Kerri Devine @endo_kerri Twitter profile

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Kerri Devine

3 years

Top endo tip - download @BukuMedicine for FREE content from me ( @BukuEndo ), @BukuHaematology , @BukuRenal as well as Hepatology and Rheumatology experts! Ideal for GPs and any medical juniors!

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Kerri Devine

@endo_kerri

4 months

So pleased to say that today I've been appointed as a Consultant in Endocrinology, Diabetes and General Medicine, joining the brilliant people @NewcastleHosps . Thanks to all who made it possible! 🍾💃

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Kerri Devine

@endo_kerri

2 years

@aliilyas95 @Parody_RCGP I work in secondary care. Just because you don't consider a patient's problem exciting or challenging does not mean it is not "your stuff". Please show respect for your primary care colleagues who work extremely hard and have constraints that we cannot imagine

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Kerri Devine

@endo_kerri

1 year

Absolutely THRILLED to say I successfully defended my thesis today, and will be awarded a PhD!! All my thanks to @BWalker1963 , @rr_metabolicmed and @simonhspearce and all at @EdinUniCVS for their support over these long 5 years! (And to some very lovely examiners!) #phdlife

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Kerri Devine

@endo_kerri

7 months

Well today it was official. ARCP Outcome 6 - gained all competencies for completion of training 💃 Do you think I'm allowed to call myself "an endocrinologist" now?! 🍾

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Kerri Devine

@endo_kerri

4 years

@JaneyGodley Janey, as much as I hope this mental covid nightmare ends, I never want these hilarious daily updates to 🤣🤣

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Kerri Devine

@endo_kerri

1 year

@Indian__doctor Your duty of confidentiality should always be present too. This child was fortunate to have skilled practitioners available when they needed them, but posting this on social media (on the same day!!) with fully identifying features is exploitative.

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Kerri Devine

@endo_kerri

4 years

@DrBenLovell I think I tend to go with "something more worrying- something like a cancer". More of a warning shot than a euphemism. I don't like the vague, evil connotations of "sinister"

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Kerri Devine

@endo_kerri

4 years

@dtbeartaylor @rupert_pearse @RoyalLondonHosp This isn't hospital admissions, this is intensive care. Small fraction of the total COVID+ patients in a hospital. Ppl tend to get this sick in 2nd week of illness, so if the virus is still spreading then likely to be many more this ill nxt week and where do they go if ICU full?

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Kerri Devine

@endo_kerri

2 years

@ollieburtonmed This thread makes me sad. I might grump, but I actually love being Med Reg. I also think being confident in GIM is so important if you are doing a medically aligned specialty. Our patients are getting older and more complex, and we all need to be up to it!

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Kerri Devine

@endo_kerri

1 year

@drkeithsiau I was going to say there appears to be a cup in the oesophagus, but I see where I went wrong there 😉

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Kerri Devine

@endo_kerri

3 years

@trishgreenhalgh I think they need to go outside and get some fresh air

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Kerri Devine

@endo_kerri

3 years

@helengrote Aa a female from the actual north (i.e. Scotland) living in "The North" (Newcastle) I see more than one gap here

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Kerri Devine

@endo_kerri

8 months

@ParveenYograj @IhabFathiSulima @Sthanu5 This is not a term we should be using in 2024, and it is very disappointing to see female sexuality/sexual function restricted to honeymoons and prostitutes!

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Kerri Devine

@endo_kerri

4 months

@drphiliplee1 @dieworkwear Don't even start on the elasticated ankles

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Kerri Devine

@endo_kerri

5 years

@fakedansavage Just read list out to 10 year old (girl). Look of utter confusion. "Well that's completely wrong". Hopefully we are doing something right!

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Kerri Devine

@endo_kerri

10 months

Big moment coming up... #phdlife

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Kerri Devine

@endo_kerri

3 years

@IAmMafyow We've been together 7 years and he still has the copy of NME he was reading while he waited. A night frozen in time. Good luck!!

