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Elshad

@ElshadKarbasi

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Junior Doctor

London, England
Joined June 2011
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@ElshadKarbasi
Elshad
3 months
As an expert on energy infrastructure location (self-taught) I hereby declare that after careful research I have come to the conclusion that these four sites are ideal location for a new generation of nuclear reactors to power Britain 👍☢️🇬🇧
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@ElshadKarbasi
Elshad
14 days
Here’s how:
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@BBCNews
BBC News (UK)
14 days
HS2 blew billions - here's how and why
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@ElshadKarbasi
Elshad
2 months
All hospital canteens / coffee shops etc should have separate lines for staff and non-staff (patients, visitors etc) Not fair for someone carrying a bleep to have to wait in a long-ass queue 😔😔😔
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@ElshadKarbasi
Elshad
4 months
Sunak is finished
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@ElshadKarbasi
Elshad
2 months
According to my calculations, F1 starting salary under this offer would be £36,734 With recent AfC uplift, PA starting salary will be £46,147 Under no circumstances should an associate/assistant be paid more than a doctor No other profession would accept such humiliation 🦀
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@ElshadKarbasi
Elshad
4 months
Queen 👑👑👑 Doing more to stand up for the profession than all the gong-chasing “leadership” and “Med Ed” clowns put together 🤡🤡🤡
@ShehabKhan
Shehab Khan ITV
4 months
Here’s the moment a local GP interrupted Rishi Sunak
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@ElshadKarbasi
Elshad
7 months
There are many things a nurse can do that a doctor can’t There are many things a physio can do that a doctor can’t There is nothing a PA can do that a doctor can’t In a well-run NHS, without bottlenecks and with enough training posts, the role need not exist #RCPEGM
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@ElshadKarbasi
Elshad
3 months
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@ElshadKarbasi
Elshad
5 years
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@ElshadKarbasi
Elshad
11 months
@David_Cameron You destroyed the country with Brexit
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@ElshadKarbasi
Elshad
6 months
One of the greatest frauds perpetrated by the NHS is getting away with calling a 48-hour working week “full time” and a normal 40-hour week “less than full time”
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@ElshadKarbasi
Elshad
3 months
@ShaunLintern Abolish all hospital numbers and use NHS numbers for everything. This would cost literally nothing and would be a good stepping stone to eventually having a single national indemnity number (and card) to replace ALL numbers e.g. NHS number, hospital number, NI number.
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@ElshadKarbasi
Elshad
8 months
In F2 I needed a QIP, and instead of the usual VTE crap I decided to do something useful. The state of our doctors’ offices had always pissed me off and so I went about improving things, new chairs, more computers, more phones etc. Small things but made a big difference! 😎😎😎
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@ElshadKarbasi
Elshad
10 months
@hahussain Tlaib is first and foremost an Islamist agitator
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@ElshadKarbasi
Elshad
1 month
Interesting 🧐🧐🧐 Physician’s ASSISTANT - Cambridge University Hospitals NHS Foundation Trust Clearly-defined role and title, clear list of responsibilities, no obfuscation, no “part of the medical team” nonsense… Such roles should be welcomed 👍
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@ElshadKarbasi
Elshad
5 months
No joke: As F2 I was once tasked with calling local zoos to see if any of them had an animal MRI scanner large enough to scan a patient who needed an MRCP who exceed our scanner’s maximum diameter
@ThatMedicElisha
Elisha 🦋
5 months
Hi I’m Elisha the F1 Doctor. My jobs today included chasing an MRI scan report from 1997 and staying on hold to the GP for 30 mins to find out more info about a patient only to be told it’s not needed and he can be discharged safely 🙃🤡
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@ElshadKarbasi
Elshad
2 months
Removal of the white coat marked the start of disrespect towards doctors, followed by further infantilisation in the form of the wristwatch ban, mandatory training, “infection control”, “reflection” etc Completely evidence-free B.S. IMHO #BringBackTheWhiteCoat
2/8/95 - 26/7/24. 29 years in the NHS. Off for very different and sunnier climes. Will miss the people but not going to miss the underfunded, understaffed, violently unsafe environment one bit.
