Tom Knowles @Tom_the_Knowles Twitter profile

Last Seen Profiles

@aaravmeanspeace

@daomaker

@DylanBrewster52

@BorisVagner

@Claire_cpj

@CostasJana80302

@AyoBonniee

@_satomi3103

@sheep104395

@__jonoo

@awmingi

@Jantzen611

@DiegoDotado_XL

@mitenjain

@kjoknp

@OrderedJason

@whoaaamii

@clownnnnn9

@ConniTania10711

@utfreak07

@hongrizz

@ORuschmann68187

@saraymnn

@xa_mr43000

@kengpepo

@c4milapersico

@Derrick79366719

@AkikoFerna68462

@sae1558011

@comfortcafex

@JeromiahJ16419

@MubitaNawa

@stwmaniax

@GJacqulyne75130

@DumbElk

@sm41284387

Tom Knowles

@Tom_the_Knowles

2 years

Welcome to the world little one. We’ve got so much cool stuff to show you.

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Tom Knowles

@Tom_the_Knowles

2 years

@juliaisobela @BernieTranders Paramedic lacks the air of weird mystique.

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Tom Knowles

@Tom_the_Knowles

4 years

@MattHancock I'm sorry, this is ridiculous. There is absolutely not a single chance this has been recommended by SAGE, and it certainly hasn't been communicated effectively to clinicians. This is going to kill people. This is a failure of governance. There will be more death on your hands.

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Tom Knowles

@Tom_the_Knowles

2 years

@BernieTranders Gotta say, having professionally entered many toilets, womens toilets seem to have a bimodal distribution from decent to absolutely disgraceful, where mens are more generally grim to a similar extent. The worst I’ve seen have been womens. Will endorse men not washing hands though

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Tom Knowles

@Tom_the_Knowles

2 years

Delighted to say I’ve passed my final medical school exams. Barring some formalities (elective and assistantship) I’m done.

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Tom Knowles

@Tom_the_Knowles

2 years

@juliaisobela @BernieTranders No not pervy, it’s very professional. I said so before.

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Tom Knowles

@Tom_the_Knowles

2 years

To summarise last night’s thread: You won, Junior doctors. Enjoy the money, I hope it makes you happy. Dear lord, what a sad little life, Juniors. You ruined my night completely so you could have the money and I hope now you can spend it on lessons in grace and decorum.

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Tom Knowles

@Tom_the_Knowles

8 months

If you can’t respect young people, fuck off out of teaching. If you can’t respect patients, fuck off out of healthcare. If you can’t respect people generally, crawl back under your rock and disengage from society like a good little troglodyte.

Sky News

@SkyNews

8 months

Teacher sacked for 'refusing to use transgender student's chosen pronouns'

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Tom Knowles

@Tom_the_Knowles

3 years

Farewell placement hospital #1 , it’s been real. I will especially miss this specific sign.

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Tom Knowles

@Tom_the_Knowles

4 years

@MattHancock Please take a look at the @EveryDoctorUK petition raising our concerns around a second peak and sign if you agree <3

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Tom Knowles

@Tom_the_Knowles

4 years

@AbbySwe82208295 @sarah_turnnidge @AlanParkernyc Given that he died in 1791 I doubt they're feeling much of anything.

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Tom Knowles

@Tom_the_Knowles

1 year

Astonishing that I sat in my living room last nightwith my Jewish wife and Jewish child, pretty well alive to the realities of antisemitism and the use of tropes in its depiction, and managed to watch University Challenge without imagining that a fluffy octopus posed a threat.

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Tom Knowles

@Tom_the_Knowles

1 year

Absolutely delighted to be graduating medical school with honours. It’s particularly gratifying after scraping a pass in first year following an episode of serious illness, to be achieving distinctions in practical and theoretical domains.

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Tom Knowles

@Tom_the_Knowles

1 year

I’m increasingly convinced that not using local anaesthetic for an ABG is unjustifiable. I’ve now had more than one person absolutely refuse an ABG until gentle persuasion and LA discussion gets them to agree, who’ve then been quite angry about what they were put through before.

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Tom Knowles

@Tom_the_Knowles

2 years

@voteforhani You have to admire the attempt though

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Tom Knowles

@Tom_the_Knowles

1 year

@caffeinemedic I’m not sure I want this person just… in clinical practice

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Tom Knowles

@Tom_the_Knowles

2 years

Baby’s first act of solidarity #JuniorDoctorsStrike

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Tom Knowles

@Tom_the_Knowles

3 years

One of the F1s on this rotation is genuinely the most engaging, patient, responsive and humble teacher I think I've ever come across. An absolute champion - yes I'm going to reflect this in various feedback methods.

