Louis de Bernard (he/they) @Louisdebernard Twitter profile

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Louis de Bernard (he/they)

2 years

My BSHT summer studentship with @LabMutch @gael_beverley @nicola_curry was an absolutely amazing experience, and the opportunity to present @BritSocHaemThro #BSHT22 this week was awesome! I can't thank the BSHT enough for what has been the highlight of my academic career so far!

Nicola J Mutch

@nikmutch

2 years

Our fantastic BSHT summer students of 2021 ! Excellent presentations 👏 Look out for the BSHT summer studentships 2022 to be announced soon! @BritSocHaemThro @neilvmorgan @bagot_catherine @Drsjones1982 @gael_beverley @nicola_curry and Alex Brill @Louisdebernard

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Louis de Bernard (he/they)

@Louisdebernard

3 years

I had a truly horrific first year at medical school – many untweetable things happened to me – and so I am *extremely* relieved to have come below average in my cohort and 'only' passed my exams this year.

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Not the medical school threatening me with the GMC because I asked them why we didn't have a timetable, and apparently this contravenes domain 3 of achieving good medical practice ??? 👀

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Louis de Bernard (he/they)

@Louisdebernard

1 year

@DrCanuckMD Before immediately dismissing the student, I'd be interested to know *why* they thought intubating this patient was a bad idea. If they mentioned something specific and reasonable, I'd be grateful... said student might have noticed something others didn't.

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Louis de Bernard (he/they)

@Louisdebernard

1 year

@FavColour_Green @GWRHelp All the people commenting "oh you should get a split ticket" This shouldn't be necessary. At all. The rail ticket should be affordable, regardless of "hacks" etc.

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Louis de Bernard (he/they)

@Louisdebernard

2 years

*cries in UK* 😭🤣

Joyce B. Idehen, MD

@DrJoyceB

2 years

Has anyone lived 30+ mins away from their residency program? Was it worth the daily commute if you loved your place? I typically hate longer commutes but I fell in love with a place + amenities + price & need advice 😭

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@ffmichelle @SaltyLikeSaline Always talk and always apologise whenever doing something that might have been painful. I find it very soothing to be able to talk through + dignifying I hope too. Caring should never stop.

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Louis de Bernard (he/they)

@Louisdebernard

1 year

@old_school_alps @Ryanair I'll be the one who defends @Ryanair here... fares are significantly cheaper as a direct result of not needing check-in agents or machines to do this... it is an unfortunate circumstance, but this is a check before you travel thing...

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@CourtneyEllaP @jtrebach You read the toxins list, and it basically is "everything bad we use in pharmacology experiments to show badness" 👀

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Not all of Oxford is posh. When you say Oxford is posh, you reinforce the stereotype that you have to be posh to go to Oxford, and fewer not-so-posh state schoolers apply. Yours, someone who didn't want to apply to Oxford because of people like you telling me I wouldn't belong.

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@drphiliplee1 Reliably Jäger in *any* form... highly emetogeneic + wish it came with ondansetron routinely instead of Red Bull tbh Honorable mentions also include: ☠ King Cup (any mixture, especially during freshers' or refreshers') ☠ Tequila Rose (also reliably emetogeneic)

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Louis de Bernard (he/they)

@Louisdebernard

3 years

THIS is how we should learn anatomy 🤩🤩🤩

Avraham Z. Cooper, MD

@AvrahamCooperMD

3 years

Outstanding color-annotation showing lung segments on CT 🫁 #MedTwitter

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Anyone who suggests single rooms only everywhere has never: cohorted a bay of confused patients themselves, seen the camaraderie of oncology (/other) patients, or seen how much harder ITU breaks are with (non-attached) side rooms... I have strong opinions on this one tbh

Louella Vaughan

@DrLKVaughan

2 years

Yet another decision from our Lords and Masters that goes against the evidence! Yes, single rooms reduce infections and might be more flexible. BUT they create work for staff and many older pts actually feel less safe and more lonely. More expensive!

