Andrew @andrewpunton Twitter profile

Last Seen Profiles

@kkpapua1

@stw_pdg

@DilZanten

@emmaroutledge

@fooksNFT

@yuto_s0805

@bob_burrough

@0xseasonal

@AntonyWelfare

@manish_sindwani

@caplannfl

@BDolniak

@RaulVillares

@utktun

@GenshinAnything

@galery_basah10

@trophy__cup

@UrsBolt

@naakeuuu_

@HLHallEducation

@magnus6996802

@UsforThemUK

@gym_manic

@jarrgraphic666

@marina153058

@UnaKikagada

@gracemouat

@TijaeSmith

@radicalsnake_

@flappywriter

@DarkHorseComics

@taki_kanose

@demogorgoon

@Xscape_Game

@Papuaviral1

@BBCMOTD

Andrew

@andrewpunton

4 years

Feeling increasingly uncomfortable at working with COVID patients with just a surgical face mask. I really think we should be FFP3 for all confirmed/suspected COVID.

90

183

2K

Andrew

@andrewpunton

4 years

Me when I'm listening to the patient I've clerked tell my consultant a completely different story to the one they told me

14

110

1K

Andrew

@andrewpunton

3 years

Last week at induction discovered one of the new FY1s wasn't there because she's at THE BLOODY OLYMPICS. Now in the final!

26

21

1K

Andrew

@andrewpunton

7 months

Another cracking mnemonic from NHS GGC - the 6 Rs. I swear they just make these ridiculous things up for a laugh

78

37

862

Andrew

@andrewpunton

4 years

Just accidentally closed without saving the discharge letter I've been writing for the 5 month admission who I've met for the first time today. I could cry.

37

12

666

Andrew

@andrewpunton

6 years

I'm not sure saying "I was meeting with Trump, Corbyn was protesting against him" is a particularly good line for May. He is wildly unpopular in the UK. #PMQs

19

150

596

Andrew

@andrewpunton

8 years

@twlldun I think this is the best bit

5

233

568

Andrew

@andrewpunton

3 years

There's something awful about dreading going into work because of someone you're going to have to work with.

37

26

574

Andrew

@andrewpunton

6 years

Today a nurse told us we weren't allowed our coffees from Starbucks because of "infection control". Funnily enough the same rules don't apply to the chocolates brought in by a patient sitting right next to them. About 99% of "infection control" issues are bullshit.

52

62

477

Andrew

@andrewpunton

5 years

We called it "dogging it" in Falkirk. This caused much alarm to an English music teacher when she was told an absent student was away dogging it.

Ross McCafferty

@RossMcCaff

5 years

#climatestrike has me wondering - what do people from your area call skipping school? Bet there's huge regional differences.

1K

44

404

18

25

464

Andrew

@andrewpunton

4 years

Microbiologist today: "Hi Andrew, I've got a positive blood culture for you. It's a gram negative bacillus. Remember those?"

6

26

469

Andrew

@andrewpunton

3 years

Slightly embarrassing to be woken by the consultant phoning asking where you are, and realise you didn't set your alarm last night

30

7

451

Andrew

@andrewpunton

2 years

@farrell_katrina @EmergencyBod Completely agree. And did you see how people in the crowds shunned Meghan and refused to shake her hand? Disgusting racism.

27

8

414

Andrew

@andrewpunton

4 years

I mean, this is absolutely me trying to tell the nurses what I've prescribed

14

45

425

Andrew

@andrewpunton

4 years

I will never not be tempted by the MRI quench button...

44

12

406

Andrew

@andrewpunton

3 years

First proper day in ICU. Walk into the coffee room at lunch. The anaesthetists are discussing running and VO2 max. Of course they are.

18

5

374

Andrew

@andrewpunton

1 month

@Beska My main takeaway from all this fish posting is that I'm a big fan of your interior design. Excellent taste.

2

3

376

Andrew

@andrewpunton

4 years

The fact I have to tick a box to confirm that an actual 4 HOUR OLD BABY is a non-smoker before I can request a chest x-ray makes me irrationally annoyed. It's only just been born, I think it's unlikely it's puffing away on 20 a day quite yet.

20

16

358

Andrew

@andrewpunton

4 years

Can we all just agree to keep on wearing scrubs after all of this is over?

19

352

Andrew

@andrewpunton

3 years

Perhaps controversial take, but staff were redeployed to ICU in previous waves. If things continue as they are, with minimal ICU pressure and massive pressure on wards, do we need to consider redeploying staff from theatres/ICU to the wards?

