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James Durkan Profile
James Durkan

@_JPGSD_

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3,310

27 | Anaesthetics | Still Confused | He/Him | 🇮🇪🏳️‍🌈 |

Glasgow, Scotland
Joined July 2011
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@_JPGSD_
James Durkan
3 years
When I did my first LP, I told my dad how buzzing I was. After a bit of explanation as to what an LP is his response was: "Jesus James, we dont even trust you to open the milk at home." Thanks dad 👍
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@_JPGSD_
James Durkan
4 years
Medical School Lecturers: we just want to ensure you'll be a safe junior doctor Medical School Exams: what's 4th line malaria treatment in a patient with lung mets, CKD, 50 pack year, drinks a litre of vodka a night & is penicillin allergic. His bloods have been lost by the lab
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@_JPGSD_
James Durkan
4 years
@Sorrelish Add to this argument the infinite supply of free condoms available. Contraception for men is free and easily accessible, but the funds for free sanitary products, that the vast majority of women aged 12-50 go through on a monthly basis isnt permissible. Structural violence.
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@_JPGSD_
James Durkan
3 years
Just watched a medical student pull a whole neuro exam from their absolute bum on the consultant ward round. Absolute star. 10/10. Would sign off.
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@_JPGSD_
James Durkan
2 years
Last night a consultant sat the team down and discussed financial advice, savings, investments and pensions. It's the single best tutorial I've received in all my training. Consultants who support juniors are worth the world.
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@_JPGSD_
James Durkan
2 years
Shout out to tonight's med reg, who I phoned about a hyponatraemic patient getting double strength saline, and when discussing their urine osmolality quipped, "well we will have to take that with a pinch of salt". Didn't miss a beat.
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@_JPGSD_
James Durkan
4 years
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@_JPGSD_
James Durkan
4 years
@marykmac @Sorrelish Absolutely. But the e.g. I used (condoms) is. Female forms of contraception are behind barriers (GP appointments, medical contraindications, repeat prescriptions). Healthcare was designed by men, for men and to protect men as first priority. Healthcare is not equitable.
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@_JPGSD_
James Durkan
4 years
@marykmac @Sorrelish Well unfortunately they are. Menstrual products are viewed as a "luxury item" and are therefore taxed, condoms are not, therefore are free. One has recieved preferential treatment over the other. Think you're shooting the messenger here Mary 🤷‍♂️.
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@_JPGSD_
James Durkan
3 years
Asking for annual leave and it getting flat out rejected. 😪
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@_JPGSD_
James Durkan
2 months
Anytime I gotta phone the lab about a blood sample I'm imagining this is how they're answering the phone.
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@_JPGSD_
James Durkan
2 months
Not to be controversial, but can people stop posting beach photos in response to the UKFPO's failure to support our future colleagues. Great, a beach, people can visit it on holiday. It doesn't mean they should move their entire lives away from their support systems for a job.
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@_JPGSD_
James Durkan
5 years
@S4Murph @ekd1v07 @indivirdee Not quite David, we got dragged out too. I'm standing in the queue for kebabs beside you and I'm raging.
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@_JPGSD_
James Durkan
3 years
Matt Hancock as the FY1 on ward cover...
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@_JPGSD_
James Durkan
4 years
Nurse: "doctor this patient hasn't passed urine in 8 hours" Me: "cool, me neither."
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@_JPGSD_
James Durkan
4 years
Today I was talking to a med student and offered to show them some stuff this afternoon and I got "oh no sorry I cant I got teaching"'ed and honestly it hurt 💔
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@_JPGSD_
James Durkan
3 years
The 2 types of seniors doing portfolio sign offs: 1. Yes, I'll provide the feedback & ensure I focus on the core skills necessary for foundation doctors. My email is dr.firstname.secondname @nhs .net 2. Yea lol, I'll sign whatever chick. My email is xxgossipgirl69 @aol .cool
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@_JPGSD_
James Durkan
1 year
Very pleased to announce I will be joining the West of Scotland's cannulation service for the next 3 years 💉
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@_JPGSD_
James Durkan
4 years
@a_nitak @NathanielBayard @bwpyramid @SkyNews Also as someone from Northern Ireland the over simplification of IRA=bad, British Army & UDA= good, does nothing to show the intense struggle that occurred here. I cannot speak for Israel Palestine but I imagine it is similar.
