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Robert Smithers Profile
Robert Smithers

@Rob_Smithers

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Following
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20,376

Intensive Care and Aeromedical Retrieval Doc 🏳️‍🌈

Joined July 2013
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@Rob_Smithers
Robert Smithers
2 years
@terrysimpson Smuggling dogs into ICU at end of life is one of my favorite hobbies. Such a simple but meaningful moment. So sorry for your loss.
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@Rob_Smithers
Robert Smithers
1 year
Sitting in a coffee shop in Yorkshire, got chatting to a couple who asked about my accent, said I was from Tasmania, they said their son was a doc and was doing a locum in Tassie. “Oh wow where?” “Oh he’s doing retrieval medicine in Launceston” He’s covering my job 😑 #medtwitter
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@Rob_Smithers
Robert Smithers
3 years
@TaisonBell @LadyDoctorSays Imagine being capable of writing the words “only 525 kids have died”
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@Rob_Smithers
Robert Smithers
3 years
@thepursuinglife Normalize “no” being a complete sentence
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@Rob_Smithers
Robert Smithers
2 years
@Limeandlinden @glowingcanary @DaniAndi4 He wasn't sure about something and he asked which I would argue indicates he clearly is, it's the people who pretend to be sure and don't ask that you need to worry about.
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@Rob_Smithers
Robert Smithers
2 years
NSW health is concerned that people might be under the incorrect assumption that Omicron is mild and therefore boosters are not needed, they're apparently not sure where this misconception came from. You honestly can't make this stuff up. #COVID19nsw $auspol
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@Rob_Smithers
Robert Smithers
2 years
@RebeccaStott64 I feel your pain, mine found this on a little adventure in the sand dunes at our beach house, someone subsequently asked if we thought she’d taken it from someone or found it abandoned and I just can’t….
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@Rob_Smithers
Robert Smithers
1 year
@EM_RESUS I've been a hospital doctor in Australia for 13 years, I've treated 1 gun shot wound. It was in a child and it was horrific and I am grateful every day that it is not a part of my daily clinical practice.
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@Rob_Smithers
Robert Smithers
3 years
You know what would really perk up my 2021, Frydenberg rolling Morrison for the leadership and then losing his seat at the next election for white anting his home state's pandemic response. #libspill
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@Rob_Smithers
Robert Smithers
1 year
The word “Robodebt” appears once in your entire tweeting history, if only you and other “journalists” had actually held politicians like Morrison, Tudge and Porter to account then thousands of people might still be alive, spare us you self righteous nonsense #ThisIsNotJournalism
@annajhenderson
Anna Henderson
1 year
Journalists went to the press club today to hold an influential public figure and former prime minister to account. They should hold their heads high. Personal attacks on reporters don’t address the highly consequential questions our nation is facing #npc
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@Rob_Smithers
Robert Smithers
3 years
@dog_rates @RustytheGSP Daphne also has some reservations about Dahlia’s cuddle techniques
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@Rob_Smithers
Robert Smithers
2 years
I see Morrison was not asked by the media today about the gifting of $4.5 million to a whiskey distillery that increased its profits during the pandemic that is owned by a billionaire LNP donor #auspol #LNPliarsCrooksThieves #ScottyFromCorruption #ThisIsNotJournalism
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@Rob_Smithers
Robert Smithers
5 months
@cml_smith BMA needs to enforce a policy that with the exception of Christmas and Easter that leave requested with more than 6 months notice is not a request it’s a notification, it’s then on the employer to note it and plan accordingly. This system sucks and is toxic to employee welfare
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@Rob_Smithers
Robert Smithers
3 years
Did the NSW deputy CHO really just say if ICUs become overwhelmed they'll be able to redeploy ED staff to ICU? What world are these people living in because its not the real one. #nswcovid #covidnsw #GladysFail
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@Rob_Smithers
Robert Smithers
2 years
Crazy to watch the faux outrage of the LNP on the treatment of women after watching their treatment of Grace Tame, Christine Holgate, Julia Banks, Gillard and Brittany Higgins, remember an LNP MP calling her a lying cow after interviewing her at the scene of her alleged rape?
