Tom O'Hare @Urodoc46 Twitter profile

Last Seen Profiles

@TannerFlood

@mohmmaed2S

@dailysasusaku

@C2Deborah

@DevidMaced

@tshalabyy

@snake_snacc_cos

@DerBlauling

@KobresTchele

@kyliejords

@Image6996

@6wQC4HBl1f19712

@Nxnn_swg69

@Ava96478477

@kreem7711

@taleequaleshow

@LegalPornoFan

@6wQC4HBl1f19712

@GreenProductio7

@meat_tofu

@niralfasa1

@RuthMollucas

@GeminiSquid

@Ruma3jQ

@XK666999

@DerekVanDiest

@soobihaes

@jmylah40656

@haermkeke

@klrawww_

@best_hottwife

@cleanse29

@S_Moustafa74

@ya71742

@cyb3rk1tty2003

@stwmaniax

Tom O'Hare

@Urodoc46

2 years

@SkyNews So..... what's he's saying is that WE shouldn't criticise people doing bad things NOW because other people did bad stuff 100s of years ago that WE had nothing to do with and can do nothing about. 🤔

41

1

158

Tom O'Hare

@Urodoc46

2 years

@Esqueer_ Well would you look at that! Twitters still here! I thought you said it "wouldn't last the weekend" 😂😂😂

1

0

90

Tom O'Hare

@Urodoc46

8 months

@Megsenmumdr I'm just imagining all the different foods queueing up, trying to get into the library; the crisps, the salads, the ham and cheese sandwiches. Then the big burly bouncer says to the Samosas and Pakoras "Oi!!! We don't want you lot round here!" 😂😂😂

5

2

42

Tom O'Hare

@Urodoc46

2 years

Fellow of the Royal College of Surgeons in Ireland!

4

0

44

Tom O'Hare

@Urodoc46

2 years

@epaez11 @ThePunnyWorld What do they do to chemists when they die? They barium....

2

4

37

Tom O'Hare

@Urodoc46

4 months

@urologicalsurg Absolutely none. I killed myself trying to get on console at ST4 (came in at weekends and days off post oncall to bedside assist, did the online courses) and I still never got a sniff. Complete lack of interest from "trainers"

0

40

Tom O'Hare

@Urodoc46

4 months

@josettecaruso @visegrad24 I'm sorry but this is all on Biden. His uncoordinated pulled out of Afghanistan abandoned them to this fate. Disgraceful

5

39

Tom O'Hare

@Urodoc46

3 months

@MemeRegOnCall Also know what the patient would want, which is often overlooked in guidelines/protocol driven medicine

1

0

36

Tom O'Hare

@Urodoc46

2 months

@KeepGoinEoin So much of this is just about control and often "putting doctors in their place"

2

0

35

Tom O'Hare

@Urodoc46

2 years

@ClipboardUK Yeah exactly. If it's "so obvious" why do an ECG and wait for the trops?

1

0

31

Tom O'Hare

@Urodoc46

1 year

@DeanEggitt How would you describe patients who when asked about their symptoms launch into a story about the neighbours dog? Garrulous? Circumlocutary?

2

1

30

Tom O'Hare

@Urodoc46

2 years

@jimrosecircus1

1

2

29

Tom O'Hare

@Urodoc46

2 years

@RoshanaMN @gmcuk I would guess the morbidity is 100%

0

23

Tom O'Hare

@Urodoc46

4 months

@mitochondrihan4 The worst thing about this is that if show even the slightest bit of interest in teaching (especially with surgical procedures) it can mean the world to 99.9% of students. These experiences can either make someone want to do a speciality or put them off for life

0

1

23

Tom O'Hare

@Urodoc46

4 months

@cjsnowdon Imagine if the NHS gets fully privatised and they'll all be making £300k and charging £65 an appointment 😂

2

0

21

Tom O'Hare

@Urodoc46

1 year

@Fatima13120130 I think the PA s system will ultimately cost trusts far more because tye decision making and risk tolerance won't be there. Non-diagnostic tests, repeat investigations, unnecessary followup. They should primarily be ward work and hospital at night IMO

0

22

Tom O'Hare

@Urodoc46

1 year

@DrAllyCat I don't understand. Surely by "single-sex wards" they're referring to obs gynae wards?

