Zachary Tait @zachary_tait Twitter profile

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Zachary Tait

@zachary_tait

1 year

the funniest I’ve ever been and I waste it on F1 induction

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Zachary Tait

@zachary_tait

1 year

I saw this at work today and I think Sue from Purchasing is gonna get in trouble

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Zachary Tait

@zachary_tait

2 years

low point of recent ward cover: *bleep at 4.15am* Hi Dr, just to let you know that the man in bed 3 has a stye. Just wanted to tell you before I wrote it down’ 🫠🫠🫠 FIND ME A NEW CAREER

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Zachary Tait

@zachary_tait

1 month

spent a day of annual leave, £30 in transport and a fair chunk of my sanity today going to my new Trust for an ID check which took six minutes but ‘couldn’t be completed online as it’s not allowed’. HR staff lovely but I resent this and paying for my own DBS…

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Zachary Tait

@zachary_tait

2 years

@sleepy__doc had a patient cardiovert doing an explosive bowel motion on my last set of nights. the whole met team did a big cheer

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Zachary Tait

@zachary_tait

2 years

@Tom_the_Knowles @David_T_Evans @ParisahHussain he didn’t call her ‘love’, ‘dear’ or ‘darling’. credit where credit’s due now, come along

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Zachary Tait

@zachary_tait

3 months

@liambarker isn’t it horrible how these people get to live in our head rent-free for so long? sorry that happened to you

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Zachary Tait

@zachary_tait

1 month

@DrAdamLawton that’s great, thank you! I’ll be stealing this..

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Zachary Tait

@zachary_tait

2 years

Amazing to hear @OliverDowden repeatedly reiterating (lying) that NHS backlogs are due to COVID on @bbclaurak - quite clear backlogs were extensive prior to the pandemic

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Zachary Tait

@zachary_tait

2 years

@DrNickTwit hey - paeds F2 here! can I ask about ebv/amox rash for my learning pls? have been taught this several times and appears in nice CKS even! what is the background of the myth? thanks so much

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Zachary Tait

@zachary_tait

4 years

@morefluids I always talk them through my examination and apologise for pain or discomfort, thank them for letting me examine them and that I hope they take care. I honestly think it’s one of the biggest privileges of my job and we talk about it so little as HCPs

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Zachary Tait

@zachary_tait

1 year

can’t articulate how much I hate receiving weekly emails from my university (endowment £1.3bn, with collegiate assets of £5bn), asking for money, while I work extra shifts to get my bills paid

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Zachary Tait

@zachary_tait

1 year

@DrDavidWarriner I’ve got my finger on the pulse (which is unusual for me as a palliative care dr)

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Zachary Tait

@zachary_tait

11 months

how to make that M&M presentation useful as a junior doc (I hope). so excited that this is published! What can you learn as a foundation doctor from analysing deaths in hospital?

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Zachary Tait

@zachary_tait

2 years

yes bma james go in

James Steen

@BMA_James_Steen

2 years

Fuck me, this is possibly the worst case of divisive gaslighting I’ve seen in a long while, and we’re meant to consider you the cavalry?! So let’s break this down to unveil this poorly executed attempt to hoodwink the public into being anti union - strap in for this 🧵

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Zachary Tait

@zachary_tait

9 months

absolutely loving finding examples where they've Replaced All HEE with NHSE without proof-reading...

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Zachary Tait

@zachary_tait

11 months

sorry I’m out here selling my first-born to Medica to get a CTPA on a Sunday while someone wants to know why Nemo has a dodgy tummy?!?! he hasn’t even got a wristband on and good luck getting a green in that ACF

Rob

@thegallowboob

11 months

Just found out they give live fish CT scans by placing them on a wet sponge and I can’t stop thinking about it

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Zachary Tait

@zachary_tait

2 years

some of my favourite ever colleagues in these pictures - dedicated, diligent, decent and deserving of better pay and conditions

Pat Cullen MP

@patcullen9

2 years

Met with truly professional dignified and patient focused nursing staff at the Royal Sussex County Hospital. Their passion and energy to do the right thing for patients is palpable. #RCNStrike