35

16

347

Andrew

@andrewpunton

7 months

I might create the "10 Ms of pancreatitis" Maybe it's gallstones Maybe it's alcohol Maybe it's scorpions Etc etc etc

4

2

328

Andrew

@andrewpunton

6 months

Best. Work. Email. Ever.

18

23

327

Andrew

@andrewpunton

3 months

Ah yes, the successful intubation with no upper teeth left, the tube down the right main bronchus, and the bougie rammed in perforating the trachea. Beautiful stuff.

World of Art and Culture

@worldartira

3 months

@gunsnrosesgirl3 the 12y old kid that successfully intubates faster than the best paramedics

362

247

4K

22

19

318

Andrew

@andrewpunton

2 years

I knew it was an occupational hazard of working in ED in my home town. But I wasn't quite expecting my Grandma to turn up with a #NOF on my second clinical shift!

19

1

300

Andrew

@andrewpunton

3 years

Do intensivists have a magical GCS-raising presence? Patient resolutely GCS 6-7. Intensivist merely enters the room, GCS immediately jumps up.

33

5

287

Andrew

@andrewpunton

4 years

Bless the FY1 just graduated from the big teaching hospital in the big city, who asked if our small rural DGH has a toxicology department.

7

5

273

Andrew

@andrewpunton

4 months

Locum weekend shift, reviewing patients on the ward. An older patient with "delirium". First time I'd met them but something didn't feel right. Wondered about an autoimmune encephalitis or something similar. Get this message from an old colleague a couple of months later

Shai

@dr_shai

4 months

Best way to recognise the value of medical education is to see it in action at fruition. Tell us all about that clinical diagnosis you made from your own clinical gestalt. Where your training, experience and reasoning (conscious or sub) led you to a make an inspired call

92

33

162

5

14

268

Andrew

@andrewpunton

3 years

Well I didn't get the job I was wanting. Rejection hurts, to be honest. Though maybe that's my privilege of having sailed though life with this being my first experience of that.

40

9

258

Andrew

@andrewpunton

8 months

Why do medical professionals insist on trying to admit frail elderly people with clear escalation plans to hospital against their families wishes? Yet again someone is trying to admit my grandma to hospital despite clearly documented plans.

45

18

252

Andrew

@andrewpunton

1 year

She's everything He's just Ken

1

18

246

Andrew

@andrewpunton

3 years

Consultant: "Now this really is a puzzling case. What we need, Andrew, is for you to do an in depth full neuro exam. That'll give us the answer". Me, after said exam: "I think that made things worse and we are somehow even further from a diagnosis".

7

4

244

Andrew

@andrewpunton

6 years

Well I've just done my first arterial line. The downside is that I was only trying to do a venflon at the time.

15

11

234

Andrew

@andrewpunton

3 years

Frankly it doesn't matter if Omicron is less severe, and fewer are needing ICU. The numbers are bringing hospitals to their knees. And the Conservative government are just happy to stand by and let this happen.

7

41

233

Andrew

@andrewpunton

4 years

Me in the notes: "High clinical suspicion for COVID-19". Me in handover: "Aye, he's definitely got a bit of the COVID"

3

6

223

Andrew

@andrewpunton

3 years

🎉🎉I'VE PASSED MRCP PART ONE🎉🎉

15

0

219

Andrew

@andrewpunton

3 years

When a doctor who's only ever worked at an ivory tower tertiary centre works at a DGH for a year

Star Trek Minus Context

@NoContextTrek

3 years

40

819

5K

4

11

217

Andrew

@andrewpunton

1 year

The other thing I think the public don't realise is the amount of moving around we do as junior doctors. I'm a West of Scotland trainee. Every year we move to a new job/hospital. Anywhere in the green area on the map.

14

26

210

Andrew

@andrewpunton

5 years

The perils of working in a smaller hospital. When you find out two people are married and you were completely unaware, and you have to frantically remember if you've ever said anything disparaging about one in front of the other.

15

10

215

Andrew

@andrewpunton

4 years

A herd of COWs

11

10

212

Andrew

@andrewpunton

6 years

Did an ABG (with local of course) on a patient today. Afterwards he said "was that it? I didn't even feel it" Use local anaesthetic for ABGs people - it works!