0

1

20

Tom O'Hare

@Urodoc46

7 months

@RevBluesSusie As an Irish man I hate when people (who usually know little of either conflict) try to fudge the two in order to have a go at Israel. They're totally different conflicts. Apples and oranges

1

0

20

Tom O'Hare

@Urodoc46

6 months

@HealthRegLawyer It'll be interesting to see who gets "blamed" for this one, I'm guessing the GP. Because it's much easier (and profitable for negligence lawyers £££) to blame an individual than a dysfunctional system

1

0

19

Tom O'Hare

@Urodoc46

2 years

@0_Onir @icmteaching @JonBedford @Wilkinsonjonny @avkwong @iceman_ex @IM_Crit_ @msiuba @ICUltrasonica You've got about 6 diagnoses there mate 🤣🤣🤣. Are you sure you're not an undercover radiologist? 🤣🤣🤣

3

0

19

Tom O'Hare

@Urodoc46

7 months

@BiochemistDan I've never heard of a clinical biochemist being sent to prison because a patient has died

0

1

16

Tom O'Hare

@Urodoc46

4 months

@rbarbosa91 Another good way to understand French is that it's the outer CIRCUMFERENCE of a tube; I.e. a 22Ch 3 way catheter is 22mm in circumference. But it can be misleading; an 18Ch 2 way has the same INNER circumference as a 22Ch 3 way, I.e. same drainage

2

0

17

Tom O'Hare

@Urodoc46

2 years

@SheHulk Surely this page isn't officially affliated with Disney is it?

2

0

15

Tom O'Hare

@Urodoc46

2 years

@AirlockOpen Controversial option here but I think Sisko was a better character than Picard. Picard got to always take the moral high ground whereas Sisko had to make the dirty, difficult choices and live with the consequences. He had more depth to his character

10

0

16

Tom O'Hare

@Urodoc46

4 months

@MotherMRuss @nmcnews @wesstreeting @AmandaPritchard How has this happened? What were the grounds for your dismissal?

1

0

15

Tom O'Hare

@Urodoc46

2 years

@WanjiruNjoya The fact you could watch slave auctions in Syria on YouTube in 2015 shows the problem hasn't gone away and it's not limited to any one particular place or time

1

0

16

Tom O'Hare

@Urodoc46

2 years

@HillelNeuer @UN_HRC The UNHRC is so dirty it's unbelievable. Its one of these things I wish I never knew. Didn't Assad's Syria basically buy its way onto the council?

0

4

15

Tom O'Hare

@Urodoc46

1 year

@Tom_Marcelissen Ellick evacuator, standard urology kit. And IMO the glass ones are much better than the plastic ones. Would be interesting to look at Full environmental impact (not just CO2) of sterilising glass ones versus deposible plastic

1

0

15

Tom O'Hare

@Urodoc46

1 year

@nhannahjones Standard chokehold in Judo/Jiu-jitsu is the Rear Naked Choke/Hadaka-jime. Loss of consciousness in <10 seconds. There is NO REASON to hold a choke like that >1 minute, no reason at all, even in a self defense situation.

0

15

Tom O'Hare

@Urodoc46

2 years

@techpriest The rates the BMA are suggesting are VERY reasonable all things considered. In other countries or even other industries in the UK the hourly rate the BMA are asking for would be laughed at. I know electricians that charge more per hour than the BMA are asking for surgeons

0

13

Tom O'Hare

@Urodoc46

2 years

Great day yesterday teaching on the Joint @NCLSurgSoc and @BSoT_UK Urology skills day at @NewcastleMedSch . Fantastic to see such enthusiasm amongst the next generation of Urology trainees, catch up with some of the old gang! @AnkurMuk @HMorton86 @AnthonyE247

0

14

Tom O'Hare

@Urodoc46

1 year

@bykatewomersley I suspect this is someone VERY junior who doesn't have the life experience, professional experience, insight, or empathy to really understand what they are doing or why.

