3 year cancerversary today. 🥂
Frankly it’s been a terrible year - but I’m delighted to end it both cancer-free and IBD-free!
Now if all my organs could try not to kill me in 2024, that would be great.
How it started // How it’s going
sorry to go on about it…but this is Xmas Day 2020. i got an hour with my mum (much more than most got) and we opened some presents. i waved at my dad who had to stay off the ward.
(i also received incredible kindness from staff who tried to make it bearable)
i cannot forgive.
In the mid-90s, when I was 7, a gastroenterologist started me on azathioprine for severe and unremitting IBD.
It was off-license, and the long-term effects in kids weren’t well-understood.
It put me into remission for 14 years, allowing me to complete my schooling (1/2)
Puberty Blockers. A 🧵
Children’s healthcare must always be led by evidence.
Medicine given to children must always be proven safe and effective first.
I know there’s lots of fear and anxiety.
Let me explain why this decision was taken.
1/9
and leave home to go to medical school.
The decision to start that medicine was taken by my DOCTOR, who is the only person who should be allowed to make that decision - not some slimy git of a politician.
TLDR - trans rights and to hell with Wes Streeting 🏳️⚧️
@timricketts_
@amateuradam
that there are professionals of 10+ years’ standing who aren’t allowed a locker, a chair, a PC, a laptop, a work phone or a car park space, and are routinely talked to like naughty children
overheard in the bay, an “explanation” to relatives: “so she’ll be getting a CT head to see if there’s anything intracranial, and if it’s NAD we’ll be considering end-of-life”
LISTEN TO YOURSELF FFS!! this isn’t communication it’s just jargon! you may as well speak Klingon!!
orthopaedic SHOs insisting that patients w hip fractures need an exhaustive panel of bloods before leaving ED because “the medics take them if there’s something wrong with the bloods” errrrrm no? THE BONE IS BROKEN
I will keep it real with you medtwitter.
If any of you uses my death for twitter clout i will find a way to haunt you. If you include a selfie I will literally go full Babadook.
1/
Time of death: 3:46 PM.
The ICU fell silent. A heavy cloak of sorrow pressed down on the room.
*whoosh*
The familiar rush of heat came to my face. Next came the prickling in my eyes. Once the tears started I knew they wouldn’t stop.
Shit.
I needed to get out of there.
said “augmentin” to an FY1 and they looked at me with the same mix of confusion and pity as when my grandad used to call CDs “them little records you like”
geris referral pls.
prescription request denied as GP wants to know why i’m ordering more stoma supplies than usual (cold weather means they rip/fail more easily)
but
- i can’t message them back
- their phone line drops me out
- econsult is only active between 1300-1305 each day
THIS IS INSANE
6. On that note, hospital chaplains are a (literal) godsend for helping you process your emotions for things like the prognosis chat, and the stuff you don’t want to share/burden/upset your friends and family with. We do stan. (Religion not required)
Eternally grateful to the ICU Sister (who was actually on the gastro ward to provide training to the HCAs) who took one look at me and said “no offence but I know what a poorly patient looks like, and you look like shit.”
I was in emergency theatre the next day.
A lesson in life.
Call from a colleague today…
“Keith, I’ve got a 80 year old man with jaundice and fever from a large 2cm gallstone wedged in the bile duct. He’s on anticoagulation for PE. I just have a bad feeling about him and I think he needs an ERCP today.”
One of the hospitals where I trained had a miniature horse visit the ICU as a therapy animal.
Personally I think waking up and seeing a tiny horse in my hospital room would be deliriogenic. To each their own I guess 🤷
It’s my first day as Head of Social Media at Bart’s! Just making myself a coffee from our outrageously pretentious machine while I log in to check my emai- OH NO
Happy
#EmergencyMedicineDay
Time for my favourite EM joke:
Q: How many EM doctors does it take to change a lightbulb? 💡
A: Dark room ?cause, admit medics
1 year AML survival today! 🥳🥳
It’s been a pretty horrible year, but I’ve been the recipient of so much care and compassion - thank you all 💜
S/O to
@NewcastleHosps
for keeping me alive, and
@MarieCurieNE
for quite literally getting me back on my feet.
🚨 BREAKING: Patients evacuated from parts of
@LeedsHospitals
St James's University Hospital after discovery of a suspicious package. Bomb squad on scene and police have sealed off areas around the site:
@clarissascortex
i got told off by a nurse i’d never met for laughing (in a bay) during her handover (outside the bay).
i was laughing at the word “flange” and i stand by it.
some people are just in it for the shouting.
i remember begging a gastro nurse not to remove my working, painless, large-ish ACF cannula because i’ve got difficult access since chemo. she insisted; i missed a day of IV meds…many many attempts later, i got an excruciating 22G in the dominant wrist. sake.