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Louis de Bernard (he/they)

@Louisdebernard

2 years

I'm logging out. I joined twitter to learn. I appreciate the community here, but too often the intentionally hurtful "students shouldn't have an opinion" crew come out. I shouldn't need to be a consultant to engage with debates. It hurts nobody to let students into discussions.

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Louis de Bernard (he/they)

@Louisdebernard

1 year

Peak NHS "Were you aware of your appointment on 6th July?" "No? Usually I get text reminders when things are booked as I am not always at Y address" *sighs in student* "Oh our text service isn't working" And nobody thought this might be a cheaper fix than many missed appts...

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Going mostly off socials for a few weeks till after exams to focus on revision 📚🥲 Wish me luck (gonna need every ounce as 2nd year includes all of neuro and all of path 🤯) Lots of love Twitter peeps -- will be back soon 🥰

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@timricketts_ Asked some antivaxxers recently if they would sign an advance directive to refuse critical care as they refuse to trust the doctors offering them the vaccine... they said yes they would sign, but I just don't believe they'd say the same thing if hypoxic and needed intubating...

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Trying to explain why living costs as well as fees need to be covered for widening access "Oh but living costs need to be paid anyway" You try working even part time during your degree and tell me you aren't disadvantaged vs those who can spend every hr of their time on uni work

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Louis de Bernard (he/they)

@Louisdebernard

3 years

If you're creepy in my DMs, I will make sure the rest of twitter sees too, whether you're a nurse, ITU consultant, or otherwise. And I feel no shame in tagging @nmcnews or any other regulator. I will not be targeted, and especially will not be targeted because I am a student.

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Louis de Bernard (he/they)

@Louisdebernard

2 years

In today's week... • difficult meeting yesterday • lunch yesterday cancelled because friend has COVID • looked at LFD from last night ... tiniest line this morning • LFD from this morning now clearly positive. I have joined club got it twice... Fuck this.

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Louis de Bernard (he/they)

@Louisdebernard

1 year

@VirtueOfNothing This is utterly ridiculous. I often use that exact piece of road as a driver... 28mph is not an 'unsafe' speed for that road, even during peak times... A 12 year old should reasonably be expected to not run out into the road... Absolutely nonsensical judgement.

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@EE_McL Random emergency drugs that expired in 2002 + 1L bottle of colloid from the mid 1990s + a bag of opal fruits and a marathon bar + the dictionary they forgot to read 📚 🥳

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Hey everyone -- so I'm sort of back 🥰 I had a really restful time away, but I have really missed the community; coming back to so many supportive messages has been so heartwarming -- so thank you all 🫂💛

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Hey everyone -- quick message to say that I am okay. I need a break from the binfire, but I am okay 💛 Sending huge hugs + particular thanks to absolutely everyone who has reached out to me 💛

Louis de Bernard (he/they)

@Louisdebernard

3 years

Thank you to absolutely everyone on here who has supported me through a lot + helped me on my journey to be a better me. I'm signing out.

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@Noahhhh93 Fucking hell. I'm so sorry to read this, and I hope they get justice 🏳️‍🌈 Glad you were there to help, but hope you're okay too 💛

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Louis de Bernard (he/they)

@Louisdebernard

3 years

It was a perfect evening. Got to see one of my absolutely lovely grandparents for the first time since my med school interviews + starting as an HCA. Tell me that she isn't worth protecting. Tell me that "freedom" is worth more than her life. @BorisJohnson you are her MP.

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Louis de Bernard (he/they)

@Louisdebernard

1 year

I have to say, a man reaching into my car, assaulting me, and calling me a "fucking fag" in the process *wasn't* quite what I had planned for my Easter weekend... I hope you have a delightful weekend too, angry man 😘 Looking very sorry for yourself at the mention of the police

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@DrShanHussain @Faffandtwig Every medical student I know *has* a plan B now... >10% are planning on sitting USMLE and leaving the UK after medical school. I love the NHS, but I regularly think about alternative careers both as a future doctor outwith the NHS and outside of medicine completely...

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@DrNeenaJha Yeah, I've admitted enough previously healthy 18 year olds on supplemental O2 to think this is absolutely horrific...

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@DrKate_Miller Cup of tea. Most effective in older patients. Fixes more than miracles of a 200mL fluid bolus could explain.