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Kerri Devine

@endo_kerri

1 year

This is, quite frankly, a belter. Look how the wandering baseline throws you right off. 👌

Sam Ghali, M.D.

@EM_RESUS

1 year

Here’s a video I made breaking down this great case of a 60-year-old man who presented to the ER with a life-threatening diagnosis #FOAMed

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Kerri Devine

@endo_kerri

9 months

@DrBenLovell 💯💥 Paramedics- we love you!

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Kerri Devine

@endo_kerri

2 years

@OrthopodReg @RoshanaMN @Kori_LaDonna @LingardLorelei @parthaskar @trishgreenhalgh @UKWENTs @WEP_UK @DrHannahBB @ollieburtonmed Where have all the men gone? Why, we've eaten them of course. Give. Me. Strength.

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Kerri Devine

@endo_kerri

10 months

@jim_crawfurd @DrLindaDykes @MStott88 Too many of such patients will end up "admit medics", and then a super barrier shield goes up. We all need to keep an open mind (and that's on both sides!)

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Kerri Devine

@endo_kerri

2 years

@lauren_hookham I'm an endo reg. I find sodium sometimes extremely complicated! I ONLY ask (unless emergency of course) you have done the serums and the urines before you call. Then we can work it out together 🤞

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Kerri Devine

@endo_kerri

4 years

@JonACB1994 Sick people are scary. If you're a reg and you don't respond to "I'm really worried, please come" or "I'm really unsure, please come" (or you can't identify that vibe, which isn't hard) then you shouldn't be the reg. (Or possibly I am a micromanaging megalomaniac but I hope not)

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Kerri Devine

@endo_kerri

1 year

After putting it off for wayyyy too long, there's only one thing that can get a spring in my step going in for night 4...happy new stethoscope day to me!

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Kerri Devine

@endo_kerri

3 years

@NeelyMozawala I don't know who he is, what he does or where he goes when he's not around...?

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Kerri Devine

@endo_kerri

1 year

@DrHFRyan @hhjhammond Coming to hospital takes time out of people's lives, and costs money in travel. Some patients live very large distances away. Flexibility in the type of appointment is a good thing - patient choice is important here of course.

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Kerri Devine

@endo_kerri

2 years

My first peonies! Don't I wish I'd bought more now!

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Kerri Devine

@endo_kerri

3 years

@techpriest I've had a consultant refuse to provide their name on the phone to me as reg before. (I mean they were on call, so it wasn't exactly a challenge). There is NO ROOM for this crap, and both on call cons and ed sup should hear about this

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Kerri Devine

@endo_kerri

1 year

@ollieburtonmed 100% Ollie. In what other job are you tipped off the bus day 1 and expected to hit the ground running like we are in medicine?

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Kerri Devine

@endo_kerri

2 years

@Dr_PJEdwards @RossHamblin @AvonLMC @Parody_RCGP I say foul (endo trainee). There is a bit of a systems issue with incidentalomas (as in there are loads of them) but that is a secondary care, not a primary care problem. Lots of units are developing pathways for endocrine nurse specialists, for instance.

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Kerri Devine

@endo_kerri

8 months

I am (finally) "acting up" as consultant from Monday! How should I introduce myself? Acting consultant? Or still registrar (I am 3/12 from CCT)? What do you think #MedTwitter ?

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Kerri Devine

@endo_kerri

2 years

@MichaelLiuMD @ecgrhythms Here's your clue 😆

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Kerri Devine

@endo_kerri

10 months

@DrBenLovell Thank you for this thread Ben! I am coming to my last couple of months of "med reg" life. I will miss it. I get to use my experience to guide and support junior docs, to further the Ix of pts, explain to pts and their families, and much more. The best job. Full stop.