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Zachary Tait

@zachary_tait

2 years

I have never ever ever heard a man describe another man’s work as ‘doctor magic stuff’. What an utter disaster

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Zachary Tait

@zachary_tait

2 years

@sh_abbers @FiddyLinda yes it was rather inopportune having to remove my clay face mask and turn off the aromatherapy to go to the ward actually

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Zachary Tait

@zachary_tait

1 month

@isitsleepytime thanks so much that’s so helpful - do you have a reference at all? My suspicion is I’m going to have to push to get it back..

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Zachary Tait

@zachary_tait

2 years

@fourhourtarget @ronansetron this is why you’re my favourite Malcolm

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Zachary Tait

@zachary_tait

2 years

Mulling over the year at NYE and it’s just struck me that I haven’t set foot inside a hospital for six weeks now, and my mood is better than it’s been for months (if not years)

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Zachary Tait

@zachary_tait

11 months

an aside from the (imo excellent) points made here, but I wish all my ooh shifts started with no patients in the hinterland between ‘formalised’ and ‘considered but not yet appropriately discussed’ DNACPR. I find it hard to navigate and know that colleagues do too

Jacob de Wolff 🇳🇱🚲☕️

@jfdwolff

11 months

@DrLKVaughan Common scenario: someone deteriorates overnight, and DNACPR was being considered but had not been formalised. I would trust a medical SpR to formalise it without waking me up.

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Zachary Tait

@zachary_tait

2 years

thank Christ I spent all this money that I don’t have

NHS England Workforce, Training and Education

@NHSE_WTE

2 years

People wanting to train as a doctor could achieve their degree by an apprenticeship route from September 2023. HEE has supported partner organisations to develop the Medical Doctor Degree Apprenticeship standard which NHS organisations can now use. 👇

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Zachary Tait

@zachary_tait

2 years

@katngill I think there should be a 2222 alternative for ‘I have the heebie jeebies’. Summons the med reg, ITU reg, hospital director, a priest, ghostbusters etc etc

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Zachary Tait

@zachary_tait

2 years

had a wonderful few days last week @RHUL_cvs hearing about All Things Repair in Victorian Studies - feeling pretty repaired and rejuvenated myself! Thanks to @AnyaFlorence_ for my invite

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Zachary Tait

@zachary_tait

2 years

Hi @Anna_Firth - you’re clearly very medically qualified judging by this clip. How would you remotely, without exam or obs, rule out PE in a covid patient with hypoxia? Sending a GP routinely to a submassive PE might well be a fatal error, but glad you know better

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Zachary Tait

@zachary_tait

2 years

@katngill totally agree (though different clinical scenario irl). Endemic culture of criticism means staff (RNs and others) don’t feel empowered to enact decisions (even document) without escalation, delays emergency care

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Zachary Tait

@zachary_tait

2 years

things in our office that just make sense… one working phone between 6-8 doctors

Simon Fleming 🛠

@OrthopodReg

2 years

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

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Zachary Tait

@zachary_tait

2 years

@moribunddr oh but with this one you can make them a cup of tea while you chat to them (+ tea and biscuits for yourself). also if you need a good cry it’s a good time to get it out

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Zachary Tait

@zachary_tait

5 months

@drol007 thats amazing! Adding ‘beauty capital’ to ‘the eponymous facelift’ and ‘an ikea which used to be a TB hospital’ to my list of reasons to love Croydon

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Zachary Tait

@zachary_tait

2 years

Roses are red My heart aches for you I’ve got crushing chest pain Double two double two #MedicalValentines

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Zachary Tait

@zachary_tait

2 months

Nadine shrieking UTTER DISGRACE like a mother of the Hen who’s been told they’re not allowed into Yates’s because her daughter threw up on the bouncer

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Zachary Tait

@zachary_tait

10 months

worst shift of my life flashback

Keith Siau

@drkeithsiau

10 months

CT scan of a diabetic patient with abdominal pain. What’s the diagnosis?