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Huge thanks to @WestSuffolkNHS A&E tonight for sorting me out after I unfortunately fell through the cracks of several other services... Every single team member I saw was fab + I felt very safe in your department 🫂 lots of love 🥰

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@PakisRights Berkshire is neither Oxford nor London + no further questions needed at this time 🤣🤣🤣

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@timricketts_ Yep 100% agree. I find it wild that it is entirely possible for the bank band 3 HCA to earn more than the ED SpR in charge OOH... now the HCA's pay might be reasonable, but the doctors certainly isn't... I'd earn more doing full time bank as a HCA than I would as an NHS FY1.

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@DrNickTwit (Potentially controversially) I quite like this... If I'm tasked with clearing out a fridge, it makes my life an awful lot easier if things are named/dated, and this is pretty common place everywhere I've worked (NHS or otherwise) for food hygiene reasons

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@rbarbosa91 Remote GP. This is literally what they're trained to do. Anaesthetist/surgeon/obstetrician/EM etc useful, but very much not trained in 90%+ of medicine that is primary care...

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@doc_matt_jacko Think I remember a plant-based day at a trauma conference that went down very well! Plant-based food done well is often a great springboard for people to reduce their meat intake as well!! As someone now >95% plant based think this is a fantastic idea 🤣

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Bit of a niche tweet, but the emergency dentist I saw today knew exactly what PrEP is so I didn't have to explain what it was, and it just made me feel so much safer with them 🥰

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Well, I survived my first proper in-person exam in a long time... I did miss @MrsBArnold wishing me good luck outside the exam hall though!!

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Louis de Bernard (he/they)

@Louisdebernard

3 years

£75 for non-members and £45 for medical student members (= £55 to attend if not already a member) ... this isn't really encouraging widening access to anaesthetics + a bit disheartening for many of us who *are* interested but couldn't afford events like these 😬

Royal College of Anaesthetists

@RCoANews

3 years

📢Medical students & foundation year doctors - are you considering a career in anaesthesia? Hear what life is like as a trainee & consultant anaesthetist & receive practical advice about pursuing a career in anaesthesia. 🗓️14 October, online Book here:

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Well my 1200 mile trip was fruitless... I still failed the 15 min viva. I'm not hugely surprised as I knew it didn't go well, but to have missed 3 lab days for this sucks. I've also not failed an exam before, and I'm not sure how to feel. All hugs + advice accepted today 🫂

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@fuzzymittens Sorry a MAP of 66? 🤣🤣🤣 Can they go do some ICU shadowing for a day and just see how normalised "yeah above 65 I really am not bothered in 99% of patients" Honestly even a systolic of 66 isn't *that* dramatic in the right hands (like those of a cons/attending anaesthetist!?!)

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Medtwitter -- can we talk about the reality of being stuck in a specific city for 5+ years for medical school, with almost 0 chance of transfer to anywhere else, no matter the circumstances behind it... The choice is stay, or leave medicine entirely, and that hurts.

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Near-miss never event: left coffee in room as nearly late for a 9am tute with a new tutor... New tutor is an anaesthetist and had super fancy coffee brewed and waiting for us + oat milk 🥺 AND I got to have a rant about "renal-dose dopamine" 🥳 9ams have never been so good!!

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@S__Baksh *laughs in UK* (people born in 2004 could enter this year!!)

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Flu jab FINALLY ✅

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@KateBurkeNHS You found a fork... this is falsified 😜😘 the *one* spoon gets this treatment 🤣🤣🤣

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Summary of today: I'm going to have a longer education than my lawyer/engineer/E&M peers at the same world class university, but even if I graduate with the same classification, might not even be able to afford to buy a property on the same street even once I've finished training

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Out of office on. In a bit, plague island x

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Not like getting COVID in the middle of term, working throughout the peaks in ITU, collapse + scores of f/u appts, or being raped at uni + ongoing police investigation might change a student's performance... "no appropriate adjustment could be made" Do better Oxford.