0

13

Tom O'Hare

@Urodoc46

2 years

@jordanbpeterson @timand2037 The political spectrum isn't a line; its a circle. You go far enough left you'll end up in the same place as someone who's gone far enough right (Thomas Shelby)

2

1

12

Tom O'Hare

@Urodoc46

1 year

@rosieICM He's allowed to have an opinion, even if it's not popular or doesn't match yours

2

1

11

Tom O'Hare

@Urodoc46

6 months

@chriscraigCCC I hate the fact that sexy new drugs and treatments get all the limelight, when if only we did the BASICS of healthcare right, every time, for every patient, outcomes would be so much better

0

1

13

Tom O'Hare

@Urodoc46

2 years

@WelshGasDoc Surely the GMC could just issue the doctor with a caution?

1

0

12

Tom O'Hare

@Urodoc46

3 months

@mmazechaz @OliLondonTV "Ride the Jesus board". Epic. I feel like Jesus would've liked surfing.....

0

12

Tom O'Hare

@Urodoc46

2 years

@StarTrek None, its been appallingly weak. I'm a lifelong Trekkie and I stopped watching after episode 4

0

10

Tom O'Hare

@Urodoc46

1 year

@AnahitaS A lot of hospital accom is a scandal. What's worse is most are run by private companies and use hospital infrastructure (water, power, WiFi) all at taxpayers expense while they make huge profits for substandard accom. They've got a captive market

0

2

12

Tom O'Hare

@Urodoc46

2 years

@ahmedhankir

0

11

Tom O'Hare

@Urodoc46

2 years

@DouglasKMurray @nypost What a horrible thing to do to those poor people. All just to score some political points with republican voters. There are much more humane ways to make the point

17

0

9

Tom O'Hare

@Urodoc46

2 years

@RCPhysicians @DrSarahClarke @DrSarahClarke needs to retract her statement, it's far beyond the remit of the RCP to direct its members on industrial action. If the RCP really want to support it's members maybe they ll waive fees, that may well help with the financial strain

0

11

Tom O'Hare

@Urodoc46

2 years

@Disgruntled_SHO Sadly medicine in general (and surgery in particular) still a rich person's profession. Very good paper by @BrennanSurgeon recently that showed positive impact of fee paying education (I.e. Wealthier upbringing) on MRCS performance

1

11

Tom O'Hare

@Urodoc46

2 years

@AlexNevard Sorry mate, you've got this one totally wrong, senior (or more senior) review is often far more valuable than "getting a scan". IMO likelihood of scan being requested is inversely proportionate to seniority of medic involved

1

0

11

Tom O'Hare

@Urodoc46

2 years

@svig2 @ShafiAhmed5 @ASiTofficial @OrthopodReg @RoshanaMN I can only speak for surgical specialties but I think 4 years as F/CT 1-4 is FAR too long. I am virtually certain I learnt more in my first 6 months as a Reg than all my core training (did do core in Ireland mind!).

1

2

11

Tom O'Hare

@Urodoc46

4 months

@chriscraigCCC I think basic history taking and clinical examination is a massively underrated and its so difficult to teach and learn (hence medical school). To be honest you can see the difference between nurse versus doctor referrals even.

3

1

10

Tom O'Hare

@Urodoc46

2 years

@AinsleyKRichard Yeah these comparisons are really not helpful. There's a lot more to it than just raw salary. Not that docs in the UK aren't unpaid but we shouldn't be having a go at each other because of it.

