Tom Johnson @jetbackwards89 Twitter profile

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Tom Johnson

@jetbackwards89

3 years

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Tom Johnson

@jetbackwards89

3 years

Following last week's controversy, Newcastle Medical School publish new dress guidelines for medical exams

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Tom Johnson

@jetbackwards89

1 year

Outcome 6! 🥳 Very excited to be finishing training and to be moving on to the next challenge as a Consultant Anaesthetist at @SouthTees 😃

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Tom Johnson

@jetbackwards89

2 years

@GreenshieldsNic "Dear Doctor, despite knowing about the spike in workload each August we didn't make plans to handle it. As a result we have failed in our core function, sorry. Also, could we remind you to complete your e-learning by Monday. Failure to do so will result in disciplinary action"

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Tom Johnson

@jetbackwards89

3 years

@DrRobPM Great. So "Cardiac Arrest" can also mean "Not A Cardiac Arrest but the Med Reg was busy". Whoever wrote this policy needs to read The Boy Who Cried Wolf.

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Tom Johnson

@jetbackwards89

4 years

"What did you do on Saturday night?" "I watched a bloke balance a ball on a plate for around 45mins" 🤦‍♂️ #TheCube

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Tom Johnson

@jetbackwards89

3 years

@jbrittaingeorge They might as well have written an email saying "we have no idea what is happening on the wards or in ED nor have we taken an interest to find out, but all the graphs are pointing down which we have decided is bad so work harder minions"

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Tom Johnson

@jetbackwards89

6 years

@DrEricLevi Anaesthesia?

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Tom Johnson

@jetbackwards89

5 years

@dr_elbows Going off to sleep we often go into space! Mask is their space mask, anaesthetic smell is rocket fuel, and then we count down. Really helps that we have silver blankets as well :-)

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Tom Johnson

@jetbackwards89

3 years

Do we contribute collectively to imposter syndrome? Skirting over large achievements - "Well done on your exam pass, now you need to get a job" or "Excellent, when are you sitting the Final?" #TC2021

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Tom Johnson

@jetbackwards89

5 months

@drphiliplee1 ALS - complex, expensive and unfortunately ineffective. Includes a component of BLS which is the thing that actually makes the difference. To be fair, sounds about right 🤷‍♂️

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Tom Johnson

@jetbackwards89

3 months

It's not looking good for your GE prospects when there is an entire round of #HIGNFY poking fun at your leader!

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Tom Johnson

@jetbackwards89

2 years

@cannula_service @dannyjnwong There are a suspicious number of locally-, regionally- or nationally-confined 'international shortages' with vague and unverifiable explanations.

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Tom Johnson

@jetbackwards89

3 years

@mamaachelle I'm disappointed that no-one else was challenging them too! As an undergraduate we explicitly consented patients for training examinations under anaesthesia, it was well documented and so everyone felt safe doing it. (It was also useful training in obtaining valid consent)

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Tom Johnson

@jetbackwards89

1 year

2 miles of road vs. full pay restoration to ensure sustainability of the NHS and its workforce. This is a political choice. Any co-incidence these are all Tory seats, with several at risk in GE24? #JuniorDoctorsStrike

Stonehenge tunnel is approved by government

The plans were first approved in 2020 but were later overturned in 2021 after a campaign.

www.bbc.co.uk

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Tom Johnson

@jetbackwards89

3 months

Flying a plane is just pushing buttons and pulling levers. Banking is just putting numbers on a spreadsheet. F1 is just driving fast.

DSmith..®️

@jobbinggasman

3 months

Intubation=Just a tube in a tube! @dasairway @AirwayMxAcademy @DASDatabase @SafeAirway @RCPCHtweets @iDrSunny

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Tom Johnson

@jetbackwards89

3 years

@andrewpunton 2 points for CT1 anaesthetics - equal in score to presenting more than once at local/departmental meetings.

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Tom Johnson

@jetbackwards89

4 months

Turns out all those hours watching lap appendicectomies were useful! Behold a home-made Endoloop, perfect for retrieving small toys from behind radiators...