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Zachary Tait

@zachary_tait

2 years

@Not4Twos exactly the same thing happened to me in f1 (though my call was ‘there is no one more senior than me on this ward except the consultant who is in emergency theatre, please help’). Worst day of my working life

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Zachary Tait

@zachary_tait

2 years

@Laracapybara @KotechaPinky exactly, it’s very difficult. I think ?new rash is a good example. Sits on a spectrum from totally irrelevant to acutely life threatening - and when looking in retrospect its 20:20 vision

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Zachary Tait

@zachary_tait

2 years

thoughts and prayers to those moving to general surgery x

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Zachary Tait

@zachary_tait

2 years

@Sarah_H_Y wish I had a stamp for 3.75 zopi with clear PRN instructions

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Zachary Tait

@zachary_tait

2 years

good lord - this isn’t just a car crash it’s a fifteen car pile up on a level crossing. @wesstreeting has literally no idea about anything does he?!

LBC

@LBC

2 years

'The BMA does doctors a disservice' Shadow Health Secretary Wes Streeting says the Labour Party won't 'pour any more money' into the NHS without seeing 'improvements' for patients. @ShelaghFogarty | @wesstreeting

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Zachary Tait

@zachary_tait

10 months

every single one of those people who would ‘die anyway soon’ had someone that loved them, someone who went to their funeral, someone that had to say goodbye

Dr Rachel Clarke

@doctor_oxford

10 months

"Why are we destroying the economy for people who are going to die anyway?" Devastating written record of discussion between Johnson & Sunak in Mar 2020. So herd immunity was the idea, the old were worth culling & who cares about economically unproductive people anyway? Vile.

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Zachary Tait

@zachary_tait

2 years

this is the transition from final year med student to f1 gen surg

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Zachary Tait

@zachary_tait

2 years

however verbalising this to an unknown senior felt very liberating, particularly as he didn’t respond with ‘oh but it’s the best job ever/a vocation/direct route to sainthood’ etc, but instead discussed why this might be and how I (and colleagues) could work on it

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Zachary Tait

@zachary_tait

1 year

huge shout out to consultants and SAS docs across England covering nights tonight - don’t forget biscuits for the 4am lull 🌝 #JuniorDoctorsStrike

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Zachary Tait

@zachary_tait

1 year

I hope my favourite senior leaders will all demean themselves next month. Yours, ‘just a worker’

Stephen Thornton

@Thornton_health

1 year

Am I alone in thinking it is wrong for consultants to strike? Nurses, paramedics, junior doctors, yes, they are just ‘workers’ but consultants are senior leaders, just like senior managers. They demean themselves by striking.

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Zachary Tait

@zachary_tait

8 months

hahahahahahahhaha the only Cayenne I have is pepper

Effie Deans

@Effiedeans

8 months

Junior doctors are the modern equivalent of aristocrats. They rarely have above average intelligence, but worked hard at school & now earn a fortune more than those who pay their wages. After buying their Porsche Cayenne they spend the rest of their life bossing us around

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Zachary Tait

@zachary_tait

2 years

today in clinic an external consultant asked if I was glad I became a doctor. I said ‘no, I hate it’ - he replied ‘I would feel the same if I was new now’, and only then did I realise my own consultant (and CS) had crept in behind me 🫥🫥🫥🫠🫠🫠

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Zachary Tait

@zachary_tait

3 years

@pjsouthall I refuse to hear complaints about that positively serene shade when these are my ED SHO/traffic enforcement official scrubs

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Zachary Tait

@zachary_tait

2 years

@Cahill_Lou @helen_barnowl Couldn’t agree more, system is a nightmare. Unfortunately escalating everything (to me as only Dr) means receiving 100+ phone calls in a 12 hr shift + seeing many very unwell people. All we can do is try to change the system or remove ourselves from it, I think

