Dr Andrew Mackay
@drandrewmackay
Followers
15,319
Following
7,961
Media
53
Statuses
602
Consultant - Anaesthesia and CCM (NHS/PP) | Aesthetic Doctor | Husband | Dad | Ultrarunner | Superhero | Legend | Own views | Happy to help | GMC 6031410 |
Glasgow
Joined October 2011
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
-360度カメラ
• 8354443 Tweets
Back to Back
• 824457 Tweets
Sant Rampal Ji Maharaj
• 224710 Tweets
#23point5EP9
• 95092 Tweets
WIN X VELENCE
• 89070 Tweets
#スポ男
• 84730 Tweets
ONGSASUN LOVEBIRDS
• 72881 Tweets
#दहेज_दानव_का_अंत_हो
• 41660 Tweets
ゴジラ-1.0
• 34461 Tweets
猫の恩返し
• 32715 Tweets
ガルアワ
• 29537 Tweets
Marco Reus
• 28312 Tweets
ランウェイ
• 25344 Tweets
雇用統計
• 21400 Tweets
長嶋茂雄
• 19060 Tweets
AGAINST ALL ODDS BINGLING
• 15610 Tweets
まことお兄さん
• 15445 Tweets
दहेज मुक्त
• 14592 Tweets
AMOREPACIFIC HQ WITH GULF
• 10782 Tweets
だいちゃん
• 10775 Tweets
#فيصل_ابو_رميه
• 10406 Tweets
Must be an ENT ward.
That’s where I’d go if I was a little horse.
30
46
924
You will be told this week that junior doctors’ greed or entitlement is the reason that lots of clinics and operations have been cancelled. The actual reasons for these are 13 years of austerity, understaffing and a Government that don't understand what the NHS is for.
3
134
510
I was on an O&G block on my 21st birthday in the hospital that I was born in. I spent 10h with a couple and their midwife who had consented to me delivering their baby.
I got sent out to staff room for a break for 30mins during which a student midwife was brought in to do the…
I've also been bullied by midwives when I was a med student.
Now I'm terrified of them and my next rotation is O&G.
And I DEFINITELY see a big difference with how they treat male vs female doctors... 😢
39
12
217
38
15
464
Odd how for the 112 days a year of weekend and public holiday cover, it’s “business as usual”, yet when the same cover is provided during IA, it’s “extreme disruption”.
5
53
335
I’m an anaesthetist and don’t like coffee or cycling.
What's the most off-brand thing you do?
I'm a cardiologist. I eat healthily, I exercise, am slim, don't smoke etc. But. I don't spread butter on toast, I hold the entire block in my hand and apply it like a pritt stick until the toast is practically transparent. Paratha style.
136
32
2K
21
2
277
Should probably clarify that I was a medical student at the time and not just an enthusiastic passer by.
3
0
280
@andyheeps
@thetimes
This is them fighting and dealing with it though. Some people, like their views, are much better off retired.
2
6
250
This a true. But a GMC referral has far greater consequences for specific groups of doctors than for others.
@Azeem_Majeed
The threat of a GMC referral should not deter a doctor from dong the right thing for her/his patients.
40
1
19
7
16
222
Remember the olden days, before email and toxic WhatsApp groups, where you had to actually be at work to be annoyed about work?
11
8
212
Sitting with my 15yo on a "Get into Medicine" conference is reinforcing that I wouldn't get into medical school these days...
21
1
170
I see that Figs have come up with a way to tell people that you’re clinically questionable but big on social media.
16
6
167
Come to work in Scotland.
It’s now a tropical* country with an unbeatable national football team** and you’ll get paid more than elsewhere in the UK.
#toptipsfornewdocs
*today
**in 8 matches
6
19
168
Was absolutely delighted to finish the 2023
@WHWRace
in 26h6mins for
@mndscotland
1. After
2. Before
3. Strava
4. Me suffering passing Ben Dorain.
Please feel free to donate via link below (or RT)
10
5
158
I have nothing but respect for
@NicolaSturgeon
and her work as FM. Hugely positive and insightful role model for women everywhere. Exemplary leadership before, during and after COVID.