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Tom Knowles

@Tom_the_Knowles

2 years

At the risk of sounding like I’m plotting: Registrars (and consultants, SAS and anyone else appropriate). Do you ever get referrals so stunningly incoherent/inept you agree to see out of bafflement?

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Tom Knowles

@Tom_the_Knowles

9 months

It is in no way sinister. Empowering young people to have agency over their health while advocating parental engagement epitomises both ethical healthcare standards and the responsible handling of private data.

RefusenikCorrie

@RefusenikCorrie

10 months

My 12 year old son received this letter from our GP practice this morning. Is there anyone else out there who’s 12 year old received anything like this before their 13th birthday? I’m shocked. This is so sinister.

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Tom Knowles

@Tom_the_Knowles

1 year

@halomancer1 We give medication to cis men (and indeed women) all the time that induces lactation as an undesirable side effect - what on earth makes them think it’s not achievable deliberately with hormone therapies?

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Tom Knowles

@Tom_the_Knowles

4 years

@CRAIG_1664 @Channel4News @tomhfh You seen the video Craig? He was murdered. My mum's abuser was found not guilty, doesn't mean he wasn't an abuser.

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Tom Knowles

@Tom_the_Knowles

3 years

@matthew_sctt Consultant was a woman?

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Tom Knowles

@Tom_the_Knowles

3 years

The right amount of garlic is as much garlic as you have.

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Tom Knowles

@Tom_the_Knowles

2 months

I’ve seen a few people recommend to new FY1s fighting fire with fire in terms of rudeness and I can’t overstate what rubbish advice that is. Being assertive and refusing to be made a doormat does not equal matching the energy of someone being an arsehole.

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Tom Knowles

@Tom_the_Knowles

3 years

The Church of Lateral Day Saints

David Levin

@davidlevin123

3 years

My mate’s cousin, Matt, is quite laterally a genius. Praise be to his lateral flow church…

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Tom Knowles

@Tom_the_Knowles

3 years

Lots of people being very kind to those who didn’t achieve their desired UKPFO allocations, but I do think a lot of the commentary misses the point. While I’m not there yet, I have a home, roots in my local community and my wife is a specialty trainee in the region where we live.

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Tom Knowles

@Tom_the_Knowles

3 years

@HartlandJoseph You could be really quite camp with it. “Felicitations gentlefolk”

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Tom Knowles

@Tom_the_Knowles

2 years

@zackferguson Won the Nobel in 1903 and still a reg. that state of medical training in the U.K. smh.

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Tom Knowles

@Tom_the_Knowles

2 years

@juliaisobela He’s not even right 🥲

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Tom Knowles

@Tom_the_Knowles

3 years

Just met two young boys (and their very patient mother) in Sainsburys. They spotted I was buying cat food and wanted to talk about our mutual felines. I’m pleased to report that their cat is black and white, 2 1/2, and very nice - but you have to be gentle or he might scratch.

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Tom Knowles

@Tom_the_Knowles

2 years

@BigRedCircle2 @lyzl I'm pro abortion and I'm not sorry about it. You are too if everything you've said there is true, and I don't think it's helpful to be embarrassed about it.

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Tom Knowles

@Tom_the_Knowles

1 year

If you find injured or seriously unwell wild animals and you’re not comfortable humanely euthanising them (or you’re not sure how sick they are), take them to a wildlife rescue. Certainly don’t do CPR with rescue breaths on a wild animal.

jennifer plus 8

@jenniferTVTweet

1 year

Two nights ago I gave a wild baby rabbit CPR w breaths after I took it from my Petey (cat). Today, I’m being admitted to the hospital with signs of “bunny fever” (Tularemia). I’m on 8L oxygen, a cocktail of very expensive antibiotics, anti-diuretics. Need light & love, please!

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Tom Knowles

@Tom_the_Knowles

2 years

We’ve been burgled overnight, anyone in the Birmingham/Black Country please keep an eye out for a black Vauxhall Insignia VA14 DFE and contact police urgently if spotted

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Tom Knowles

@Tom_the_Knowles

3 years

I am pathologically incapable of making the right amount of rice.