0

9

Tom O'Hare

@Urodoc46

5 months

@rbarbosa91 It's astonishing (to me, not a general surgeon) that they're doing lap choles, why not inguinal hernias? Surely more teachable with less risk. A CBD injury is a life changing complication

6

1

10

Tom O'Hare

@Urodoc46

3 months

@peter__duffy @gmcuk @UHMBT @WB_UK @CatSmithMP @timfarron Peter, you may not remember me, I worked in Arrowe Park and we shared an MDT. You always struck me as a competent, capable and compassionate physician. A real loss for patients this one, IoM will be worse off without you

3

1

9

Tom O'Hare

@Urodoc46

3 months

@jeanettington I've only watched about 3 episodes (because it's rubbish) but I was also surprised they never seem to do any clinics. Like ever

0

10

Tom O'Hare

@Urodoc46

2 years

@Plyons251 Have a chat with one of your regs see if they could bend the ear of directorate lead or CD. There's plenty of the older consultants will remember a time when "house officers" were treated with a modicum of respect (remember the tea ladies?) and will be sympathetic.

1

0

9

Tom O'Hare

@Urodoc46

3 months

@DrJSherrington I was waiting for someone to bring this up. Key difference is that most (not all) have a solid evidence base/rationale for use in adult populations. You can't say that for puberty blockers

2

0

8

Tom O'Hare

@Urodoc46

2 years

@MRIman_9 I think even 30 seconds of chat ("hows your shift going/have you got long left" etc.) Helps loads with referrals. Builds rapport, humanises the person at the other end of the phone and ultimately helps the patient!

0

9

Tom O'Hare

@Urodoc46

2 years

@mikejkemp @RCPhysicians @DrSarahClarke If that's true its outrageous and she should step down. That'll intimidate more junior members of the college

1

0

8

Tom O'Hare

@Urodoc46

2 years

@DrGoblin3 Nope. They've also got a powerful PR machine; wait until the papers start coming out with stories like "Greedy docs lead to vital life-saving operations being cancelled"

4

0

9

Tom O'Hare

@Urodoc46

2 years

@WanjiruNjoya I'm currently reading "The Slave Trade" by Hugh Thomas; very hard going but a real eye-opener. I also don't think it's a book that would get published in the current political climate. They wouldn't touch it with a bargepole

2

0

8

Tom O'Hare

@Urodoc46

7 months

@DrHelenWall That'd be a hard discharge for me chief. I think the NHS should actually enforce its "zero tolerance policy to abusive behaviour". We put up with this stuff far too often

0

9

Tom O'Hare

@Urodoc46

2 years

@thegradmedic Not appropriate at all for an F1 to have that discussion, you stall them. The damage that can be done by incorrect information/unrealistic expectations can be VERY hard to undo or climb back from

1

0

9

Tom O'Hare

@Urodoc46

2 years

@thegradmedic To honest most of the difficult half hour plus family chats I had to have have been to undo incorrect/unrealistic info given to patients or families. It's very difficult though

1

0

8

Tom O'Hare

@Urodoc46

2 months

@Mohamedendourol @drkemalsarica @KariTikkinen @StefaniaFerret @simon_p_kim @TFL_URO_APIS @endouro @DrVCMohan @DrShariat @GuidoGiusti @OTRAXER @Endo_Sec_Eua @endouroacademy @BAUSendourology @Endo_Society @EndoLuminalEndo @Urologeman @SIU_urology @young_endosoc @eauesut @BladderCancerUS That's not too bad, catheter for a few days it'll heal. Just make sure the resident doesn't give mitomycin!

0

8

Tom O'Hare

@Urodoc46

4 months

@JackieHammerton @san____ To be honest Jackie I don't want to offend you but I think that attitude is one of the reasons (a big one) why the NHS is close to collapse at the minute. The "One Team" mentality weaponised and used to belittle Doctors. Hierarchies (of competence) exist for good reason.