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Kerri Devine

@endo_kerri

3 years

@DrAseemMalhotra I always thought it was something to do with the Tories and a decade of profound under-funding, but you'll know better

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Kerri Devine

@endo_kerri

1 year

@timricketts_ As reg, I think ward cover. This is where I get to use my experience and judgement. I am totally over meds rec and prescribing 25 meds per person as finitum

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Kerri Devine

@endo_kerri

3 years

@DrBenLovell You should make it more realistic by putting them in the toilet, and then have to negotiate the peril of trying to even get the door open

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Kerri Devine

@endo_kerri

4 years

@VancityReynolds @drphiliplee1 @neilhumby Oh crap, it's actual Ryan Reynolds 🤣😁 Twitter is mental

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Kerri Devine

@endo_kerri

2 years

@Dr_BellaR Imagine being the patient, and the doctor didn't bother to take 2 minutes to find out about you before they came to see you. You'd hardly be impressed. Keep doing what you're doing!

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Kerri Devine

@endo_kerri

2 years

@rosieICM Paracetamoxyfrusebendroneomycin

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Kerri Devine

@endo_kerri

1 year

@Peston There haven't been any talks to start with! #JuniorDoctorsStrike

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Kerri Devine

@endo_kerri

3 years

@elinlowri @sathNHS Isn't it nice to feel 'seen'? And that the care team saw that your relative was special (as all our patients are to someone)? This always struck me when I was a relative

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Kerri Devine

@endo_kerri

5 years

On the way home from another great BES! Cannot wait to see my guys... #SfEBES2019 #proudbassetmum #myrabbitiscuterthanyourrabbit

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Kerri Devine

@endo_kerri

5 years

Helpful advice for all steroid dependent patients. Ensure you have AT LEAST 2 weeks worth of double-triple your usual steroid dose at home ready just in case!

Addison's Disease Self-Help Group (ADSHG)

@AddisonsUK

5 years

We’ve updated our advice on #COVID19 #CoronaVirus for people living with Addison's Disease or Adrenal Insufficiency in the UK & ROI. This update includes 6 Coronavirus precautions, which aims to answer any questions you may have.

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Kerri Devine

@endo_kerri

3 months

So pleased to be part of this first SfE Guideline on female hypogonadism. Still so much to discover and learn! Please read and share.

Channa Jayasena

@ChannaJayasena

3 months

The first guideline on hypogonadism in young women. Not the same as menopause! Hope it helps us manage these women better. @profdicanderson @TurnerSyndrome @Soc_Endo

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Kerri Devine

@endo_kerri

1 year

@DrLindaDykes @Parody_RCGP We need to stop mentioning "smelly wee" full stop. It's right up there with "vomiting bile" for me on the misleading history front

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Kerri Devine

@endo_kerri

1 year

@_NatashaDevon @SoozUK There is a big difference between "recommending use of a term" (which as far as I can see, no-one has) and including a term in a glossary in case you hear it from a patient. This is a non-issue.

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Kerri Devine

@endo_kerri

4 months

@ruthlt82 I'm sorry you were shouted at, and that you were in the middle with this. This could be a great case for specialty M&M - "patient almost had to have procedure cancelled because cons in charge didn't sort anticoag plan in good time'. (I'm a hosp consultant)

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Kerri Devine

@endo_kerri

3 years

@GeriDoc5 @_garmc If my knowledgeable, experienced senior is deviating from guidelines I would definitely ask them why, but not to challenge. This could be a great learning opportunity.

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Kerri Devine

@endo_kerri

1 year

@OrthopodReg @RCSEd @RCSnews @rcpsglasgow @RCSI_Irl I did a basic surgical skills course when I was a medical student and I didn't know what kind of doctor I wanted to be. I am now an endocrinologist. Am I an endocrinology surgeon?

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Kerri Devine

@endo_kerri

2 years

@Medic_Russell I recently had an elderly patient with dementia come by taxi as a direct admission to medicine. The taxi driver had to carry them down *multiple* flights of stairs.

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Kerri Devine

@endo_kerri

3 years

@techpriest That is outrageous. Getting a call from your child (spouse etc)'s employer usually implies they are missing, maimed or dead surely. Out of order.