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Tom Knowles

@Tom_the_Knowles

2 years

I am increasingly finding it unfathomably rude when people simply refuse to interact with people delivering teaching or workshops online. It makes the whole session tedious and difficult for the person presenting and IMO damages the quality of teaching.

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Tom Knowles

@Tom_the_Knowles

11 months

The medical hill I will die on is that “examining from the right” is a pointless anachronism.

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Tom Knowles

@Tom_the_Knowles

2 years

One and all, this is why the Human Tissue Act exists.

GrimReaper Barbie

@kukla_reaper

2 years

@kennedytcooper if you can't get the proper permissions, you could probably just ask your dad to buy corpses in the future :)

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Tom Knowles

@Tom_the_Knowles

3 years

RCUK ALS Instructor ✅ Completed it mate.

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Tom Knowles

@Tom_the_Knowles

2 years

Or, and hear me out here, we could plant some fucking trees.

Yup That Exists

@yupthtexists

2 years

Scientists create Liquid Trees; a tank full of water and micro-algae that could be an alternative to trees in urban areas.

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Tom Knowles

@Tom_the_Knowles

2 years

🧵🪡With the recent announcement of @TheBMA balloting junior doctors for IA, I thought I’d jot down my thoughts on the factors you might consider as a medical student when it comes to deciding whether to cross a picket on strike days. (Spoilers: don’t.)

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Tom Knowles

@Tom_the_Knowles

3 years

@freshblooddr “Like Beyoncé”.

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Tom Knowles

@Tom_the_Knowles

3 years

@MoonieMenace @Stryc9Fuego @Scrobby @alex_abads Shinigami eyes - a browser extension which has user-led flagging of usernames etc. as pro-trans (green) or phobic (red).

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Tom Knowles

@Tom_the_Knowles

2 years

@Dr_BellaR If you put it in a blender you get gender fluid broccoli.

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Tom Knowles

@Tom_the_Knowles

1 year

If you tell me you have an itchy arsehole I’ll believe you. I’m not sure it makes me a bad clinician to assume you’re not lying to me.

BBC News (UK)

@BBCNews

1 year

I don't have ADHD, but three private clinics say I do

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Tom Knowles

@Tom_the_Knowles

4 years

I posted yesterday about imprecise comms. 1) Stay at home if you feel like it 2) Go to work if your boss asks 3) Don't see *too* many other people 4) Stay apart unless you don't want to #StayAlert and take back control of the narrative. #BorisHasFailed to #protectNHSworkers

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Tom Knowles

@Tom_the_Knowles

2 years

If you’re using proper ANTT and have intact skin, gloves are redundant for vascular access.

AnonBlackNurse

@blackbritNurse

2 years

Unpopular opinion. NHS edition. Go.

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Tom Knowles

@Tom_the_Knowles

1 year

Baby’s and doggy’s first trip to the seaside. The people of Bournemouth seemed to most appreciate that he took it upon himself to sleep in the bottom of the pushchair to nap the walk back up the promenade away.

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Tom Knowles

@Tom_the_Knowles

4 years

@NWJK @AlanParkernyc @SkyNews Bronze is actually a good, eco-friendly material to use for underwater sculpture like Christ of the Abyss.

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Tom Knowles

@Tom_the_Knowles

2 years

Because you have all the grace of a reversing dump truck without any tyres on. So Junior doctors take your money and get off my ward.

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Tom Knowles

@Tom_the_Knowles

2 years

@speakoutsister I’ve personally supported the delivery of two children of devout Muslim women. This is yet another attempt to infantilise women under the guise of protecting their freedoms.

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Tom Knowles

@Tom_the_Knowles

2 years

@BettyJa08291909 @AllisonPearson Most universities ‘red flag’ people who demonstrate discriminatory behaviours for health programme selections. Is it possible she was rejected because she learned bigotry from her grandmother and conceals it as thinly?

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Tom Knowles

@Tom_the_Knowles

11 months

I had a medical student ask if there were any ABGs that needed doing, which at the time there weren’t, and then 45 mins later I couldn’t find her 😭 I am sorry eager med student. I have failed you.

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Tom Knowles

@Tom_the_Knowles

1 year

Picket hound

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Tom Knowles

@Tom_the_Knowles

2 years

@TwisterFilm @KatyMontgomerie Unless you’re trying to argue that any outward expression of feminity is sexualised by default, that’s your mind at work Malcolm. Looking at that picture in isolation I saw a neutral image of a boy child and girl child. That’s literally what gender expression is.

