The microwave in the Mess is broken so all the F1s are organising a bake sale for a new one.
Isn’t that one of the most tragic things you’ve heard? These exceptionally hard working doctors having to fundraise for a MICROWAVE to heat up their stingy on call dinners 😞
Car park at my hospital has decided to put the barrier down to non permit holders
Junior doctors can’t get permits
When asking the attendants where I CAN park for my WORK:
“No idea. Try your chances on a double yellow maybe”
Ideal working conditions
I PASSED PACES!!
I PASSED PACES!!!!
I BLOODY PASSED PACES!!!!!
I CANNOT CONTAIN MY EXCITEMENT OMG (and my minor fear of being a med reg)
SOMEBODY HUG ME!!!!
One of the most worrying observations from my last set of shifts:
There are so many patients waiting in corridors, the corridor has now been given an official name on the system
“The sub-waiting area”
It’s terrifying.
We need help tbh.
To get parked at my hospital you have to get to the place at 8 and sit there for an hour
And this morning, someone in the car next to me is performing a FULL SKINCARE ROUTINE which has thus far involved at least four different products for their face and I’m LOVING IT
Sitting next to a consultant today
She just randomly starts laughing. Proper chortling.
I was like “haha what is it?”
And she just said
“Oh I’m just so done” and walked away giggling
And it was such a mood
I loved it
ALSO while I’m ranting
At the top of the payroll system it says “remember it is the employee’s responsibility to ensure they are paid correctly”
😂😂 how absurd
Payroll has ONE JOB
Imagine if I said to patients
“Remember. YOU have to ensure you get the right medicine 😘”
I “took a chance” with the double line as the parking attendants at my hospital suggested
Guess it didn’t work
With morale already on the floor, this doesn’t help anyone
A person came up to me in the gym having noticed my scrubs
“Are you a doctor?”
Yes
“Last week I suddenly couldn’t move my right leg or feel my face”
Right. Maybe go to A&E in case you’ve had a stroke?
“Ah yes ok thank you”
*SITS DOWN AND STARTS DOING BENCH PRESSES*
?!?!
Staff nurse today. Casual as you like:
“I think we’re about to have sewage running down the walls today. The last time it smelled like this, that’s what happened”
I have never heard anything more NHS in my life
A final year student I supervise is stressed AF as they’ve been RANDOMLY given a region of the UK for work but have not been given a JOB and won’t be given one til 4 weeks before STARTING but they have to apply for a visa which takes EIGHT weeks?!
How the hell is this ok
@UKFPO
?
Today, without prompting, a consultant who knew I was interested in his specialty bought me a coffee and took me to chat about how to help me along in my career.
IT WAS SO NICE I COULD HAVE CRIED AND IT MAKES ME WANNA DO RHEUM EVEN MORE
🥹🥹🥹🥹
We have reached the point in the pandemic where my consultant today can no longer be arsed trying to get the blue film off the visors
So he’s just going in with the blue film still on his face
Surreal. Hysterical. Tragic.
Kinda love it
There’s an odd comfort in knowing that, no matter how life goes, there are some guarantees. Some constants
One of these constants:
There will always be a very unwell human, with bilateral leg amputations, smoking a cigarette, with their drip hanging, outside the hospital at 9pm
Went in to a delirious patient:
“Oh holy god above what have I DONE to deserve being pursued by this pasty blonde bastard?!?!”
I appreciate the poetic nature even if I don’t appreciate the sentiment
Dictating letters is a NIGHTMARE. I come out with the most ridiculous things under the pressure
“This man, who keeps a delightful array of birds, has a normal Doppler USS. No follow up required, and I hope his birds remain healthy. Yours sincerely”
The poor secretaries
Currently having a conversation with the FY1 on the ward who is absolutely BAFFLED by me using the expression “the back of 9” to refer to time
Apparently she’s never heard this before?!
Am I being crazy?!
Can we stop putting out every patient for weekend bloods to “monitor CRP” when the CRP is 80 and patient is on appropriate abx?
Please
I BEG YOU
(From a tired IMT3 almost finished a Saturday ward support shift)
Still my fave kind of interaction with patients:
“So what brings you in”
“Aw I have a swollen leg Doc”
“Ok, when did that start?”
“1988”
“Oh! So what brings you in specifically today then?”
“Not a f*cking clue”
Fab 😂
In a restaurant with my my boyfriend. An older (70+) gay couple next to us.
One of them leans over - “you two are so lucky. It makes my heart happy that you can be here, like this, without being scared.”
I am NAHT ok 🥹🥹🥹🥹🥹
Just heard staff discussing a patient and saying “yes they’re a corridor patient”
As if a corridor patient is just a thing now
And the sad thing is…a corridor patient is indeed a thing now.