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@ElshadKarbasi
Elshad
4 months
Recent hospital letter for Dad. In it, his consultant is referred to simply as firstname lastname, no titles or postnominals... Simple oversight perhaps but it's small things like this that are contributing to the disrespect and destruction of the medical profession in the UK.
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@ElshadKarbasi
Elshad
3 months
NORTH BRISTOL NHS TRUST Job Description - Physician Associate in Emergency Medicine 🧐 PAs on the SHO rota 🧐🧐 Rather interesting diagram as well… PAs and “junior” doctors the same apparently, both one level below registrar 🧐🧐🧐 Quite insulting if you ask me…
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@ElshadKarbasi
Elshad
6 months
Sepsis tea trolley, sepsis lift, sepsis ambulance… all this sepsis yet most DGHs don’t have 7-day (let alone 24 hour) MRI for cauda equina… patient presenting on Friday afternoon might have to wait till Monday for their MRI… potentially debilitating… deeply unserious country
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@ElshadKarbasi
Elshad
3 months
Aneurin Bevan University Health Board: Why on earth is an “Equality, Diversity and Inclusion Specialist” paid more than a senior doctor in Respiratory Medicine ?? Which one of these roles carries more responsibility ?? Arrr NHS is a profoundly unserious organisation 🤡🤡🤡
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@ElshadKarbasi
Elshad
2 months
@wesstreeting Good to see, but in addition to pay, we also need a complete halt to PA proliferation which is destroying the medical profession
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@ElshadKarbasi
Elshad
7 months
@TrueSlazac @LJLewe He was so real for this
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@ElshadKarbasi
Elshad
25 days
I voted NO on the pay offer Not a terrible offer but an F1 (minimum 5 years med school) should not start on less than a PA (Band 7) (3 years undergrad + 2 years PA) Obvs not everything is about PAs but any offer that doesn’t address this basic injustice should be rejected IMHO
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@ElshadKarbasi
Elshad
6 months
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@ElshadKarbasi
Elshad
4 months
@doctor_dru_ “Please kindly contact the PA’s named clinical supervisor, and if not available, the on-call consultant physician. In line with BMA guidance, I do not prescribe on behalf of non-doctors”
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@ElshadKarbasi
Elshad
5 years
@BenGeskin I just want USB-C and 5G. None of this weird shit.
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@ElshadKarbasi
Elshad
2 months
“Kindly refused” 🤣🤣🤣
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@ElshadKarbasi
Elshad
4 months
“Physician Associate Role within Great Ormond Street Hospital” 🧐🧐🧐 - First assist in theatre - Endoscopic change of gastrostomy devices - Rectal suction biopsy Again - what is the point? Shouldn’t we training the surgeons of the future instead? 56 good doctors shafted…
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@ElshadKarbasi
Elshad
9 months
Mafia-like tactics from trust trying to get friend to reveal whether she’s striking, using bogus “safety concerns” and threatening to contact family members #PayRestoration
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@ElshadKarbasi
Elshad
9 months
It is high time for doctors to realise that the NHS, as currently constituted, is the absolute enemy. A corrupt and exploitative employer, led by talentless, over-promoted goons who couldn’t run a chip shop. The founding principles of the NHS are worth defending, the NHS is NOT!
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@ElshadKarbasi
Elshad
4 months
@EmergencyBod Sunak is a Prime Minister Associate (PMA)
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@ElshadKarbasi
Elshad
5 months
@SecretPhysician @NHSBartsHealth There can be no justification for even a single PA in neurosurgery whilst this absurd situation persists. They all need to be abolished.
