Róisín @roisinamcc Twitter profile

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Róisín

3 years

I am eternally sorry to every single experienced clinician who has had to shadow me & my mediocracy when they first move to the NHS and suddenly become an SHO

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Róisín

@roisinamcc

2 years

After 18yrs of slipping & falling down these stupid stairs, inc. multiple concussions and minor injuries, I’m really glad to know that my parents cared enough to fit carpet on them within days of their beloved new dog “looking a bit scared of slipping on them once”

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@roisinamcc

1 year

Screaming, crying, throwing up (Going to treat myself to getting my car the service that’s 7 months overdue)

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@roisinamcc

3 months

How do I explain to my friends this afternoon that I’m just a bit sad about the internet fish dying

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@roisinamcc

4 years

I can’t specifically explain why, but I just feel like there’s the soul of a 1800s Victorian child trapped in Peter’s body and it’s trying to escape #gbbo

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@roisinamcc

3 years

imagine the absolute carnage if a load of doctors were pictured sitting out on the hospital balcony, drinking wine and eating cheese while “having a work meeting”. Even without the whole global panini issue they’d all be datix’d until the NHS computers exploded

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@roisinamcc

2 years

Me preparing to tell the nurse in charge that I tried to be helpful by answering the ward phone but somehow broke it, and I’ve forgotten the code to the treatment room again

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@roisinamcc

2 years

Anyone else getting real tired of being shouted at by patients/relatives every day for the faults of a crumbling healthcare system you’ve poured your heart into training to work in- cos u completely agree with their concerns but can only apologise/beg them to shout at the govt?

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@roisinamcc

2 years

Last week a reg laughed at me in front of the ward & told me to “stop being a drama queen” when I asked if we thought a patient might have cranial diabetes insipidus. Well somebody’s now been diagnosed with cranial diabetes insipidus, & this drama queen feels dramatically smug 💁‍♀️

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@roisinamcc

2 years

Boyfriend has told me his ward “looks pretty quiet this morning”, so I expect him home maybe 3 hours late this evening if we’re lucky

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@roisinamcc

4 years

I’m just a girl, Standing in front of the bed flow coordinator, Asking her to hear me say that I acknowledge we need bed space but that doesn’t mean the patient’s pneumonia, psychotic delirium or raging sepsis have ceased existing since she asked me 1 hour ago

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@roisinamcc

2 years

@sophielouisecc Sophie finding out that people who had to keep working during the pandemic were paid for going to work

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@roisinamcc

2 years

Consultant: “Oh you had an echo last year? In a different country? No worries at all, my SHO here will get that echo report in no time” Me, the SHO:

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@roisinamcc

2 years

To clarify for anyone else who’s going to say my parents are lazy/abusive- We all hate these stairs, Getting new stairs is £££, My parents are wonderful kind & caring & I love both them + the dog very much. “Carpet on stairs post-dog” is a funny joke enjoyed by all my family 😭

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@roisinamcc

2 years

Congrats to Bart’s for winning this week 💕

Simon Fleming 🛠

@OrthopodReg

2 years

Dear @NHSBartsHealth Really?? REALLY?! Some reflection is perhaps is order. #medtwitter

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@roisinamcc

1 year

she's everything he's just ken

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@roisinamcc

2 years

Consultant: “oh you have an outpatient specialist MRI scan booked in 3 weeks? My junior doctor here will get that done as an inpatient before you’re discharged home tomorrow 😃” Me, the junior doctor:

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@roisinamcc

2 years

*screams in healthcare professional”

Travis Egan

@tr_egan

2 years

@IntrovertProbss Best thing ever

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@roisinamcc

2 years

Another consultant I can only hope to be like in a few years: 1) kindly checks in that an SHO has been paid for a shift, having not worked with me for months 2) absolute SASSPANTS

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@roisinamcc

2 years

YES I AM VERY HAPPY TO COME AND “ASSESS CAPACITY” FOR A PATIENT, BUT CAPACITY IS THE ABILITY TO USE AND UNDERSTAND INFORMATION TO MAKE A DECISION AND COMMUNICATE A DECISION MADE, SO WHAT DECISION ARE YOJ ASKING ME TO ASSESS? COS WE DON’T JUST SAY A PATIENT “LACKS ALL CAPACITY”

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@roisinamcc

2 years

Massive shout out to the nurse today who mistook my medical student for the night doctor (who’s shift had finished hours ago)- because when said student said good morning and introduced herself, on her first day on our ward, he turned and shouted “GO HOME!!!” directly in her face

