@timcs1968
@goldstone_tony
@SteveBarclay
Not just ‘senior’ consultants who are about to retire. I’ve been a consultant 4.5 years and likely to have a tax charge this year for going over AA. Considering dropping hours to mitigate this.
@IsMiseStiofan
I took a pre-alert phone call years ago to tell me a young gentleman was septic as he was tachycardic and had a high respiratory rate. I asked what was wrong with the patient - he had an open ankle fracture that had just happened. I politely explained sepsis was unlikely!
@MallinsonT
@DrLindaDykes
I’ve had a similar one to this
@MallinsonT
:
‘You don’t have any children so you can work Christmas’ closely followed by ‘well your Mum lives miles away and you’re working Christmas so you might as well do New Year nights too because you won’t be able to go and see her’
This upset a lot of people. So maybe I should explain what I mean.
1) We are currently attempting to live “with” Covid- with sustained community transmission and continued lifting of restrictions
@TessaRDavis
No!
I was advised to say something like ‘I’ve done my research and met everyone so I don’t have any questions, thank you.’
I now interview for SHO level posts and some of the questions asked are not ok!
A doctor friend has had to pay a fee to relinquish her
@gmcuk
licence to practice. She is doing this because she has advanced cancer and can no longer work. Doesn’t seem right or fair to me.
@enamhaque31
@MFTnhs
@WythenshaweHosp
I hope you’ve been seen and everything is sorted now. I think saying that all you need is a referral to # clinic is an oversimplification. That’s what the ED team are for, make a diagnosis and make appropriate referrals. If another dr saw you in surgery would you ‘just refer’?
@Jeremy_Hunt
Remember this tweet?
Please do enact this as soon as possible. It’s not just doctors in their fifties retiring, it’s those of us who have been consultants 3-5 years who are also now being hit with big pension tax bills and looking to reduce hours to mitigate this.
Dr Rachel Parish, a Senior Registrar in Emergency Medicine here at the Royal Derby Hospital, has been named in the Team England Shooting Squad for next year's Commonwealth Games. Congratulations, Rachel!
@DrSelvarajah
@DrLindaDykes
Already work weekends in the emergency department… I’ll do more if paid for it appropriately and given reciprocal time off elsewhere. Oh and good luck finding enough ED consultants to staff departments 24/7. Already work a 44 hour week btw 🤷🏼♀️
@wesstreeting
Where do you plan on finding the senior doctors to train all of these new juniors? Consultant salary now down >30% plus punitive pension taxation year on year for those of us who still have 20 years of consultant posts to go before retirement? None of us will be here!
Med Twitter- advice needed. Struggling to achieve any ‘off’ time and seem to just be thinking about work, sorting email, rota and other things. Tips please!
#WorkLifeBalance
#needsometimeoff
#downtime
@NJBanbury
Our ED regularly expands it’s walls with patients in corridors with no additional staff or bed spaces…
It’s all wrong everywhere but ED can’t be expected to manage all of the risk all of the time. It must be shared
There’s quite a lot of work in organising the ED SHO rota particularly in August. If I don’t get names and contact info from HR or HEE I can’t contact you and give you a rota. I ask for names months in advance. With 4 weeks to go I still don’t have all the names. 1/4
So proud to be representing
@TeamEngland
at the
@GC2018
and feeling very privileged to have walked out at the front of the England athletes parade. The games are now OPEN!
#TeamAndCountry
@EmergencyBod
@BBCNews
It also really irritates me that they’re reporting that we’ve rejected a 4% pay increase… this deal didn’t give me any pay rise! As someone else has said, twice nothing is still nothing!
@RedemptionBroon
@ChrisCEOHopson
@JamesWard73
Is that because you are young and usually well and hopefully wouldn’t have severe symptoms if you got covid? You are in the minority of patients we see in hospital. It’s a very dangerous premise to allow staff to knowingly work when they have a highly contagious virus. 1/2
@EmergencyBod
Swapped to a rolling ED consultant rota for the first 10 weeks of the pandemic.
Vividly remember ‘washing off the covid’ as soon as I got home from a shift.
Didn’t see my Mum for months to protect her.
People my own age died in front of me of covid.
Not letting my hair down
@harryclax
@dannymcg
One extra patient on every ward
Functioning SDEC to move patients out of ED Including assessment units for each specialty
Referral pathways that function so GPs can get through to specialties for advice and referrals
@JackBarton07
‘Senior review’ should not be the whole investigation and management plan. Write a differential diagnosis and an initial plan then enact the easy bits of it e.g. CXR, urine dip, ECG then get your senior review.
@RedemptionBroon
@ChrisCEOHopson
@JamesWard73
It’s easy to twist words on twitter isn’t it? That is not what I’m saying at all. I don’t want to risk giving vulnerable patients a highly infectious disease that might cause them harm. Knowing going to work with covid is an unacceptable risk vulnerable patients and staff.
Well it wasn’t to be. Sorry if you got up early to watch. Sad that it wasn’t the end I wanted to my double trap career. Looking forward to going home. Miss you all.
@TeamEngland
#GC2018
#GC2018Shooting
@RedemptionBroon
@ChrisCEOHopson
@JamesWard73
The moral injury we all already have would be vastly exacerbated by knowing that we could pass on covid to all of our patients. That is an unacceptable risk. 2/2
It is with deep sadness that we share the news that we've lost a colleague. Mr Manjeet Singh Riyat was a hugely respected Emergency Consultant at Royal Derby Hospital
@DrBenLovell
@EmergMedDr
Perhaps a reminder that sometimes the ED reg has seen more medicine than med reg... had a night shift with an excellent, new ST3, med reg pacing a patient in ED where as the ED reg I had more experience than them. We both learnt from the case and supported each other.
@docthake
@happywombelle
@dermotor
As ortho F2 saw same pt every day for 1/52 + introduced myself as Dr. Then patient told consultant on Friday that not seen Dr all week!
@tomhfh
@DrSdeG
No we did not! I was given a birthday cake on my birthday in May 2020 and cut it on my own in the kitchen at work. Then had to go to an office on my own to eat it. Others did the same to have a piece of the cake. Each on their own.
Happy birthday and retirement
@HewittSusie
.
I am so privileged to have worked with you and your mentorship has shaped me to be the consultant I am today.
Thank you, you will be so missed.
Suddenly it’s Happy Birthday and a VERY happy retirement to
@HewittSusie
. To say she will be missed
@UHDBTrust
ED &
@UHDBChildrensED
is an understatement.
An amazing mentor, colleague and friend, to everyone in emergency medicine.
We’ll “crack on and see some patients” now.X
Dr Aldridge sharing lessons from M&M around the region.
Red flags:
- persistent tachycardia (
#abnormalphysiologydoesntgohome
#Rachsrules
)
- limb pain
Complexity and comorbidities, could they have covert sepsis?
Lactate never lies (treat and repeat)
Patrick’s hat trick
@doctor_oxford
@SteveBarclay
@RishiSunak
@Jeremy_Hunt
Ugh, it’s just ridiculous isn’t it.
We *do* work weekends. I would do more if appropriately paid for it and had time off elsewhere. Good luck finding enough ED consultants to provide a 24/7 service in every hospital.
@jmugele
Rach’s rules:
1) being nice is a bad prognostic sign
2) abnormal physiology doesn’t go home
3) if you’re not a frequent flyer and you genuinely need iv morphine for your pain you’re not going home
4) farmers are always properly ill
#rachsrules