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@ElshadKarbasi
Elshad
9 months
PC: Abdominal pain HPC: xxx Examination: xxx Impression: xxx Plan: xxx John Doe, BSc, MSc GMC 7654321PA Shitford GP Practice ******************************* A great many patients would leave such a consultation thinking they’ve seen a doctor This madness must be stopped
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@ElshadKarbasi
Elshad
5 months
@Lucius_Winslow Said “charity” would probably also be receiving taxpayer funding despite actively working against the government of the day…
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@ElshadKarbasi
Elshad
1 month
@greenbenali @TheGreenParty Closing the Green Party is the right decision
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@ElshadKarbasi
Elshad
5 months
Cannot stand medfluencers like this lol
@8teAPi
Ate-a-Pi
5 months
This is why AI will replace doctors
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@ElshadKarbasi
Elshad
7 months
These clots were just removed from a fully-boosted male patient. This is NOT normal! Why isn’t the MSM talking about this???
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@ElshadKarbasi
Elshad
6 months
@DrEilidhMaria They bring wage suppression (for doctors) and strike breaking capabilities to employers
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@ElshadKarbasi
Elshad
9 months
@DrEilidhMaria At my last trust when I was BMA rep I used to send out joke emails to the F1/F2s on every Bank Holiday reminding them they were the lowest paid in the hospital on those days. Even did a special one for the coronation 😅
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@ElshadKarbasi
Elshad
5 months
Yesterday I saved a patient about an hour in ED by wheeling them myself to X-Ray and back (porters v short-staffed)… they needed a few XRs so took ~ 30mins in total… surely not the best use of doctor time or NHS money (locum shift so ~£50/hr)… typical NHS “efficiency” 🤡🤡🤡
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@ElshadKarbasi
Elshad
5 months
@ClassicalSocdem RIP 🕯️🇪🇺
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@ElshadKarbasi
Elshad
7 months
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@ElshadKarbasi
Elshad
7 months
@drokane It’s called Graduate-Entry Medicine
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@ElshadKarbasi
Elshad
4 months
@AdamBienkov Should’ve stuck to investment banking, he is clearly not cut out for communication with humans
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@ElshadKarbasi
Elshad
6 months
Peak post-COVID Britain: A filthy, disgusting, visibly soiled piece of plastic covering the Oyster reader, for god knows what reason, probably not cleaned or replaced since 2020 and infinitely more dirty than the bare reader would be… still polluting the public realm in 2024
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@ElshadKarbasi
Elshad
10 months
@yashar I’m sure Israel and Hamas are both waiting with bated breath to hear what “Oakland City Council” has to say
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@ElshadKarbasi
Elshad
3 years
@NoContextBrits May want to credit the original
@liamdunne__
liam
3 years
this was the most insane stage of the pandemic
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@ElshadKarbasi
Elshad
7 months
Lady just now tapped her card on the Oyster reader, it beeped red twice, apologised to the driver and got off. Immediately after a man walks past the driver without paying and driver does nothing… Increasingly a society where the law-abiding are punished and scroungers rewarded
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@ElshadKarbasi
Elshad
7 months
@TheBMA They have waved goodbye to the future of the medical profession in the UK
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@ElshadKarbasi
Elshad
7 months
@Gabriel_Pogrund @Mcinparis If this was a Labour government and a former Labour PM, there would be wall-to-wall coverage along the lines of 🚨🚨🚨 MEDDLING FORMER LABOUR PM MEETS WITH RADICAL MARXIST COMMUNIST LENINIST VENEZUELAN BRUTAL DICTATOR 🚨🚨🚨 etc
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@ElshadKarbasi
Elshad
3 months
@PickardJE They need to be renationalised
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@ElshadKarbasi
Elshad
8 months
@PickardJE I remember when I first saw this back in 2016 and it was the moment I thought to myself that Remain would lose. Simply no way we could compete with industrial-scale lies like this. It made me unspeakably angry.
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@ElshadKarbasi
Elshad
4 years
@CrimeLdn Could have easily hit that cyclist.
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@ElshadKarbasi
Elshad
7 months
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Elshad
3 months
*ideal locations
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@ElshadKarbasi
Elshad
4 years
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@ElshadKarbasi
Elshad
3 months
@JimBethell @rcgp You are welcome to request a PA should you ever fall ill (though I doubt you’ll be doing so). The public however, including those not nearly as well-off as you, deserve to see real doctors, and not fall victim to a two-tier health system.
