I say this every year.
It gives the BBC 10 hours of high-rating television in a week for the cost of an episode of Casualty.
Why would we pull out just because we arenโt winning?
Djokovic smashes racquet against post.
Andrew castle: itโs fine itโs emotion, sign the post and auction it, itโs all good.
Someone whistles in crowd.
Andrew castle: WELL THATS JUST TOO MUCH.
#Wimbledon
The British rowing team has someone who just qualified as a doctor and starts their F1 job next week, thus proving you CAN miss induction if you really want
#OlympicGames
Off to do the โNHS onlyโ shop. Twenty quid says it ends with my getting my head caved in with a tin a carrot by Barbara from infection control for the last bottle of Merlot
Iโm declaring it now before
#LauraKuenssberg
beats me to it.
In the unlikely event that I get to yell at
#BorisJohnson
about the public sector, you should all know that in 2003 I signed up to a local Respect Party mailing list at Fresherโs Week.
#labouractivist
I donโt know if stopping at a motorway services to buy my own half price birthday cake as I turn 38 on nights tonight is the saddest thing Iโve done or not
14 years, a couple of changes of speciality, some extra research posts, and at the grand old age of 38 I found out this morning that I have completed training and can go off to be a consultant!
14 years, a couple of changes of speciality, some extra research posts, and at the grand old age of 38 I found out this morning that I have completed training and can go off to be a consultant!
Yeah. Nurses have every right to be angry.
At the government
At THEIR union
At the places that couldnโt generate enough votes to strikes
But not at the other professional union who stood their ground a bit more than they did
Forget your Junior Doctor Forums and your exception reporting it turns out the way to acheive positive action is to tweet-nag a CEO on a weekend. Madness.
Iโm probably jinxing because my non-resident on-call doesnโt end for 6 hours but I walked out the Royal for the last time, 14 years after I walked in as an F1. Iโve gained a beard and a stone, and lost a registrars lanyard.
Phoned by wife: โ(5yr old) is having us having a meltdown because he says he canโt hear his heart and itโs upsetting him, can you speak to him?โ
And just like that, Iโm back to being the F1 on nights holding the ward bleep.
I saw Robert white live once and foolishly went to the toilet, he stopped his song and started singing โPETERS DOING A WEE, PETERS DOING A WEE, PETERS DOING A WEEโ in the most pressured pee Iโd ever taken.
#BGTSemiFinal
#bgt
#britainsgottalent
A day in the life of a first year medical student is the dullest current tik tok phenomena. No one cares if you got up and had breakfast before sitting in a cancelled lecture Toby.
Im reminded of many years ago, a nurse ate my lunch iโd just started eating as I had to go to a trauma call, and the response from every other nurse in the staff room after was โyou should have left a noteโ
I WAS GOING TO A TRAUMA CALL I DIDNT HAVE TIME TO FIND POST ITS BARBARA.
At my trust an F1 left his bag containing his food in the ward staff room.
Later in the night the ward sister REFUSED HIM ENTRY to the room because a nurse was sleeping in there. So he went without food overnight.
This kind of shit needs to be stopped.
#TipsForNewDocs
Put yourself first.
But also put the patient first.
But most importantly put the discharge summary first.
Think DISCHARGE at all times.
A one handed chest compression technique at an arrest will allow you one free hand to keep typing summaries.
At 36 years old, Jonny Kim has accomplished the remarkable feat of not only becoming a Navy SEAL but also earning a degree as a trained physician from Harvard. He has now been selected as the first Korean astronaut to journey into space.
My new theory on why so many lads lads lads are anti-vax/anti-mask etc is because itโs boiling their piss having to be told what to do by the experts and scientists they would have delighted in bullying when they were younger.
Induction day 1: coffee. Everyone groups off into their specialities subconsciously.
Male surgeons identify each other by the fact theyโre the only ones wearing suits and ties. Theyโre sat round a table drinking coffee like theyโve just failed a task on The Apprentice.
Iโve just been sent this by a close friend of mine currently applying for medicine
It is from the UCAT
So even from PRE ADMISSION, the propaganda starts
Because of course the CORRECT answer here, is โฆ hire more doctors
Butโฆdonโt be so ridiculous. Right?
You donโt *have* to do medicine just because you got three A*s. Go do something you enjoy rather than something that someone else decided is befitting of your grades.
#alevelresults2021
#alevels2021
#ALevelResults
To the ortho surgeon who shouted โscreening nowโ to the radiographer as I had no gown on, making me sprint out of theatre and then I looked back and the mobile x ray was nowhere near the patient and they were all grinning:
Well played sir. Well played.
