Zak Hajat @MedleyMelanin Twitter profile

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Zak Hajat

@MedleyMelanin

2 years

@C_Pley This person has a boss and I think they would like to know about this.

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Zak Hajat

@MedleyMelanin

2 years

@bitterarab Exactly this. Beyond the smoke and mirrors let’s not forget this is a family that directly benefitted from slavery and colonialism and refuses to acknowledge the harm they continue to cause.

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Zak Hajat

@MedleyMelanin

10 months

Sounds like someone starved your services of doctors to the point of collapse. But you’re grateful they gave you… PA’s instead. This is the epitome of NHS consultant groupthink.

Sandy Thomson

@DrSandyThomson

10 months

I’ve worked hard not to be drawn into the PA debate on Twitter, as it’s impossible to have nuanced reflection in limited space. However, as we come to end of the year, I reflect that without the PAs in our dept, service would have collapsed at times. Valued & valuable.

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Zak Hajat

@MedleyMelanin

1 year

Very odd for a group to disregard the guidance of the college that supervises it. You need anaesthetists to supervise you. Yet you deem it fit to override their guidance on scope and supervision. Gravy train is coming to an end. About bloody time too.

Association of Anaesthesia Associates

@AoAA_uk

1 year

We will comment on tonight’s @RCoANews EGM in due course. Please remember Anaesthesia Associates are real people, currently worried and unsure of the impact of tonight. Please be respectful and support them in your departments.

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Zak Hajat

@MedleyMelanin

9 months

Since when did the supervised decide on the level of supervision? When i was a trainee I was supervised 1:1. Why do you think you need less supervision than me?

Association of Anaesthesia Associates

@AoAA_uk

9 months

Please find attached a link to a new committee statement which cover a vast array of information from the AAA.

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Zak Hajat

@MedleyMelanin

7 months

Now why couldn’t the RCOA say… We have a huge pool of SAS and LAT/LAS doctors wanting to train and practice anaesthesia. Any spare training capacity must be used for that and associate roles have no place administering anesthesia.

BAOMS

@BAOMSOfficial

7 months

Please see below the @BAOMSOfficial Council's position statement on the role of physician associates in #OMFS #NHS #Position #physicianassociates

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Zak Hajat

@MedleyMelanin

11 months

4 new nhs consultant anaesthetists starting with us in 2024.. FOUR. every single one of them hates this AA bollocks. The NHS is fucked.

NHS England Workforce, Training and Education

@NHSE_WTE

11 months

On behalf of Professor Sir Sam Everington, we share his thoughts on the process towards the regulation of physician and anaesthetist associates

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Zak Hajat

@MedleyMelanin

9 months

@RCoANews The fact you support even 2:1 is embarrassing. It should be 1:1. They’re *supplemantal* and not replacements remember? Thats how you sold it to us. That’s 2 consultants that have now been replaced by 1 consultant and 2 AA’s. Aren’t you the college of anaesthetists?

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Zak Hajat

@MedleyMelanin

2 years

@LBC Tory MP Karen Bradley said: "It is utterly unacceptable and disgraceful that fans booed Prince William. "I would urge the FA to take all necessary action and pursue those responsible." Pursue them for what?! Booing?! Not illegal

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Zak Hajat

@MedleyMelanin

1 year

If I was a PA or an AA… I’d be quite worried. The current generation of trainees is tomorrows consultants. The will be their supervisors. there is much animosity towards the roles and scope creep. I wouldn’t want to be either of those roles tbh.

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Zak Hajat

@MedleyMelanin

2 years

Isn’t the solution to that to… train more anesthetists? Why is the solution to train more associates instead, there’s no shortage of drs wanting to be anaesthetists. It’s training places that are being held back.

Association of Anaesthesia Associates

@AoAA_uk

2 years

We need to plan for the current and impending workforce crisis.

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Zak Hajat

@MedleyMelanin

10 months

No career progression they said. They’re paid more because there’s no progression… they said. All lies.

platinumpizza™

@Xeon4f145d96s1

10 months

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Zak Hajat

@MedleyMelanin

2 years

@issypips Ignore. Reply with “unsubscribe” in the subject line.