Casualty launches writing contest for frontline medical workers.
As part of 35th anniversary celebrations,
@BBCStudios
'
@BBCCasualty
is working with
@BBCWritersRoom
to launch an exciting opportunity for frontline medical workers.
3. Those little aeroplane-style pots of orange juice are ADDICTIVE. Genuinely felt bereft when I didn’t get one with breakfast the other day. Continuing to drink them against direct advice of the stoma nurse because i CAN’T STOP
5. It’s okay not to talk about prognosis until you’re ready to. I always thought I’d be the kind of patient who wanted to know everything, but it took me until this week to have The Chat.
i know i'm in the minority here, but i hate that so much MedEd is hidden inside podcasts. i do not want to listen to a podcast. i have rarely ever wanted to listen to a podcast. please write it down and let me read it.
#EndPodcastHegemony
@Microbedoc2
@GillianMcKeith
i am BEGGING these people to show me the Biblical basis for refusing a vaccine. you can’t just claim “religious exemption” without a shred of evidence to back you up.
on any course you attend, there’ll always be one person who thinks they’re the Main Character. bestie please just be quiet and we can all go home on time.
@Naomimiii
@KatPaton13
Right. Thank you for proving the point about issues with hierarchy in the NHS. My advice is be respectful, bring the nurses and HCA’s food and you may have an easier time. But with your current attitude I wish you all the luck with getting any help from anyone
@JessicaNotzing1
@timricketts_
i had a cat run into resus with a pre-alert, as if it was part of the crew. said cat was a regular attender to ED. and had been nicknamed Pedro. i found myself scuttling across resus shouting “PEDRO! PEDRO GET HERE”, much to the amusement of the other patients
@hamzah2506
@DrSdeG
why do we collectively allow this to continue? there are heaps of us in the NHS with medical conditions that mean we have to manage our fluid intake carefully (as well as those who just value having healthy kidneys). why do we stand for this infantilising treatment??
@thegradmedic
@HoNewcastle
this seems very much at odds with Newcastle’s promotion of diversity and “Women in STEM”.
I’m sure you’ll agree this is not the “most inappropriate dress”.
@TPGRoberts
car got vandalised - police told *me* to go door-to-door asking questions
patient’s relative tried to punch me at work (they missed lol) - police said “ugh you don’t want to make a statement do you?”
they’re only useful for CRNs for insurance claims.
during an admission for an IBD flare-up this week, i’ve had nursing staff twice refuse to give me analgesia.
it’s really disappointing - i thought we’d moved past these archaic attitudes.
Had the most Northern EM dream last night: someone brought a poorly greyhound to ED and the consultant insisted I saw it next even though there was a waiting room full of humans.
6w post curative IBD surgery, and the joint pains i’ve had for years and years seem to have just…gone away?
my back feels normal. my hands don’t hurt. this SLAPS
SAS doctors deliver clinical care in partnership with consultants and other health professionals.
Jess Walker is a specialty doctor in emergency care.
She says: "No two shifts are ever the same, and I am privileged to work alongside a dedicated and caring team."
@thegallowboob
@JonnyGucks
clearly the cat knew that drowning people don’t tend to splash around!
(please read the link below and learn how to recognise drowning; you may save a life)
Every year I retweet this piece on how to spot drowning. Last year someone replied saying they’d read my RT the previous year and later rescued a kid. TL;DR: drowning kids usually don’t scream or splash about.
would rather work a disastrous, apocalyptic shift where every patient tries to punch me than spend even 20 minutes attempting to reclaim study budget money. truly soul-destroying.
if you’re going to be a scab, just get on with it quietly. we don’t need a whole tweet thread about “ouuughhh this was suuuuuuch a hard decision”
(this is a subtweet)
@DrBenLovell
during ED F2 i got a public bollocking off a CST. ED cons spotted the interaction from across majors and moved silently to stand behind the CST until he finished his tirade. then simply said "hello, i'm the consultant, can i help?"
i've never seen anyone go so pale, so fast.
perhaps an unfashionable opinion, but why does this increasingly fall to EDs?
we’re here to practice Emergency Medicine, but we get asked to do more and more screening/public health/preventative medicine/social care.
and all within 4h or we get fined.