Dr Lucy-Jane Davis
@Academic_owl
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GP & Chair of BMA SW Regional Council Views my own, mostly. ND
Devon UK
Joined June 2011
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Pinned Tweet
GP friends. I think ALL surgeries should have a simple policy on supporting access for
#ActuallyAutistic
adults and children (& familes) to their doctor. Anyone want to work on it? (I'll help!)
@BhamLMC
@doctor_katie
@AvonLMC
@DrAndrewGreen
@CNagpaul
@LLRLMC
@TheBMA
1/5
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There are lots of diseases we aim for zero…
Measles, TB, polio, smallpox, plague, diphtheria, SARS, to name just a few
Why not Covid? 🤔
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@CrappyFumes
@shyautisticchef
Erm, no. I’m just pleased bloods look ok.
Don’t treat a BMI; treat a person, with all their fears and concerns and joys.
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I’ve been at a pensions talk when a
#WASPI
woman found out her retirement was actually 7 years later than she’d been planning
I will never forget her look of absolute abject despair. It’s not the increase; it’s that it wasn’t in stages &
***no one told them***
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Here’s a prediction for this week… tmrw children back at school; but also day the NHS implodes;
so Wednesday government wobbles and
Thursday they close schools and put restrictions in place (again)
Just so no one could say it couldn’t be bloody predicted. 😡😡😡
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Edwina Currie on
@GMB
re-writing history; “but it’s a new government, they were only elected in December”
So that Tory government which won the 2015 and 2017 elections wasn’t a Tory government?
🙇🏼♀️
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@thegradmedic
I can’t get my head around this. This dress in the photo? The one that looks very appropriate and sober?
What did they actually want you to wear?!?!?
I just… am bemused 🤯
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I have realised that many who don’t wear masks think they are rebelling “against the system, sheeple!”
Whereas I spot people not wearing masks and think they are just putting others, who are more vulnerable, at risk.
Funny old world, innit?
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Covid myths:
🦠catching it provides lasting “natural immunity” (it doesn’t)
🦠Children always get a mild disease (they don’t & ~10% get long Covid)
🦠We know what the long term impact of Covid on the body is (we don’t)
Tell me again why we’re ok with
#lettingItRip
in the UK?
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@Ewbz
@Iconoclast1982
@Channel4News
The lens by which we view women in the workplace is perfectly drawn in these two tweets.
I thought she was reasonable and polite, but we traditionally dismiss women with the word “hysterical”. Why would someone want to dismiss?
🤔
Fascinating.
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simply put: the Covid vaccine should be available to all 12-16
Morbidity from long covid is enough.
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How delightful; immunocompromised patients can contact me so I can explain what precautions they can take?
Mostly, my advice would be; don’t vote Tory
🤷🏼♀️
Callous.
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I wonder if a better term for a GP would be "Consultant in Primary Care"?
Because - that's what they are- isn't it?
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I’m going to tell you something regarding
#ItsOKtoAsk
in the context of hospital roles
Having been a patient, it really isn’t. I did ask (very nicely) at a hospital appointment & got major kick-back & I still didn’t really know what the chap who saw me actually was.
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We can’t put this responsibility onto patients. It’s my responsibility to tell you my name & I’m a GP. & I try to do that every time; pt shouldn’t need to ask.
It should be the same standard for all providing healthcare. That was the point of
#helloMyNameIs
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Grief is a funny thing.
Just when you think you’re doing almost ok, a wave washes everything away and you find yourself holding a mug for tea, sobbing pathetically.
Again and again and again
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This week I saw a patient who told me at some length how annoyed they were that they couldn’t see a GP face to face.
They had waited 24hrs for f2f with me for a long standing condition.
Is that the definition of cognitive dissonance?
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My yardstick for how challenging covid numbers are in hospital is when the junior doctors are redeployed to covid care. Last resort - last happened in winter 21.
Call has just gone out that there will be redeployment in my region from this week. This is the NHS in crisis (again)
THREAD: State of the pandemic in the UK (esp England)
Hospital admissions are best way to compare waves right back to start - we are on wave 7 now! 4 of which happened since last July.