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Zak Hajat

@MedleyMelanin

1 year

applied for voluntary erasure today from @gmcuk bitter sweet. but realistically, never coming back and unwilling to support such an awful organization.

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Zak Hajat

@MedleyMelanin

2 years

Canadian doctors will not work for a third of the pay in the nhs. Get real.

Jeremy Hunt

@Jeremy_Hunt

2 years

These are my suggestions.1/ A mass overseas recruitment drive for doctors & nurses as a temporary, short-term lever - allowing drs from countries with good medical education systems like Canada and Germany to be green listed so they don't have to resit pointless additional exams

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Zak Hajat

@MedleyMelanin

2 years

I see UK medtwatter went into a catfight meltdown today. #juniordoctors Ffs. Stop squabbling amongst yourselves about fucking pret and “saving lives”. Eyes on the prize. 👀 everything else is noise.

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Zak Hajat

@MedleyMelanin

1 year

First they came for ED and we said nothing. Then they came for anaesthesia and still we said nothing. Then they came for our TAVI’s and that was too far. Joking side, UK consultants need to take immediate action. I get TONS of emails from UK trainees trying to leave uk shitshow

Retesh Bajaj

@workhorsewire

1 year

I have tried with difficulty not to comment on this publically today But this thread by my level headed & sensible colleague expresses exactly what I feel & I endorse it completely I think with the drip drip drip of these stories & then the reaction that Twitter engenders...

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Zak Hajat

@MedleyMelanin

2 years

@Peston @Jacob_Rees_Mogg @OBR_UK “We don’t like this heart monitor. It’s saying bad things. It must be the monitor - the hearts fine. We can find another monitor that tells us what we want to hear”. Can you imagine if your doctor said that? Jesus.

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Zak Hajat

@MedleyMelanin

2 years

@ncurzen @BMA_JuniorDocs People of your generation have allowed this situation to happen. It’s because of people like you that patients are suffering today because of the raw deal they’re getting. If you want to blame someone look at yourself and your colleagues.

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Zak Hajat

@MedleyMelanin

1 year

@ShaunLintern @SteveBarclay I make 5x my nhs salary in Canada. Pay the going rate or see ongoing losses. It’s quite simple really. Same reason we pay bankers, judges, lawyers, the market rate. @SteveBarclay

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Zak Hajat

@MedleyMelanin

1 year

Wtf?

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Zak Hajat

@MedleyMelanin

2 years

@theRCN Call yourselves a union? This smacks of desperation because heads are going to roll when the vote comes in. There’s about to be a clear out at the top.

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Zak Hajat

@MedleyMelanin

2 years

“Critically ill patients ‘will inevitably die’ due to junior doctors’ strike” As expected. Throw juniors under the bus and no acknowledgment of their own failings which has led to the current situation.

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Zak Hajat

@MedleyMelanin

1 year

@NHSDDICB This is very misleading. They are not Medically trained. It’s not “their own lists” they work under supervision. They can’t order certain tests. Stop this nonsense.

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Zak Hajat

@MedleyMelanin

1 year

@ESHTNHS What the hell is a generalist specialist.

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Zak Hajat

@MedleyMelanin

1 year

@nandwics I don’t think undifferentiated abdominal pain is the most appropriate presentation for a PA. This is quite unwise, please look at the replies and reconsider.

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Zak Hajat

@MedleyMelanin

2 years

@WhistlingDixie4 @trentconsultant @doctor_oxford @iceman_ex @TheBMA @BMA_JuniorDocs @RoshanaMN £4200 = C$7000 I make that that in 2 days.

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Zak Hajat

@MedleyMelanin

1 year

@DHSCgovuk I’m pretty sure I was making 70+ as an ST8 in 2017….

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Zak Hajat

@MedleyMelanin

1 year

@AlkadhiO @A03580132276 @veggieequallife @RooDoherty @markr1004 @PenfoldJohanna Take a look at yourself, nasty bully.

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Zak Hajat

@MedleyMelanin

2 years

@docib @_VivekTrivedi @SteveBarclay You’ve been conditioned into thinking that having a pot to piss in and somewhere to put your bag is something that should be negotiated. Absolutely not.

