, got my headshot done, I'm so blessed. I'm looking forward to change lives
UK: "ah fuck I've been randomly sent to Camborne as a TTO jobs monkey"
#MedTwitter
I hear this so often
"The GP did nothing!"
"Gosh, they did nothing, lets have a look back.
They saw you, did your bloods & reviewed them, examined you, referred you, expedited, followed you up repeatedly, oh & sorted meds out. Doesn't sound like nothing to me"
GPs can’t support patients in a broken system where referrals are blocked or cancelled
GPs are genuinely trying to support patients but it’s very hard
20% more appts than 2019, more F2F, more tele/e-consults, more referrals, more complexity due to patients waiting for hospitals
For no reason at all let's talk about someone who is a bit of my
#medtwitter
hero and was also swole!
Neurologist Oliver Sacks wrote "the man who mistook his wife for a hat". A cracking book with really interesting cases
I was duty doctor today, while I was sneaking out for a quick KFC I get a phone call
"Hi Jamie, Sorry we have an urgent home visit just come in"
"you are kidding me?!?! who is it?!"
"the colonel" *they then start wetting themselves laughing*
I had been had.
#TeamGP
Gotta say, it can be really knackering hearing people saying your job is easy all the time
when you and all you colleagues know it's mentally and physically exhausting not to mention extremely complex and difficult most of the time
#teamGP
Dear people who sort referrals
Please kindly explain to me how the patients BMI will make a difference to anything?
If it's a cancer referral you will still have to see them
If it's a routine they likely won't be seen for a year so BMI might be different,
What's the point?
Something annoying me recently is getting private blood tests then "some are abnormal, please see your GP"
If you requested the bloods, YOU should know what you are looking for and YOU should deal with it
Just done my first "session" (aka a morning) as a proper GP
14 phone calls
5 f2f
3 referrals
4 questions from nurses
11 tasks
I'm duty doctor this afternoon
And I've not started on my test results or my letters yet
BUT I DID IT!!!
💪💪💪
#teamGP
I'm going to put it out there: the reason doctors can make complex decisions with new/rare/complex diseases is because of a wealth of background knowledge.
You may only need it once, but once matters.
The idea that you can pick it up as you go along is foolish.
I’m putting it out there: I don’t believe it takes 5 years to get a medical degree. And I do believe that you can learn on the job if you already have a clinical role. Doctors should be honest with themselves.
Was every minute of your degree spent in learning/working? Was