Sally Lewis @RslewisSally Twitter profile

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Sally Lewis

6 years

Perhaps as a medical community over the years we have done society a huge disservice by leading everyone to believe that we have all the answers. The truth is, despite huge progress, we have very few of the answers.

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Sally Lewis

@RslewisSally

6 years

Last political tweet of the weekend. I have always been against Scotland leaving the union, mainly because of a kinship I feel with the Scots. Now if there was Scottish independence I would be asking you to let me in. Let me in and remain a part of Europe with you. I have cake.

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Sally Lewis

@RslewisSally

3 years

I am extremely tired of NHS management bashing. Managers I have worked with have been some of the hardest working altruistic and skilled people I know. How the heck do we think the NHS responded so quickly to the pandemic? Clinicians need managers to implement stuff and..er..

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Sally Lewis

@RslewisSally

6 years

GPs tend to be bashed for testing and bashed for not testing. Bashed for referring, and for not referring. Bashed for admitting, and for not admitting. GPs get bashed. Why don't we use the data to problem solve at a system level and not bash anyone? Grumpy

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Sally Lewis

@RslewisSally

3 years

I feel like I am dropping balls all over the place. One online meeting merging into another. No points of reference. No time for thinking and doing the actual work in between. Relationships stretched to the max.

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Sally Lewis

@RslewisSally

3 years

I admit to feeling vaguely traumatised by watching This is going to hurt. Mostly not funny at all. Sorry. Too real.

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Sally Lewis

@RslewisSally

4 years

If doctors care about the health of our patients, how can we only be concerned with healthcare? (Which contributes to only about 15% of health gains). How can we not care about wider determinants of health? Why are we not all activists?

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Sally Lewis

@RslewisSally

3 years

I think general practice is turning into an unmanageable job. There. Said it.

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Sally Lewis

@RslewisSally

4 years

Describing healthcare as 'primary care work' or 'secondary care work' locks us into old ways of working, feuds and silos. Maybe we should think about it in terms of what patients need, how and where they need it most, then allocate resource accordingly.

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Sally Lewis

@RslewisSally

4 years

Doctors are frequently awful to each other. I wish this wasn't so.

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Sally Lewis

@RslewisSally

6 years

Why is it in healthcare that we are quick to invest in interventions that cost vast amounts for tiny benefit but fail to invest tiny amounts for interventions that have vast benefit? Are we evidence-based or not?

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Sally Lewis

@RslewisSally

4 years

One of the sad things I have seen here in the last few days is the number of detractors of the Welsh vaccination programme. As I head off for one of the mass vaccination centres today I can tell you this:

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Sally Lewis

@RslewisSally

6 years

In a freak accident my underwear became attached to my laptop in my overnight bag. Bit of a problem when I whipped it out at the venue. 😳

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Sally Lewis

@RslewisSally

4 years

I am in awe of those who remain full time GPs these days. That's all.

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Sally Lewis

@RslewisSally

4 years

We *will* succeed in this. We *will* get faster. I ask for your support not your sniping because the latter is deeply lacking in respect for those working flat out on this mammoth task. End

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Sally Lewis

@RslewisSally

6 years

'An expert is somebody from out of town with slides.' I don't know who coined this phrase but thanks! 😂

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Sally Lewis

@RslewisSally

3 years

I'm a pretty measured kind of gal, but I honestly think that the changes to the core GP contract in England are sufficient to break general practice as we know it. It is also likely to worsen the Inverse Care Law so further worsening outcomes in areas of deprivation.

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Sally Lewis

@RslewisSally

4 years

If you only knew what went into the vaccine programme.. The logistics... The complexity of just in time supply... The scheduling... The vastness of it... The need for a second dose. Really I am in awe of the Welsh teams. (and all across the UK, it is not a competition)

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Sally Lewis

@RslewisSally

3 years

A conversation with my sister (and many others) The healthcare system in this country isn't about to break. It's broken. We are not meeting need for our patients. We are creating huge moral distress in our healthcare professionals. This needs a serious conversation at a UK level

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Sally Lewis

@RslewisSally

2 years

Who would disagree with compassionate leadership? Nobody. But it's a behaviour to be modelled, not a product to be purchased.

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Sally Lewis

@RslewisSally

2 years

A personal tragedy as a direct result of Brexit. Don't tell me of Brexit benefits. Don't. And sod the lot of you that voted for it.

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Sally Lewis

@RslewisSally

4 years

The GP bashing on here today is really distressing me . It isn't fair. Thank you to colleagues who seek to defend. Like any profession, general practice is open to constructive criticism, but come on. 😐

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Sally Lewis

@RslewisSally

2 years

Well. I think that was my last surgery. I am weeping in the car park but I have to admit it's a relief. I have a lot to say about it but that can wait.

