New narrative:
Men who have sex with men have always engaged well with sexual health services allowing us to spot patterns of odd symptoms we couldn’t explain and flag this to see if others had seen similar. This led us to discovering a
#Monkeypox
outbreak. Well done them.
For every referral we get, there are 100s managed by a GP without secondary care. For every person sent to A&E, there are 100s who were managed in the community.
Those of us in hospital have no idea about the real population of patients because we never see them.
It happened. Got the call from
@NHSBT
to donate plasma for
#COVID19
Got to the last question before I was rejected for being
#gay
Feel humiliated. Poor guy on the phone apologetic and embarrassed.
Worse, I’m on call for
#HIV
right now, and know their reasons are illogical
I work in an HIV clinic where none of the doctors are British. We are Italian, Brazilian, Australian and Irish. We are the
#NHS
! And Dido Harding can go to hell if she thinks she can run a health service without our knowledge, our expertise, our dedication and our passion.
🎄🎄
“On the Last Day of Clinic
The public brought to me
12 angry rashes
11 dripping willies
10 vulval itches
9 anal chancres
8 pubic scabies
7 Gonorrhoeas
6 guilty boyfriends
FIVE H.P.V.
4 swollen balls
3 Frenchmen
2 had syphilis
And the contact had a Pen allergy”
🎄🎄
Praising people working til 2am, and redeploying soldiers and firemen, is not testament to a country coming together.
It’s what happens when an incompetent government makes promises it can’t fulfil
#boris
#briefing
#COVID19
Just experienced my first homophobic abuse on
#pride
On the way to the parade with my boyfriend, wearing rainbow tops and two children guessed we were 41 and 42.
So we’re going home now
#LondonPride
Death by IRAS
“Where will you store the data?”
In the mind of a monk in the Forest of Dean who when called upon will self immolate. The smoke signals will be read by a shaman who will communicate with the study team via semaphore
An excel file on a computer. Password is 1234
EXCLUSIVE:
@Peston
and I have learnt that gay and bisexual men will be excluded from a crucial trial seeking a treatment for
#covid19
.
@stonewalluk
have told us the rules are “really upsetting”.
Young person in clinic. Paid £100 for private
#STI
screen. Positive for
#ureaplasma
(give me strength), then charged £55 for 2 weeks of Doxy and £70 for a test of cure. Sent to
#NHS
#GUM
to clear up the mess caused.
Private sexual healthcare needs regulation!!
Just finished a 5 day oncall with this amazing
#COVID19
team made up of redeployed
#HIV
doctors
@ChelwestFT
! See you all again for our next shift!
#NHS
(Not featured is Matt, our epic F1!)
Main issue with
#RCPEGM
is once again we have retired clinicians (on both sides) speaking at length on an issue that has zero impact on them
Where are the younger consultants who don’t hold FRCP yet? Where are the trainees who all hold MRCP and so can’t vote?
@RCPhysicians
What a load of utter bollocks. He brings nothing but embarrassment upon our exhausted profession. Colleagues struggling in a pandemic and this ridiculous peacock of a human thinks it’s the perfect time to boost his media career.
@LG_NHS
surely time to step in?
If another man-child estate agent says to my partner or I
“Do you want to call the missus and check with her?”
Or
“there’s two girls next door I’m sure you’ll get along with *wink wink”
I will strangle them with their gilet while screaming the words ‘cosy’ and ‘snug’
Nothing other than fully coming out against this proposal is acceptable from hospitals leads!
Don’t even think about mentioning side rooms without also condemning this for what it is, an attempt to dehumanise a group to people who only ask to be themselves.
@nomiackerman
Oh no! Not the Cambridge and top London doctors. How ever will us mere midland grads survive? The only way I can spell the drugs I’m legally permitted to prescribe is with the help of a Cambridge grad. 🙄
Any doctor leaving is a loss to the NHS. Let’s drop the petty classism
I’ve just been emailed by my trust requesting ID documents, proof of address, GMC cert etc before I start my next post in two weeks.
I currently work at this trust. I have worked here for a year.
In other news. My offer letter outlines details of my offer letter.
How useful
Well this escalated!
Thanks
@bbc5live
for listening to me and
@PinkNews
for reporting
What missed the edit is talking about the use of
#PrEP
and regular screening that is much more common in the
#MSM
population and the need for more male blood donors!
The Hon. Kirstie Allsop
A woman who has made her living off people moving to the countryside and abroad to get away from offices, and whose job could be done by a badger with a sense of direction.
If your job can be done from home it can be done from abroad where wages are lower. If I had an office job I’d want to be first in the queue to get back to work and prove my worth to my employer. I am terrified by what could be on the horizon for so many.
Tomorrow Irish
#MedicalScientists
go on strike!
Almost every diagnosis I make requires these skilled HCPs
Doctors are nothing without
@MedLabAssoc
Please support them!
*Disclaimer - my mum is an epic MLS who taught me more Haem than any medschool
Cycling to work an hour early to avoid hot weather.