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@ElshadKarbasi
Elshad
26 days
@TheBMA @PyrrhicVictory6 @MFTnhs Any doctor subject to this should walk up to the office of the Medical Director and hand their bleep in for each half-hour period on every single shift
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@ElshadKarbasi
Elshad
4 months
“The Prime Minister, Harold Wilson, has announced the government is to increase doctors' and dentists' salaries by up to 30%, following recommendations made by a pay review body” 4 May 1966 The more things change, the more they stay the same… 🧐🧐🧐
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@ElshadKarbasi
Elshad
8 months
Big fan of trusts which let you upload your own photo for your ID badge instead of insisting they take their own with some shitty 2MP hospital camera. Such a simple thing yet turns out so much nicer 👌
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@ElshadKarbasi
Elshad
5 years
@EmmanuelMacron We’ll be back
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@ElshadKarbasi
Elshad
3 years
@PoliticsForAlI @MoS_Politics No one is scanning anyway lol
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@ElshadKarbasi
Elshad
3 months
@ElectionMapsUK Charles Kennedy avenged 👍🔶
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@ElshadKarbasi
Elshad
8 months
@DrEilidhMaria Especially when a lot of the time pressure on doctors is due to hospitals not wanting to fund longer opening hours for the pharmacy/dispensary… it’s not my fault that pharmacy closes at 3 on a Sunday and surgical ward round only finished at 2 due to being delayed by laparotomy…
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@ElshadKarbasi
Elshad
8 months
There was also a disused room which was used as a storage/dumping ground for all sorts of rubbish which I cleared and converted into an extra doctors’ office, quiet and away from the noise of the ward. Twas very well received!
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@ElshadKarbasi
Elshad
2 months
@MypSimpson @UKYP @reformparty_uk @LeeAndersonMP_ The “Youth Parliament” needs to be shut down entirely
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@ElshadKarbasi
Elshad
6 months
@RachelMoiselle Who needs books when you have Quds News Network…
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@ElshadKarbasi
Elshad
4 months
@HOUSEPORN___ What the building opposite the Houses of Parliament actually looks like:
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@ElshadKarbasi
Elshad
7 months
There seems to be strong correlation between wearing FIGS and scabbing on strike days 🧐🧐🧐
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@ElshadKarbasi
Elshad
9 months
@matthewhodg Not just the DLR but the entire Docklands project, thanks to Heseltine and the London Docklands Development Corporation. Absolutely unthinkable it would happen in today’s age. We are a failed state.
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@ElshadKarbasi
Elshad
7 months
More disgraceful illegal behaviour from the same trust ahead of the upcoming strike… seems they haven’t learnt their lesson! #TellThemAgain
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@ElshadKarbasi
Elshad
9 months
Mafia-like tactics from trust trying to get friend to reveal whether she’s striking, using bogus “safety concerns” and threatening to contact family members #PayRestoration
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@ElshadKarbasi
Elshad
7 months
@mod_soc_dem Would be nice if the guy with the microphone would stop interrupting
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@ElshadKarbasi
Elshad
4 months
@CyberBaz63 It's so over
@JACKGUYANDERTON
JACK ANDERTON
5 months
Looksmaxxing discussion on TikTok about Keir Starmer and Rishi Sunak.
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@ElshadKarbasi
Elshad
8 months
@DrEilidhMaria Imagine a round of junior doctor strikes where PAs are “GMC registered” and have prescribing and radiation rights… would pretty much allow most things to continue as normal and completely undermine our bargaining power… patients wouldn’t know the difference until a PA fuckup…
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@ElshadKarbasi
Elshad
4 years
@metpoliceuk Serving police officer wtf
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@ElshadKarbasi
Elshad
7 months
Made a lil sign for tomorrow #DefundTheGMC #PayRestoration 🪧🪧🪧
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@ElshadKarbasi
Elshad
5 months
“Fire Safety Level 2” “Manual Handling Level 3” “Counter-Terror Awareness Level 2” Doctors subjected to this nonsense every few months, yet no-one tells you that Pathology uses a different extension OOH, or that although MRI closes at 5PM the last patient must be booked by 3PM…
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@ElshadKarbasi
Elshad
6 months
@DrEilidhMaria And no FY should start a rotation on-call, weekends or nights. Awful for the doctor and not safe for the patients. These shifts should be put out to locum or covered by locally-employed doctors.