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Kerri Devine

@endo_kerri

5 years

If not feeling confident with emergency steroid injection keep this video linked on your phone - you (or a friend) can watch as you go! #addisons #addisonsQA #adrenalcrisis

Addison's Disease Self-Help Group (ADSHG)

@AddisonsUK

5 years

🚨 Be aware of the symptoms of an adrenal crisis so you can act & inject! 🎥 Watch our online video on adrenal crisis, the symptoms & what to do next with your friends & family 👉 #SteroidSaturday #AddisonsQA

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Kerri Devine

@endo_kerri

5 years

Happy to be home!

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Kerri Devine

@endo_kerri

2 years

@zackferguson I don't even think it's as bad as that. More like she dropped it on the floor face up and picked it up again

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Kerri Devine

@endo_kerri

3 years

@carolinefff @TashP351 @Cubedreamer Same! But you need just the right amount of food to entice them up - too much on the steps/ramp and they don’t get to the top!

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Kerri Devine

@endo_kerri

4 years

@Pituitary_org We have just this week added some endocrinology content into the Buku app - a free resource started by haematology, and already on the phones of >11,000 jun docs! We'll get DI on there v soon I promise!

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Kerri Devine

@endo_kerri

3 years

@CaisterClara That's not acceptable. She's not on a contract to get her life-sustaining medication in exchange for x, y or z! Do get her diabetes team involved pronto! And consider a formal complaint.

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Kerri Devine

@endo_kerri

1 year

@trishgreenhalgh I only live about half an hour from here. I have passed this tree so many times, but never done the walk. How I regret that now.

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Kerri Devine

@endo_kerri

8 months

Ah Eusebi's...we never miss a visit when we're back in Glasgow. Giovanna, what a beautiful tribute to your family! 🇮🇹❤️🏴󠁧󠁢󠁳󠁣󠁴󠁿

Eusebi's

@eusebi_deli

8 months

We are thrilled to feature in the “Glasgow “ episode of @Rick_Stein new food series starting tonight on BBC2. Pans at the ready! #Glasgow

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Kerri Devine

@endo_kerri

1 year

@DiabeticDadUK @cahmn @sotonDSN >5 to drive... without further action. If 4-5 have a carb-containing snack before you set off, but you can drive. If less than 4, treat to target of >5, then WAIT 45 mins at least before driving. Important that CGM alarms are NOT considered a substitute for hypo awareness

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Kerri Devine

@endo_kerri

2 years

@clare_eliza @NadineDorries Dole before Dorries

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Kerri Devine

@endo_kerri

2 years

@BenKentish I am sorry your mum had to wait so long Ben. The trouble is that if scan really IS urgent, someone needs to see and act on the results urgently. GP cannot. This is remit of acute hospital services. The use of ambulatory care helps a bit with this, but often not 24/7 (1/2)

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Kerri Devine

@endo_kerri

4 years

Coming soon to a Buku app near you! Would love to hear your ideas on topics. Remember that advice is around general approaches, not aimed to be prescriptive re drug doses etc for obvious reasons! #medtwitter #endocrinology

Buku Haematology 🅰️➕

@BukuHaematology

4 years

*Exciting news!* Buku is welcoming another specialty team in the next couple of weeks - Endocrinology. Content already being written, but let us know if there is anything else you would like the endocrinology team to cover either on here or through the app feedback module

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Kerri Devine

@endo_kerri

4 years

@MissBethanEJohn ICE POLE

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Kerri Devine

@endo_kerri

3 years

Disgraceful. Thanks to @AddisonsUK and @hormone_doc for highlighting this awful issue!

Addison's Disease Self-Help Group (ADSHG)

@AddisonsUK

3 years

Hydrocortisone is a life-saving medicine that thousands rely on to treat adrenal insufficiency. 🗞️Thank you @billykenber @TheTimes for speaking with @hormone_doc , ADSHG Trustee & consultant endocrinologist at @uclh who comments the price rise is 💬 “completely immoral” ⤵️

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Kerri Devine

@endo_kerri

2 months

@agemjourney We really have all been there...I was sick in the ward toilet before my first shift 13 yrs ago today. Now a medical consultant. And you know what...I was never that great at cannulas...