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@_JPGSD_
James Durkan
6 months
Are you wearing the... The sterile gown as a coat because it's freezing in here? Yeah I am.
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@_JPGSD_
James Durkan
5 years
@Nothenn @Chops8592 @allportishere @nanajanete1 @BBCPolitics @eucopresident Love how everyone goes on about "unelected Europe" while the House of Lords sit pretty in London.
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@_JPGSD_
James Durkan
4 years
@swifties_col @Adele Adele knows some things are more important.
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@_JPGSD_
James Durkan
3 years
@mlkytee I've always found "please dont speak to me like that" to be the most effective way of dealing with rude colleagues. There is something about it that just stops the rudeness in its tracks.
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@_JPGSD_
James Durkan
2 years
@iammightor Big this energy.
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@_JPGSD_
James Durkan
4 years
@magic_at_mungos @marykmac @Sorrelish They're not. The budget comes centrally. Sexual and reproductive health are grouped by NHS England, Scotland and NI.
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@_JPGSD_
James Durkan
5 years
@angelasmithmp Is that racism against black people or racism against people with a funny tinge? Just looking for clarification, thanks.
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@_JPGSD_
James Durkan
3 years
@J_LTF @dragraceukbbc @its_tayce That would be Welsh. The language of Wales.
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@_JPGSD_
James Durkan
3 years
@jprgooch A very clever anaesthetist once offered me a chair in theatre as a student, I did the polite no thank you and he sighed and said, "listen, working in this job, if you get a chance to sit, sit. If you get a chance to lie down, lie down". Only F1 but I follow it religiously.
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@_JPGSD_
James Durkan
3 years
@tariqjenner I DONT UNDERSTAND WHAT PHYSIOS WRITE I JUST READ THE LAST LINE & HOPE IT SAYS D/C FROM PHYSIO
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@_JPGSD_
James Durkan
11 months
Convincing yourself medicine is the right career when your friends are drinking aperols in the ☀️ and you're getting ready for Nightshift 3/4.
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@_JPGSD_
James Durkan
4 years
@DawnHFoster I have seen so many old Labour really attack young labour voters for alienating the older working class. It's so hurtful. Not too long ago they complained that we weren't interested in politics, and now that we are? We're told to F off again.
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@_JPGSD_
James Durkan
3 years
Got mistaken for an FY2 today. Not because of my clinical competency, sound medical reasoning, or valuable input in a ward round but because "you look much too old to be an FY1". I'm 25. Happy Christmas folks 🎄🎅
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@_JPGSD_
James Durkan
5 years
@Adrian_Hilton Shakespeare taught well is fantastic. The plots of his major works are the basis for many modern movies, tv shows and novels. My English A level has helped me in my medical degree & masters thoroughly. Forming an argument, writing concisely and effectively. It's all relevant.
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@_JPGSD_
James Durkan
4 years
@IanThomson22 @tomhfh He took the phone and put it in his pocket. Only looked after repeated suggestions. this is not normal behaviour.
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@_JPGSD_
James Durkan
4 years
@judeinlondon2 I mean shes a journalist writing for a national newspaper, it would make sense for her to be up to date with all parties and their communication with their base? I mean am I missing something?
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@_JPGSD_
James Durkan
5 years
@adamboultonSKY We expect our news readers to be impartial, deliver on facts and present both sides of the argument. You acted in a highly unprofessional manner and now are doubling down. This is the sort of behaviour I expect from FOX news hosts. I'm disappointed to say the least.
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@_JPGSD_
James Durkan
4 years
@tomhfh @CNN This is after taking the reporters phone and placing it in his pocket to stop it being used in the interview. It is only after he is called out for this that he looks at the phone. This is not normal behaviour.
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@_JPGSD_
James Durkan
4 years
@mevparekh A conversation I had last week: "Hi is this the urology f1?" "No this is the urology consultant I'm just holding her bleep while shes doing something, how can we help?" Gulp.
