Scott
@dob86
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- Chronically Northamptonian - O&G Doctor - @Greendocscott ’s Simpsons meme account - Will appear on your podcast - Still on twitter - #MUFC - He/Him
Northampton, England
Joined March 2009
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I got datix’d for using the ITU changing room shower on a night shift after I’d done 45 minutes of CPR there.
What experience in the workplace radicalized you?
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@Theholisticpsyc
The mental bandwidth of keeping your head above water every month takes its toll in so many other aspects of life.
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🚨 Peak NHS bureaucracy klaxon 🚨
I saw a patient in antenatal clinic and would like to see them post natally in my Gynae clinic.
I’ve been told I have to write a referral to myself and sign it off as appropriate before it can happen.
Scenes.
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Me aged 70 getting called to labour ward at 3am to open a 2nd theatre.
UK state pension age will soon need to rise to 71, say experts
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Why I’m not worried about AI taking over the NHS and rendering doctors obsolete.
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Love the new mug the midwives got me. They love pointing and laughing for some reason.
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Just had a medic influencer “reach out” to me about improving my productivity and wellbeing.
I delivered 12 babies in the last 36 hours. I’M OK THX
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Am I justified to be salty that there isn’t an on call consultant car park space outside either of the maternity units I work in?
Coming at night is usually time critical, so makes sense to reduce the time walking from main car park?
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Me coming back with a 1ml vial of blood after trying to be supportive to the ward FY1.
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A med student this week asked to leave labour ward and go to spend some time in triage because “it’s quiet here today.”
Dear readers, you know what happened next, right?
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Work hard, pass exams, navigate a rotational training program.
Then you too, can get a parking permit 1km walk from the hospital and hot desk in a library before crossing the city between sessions with no lunch.
All with over a decade of pay erosion.
#SadBoiEra
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Delivering babies with the line:
“Awwww, lucky baby, got the same birthday as me!”
#NeverGetsOld
#HappyBirthdayToMe
#LabourWard
#Leicester
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Scott, the night SHO has called in sick, can you carry the bleep for a few hours. It’s £28/hr.
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Handover: the reg is off sick, we have no beds, 2 theatres open and 17 inductions waiting, with 8 midwives on the late.
Me:
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Ward ordered some new patient cups, and they arrived today.
I’m pretty sure they are for Jäger-bombs.
#NHSlongtermplan
#NHS
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Instead of
#TipsForNewDocs
this year I’m just going to post pictures from around my apartment building in Australia during FY3.
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Laughs in 3am crash section.
#smh
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@SapereAude99280
@sacha_coward
They could whilst it makes rational economic sense.
If you keep out 1 customer you don’t want, and that makes 3 others feel safe to shop there then it makes perfect business sense.
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Next college/BMA elections I’m voting for the person who wants to make training less “rotational”.
🏡 Less upheaval (not moving yearly)
🤝 Embedded in team (able to change things)
💵 Less induction/payroll nonsense
👩🏫 Better training (boss knows you)
🏝️ Longer rota = better AL
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The CEPOD anaesthetist whilst surgeons and gynae argue over who goes next.
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I’ve never delivered a baby Scott (with good reason) but an oncology patient once named their stoma after me.
I got the O&G life goal today…
I delivered a new little Sophie (but spelt the Welsh way (Soffi)) into the world today via c-section 🖤
Me telling everyone “Sophie’s a lovely name” finally paid off!
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When you’re stuck in theatre but the triage midwife has reviews waiting for you.
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The lift when you get called to review a tachycardic CTG and a febrile mum.
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Bigotry is present in the same proportion of NHS staff as the general population.
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@bbchealth
Looool BBC is impartial here? This follows the Tory party playbook so well, this journalist will be hosting
#MOTD
soon.
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The amount of replies saying “it’s the worse job in the hospital.”
I agree: FY1 medical ward cover was the worst professional experience of my life.
What appetite is there to make it better, and how?
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Even though its been a decade, I tell the story of my “F3” year in Australia 🇦🇺 to my colleagues often.
Usually to juniors thinking of going themselves.
There are 2 versions
tl;dr - Go for it, it was great.
Longer version… 🧵 1/15
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Me last night: “Connor try not to wake me up early in the morning unless there’s a problem”
Connor at 07:15: Dad, I know it’s not an emergency but the sunrise is pink and pretty and I think you’d like to see it.
🌄 🥰
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@laurevans311
My letter back to myself next year
“Many thanks for your excellent referral and clinical acumen”
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Was worried hotmail was trending because it was about to be closed or bought by a different billionaire. But phew, people just calling me old for having an account still.
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@piersmorgan
Here’s mine:
Sir Alistair Cook (GK)
Little Mix flat back 4
Arsene Wenger
@McDonalds
veggie happy meal
Daniel Craig’s Papoose
@GreggsOfficial
Vegan Sausage Roll (c)
Kim Kardashian
Kanye
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My experience of 2020 has not met the Dawes-Redman criteria.
Reason 3
No episodes of High Variation.
#StillAtHome
#CTG
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Ward cover today:
“Scott, you have to come and take all these ‘daily bloods’ that were requested yesterday.”
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The ST1 after I supervised them doing a controlled ARM for polyhydramnios.
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Dug out one of my old
#JuniorDoctor
payslips from early in the pando where the Daily Mail sponsored our HR.
#PayRestoration
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As much as I say I don’t play to stereotypes I’m radiating “bank holiday ward round” vibes.
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Feel free to tell me I’m the sad killjoy but today people were putting up 🇬🇧 bunting in our early pregnancy clinic.