1

8

Tom O'Hare

@Urodoc46

2 years

@Esqueer_

0

1

8

Tom O'Hare

@Urodoc46

5 months

@cpeedell Imagine how much he's getting paid to attend

1

0

8

Tom O'Hare

@Urodoc46

4 months

@MemeRegOnCall You can't do two jobs simultaneously, someone should be "acting down" and someone else should covering the other bleep. You're leaving yourself wide open medicolegally

1

0

8

Tom O'Hare

@Urodoc46

2 years

@MStott88 @docrobberts This. Men can get called aggressive, even if they're just using curt, directive language. I've also seen a surgeon datix'ed for asking for quiet in a theatre when he was doing a difficult procedure. Surgeons always get a bad rap for this stuff

3

1

8

Tom O'Hare

@Urodoc46

2 years

@DrBenLovell Lots of mature ways to do it. Personally I think people with kids get first refusal. After that, draw straws

40

0

8

Tom O'Hare

@Urodoc46

3 months

@ishsulin I quite miss the "teaching ward round" (probably showing my age now) when the professor/Senior consultant would do a round with the juniors and med students and focus on basic points of clinical examination and history taking

1

0

7

Tom O'Hare

@Urodoc46

2 years

@RKanaesthetics I've worked with many fantastic managers in my time BUT I do think there is an issue with accountability; they have HUGE impact on what, when and how services are delivered. The "targets culture" can also be very toxic

0

1

8

Tom O'Hare

@Urodoc46

4 months

@urcervix_ This is pretty cringe, especially coming from a (I'm guessing fairly junior) resident

0

8

Tom O'Hare

@Urodoc46

2 years

@DrRJWebb @SarnasKadir @docrobberts There's a balance to be stuck. In complex environments clarity and directness are key but equally people should be able to raise concerns. But we're not robots; we get tired, stressed, upset, frustrated. That part gets forgotten too often, very good doctors get pulled under

0

1

7

Tom O'Hare

@Urodoc46

2 years

@RCSnews @RACSurgeons @scarlettmcnally Any takers for first names?

4

0

7

Tom O'Hare

@Urodoc46

2 years

@DrLKVaughan These type of rulings are dangerous to the public. As many others have pointed out they encourage ultra-defensive practice and will ultimately drive doctors out of the NHS at a time when we can afford neither

0

7

Tom O'Hare

@Urodoc46

2 years

@RoshanaMN @uhbtrust Oh my word. It'll never bring her back but one would hope this might trigger a culture shift at the QE. But it would have to come from the top

1

2

7

Tom O'Hare

@Urodoc46

7 months

@TJGrundy Its the usual stuff; lower the rates, shift goes unfilled, saves the trust money. They've learnt nothing from the Bawa Garba case

0

1

6

Tom O'Hare

@Urodoc46

2 years

@rbarbosa91 I am LOVING these threads. Bravo @rbarbosa91

1

0

6

Tom O'Hare

@Urodoc46

2 years

@jordanbpeterson Yep. The amount of antisemitism flying around at the moment is appalling; especially by the "good guys" (leftists/marxists/anti-capitalists/etc.).

1

5

Tom O'Hare

@Urodoc46

2 years

@jasaunders90 Yeah I'm not liking all the negativity towards PAs, I've seen it work really well BUT it has to ancillary to and not a substitution of doctors. If people think PAs are taking away educational opportunities from trainees then that's an issue for your TPD

0

7

Tom O'Hare

@Urodoc46

7 months

@Niamh_F_Kielb @gmcuk Disgraceful. There's too anon accounts claiming to be doctors and weighing in on medical issues. I don't trust anyone commenting from anon or semi-anon accounts

0

7

Tom O'Hare

@Urodoc46

5 months

@bykatewomersley A lot of people (more than you might realise) feel deeply uncomfortable by prominent symbols like this. The venomous response from medtwitter shows that NOT EVERYONE is safe. I don't agree with the decision but I do understand it

1

7

Tom O'Hare

@Urodoc46

2 years

@G__Halliday Just another one to throw on the pile of failures by the @BMA_JuniorDocs to protect Junior Doctors from exploitation

0

7

Tom O'Hare

@Urodoc46

2 years

@Parody_RCGP Pretty tough alright. Not a job I think I could do. Well aware that "simple" stuff for us (urology) to sort (catheter, TWOCs, bloods etc.) can be a logistical nightmare for GPs

0

7

Tom O'Hare

@Urodoc46

2 years

@GoldingGirl617 @IQonikK @abbyvesoulis @GoldingGirl617 absolutely bang on the money. He's afraid to fail and be embarrassed; he'd rather live the fantasy. 2 great pieces of advice I got were 1) don't be afraid to fail and 2) learn to "fail well"

