Beth Griffith
@bethangriffith
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Acute physician @MidCheshireNHS New consultant rep @acutemedicine , ex #takeAIM fellow. Insulin Pump & CGM. Dog parent. Cymraes🏴 📷IG @bethegriffith
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Joined December 2009
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Finishing my
#takeAIM
fellowship on a high 🤩
We had so many inspiring talks and it’s a privilege to call these role models my colleagues - thank you for reminding me of all the reasons why I chose my speciality
A million thank yous to Beth
@bethangriffith
and Flo
@POCUSpeek
#TakeAIM
Fellows for their amazing hard work over the last year and an epic
#TakeAIM
conference in Birmingham
#takeAIM23
. Thanks also to all the speakers and attendees.
Travel safe everyone!
@acutemedicine
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How an NHS IT glitch nearly led to me being escorted off site - twice - for being a pretend doctor: a Twitter novella
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*bleep* “hi it’s Beth the med Reg on call”
“Hi... I’m ringing you about patient X, who was reviewed by a Dr Griffith in the day, not sure if he told you, but he advised...”
“I am Dr Griffith...”
ITS 2021 GUYS
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I present to you: human factors - night shift edition
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Thankfully, an old colleague intervened.
They security boys let me go.
I was free to go back to my clerking.
But turns out that a lot of people have heard this rumour about “a fake doctor” over the last few weeks.
I’m half expecting to see the security team again soon...
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#TipsForNewDocs
if you put the wine in the fridge before leaving for work it’ll be nice and cold when you get home
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Why I wear scrubs on a night shift as a medical Reg
1. They’re comfy
2. I can turn the top inside out when I spill 4am fajitas all over myself
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I started spouting my gmc number, waving my badge.
I was imagining the walk of shame.
I started questioning myself - am I a doctor? Am I a psychiatric patient with a mad delusion?
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Random acts of kindness go so far 😭🥰 (my SHO defrosted my car because I’d forgotten de-icer)
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Petition for a BBC hospital drama centred around an AMU just so my family will understand what I do for a living 🤷🏻♀️
#acutemedicine
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What the notes say: Med Reg bleeped
What my bleep says:
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It doesn’t help that my surname has a typo on my badge
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Got the job 🤩🙌 can’t wait to start as an Acute Medicine Consultant in Leighton in the summer (references pending obvs 👀)
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Ambulatory care is staffed by on call doctors.
One of the juniors had witnessed the security drama but didn’t know it was all a misunderstanding.
He’s spent the last couple of weeks believing I was a fake doctor, and unknown to me, this rumour has spread.
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My 11 year old sister just asked me if Mean Girls “is set in the olden days because they all dress weird”
2004 is the olden days 🪦
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I correctly diagnosed nephrogenic diabetes inspidus on a night shift and I feel like this is some sort of med Reg milestone
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Is it acceptable to just eat these with gravy and skip all the other unnecessary bits?
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I don’t put 2+2 together.
I get excited about the drama.
I turn around on my wheelie chair
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They told everyone I wasn’t allowed to work there and searched the hospital for me I order to remove me - but because I had gone home for teaching, they decided that I’d “absconded”
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So I rang IT, asked them to unlock, but she wasn’t able to. Somehow they looked in to it and got confused about the two accounts and decided I wasn’t allowed to work there because my contract ended in 2019.
But they didn’t tell me.
They rang security.
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The following day, I went to work and my account was active again and I had a little email from IT service desk saying something about duplicate account deleted and it was all fine - the nurses filled me in on the security drama and I thought that was the end.
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Big shout out to that special breed of medical secretary who don’t just type my rambling dictations but also correct them and make me sound like I know what I’m talking about 🙃
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Next thing I know, I’m seeing a patient and security come barging in. They’ve had reports of a “fake doctor who was escorted off the premises a few weeks ago but has come back”
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My face when you refer a “neutropenic sepsis” when the patient is neither neutropenic or septic. Please stop.
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Day 1 of the big boss job and I got the loveliest welcome from the team ♥️
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Tonight there’s an IMT3 gap AND a ward Reg gap
Here are some live scenes of me in resus
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So this morning, a couple SHOs are finishing their night shift and I come in for the early Amu shift. One looks at me wide eyed.