The place where people find out they’ve lost babies.
Surely it’s not the flaggy, queeny pageantry type of place?
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I’ve seen an interesting trend recently where it’s frowned upon to criticise other doctors as “we’re all in it together”.
I don’t feel a strong affinity with every other doctor tbh.
Have you met doctors?! We’re mostly boring egotists (and that’s the nice ones).
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The trainee members of the
@TheBMA
striking for 5 days over the summer when consultants are likely to be on leave and unable to
cover them is running the risk of loosing the support of the consultants and severely endangering our patients and loosing public support.
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Honestly, I think many of my gripes could be fixed by not rotating as often:
- Book leave in advance
- Embed in team (team invests in you)
- End yearly payroll errors
- Can live where I work
- Get a dedicated work space
- Able to solve department problems (not just endure them)
Well it’s taken me years to get a week of annual leave when my kids are off school because I rotated so often.
Hint it’s because my training program finished.
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@noodles_nood
Excellent thread.
“Why can’t you didn’t you do that research internship last summer, would have helped your career?”
1) Didn’t know they existed like all the other medics.
2) Couldn’t do it because you had to work an actual job during summer.
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Very few people in healthcare know or care about anyone’s
#medtwitter
presence.
Ok, what’s your unpopular opinion in medicine that will get you in this position?
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Me as an O&G ST2 trying to get forceps signed off.
hate waiting for deliveries, cant go for a wee without missing out on the 1 second delivery window
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The problem with the eportfolio was seldom the trainee. It was the fact there was an external locus of control over its completion ie chasing tickets from consultants.
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I’ve had 3 midwives come and tell me that I remind them of Adam from
#ThisIsGoingToHurt
.
I know its a dramatisation, and we do the same job, but I thought I’m, maybe, a bit…nicer? 😬
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🚨 Good news! 🚨
🎉 Outcome 6 achieved 🎉
Can’t wait to start my locum consultant post at
@Leic_hospital
next month! 😊
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Oh dear,
I’ve just sent out an email and didn’t spot that “antepartum” has autocorrected to “antipasti”.
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@timricketts_
We look at the same website for “can you use drug x in pregnancy?” that you can.
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If you ask why we’re not having more kids, I’ll answer “I’ve had a vasectomy.”
Then they invariably have an uncomfortable look.
If you ask me an intrusive question, your punishment is to have to think about my balls.
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How do people do “intuitive eating”?
If I “listen to my body” I eat kebab 4 nights a week.
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A (genuinely lovely) consultant comes over to me in the staff room looking concerned.
“You need some rest, it must be your 4th night, you look shattered”.
Nope, just on a normal working day having a pre round coffee.
This is just my face. 😂
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@gracejarvisohno
Community spirit was murdered by poor urban design, overwork, inequality, cuts to services. But sure, it was the avocado toast people.
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I’m just a boy, standing in front of an ARCP panel, asking to be trained in endometrial ablation.
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@parkerflash
Thankfully the itinerant nature of being a foundation doctor meant I never found out!
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“Nah I won’t need induction training on that, I’ve worked here for years”
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Professional identities are wild
Me 19: Hard working med student, footballer, musician, party goer, traveller
Me 31: Hard working doctor, green activist, trade unionist, new dad, footballer
Me now: Hard working doctor.
Think I need to add to list again.
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In 2019 my son had a 🌻 lanyard, and this was rare.
In 2021, should I be pleased for the explosion in recognition of
#HiddenDisabilities
and its reduction of stigma?
Or be annoyed that people diminish my kids’ struggles because they cba wearing a
#mask
. 🤷♂️
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@BellaWallerstei
100% the opposite. Increase it. It’s a tax which doesn’t hurt the person who pays it (cos they’re dead) and smooths out entrenched inequalities.
What’s more aspirational than making it on your own and not on mummy and daddies dime.
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All those screenshots of slides you’ve saved from conferences?
Delete them, you’re never going to look at them again.
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@drdamoeyes
Central HR passport would free NHS staff up so much more to help out and locum elsewhere if needed.
Also reduce need for such Byzantine internal HR processes. Which might put them out of a job (and therefore wont happen).
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Lou’s done us all here.
Most engaged with
#medtwitter
tweet on Xmas week and then just DIPS.
No apologies, responses or double downs.
Ghosted like a bad tinder date.
Queen behaviour.
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There was a good outcome for everyone. Student got to see early phase of emergenc(ies!) on triage & patients all got looked after. Then a good debrief about how we prioritised the emergencies. 👍
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My daughter has been made her class’s Anti-Bullying Ambassador.
Girl’s 6, has a better CV and doing a better job of sorting out workplace culture than her dad. 🙈🙈🙈
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Government’s pay offer will have the headline “every new consultant on £100k”
So don’t expect public opinion to be overly positive if we all vote to reject it.
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When I refer a patient for an autism assessment I have to fill out a massive form with a load of diagnostic criteria when I could just write:
“Game recognise game”
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@DrBenLovell
They have nowhere to put their stuff! Now I can see why “lockers” is a common feedback.
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When someone quotes the 2016 Junior Doctor’s TCS to me at a management meeting.
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On call last night.
So, at the hotel my big plastic banana protector falls out my bag whilst I’m trying to check in.
To the hotel. Alone. On valentines night.
The look receptionist gave me, I died. ❤️
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Wow. So many dads on labour ward really think they’re the main character.
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Welp it’s crossed 100 likes so this tweet is gonna leave my cosy lil corner of twitter and now just gotta wait for trolls, blowhards and bots to show up.
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