So cases & admissions are rising - why? does it matter? where are we 2 years in?
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Hardest week; my mother died on Saturday - at home and with us holding her hands. Calm and so graceful, but far far too early
I am exhausted, but so full of love
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Ah. New beds. That’s nice. Remind me again, who exactly is going to staff those beds? 🤔
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I’m angry and sad. In the next few weeks, my government will have given away many of my personal freedoms, including my right of freedom of movement in exchange for sovereignty we always had anyway and a ‘no deal’ catastrofuck
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The last one. 💔
Just the last one.
That’s how I feel too
@neilhimself
Dear Europe: letters from JK Rowling, Neil Gaiman, Mary Beard and more
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@trishgreenhalgh
Two years (3 days hence) since my mum was rushed into ITU and spent 10 days dying which we could all only watch on an iPad.
We stuck to the rules and they partied. I do not forget nor forgive.
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Just to be clear
Hospitals full of Covid = less capacity to do any other healthcare
So soaring Covid rates will have a negative knock-on to provision of just about everything
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I’m a GP Reg and I hate exercise. It makes me feel miserable, I ache everywhere afterwards and it feels like a waste of my time. I can’t catch a ball either
#dyspraxic
I quite like walking.
I’m not saying this to extol my way of life, just to say we aren’t all
#decathletes
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Accreditation in medicine; I went to a new med school and everything was inspected by
@gmcuk
to check it was good enough to allow graduates to be Drs in the UK
Properly accredited; why are we allowing un-accredited course to pump out PAs & then employing them in the NHS?
Anyone?
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@chrischirp
It’s the assumption that Covid does no damage to children, ignoring both long Covid & the unknowns of long term illness.
We have literally no idea if Covid will be like TB, measles, chicken pox, mumps… all can have serious long term health implications
Huge gamble.
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this is the sort of lobbying which has caused so much damage to children, their families and their teaching staff. shame.
Fantastic to welcome
@UsforThemUK
to Westminster today and meet the team to celebrate all the work they have done for children, especially over the past couple of years 🚸📚
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@DrEmmaNash
@wesstreeting
Whilst I admire your dedication, I have a horrible feeling that this is the sort of work ethic that leads to burn out & is exactly what we shouldn’t be asking GPs to do to save the NHS.
I’m all in favour of partnership, but not at the price of wellbeing. 💕
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@dwalz23
For an event to support mental health, this is a very strange way of causing significant stress to both parents and to children. Bizarre.
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Anyone else a bit surprised that a PA would see an unwell pregnant patient? With 2 years training? 🤷🏼♀️
It’s not just me. My wife - she had a constant chest infection and asthma flare up between weeks 12 and 29 of pregnancy. She attended the GP multiple times including the aforementioned PA on several occasions and was constantly dismissed.
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Children wearing masks at school is ok.
Children not wearing masks at school is frankly, bloody stupid.
Yes, there are caveats;
yes there are challenges,
but honestly,
as a society,
we need to care for the most vulnerable.
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I'm so excited, I passed my final GP exam (finally!) and my treat to myself is a parcel of cotton yarn from
@TribeYarnsLife
because now I can take time to knit, not revise.
today is joy; tomorrow will be back to being a grumpy (very qualified) dr
#selfcare
#yarn
#MedTwitter
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@Doctors_Vote
Misses the point that junior doctors are grown up people with real-life responsibilities. And my responsibility for my children is, I’m afraid, much more immediate & important than to the NHS. I cannot abdicate that duty; I’m the only mother they get.
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@MissBethanEJohn
Biggest thing I ever learnt; no one ever actually feels like they fit in.
They are either
a) very good at pretending
b) have missed the point
c) aren’t listening hard enough.
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@shyautisticchef
@CrappyFumes
Maybe I have life experience of this too?
Life is too bloody short to make other people unhappy over their weight. Support and celebrate their choices; and help them on their journey.
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@DrSPORTY76
@chris_salt
You mean the annual flu death rate = weekly covid death rate at the moment?
☹️
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@DrMariMcV
@DrLindaDykes
What if next time you saw a sick child you hesitated to pick up the phone because they were so rude on the phone?