debora

@keboradrut

3 years

Thinking about how Oxford uni didn’t consider me having brain cancer enough of a mitigating circumstance to adjust my marks ❤️

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@Dr_Ellie What would patient have done if said HCW was on annual leave etc? Doesn't matter what their alternative commitments were. You cannot have exactly what you want, when you want it... the Amazon Prime culture some people have makes me genuinely angry

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Louis de Bernard (he/they)

@Louisdebernard

11 months

@DrGoblin3 Next they'll want an ABG every time they go to the gym 👀

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Louis de Bernard (he/they)

@Louisdebernard

1 year

@HumeralO Radiology. They're used to sitting in dark rooms, and the lights will probably fail at some point... Alternatively, a rural GP who happens to be a survivalist who just breaks us out of said lift...

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@drphiliplee1 @tweediatrics @WelshGasDoc My bet is "none of the above" because the stereotyped gay is actually going to their sexual health clinic 3/12 to get tested for hep C and HIV and has had both hep A/B and HPV jabs (+ might be on PrEP too). This question is awful because of the homophobia AND clinically vague...

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@yvemac49 @BettyJa08291909 @AllisonPearson There is no good evidence that any UK medical school produces better doctors than another. My peers at other medical schools will be at least as competent doctors as me if not more so. Yours, an Oxford medical student.

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@JanelFontaine I have a grade 9 in GCSE history ... I genuinely do not think most British people care about, let alone know, the answers to these questions tbh...

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@EddCarlton I am so sorry to read this 💛🫂 we need to ask for much better from the regulators and need to find much better ways of doing these things 😬

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Louis de Bernard (he/they)

@Louisdebernard

3 years

I know my parents stalk my twitter now, so here's your reminder that I 100% did NOT ***choose*** to like men and just *one* of the reasons why 💅 Repeat after me: "sexuality is NOT a choice" 😘

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Consolation: got 100% in resus training so I'm hoping this bodes okay-ish for ICM 🤣

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Absolutely heartwarming to get a phone call from @Barts_Charity thanking me for my work @NHSBartsHealth across the waves and beyond 💛 Means more than I ever thought + always nice to be recognised!

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@GavinMcKee13 @JonnyGucks Sorry, but I think this is utter nonsense, not least when it is a practical skill being taught. I really cannot understand what your issue is with other clinicians teaching you something? If I am missing something as a mere student, please do elaborate? Genuinely interested

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@EmergencyBod Sending huge hugs 💛 also extremely aware that no amount of hugs or claps are going to fix a system breaking right now 😬💛 I don't know how we are going to get through this, but I'm hopeful and enthusiastic still that we will

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Had an absolutely lovely day doing some "normal" work in recovery + reaffirming the love for anaesthetics 🥰

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Louis de Bernard (he/they)

@Louisdebernard

3 years

When the majority of your fresher cohort already want to run away too... you've got a *problem* Working conditions +++ Politics +++ Pay +

Gurdas V. Singh S. R.

@Gurdas2209

3 years

5 medical students met up on a weekend. None want to stay in the NHS. Reasons include: -Little control over where you’re placed in the country -Condescension during medical school -Better working conditions elsewhere -Little control over annual leave Pay isn’t the only reason.

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Louis de Bernard (he/they)

@Louisdebernard

2 years

(Repost from a locked account) Genuinely serious… how many f1s/f2s are even going to be able to afford to strike?

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Louis de Bernard (he/they)

@Louisdebernard

2 years

First exam skated off ⛸️ Essay questions were beautiful and even had good reason to talk about ECMO... Now to learn all of pathology + psychology in 5 days 🤯

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@DrLindaDykes Given I've already had COVID... I *really* hope not... but also worried as my immunity wanes (even after 2x AZ + natural immunity from last October), I'll get reinfected like many others have been already and the toll of repeated covid terrifies me... we have no idea what happens

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Did someone say... Happy #pridemonth2022 🏳️‍🌈🏳️‍⚧️ #LGBWithTheT

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Louis de Bernard (he/they)

@Louisdebernard

3 years

When will medical schools understand: 1) HIV =/= AIDS 2) HIV PrEP 3) U = U Is a basic understanding too much to ask?