It’s sad. It’s scary. And surely it was avoidable
Fml
Went in to try a cannula on a patient
As I start looking, they start praying:
“Oh holy god above, please let this baby boy know what the hell is is doing” repeatedly
I got it
Divine. Intervention.
When you call to discuss something with a specialty and a PAL ANSWERS.
It’s like OMG CAN YOU HELP?!
And they’re like YES I CAN
And you’re like THANK YOU OMG
and it’s just so NICE
2 days into my new job and a nurse I don’t know just said “YOU MUST BE BOUNCY PAUL!”
And I was like omg what
“That’s what we call you. You’re bouncy”
WHAT DOES THIS MEAN
I’ve just been sent this by a close friend of mine currently applying for medicine
It is from the UCAT
So even from PRE ADMISSION, the propaganda starts
Because of course the CORRECT answer here, is … hire more doctors
But…don’t be so ridiculous. Right?
Nurse in MAU: are you just finishing?!
Me (enthusiastically): no! I’m actually staying for another year!
Nurse: No, I mean are you finishing a night shift
Me: oh. No. Just starting
Nurse: great! Bed 4 needs a cannula
And so a new year begins.
Beautiful
#medtwitter
Absolute babe of a consultant today:
“You guys NEED TO STRIKE! I’ll hold the page! (I won’t be competent but YOU SHOULD STILL STRIKE)”
This is what we need 🥹🥹🥹🥹🥹🥹🥹❤️❤️❤️❤️
My enthusiasm for my night shift was quickly STIFLED upon discovering there were
60
Patients
Waiting
To
Be
Seen
I cannot fully express my displeasure in a tweet
I’m simply horrified to see
@NHSEngland
now literally breaking the law in how it misrepresents physician associates & other allied health professional - who are NOT doctors - to the public.
These posters are from the Bradford District & Craven Health & Care Partnership. 1/n
A nurse thrust a bedpan containing a particularly huge poop in my face today to ask if I “needed to do anything with it”.
I did not need to do anything with it. And I still haven’t recovered.
Me BOUNCING into see my first patient of the day:
“Morning!!”
Her: “Christ. You look how I feel”
Me: “oh? How do I look then?”
Her: “bloody dreadful”
Good start to the day
The weekend day team came in half an hour early to relieve us on night shift cause of the clocks changing.
It makes me emosh and happy.
Team work is amazing 😍
@UHMonklands
@NHSLanarkshire
Very elderly couple. Husband just been discharged
Wife: “Remember to say thank you as you leave”
Husband: “Jesus Christ woman I’m 88!”
“Well you still forget sometimes dear”
I love them. I love them so much.
@AliviaPharmD
A couple years I had a patient who’s allergy was:
“The colour yellow”
Had to remove all yellow signs and equipment from their room. I shit you not.
Madness
When a CONSULTANT actually comes up to YOU to ask if you WANT to do an assessment omg 😍😍😍
At the end of a set of nights, such kindness almost (definitely) made me emotional
Top stuff
Doing a clinical shift today
Patient: “what age are you son?”
“29”
“Are you married yet?”
“Oh goodness no”
“Good. Keep it that way. It’s f***ing miserable”
I do miss patient chat ngl
Shout out to the delightful OOH GP who looked at my throat, hysterically went “Ew oh dear ok” and promptly prescribed the Pen V I’ve been craving
Love you 💚
I’m coming to the end of IMT (woop woop) but it does make me think about a uniquely stressful aspect of being a doctor
We essentially face the prospect of unemployment…every few years…or every year…until we are mid-30s at the EARLIEST.
That’s stressful af. Right?
@FlowerP79667758
Nursing isn’t a vocation. It’s profession, a job. It’s a skilled job. An essential job. But it’s a job.
You didn’t mention any of the skills they have, many of which need are learned in places other than wards.
Your narrative is the reason this JOB has been underpaid for years
@JawgeMcG
This “baby doctor” thing needs to STOP
I’ve never heard anyone calling a brand new nurse a “baby nurse” (nor should that happen)
Can you IMAGINE the consequences if we did?
FY1? A doctor. A highly qualified, highly educated, very important professional
Ah of course
As if changeover isn’t CHAOTIC ENOUGH
I cannot find where induction is
Because MY WORK EMAIL HAS BEEN LOCKED BECAUSE I HAVE CHANGED HEALTH BOARD
Never change NHS. NEVER CHANGE
(I’m joking, please change immediately)
@Opensout
@rupert_pearse
@andymoz78
And mortality rate is one thing. Morbidity is another. People in ICU aren’t dead ya know. The wonderful medicine going on there will hopefully help them survive. But at what cost? Damaged lungs? Atrophied muscles? Permanent brain damage? Mortality is not the only important stat
AHHHHHHHHHHHHH I am so epically delighted to find out I will be a Clinical Teaching Fellow
@NHSLanarkshire
from August.