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@Rob_Smithers
Robert Smithers
3 years
Gladys keeps saying a delta outbreak is uncharted waters. Victoria had a delta outbreak a month ago and suppressed it with a short sharp lockdown #COVID19nsw
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@Rob_Smithers
Robert Smithers
2 years
@elonmusk @JGreenblattADL @ADL nah just holding you to your own commitments
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@Rob_Smithers
Robert Smithers
2 years
@RndmStreetMedic So many times I've seen a tiny response to Narcan labelled as a positive diagnostic test for opioid, Narcan reverses endogenous opioids so a small response is normal in other causes of coma, if the response isn't significant the cause of coma isn't exogenous opioid overdose.
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@Rob_Smithers
Robert Smithers
2 years
@snakagawa_md When the last thing a patient does on the earth is take a statin whilst otherwise nil by mouth you have a major system failure
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@Rob_Smithers
Robert Smithers
3 years
"58 cases were infectious in the community" and 637 we have no idea about because the contact tracing system has completely failed under the load. How are we still letting her get away with this blatant misinformation? #nswcovid19 #GladysFail #GladysResign
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@Rob_Smithers
Robert Smithers
1 year
@EM_RESUS I see gunshot injuries so rarely that my first reaction on seeing this image was, what a weird x-ray marker they've used to indicate the lung edge on this radiograph of a spontaneous pneumothorax
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@Rob_Smithers
Robert Smithers
3 years
Hazzard saying that healthcare staff are excited to be redeployed to covid ICUs to operate ventilators they have barely ever used on some of the most difficult to ventilate patients critical care specialists have ever seen is propaganda that North Korea might blush at #covid19nsw
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@Rob_Smithers
Robert Smithers
3 years
NSW goes from 818 to 753 cases. Victoria goes from 71 to 50 cases. Spot the difference in headlines. #COVID19nsw #covid19vic #COVID19Aus
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@Rob_Smithers
Robert Smithers
10 months
@jtrebach Yes, you can do 90% more work for maybe at best an extra few percent on test scores or you can be a well rounded happier human being and probably be a much better doctor as a result
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@Rob_Smithers
Robert Smithers
4 years
@SydneyBattle Sad they cancelled rather than have the imagination to change the event to something less gross, it sort of reads as “well if we can’t auction human beings there’s really nothing else we can do” Can just imagine many people being angry at the “PC brigade” “ruining” another event
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@Rob_Smithers
Robert Smithers
3 years
@RoshanaMN I had similar as an ICU doc, older middle aged guy kept on bumping into me asked him to back off, he started ranting that I was paranoid and shouldn't live in fear, told him I'd spent every day that week in rooms of covid patients on ventilators, he went white as a ghost
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@Rob_Smithers
Robert Smithers
3 years
Melbourne had 5km limits city wide not council by council, Adelaide had 2.5kms. Melbourne had collect at the door for big box stores like Bunnings. Your lockdown is NOT the strictest in the country @GladysB #GladysSuperSpreader #covidsydney #COVID19nsw
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@Rob_Smithers
Robert Smithers
3 years
NSW 1485 cases VIC 183 cases @newscomauHQ You’ve outdone yourselves today #COVID19nsw #COVID19Aus #COVID19Vic #ThisIsNotJournalism
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@Rob_Smithers
Robert Smithers
2 years
We were told to watch hospitalisations until they hit an all time high then we were told to watch ICU admissions. When they hit an all time high we were told to watch deaths, well now the deaths are rising at the fastest rate of the the pandemic... what now? #COVID19Aus #auspol
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@Rob_Smithers
Robert Smithers
4 years
@JuliaHB1 @archer_rs What'a repulsive is brexiteers gleefully reveling in their new found right to send foreigners back where they came from whilst feeling entitled to freely travel and stay indefinitely in EU countries. They are distressed at the result of their own stupidity.