15

31

196

Andrew

@andrewpunton

5 years

@Torcuil @glasgowcathcart @MonicaLennon7 @Daily_Record @EKilbrideNews @TheEveningTimes @TheScotsman @BBCScotlandNews @STVNews @McAdams4Labour @DrLisaCameron @LindaFabianiSNP @JeaneF1MSP @NicolaSturgeon I'm a doctor working in the Scottish NHS. These are proper, fully equipped operating theatres. Characterising them as "patients being operated on in a car park" is ridiculous and irresponsible. Would you rather capacity is reduced during refurbishments? Or just no refurbishment?

7

122

184

Andrew

@andrewpunton

3 years

@mevparekh A patient once shouted "get the big fat doctor" to get the nurses to summon me. I took great delight in instantly appearing in room and saying "hello it's the big fat doctor, how can I help you?".

4

1

185

Andrew

@andrewpunton

2 years

Well this was unexpected...

11

1

175

Andrew

@andrewpunton

5 years

I think the most pointless thing we do at work is copying out blood results into the notes. THEY ARE ON THE COMPUTER. I BRING ONE AROUND WITH US ON A WARD ROUND. LOOK AT THEM ON THERE FOR GOD'S SAKE.

20

9

169

Andrew

@andrewpunton

10 months

Today an ICU consultant finished the ward round after some pharmacology teaching by announcing he was off to consume his favourite methylxanthine. I'm not sure I have heard a more ICU thing before

6

165

Andrew

@andrewpunton

3 years

I really enjoy my job. But if this is what medicine is like for the foreseeable future - I genuinely don't know if I can keep on doing it. It feels like we're constantly on the back foot, constantly fighting fires without enough resource to do it.

14

12

164

Andrew

@andrewpunton

7 years

Ken Clarke as usual one of the few Tories speaking any sense on Brexit.

9

43

142

Andrew

@andrewpunton

3 years

Losing count of the number of colleagues who have stopped me today to say "oh your tweet last night caused a bit of a stir didn't it?"

14

0

157

Andrew

@andrewpunton

4 years

Nobody, when told a family member had Huntington's, would ever ask "oh what is the composition of the abnormal trinucleotide repeat?" I WILL NEVER NEED TO KNOW THIS.

12

1

152

Andrew

@andrewpunton

4 years

When other hospitals in London and across the UK are hugely stretched, and having staff pulled to cover Nightingale hospitals, this isn't a great look.

9

13

150

Andrew

@andrewpunton

4 years

Advantages of the rural DGH - this can be your walk back from work

6

4

148

Andrew

@andrewpunton

2 years

Well I got my first choice and I'm going to be an ACCS-IM trainee in the West of Scotland from August!! 🎉

11

0

144

Andrew

@andrewpunton

3 years

I love the bizarre food you get in hospital canteens. Tonight it's a baked potato, filled with risotto. That's too much carbs, even for me.

11

1

137

Andrew

@andrewpunton

3 years

Working in a rural hospital has taught me that the old medical cliché about farmers is absolutely true. They'll tolerate unbelievable levels of pain like it's absolutely nothing

9

0

134

Andrew

@andrewpunton

5 years

Drama on the ward as the pharmacist has lost her green pen, and is now paging round her colleagues to get a spare one.

7

2

135

Andrew

@andrewpunton

3 years

I passed MRCP Part 2! 🎉🎈🎉 Just PACES to go now...

9

0

131

Andrew

@andrewpunton

4 years

Why are the surgeons hoarding the tendon hammers?

39

3

130

Andrew

@andrewpunton

4 years

Well this question was clearly written pre-COVID

9

6

126

Andrew

@andrewpunton

2 years

Haematologist do like alarmingly high steroid doses, don't they. The poor endocrine consultant on take seemed quite upset

10

1

122

Andrew

@andrewpunton

3 years

Started the ward round this morning by accidentally striking the medical student in the face. I await the impending GMC referral.

13

0

123

Andrew

@andrewpunton

1 year

Supervised the F1 doing his first LP today, and from the DOPS he just sent I think it might have been a champagne tap 🍾 Trip to the shops for a bottle incoming.

2

0

122

Andrew

@andrewpunton

3 years

Well after the disappointment of not getting the ICU job I'd applied for, delighted that I've now got a job for the next year doing 50% ICU, 50% acute medicine! Huge thanks to @drlynnmccallum for creating a post that is essentially the perfect job for me and where I want to go!

8

1

115

Andrew

@andrewpunton

4 years

Just catching up on the Bake Off final. They've thanked their medics. How does one get this job?