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@_JPGSD_
James Durkan
3 years
@_Amy_Li_ Ok so it's based on when you have your meals: Breakfast at 7 am (7 cervical) Lunch at 12 noon (12 thoracic) Dinner at 5pm (5 lumbar) That's how I've always remembered it
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@_JPGSD_
James Durkan
2 years
@JuliaIsobelA Year head wanted a talk by female drs on "part time GPs & raising family", I asked "will the men talk about their families". He saw red. Picked me out to demo abdo exam. Said I took 2 long. I asked 4 a faster way, he ran round the bed & tripped over. Took everything not to laugh
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@_JPGSD_
James Durkan
3 years
First day of F1 vs Last day of F1 #thanksforthememories
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@_JPGSD_
James Durkan
3 years
@_AbrahamJoel Absolutely. It was wrong place, wrong time and we got on very well for the rest of the shift. Civility & communication makes for better outcomes for everyone.
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@_JPGSD_
James Durkan
3 years
@usycool1 Thought a "water tablet" was a little tablet of water to help hydrate old people who couldnt drink enough. See also, assuming a SALT review involved talking about how much of the good stuff they put on their roast dinner.
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@_JPGSD_
James Durkan
3 years
@mevparekh Cant believe you have forgot to #bekind to all other H2 antagonists. Frankly it is unacceptable
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@_JPGSD_
James Durkan
4 years
@CaoimheRua88 I remember telling the guy who I bought a meal deal off in the international I was headed to Amsterdam (needed to to complete the purchase) "Ah going to smoke a bit of the good stuff lad?" "Nah, actually going to study a masters..." Felt very uncool.
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@_JPGSD_
James Durkan
4 years
Me in OSCE's: I want two large bore cannula, preferably orange, in each anticubital fossa. Me on the ward: I put a pink in on the back of her hand. Please be very very delicate with it it took me 3 attempts and it's very precious to me.
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@_JPGSD_
James Durkan
4 years
@AyoCaesar I like this trend
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@_JPGSD_
James Durkan
4 years
@AITA_reddit Teachers earn ~ 25k per year. This guy earns x10 as much = £250,000 What engineering firm is paying employees a quarter of a million pounds in Carlisle? And then promotes them to London?
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@_JPGSD_
James Durkan
3 years
What's FY1 weekend ward cover if not: patient for daily U+E, & no bloods since Wednesday
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@_JPGSD_
James Durkan
2 years
@matthewbowker Taking any blood test, "they say the NHS is free but really you pay us in blood". ~60%
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@_JPGSD_
James Durkan
2 years
@drandrewmackay A mate returning from Aus said a consultant over there told her they love taking NHS drs because our terrible system has made us so ruthlessly efficient that we excel in their less terrible system. I felt it deeply.
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@_JPGSD_
James Durkan
2 years
When you don't know the history during a referral so you just start making shit up:
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@_JPGSD_
James Durkan
5 years
@BBCNews This is a Black Mirror episode waiting to happen...
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@_JPGSD_
James Durkan
3 years
@KayBurley @AndyBurnhamGM @grantshapps Its everyone's fault but theirs isn't it?
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@_JPGSD_
James Durkan
4 years
@RoshanaMN After saying I was okay thanks when an orthopaedic surgeon offered me a chair in theatre, "Listen, in medicine, if you get a chance to sit, sit. If you get a chance to lie down, lie down." Take that attitude everywhere I go.
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@_JPGSD_
James Durkan
7 months
@micha_frazer @theDykeProject Where are my lesbians? Putting the work in, that's where.
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@_JPGSD_
James Durkan
3 years
@geordie_medic Telling someone you cant work today isnt met with a "oh no, get well soon" but rather a "so who will be covering your shift". Especially important in a global pandemic where 90% of your patients have/had that pandemic disease.
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@_JPGSD_
James Durkan
1 year
@fraserjfstewart Not working class myself, but I worked in VIP hospitality and there were tables for those who "won" the experience, i.e. regular fans. They would tip generously, be well mannered, and act appropriately. Those who bought the package were the opposite. So much entitlement.
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@_JPGSD_
James Durkan
3 years
@rachelparris As Bo Burnham said about straight white males, "we used to have all the money and power & we still do but its less fun now".