There’s some muttering. I joke about then being at the end of the night shift and think nothing of it.
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Security descended on the ambulatory care unit, looking for me. IT had looked in to why my account was deleted, and decided it’s because I hadn’t worked there since 2019.
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Context: local trusts have recently merged - which has led to merging of IT over the last few weeks. Because I’ve worked at the other trust, I had two accounts linked to my GMC number
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To rectify this, IT deleted one of the accounts, except they deleted the wrong one - the one from my old trust (I haven’t worked there since 2019). So when I tried to log in to a computer in the current trust it was disabled
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Following on from this, I was so dysarthric in handover this morning that I couldn’t say Rasburicase
I gave up after three attempts and called it posh allopurinol instead
Tonight there’s an IMT3 gap AND a ward Reg gap
Here are some live scenes of me in resus
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That one consultant in morning handover after the f1 went home sick, you clerked 47 patients, had 9 cardiac arrests, and single handedly extinguished an electrical fire in the mess
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I’m the on call Med Reg for tomorrow, the Tuesday after a bank holiday which also happens to be the first “normal working day” after the trust has changed to EPR
Pray for me.
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My F1, sat in the mess at the end of her first set of medical nights has just declared that if “general medicine was a sport it would be cross country skiing”
Fair, fair.
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Are you really an acute medicine registrar if you haven’t updated the PE guideline at your trust?
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A startled sparrow has been in our garden for a couple of hours and hasn’t flown off.
Is it acceptable to bring it to work for a post take ward round in the morning?
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How is the country still so polarise, a year later🤷🏻♀️
Took my car for an mot today:
1. Uber driver home:covid isn’t real, government faking death certificates, hoax. Etc🙄
2. Uber driver back to garage: Have some hand gel. I nearly died in itu. I’m so grateful to have survived.
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Brutal set nights ✅
Back to back to back met calls, high volume of referrals, a rota gap, the return of covid and *all of the bleeps*
BUT we I survived because I work with great people and NHS staff are still looking me♥️
1. I got a greatix
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Husband: god your pump alarm was really annoying last night, was going off for ages!
Me: that’s weird, it didn’t wake me up
*checks cgm data and realise my blood sugar was ~2mmol for over an hour*...Ah yes, didn’t wake up because I was probably in a coma. Cool cool 🥴
#gbdoc
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@roddyr29
1. Not a nurse
2. Insufficient detail given for it to be identifiable
3. No probably not intentional but it’s frustrating knowing this doesn’t happen to my male colleagues
4. I’m never embarrassed by calling out casual sexism
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I’m usually a lighthearted tweeter but jeeeez today was probably one of my most difficult shifts ever as a med Reg
The whole system is broken, everyone is under so much pressure but is trying their best… and the list” hasn’t been clear since July ☹️
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@Jenny_Pewsey
Yep. At least monthly, then the nurse says they’ve seen the doctor, “no didn’t see a doctor, just a lady in a dress”
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Even as we move towards electronic patient records, I still believe that patient stickers are the currency of the on call medical registrar.
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3 emails, at night, about Mandatory training (that I don’t need to do)
I’ve had to block temporary medical staffing for my
#wellness
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@josemehrinho
When you find a box of quality street on the ward and open it to find that it’s empty
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Me: I’ll write that in to my diary
ADHD me: typed in “Wednesday” instead of whatever I was actually meant to be doing
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If anyone is wondering how the pandemic is affecting family relationships... my mum moved housed this week and forgot to mention it to me 😬😬😬
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Lack of formatting in NHS eportfolio tickets is so upsetting. I JUT WANT TO INSERT A NEW LINE.
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There’s no stronger power move than the dog frantically waking me up at 04:45 so I can watch her eat grass
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A delirious celebratory brunch after completing my last ever set of nights 🍾
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I was up at 6.30 decorating a cake but winning star baker in the AMU Macmillan bake off makes it all worth it 🤣🤣
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Aintree friends: my stethoscope went missing in resus today 😢
I’m willing to exchange unlimited Coffee/Referrals/DOPS/my splenunculus for it’s safe return (dark purple littmann cardiology 4 with my name on it)
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Wore scrubs on call today (usually wear a dress) ...