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Sally Lewis

@RslewisSally

5 years

When I was a junior doc there was no troponin. Imagine.

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Sally Lewis

@RslewisSally

3 years

Manage. Blanket criticism of NHS managers is lazy rhetoric and has to stop. It's no different to berating GPs in my book. Yes there are bad managers blah blah but there are also bad clinicians, bad teachers, bad politicians....

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Sally Lewis

@RslewisSally

2 years

Leaving medicine is really not that easy when there has been so much emotional investment. We should be concerned by the exodus of young doctors.

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Sally Lewis

@RslewisSally

4 years

Primary care has a massive responsibility to manage non-Covid illness too. Please don't be afraid to contact us if you are worried about a new symptom.

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Sally Lewis

@RslewisSally

4 years

I don't tweet a lot about Covid. But the situation is worsening in Wales. Please. It is real. Let's take personal responsibility no matter what. This Christmas is not 'normal'. Please. One last push.

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Sally Lewis

@RslewisSally

6 years

True story. As a house doctor I was once paged to put out a fire.

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Sally Lewis

@RslewisSally

5 months

This week, after 30 years service, I resigned from the NHS. There are reasons for that of course and some of them are painful. But now is the time to look forward and to new challenges. And so I will be pursuing my interests in VBHC and international health policy

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Sally Lewis

@RslewisSally

5 years

Here it is. My first ever and it's all about PROMs of course! Sally Lewis: Patient reported outcome measures enhance communication with patients -

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Sally Lewis

@RslewisSally

7 years

Most improvements in healthcare happen because a bunch of energetic individuals get together and just do stuff. Not structural at all.

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Sally Lewis

@RslewisSally

3 years

There are just 33 new cases in Wales and 0 deaths today. I have hope. Vaccines work.

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Sally Lewis

@RslewisSally

4 years

It seems I am to be a Fellow of the Faculty of Clinical Informatics Proud of that 😊

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Sally Lewis

@RslewisSally

2 years

If a well person requires meds before discharge, why can they not be given a FP10 and are then able to leave immediately.

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Sally Lewis

@RslewisSally

4 years

It's deeply troubling that @HiboWardere has been under attack for campaigning against female genital mutilation or even for using the phrase. There is no legitimate reason for doing so. None. End FGM #nofgm

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Sally Lewis

@RslewisSally

4 years

There is something bugging me. It is not new. The psychological distress that patients feel when they have been referred for a potentially serious diagnosis but have no idea when they will be seen is awful.

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Sally Lewis

@RslewisSally

2 years

I haven't been a hospital doctor for many years now but what's wrong with SHO? Everybody knows what it means.

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Sally Lewis

@RslewisSally

4 years

In my whole career I have lost my temper 3 times. Once in 1991 as a medical student. Once in 1996 as a respiratory SHO. And today. Not proud. 😓

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Sally Lewis

@RslewisSally

5 years

An awful lot of the drugs we prescribe don't do nearly as much good as the non-pharmacological interventions in which we repeatedly fail to invest. #value

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Sally Lewis

@RslewisSally

3 years

It's ok to have left over naan bread for breakfast isn't it? Asking for a friend.

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Sally Lewis

@RslewisSally

3 years

2022 will see me retire from mainstream general practice to pursue other projects. It seems odd and a bit sad that it ends like this but I have decided. I have many memories, some good, some bad, but in my heart I will always consider myself a GP. I hope my colleagues do too.

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Sally Lewis

@RslewisSally

3 years

Need some better news so here's some. Hospital Covid bed occupancy is definitely reducing in Wales and the teams are seriously cracking on with boosters. Interesting surge in uptake of first doses too in younger age groups. Stick with it Wales and get vaccinated! 👊

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Sally Lewis

@RslewisSally

4 years

We will top 600 000 vaccines in Wales today.

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Sally Lewis

@RslewisSally

3 years

Our first time away since the month before lockdown. It's been a long time folks.

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Sally Lewis

@RslewisSally

4 years

Many people are now saying that we will never return to the social relationships we had before the pandemic. History tells us that this is not true. It will take time but I believe that we will. Indeed we have to believe that we will.

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Sally Lewis

@RslewisSally

4 years

My piece of heaven

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Sally Lewis

@RslewisSally

3 years

As we seem to be returning to the 70s I am personally looking forward to stocking up on arctic roll, angel delight (butterscotch), fish fingers and spaghetti hoops. Maybe some tinned peaches and Ideal milk.

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Sally Lewis

@RslewisSally

3 years

Yesterday the millionth person in Wales was fully vaccinated.