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@roisinamcc

1 year

@ReallyNiceDerek my tax was 1st miscalculated & then adjusted for the £1500+ yearly cost of exams/memberships/fees needed to work as a Dr that we pay ourselves (just go in tax-free allowance) I’ve not caused a cost of living crisis. Pls look at Downing Street & touch some grass while you’re there

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@roisinamcc

4 years

me: have you opened your bowels yet today after the enema, sir? :) patient: “YOU SHOULD HAVE WARNED SEVERN TRENT WATER ABOUT WHAT YOU MADE MY BODY DO” My documentation in medical notes: “bowels open ++”

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@roisinamcc

2 years

Me and the squad trying to get the discharge letter and TTOs ready in time for transport that’s been helpfully booked in 15 mins time

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@roisinamcc

3 years

Your consultant supervisor trying to log into the same eportfolio account that they’ve been using every 4-months for the past 5 years:

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@roisinamcc

1 year

Liaison psychiatry explaining to the surgical ward team why “patient sad” isn’t an accepted referral

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@roisinamcc

4 years

Last August on a night shift I accidentally taped an unused teabag onto a patient’s wrist after an ABG instead of the cotton wool, and I’m still at least a fairly decent FY1 #TipsForNewDocs

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@roisinamcc

4 years

been reflecting and tbh being born the exact right time to pay £9k a year to study medicine and then spend my first two years as a doctor trying to stumble through a pandemic IS FEELING A BIT RUDE

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@roisinamcc

2 years

Good evening to everybody except the store assistant in sainsburys who managed to say “can I have some help here please” in the EXACT right tone to apparently trigger an ALS centre. Was fully ready to do an A-E on the big cereal stack she’d asked a colleague to help her move

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@roisinamcc

5 months

Listening to your consultant tell a patient on ward round that they’ll be “home by this afternoon”, when u full well know they’re on 32 different medications in a dosette and have an 8-week long admission discharge letter that needs writing

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@roisinamcc

3 years

I hate it here x

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@roisinamcc

4 years

every morning these NEWS scores wake up and choose violence

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@roisinamcc

3 years

me and the gang after writing “no action required” in the ‘GP to note’ section of the discharge letter

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@roisinamcc

2 years

Didn’t manage to take off my makeup properly, drink any water, or safely put away my belongings when I got home quite drunk last night, but it seems I did manage to do a Duolingo lesson to extend my streak. Priorities are clear

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@roisinamcc

1 year

Some consultants today when they realised they want “some general cardiology reassurance” about the troponin of 7, but now have to discuss that with cardiology themself

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@roisinamcc

2 years

Seeing how horrid some nhs staff are to many junior docs is really gross, and depressingly common. So for a positive comparison- why not be more like one of the senior nurses in my first F1 job, who quite literally baked me cake for my set of nights, and left it with this note

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@roisinamcc

3 years

I never want my F3 year to end because I have never felt more valued than when I’m unexpected extra staffing

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@roisinamcc

3 years

Suggested a stupid blood test for a patient and now I have to do it

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@roisinamcc

3 years

what the patient sees when I arrive to put a new cannula in at 3am

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@roisinamcc

3 years

Sometimes it’s nice to feel clever for a bit even if you didn’t earn it

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@roisinamcc

2 years

@adamgordon1978 I am “very pro” for liaising a canine unit to go out with geriatrics teams for stairs assessments- if Ted doesn’t like the stairs then they’ll need changing 🙌🙌🙌

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@roisinamcc

2 months

Why is he so “psychiatrist on-call turning up for the review in A&E”

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@roisinamcc

2 years

My best friend’s second name is Ward and her partner’s is Clark. I’m absolutely fuming because she doesn’t want to change her name to “Ward-Clark” because apparently outside the hospital that’s “not funny” 😡 A COMPLETE WASTE!!!