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Tom Johnson

@jetbackwards89

3 years

This is epic! No more need for a cluttered and unsearchable intranet. A sprinkle of software sugar could also mean that the QR always points to the most up to date policy!

Leanne

@LeanneSiekiera

3 years

QR Bar in ED . No alcohol served ! just quicker access to guidelines , policies & educational tools #education #rapidaccess #learning &education #patientsafety #thelittlethingsthatsavetime

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Tom Johnson

@jetbackwards89

3 years

Understandable that training needs to take a back seat given the current situation, but can we start now to hammer out what this will mean for ARCPs? Additional outcome-related stress is the last thing people will need! @NHS_HealthEdEng

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Tom Johnson

@jetbackwards89

2 years

@PamelaAmeliaK I think exception reporting in these circumstances is sensible, mostly to encourage trust to boost support for the initial few weeks in August! Efficiency, though, is an important lesson and it needs to be taught about as part of the med school/foundation curriculum.

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Tom Johnson

@jetbackwards89

3 years

@StGgas Ki Adi Mundi - you're going to need very long arms!

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Tom Johnson

@jetbackwards89

3 years

This digital health revolution is going spiffingly... @NHSDigital

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Tom Johnson

@jetbackwards89

3 years

@mevparekh I think it's coming! Why would people who are being consistently screwed over continue to work for free? Everyone will have a point where their desire to give the best patient care will be outweighed by their desire to avoid the pressure/stress/abuse. Some will be there already.

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Tom Johnson

@jetbackwards89

1 year

@zackferguson @gnuseibeh Off to Companies House we go!

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Tom Johnson

@jetbackwards89

2 years

@EmergMedDr @emmaroutledge @MRCPUK @RCPEdin Indeed they do!

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Tom Johnson

@jetbackwards89

2 years

@emmaroutledge @MRCPUK @RCPEdin The second paragraph absolving them of expenses in all circumstances ridiculous!

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Tom Johnson

@jetbackwards89

3 years

Reasons the MPs like clapping: 1️⃣ It's free 2️⃣ It's a 'look how patriotic I am' photo opportunity 3️⃣ It perpetuates the 'hero healthcare' idea (heroes don't get tired, get paid or need support) 4️⃣ It's free Clapping needs to in the bin. Volunteer at a vaccination centre instead.

Dr Julia Grace Patterson💙

@JujuliaGrace

3 years

76% of all UK MPs have already been contacted; this is incredible😮 Clap because you have doctors’ and nurses’ backs🚨 Clap in protest🚨 Clap to demand better from this government🚨 And tell your MP to demand action from the government now 👉

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Tom Johnson

@jetbackwards89

5 years

Thankfully my ten downloaded copies of the pass list say the same thing! #FRCA

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Tom Johnson

@jetbackwards89

2 years

@ahyde635 @RoshanaMN It's awful hearing women apologising to their partners and newborn babies when we go to theatre after 48hrs+ of labour and 72hrs+ of no sleep. How can you have success or failure in a situation that you have no control over?

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Tom Johnson

@jetbackwards89

1 year

Fantastic speech @NotoriousB_E_G ! We're not worth 26.1% LESS than we were in 2008. And MPs certainly aren't worth 40% MORE than they were in 2008. #JuniorDoctorsStrikes

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Tom Johnson

@jetbackwards89

11 months

Opinion about content aside, it seems like @Doctors_net_uk might be over-reaching with their branding and style - that looks a LOT like @BBCNews . I would argue misleadingly so.

Anaesthetists United

@AnaesUnited

11 months

We are for real, we are not happy with the direction of anaesthesia in this country. People are starting to take notice - read our mission statement and sign our call for an EGM to make the College listen!

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Tom Johnson

@jetbackwards89

7 months

Applied/appointed/started as a consultant @SouthTees Best career decision I've ever made!

Khan 🧢 🌟

@Khanstillday

7 months

EVERYONE INCLUDED; Please brag to me about a thing you did in 2023 that you’re proud of?

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Tom Johnson

@jetbackwards89

3 years

"My training felt like it was rectifying defecits rather than building on strengths" ARCP anyone? #TC2021

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Tom Johnson

@jetbackwards89

3 years

And just like that @NW_Anaesthesia shoot to the top of the wellbeing league table! And not a yoga mat in sight...