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Zak Hajat

@MedleyMelanin

2 years

@Telegraph Oh he’s not a socialist anymore? Now he’s a raging capitalist like your buddies? Awwww diddums!

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Zak Hajat

@MedleyMelanin

4 years

Agree. And enough with that clapping. Do something that actually makes a difference.

Tim Brannigan

@tim_brannigan

4 years

This US doctor has had enough of the ‘tributes’. He makes his point powerfully and impressively.

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Zak Hajat

@MedleyMelanin

8 months

@JimBethell What massive contribution? Two AA’s cost as much as 1 consultant. 1 consultant plus 2AA’s cost more than 2 consultants with leave and pension. Same amount of work done. So what massive contribution are you taking about? They cost same or more, and work done is the same.

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Zak Hajat

@MedleyMelanin

2 years

@nikkijfox @jim_crawfurd You don’t need a walkabout. Just turn up and start reporting from the outside

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Zak Hajat

@MedleyMelanin

1 year

NHS consultant anaesthetists Looking to move to Canada? We’re looking for quality people in Alberta. Get in touch! #NHS #anaesthesia

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Zak Hajat

@MedleyMelanin

1 year

@AnaesUnited “A vocal minority” eh Captain Tim?

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Zak Hajat

@MedleyMelanin

1 year

@VirtueOfNothing Ultimately they need FRCA anaesthetists to train them and examine them. They are literally supervised by FRCA anaesthetists. So the notion that “they’ll before forced on us” is utter nonsense. Simply refuse to train or supervise them and it’s dead. RCOA grow a spine.

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Zak Hajat

@MedleyMelanin

2 years

@Dr_BellaR do the barristers trick. indefinitely until an offer is put forward. the sheer volume of cancellations with panic them into action.

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Zak Hajat

@MedleyMelanin

2 years

Hmmm Seems to be same ongoing narrative here. Throttling @RCoANews trainee places and ramping up @AoAA_uk AA places. Slippery slope. It is concerning.

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Zak Hajat

@MedleyMelanin

4 years

@JMPSimor Costs about £1bn to build a spanking new hospital from scratch. Could have built 11 new hospitals for £22bn. Criminal waste of money. Absolutely disgusting. @BorisJohnson @NHSEngland

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Zak Hajat

@MedleyMelanin

4 months

@JimBethell @Doctors_Vote 😂 hereditary peer is upset at democratic vote.. couldn’t make it up!!!!!

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Zak Hajat

@MedleyMelanin

1 year

@notcapnamerica “Alignment’s” and “adjustments” are quack terms to lure in people who buy fools gold. Don’t be duped into this.

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Zak Hajat

@MedleyMelanin

2 years

Having already done the FRCA in UK in 13-14 I’m now doing the FRCPC again in Canada. Final Oral component on Tuesday then I’ll be free.

Simon Fleming 🛠

@OrthopodReg

2 years

The exam took 18 months of my life It robbed my family of a father & a husband It cost me more than I can spare, financially, physically & mentally The current system takes & takes. Infantilisation, lack of respect & harm: Time to change #JuniorDoctors #medtwitter #MedEd

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Zak Hajat

@MedleyMelanin

2 years

“We are not going to stop until we are paid what we are worth, and if ministers don’t accept that when we tell them in person, we will have to tell them from the picket line.” 💯 Go get em.

Resident Doctors

@BMAResidents

2 years

11-15 April will be the next round of Junior Doctors strike action in England. The Government is still refusing to make a credible offer - or any offer at all - to resolve our dispute. Read more:

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Zak Hajat

@MedleyMelanin

2 years

@BBCNews Entirely reasonable rate. Sounds like it’s expensive asking consultants to do a juniors job, doesn’t it? Let’s not forget this is all entirely avoidable. Better get negotiating then hadn’t you @SteveBarclay @RishiSunak ?