Orโฆand hear me out here. Donโt have a recruitment process that depends on sitting next Darren in the driving test centre as he spots hazards whilst you answer questions on childhood milestones, in order to assess suitability for making people go to sleep?
PBL at Liverpool:
Facilitator: ok letโs talk about the appendix
Student: (reads from Martini under the desk) it. Is. On. The. Right.
Mature student: actually my life experience which you donโt have says itโs on the left
Graduate student: when I did my first degreeโฆ
Raducanu had three weeks off, sheโs 18 and enjoyed the trappings of new found fame. I once took a week off work and forgot the dose of paracetamol. Calm the hell down.
Today i made (and then later deleted) a tweet in reply to one of Denise Welchโs expert COVID tweets and all I learnt is that Denise fans are more vicious than the time I pissed off fans of Jane McDonald
I feel sorry for fans of
#Eurovision
who skip the semifinals and will never know that they missed this. Look, I get that not everything can qualify, but it still makes me sad.
Because juniors are pissed off?
Because PAs are now heading to the GMC register? The AA issues havenโt been resolved?
Because ACPs can play at EM reg without the MRCEM?
Because pay is awful?
Pick a sodding number honestly
Is this a pointless strike? Sends a message to incoming government, but unlikely any concrete offers will be made now. So 5 days of delaying patients operations for what exactly? Why not wait until new government is in and leverage the strike threat then?
As much as I have quibbles about the consultant offer, for the RCN to suddenly have a dig for their poor offer that they accepted is really really awful
And this isnโt an attempt to hate on football - people love it and it brings its fans happiness, despite England not winning, despite there being complex politics and possible corruption. So they arenโt too dissimilarโฆ
Iโll get grilled for this - but if itโs a core skill, it should be part of training and not some expensive โpay as you goโ module system.
Surgeons arenโt paying ยฃ180 a time for their Lap Appendix moduleโฆ
โI was in a boy band at 16, now Iโm a plumberโ
โAnything else?โ
โNope...โ
โTELL THE GODDAMN TRUTH YOU DID EUROVISION FOR IRELAND!โ
โOh that....โ
#XFactorUK
#xfactor
#brendanmurray
In general I support advanced roles. What I donโt support is this weird obsession with equating it to a level of doctor.
If youโre ducking and diving, avoiding complexity and leaving them for the docs, you are not acting at a registrar level.
If youโre wondering how tomorrowโs pre-exam nerves are (you arenโt) my daughter just spilt blue food dye everywhere and itโs stuck to my hands and now the examiners get to quiz the Intensive Care Smurf tomorrow.
Greece being represented by a medical student, meaning sheโll have to write a reflection before she gets back and because itโs a European competition and not international level sheโll only get 4 points on the foundation programme.
#eurovision
#EurovisionSongContest
Facebook reminding me itโs 11 years since some friends of mine got married, which means itโs 11 years since I went to a funeral at a nearby church by mistake first.
Thing is, itโs not about overvaluing yourself. Itโs about valuing the role. They are inexperienced however from day one they are asked to make decisions or perform tasks that other HCPs canโt/wonโt make, at the expected level of someone who *is* experienced.
My one & only
#TipsForNewDocs
There will be an F1 who says cannulas are โa nurses jobโ, who shrug at responsibility, hands over 12 routine bloods to on-call, thinks CT scans should happen without discussion because itโs 4.58pm
If you donโt find them in the first month,its you
Idea: anaesthetists, stop doing COVID research, stop assessing if sevo is bad for the environment, stop your sim research.
I want you to devote all of your research to designing an entonox valve that doesnโt make that awful honking noise on inspiration
@AAGBI
I believe in you
Emailed today from the college about writing questions for the FRCA.
And the payment isโฆCPD and โfavourable outcomeโ if I wanted to be an examiner.
The GMC have paid me twice for doing exam writing for them yet the RCoA think I can buy Christmas presents with CPD points
Well. What an amazing week! This has been amazing. The BBC have been outstanding and Liverpool have been the best hosts ever! My last view of the this fantastic EuroVillage! Hope those that watched/read my thoughts and photos enjoyed the week!
#eurovision
#eurovision2023
#RichardBurgon
has the look of the lad on
#TheApprentice
that everyone else can detect is a bit shit so they press gang him in into being project manager on week one and then struggles to sell a single tofu wrap on the South Bank and gets fired minutes later.