These are the showers that
#doctors
are supposed to use and get changed in. Whole room flooded in 30secs and a bin the only place to store anything to keep it dry. Can’t even put socks/shoes on in here
Get me out of the
#NHS
!
@traumagasdoc
@NHSBT
I wish they’d join the 21st century and listen to us when we explain that individual risk assessment is better than blanket bans on groups
Being a generic white tall dark haired male doctor you have loads of really friendly conversations all over the hospital with people you’ve never met because you look like every white male doctor
We used to wear blue shirts/chinos, now we all wear scrubs
Ive had 6 of these today
🔴 Medical students are pushing to be allowed to do sex work to fund their studies.
Trainee doctors have urged the British Medical Association (BMA) to work with universities to “recognise” and “support” students working in the sex industry
Despite being asked twice, I am still baffled by the
#RCP
councils attempt to define the difference between a doctor and a PA who may be able to prescribe and order ionising radiation scans.
#RCPEGM
This weekend an 18 yr old won $2.5 million and the hearts of the nation, while I, a 32 year old man, sat on the wrong night bus, drunkenly eating a Co-Op sandwich while watching Taskmaster clips on YouTube…
While I applaud
#mpox
vaccination plans across European nations it is unforgivable that we are stockpiling vaccines to combat a low prevalence clade 2 outbreak with little to no mortality when people are dying en masse in DRC!
Divert
#vaccines
where they are needed most !
🔥The WHO has just published a release on the Mpox (monkey pox) outbreak in Democratic Republic of the Congo (DRC)
The case fatality rate is nearly 5%, and already 600 people have died.
While there are effective vaccines, they are not available to those in DRC.
🧵
The best way for
@RCPhysicians
to hear the views of the physicianly workforce is a non-binding ballot of the Membership on the same motions the Fellowship are voting on
Let the people who are asked to work with and supervise PAs now and in the future speak and be heard
#RCPEGM
6 hour journey to get to
#BASHH23
from South Wales!
Back into England, and now another train to go back into Wales!!
No hard questions at the
#mpox
session later please !
Always thought
#GUM
was a haven. Acute med lovers did inpatient
#HIV
, those who hated it had a home of complex medicine in outpatients, we had virology fans, immunology geeks, contraception powerhouses
Now we have no one
We found our people, and we’ve closed the door behind us
Latest
#GUM
recruitment data demonstrate an ongoing, worsening crisis in our specialty that is undoubtedly related to the integration of internal medicine within the curriculum. I pose the question: How many GUM doctors is it worth losing to get a handful of medical registrars?
@SamuelBS85
1) Cons shouted at me because my name wasn’t Josh
2) Surgeon shouted at me for being hit on the head by a carpark barrier while walking to a meeting..I was “careless”
3) Med Cons shouted at me for not paying attention on ward round, I was the O&G SHO doing a consult.. in scrubs
Today I discovered my mum and her all female sea swimming group refer to dipping in and out of the Atlantic as ‘teabagging’
They call themselves “the teabaggers”
She’s now horrified .....
Now 16 hours in my bus bunk!
The people of Gwalior might be the kindest humans I’ve come into contact with for a long time
From re-routing a bus to get me to the right station to literally holding my hand to get me to the right bus.
I might have peaked at helpless white man
So far this week I’ve been introduced to a group of medical students as “Diarmuid one of the Regs” and by a second consultant to a patient as “Patrick, the HIV Reg”
Neither of these is my name
Neither of these is the name of the only other male HIV Reg who is also Irish
J.O.E
You know that group who are 50% of the population, and 30% of people living with
#HIV
in the UK
They only account for 2.8% of
#PrEP
users?
Clinicians haven’t fixed it
Trials haven’t fixed it
Governments haven’t fixed it
So let’s listen to women
1 year ago today on a Sunday afternoon,
@RIPL_Porton
confirmed our fears, that two puzzling cases under our care were positive for
#Mpox
and opened our eyes to a global outbreak amongst
#MSM
.
Over that year so many lessons have been learned 🧵
Hi
@Specsavers
just had an excellent chat with one of your optometrists in Holloway about
#HIV
and how it’s managed these days.
Then we talked about rising
#syphilis
cases and how ocular syphilis might present in an eye check
All driven by his curiosity! Great experience!
@IsMiseStiofan
Oh no that’s v here too. And it’s always arranged to suit the ward clerk rather than the alphabet.
DNAR forms are under L for Liverpool Care Pathway and if you try to change it, Karen will staple the form to your head
Bloody loved my day today
Morning: multi-agency meeting about tackling discrimination
Afternoon GU clinic: complex safeguarding, new psoriasis diagnosis, HSV in third trimester pregnancy, a ‘never been to clinic’ MSM so PEP/PrEP/vaccine chat, ocular syphilis
Fabulous
#LoveGUM
If you invent criteria to get a
#monkeypox
#vaccine
then people at risk will lie to get it (and I don’t blame them)
But you also completely remove any ability to gather actual data on vaccine acceptability, on self-analysis of risk etc
1/2
Wore a turtle neck to work and so far I’ve been told
“I’m feeling well thanks, this is NO TIME TO DIE”
“These results are FOR YOUR EYES ONLY”
and the less subtle …
“I take my meds shaken, not stirred”
Next week I’m wearing a duvet
YOU JUST TELL THEM YOU SLEPT WITH 35 GUYS YESTERDAY AND YOU’VE GOT GONORRHOEA OF THE KNEE AND EAR SYPHILIS AND YOU TAKE PREP 11 TIMES A DAY AND YOU LIVE IN A DARK ROOM IN THE BASEMENT OF A SAUNA AND THEN THEY’LL GIVE YOU THE
#MONKEYPOX
VACCINE !