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@ElshadKarbasi
Elshad
5 months
@Dr_Done_ Introducing oneself simply as “specialty” is one of the biggest red flags to look out for IMHO 🚩🚩🚩. Not just on the phone, in a previous trust I’ve seen PA documentation titled Surname (Specialty)… you have to get to the very end to clock it’s a PA.
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@ElshadKarbasi
Elshad
8 months
@ya3ili The least surprising bit…
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@ElshadKarbasi
Elshad
10 months
@matthewhodg If only Crossrail 2 wasn’t mothballed
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@ElshadKarbasi
Elshad
4 months
@energizerapid Arr NHS is a unique catastrophe. Combines the worst aspects of socialism with the worst aspects of corporatism.
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@ElshadKarbasi
Elshad
10 months
@KareemRifai Most well-dressed assassin
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@ElshadKarbasi
Elshad
8 months
@willglloyd Above all else, Sunak is a truly terrible politician. All the political nous of a toilet brush.
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@ElshadKarbasi
Elshad
5 months
@PlaceholdTrent The #MedEd gongchasers who brought us to this deserve nothing but contempt. They should be shunned and embarrassed for the rest of their lives.
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@ElshadKarbasi
Elshad
5 months
@medicalmodelbri How does one “manage asthma” without being able to prescribe salbutamol? How does one “manage diabetes” without being able to prescribe insulin? How does one “manage congestive heart failure” without being able to prescribe furosemide?
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@ElshadKarbasi
Elshad
6 months
@Dr__Sarmy Said management should have been reported to the police for unlawful detention
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@ElshadKarbasi
Elshad
4 months
@adb0wen PA is a fake role invented in the United States by the crooked “providers” and other corrupt entities to deprofessionalise healthcare and undermine and undercut the medical profession. Now exported to UK thanks to “think tanks” 🤡🤡🤡 P.S. we don’t care about saving Arrr NHS
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@ElshadKarbasi
Elshad
8 months
Without wishing to brag too much… it took a lot of work! More computers required contractors to come in and install extra Ethernet and power sockets. To their credit, once I showed them my plans, our IT department was super helpful, even if they did think I was a bit obsessed 😅
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@ElshadKarbasi
Elshad
6 months
@wesstreeting Unless you commit to pay restoration for doctors and a halt to “physician associates” you too will perpetrate this two-tier system. Pretty soon only the rich will be able to see real doctors…
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@ElshadKarbasi
Elshad
9 months
National Insurance number NHS number CHI number (Scotland) Hospital number Voter ID card Etc etc etc … All could be replaced by a single national identity card and number, if only the crooked libertarians and civil liberties extremists would get out the way
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@ElshadKarbasi
Elshad
6 months
@DrewPavlou She found out
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@ElshadKarbasi
Elshad
3 months
@thetyronwilson Job Centres need to be shut down entirely... they look like the most depressing, run-down places on earth and I sincerely doubt even a single person finds a job there. They are a blight on the already dilapated high streets. Save the rent/lease and shut them all down.
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@ElshadKarbasi
Elshad
2 months
@lara_e_brown “Recent immigration rules” would be more accurate, given that the Resident Labour Market Test (RLMT) was only removed for doctors in 2019, by the last “Conservative” government, ending preference given to British graduates for training posts.
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@ElshadKarbasi
Elshad
3 months
National Insurance number NHS number CHI number (Scotland) Hospital number Government Gateway ID All these and more could be replaced with a single national identity card and number, free and compulsory for all British nationals. It needs to happen NOW Libertarians be damned!
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