NW Anaesthesia

@NW_Anaesthesia

3 years

@sally_ghazali @RCoANews @UKANRO @Anaes_Trainees @Assoc_Anaes Sorted! Trainees affected in the NW have got jobs with us. Would encourage other deaneries to follow suit just required some determination and phone calls to the right people,small number affected but big impact for morale. #teamnw #doasyouwouldbedoneby @MerseyAnaes @RCoAPresident

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Tom Johnson

@jetbackwards89

3 years

@MrsHMEHawkins @jbrittaingeorge There would be definite benefit in professionally regulating healthcare management in the same way healthcare professionals are. It would curtail the minority who are intent on pushing pressure and risk downwards to be handled on the 'front line'.

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Tom Johnson

@jetbackwards89

1 year

@TharushaGunawa4 A discharge letter. Why? Because I hadn't answered my bleep. Why? Because I was with a very unwell patient. Who I left because I was fast-bleeped 🤦 The discharge letter did not get done.

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Tom Johnson

@jetbackwards89

6 years

@FLTDOC1 House of God Rule No. 8 - They can always hurt you more

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Tom Johnson

@jetbackwards89

2 years

@haveigotnews 🤨 they're meant to be a little bit believable #AprilFools

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Tom Johnson

@jetbackwards89

1 year

Amazing! :-D Can't wait to get my consultant career started here!

South Tees Hospitals

@SouthTees

1 year

CEO hails clinically-led revival at South Tees following CQC ‘good’ rating. #JamesCookHospital #FriarageHospital

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Tom Johnson

@jetbackwards89

3 years

"Have you considered going for a run or doing yoga? Join our FREE webinar at 7pm for tips on improving your wellbeing and resilience!" #medtwitter

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Tom Johnson

@jetbackwards89

3 years

@Cheapoflurane @UKANRO This is horrendous! Yet again trainees are being let down by a system which expects them to tolerate error more than their errors are tolerated.

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Tom Johnson

@jetbackwards89

3 years

@Allan_Katie Not just a heavy appendix but one with a transitional circulation and legal rights. Plus not many people have a cot/pram/nursery for their gangrenous appendices!

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Tom Johnson

@jetbackwards89

1 year

@coollyndz Thoughts and prayers for the @WestonNHS FOI team...

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Tom Johnson

@jetbackwards89

3 years

@annainthetoon1 @thegradmedic @SpencerProf @UniofNewcastle @NCLalumni Just saying exactly this to a colleague - currently embarrassed and disgusted by how this student has been treated

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Tom Johnson

@jetbackwards89

3 years

@DrBenLovell Come and live in the North East! Fairly routine to get yourself on the property ladder as a core trainee! @nhsfyp

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Tom Johnson

@jetbackwards89

1 year

I appreciate that everyone is irritated by the DHSC posting inaccurate pay info - but all that Twitter sees is a quote-tweeted 'popular' tweet and boosts it for everyone. Stop carrying their water for them! #JuniorDoctorsStrikes

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Tom Johnson

@jetbackwards89

5 years

@Aidan_Baron I suspect most healthcare professionals would be labelled as 'difficult patients' - being informed, well-engaged, inquisitive and having clear opinions.

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Tom Johnson

@jetbackwards89

1 year

Getting ready to welcome new anaesthesia and ACCS trainees and introduce @_a_liNE_news at the @nsaicm induction! #anaesthesia

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Tom Johnson

@jetbackwards89

3 years

@TheOtherDrJD A GA list for these procedures could be done with huge efficiency, so maybe 10 or 15 could be done in a day with the right set up. It's so frustrating when we rightly do GAs for procedures related to early pregnancy that are equally as stimulating as hysteroscopy (where we don't)

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Tom Johnson

@jetbackwards89

2 years

@sk_d97 Junior doctor salaries only appear acceptable because of the hours we work - if you're earning that for 48hrs/wk, what would the 37.5hr/wk (standard full time!) salary be?