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@tsharp1093 This is a really easy initiative to improve staff well-being... maybe it should start earlier to benefit those on nights, but I really don't think yours is a fair criticism. The individual trust can't really change the national JD/AfC contracts...

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Louis de Bernard (he/they)

@Louisdebernard

3 months

Whilst @NHSPracHealth is topical, can we also talk about how medical students can't access its services? Medical students often face similar barriers to our doctor colleagues, yet we are so often left with just standard university resources that rarely meet our needs...

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Wow this is scary 😢

Dr Dominic Pimenta MD

@DrDomPimenta

3 years

Every beep is 100 deaths. SOUND ON. Please watch to the end. Cranks and their misinformation are deadly.

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Little stopover as you do 🥰 Not pictured: the video of me trying to take the stereotypical holding up the tower pic

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Is it bad within 72hrs of being in a new city that you've had to interact with the 3 main emergency services? Asking for a friend who is going for an evening swim now and hopes he doesn't end up calling the coastguard too 👀

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Louis de Bernard (he/they)

@Louisdebernard

2 months

@AliJaneMoore Yep -- fire as others have pointed out! I find it quite cool that they call it "country" end of the platforms! Usually routine testing, though they don't always announce that beforehand...

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@TheBlondeRN *gets assaulted by patient* *puts out 2222 for security* 20 mins later: they show up Site manager: oh you look fine -- what's the problem? If you go home we will be short staffed and your shift won't be finalised 🙃 Hmmm you tell me

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Update on this: local GP x3 refused to see me as temporary resident; called Oxford GP ➡️ back to A&E. A&E direct ➡️ surgical SDEC: a really thorough and kind central doctor sorted me out with decent analgesia + follow up investigations tomorrow. Thank you all for your support 💛

Louis de Bernard (he/they)

@Louisdebernard

2 years

10/10 pain ➡️ A&E yesterday (settled w/analgesia; d/c by specialty reg) 111 today for more analgesia (away from uni/local GP wouldn't see). No prescribers till OOH @1830 . Rang @ 1830 – 1hr call queue + then ref to OOH GP – 6h wait. Local pharmacies shut by then. Send hugs please🥲

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@antehopkins @docbenh I'd echo that for needlephobic adults/anyone who has already had an attempt Ditto slow is smooth... when I've rushed and tried to put in a "quick" cannula, it always ends up being 2 attempts... I'd like to think I've learnt but we are often pressured to do "simple" things fast!

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Louis de Bernard (he/they)

@Louisdebernard

2 years

What's the first thing they did when they got to Aberdeen? Jump in the sea 🌊 Absolutely buzzing + glad to be home 🥰

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Timeline cleanse: I offered my boy a bite of my home grown apple, and he kindly took the whole thing!!!

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@thepasteurpoint @PrasMao It's interesting that this is an international problem... how little -- both health and social care -- staff are valued... Has *anyone* got this right anywhere? Solidarity with nursing colleagues, especially those forced to strike in the UK ✊🏼

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@sineadtaylor I read this from the UK and don't know whether to congratulate you or just cry 🤣😭🤣😭 You aren't missing anything fun, I can assure you ... Blessed be your public health interventions and long may your streak continue 💛🫂

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Louis de Bernard (he/they)

@Louisdebernard

3 years

So Twittersphere, I've got exams in 17 days so I'm taking a bit of a break! Lots of love to @magdalenoxford for flying the 🏳️‍🌈 flag (watch this space for the progress flag flying soon 😘)

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Louis de Bernard (he/they)

@Louisdebernard

3 years

THIS. Length of stay means that every COVID ICU patient effectively takes up a whole cardiac ICU worth of resources (capacity around 10-20) over their stay + cancels a lot of elective cardiac surgery

Caz Sampson

@caz_sampson

3 years

48553 cases today. 100 more patients in ICU with covid19 than 5days ago. No one talking about covid length of stay so I will. Median ICU stay:- Heart/major cancer surgery 1-2d Covid (not ventilated) 5d Covid (ventilated) 20d Covid (kidney support) 32d Do the maths

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Louis de Bernard (he/they)

@Louisdebernard

3 years

Passed my first piece of medical school coursework (gotta love medical statistics)... something like 38 exams to go in the next 5 and a bit years?