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Sally Lewis

@RslewisSally

8 months

I am really really worried about general practice. Great general practice is not just about triage and algorithms. It's about relationships and is essential for great primary care. We erode it at our peril. Too many colleagues forced to surrender their contracts 🙁

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Sally Lewis

@RslewisSally

4 years

Seeing the team motoring through the vaccinations in Cwmbran this morning is a joy to behold. @AneurinBevanUHB

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Sally Lewis

@RslewisSally

4 years

I have a sudden urge to just vaccinate every day on a continuous loop until this is done.

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Sally Lewis

@RslewisSally

2 years

So tonight...in honour of many many things I am having a proper disco 😁

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Sally Lewis

@RslewisSally

3 years

Grief. That sudden dreadful ache in your chest that comes unbidden.

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Sally Lewis

@RslewisSally

3 years

The backlash against the GP profession this week is really awful. I know things aren't great at the moment but instead of lashing out at human beings who in general are working their socks off and care deeply about their work, how about we debate how to address the problems ?

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Sally Lewis

@RslewisSally

3 years

Productivity in the NHS has always been an interesting concept to me. What does it mean and do we confuse activity with progress? Surely the ultimate arbiter is the outcomes we achieve, not the throughput?

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Sally Lewis

@RslewisSally

4 years

My daughter has her GCSE results in the morning . I don't normally discuss my family, but she is a gorgeous creative individual who plays the guitar and makes me laugh.

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Sally Lewis

@RslewisSally

6 years

Minor illness is a retrospective diagnosis. Avoidable admissions are also judged retrospectively. I see huge assumptions and over-simplifications made about our system.

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Sally Lewis

@RslewisSally

4 years

We have no shortage of people to deliver vaccines, many of whom are volunteering their own time 7 days a week, 12 hours a day. It's a huge logistical exercise run by good people who want nothing more than to vaccinate at 100 miles an hour for the benefit of the Welsh people

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Sally Lewis

@RslewisSally

7 months

I don't mean to be controversial here but ...chasing and funding high tech medical innovation whilst neglecting environments that make us healthy and care when we are chronically ill seems illogical. We have unavoidable questions coming in healthcare in this country.

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Sally Lewis

@RslewisSally

4 years

Some days you want to chuck it all in. Today was one such day. But the next day you rise again if you believe the work is important and I do.

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Sally Lewis

@RslewisSally

4 years

Some Christians on the right are comparing Trump to Jesus now. As an atheist who knows my bible I need a lie down.

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Sally Lewis

@RslewisSally

3 years

The vet just sent me a card and poppy seeds to sow in memory of my dear old cat. What a kind thing to do. 😢

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Sally Lewis

@RslewisSally

4 years

I hate rudeness. I have been on the receiving end of extreme rudeness today. Let's try and not be rude as a starter for ten.

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Sally Lewis

@RslewisSally

2 months

And that's a wrap as 30 years of NHS career draws to a close. This is a brief summary of some of the highlights of my last year in the ViH centre.

Welsh Value in Health Centre

@Valuein_Health

2 months

Our annual report is out for 2023-2024. Have a look at it for more on 👇 Population Survey 👨‍👩‍👧‍👦 All Wales PROMs framework 📈 High value high impact pathways 🏥 It’s online here:

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Sally Lewis

@RslewisSally

5 years

Maybe I am an idealist, but for me the idea of Europe has always had little to do with economics. It has been about peace and the tearing down of borders. Of course there are glitches, but the greater good is apparent to me.

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Sally Lewis

@RslewisSally

2 years

God I loathe Teams. I can't tell you how much I loathe Teams.

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Sally Lewis

@RslewisSally

3 years

I quite like the Japanese concept of Ikigai when thinking about our purpose in life. I understand it to have 4 components. To be happy and content we should do something we are good at, something that is useful for the world, something we are paid for and something we love.

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Sally Lewis

@RslewisSally

3 years

The Duke of Edinburgh award scheme is a really marvellous creation and has benefited so many young people. Including me. It's not an exaggeration to say that it changed my life.

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Sally Lewis

@RslewisSally

5 years

I just made a grave mistake. I watched Ann Widdecombe speak in the European parliament. I am too embarrassed even to leave my car.

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Sally Lewis

@RslewisSally

4 years

1. Telephone triage is useful. 2. I don't enjoy telephone triage. These are not mutually exclusive positions to hold.

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Sally Lewis

@RslewisSally

4 years

No system of healthcare will ever deliver value to patients if the focus remains solely on the hospital. #vbhc

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Sally Lewis

@RslewisSally

3 years

Seems fair

Marc Paul - มาร์ก พอล

@GriftersGrift

3 years

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Sally Lewis

@RslewisSally

11 months

You know, the problem is that healthcare is rapidly becoming unaffordable everywhere. And the more we crave advanced treatments, the more we denude basic care...or create inequities. We deserve honest debate with ourselves.