โYouโve been away from anaesthesia for a couple of years, how do you plan to regain your skills?โ
Well, every 3 months for the last two years Iโve simulated a gas induction by holding my toddler still for a haircut...
Does anyone else just have โnormalโ Christmases? As in just stay in your house with your family and not leave until Boxing Day for a bit of a walk? Why is everyone suddenly obsessed with cramming 9 households into a 3 bed semi in Kettering?
#CovidChristmas
Iโm in a park with my kids, another boy has proudly announced to me โI am 5.โ
I said Iโm 38.
He said โwow and youโre still here?!โ
He gets it
โMaking noiseโ
Treating qualified doctors like nursery children.
Is this an accurate representation of how you treat your staff?
@ELHT_NHS
@ELHT_CEO
Seeing Gullis being unceremoniously dumped out of parliament on some rickety stage in a random local council leisure will make me laugh so hard Iโll need hernia surgery.
@utb_smith
Itโs a question that could so easily set your brain into flames - literally every one of them however it has to be Gullis. A revolting bastard.
Consultants of the NHS. If you want an on call person to:
1) review your patient
2) take your bloods
3) gain difficult iv access
For the love of god ring me. Donโt:
1) ask your ANP to tell me
2) get your F1 to find me
3) sit next to a nurse and get her to ring me.
#respect
Hey all, I did a thing
I used Amazon self publishing to make my own
#eurovision
voting notebook for this years contest. Because I made it, I get a proof copy, but it means they can be bought and individually printed and posted. Thereโs space to vote on both semis and the final
Parenting hack I just discovered.
โI want TWO biscuits!โ
Snapped one in half. Right in front of him. Heโs happy. God bless Piaget, my A-level in child psychology wasnโt a complete waste of time.
Itโs all kicking off in soft play. Itโs too full and people with tickets are being turned away. The tannoy is announcing the surnames of families theyโve decided have been here too long and asking them to leave. A child called Danny still hasnโt been claimed from reception.
So this actually opens up a much wider debate. If one of my ACCPs sees a referal do we need to send a doctor afterwards to redo the history/exam? Have the GMC decided which advanced roles need a collateral history? Is it just PAs? It is everyone without a medical degree?
A fitness to practise tribunal (MPTS) determines that a PA's history should be repeated by a doctor and a PA's examination should be repeated by a doctor too.
DAUK's report in Pulse explains more ๐
A nurse in my wifes work is bragging that she put a mask on and her sats when from 98 to 96% and therefore she doesnโt want to wear one.
Help me out here, where do I start with this?
Me: well what will be will be, itโs a random allocation and thereโs so many people applying that it will be difficult. Illl just enjoy the atmosphere in Liverpool.
But also me: OH WHAT JANET GOT A TICKET?! SHE CANT EVEN TELL YOU WHO CAME 4TH IN 1984. JESUS.
#eurovision
My college said recently how hard they tried to bring costs down but couldnโt.
Maybe run the college out of a rented office in Kettering rather than a giant glass building down the road from Euston?
I know that a lot of my Royal College subscription goes on things Iโll never use, and generally Iโm at peace with that. But this desperate drive to get people to London for a meeting nobody seems to understand, with a free bar thrown as a sweetenerโฆthis does grate a little.
@rosieICM
@thetimes
There must have been a time when thinking about writing this, turning his computer on, waiting for Word to load, actually typing the words, attaching it to an email, and then sending it, he thought โwill this go down as expected?โ
I do it because I donโt want my hands touching something unpleasant.
So I do it for me rather than IPC.
What irritates is we asked โwhatโs the evidence?โ and was ignored
Instead, big personalities standing at lecterns said ITS FOR THE PLANET, caused a change in practice
I will say this every day if I have to. Boring robotic people are fine. We had โcharismaโ (which in the UK is being a dick on a zip line and rugby tackling a small Japanese child) and look where we are.
Kudos to
@SkyNews
and
@BethRigby
. This is most revealing thing I've seen this election, epitomised by this question.
"How can you convince me Sir Keir Starmer you're not robotic?"
Gives robotic answer repeating CPS, N Ireland police background and coming into politics late
Childโs nursery rhyme DVD:
5 little monkeys jumping on the bed
1 fell off & banged his dead.
Went to the Dr and the Dr said,
No more jumping on the bed.
They repeat this 4 times.
At which point does the doctor make a safeguarding referral?
AND WHAT DOCTOR LOOKS AFTER MONKEYS?!
TL:DR, yes everyone can in theory do everything, but there needs to be proper contingency planning, and that requires appropriate training, breadth, logbook numbers and skills of the future generation of consultants