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@Rob_Smithers
Robert Smithers
3 years
500 days today since Tasmania had a case of local covid transmission and despite no cases the third highest double dose vaccination rate in the country. Zero covid until high vaccination rates are reached is the real gold standard. #COVID19Aus #covid19tas
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@Rob_Smithers
Robert Smithers
3 years
@MariMilehamIHES I think that’s the same fireplace video we used to decorate our ICU Christmas of 2019
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@Rob_Smithers
Robert Smithers
3 years
Morrison: “it’s time to give Australians their lives back!” Literally the only thing holding us back is the vaccines you didn’t order until too late, we’d have been open months ago if you had #ScottyTheAnnouncer #ScottyTheBlameShifter #COVID19Aus
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@Rob_Smithers
Robert Smithers
11 months
@UniofNewcastle This is coercive control, he took her moment of personal achievement and made it about him whilst making it impossible to say anything but yes without ruining the moment even further. Massive red flag for emotional abuse. Bit scary you see this as a heartwarming story.
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@Rob_Smithers
Robert Smithers
3 years
@cleebennett That’s commitment to the craft of matchmaking.
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@Rob_Smithers
Robert Smithers
3 years
@dog_rates Dahlia had never met a puddle deeper than her little legs so jumped in and got a bit of a surprise, still gave her first waterfall experience 12/10
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@Rob_Smithers
Robert Smithers
1 year
@MsahWu Two degrees, like the weather in Yorkshire
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@Rob_Smithers
Robert Smithers
1 year
@PRGuy17 To be clear, News Corp is outraged at using Nazi references to smear politicians?…
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@Rob_Smithers
Robert Smithers
2 years
@samanthamaiden Why have you left comments on for this thread an Albo claiming $17k, but turned them off for a story on Tim Wilson claiming $37k for the same thing?
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@Rob_Smithers
Robert Smithers
3 years
@futuredocsmallz @drmadbak @champlippmann To release tension so the edges of a wound can come together that otherwise wouldn’t be able to. Basically turns one large wound into lots of small ones that can heal more easily
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@Rob_Smithers
Robert Smithers
2 years
@nick_coatsworth Nah gonna keep ignoring you
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@Rob_Smithers
Robert Smithers
4 years
@markpoloncarz Watch the other cop stop him from providing any aid to a man who obviously has a serious head injury. just disgusting.
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@Rob_Smithers
Robert Smithers
3 years
@bigskywillie @POTUS Pfizer’s vaccine was developed by Turkish German immigrants using German and EU funding, not a cent of American money went into its initial development it had NOTHING to do with Trump or operation warp speed
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@Rob_Smithers
Robert Smithers
1 year
@NYCCOBA1 I accidentally shattered a whole ampoule of fentanyl on my bare hands the other day, know what happened? Absolutely nothing because fentanyl in its base form is not absorbed across the skin, numb hands through multiple layers of gloves… that’s not how any of this works
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@Rob_Smithers
Robert Smithers
1 year
@Leo_Puglisi6 What if the government tackled skyrocketing corporate profits that is driving current inflation rather than relying on the reserve bank to target the discretionary income of a population who are already working harder than ever for shrinking real world wages
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@Rob_Smithers
Robert Smithers
2 years
The “only hospitalisations matter” crowd remain awfully quiet about this trend in hospitalisations….. #auspol #COVID19Aus
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@Rob_Smithers
Robert Smithers
3 years
@t_queener @j_thePA Oh god, anti vaxxers holding scabies parties would be so on brand, I hate this timeline so much
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@Rob_Smithers
Robert Smithers
2 years
@EBMgoneWILD Jesus Christ, hypoxic, tachycardic, contagious and practicing medicine, this is next level messed up
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@Rob_Smithers
Robert Smithers
2 years
@giddeygirl I ask them why they're trying to force me to do something I don't want to do and then watch as the cognitive dissonance washes across their face
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@Rob_Smithers
Robert Smithers
4 years
@SydneyBattle For example each person could organise an experience, hot air ballooning, a river cruise, a wine tour etc with the person organising it and accompanying you on the event anonymous. That way you are auctioning off the experience rather than the person.