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Tom Johnson

@jetbackwards89

3 years

@D_Rodders @andrewpunton Agree 100%! Arguably neither does a masters in medical education. It makes you better rounded and able to contribute more generally. But so would prioritising as a single parent, or volunteering in a soup kitchen.

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Tom Johnson

@jetbackwards89

2 years

@TLDRNewsUK

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Tom Johnson

@jetbackwards89

3 years

@afg_asap If you want enthusiastic and motivated colleagues you need to be a good representative of your specialty. Gone are the days of dining out on "prestige" to aid recruitment, we've all met people and thought "I don't want to turn out like them".

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Tom Johnson

@jetbackwards89

6 years

@emergencymedSpR I always started with "how can I help?" - makes no assumptions about the presentation, and lays out early the idea of problem-solving with the aim of getting them through the department or home.

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Tom Johnson

@jetbackwards89

1 year

@walsh_joe @nhsesr An email I can't read because my email address might not be secure. But if I forgot my ESR password I could send a password reset to the same email address. So anyone who has access can always read the message, but you still won't send it there because 'security'. Brilliant.

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Tom Johnson

@jetbackwards89

6 years

I still remember my first @MADEinHEENE F1 intro morning @NewcastleMedSch . 5 years later I'm still here, looking forward to the next stage of my training. New docs - we've got your backs! (And if you're in the #NorthEast , you've made an amazing choice) #TipsForNewDocs @nhsfyp

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Tom Johnson

@jetbackwards89

3 years

Ahh the classic lockdown strategy: 1) Rule out any further lockdowns 2) "Don't rule out" any further lockdowns 3) Mention that we might need more lockdowns but not yet 4) "Watch the situation closely" 5) Announce lockdown starting next week, prompting mass mixing #COVIDIOTS

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Tom Johnson

@jetbackwards89

4 years

@DrSarahHal @TheBMA Can the trust in question be named? With welfare being so important at the moment, doctors deserve to know where they will (or won't) be properly looked after! It may rightly affect where people choose to work.

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Tom Johnson

@jetbackwards89

1 year

@srturaga I think the major challenge is time - workload being so high that learning opportunities don't have time to be taken. In the last few weeks I have seen several sick people, but the junior doctors on the ward team haven't joined me and so were robbed of training opportunity.

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Tom Johnson

@jetbackwards89

3 years

@Joanna_Liberty Why ask an anaesthetist when a Gif will do?

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Tom Johnson

@jetbackwards89

3 years

@BoyGeekDrone It's a natural consequence of the points-based 'commitment to specialty' applications farse. Rewards should be for broad base not early specialisation.

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Tom Johnson

@jetbackwards89

4 years

@StuMaitland I have knocked over containers of every imaginable hospital liquid. Especially rubbish at night, where your subtle semi-dark cannula turns into waking up the whole bay with ceiling lights as mops come out for the pool of urine. #TipsForNewDocs

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Tom Johnson

@jetbackwards89

3 years

Really interesting talk on Imposter Syndrome! Explains why I took pictures of my @RCoANews certificates in case they realised their mistake and took them away! #TC2021

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Tom Johnson

@jetbackwards89

6 months

@colton_potter Toddler: "That will be £2" *takes money* *gives money back* Me: "You're not meant to give money back, it goes in the bank and then to people who work in the shop so they can do shopping. It's called The Economy" Toddler: *thinks* "We're not playing ECONOMY, we're playing SHOPS"

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Tom Johnson

@jetbackwards89

3 years

@TurtonsOther I've started embracing the punitive datix - it's a way of transferring who you need to explain yourself to. I'd much rather have a sensible conversation with my ES than an unsensible one at 3am over a ticky-box not filled in.

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Tom Johnson

@jetbackwards89

2 years

@doc_matt_jacko If the expectation is that rotational staff will travel regionally as part of their training then parking should be paid for by the trusts - in almost all cases there is no option but to drive and so parking charges form an expensive training tax.