Always wanted to become more formally invovled in Med Ed and THIS IS THE TIME.
Exciting af. Bring it on.
@nhsl_meded
@PippaK10
Non permanent staff not allowed them! Neither are consultants … unless they work across two sites. And neither are staff nurses…becuase they arrive to work too early.
@owenwilliam99
As much as I appreciate your sentiment, covid doesn’t care. If you get it, you could still die, or someone you give it to could die. Having “done your bit”? Makes no difference
First time working a day shift at Christmas
There’s a comfort in knowing that no matter how merry the day, the NHS plods along exactly the same as any other day, but with more snacks
It’s when revising PACES at home, when you ask the pillow if you can move its breast to listen better to its heart, you ask yourself HOW THE HELL YOUR LIFE GOT HERE
Morning weekend radio is positively DISCRIMINATORY against weekend workers
“ITS THE WEEKEND! Are you in bed with a cuppa? Getting ready for a day out? Tell us your plans!”
Well George I am scoffing an apple and mentally preparing to do 52 cannulas on a medical ward thanks
@Lamboozler
You can want better for your own profession while accepting other people also have it tough. This mentality of “other people have it tough so doctors can’t complain” is unhelpful and rather irrelevant.
Ah, the classic community notes.
Many terms can easily confuse patients. Should we consider changing their names?
Ureter vs. Urethra
Reflex vs. Reflux
Electrocardiogram vs. Echocardiogram
Glucagon vs. Glycogen
Cervical
Ileum vs. Ilium
Carotid vs. Parotid
Creatine vs. Creatinine
@Somerstown4
@Dr_Ellie
Hi Graham. Antibiotics, as with all medical treatments, are full of risks. Caring for your patient actually suggests you avoid any treatment until you know what the diagnosis is. I wouldn’t correlate antibiotics with caring.
The (only) great thing about working a brutal rota is MIDWEEK DAYS OFF!
Strutting by people who are heading to work, whilst sipping my iced vanilla latte, looking all smug
(Have I already worked 50 hours this week? Yes but let’s not mention that thank you)
@thegradmedic
ARGH! I couldn’t do the job of a nurse, likewise I’m sure nurses know they couldn’t do the job that I do. Because WE DO DIFFERENT JOBS AND EACH DESERVE FAIR PAY OMG.
I can’t
The JOY! The ELATION! The BEAUTIFUL SURPRISE when a locum appears when you thought you were going to have to see the whole ward YOURSELF and now you DON’T
It makes me so happy 🥹🥹🥹🥹🥹🥹🥹🥹🥹🥹🥹🥹🥹
@jessdoe2000
@ClaaareKirwan
I would say. Yes everyone deserves a pay rise. But often other HCPs will ask F1s to make big decisions simply because they’re the doctor. So I think if they’re being asked to make bigger decisions, they deserve to be remunerated well.
But agree, everyone deserves more
Me: Playing some BEAUTIFUL Bach on my phone to engender a calming lovely atmosphere on the ward
Nurse: “Paul son are you trying to push me over the F****** edge with that shite?”
Harsh.
@usycool1
I failed my urinalysis section in 2nd year: I never got to testing the urine cause I couldn’t get my gloves on. At all. The pee remained unopened. I failed the urinalysis station. No. Joke. The shame
@dahontr3
Junior doctors are rotational: often get moved from somewhere 5 mins away, to somewhere 1.5 hour drive away. Poor public transport at many locations. Limited cycle lanes.
@mevparekh
And several ????s when suggesting a diagnosis you know will be laughed at on the post take ward round.
“?flare of IBD
??IBS
?????? acute intermittent porphyria”
I JUST SAW ACTUAL BLACK BLOT HAEMORRHAGES WHEN I TRIED TO DO FUNDOSCOPY!!!!
I actually went “oh my goodness!” Which did not help reassure the patient but I was just so excited
Led a workshop on Treatment Escalation Planning with THIRD YEAR med students today
And jeez some of the beautiful things they were coming out with:
“We want to protect you from CPR”
“What matters to you? And what if CPR affected that?”
STUNNING. It made me happy
My boyfriend and I (both emergency service workers) are trying to arrange a thing we’ve been given as a gift
We don’t have one day off together in July. And I don’t know my rota for august yet.
I know these things are sometimes unavoidable…but they’re hard 🥺🥺🥺
Omg AWKWARD SCENES IN THE GYM CHANGING ROOM
Very muscly man goes up to not so muscly, slightly over-weight man:
“YOU MUST BE JUST STARTING YOUR JOURNEY!?”
Other man nods awkwardly
Muscly man HIGH FIVES HIM and says very loudly
“It’s gonna take f*cking AGES!”
What on earth