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@roisinamcc

1 year

Night shift 4/4 vibes completely summarised with his picture. “Sore knee for 20 years eh? Yeah that sounds exactly like 1am Friday morning is the perfect time for us to address it”

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@roisinamcc

2 months

Always on a Friday too

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@roisinamcc

1 year

Huge appreciation to Pearson Vue for my 8am exam tomorrow being rescheduled to a new test centre, over 1 hour’s drive away, with <24hours notice of it. Absolutely buzzing for the 6:15am drive. BUZZING. £525 well spent. Grateful every day for the joys medical training gives us x

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@roisinamcc

4 years

friends and family: wow you’re carrying the CARDIAC ARREST BLEEP? That sounds important 😯 Me at most arrest calls, waiting for the reg to say I should do the ABG:

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@roisinamcc

1 year

Looking back on finishing CT1 with happy memories of the many identities that got me through being duty doctor 🥰

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@roisinamcc

3 years

me working out the creatinine clearance for a patient knowing that the answer is going to cause upset for myself, my registrar, microbiology, and the on-call pharmacist

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@roisinamcc

2 years

The Christmas presents haunting IPC staff every year

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@roisinamcc

5 months

Every time I do a medicine locum I get a wonderful reminder of how strange this workplace can be x

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@roisinamcc

9 months

Imagine having the self confidence to refer a patient to a speciality with only two words, and those words simply being “low mode”

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@roisinamcc

3 years

Me awkwardly trying to make small talk with new patient I’m struggling to cannulate at 6am this morning: “oh no i’m sorry, we have stabbed you with a lot of needles haven’t we” Patient: “nah, those are mostly from injecting heroin” Me:

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@roisinamcc

2 years

Screaming, crying, throwing up. Dr Raisin at your service

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@roisinamcc

1 year

Using my annual leave today to revise for a stupid professional exam, an exam I couldn’t afford and had to get a separate credit card to do, and needing the exam to progress in a career where it kind of just feels like a spiral of bad choices atm anyway 🥰

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@roisinamcc

3 years

If my senior asked about the process behind my “diagnosis and management plan” for the patient I saw at 6am

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@roisinamcc

2 years

Turning to the examiner at the end of your OSCE station like

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@roisinamcc

2 years

Had my first massage today, and after 30 mins of the lady telling me to “pls relax ma’am” she eventually just said “ma’am I do not think you have ever relaxed for a day in your life”. I’m split between feeling a bit attacked but also very understood

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@roisinamcc

3 months

NHS medical training describing why 4-monthly rotational training best suits junior doctors

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@roisinamcc

2 years

Ah yes, the two religions:

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@roisinamcc

1 year

Why don’t you like sitting outside in the sunshine to eat? Me:

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@roisinamcc

7 months

Is this what a dermatology MDT looks like

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@roisinamcc

7 months

Today I fell down some hospital stairs in front of PT/OT who were doing a stairs assessment. Unharmed physically, but emotionally I think that’s the end of the road for my hospital-based career. Unsure how to come back from this other than by requesting my own stairs assessment

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@roisinamcc

3 years

me 0.6 seconds into medical school

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@roisinamcc

8 days

I have never related more to medical documentation

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@roisinamcc

7 months

babe what’s wrong, you’ve barely touched your sepsis tea trolley cuppa

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@roisinamcc

2 years

Nothing makes weekend ward cover better than when you open a patient’s notes and see that a geriatrician has done a full review and beautiful summary on Friday. In their matching beautiful geriatrician handwriting. You guys truly deserve the world

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@roisinamcc

2 years

Me sitting down on every ward I get bleeped to

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@roisinamcc

2 years

Why does telling a consultant you’re probably not going into their speciality always feel like you’re breaking up up with them with “it’s not you, it’s me”

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@roisinamcc

6 months

My first set of liaison psych on-call nights spent mostly in ED are already feeling like this

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@roisinamcc

2 years

Me: prepping patients’ discharge letters instead of going for a coffee, because I do actually worry about patient flow & bed pressures Anyone: “DON’T FORGET YOU MEDICS NEED TO REMEMBER ABOUT DISCHARGES BEFORE YOU GO DRINK COFFEE & BE LAZY FOR HOURS!!!” Me:

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@roisinamcc

2 years

The discharge coordinator when you tell them “I know transport has been booked, but they’ve just spiked a temperature”

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@roisinamcc

2 years

My dad asked me today “are you a junior doctor yet?” I’m in my fourth year of being a junior doctor

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@roisinamcc

3 years

me contacting a consultant: “Please may I perhaps ask of you to answer a required question (if/when you happen to have a spare moment of course). I owe you my life, my career, and my yearly income. I obviously also apologise for asking/existing in the first place” consultant: 🤟

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@roisinamcc

3 years

I’m in a bad place right now. Not just mentally, but I’m also trying to learn the coagulation cascade again

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@roisinamcc

2 years

Me watching the medical students leave after I’ve told them they can go to their ✨teaching✨

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@roisinamcc

1 year

First non-residential on-call last night had several of these: “Doctor, just calling to let you know that patient X is scoring EWS 3” “Ok, what are the obs please/what are they scoring on?” “Oh I don’t know that bit, just had to let you know”

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@roisinamcc

3 years

hey, do you remember this very non-specific patient that you saw at 3am on ward cover night 4/4, about six months ago, for a very non-specific reason?