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@_JPGSD_
James Durkan
2 years
The most terrible thing about #ThisIsGoingToHurt isn't how shocked I was at what happens to Shruti, but how I completely understood how that could happen. What are we to do?
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@_JPGSD_
James Durkan
5 years
@cullenq123 @nowthisnews I'd like to see how you react after being tased four times. It's clear the aggressor in this scenario is the police officer who pulls the taser gun.
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@_JPGSD_
James Durkan
4 years
@timmytapper @LeftieStats @krishgm Felt pretty bottomless when 500 billion was used to pay the banks out, but suddenly when theres an idea for equitable access to the largest information source in the world, which is used for everything from job applications to children's homework, it's too much.
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@_JPGSD_
James Durkan
3 years
@willtube4food I'm FY1 & just did a weekend on take w) 3 receiving wards. This wknd NPs couldnt prescribe/order scans/refer. I carried the page and was handed all their admin work. I clerked 1 patient. They saw countless & discussed plans with reg/consultant. I'm a trainee & I learned nothing.
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@_JPGSD_
James Durkan
2 years
@OrthoCat01 This will be a toy discussed by the kids well into their 30s. Get ready for it to be brought up at countless Christmas', birthday's and weddings to come
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@_JPGSD_
James Durkan
3 years
Organising ARCP stuff and just saw that October James did an online module on "Avoding the GMC Disciplinary Committee". He obviously had such high hopes for our medical career. 👍
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@_JPGSD_
James Durkan
3 years
@rjh_conway "Just letting you know because pharmacy shuts in 3 hours...."
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@_JPGSD_
James Durkan
2 years
@_Amy_Li_ Get ready for the "we're disappointed the junior doctors are not helping out with current staff shortages" emails.
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@_JPGSD_
James Durkan
3 years
Started a new rotation today, and I'm wondering, is healthcare the only industry where you are introduced to your role whilst simultaneously providing the crucial shop floor service?
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@_JPGSD_
James Durkan
2 years
@jhospitalw "Just to clarify, what's the plan Mr. Surgeon?" Mr Surgeon: "Make them better."
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@_JPGSD_
James Durkan
4 years
@CriminalPupil Chuka Umunna couldn't even win his seat never mind bring home a win for the entire Labour Party...
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@_JPGSD_
James Durkan
3 years
@ronanlyne I was ward bitch today: 1. Dr can you review Mr. X he hasnt eaten his lunch & that's not like him. 2. Patient has ear wax ?cause 3. Long admission, agitated ++, out for bloods first time all week. 4. This family want to speak to a dr about how their mum is doing with physio.
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@_JPGSD_
James Durkan
4 years
@Rybena_ I felt the exact same way about the episode of Derry Girls that said Catholics go to Bundoran and Protestants go to Newcastle. Such a top class joke, totally missed by anyone who doesnt know the geography of our lil island.
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@_JPGSD_
James Durkan
2 years
@andrewmeyerson This isn't acceptable. It's not for doctors to speak on behalf of nurses. They have capable representatives who have been elected to discuss on their behalf. We also elect our own representatives. This crisis should not be used as an opportunity for 15 mins on the telly.
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@_JPGSD_
James Durkan
3 years
@drpsquared The english FY2 had a "jobby list" and honestly the look of disguist on the scottish nurses faces before they realised the language barrier was quite hilarious
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@_JPGSD_
James Durkan
5 years
@LisaMMcGee Please have granda teach Erin how to drive.
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@_JPGSD_
James Durkan
3 years
Nothing says the end of 13 hour oncall shift like entering the carpark and having no idea where your car is parked.
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@_JPGSD_
James Durkan
4 years
@castlvillageman @drlfarrell @Seanofthesouth Who's that blue party in the middle of the first picture? Never heard of them 😉
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@_JPGSD_
James Durkan
3 years
@Not4Twos It's the constant, "you need to build your CV" that drains me. My day is busy busy, I dont have the energy to implement change in a department I am the most junior in, which will disregard these efforts the minute I leave it. Change like that needs to come from the top down.