6

1

112

Andrew

@andrewpunton

3 years

What I will say is that the attitudes of some towards medics here tonight have genuinely made me consider whether I actually want to follow an acute med/ICU path after all if this is what the anaesthetic community seem to think of those of us in medicine/EM etc.

22

1

112

Andrew

@andrewpunton

2 years

I'm going to miss this job so much when I move on next week. There's so much to be said for stability. I've been two years in the same hospital and team. Compare that to the hospital and job merry-go-round that is training.

8

1

109

Andrew

@andrewpunton

2 years

I just can't stay in medicine if this is what it's going to be like from now on. The system is broken. It is impossible to deliver good care to everyone - that ship sailed long ago. It's no longer that "people will die". People ARE dying.

3

19

109

Andrew

@andrewpunton

5 years

Phone wasn't charging properly and just fixed it with a 24G needle and an otoscope and frankly I think this is the pinnacle of my medical career

5

0

107

Andrew

@andrewpunton

3 years

Strangely wholesome and satisfying moment of first day as med reg - new FY1 paging to ask what to do about hyperkalaemia (and apologising profusely) and just heading up to the ward to walk them through what they already knew.

4

1

106

Andrew

@andrewpunton

7 years

@darth Monty is very sad I won't let him eat the courgette plant

7

3

96

Andrew

@andrewpunton

3 months

I think it's very obvious why the next of kin shouldn't be able to choose whether or not a post mortem examination happens. It's not "butchering". Really irresponsible reporting.

BBC News (UK)

@BBCNews

3 months

'My son's body was butchered in a post-mortem'

20

2

32

2

1

98

Andrew

@andrewpunton

3 years

Wordle 213 X/6 🟩🟩🟩⬜⬜ 🟩🟩🟩⬜⬜ 🟩🟩🟩⬜⬜ 🟩🟩🟩⬜⬜ 🟩🟩🟩⬜⬜ 🟩🟩🟩⬜⬜ How did I fail so badly?!

23

0

94

Andrew

@andrewpunton

8 years

@Mr603 @MichaelPDeacon I've tattooed my vote on the returning officer's forehead. Only way to be sure really.

0

47

92

Andrew

@andrewpunton

2 years

@Artists_Ali You do realise that when people lose weight, they don't die? They lose some weight.

1

81

Andrew

@andrewpunton

4 years

@ronanlyne That is utterly disgusting. The sooner Scotland gets away from England the better. Not saying it never happens up here. But the racists are so emboldened and unashamed after Brexit.

6

3

86

Andrew

@andrewpunton

7 years

Mary Berry just said "There's nothing like a warming tart to get everyone in the mood". Top innuendo, she hasn't lost it since the bake off.

1

23

85

Andrew

@andrewpunton

1 month

I realise this is probably a controversial take (and those rarely go down well these days) but I think the term junior doctor is fine, and generally it's understood by people. Resident doctor just sounds odd. Don't like. Sorry.

The BMA

@TheBMA

1 month

There is nothing 'junior' about junior doctors. This afternoon #ARM2024 recognises this and has voted through proposals to rename to “RESIDENT DOCTORS” from September 2024. More details to follow... #RDC coming soon!

71

531

2K

38

3

88

Andrew

@andrewpunton

3 years

@arcl I took great pleasure in striding into the room and saying "yes it's the big fat doctor how can I help you?"

1

0

88

Andrew

@andrewpunton

6 years

@almurray My grandpa wants national service reintroduced. The same grandpa who joined the merchant navy so he wouldn't have to do national service.

4

8

85

Andrew

@andrewpunton

9 months

Called the dermatology reg to ICU and she has arrived with a bag of steroids and emollients. Wonderfully stereotypical.

3

1

84

Andrew

@andrewpunton

6 years

@thomasrowe83 @LWHead @hopeboy291 @colchfbank @Tina4Colchester @tom_mccormack @willquince I'm a doctor. I'm lucky to have never experienced poverty. But every day I treat patients who do. It makes them ill. And is all made worse by cuts made by your party.

0

22

74

Andrew

@andrewpunton

8 months

She is dying - albeit in a slow and drawn out fashion. It is sad but a natural part of life. Over-medicalising it and sending someone into hospital just makes it even more undignified than it already is!