That’s why civility saves lives
Genuinely raise a complaint; this stuff matters. 💔
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Wanna hear the latest?
@rcgp
won’t let me *apply* to sit exams when I’m on unpaid carers leave during august. How to discriminate against carers and parents. A planned month out and I’m completely stuck. Do they really want GPs at all? .
@DrLucyHenshall
help!
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@thomasdolphin
what is shocking is not that individuals aren't sure; but that government is still advising them to carry on as normal. it leaves people in a terrible quandary, as they look like a grinch cancelling and risk loosing £££ as well. it's miserable all the way round.
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@benphillips76
I also love this. There’s something wonderful about alternatives standing in elections simply so you can still legitimately vote but not spoil your ballot paper.
Plus. It’s just epic
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@Dr2NisreenAlwan
It’s hard to know what the scale that was feared might have been… I think as far as the public are concerned, the story was that children don’t get sick with covid and weren’t infectious (neither true). This is proper gaslighting, isn’t it?
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@DigitalPhamcist
I think community pharmacists are fantastic. I also think making antibiotics more widely available is really dangerous.
these two things can be true at the same time & it's not a reflection of how good I think pharmacists are.
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@benking01
The problem is, infectious diseases are… infectious.
That’s what they do.
And it’s not really terribly beneficial to catch them
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@MissBethanEJohn
I’ve left two training programmes; and it’s a strangely positive/negative choice.
I just wish we weren’t so regimented about how medical careers “work” and allowed for more of a Lego model, where the blocks could all fit together...
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#teamGP
patients and family friends always look astounded when I mention GP exams.
Or how long it takes to train (5yrs post med school)
Or that I couldn’t just transfer in without retraining
Why haven’t we done more to explain how highly qualified GPs are?
@Parody_RCGP
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@ShaunLintern
There’s also a domino effect that happens when treliske can’t send to Derriford; Torbay is on “internal critical incident”, the RD&E had no space and basically Devon and Cornwall are broken. Nowhere to divert to. It’s awful.
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And just for avoidance of doubt; my mother was, for many years, immunocompromised. It was so difficult managing visits with grandchildren; I *know* this issue to my bones.
But just abandoning all these people to rampaging Covid? Unforgivable
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@elsdraeger
@Emmajourno
Omg! That’s the best “turn around a catastrophe into something wonderful” advice I’ve ever heard 💕💕💕
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@DGlaucomflecken
What fascinates me is when Americans are like “but why would we want *socialised* medicine?”
Coz it saves lives, is generally fab and we don’t end up bankrupt paying for it.
🤷🏼♀️
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I bloody hate the division between partners and “salaried” GPs. We are all one profession: stand together and speak about each other with respect, or we’re all even more sunk
If not, we deserve the divide and conquer approach. Remember it’s
#teamGP
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Of course, I’d never actually say that to a patient, unless they asked me
But genuinely; I don’t know what we are meant to advise immunocompromised patients. Stay at home forever? 😞
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Here’s a thing; I’d like to know what
@rcgp
does to support members who are newly qualified locum drs. We can’t access fellowships, our roles are being eroded by ARRS and it feels very vulnerable atm. What’s the point of all this training to end up *here*?
@DrSelvarajah
@DrHFRyan
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Covid mythbusting
🦠no, viruses don’t always mutate into being less virulent over time
🦠no, it’s unlikely “natural immunity” lasts
🦠 yes, Covid can still make you really unwell even if you’ve been vaccinated (it’s just less likely you’ll end up in icu)
#WearAMask
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@MichaelRosenYes
wrote a wonderful book about his experience - it made me cry. And isn’t the idea that writers & poets do speak out about important stuff?
Did Michael Rosen have Covid?
Why didn't he say?
That poor man, suffering in silence.
I guess he just doesn't like to talk about himself.
You have to admire his stoicism and modesty.
Just another reason we love this national treasure so much.
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I had a very angry patient yesterday, who wanted to vent about how awful the NHS is at the moment.
I did say “you’ve probably been booked with the most political dr in the building and I’m even more angry than you”
We got on very well.