0

7

Tom O'Hare

@Urodoc46

7 months

@Saramac7 It's just one more of those little indignities we are made suffer working for the NHS. And people wonder why doctors are striking

0

4

Tom O'Hare

@Urodoc46

2 months

Regardless of where you are on the political spectrum, I think we can all agree this is the best video to come out of the recent events

🇵🇸🇸🇩🦊الهودي

@Al_Hawdi1991

2 months

10. Not sure this is what is meant when they say 'bricked up' Credit to @SouthFaceStand @Xjib

90

555

6K

0

1

7

Tom O'Hare

@Urodoc46

2 years

@rachudleigh @issypips Unfortunately they're not optional for lot of us and almost always has to be done in your own time

0

6

Tom O'Hare

@Urodoc46

2 years

@niteshkuro @UroResidency @docmeetings @Uroweb @so_uro @SIU_urology @CheatUrology @Endo_Society @Talking_Urology Why would you want to? Turn one operation into two operations? I doubt its more efficient than standard resection.

1

0

6

Tom O'Hare

@Urodoc46

7 months

@hlnewey Hannah; I remember having similar feelings at end of my medical degree. The NHS is on a bit of a low at the minute but things will get better. And for everything that's wrong with it there's a lot of positive. Keep the faith

1

0

6

Tom O'Hare

@Urodoc46

1 month

@pwhitakerwriter I'm more worried about his conflicts of interest than anything else

1

0

6

Tom O'Hare

@Urodoc46

2 years

When people like Andrew Tate are popular; it really makes me think we need better male role models.

2

0

6

Tom O'Hare

@Urodoc46

2 years

@mjv__1 Don't worry, no one reads it. It's just a tick box exercise. It's basically getting the trainees to fill in lots of forms and calling it training. And making them pay for the privilege

0

6

Tom O'Hare

@Urodoc46

2 months

@hlnewey You'll be fine kid. Just keep paddling

0

6

Tom O'Hare

@Urodoc46

9 months

@jjfitzgeraldMD Couldn't agree more. I get frequent referrals for post menopausals UTIs and topical oestrogen hasn't even been mentioned. In some cases these women have been suffering for years.

1

0

6

Tom O'Hare

@Urodoc46

5 months

@ShaunLintern @NHSBartsHealth Really tragic case here. I think the most concerning feature here is the failure to identify the case as an SUI, decision to sedate rather than GA is complex, and doesn't take into account "boots on the ground" reality of what was going on in the unit in real time

0

1

5

Tom O'Hare

@Urodoc46

4 months

@E_Vargas_MP @cjsnowdon "I as a lawyer in real life", posting from a fake account. Hmmmm........

0

5

Tom O'Hare

@Urodoc46

2 years

@sefkhet @DrBenLovell @sefkhet that's fine, of course it doesn't always work, but I wouldn't want to deprive a 5 year old of having their Mum or Dad at home for Christmas. Has to be negotiated of course but we are all (mostly) mature professionals

6

0

6

Tom O'Hare

@Urodoc46

2 years

@IDdocAdi WR O'Hare Obs stable Nil acute change Plan: Cont same

2

0

4

Tom O'Hare

@Urodoc46

2 years

@MajorMonogram8 @Disney So it's basically a troll account right?

2

0

5

Tom O'Hare

@Urodoc46

1 year

@CianOConcubhair That's entirely inaccurate and you know it is. The IRA have never been a branch of the government or defence forces acting at the behest of the Irish government.

2

5

Tom O'Hare

@Urodoc46

2 months

@doctordolla4 Too much unstructured/patchy training at Foundation and core levels. No reason why SHOs shouldn't be competent with appendix, hernias and starting laparotomies by CT2. But too much "service provision" or in other words transfer of work from ED to specialties

3

0

5

Tom O'Hare

@Urodoc46

4 months

@rosieICM Please don't give him any more airtime. Please

0

5