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Sally Lewis

@RslewisSally

4 years

It's getting faster. The rate - limiting step is vaccine supply. The supply chain is complex for vaccines always, so can you imagine the task to deliver something totally novel less than a year into the pandemic.

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Sally Lewis

@RslewisSally

5 years

Finished 😍

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Sally Lewis

@RslewisSally

5 years

In UK healthcare it's not that hard to 'engage' a lot of people with a good idea. It is much harder to move all parts of the system to make it happen. So often we give up as a result.

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Sally Lewis

@RslewisSally

5 years

Tomorrow will be a big day. Wales is putting its case and method to the world for systematically capturing patient-reported outcomes to understand what really matters. We are not quite there yet, but we will be.

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Sally Lewis

@RslewisSally

3 years

Right I am wading in. I joined general practice in the days of the grand old Red Book. Income was way lower...but staffing was linked to patient numbers. Morale was said to be low but partnership was still in demand and regarded as an honour

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Sally Lewis

@RslewisSally

4 years

If you think there is no hope then listen. My mother and my father wished each other Season's Greetings this year for the first time in 43 years. Through me, sure, but all my life I believed this to be impossible. There is always hope. ❤️

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Sally Lewis

@RslewisSally

5 years

I remembered tonight what my staunchly Methodist grandmother said to me about the death penalty. She said, Sally, tell me the jury can never be mistaken. And then tell me who are you, to demand the ultimate punishment?

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Sally Lewis

@RslewisSally

3 years

CBT for menopause. Seriously, I am still laughing Coz frankly otherwise I would weep.

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Sally Lewis

@RslewisSally

3 years

Modes of consultation and access to GPs are being hotly debated at the moment. There is no doubt that many patients feel that their needs are not being met, and many colleagues are struggling to cope with demand, feeling exhausted and under attack. Why?

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Sally Lewis

@RslewisSally

3 years

If we are not focused on outcomes that matter to people then what's the point?

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Sally Lewis

@RslewisSally

3 years

The rise in energy prices is a public health threat. A big one. Probably bigger than the current Covid threat though harder to measure because of its multiple impacts.

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Sally Lewis

@RslewisSally

3 years

Now I have become the Mrs Angry I despise. The irony isn't lost on me .

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Sally Lewis

@RslewisSally

4 years

Ridiculously extremely proud of the vaccine efforts across Wales. Well done folks x

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Sally Lewis

@RslewisSally

3 years

Some time today Wales will top 3 million doses vaccine administered. Come on Wales! 💪

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Sally Lewis

@RslewisSally

7 years

Human contact is valued less and less - in health services and in life. Eye contact, the touch of a hand, a gesture, a look, a hug.

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Sally Lewis

@RslewisSally

2 years

Last night I saw this 🙂

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Sally Lewis

@RslewisSally

4 years

Just taking a moment to take my hat off to all the teams across Wales planning for and delivering vaccines. I am struggling to find an analogy to explain what it is you are beginning to accomplish. Still more to do but we will get there together. ❤️

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Sally Lewis

@RslewisSally

4 years

Right. Off to do my bit at the mass vacc centre. Laters y'all.

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Sally Lewis

@RslewisSally

4 years

BCUHB just topped 200 000 doses of vaccine given. 😊

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Sally Lewis

@RslewisSally

4 years

One day at a time. Be methodical. Do what you can do. Stand up for what is right. Stay calm.

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Sally Lewis

@RslewisSally

2 years

Long ago, Dad said to me that the most important thing in life was peace of mind. I didn't really know what he meant at the time. He was so wise. So wise.

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Sally Lewis

@RslewisSally

2 years

It's fascinating to me how when general practice is failing the blame is personalised to the professionals rather than failure being seen as systemic.

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Sally Lewis

@RslewisSally

4 years

I hate to see the Western world rip itself apart over whether one vaccine is marginally more effective than another for mild illness when much of the world has no vaccine at all.

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Sally Lewis

@RslewisSally

3 years

Do you ever feel that there is so much inside you that you have to say and can't? 🤯

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Sally Lewis

@RslewisSally

3 years

Personally I will be wearing a mask for a bit longer yet even if rules are relaxed until infection rates come down This isn't because I think vaccines don't work. Vaccines are like armour...protective, but some armour is more protective than others, and it depends on the weapon.

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Sally Lewis

@RslewisSally

2 years

My father is flying to see me next month. For various reasons, not least the pandemic, it's been 4 years. 🙏

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