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Tom Johnson

@jetbackwards89

1 year

If I could (but clearly I won't) tell people what I got up to on my last shifts for £28/hr they'd be shocked. Others there on less than that making life-saving and life-changing decisions. 35% increase to make up for over a decade of pay erosion. #JuniorDoctorsStrikes

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Tom Johnson

@jetbackwards89

6 years

Seriously! Come to the North East! Stats show happiest hospitals, best training. Countryside, coast, lower cost of living, easier commutes, swift transport links. All with pioneering treatment and research! @nhsfyp #foundmyplace

MADE in HEENE

@MADEinHEENE

6 years

Come to the North East instead and we can help

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Tom Johnson

@jetbackwards89

1 year

He's either unspeakably dim or morally bankrupt - those who support and protect society so that private companies can profit should receive compensation that keeps up. #JuniorDoctorsStrike #ConsultantsStrike

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Tom Johnson

@jetbackwards89

3 years

@FawzNK It's a requirement imposed by people who CCT'd with 6 bits of paper - very frustrating. I see that we need to know how it works, and should probably have done one, but definitely not yearly!

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Tom Johnson

@jetbackwards89

3 years

@LeylsTurk Also, it's worth seeing (if only by accident) a normal delivery. Watching a midwife coach a woman through delivery is impressive and illustrates the varied training and perspective different professionals have which can help diffuse conflicts of opinion.

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Tom Johnson

@jetbackwards89

11 months

@brionytheliony "Pull don't snap" is one of my biggest tips for new anaesthetists! Fentanyl vials are the worst, use gloves (and gauze if necessary). They occasionally shatter, but it's not nearly as potent as American police officers would have you think if some lands on you!

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Tom Johnson

@jetbackwards89

3 years

@SamuelBS85 Johnson's First Law: You cannot be simultaneously compliant with all trust policies.

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Tom Johnson

@jetbackwards89

11 months

I've set up a temporary mirror of the LabourPains translations while the primary site gets fixed - @OAAinfo @OAATrainee @labourpainsOAA

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Tom Johnson

@jetbackwards89

3 years

@whyohwhyfather @JasonGroves1 @BethRigby In their defence, "more than 20" could mean "all of them"! But of course it would be totally out of character for No10 to massage the truth 🤔

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Tom Johnson

@jetbackwards89

1 year

That awkward moment when your wife's #emergencyalert arrives but yours doesn't. In her words: "Maybe they're trying to save all the iPhone users first?" 🙄

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Tom Johnson

@jetbackwards89

3 years

@mevparekh RN: Hi is that the F1 on call? We had a patient just arrive fast asleep and he suddenly sat up, shouted 'IT'S A DREAM!', and then ran off the ward. Me: RN: Me: Er OK... I'll keep an eye out for him?

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Tom Johnson

@jetbackwards89

3 years

@zackferguson @Medic_Russell

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Tom Johnson

@jetbackwards89

3 years

@RCoANews Also sending best wishes to the college exam, admin and social media teams who must be ever-so-slightly nervous after 'exam gate'!

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Tom Johnson

@jetbackwards89

1 year

@JonnyGucks (The amount spent on stabilising the economy after the Truss/Kwarteng 3-day amateur economic experiment is an order of magnitude greater than the amount required to restore junior doctor pay)

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Tom Johnson

@jetbackwards89

3 years

@fluid_nerd @BenStretch Sounds a bit like using awareness as a vasopressor.

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Tom Johnson

@jetbackwards89

11 months

@veggieequallife If you're in a position to supervise a project it should serve as a 'leg up' to the contributors. I have CPD/appraisal needs but whether I'm first/last/elsewhere in the author list isn't relevant to me. Juniors might need something specific to help them progress!

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Tom Johnson

@jetbackwards89

2 years

@abi_carey @DrLindaDykes @Milzhino And a quick "sorry I've got an anaphylaxis" which would quickly pacify a healthcare professional might not have the same effect on a member of the general public!