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Tom Knowles

@Tom_the_Knowles

2 years

Turns out she had realised. Child numero uno en route for the Knowles-Brill household.

Katie Brill

@brillfish

2 years

Cletus the fetus is 15 weeks and I guess FB launch was only half a job

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Tom Knowles

@Tom_the_Knowles

1 year

Just admit you want an excuse to attack a visibly Muslim woman you fucking freaks, because that’s what it is.

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Tom Knowles

@Tom_the_Knowles

2 years

I personally think Twitter is the perfect platform for nuanced discussion.

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Tom Knowles

@Tom_the_Knowles

1 year

@Chican3ry Christ, imagine Dan Wooton thinking you’re being too reactionary

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Tom Knowles

@Tom_the_Knowles

1 year

@timricketts_ Bold of you to assume she’d have the wherewithal to notice somebody was sick.

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Tom Knowles

@Tom_the_Knowles

7 months

FWIW I really strongly disapprove of this notion of using your credentials from one role which can prescribe while acting in another which can’t - it’s a subversion of the intent of the regulations and of Parliament

Keith Siau

@drkeithsiau

7 months

@ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote As the training lead for @RCHTWeCare , and having signed off this PA, let me respond. Non medical endoscopists provide a significant and important contribution to endoscopy procedures in the UK whether we like it or not. They all have to go through a robust certification process

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Tom Knowles

@Tom_the_Knowles

6 months

I’m an FY1 making £15.58ph and I just had to pay a plumber… absolutely nothing, because developing self sufficiency in basic household maintenance is an excellent cost saving strategy if you’re a homeowner. #TomsTopTips

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Tom Knowles

@Tom_the_Knowles

1 year

It adds basically no time. There are few circumstances where ABG > VBG where you genuinely have no time for LA where they’re not unresponsive. While I’m on it, why is topical cream not used more routinely in adults? Why are we making people suffer?

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Tom Knowles

@Tom_the_Knowles

5 months

His uniform literally says “student physician associate” on it in highly contrasting capital letters. The thread is full of people who need to get a fucking grip.

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Tom Knowles

@Tom_the_Knowles

3 years

@lifeoftazza Insist upon emergency payroll - you have worked and are entitled to be paid regardless of their error. Be explicit that will pursue any costs you incur (overdrafts, necessary loan interest, non-payment penalties etc) as a result of non-payment.

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Tom Knowles

@Tom_the_Knowles

3 years

Phew, passed 🥳

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Tom Knowles

@Tom_the_Knowles

3 years

BUT LOOK AT HOW POLITE ITS LITTLE PAWS ARE!

Rachel Mars

@rachelofmars

3 years

My partner has spent the pandemic becoming some kind of fucking doctor doolittle and now look at the bullshit I have to put up with at the kitchen window

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Tom Knowles

@Tom_the_Knowles

4 years

@CRAIG_1664 @Channel4News @tomhfh Well actually he was tried summarily by a district judge, but well done you for identifying the flaw in your own argument.

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Tom Knowles

@Tom_the_Knowles

2 years

Major takeaway from the first week of baby - this would be fucking dogshit alone.

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Tom Knowles

@Tom_the_Knowles

3 years

It would have a knock on effect on my entry to training, my wife’s ongoing training, our housing security and our relationship. At the *very* least an allocation somewhere I didn’t want can be planned for. A late allocation would make everything much harder.

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Tom Knowles

@Tom_the_Knowles

2 years

@Xe4f145d16s2 My Paramedic Science degree says St George’s Medical School too. Shockingly I’ve never heard the identical claim from my professional peers.

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Tom Knowles

@Tom_the_Knowles

3 years

@Jenny_Pewsey Have they tried not writing shitty emails? Here ends my root cause analysis.

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Tom Knowles

@Tom_the_Knowles

2 years

It was the fuck around of times, it was the find out of times.

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Tom Knowles

@Tom_the_Knowles

2 years

Oh, btw, as of today I'm formally a final year medical student. Thank fuck for that.

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Tom Knowles

@Tom_the_Knowles

3 years

@scaryclery123 @ParisahHussain Do you always interpret things in the worst possible faith?

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Tom Knowles

@Tom_the_Knowles

1 year

@DrMichaelSagner @DHidlayVIR @MedCrisis @dieworkwear In what world does enforcing an arbitrary standard of how scrubs are worn directly reflect patient care.