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@Rob_Smithers
Robert Smithers
1 year
@jtrebach Would love to see the meltdown if someone refused to treat conservative white Christian men
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@Rob_Smithers
Robert Smithers
3 years
@Vancbromycin This is epic, but it's still beyond me why an intern would initiate an unsolicited teaching session on any ventilation topic with someone they presumed to be a critical care nurse whose level of experience he obviously had no idea about.....
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@Rob_Smithers
Robert Smithers
3 years
@nick_coatsworth Melbourne was not supported federally last year, it was constantly white anted, this is gross gaslighting Nick
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@Rob_Smithers
Robert Smithers
3 years
@ACTBrigitte This was tacky and classless, the hearts are cute and whimsical, your attitude is just sour grapes and jealousy.
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@Rob_Smithers
Robert Smithers
3 years
@fanniebay @tedcruz You’d think with Texas having as many deaths per week as Australia has had in 18 months the good senator from Texas would reflect on their own management rather than throw stones at others
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@Rob_Smithers
Robert Smithers
6 months
Hey @RotherhamNHS_FT I’ve been back through several hundred tweets and you certainly are fans of celebrating your staff, ACPs, PAs, Nurses, OTs, secretaries, physios all loudly and proudly celebrated, I’m just wondering if at some point you intend to hire any doctors? #MedTwitter
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@Rob_Smithers
Robert Smithers
3 years
Spain has vaccinated 70% of their whole population, about 85% of those over 16. Yesterday they had 194 covid deaths in a single day. If we relax restrictions at ~55% (70% of those over 16) it will be a disaster, we need to aim higher. #COVID19Aus #CovidVic #covid19nsw
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@Rob_Smithers
Robert Smithers
2 years
@David_Skylar_ @owencolley5 @Sciencenature14 Two photos of the moon I’ve taken from earth, the size of an object in an image is completely dependent on the focal length of the lens used to take the image, at the same focal length and distance the earth does appear larger in an image
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@Rob_Smithers
Robert Smithers
2 years
@DrKGregorevic @nick_coatsworth Imagine a geriatrician making light of a disease that has killed millions of elderly people, but we don’t need to imagine.
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@Rob_Smithers
Robert Smithers
3 years
@JoyAnnReid Where was all this gnashing of teeth when Trump wore his Patek Philippe Ellipse worth ~$15,000, his Vacheron Constantin 1968 Historiques worth ~$20,000 or his nearly identical Rolex to Biden’s
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@Rob_Smithers
Robert Smithers
2 years
@estefanRPh @SaltyEMNY @usedtobebest A big queue at a pharmacy is a lot less disruptive than an ED jammed with Scovid patients
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@Rob_Smithers
Robert Smithers
1 year
@Christie_Whelan Refused to speak in his own defence in court but willing to speak when paid and not under oath, speaks volumes.
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@Rob_Smithers
Robert Smithers
4 years
@DougBurgum A mask exemption for religious services is not data driven or common sense. It’s utterly moronic.
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@Rob_Smithers
Robert Smithers
6 months
@ThisiPhone1 JSPs are an enormous scam and a cancer on our nation and economy. They get paid per person placed in a new job so they have an enormous financial incentive to placing people in short term unstable positions they aren’t suited to to create return business
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@Rob_Smithers
Robert Smithers
4 years
@anantucketlady @seanspicer It’s a complete mystery how this started running like wildfire through the senior ranks of the GOP starting 5 days ago. In totally unrelated news here’s a pic of most of the senior ranks of the GOP 9 days ago unmasked, undistanced with plenty of hugging and kissing beforehand
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@Rob_Smithers
Robert Smithers
2 years
@GabrielThigah @AyushKumarMS3 That's like saying if you just practice enough you can drive as well drunk as sober. No. Occasionally extreme circumstances like a mass casualty incident require us to push through fatigue. There is zero utility in doing it routinely to "train" for it.