Hey
#NHS
staff!
You know that feeling 10 hours into a 12 hour shift and you haven’t eaten anything, and you can’t focus or stay warm or spell your name properly?
Well the
#Tories
just voted to subject children to that every day!
Just remember that the next time you vote !
Dr Gabrielle Colleran, IHCA Vice Pres: "We shouldn't have to call you out on something as basic as not having enough people to safely staff our teams."
@LeoVaradkar
@SimonHarrisTD
@FineGael
"It's time for you to actually do something."
👇Listen in. Retweet.
#CareCantWait
So so sad to see this!
@aidsmap
was such a phenomenal resource for everyone and probably the greatest translator of complex science into something everyone could understand
Another great loss to lack of funding in
#HIV
care
We are incredibly proud of the millions we've reached worldwide and the grassroots ingenuity and commitment of our team and partners. 🌍❤️
Today we announce some very sad news.
Read the statement here👉
*phone rings
“Hello this is ‘HSE Hospital’ Occ Health Dept just following up on your pre-employment check “
“Oh, but I sent that in April 2018 and I haven’t worked for you for
16 months and I’ve emigrated..”
“..........thanks for taking the call”
#HSE
#HSEefficiency
Still hearing about how that one Christmas 10 years when my mother got pissed as a yak was because of “a dodgy batch of wine or a toxic reaction” and not because we’d been topping up her glass throughout the day
Thanks for replying Gemma
We don’t need to work towards this. We can just do it. Today
Sexual partners? Male
In a relationship? Yes
How long for? 14 months
Any sexual partners outside your relationship? No
Thank you, there is no increased risk.
Now is Ireland’s chance to create a first world sexual health service.
1. Sex Ed in schools
2. Free contraception
2. ⬆️GU Consultants
3. ⬆️ GUM clinics
4. Easy access asymptomatic testing
5. Young persons/Trans/CSW clinics
6. Virtual clinics for Rural areas
7. ⬆️ SATU funding
NEW: Ireland's first ever
#PrEP
programme will begin to be rolled out across eight public services from this week, with more to start in 2020. This is a major step in our fight against
#HIV
More info:
@WelshGasDoc
Meets consultant in corridor. Looks me up and down
Consultant: “oh! Not seeing patients today then?”
Me: “oh I am, just on the way to clinic”
Consultant *intake of breath “like that?”
Sexually transmitted: the primary route of transmission is through sex e.g. chlamydia, gonorrhoea, Syphilis
Sexually transmissible: the potential to transmit during sex including through close physical contact e.g. molluscum, scabies, and many many other infections
Ok for the last time, monkeypox is not a sexually transmitted disease.
Just because you can catch something off your sexual partner doesn't make it an STI. Is flu an STI? No. So shut up.
@Milzhino
I answer bleeps with “Hello HIV Reg on-call” which is sub-ideal if I’m now getting directly contacted by the family/friends of patients who are unaware of their status.
@Aleexxies
3 weeks of 3 consecutive nights
AKA 3 nights per week for 3 weeks (i.e 9 shifts in 21 days or 12 days off....
I don’t work nights anymore so all night shifters have my sympathy.
But misrepresenting the truth minimises actual rota issues people have
@ShaunLintern
@MattHancock
@MattHancock
absolutely spot on. whenever I walk in wearing morning coat and starched collar, I always expect a nurse to stand so they can hold my top hat and monocle.Then I tell my patient they need bed rest for their consumption. Oh no wait it’s not 1880.
In the last 48 hours I’ve had
@wesstreeting
tell me I’m going to be paid less for out of hours work, and
@Keir_Starmer
still thinking that which room trans people get admitted to is a major issue in the
#NHS
Remind me why I should vote
@UKLabour
?
Gay Activists:
“We want to get married too!”
*same sex marriage made legal
Ew Getting married is heteronormative!
We want to be able to donate blood!
*change in blood donation policy
Ew Donating blood is heteronormative !
Some people make a life out of taking offence
As I have stated strongly before, and just to reiterate, if Turkey does anything that I, in my great and unmatched wisdom, consider to be off limits, I will totally destroy and obliterate the Economy of Turkey (I’ve done before!). They must, with Europe and others, watch over...
@tariqjenner
@arcl
@k_d85
@Beska
@mevparekh
Seizure on Surgical ward nights, nurses kindly called anaesthetic reg who found F1 me holding a bag of phenytoin in one hand, clutching my “How to manage medical emergencies” book in the other repeatedly whispering “help”. Patient taken to ICU, me taken to nurses station for tea