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Tom Knowles

@Tom_the_Knowles

3 years

I’m old enough to remember when the Guardian censored the Judith Butler interview in which they correctly identified that Trans exclusionary reactionaries are not meaningful allies in the fight against racism.

Steph Paton

@stephenpaton134

3 years

Not content to just have fascist enabler Andy Ngo at their conference, the LGB Alliance have moved on to actively praising his work...

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Tom Knowles

@Tom_the_Knowles

3 years

First birthday surprise has arrived. I wonder what it could be 🙃

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Tom Knowles

@Tom_the_Knowles

2 years

What would be the worst possible replacement for ‘junior doctor’? I vote ‘early years’.

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Tom Knowles

@Tom_the_Knowles

4 years

@KLAnon888 @ddknyt This but unironically.

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Tom Knowles

@Tom_the_Knowles

1 year

I think if today has taught me anything, it’s that my level of patience is as nothing compared to the forbearance @Dr_BellaR has shown in not calling every third person that’s responded to her a mewling little turd.

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Tom Knowles

@Tom_the_Knowles

1 year

@Luiseach They have been explicitly biphobic on multiple occasions, in fact.

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Tom Knowles

@Tom_the_Knowles

2 years

On the eve of the strike ballot, a shout out to @Dr_R_Acres , whose work for the 2022 AGM laid very substantial groundwork and built momentum for the FPR movement that got the BMA to this point. She wasn't the only person, but she is someone who deserves a great deal of credit.

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Tom Knowles

@Tom_the_Knowles

2 years

@andrewmeyerson People who aren't nominated union reps stop speaking on IA challenge!

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Tom Knowles

@Tom_the_Knowles

11 months

I take the resus trolley on ward rounds because you never know how sick everyone is until the end.

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Tom Knowles

@Tom_the_Knowles

2 years

Lol, had to pay to get my stolen NHS ID replaced. Love that for me.

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Tom Knowles

@Tom_the_Knowles

2 years

@KatyMontgomerie TIL neo-Nazis are *checks notes* bad vibes.

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Tom Knowles

@Tom_the_Knowles

2 years

@J34JEAN @drphiliplee1 Act 2: in which Jean fails to comprehend the meaning of words.

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Tom Knowles

@Tom_the_Knowles

3 years

All those on the reserve list having jobs in the end means less than nothing to me - I can work in my prior profession if I need to - but an allocation somewhere random at short notice would potentially be untenable and at minimum be fundamentally disruptive.

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Tom Knowles

@Tom_the_Knowles

5 months

@Luiseach Has she tried being, y’know, less objectionable?

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Tom Knowles

@Tom_the_Knowles

10 months

Top tip: when practicing medicine try not to be a bastard for no good reason.

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Tom Knowles

@Tom_the_Knowles

1 year

I’m at a loss as to why we seem to be losing focus on FPR when if you sacked all PAs tomorrow (not that you should) it wouldn’t fix really any of the problems with rotational training. I’d like my money please, first and foremost.

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Tom Knowles

@Tom_the_Knowles

3 years

There is no place in regulatory proceedings for violent abuse conducted as an adult, much less as a trusted healthcare professional to be excused. This is not a man whose presence should be welcomed. Sanction short of erasure is absurd @gmcuk @the_mpts

Doctor climbed through colleague's window and shoved her against a wall

A tribunal heard that he persistently harassed the doctor for two years

www.walesonline.co.uk

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Tom Knowles

@Tom_the_Knowles

4 years

@lulabel06146178 @AyoCaesar Enjoying the summer?

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Tom Knowles

@Tom_the_Knowles

2 years

A friend has recently taken to writing for the Daily Mail. I have to disown them don’t I?

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Tom Knowles

@Tom_the_Knowles

1 year

@AntAdefolaju The nurse in charge is neither your boss nor a person to whom routine acquiescence is expected. They’re a colleague who should know better.

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Tom Knowles

@Tom_the_Knowles

3 years

Following recent observations from @abi_carey , I do find it interesting how readily people leap to the ‘medical student’ in my bio while skipping over ‘Paramedic’ when attempting to suggest I lack understanding, experience or perspective in healthcare.

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Tom Knowles

@Tom_the_Knowles

1 year

I’m really, really enjoying FY1 so far and it’s absolutely partly to do with how excellently supportive my department is. It’s genuinely been pretty top notch on their end.

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Tom Knowles

@Tom_the_Knowles

3 years

@David_T_Evans @ParisahHussain I'm struggling to identify how this could possibly be a more patronising response.

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