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@chrischirp
My region has just started to redeploy junior drs to try and care for covid admissions. That’s a big step and it’s not happened since last winter ☹️
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I’m in Spain in a meeting. Everyone wearing a mask.
In the shops: everyone wearing a mask.
Local said to me: “if we wear a mask now, we’ll get to not needing them quicker”.
It’s not rocket surgery, people.
Wear a mask.
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@BBCNewsnight
doing an excellent job allowing Richard Bacon MP to rant in a most fascinating way.
He’s angry at the drip drip drip of negative information. Not the actual information itself.
I mean, who cares what happened in No10 anyway?
We do. The general public. We care.
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@dgurdasani1
I’m so tired of saying this. We aren’t in lockdown now: but because of the lag time to serious sickness and because we have been tolerating massive rates of delta with so little mitigation, we probably will end up fairly quickly in a bloody lockdown.
It’s just *so* depressing.
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@dr_woodall
I am so sorry you had this experience, but at the same time not surprised.
Thank you for sharing. 💔
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Bottom line; if a working doctor dies then their family should be supported financially with death in service benefits. This needs sorting - now.
Either we value NHS workers or we don't. Which do you pick?
Our chair of council
@CNagpaul
has written to
@RishiSunak
urging the Treasury to immediately extend enhanced death in service cover to all NHS workers & retired NHS staff returning to work to ensure they and their dependents have peace of mind during a time of national emergency
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And the phrase “appetite for risk” can get in the bin too.
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@Jingstar
To which the response should be “I’d like to look after a non-racist patient, but hey, today’s not our day”
I genuinely don’t understand how anyone could think someone’s skin colour makes them a less good doctor? It’s astounding.
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*Have to not get covid*
GP exam on Wednesday and I can’t sit it if I’ve got covid. Missed the last one because… I had covid. Can’t see family as they’re all “no masks now!” And I’m sooooo fed up.
Plus. Have to hope my children don’t catch it at school. Arrrgh. Bloody covid.
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I think…
Most GPs are working more than full time, just in compressed hours. Need to stop talking about sessions; it’s not helpful in GP
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The emergency measures put in place are to reduce death rates; if they are successful we will all be tempted to say “what was all that fuss about?”
*That would be a sign of success*
EVERYONE that’s self-isolating, kids at home, ⬇️ social contact
*YOU ARE ALL SAVING LIVES*
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This has cheered me up no end.
@helenamckeown
has been working her BMA socks off representing UK doctors; lovely to know her husband is taking care of her with hot drinks ☕️💕
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@pjsouthall
Or… a woman.
If you spend your entire career being taken for a non-dr (insert any role you fancy here) then just being clear about who you are from the off is better.
Once we’ve established that, you can call me anything you like 🤣
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@RussInCheshire
👋🏻 Waves as one of the few thousand doctors who were trained in one of the four new medical schools created 2002-04
💕
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Masks save *other people’s* lives.
So every time I see someone who refuses to wear one for no good reason, my first thought I’d they are fundamentally selfish.
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@HolSmale
As a dyspraxic doctor, can’t emphasis what a fab thread this is.
When I’m tired or stressed, EVERYTHING gets more challenging, esp the very short term/working memory bit.
Also. Many many websites which need you to recall what you put in a box above/page before. Exhausting.
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@jaydbint
Goodness, who couldn’t love someone who used the word serendipitous out of hours? 😍
*misses point entirely because of exciting English language usage*
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For some reason, people seem to doubt we could “contain” covid19 (even with a vaccine?!?).
Ladies and gentlemen, I refer you to measles, cholera, TB, meningitis and diphtheria, to name just a few.
Covid19 might be new, but Communicable disease control isn’t.
#publichealth
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@asystoly
Grrr. This makes me so angry & I’m so sorry you’ve experienced it. Obvs prediction: trust will “stop” any trainee using the offices overnight. 😡What should happen: improve diversity training & improve office/rest facilities overnight for all. Hope the latter happens x
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@ERunswickBMA
Is it bad I’m not surprised?