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@Rob_Smithers
Robert Smithers
3 months
@rebeccabutlerm2 @simondoyle87 @DrEilidhMaria That’s a funny way to spell “I’m sorry for referring to this individual about whom I know absolutely nothing as a sub optimal candidate with low scores”
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@Rob_Smithers
Robert Smithers
4 years
@NBCNews Rats fleeing a sinking ship, there’s going to be a scramble for the doors and mad attempts at image rehabilitation over the next few months and years, they made their bed let them lie in it
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@Rob_Smithers
Robert Smithers
1 year
@AlboMP @JoeHockey I had hoped once you realised you’d won the election because of your differences with the LNP rather than your similarities you’d find your feet and do some good, instead you seem determined to become less distinguishable from the LNP as time goes on. Very disappointing
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@Rob_Smithers
Robert Smithers
2 years
@SPuro88 If your first response to a story about a clinician experiencing racial abuse is to demand proof that the clinician acted appropriately then you're kind of telling on yourself a little.
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@Rob_Smithers
Robert Smithers
2 years
@gwendoesscience When you have straight manels as far as the eye can see and then LGBTQIA and women tucked away in a corner somewhere running a diversity session it is very clear that they are not actually interested in real diversity but rather tokenism
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@Rob_Smithers
Robert Smithers
3 years
@emma__jayne14 Desperately trying to flip the narrative that those in ICU did the wrong thing and only have themselves to blame for being there. One of the most despicable political plays I’ve ever seen in Australia
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@Rob_Smithers
Robert Smithers
2 years
@AuntiePeteAu @SuDharmapala I see no ukelele, I see no ridiculous cooking stunts. He gets accused of never fronting the media and trying to be a small target then gets accused of participating in puff pieces if he does an interview with a magazine read by over 3 million people
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@Rob_Smithers
Robert Smithers
1 year
@littlehorror01 We attend patients by road vehicle, plane, helicopter, sometimes boat and stabilise/transfer them to definitive care, also move patients between hospitals when they need tests/treatments not available where they are and occasionally back although usually don’t need a doc by then
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@Rob_Smithers
Robert Smithers
4 years
@RPS69549297 @ComplexSports @Complex They’re not protesting their own treatment, they’re using their privilege and position to stand up for others
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@Rob_Smithers
Robert Smithers
2 years
@gretchemaben Hypertriglyceridaemic pancreatitis with TGs of ~1,100, the plasmapharesis bag looked like melted butter
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@Rob_Smithers
Robert Smithers
1 year
@iamstphn @thatdutchperson Except you’re the one demonstrating the bandwagon effect, there are very few, very low quality studies suggesting this MAY be a thing, it’s far from proven
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@Rob_Smithers
Robert Smithers
2 years
@sophieelsworth We just had an election, 64% of the country voted for someone other than the coalition, why shouldn’t the Q&A audience reflect that?
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@Rob_Smithers
Robert Smithers
2 years
@AHopefulMedicDC @crying_hospital Nothing less than an exemption to allow an emotional support cow in ICU is an acceptable solution
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@Rob_Smithers
Robert Smithers
3 years
@PRGuy17 Morrison said he understands how these people feel, Morrison will soon learn how the rest of us feel about him giving these people succour
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@Rob_Smithers
Robert Smithers
10 months
@PaulGoodman24 @mehedih_ @TomFrankly A guy who couldn’t hold down a hospitality job for more than 2 weeks whining about hospitality workers actually taking their days off, are you a parody or just a joke?
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@Rob_Smithers
Robert Smithers
4 years
@markpoloncarz How many of the police involved in this assault and attempted murder been arrested?