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Zachary Tait

@zachary_tait

3 years

@benzosarebad @J_F_Hayes @thetimes @markhoro @ProfRobHoward @And_Cipriani @ParianteLab @TCleare @docbloomfield @sameerjauhar I’m a doctor who takes antidepressants (with a very tolerable side effect profile). I’m not a wreck with no life, and my excellent GP counselled me well on possible SEs. These drugs can and do work for many people

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Zachary Tait

@zachary_tait

2 years

‘If you can’t look after yourself, how in the hell you gonna look after somebody else’

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Zachary Tait

@zachary_tait

4 years

Goodbye Oxford and thanks for the best six years of my life. I’ll really miss you, Brighton has a lot to live up to

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Zachary Tait

@zachary_tait

2 years

or perhaps, as I suspect, you don’t really know what you’re talking about, but photos in a big yellow jacket and a ride in a neenaw truck makes for great publicity

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Zachary Tait

@zachary_tait

7 months

went to see All of Us Strangers and lost the plot when Andrew Scott went to the WHITGIFT CENTRE of all places, a croydon childhood truly is the gift that keeps on giving

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Zachary Tait

@zachary_tait

1 year

hahahahahahahahha guys I think we need to stop striking cos Mandy really knows what’s up, she’s done it TONNES of times

Amanda Platell

@amandajplatell

1 year

@BcfcStewart You honestly don’t think I’ve worked throughout the night tonnes of times working in Politics?

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Zachary Tait

@zachary_tait

5 months

the disclaimer at the bottom is sending me (makes sure to add ‘studded leather belt’ to list of pertinent positives for presenting patients)

Róisín

@roisinamcc

5 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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Zachary Tait

@zachary_tait

2 years

they’re not gonna give you a job mate, get in the 🗑

Tom Harwood

@tomhfh

2 years

Stories of people not seeing family members, missing out on dying relatives are heart wrenching. Yet I don't see how they are particularly relevant to what civil servants & the PM are accused of doing - none of whom are said to have seen anyone other than those they worked with.

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Zachary Tait

@zachary_tait

2 years

@katngill system problem not individual (and am not blaming any individual nurse at all). obv some detail adjusted for confidentiality, and actually it did interrupt acute care (unavoidably)

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Zachary Tait

@zachary_tait

2 years

forget A&E corridors, ward corridors are coming

Shaun Lintern

@ShaunLintern

2 years

BREAKING: All hospitals in England told to take "immediate steps" to find extra space for patients so that no ambulance waits longer than 30mins. This must be done despite the extra burden on hospital staff, say NHS chiefs.

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Zachary Tait

@zachary_tait

2 years

@ali1m @sh_abbers @FiddyLinda these jokes are getting cornea and cornea but its my sense of (vitreous) humour

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Zachary Tait

@zachary_tait

11 months

@HespeChristina @mancunianmedic @jdrwilcox @jfdwolff @DanielSokol9 thanks for sharing Christina, he sounds wonderful. I’m so glad you got those years (and birthdays!) with him. What did he do at Loughborough?

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Zachary Tait

@zachary_tait

1 year

Edwina Currie

@Edwina_Currie

1 year

You're on £46, 224 a year... part time...

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Zachary Tait

@zachary_tait

5 months

@ZJPlace97 congrats Zach!

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Zachary Tait

@zachary_tait

11 months

@jfdwolff of course (this wasn’t meant to be critical, sorry if it sounded that way). It’s just tough out-of-hours I think, the hinterland is a necessary but challenging aspect of treatment escalation planning

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Zachary Tait

@zachary_tait

2 years

Day 2 - I have again attended a hospital but remained as far from any patients (or directly pt-facing staff) as possible, because Rishi told me how awkward it was to get shouted at by an old lady

Steve Barclay

@SteveBarclay

2 years

Today I visited the Care Coordination Centre @MTWnhs Maidstone, where staff use real time data to track bed availability to maximise efficiency. This innovative approach has reduced the time a bed stays empty from nearly three hours to one, reducing waits for patients.