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Zak Hajat

@MedleyMelanin

1 year

@UKGastroDr Why “alongside”. “ i work under the supervision of doctors, but I am not a doctor”

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Zak Hajat

@MedleyMelanin

2 years

@greenpsyched Two words. Service provision. The army of PAs and NPs and ANPs should be used to do all the f1/2 ct1/2 admin jobs. Training should start at ct 2/3 level and finish in 4-5 years max.

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Zak Hajat

@MedleyMelanin

1 year

@doctorhelgi @Dr_Done_ I would strongly encourage any FY to get out of the uk asap. As a uk cct who got out, I can assure you a 3rd year resident here in Canada/US is significantly better trained than an ST6 learning axiliary blocks from an AA. Do yourself a favour. GTFO.

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Zak Hajat

@MedleyMelanin

1 year

@rcgp Imagine a medical student asking you to come and sign their prescriptions for the 10 people they saw that day without supervision. What unimaginable world have you created where you devalue yourself to such an extent that you think this is ethical and protects patient safety?

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Zak Hajat

@MedleyMelanin

11 months

@ClareGerada Oh NOW you’re protectionist. Sigh.

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Zak Hajat

@MedleyMelanin

1 year

@Xeon4f145d96s1 @BMA_JuniorDocs “Iodising radiation” from someone who laments not being able to order ionising radiation. This is comedy gold.

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Zak Hajat

@MedleyMelanin

1 year

Question for the anesthesia community. Should an AA (UK version) be performing an awake fibreoptic intubation? Or should they be *helping* the consultant do it? Or should the consultant always be finding a registrar to teach? Is this a skill AA’s should learn?

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Zak Hajat

@MedleyMelanin

3 years

@YesSrICanBougie @drpsquared Wtf is that. A giraafoscope.

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Zak Hajat

@MedleyMelanin

2 years

@BMA_Consultants DO NOT sell out the juniors. Under ANY circumstances.

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Zak Hajat

@MedleyMelanin

1 year

@doctor_dru_ A good GP is worth their weight in gold.

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Zak Hajat

@MedleyMelanin

2 years

@lewis_goodall Surprised only 21 spoilt. Most of us have terrible handwriting.

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Zak Hajat

@MedleyMelanin

1 year

@nandwics You’ve done nothing to address the actual concern that was raised. I’ll explain it again. *Undifferentiated abdominal pain* is inappropriate for a PA to see.

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Zak Hajat

@MedleyMelanin

1 year

@srturaga @gmcuk Doubt anyone cares tbh. Neither my former NHS trust, the @gmcuk , or @NHSE_WTE (former HEE) ever asked why i was leaving. @SteveBarclay @Jeremy_Hunt @RishiSunak don’t you think that’s odd? A Consultant leaves the country and not a single person asks A) why B) what can we do?

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Zak Hajat

@MedleyMelanin

1 year

@Xeon4f145d96s1 @SteveBarclay do you think 33-53k is reasonable or fair for a consultant level brain surgeon to take out your brain tumour?

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Zak Hajat

@MedleyMelanin

1 year

@mmamas1973 You can’t even put shoes on a horse without the qualification. And the UK is allowing this nonsense? Must be desperate because everyone has fled.

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Zak Hajat

@MedleyMelanin

1 year

@doctorhelgi @StevenMAlderson @RoshanaMN @Dr_Done_ @totalguff I’ve never agreed with this position. They’re being trained by and examined by frca anaesthetists. You’re actively *complicit* in their training and examination. If the RCOA flat out said *NO* it would be dead in the water. But they’re facilitating it.

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Zak Hajat

@MedleyMelanin

1 year

@ShaunLintern Only 290 posts?For anaesthetics? Who needs anaesthetists when you can run it on the cheap with associates

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Zak Hajat

@MedleyMelanin

2 years

@SteveBarclay Fixed it for you: “We’re building a two tier system where the plebs are treated by someone with a science degree and 2 years training. The people actually worth saving will see a proper doctor with medical degree and 7 years training”. There you go, no need to thank me.

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Zak Hajat

@MedleyMelanin

2 years

@IainDale Having brown or black friends doesn’t mean you’re not racist. All racists will exclaim “but I have brown friends” or “my kids friends are brown”. So what? Is that some sort of cover? If people of colour are telling you the country has racist sentiment you ought to listen.