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Kerri Devine

@endo_kerri

1 year

I'm not much cop at gardening, so always excited to see the first rosebud open. She's actually hidden away inside the plant, but isn't she perfect!

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Kerri Devine

@endo_kerri

3 years

@zackferguson Who is EVER blowing on a birthday cake again? 😷

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Kerri Devine

@endo_kerri

4 years

@joeheenan This is Penny and Teddy. They used to be mortal enemies but have now settled their differences. Ted is also a demon. No we can't pick them up either.

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Kerri Devine

@endo_kerri

3 years

@colki1983 So utterly, utterly disappointing after what was otherwise a pretty good week for Glasgow and its wonderful people

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Kerri Devine

@endo_kerri

1 year

This is atrocious, and you will regret sending it

Rishi Sunak

@RishiSunak

1 year

This is what we’re up against. The Labour Party, a subset of lawyers, criminal gangs - they're all on the same side, propping up a system of exploitation that profits from getting people to the UK illegally. I have a plan to stop it. Here’s how 🧵

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Kerri Devine

@endo_kerri

4 years

@dtbeartaylor @rupert_pearse @RoyalLondonHosp There may have been more that have been admitted and then discharged or even died in that period too. If ICUs are full of COVID - even if not shipping out - that has a massive implication for the hospital. Postponing elective ops e.g. for cancer etc. People will suffer.

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Kerri Devine

@endo_kerri

3 years

@DrNeilStone How terrifying for them. I don't have the words really

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Kerri Devine

@endo_kerri

1 year

@LiangRhea @meyne_helen @DrLindaDykes @drcrouchback @Annelise30 Yep, same here with my dad. Deteriorated quickly after a year of metastatic pancreatic ca. Dying at home was priority. GP wanted to do bloods - "don't you want to know what's going on biochemically?". Em...no!!

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Kerri Devine

@endo_kerri

1 year

@Parody_RCGP You are right, we probably don't think about this enough. How do you think this should operate when there are large distances involved (+/- other things like being housebound etc)? E.g, should there be a standard system to remunerate? (I'm assuming this doesn't already exist)

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Kerri Devine

@endo_kerri

3 years

@MissBethanEJohn Shameless promotion of @BukuMedicine - a free reference app with haem, renal, endo, liver, rheum and soon to be more specialty advice. Written by specialty trainees (inc me!) and consultants so it's pretty top notch content (I think!)!!

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Kerri Devine

@endo_kerri

3 years

@DrBenLovell Everybody in A&E knows this, but we rarely seem to get our hands on them in medicine!

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Kerri Devine

@endo_kerri

2 years

@SusilPallikada1 Cardiology? Variety?!

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Kerri Devine

@endo_kerri

3 years

@irenep671 @EmergencyBod I'm not sure what you mean by "follows them forever"? Sounds a bit ominous! The way you describe the roles of drs and nurses here sounds like a recipe for conflict rather than understanding we all have something to learn from each other

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Kerri Devine

@endo_kerri

2 years

@HeldinEU They refer to the same group of people, but I think the meaning feels different because of the "operative word". In the first it's "student", in the second it's "doctor" that is emphasised.

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Kerri Devine

@endo_kerri

2 years

Delighted to see our review of transmembrane glucocorticoid transport "in print"! 😃 You can check it out here ⬇️ or @NatureRevEndo

Brian Walker

@BWalker1963

2 years

Here's a review article to round off >25 years of @wellcometrust @TheBHF funding which allowed us to discover new mechanisms controlling the action of stress hormones. @endo_kerri @NixonLab @rr_metabolicmed @randrew_ruth .

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Kerri Devine

@endo_kerri

4 years

@DrBenLovell Yes, that would be perfectly splendid to hear

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Kerri Devine

@endo_kerri

1 year

@CanesDavid There are different reasons for calling the boss during the night - a lot will vary specialty to specialty. If I'm calling, I'm calling for an opinion and that requires a conversation. Fortunately it's not a common event!