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Zachary Tait

@zachary_tait

2 years

this week I have rotated to the most wonderful, interesting and friendly community specialty. It’s really made me sad about my last 5 jobs in hospital, so I’m feeling this today

Trisha Elliott

@Trisha_the_doc

2 years

I’m reading this week’s @bmj_latest just now, as I always do on a Saturday morning. It’s all a big depressing, sadly… looking for nuggets to share, but feeling a bit sad about the state of the world and the NHS in particular. I will try to be positive though.

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Zachary Tait

@zachary_tait

3 years

Worst part of ward cover tonight has been being asked by 3 different patients why the vending machine took their money and didn’t give them a kinder bueno

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Zachary Tait

@zachary_tait

2 years

On the train and someone (clearly a consultant) opposite me is absolutely slating one of her juniors on the phone to a friend and I feel so uncomfortable

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Zachary Tait

@zachary_tait

2 years

and I feel a little more like my old pre-FY self, which is a feeling I’m relishing

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Zachary Tait

@zachary_tait

4 years

Five get their first foundation jobs: from final-years to fledgling FiY1s #fiy1

The Queen's College

@QueensCollegeOx

4 years

We're very proud of our 6th-year Medics whose plans changed so much a few months ago. The 'Class of COVID' describe their experiences volunteering with the NHS, graduating by email & then becoming fully-fledged doctors a little earlier than usual:

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Zachary Tait

@zachary_tait

2 years

@irnbrufan @alisonleary1 @Cahill_Lou @helen_barnowl think we docs need to be more proactively supportive of our nursing colleagues when they're getting in trouble for things like this!

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Zachary Tait

@zachary_tait

11 months

@john_splatt what about a Warren?

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Zachary Tait

@zachary_tait

2 years

‘managed decline’, visible to all but those who need to see it the most

kirsty

@inthekirstcase

2 years

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Zachary Tait

@zachary_tait

2 years

‘may have had mild guillain barre’ ahahahahahah I’m not sure if it’s the covid but I am breathless with lols

Zack Ferguson

@zackferguson

2 years

Sex, Lies and Mepore Tape (S01E05). AMU is rocked by scandal as FY2 Jack reveals the truth about him and Lucy: they once went on an awkward Bumble date. Lucy is devastated as the news threatens to overshadow her case presentation on someone who may have had mild Guillain-Barre.

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Zachary Tait

@zachary_tait

11 months

@drol007 @lumpyeggbass (no such thing as too much publicity)

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Zachary Tait

@zachary_tait

1 month

@drol007 @ShaunLintern @Clin_Med I can always rely on you to console me Ollie! You’ve reminded me to send you an email… (exciting stuff I promise)

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Zachary Tait

@zachary_tait

4 years

@morefluids Me too - perhaps because it feels like such a personal time? I always use my best pen for those entries and for death certs, for those who will see them in future

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Zachary Tait

@zachary_tait

2 years

this plus ‘don’t forget to eat something and have a big wee on your break’ is the best advice for first nights I can possibly think of

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Zachary Tait

@zachary_tait

2 years

@jellrunning that sounds really crap, I’m sorry

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Zachary Tait

@zachary_tait

4 years

@morefluids Yes absolutely! It’s the job I feel the worst about delaying when I have one of those awful days on the ward

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Zachary Tait

@zachary_tait

1 year

AhahahahaAHAHAHAHAAHahahahaha

Edwina Currie

@Edwina_Currie

1 year

Then campaign to improve the pay of the 11% of doctors on the starting salaries (though they're receiving training in these grades, & they'll soon move up and get much better paid). But don't strike. Because we might then discover that consultants are better at the job than you..