I remember as an f1 finding the ward teapot, making the tea for the nurses break & having a cuppa with them
they were amazed (no dr had done this before); nice about it;
but didn’t really want me to engage too much, thank you
It was a salutary lesson
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@BarbaraMcK42
@paullewismoney
Masks do work to protect OTHER PEOPLE. Given we know that asymptomatic people can be infectious, you could be spreading Covid without knowing it. Here’s some proper science
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@janshutts
@MmmmTrams
Help; please do consider neurodivergent children in comments like this. Some children do need a device to watch, but also oftentimes headphones are acting as ear defenders. Being out & about on its own is stressful enough; feeling safe coz you’ve got your iPad can really help. 💕
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@Femi_Sorry
I’m a doctor and I’m proud to work with other doctors from across the globe.
I recognise their skill, knowledge and dedication.
If anyone thinks it’s ok to denigrate doctors who work in the nhs, but trained elsewhere: that’s just wrong.
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@AdrianBethune
Oh that’s lovely to hear; that’s how I aspire to be (but sometimes get rushed and run out of time); if you feel able to, do let the GP know via the practice - they’ll still really appreciate nice feedback. As a locum, a lovely note & small gift made my week recently! 💕
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@CatrionaRennis1
Ageism is alive and kicking in medicine.
I’d just be super-duper-extra nice. Because that’s very annoying for anyone who is trying to undermine you. 🥰
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This is not the plane to call out “is there a doctor?”; you’d want to specify a specialty. 🤣
Half the SW
@SouthWestBMA
contingent are on here.
Belfast here we come.
@TheBMA
#ARM2019
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The NHS is a cornerstone of the UK’s identity. It is part of how we see ourselves; generous, caring, there in crisis.
When NHS staff have been telling you it’s on the brink of collapse for a decade - and now *is* collapsing, its not the time to say “oh you always say that”
💔
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@mitrebarnet
Covid is a SARS virus; it’s not flu.
I am unclear on why on earth people confuse the two?
And yes, lots of differences between those illnesses, *which is my exact point*
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@thefourthcraw
@thedoctorkhan
So you had to get a dr who hasn’t seen you & likely has no specialist OH training to do a MED3 when the dr who had seen you and does have specialist OH training didn’t do a note?
Ah, yes, that makes perfect sense.
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@petermbenglish
I was, as you can imagine, very polite and just wanted to understand.
It was really uncomfortable 😔
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@KevinHearne
@DocRods
I went to a model village this afternoon. Felt like a big cop in a small town
This will never not make me laugh
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Absolutely delighted to be elected to co-Chair the LTFT forum as the flexible training rep with
@doctorrah
@TheBMA
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@DrSandyThomson
This is a wonderful thing. Had a pt fairly recently who just longed for some crème de menthe. At 95, my general view was that if her green medicine would make her feel better, I was happy to write up a tot or two for her 💚💚
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I had a friend called Ian Noble, who died tragically young in an RTA. We got a tree to remember him by; a silver birch that has moved house with us 3 times. Thought last summer had been too hot for it, but today it has new buds. You’re not forgotten, Ian 💕
@TheBMA
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@PlanetBeth91
This is genuinely appalling and closes the ranks on university education for many. It also means you can have one bad day, fail a single exam and effectively have the door slam shut for the rest of your life
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@NehhhDan
@SkyeBlue72
@oakman_stevens
@JoeyClo1
To be fair, the mask might have been effective. 🤷🏼♀️
It doesn’t protect the wearer from getting Covid, but decreases the risk of them spreading it to someone else.
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I’m a doctor and I won’t be silent on covid. Safe air and making society safe for all should be our aims; not a “normal” full of death and disability.
1/ REFLECT ON THIS
In just two years the countries of the Western world have undone two hundred years of hard-won gains in public health. And have managed to make the people think it's a huge leap forward! They have metaphorically put the handle back on the Broad Street pump.
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@chris_salt
What’s so bloody annoying is the false dichotomy of “restrictions” vs “lockdown”
If we did the first we wouldn’t need the latter.
In response to your actual question, no, this is not a good place to be & honestly, the most important thing anyone can do atm is avoid getting sick
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@janhopi
@cymrurouge
Happily, in 1995 I was using email and instant messenger to chat *a lot* to my boyfriend at the time who lived 200miles away.
Who knew?
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