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Kerri Devine

@endo_kerri

2 years

@xxsnzz Tesco was like a lockdown apocalypse. Absolutely barmy.

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Kerri Devine

@endo_kerri

2 years

@trishgreenhalgh "Testosterone" isn't a word apparently, and my "custom dictionary" is full. This is tough as an endocrinologist (in training) 🤣🤣

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Kerri Devine

@endo_kerri

3 years

@drphiliplee1 @AITA_reddit You know your healthcare system is messed up when "black market insulin" is a top answer

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Kerri Devine

@endo_kerri

4 years

@DrBenLovell Ben I think it's a shame when we have so much changing in diabetes. Interstitial (flash and CGM) monitoring, insulin pumps, new oral and injectable treatments in the clinic ... but in the wards we use an acronym for test strips that stopped being made in what, the 90s? 🤷‍♀️

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Kerri Devine

@endo_kerri

4 years

@admit_medics Yes to all. Except no. Except yes...

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Kerri Devine

@endo_kerri

3 years

@ImBrave If you can't catch it, you can't pass it on. Get your #CovidVaccine today!

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Kerri Devine

@endo_kerri

5 years

#StaySafeSaturday Remember the Addison's Disease Self Help Group has emergency info in 8 different languages. Take on holiday and keep yourself safe! @Anna_L_Mitchell @AddisonsUK

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Kerri Devine

@endo_kerri

5 years

Come join us for this one-off event and find out how to #keepyourcareersweet and why #itscannyupnorth

Early Career Endos

@EarlyCareerEndo

5 years

📢Registration for the 2019 National Endocrinology & Diabetes Taster Day is live!! Organised by @Soc_Endo , @youngdiab and @ABCDiab , this year's event for medical students & trainees will be held @scienceatlife on Saturday 28th Sept #keepyourcareersweet

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Kerri Devine

@endo_kerri

2 years

@BobRobPolitico And what a smashing guy you are responding to all of us fellow twitter minions 🤣 A hero amongst us!

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Kerri Devine

@endo_kerri

3 years

@rosieICM Is this another call this week to stop young women doing something they want to do on account of future potential imaginary babies that currently don't and may never exist?

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Kerri Devine

@endo_kerri

3 years

@colki1983 @JackieDocjt @rcpsglasgow @GeriSoc @FriendsofGRI Congratulations @JackieDocjt ! Warmly remembered for your kindness in a challenging time, and such a role model of patient, respectful care for me, and I'm sure many others who had the pleasure to work with you. Enjoy! 🍾

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Kerri Devine

@endo_kerri

1 year

@Dr_BellaR I will never learn. And I have been doing this for 12 years. I think I feel too much personal responsibility for how many we hand over!

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Kerri Devine

@endo_kerri

1 year

@Parody_RCGP This is why it's good to address the letter to the patient. Then the (probably not bold!) text is directed at them - "we really want to see you and support you..."etc. GP knows we have tried (we phone our DNAs often) but unable to provide care, and the onus is on the patient

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Kerri Devine

@endo_kerri

4 years

@DrLindaDykes I have a little list - adrenal insufficiency *** (often so obvious in retrospect but many patients wait a really long time for diagnosis) - aortic dissection (can present in such strange ways) - gastric volvulus (seen it as "cardiac chest pain") - necrotising fasciitis

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Kerri Devine

@endo_kerri

3 years

@leowatton @MHA_92_ And if you say you don't have a personal mobile...? This is definitely not ok.

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Kerri Devine

@endo_kerri

1 year

@Lucie_911 Have you used the HMRC Online system? I recommend doing this every year if your salary/employer changes. I don't think payroll can do this, but if you put your earnings for the tax year on the portal, HMRC will calculate your correct code for the rest of the year

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Kerri Devine

@endo_kerri

3 years

@mancunianmedic @hormone_doc Oh yep

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