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Was sent a certain thread by colleagues. The task-and-finsh group meeting I attended *at age 16 in September 2018* as a voluntary patient representative with a complex medical history and many interactions with the NHS. My role was to give input in this capacity.

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Louis de Bernard (he/they)

@Louisdebernard

1 year

@fuzzymittens I really don't want it to be, but isn't this a bit of a 🚩for someone who drives an Audi being in your house without you knowing, and accidentally [or deliberately...] leaving their keys? Many people have 2+ keys...

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Louis de Bernard (he/they)

@Louisdebernard

3 years

This picture + a LOT of talking just convinced 2 vaccine sceptics to get jabbed 🥰

Dave 💙

@drfrocester

3 years

These are all medicines required to keep ONE covid patient safe for ONE day one critical care…. Or just ONE vaccine? #getthejab

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@cadoganhealthc1 All I want as a HCA is parking and enough of us tbh

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Louis de Bernard (he/they)

@Louisdebernard

3 years

I cannot more passionately disagree with this. Healthcare is about teamwork. Medical students who think they can just "be nurses" for a day... no. Just no. Calling patient care menial... not a good take.

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Louis de Bernard (he/they)

@Louisdebernard

2 years

✅️ Day 6 of the adventure – I've been diving!! 🤿🦪 Super super cool + definitely want to go again!!

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Day 4: finally ✅️ paddleboarding Didn't fall off once... why? Not because I'm good, but because jellyfish are an *excellent* incentive to NOT fall off

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Louis de Bernard (he/they)

@Louisdebernard

2 years

Spidey sense at ice skating tonight. Open phone after 75 mins on the ice + parents both have COVID... Rapid instructions on how to use the pulse ox... 💔 they're okay atm but still so so scary Feel extremely guilty for going on holiday now Starting to think this week is cursed

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@usycool1 I would want to be treated by you 💛 people who can relate to the challenges, past or present, of being ill make better clinicians Medicine is absolutely for you for as long as you want to do it, be it a year or 40 x

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@BeckyPlatt3 One of my fave supervisors often signs things off with BW! I take it as a sign of a bit of a relaxation of formalities which isn't a bad thing!

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@rchrdsn_ Without explicit permission I don't think this is acceptable? Especially if they don't know if sensitive information might be mentioned or not as this is clinical too...

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@EMBoardBombs Plasmalyte for the win Abnormal saline is outdated for almost everything ... Plasmalyte makes things better faster but most of the studies are too small to prove benefit in terms of mortality etc

Plasma-Lyte 148 vs 0.9% saline for fluid resuscitation in diabetic ketoacidosis - PubMed

Patients with DKA resuscitated with PL instead of NS had faster initial resolution of metabolic acidosis and less hyperchloremia, with a transiently improved blood pressure profile and urine output.

pubmed.ncbi.nlm.nih.gov

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@palmd Controversial, but perhaps they are the ones that *should* be prescribing it. Yes, it is a nasty drug for the average patient, but it does have a place for refractory pain that *might* respond to it + many patients do individually find it helpful

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Louis de Bernard (he/they)

@Louisdebernard

3 years

@RobJimFleming @DrAdamLawton @Dr_DeanS Absolutely this. I couldn't disagree more with notion that everyone knows what they're getting into -- really... and especially after a pandemic and how *much* worse things have got, they should be able to leave and not feel guilty

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Louis de Bernard (he/they)

@Louisdebernard

2 years

@DrANChekroud Some departments are utterly, utterly broken now... not the fault of the individuals working there, but a combination of the sheer pressure the system faces and a continued [poor] strategic decision at a national level to centre risk in ED waiting rooms and prehospitally...

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Louis de Bernard (he/they)

@Louisdebernard

2 years

It is concerning to me just how many doctors and other clinicians are willing to actively bully me on here and actively attempt to harm my reputation, as well as undermine a *patient's* contribution to an important piece of work. This *is* bullying, and needs to be called out.

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