AMU sister: you look like a proper doctor for once
Not sure what I normally look like 🙃🥴
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Just parked up for night 4/4 and my phone is suggesting I go home 😬
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In the words of Bilbo Baggins
“Im going on an adventure”
✈️ 🇸🇬 🇳🇿 🇦🇺 🇦🇪
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#ScouseSAM
Closing lecture - the most upvoted question to the president is...
“what’s your dogs name?”
100% the right speciality for me
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I spectacularly fell off a chair today in work today. The PA that was with me didn’t laugh and now I am worried that I’ve reached the age where falls are a genuine concern
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Neighbours have bought their 3 year old a recorder and he’s standing in the front door serenading the street. Why do they hate us?
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Made an Easter cake! 🐣 🐰
(I think I might need a whole vial of novorapid 😬)
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@dr_annarachel
In the spirit of
#Donutgate
... here is me, a diabetic medical registrar, with a Donut the size of my head in
@UniversalORL
#yolo
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I’m going out to today celebrate my 33rd birthday.
In truly showing my maturity by taking a lansoprazole, 2 paracetamol and stemitil *before* stepping out the door
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I’m at a weird transitional point in life where I’m old enough to drink red wine on a night out, but still not wise enough to say no to the 6th tequila chaser.
In other news someone please send a Greggs sausage roll and some stemetil x
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Why does bed time in my house feel like I live with the twins from the shining?
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Can anyone recommend any “silver trauma” courses suitable for physicians?
There seems to be a shift where these patients are increasingly under the care of medicine and I don’t feel like I do them justice!
-and also how did I not know that the hector guidelines existed 🤯
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Uuuuuurgh.
Took some stuff to the tip and some random man thought it was ok to ask “don’t you have a husband who can do that for you” 🤢🤢🤢
What I wish I said: Its 2021 hun my feeble woman arms have evolved to be able to lift stuff out of my boot
What i actually said: er yeah
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Rotation time again (on nights next week)... had a lovely leaving gift, ate cake and topped off with a thank you Thursday from our PAs ♥️
Things are rubbish at the moment, but working with great people makes such a massive difference
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Me at 4am: Hi I’d like to discuss the scan for patient X that you vetted earlier
Radiologist: Hi, sure, is this Yvette? [the ED reg]
Me: No I’m not a vet. I’m a medical doctor.
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2nd jab ✅
Had it done about 4 hours ago...hoping this surge in glucose = ANTIBODIES
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Being the med Reg for wards on night over changeover has been wild.
But it’s now 6:20 and I’ve literally seen every single patient in the whole hospital so things can’t get any worse can they? CAN THEY?
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Guys can we all agree not to do the clapping this time?
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Top tip from the med reg on nights:
If you bleep me 2+ times in short succession I’m definitely going to ask you what the emergency is when I answer
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I have reached ✨peak millennial✨:
1. Home made smashed avacado and Cumberland sausage with feta on home made sourdough toast
2. Posting about it on social media ✌🏻
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Couldn’t be prouder of my (non-medical) husband who’s been challenging his colleagues with *science* on conference calls when they’re spouting anti-vax chit chat♥️
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You’d be forgiven for thinking I’m on a health kick, but really I just wanted plenty of options to garnish my cocktails this weekend
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I’m not emotionally stable enough to be a med reg. I happy cried this morning on the way home from a night shift because some cows looked really content.
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When you’re working as at the same trust as your work wife after 4 long years and service provision gets in the way 👯♀️
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My non-medical 32 year old husband is unwell and is googling his symptoms. Instead of trusting his wife, a medical reg, he is now concerned that he as an aneurysm. Good to know he has faith in my diagnostic skills 🤭
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Does anyone else get a weird energy post on call (especially as a 💩 🧲) that’s an odd mix of agitation/anxiety/internal screaming but for no clear reason?
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Home in one piece after an amazing time in
#SAMGlasgow
with this pair, and an absolute honour to have attended as a council member 💚
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