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@roisinamcc

2 years

How my consultant views me for being able to use electronic hospital records to check which inhaler a patient is prescribed by their GP

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@roisinamcc

4 months

Every day I find a new reason to be glad I picked psychiatry, and reason number 10002: urgent department wide email to inform of ice cream van’s arrival

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@roisinamcc

7 months

Me after working out a patient’s creatinine clearance before I prescribe something

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@roisinamcc

6 months

Honestly think my training experience would improve exponentially if one day the medical SHO calls me to ask if I know what “the lifetime prevalence of attempted suicide in the goth subculture” is

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@roisinamcc

1 year

Consultant: “I’ll be on the ward at 1pm to do a ward round, please be there” Me still at 3pm:

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@roisinamcc

3 years

Absolutely fuming to report that my IMT interview was actually not just 20 minutes of being praised for wanting to do IMT

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@roisinamcc

1 year

Me trying to do a full mental state exam/risk assessment for a teenage patient without interrupting our building rapport

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@roisinamcc

2 years

When the consultant surgeon asks you which nerve they’re pointing at currently, but you’ve been asleep standing up for the past 3 hours and forgotten which theatre you’re even stood in

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@roisinamcc

2 years

Me reflecting on how the NHS is run for the benefit of Dr’s, while sitting on a bin to work & trying not to have a meltdown about how I’m paying my bills & mandatory exam fees this month, then trying to remember if my bag is currently kept behind said bin or on a bit of the floor

Hugo Gye

@HugoGye

2 years

EXC The NHS is too often run for the benefit of doctors, not of patients, Wes Streeting warns in @theipaper interview alongside Rachel Reeves. He promises a decade-long reform programme to empower patients to take control of their own care. Story:

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@roisinamcc

2 years

Declining my IMT offer felt very weird & I will really miss medicine, but I do think I’ve realised that I find psych way too interesting to turn down a training programme that good.. Plus the free parking and leaving by 5 (almost) every day is pretty sweet.. Hi psychiatry 🤗

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@roisinamcc

7 months

I’m already like this at 28, what is going to be left by 71 😭

Guardian news

@guardiannews

7 months

UK state pension age will soon need to rise to 71, say experts

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@roisinamcc

4 years

guys pls can you at least put bloods out

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@roisinamcc

11 months

Dreamed of owning a horse since 4ever & ever, & finally I’ve paid the final chunk to buy this special guy - after 4 long years of monthly payments. Finishing med school etc was all good, but I’m honestly a bit more tearfully proud of actually buying myself a whole damn horse!! 💕

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@roisinamcc

8 months

Walking into an osce station to see that the examiner is the consultant who rinsed you for your incompetence only several months ago

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@roisinamcc

3 years

Is there anything more “NHS admin struggles” than an SHO being registered as her consultant’s line manager? Hoping I can put this down as leadership/management experience

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@roisinamcc

9 months

walked into a doctors office wearing a turtleneck and my favourite fun cardigan, and u would not believe the speed someone handed me the notes for the one patient waiting for liaison psych review (without me even saying one word of who I was) Is this a career achievement?

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@roisinamcc

3 years

managed to walk past the renal consultant on call on their way into work today

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@roisinamcc

4 years

if y’all can pls stop getting engaged & buying houses & publishing 3 different cures for cancer in your spare time, for just 1 week maybe, I would really appreciate the time off to recover a shred of self esteem. (or I could turn off social media, but I enjoy the memes too much)

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@roisinamcc

1 year

Whichever staff member wrote this absolute prose, I want it framed and put above my desk forever

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@roisinamcc

2 years

The return from annual leave is always an extra nice NHS IT experience

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@roisinamcc

2 years

When you see the patient’s GFR went up by 2 and creatinine decreased by 5 after u suspended their ramipril yesterday

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@roisinamcc

2 years

Me: “no I absolutely will not pick up any more extra locum shifts this month, I am simply exhausted” Me two days after pay-day when offered a locum shift:

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