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@_JPGSD_
James Durkan
4 years
@Steven_Armour @seanbgoneill Dyou know in America an "Irish goodbye" is leaving w/o saying goodbye to anyone and I swear it couldnt be further from the truth
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@_JPGSD_
James Durkan
5 years
@ukhomeoffice Is it better the government does it on billboards that they mount on vehicles to patrol the streets?
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@_JPGSD_
James Durkan
1 year
@calebsubs Don't compare workers with workers. That's what they want you to do. A director of lived experiences is not the enemy.
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@_JPGSD_
James Durkan
4 years
@The_Terroirist @Sorrelish It is not an attack it is an example of how something helpful for healthcare can be made free and equitable. This is exhausting. You're literally twisting my words in front of me and getting angry at a point that I have not made.
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@_JPGSD_
James Durkan
1 month
@jprgooch A GP in uni used to say "guidelines not tramlines" and I've always remembered it.
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@_JPGSD_
James Durkan
4 years
Revising for OSCE exams; has anyone in real person life ever seen a janeway lesion or an osler node? Asking for a friend (who is me)
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@_JPGSD_
James Durkan
5 years
@SkittyFar @RzrKhan @HarleyShah Never thought we'd get such apt political analysis from a jigglypuff fan account. Here for it.
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@_JPGSD_
James Durkan
1 year
I gave over a years notice for my only brother's wedding, whom I was best man for. I only got confirmation I could go six weeks prior to the date. We deserve better.
@Telegraph
The Telegraph
1 year
🔴BMA co-chairman Dr Rob Laurenson criticised for ‘swanning off’ to attend wedding amid ministers’ attempts to negotiate with members 🔓 This front page story is currently free to read 👇
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@_JPGSD_
James Durkan
2 years
@AbdoPainHotline @TheBMA @Doctors_Vote I'd add a system that allows doctors to give adequate notice when time off is required for weddings, family events or holidays. Knowing my brother was getting married a year in advance and only finding out 2 months before the wedding that I could get it off is not acceptable.
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@_JPGSD_
James Durkan
2 years
@issypips This is everything (and more) you need to know for hyponatremia unless you're an endocrinologist.
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@_JPGSD_
James Durkan
4 years
@freddomed Is there one/three of these bad boys in the bun though?
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@_JPGSD_
James Durkan
3 years
@zackferguson I thought a "water tablet" was a little tablet of water that we gave to old patients to help keep them hydrated because they couldnt drink enough on their own.
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@_JPGSD_
James Durkan
3 years
@abi_carey NHS blood and transplant services have a pdf about iron deficiency and their recommendation is alternate day dosing.
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@_JPGSD_
James Durkan
4 years
@juniordrblog @AyoCaesar The talk around coronavirus is ridiculous, considering the common cold is still more widespread and dangerous to people living in this country. But that doesnt quite make for a good scoop in the media does it.
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@_JPGSD_
James Durkan
3 years
@DrBenLovell I once saw a stroke consultant stop a ward round because a patients Nokia brick had an alarm set for 7am and was waking all the other patients up because she was "the only member of staff old enough to have used those bloody things." She got it sorted tbf
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@_JPGSD_
James Durkan
3 years
@hayleymagill Remember when the flowchart decided you were only high risk if you came from China or like 6 lil villages in Italy?
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@_JPGSD_
James Durkan
3 years
@gnwren Gemma the way you've referenced him and everything!
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@_JPGSD_
James Durkan
4 years
@JosephHeskin I got an email asking me to confirm my email address.
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@_JPGSD_
James Durkan
8 months
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@alastairmiller3
Alastair Miller
8 months
I have just cancelled my Direct Debit to the BMA. I cannot remain a member of an organisation that has such scant regard for patient care that they arrange simultaneous strikes by consultants and juniors. Totally in acceptable
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@_JPGSD_
James Durkan
5 years
@tonymacaroni @adamboultonSKY No this attack became personal & emotional. There was vitriol in his voice. I cheer on good journalism. @carolecadwalla @pollytoynbee etc. They make their point with a basis in fact not emotion. An Oil Exec being grilled on facts, yes. Calling him "middle class" aggresively, no
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@_JPGSD_
James Durkan
4 years
@Luiseach Shes wearing a trump crop top in the tooth brushing pic and honestly it explains about 95% of it.
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