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Zak Hajat

@MedleyMelanin

2 years

@coollyndz @RCoANews Yes - your dues are paying for this. They set the exams for them, and host them for reduced fees conferences, while fleecing trainees and consultants for exorbitant fees for almost everything, and band 8 paid higher than most trainees.

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Zak Hajat

@MedleyMelanin

7 months

@UKGastroDr Refuse to supervise. Refuse to engage. They can’t do it without Drs.

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Zak Hajat

@MedleyMelanin

10 months

@gmcuk @TheDA_UK The miscalculation you’ve made is that you need today’s doctors to supervise tomorrows AA’s and PA’s. And that ain’t gonna happen.

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Zak Hajat

@MedleyMelanin

1 year

@Xeon4f145d96s1 @BMA_JuniorDocs Jessica loves to consolidate everything she learned at *medical school*. Excuse me- what?

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Zak Hajat

@MedleyMelanin

3 years

@edmontonjournal No. Politics of division have no place in healthcare

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Zak Hajat

@MedleyMelanin

1 year

@Xeon4f145d96s1 Behind this PA is a consultant stooge.

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Zak Hajat

@MedleyMelanin

1 year

@natashaloder @ShaunLintern And you’re a health editor?

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Zak Hajat

@MedleyMelanin

1 year

@LisGalloway @nhscaroline @alisonleary1 @DentonGavin This is completely unethical actually. You’ve just openly admitted on twitter that you deliberately try to obfuscate the qualifications of the person seeing the patient. I suggest you reconsider.

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Zak Hajat

@MedleyMelanin

1 year

@WelshGasDoc …no it’s not. Female spaces are female spaces.

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Zak Hajat

@MedleyMelanin

3 years

@kjdelay1 @olsonplanner Travel. Oh, and a nice car too. And for all the UK docs moaning about their shit pay but telling themselves “but our healthcare is free”. It’s also free in Canada Aus and NZ.

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Zak Hajat

@MedleyMelanin

4 years

@RateMyTakeaway No no no no. All wrong. Curry sauce does not belong here. The cheese should be ON the meat. Those chips are yesterday’s. and garlic sauce is what it’s missing. 3/10

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Zak Hajat

@MedleyMelanin

1 year

@FrancesBoott @StevenMAlderson @Dr_Done_ @dannyjnwong @LondonAnaesth Showed this to one of my Canadian colleagues. “Wow - definitely not happening here” was the reaction… *attending/resident* do all the blocks/spinals. AA monitors that pt to *free us up* to do another block or start another theatre. That’s how it should be.

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Zak Hajat

@MedleyMelanin

9 months

Bullshit.

St George's Urology

@GeorgesUrology

9 months

1/4 It is sad to see the very public onslaught on Physician Associates. We are a unit with a proud history of teaching, training and investing in our junior doctors at all levels. We are an @RCSnews accredited fellowship training centre in Robotic surgery ( @IntuitiveSurg )

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Zak Hajat

@MedleyMelanin

2 years

@Sara_L_Roberts @BMA_JuniorDocs perhaps you don’t understand what strike action means? It’s supposed to be very uncomfortable for employers. Either support 100% or be part of the problem. Nobody cares about your leave when juniors can’t get leave for their own weddings. You’re tired because people like me left.

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Zak Hajat

@MedleyMelanin

10 months

@Microbedoc2 @MHA_92_ Glad we left. Thats how we feel. At least here if we supervise two rooms, we bill for both rooms. Double risk? Double pay.

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Zak Hajat

@MedleyMelanin

1 year

@sisaacturner @veggieequallife Why does a PA need to be in theatre. They were never intended to perform surgery. They were intended to perform ward work so doctors can train to do surgery.

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Zak Hajat

@MedleyMelanin

1 year

@OVaulkhard @KayBurley N=1. Also he isn’t striking for himself. He won’t see hardly any benefit. He’s striking for the 32yo new consultant.

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Zak Hajat

@MedleyMelanin

2 years

@JoJoBartley @BMA_JuniorDocs And what… lay down supine and accept what the government is offering? Because that’s worked really for you until now hasn’t it?