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Zachary Tait

@zachary_tait

2 years

Oh my god it’s happening. Drinks on my balcony

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Zachary Tait

@zachary_tait

2 years

Sensationalist or unclear articles (like this one) exploit the trauma of the bereaved for headlines. The endless presence of DNACPR stats, and conflation of DNACPR status with palliation (or worse ‘giving up’) misrepresents a really important tool for kind, holistic care

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Zachary Tait

@zachary_tait

2 years

Translation: the NHS is under pressure this winter following 13 years of managed decline, and a surge in Tory failures. So I toured the furthest bit of hospital from collapsing A&E and got some photos taken so I can pretend I’m interested. I have no plan

Steve Barclay

@SteveBarclay

2 years

The NHS is under pressure this winter following the pandemic and a surge in Covid and flu cases. I spoke with @uclh staff on the frontline today and toured the 'discharge lounge' which helps patients leave hospital when ready, freeing up beds and reducing long waits.

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Zachary Tait

@zachary_tait

2 years

incredible how many ways there are to have a terrible day in this career

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Zachary Tait

@zachary_tait

10 months

@drol007 @lumpyeggbass @Clin_Med 122 of them are probably my mum 😂

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Zachary Tait

@zachary_tait

5 months

@ZJPlace97 not bad thanks! Living in Manchester atm, working at the med school - how’s F2?

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Zachary Tait

@zachary_tait

10 months

@Neuro_Matt @antongyan We definitely went to the same medical school (apparently still the same!)

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Zachary Tait

@zachary_tait

4 months

@drol007 thanks Ollie! I knew I missed a trick…

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Zachary Tait

@zachary_tait

2 years

Hi I’m Zak and I’m the ‘slowest, laziest, least useful F1’ some consultant has ever met

Amy Hupe

@Amy_Hupe

2 years

Introduce yourself with the wildest feedback you’ve ever received. I’ll go first: “Hi I’m Amy. I’m too ambitious 🤝”

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Zachary Tait

@zachary_tait

1 year

from her bio: ‘pronouns: genius/mastermind’… I think that says enough

Petronella Wyatt

@PetronellaWyatt

1 year

I know of two British women in a well known London hospital who came back from Turkey with no kidneys. Their organs were literally stolen while the women were under anesthetic. The deals luring Brits to Istanbul for cosmetic surgery via @MailOnline

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Zachary Tait

@zachary_tait

2 years

I don’t think people realise how hard it is to do your best in this situation, and how hard it is not to feel defeated

Gary Sitton

@SittonGary

2 years

@AdamBienkov My local A&E last night.

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Zachary Tait

@zachary_tait

11 months

@Sarahmillette1 @john_splatt it’s been a VERY unproductive day

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Zachary Tait

@zachary_tait

1 year

wonderfully comprehensive thread, echoes what my friends and colleagues are saying (and what I’m seeing on here so much). Demographics, and context of employment have changed so much, so quickly. I feel whatever the govt do is damage limitation at best

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Zachary Tait

@zachary_tait

1 year

Edwina’s CT head explains a lot

Edwina Currie

@Edwina_Currie

1 year

Every one of these doctors has patients waiting in pain. Every single one.

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Zachary Tait

@zachary_tait

3 months

HEE came and didn’t do anything (and now the police are investigating)

Revamped | Career & Workplace Development

@RevampedCP

3 months

What experience in the workplace radicalized you?

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Zachary Tait

@zachary_tait

2 years

@helen_barnowl I managed to try and turn the irritation into teaching why it was pointless/actively harmful to ring me for this

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Zachary Tait

@zachary_tait

8 months

my god he’s so much more disappointing with every appearance

Wes Streeting MP

@wesstreeting

8 months

@doctor_oxford I’m certainly not trashing NHS staff - on visits it’s often NHS staff highlighting the waste, inefficiency and case for improvements! The complacency comes from the assumption that money will solve all the problems and that the money is there. If only that were true!

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Zachary Tait

@zachary_tait

1 year

woman next to me on the train just described her husband having a ‘mind explosion’ before ‘walking out of the restaurant toilet with his trousers round his ankles’ and I have never bitten my tongue so hard, I need to laugh so much

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Zachary Tait

@zachary_tait

2 years

This is a man who reportedly spent £9,800 on one sofa, which I think would be more than Elsie’s entire annual income. I am so angry I could cry

Jonathan Lis

@jonlis1

2 years

They think it’s all over. It is now

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