8

1

82

Andrew

@andrewpunton

5 years

@keep_sketch @dr_ashwitt yeah, agree. You should absolutely report this to his medical school, it's just not acceptable and apart from the arrogance and sexism, it's like he's acting above his competence. Someone needs to say something

3

0

77

Andrew

@andrewpunton

2 years

@wesstreeting I'm a doctor. I find it incredibly offensive that you think I don't want better standards for my patients. We all do. None of us are enjoying how things are just now. Instead of attacking us, maybe attack the government? Or is it that you're not actually any different to them?

2

3

78

Andrew

@andrewpunton

4 years

@MargaretFerrier This was incredibly irresponsible. You should resign your seat. And I say that as a member of the party.

1

4

76

Andrew

@andrewpunton

5 years

One of the nurses was on a cannulation course this morning, but failed her first two she tried on real patients. So of course I let her practice on me for her first successful one!

6

4

75

Andrew

@andrewpunton

4 years

Fair play to Pastest. After I pointed out the pointless stereotype of gay man = STI in one of their questions, they've reviewed all their question banks to try and remove all of these!

Pastest

@Pastest

4 years

@andrewpunton @DrNiamhReilly (1/2) Hi Andrew, I just wanted to follow up and let you know that this week we've conducted a review of all our questions across every exam subscription, to ensure that there are no further instances of irrelevant inclusions of a patient's sexual orientation.

1

0

27

2

4

77

Andrew

@andrewpunton

4 years

Medical students shouldn't be volunteering. They should be paid for any work they do. This isn't part of their course.

MSC

@ukmedschools

4 years

The Medical Schools Council has today issued a Statement of Expectation for medical student volunteers. Developed with input from @NHS_HealthEdEng and @gmcuk , the statement contains guidelines for NHS Trusts, medical schools and medical students.

4

94

111

2

8

78

Andrew

@andrewpunton

2 years

This van outside work is not suspicious at all

3

4

76

Andrew

@andrewpunton

4 years

Accidentally drew some little faces at the bottom of the lungs today

10

3

75

Andrew

@andrewpunton

3 years

Presumably this is how @NewcastleMedSch expects female students to dress.

5

73

Andrew

@andrewpunton

3 years

The musical or the product?

2

75

Andrew

@andrewpunton

4 years

A maths student on University Challenge just suggested the aorta is a vein. I mean I admire the commitment to thinking aorta. But no.

6

2

74

Andrew

@andrewpunton

2 years

We taught our FY1 ultrasound guided cannulation today. Even volunteered myself as a pincushion

15

0

72

Andrew

@andrewpunton

3 years

I imagine this must give you infinite points on specialty applications

1

73

Andrew

@andrewpunton

1 year

I'd always presumed that the systems collated scores and decided who was going where automatically. Little did I know it relied on multiple people copying and pasting between dodgy spreadsheets, and even MAKING UP EXAM SCORES when they couldn't find the actual result.

Richard Marks - London Anaesthetist

@LondonAnaesth

1 year

Anaesthetic Recruitment 2021. The one where they told people they had jobs, then told them they didn't. The one where they got the 'rank' and 'score' values muddled up on a spreadsheet. We found out how it happened.

20

85

201

2

5

70

Andrew

@andrewpunton

4 years

This is a common misconception. Doctors should discuss DNACPR with patients wherever possible, but the decision rests with doctors. Where CPR wouldn't work it shouldn't be offered, and patients don't have the right to demand brutal treatments that won't work.

Martyn Ware 🦉

@martynware

4 years

Can anyone on here who is a lawyer please urgently advise re reports that doctors are overruling older patients wishes re not giving Do Not Resuscitate permission? I regard this as manslaughter - please help

126

678

1K

4

19

71

Andrew

@andrewpunton

3 years

Well. That was the most challenging night I've ever had so far in my career. ED full. Hospital full. Massive queue for beds. High acuity. Something of a baptism of fire for my first med reg nights...

6

0

70

Andrew

@andrewpunton

4 months

Today in NHS IT: The first computer I sat at has no mouse. The second has a mouse, but is only letting me type vowels with accents, and nothing else.

6

2

69

Andrew

@andrewpunton

1 year

Talking to one of the FY1s about how old I feel among them, and he helpfully pointed out some of them were born in 2000. Unsurprisingly this did not help.

6

0

70

Andrew

@andrewpunton

5 years

@DrCalumMiller I think people rightly are questioning whether having only done F1 and F2 allows you to call yourself a "junior surgical doctor". I really don't think it does.

2

66