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@Rob_Smithers
Robert Smithers
3 years
@nick_coatsworth Where should we send the letters about you falsely claiming covid wasn’t airborne, a claim which resulted in healthcare worker infections after being denied aerosol level PPE
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@Rob_Smithers
Robert Smithers
3 years
@dog_rates Daphne watched on bemused at Dahlia’s shenanigans
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@Rob_Smithers
Robert Smithers
2 years
@JohnRuddick2 Imagine having the full force of the Murdoch empire relentlessly campaigning for you and trashing your opponent and still doing this badly. Imagine what the numbers would look like with a neutral media
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@Rob_Smithers
Robert Smithers
3 years
@meltedlemondrop @RoshanaMN No it’s absolutely not reasonable to expect healthcare workers who wear PPE and are taking the utmost care to be in permanent protective isolation. It is reasonable for us to take all recommended precautions and expect everyone else to do the same.
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@Rob_Smithers
Robert Smithers
2 years
@nick_coatsworth Another opportunity to play wedge politics with frontline health workers, you must be salivating at the thought, given your credibility during Covid if you had a shred of integrity you’d have quietly slipped into obscurity 2 years ago but the Coatsworth show must go on it seems
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@Rob_Smithers
Robert Smithers
3 years
Gladys has walked back the plan to have students return to face to face learning. So vaccine bookings were cancelled in high risk regions for higher risk individuals for no reason #GladysFail #COVID19nsw
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@Rob_Smithers
Robert Smithers
2 years
@Dee_Ryall I see irony in the desperation to tar Dan Andrew’s as a dictator whilst every allegation has failed to stick and it turns out Morrison was appointing himself into multiple cabinet roles accountable to no one as not even his own cabinet members knew of it, true dictator behavior
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@Rob_Smithers
Robert Smithers
10 months
@MartynPitman @HHFTnhs This sort of petty vindictive treatment of staff who raise concerns is exactly how Lucy Letby was able to murder 7 innocent children before any action was taken but not before action was taken and threats were made towards those who raised the alarm a year before her final murder
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@Rob_Smithers
Robert Smithers
3 years
@meltedlemondrop @RoshanaMN I have worn this PPE for hundreds of hours in the past 15 months to protect myself/others, the solution to the behavior I raised is for others in the community to wear a simple mask and maintain 1.5m from me. Not for me to lock myself in my house so others can be selfish idiots
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@Rob_Smithers
Robert Smithers
2 years
@smh @natassiazc Attacking a child rape survivor who was groomed and abused by a man in a position of power for not being polite enough to a man in a position of power. Congratulations Jenny, you've succeeded in making Scott my second least favorite Morrison...
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@Rob_Smithers
Robert Smithers
2 years
@KerosSotirios @Hugh_Cooper @DGlaucomflecken If the insurance company can define medical necessity but a doctor can not then the insurance company is practicing medicine and should take the legal liability of doing so. You are absolutely defending them.
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@Rob_Smithers
Robert Smithers
3 years
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@Rob_Smithers
Robert Smithers
3 years
@marquelawyers This was a weird strategy that they tried to use to discredit ICAC before Gladys testified, having seen her testimony now it’s clear her being called before ICAC was entirely appropriate and Morrison is simply trying to gaslight the entire nation
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@Rob_Smithers
Robert Smithers
2 months
@KeepGoinEoin @thismorning The narrative that people who beat cancer clearly fought hard enough is so toxic for those who through absolutely no fault of their own can’t beat their cancer
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@Rob_Smithers
Robert Smithers
2 years
@SquizzSTK Imagine if this slurring mess was Albanese, we’d see it replayed 50+ times a day on each network for a week with experts questioning drug/alcohol use, cognitive decline, a stroke.
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@Rob_Smithers
Robert Smithers
2 years
@KHook18 @RebeccaStott64 No doubt, she was loving life that day
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@Rob_Smithers
Robert Smithers
2 years
@psirides The greatest prescribing error I’ve come across in ICU, it was an Intragam specific order form, the spelling was right there printed on the form, millenials… 🙄
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