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Tom Johnson

@jetbackwards89

3 years

Thoughts and prayers for ED, ITU and Max Facs heading to work tonight! #ENG #medtwitter

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Tom Johnson

@jetbackwards89

3 years

Really excited about the new podcast from @_a_liNE_news ! #podcast #anaesthesia @MADEinHEENE

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Tom Johnson

@jetbackwards89

6 years

Super proud & excited to be there for the first print run of the new QRH! Real attention to #humanfactors at the @AAGBI and enthusiasm at @SouthTees for this kind of innovation. Should be a feature in every anaesthetic room! #patientsafety @morefluids @RCoANews @nhsfyp

Association of Anaesthetists

@Assoc_Anaes

6 years

Honorary Secretary Elect of @AAGBI and Chair of Quick Reference Handbook working party Tim Meek installs the first copies of the QRH at James Cook University Hospital @SouthTees #QRH #anaesthesia

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Tom Johnson

@jetbackwards89

1 year

@morefluids Oxytocin stays hidden behind the monitor on the machine, epidural top up drugs get big yellow labels, muscle relaxants go in the bin near the end of the case. Also, the induction cannula gets a second flush if a post-induction cannula goes in! Just in case I don't use it again...

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Tom Johnson

@jetbackwards89

1 year

@WelshGasDoc @nhsesr This is what happens when the solution is built by the lowest bidder. I had 4 emails in the last 24 hours telling me about this apparently important message 🤦‍♂️

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Tom Johnson

@jetbackwards89

2 months

@FrancesBoott @DocAnonX @mmamas1973 @dr_benoy_n_shah @DrAsifQasim @Xeon4f145d96s1 @ExplosiveEnema @Dr_Done_ This is precisely it - 99% you'll get away with it, but 1% will have catastrophic outcomes. See also pilots, train drivers, structural engineers, software developers. Highly qualified and trained professionals are often the last line of defence and this can't be cheaply replaced.

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Tom Johnson

@jetbackwards89

4 months

@Microbedoc2 'Reg or higher' seemed like a ridiculous rule, but having witnessed NROC calls for simple or non-urgent issues I've become convinced that it is the way forward. There should be a way to 'break the glass', but not protecting NROC doctors makes them unsustainable.

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Tom Johnson

@jetbackwards89

6 months

@dr_emmacoombe Completely agree. When I've asked why rotas are late I've often heard "we were told of rotation allocations late" or "we were given an extra trainee at the last minute". A strategy for managing this is urgently needed, and ideally one that is cost-neutral to facilitate adoption!

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Tom Johnson

@jetbackwards89

1 year

@brionytheliony Johnson's Second Law: You can never be simultaneously compliant with all trust policies.

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Tom Johnson

@jetbackwards89

2 years

@Chris_Riggers @Parody_RCGP It's difficult, because it's no doubt cost-effective to see all these people and catch things early (even with a very small hit rate) rather than treat advanced cancers. But that requires Primary Care to be properly funded to start with, which it isn't.

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Tom Johnson

@jetbackwards89

3 years

@LeylsTurk I found it helpful to ask the obstetricians and midwives questions about decisions/conditions/expected outcomes. It helped me anticipate and plan anaesthetic workload and integrate into the labour ward team!

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Tom Johnson

@jetbackwards89

3 years

Strong and appropriate statement from @RCoANews ! Especially shining a light on the misrepresentation ANRO has made. Looking forward to more positive steps - there seems to be sufficient strength of feeling to support robust positions from the college!

Royal College of Anaesthetists

@RCoANews

3 years

We promised an update on actions @RCoANews has taken with @NHS_HealthEdEng & @UKANRO . The issues are unacceptable. Our statement sets out meetings & assurances given. We continue to advocate on members’ behalf for transparent decisions & communication.

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Tom Johnson

@jetbackwards89

8 years

North Tees docs still going strong! #JuniorDoctorsStrike #jexit #oneprofession

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Tom Johnson

@jetbackwards89

3 years

@thegradmedic Utterly ridiculous, can you name the university? This kind of treatment should have the support of #medtwitter to be called out!

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Tom Johnson

@jetbackwards89

1 year

Huge amounts of public support on Teesside for the #JuniorDoctorsStrikes !

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Tom Johnson

@jetbackwards89

2 years

@jprgooch It's a constant frustration that the answer to wellbeing is touted as "do more stuff". Presumably the better answer for the majority is "do less stuff"

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