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Zak Hajat

@MedleyMelanin

1 year

@jimmy_jone388 @LizDavenportNHS @TorbaySDevonNHS WTF is all this?!

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Zak Hajat

@MedleyMelanin

1 year

@ClareGerada @DeanEggitt @TheBMA @BMA_GP We should not be thanking MAPS for replacing trainee numbers. No Clare. Don’t talk utter nonsense.

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Zak Hajat

@MedleyMelanin

2 years

@DocTimLindsay Also true in Canada. Being a physician is regarded as an achievement that can only be attained by a few talented individuals who have made significant sacrifices to get there and are rewarded appropriately commensurate to the effort & debt it takes to get there.

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Zak Hajat

@MedleyMelanin

2 years

@SteveBarclay Was quite unreasonable to take that much away from them in the first place! Between 09 to 19 I endured a decades worth of pay erosion. But in the end the NHS lost me, and I was v expensive to train. Watching this circus from afar- I would never come back. Ever. You lose.

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Zak Hajat

@MedleyMelanin

1 year

@AlikaMD @CMA_Docs It’s actually almost impossible for UK docs to apply for residency. If they come as trained specialists they have to jump through all sorts of hoops- exams assessments or both. It’s ludicrously difficult, yet we have 000’s without access to a dr. (I came here from UK)

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Zak Hajat

@MedleyMelanin

2 years

@Hugh_Pearson_ £260 ph for night work? No thanks. If I do a case for 1hour starting at midnight and ending at 1am I get $563 for it. And that’s when I’m supposed to be working, not extra contractual.

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Zak Hajat

@MedleyMelanin

5 months

@tsoburol @GSTTnhs Expect to be in a $1m at least here for that job.

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Zak Hajat

@MedleyMelanin

10 months

@medicalmodelbri Needs a @CareQualityComm visit. This is not even allowed - they’re not being supervised.

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Zak Hajat

@MedleyMelanin

1 year

@emilyltownsend Another post to remind me to be *eternally* grateful I didn’t get that consultant post at @uhbtrust Ended up taking the Canada job instead. 5 years later, looking at the state of the nhs and medicine in the UK, now I know someone was looking out for me.

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Zak Hajat

@MedleyMelanin

1 year

@halliday_kath Yeah but you had to sell out radiologists in exchange for PA-Radiology and you haven’t cottoned on to it yet, but you’re the meal at that table.

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Zak Hajat

@MedleyMelanin

2 years

@mjv__1 In 2009 I think I got £27k? Crikey. Hasn’t come far in 13 years.

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Zak Hajat

@MedleyMelanin

4 years

@BulfordMassive @MarkStubbs9 @leon_dobie @David_Cameron They’re not “very rich”. Tool.

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Zak Hajat

@MedleyMelanin

2 years

@ukmat82 @RCoANews @AoAA_uk Then do exactly that and increase by 500 if that’s what is required. Over 1000 applied in the last round. There’s a demand AND willing applicants. Instead they upped st4 by 70 and increase AA by similar number, and stooges at the college are all clapping 👏🏽 ffs.

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Zak Hajat

@MedleyMelanin

10 months

Sounds so much more ridiculous when you put it like this

LBC

@LBC

10 months

'We haven't got enough money to spend £2 billion a year paying doctors, but we can find £8 billion a year to cut a tax that's only paid by the richest 4%.' @BenKentish points out the flaw in the government's claim that the UK 'can't afford' a pay rise for junior doctors.

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Zak Hajat

@MedleyMelanin

1 year

@dr_nigel_lane Nigel woke up today and thought he’ll dig his heels in. Penny must have finally dropped.

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Zak Hajat

@MedleyMelanin

1 year

88% of the people who currently supervise you don’t want to see any more of you…. And the trainee ranks coming up to consultants are even more opposed. Pretty damning indictment.

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Zak Hajat

@MedleyMelanin

1 year

@drjadouglas He’ll be out on strike when they cap his pay for 10 years.

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Zak Hajat

@MedleyMelanin

1 year

@DeanEggitt No thanks. They’ve no right to ask nor the appropriate clinical training to triage.

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