Sad to see twitter exemplifying the exact brutality that she mentioned in her resignation.
3
3
153
Maybe rather than bringing the military in to cover for frontline staff we could bring them in to run the country instead of our current government?
5
4
121
Prescribing chewing gum is probably the single most useful intervention I do in patients after GI surgery in HDU.
7
10
123
@jenhock13
Hi Jen. As a medical student, I also had to do a delivery in order to pass the block and graduate. I went on to work with midwives for many years and am well aware of their expertise. It’s very unlikely that the progression in that half hour was a surprise. I’m unsure the…
8
2
101
Me watching the FY2 put in their first arterial line.
2
6
102
TOP TIP - when your teenager daughter asks you if she can have a party on the first weekend after school goes back and says “it’ll be fine” then just say no.
*Narrator* - “it was not fine”
14
0
100
Last clinical shift done before the
@WHWRace
This time in 72h, I’ll be 6h into 24h+ of running over 95 miles and 10000ft of ascent for
@MNDScotland
Remain astonished at people’s generosity. Link to donate here if you can or can share:
7
9
97
Thanks to Barry for highlighting another professional group who secured a significant pay rise (15%) after strike action.
Dean get real you’re called a Junior because you are still training. Like Junior barristers you will reap the rewards when qualified. Get back to your training now!
51
0
3
2
6
93
Scottish pharmacy vending machine.
“Who’s this medicine fur?”
“It’s ….
2
3
91
Imagine living in a world where the maths presenter off Countdown consistently has to hold the government to account as the media and other politicians don’t want to.
3
9
89
Can you not achieve the same long term stability by setting up a CESR programme in house for doctors?
Trust wide email from ED CD:
"since our PAs are not rotational, they are here for us in ED, so we train them"
"they are absolute gems and assets"
"physician associates make a significant contribution to the patients that are seen"
Just ONCE can we have glowing email about drs
25
30
240
6
1
86
My phone is full of accidental screenshots from every time I’ve tried to change the volume on my phone with the same hand I’m holding it in. Does this happen to everyone else?
14
2
80
Further innovation (not innovation as entirely feasible within current confines)
Set up local CESR programmes and take colleagues from F2 to consultant with locally funded posts. Minimal rotation, pressure on hospitals to stay competitive and everyone benefits.
Cheap(ish) innovation idea:
We need to be more American about our training programmes.
Hear me out
Deaneries should cultivate a institutional identity and pride around their speciality training programmes
Proudly be the West of Scotland General Surgery Program (for example)
16
13
156
5
3
78
Just me and
@RobertDocking
singing along to
@ArcticMonkeys
at sunset in Glasgow. Nothing to see here …
3
2
72
Out walking dog and she trotted past a bigger dog who was excited to see her. I said to her “You not saying good morning?” and the other dog’s owner said “I’m sorry - good morning!”
and now I can’t ever leave the house again.
5
0
70
The Core G stairwell in the QEUH is perfectly oriented for getting sunset pictures.
#toptipsfornewdocs
1
0
68
Glad that I won't need to worry about which bin I put the Conservative flyers into.
We will never impose unnecessary and heavy-handed measures on you, the British people.
We will still meet our international commitments and hit Net Zero by 2050.
11K
1K
9K
3
8
67
I think that this behaviour is becoming much more prevalent. Individuals are entitled to express opinions on social media, separately to orgs that they’re associated with, without someone tagging their regulator or their employer.
3
2
60
One of the biggest threats to the NHS is people who pronounce SOP as “sop” like “chop” rather than ess-oh-pee.
10
1
59
Chemtrails in the sky this morning activating the 5G in my vaccine
2
1
57
Auchtermuchty
Culross
Kilconquhar
Kirkcudbright
Milngavie
30
4
56
Some days I think I’m doing really well and then I remember that I had a yum yum and a can of red bull for breakfast.
7
0
54
If you don’t know then you should probably put it back.
1
2
53
It was 28C today in Glasgow. It's September. Scotland are top of our Euro 2024 qualifying group.
I feel like I'm about to wake up and realise I'm in Season 9 of Dallas.
3
2
53
Listened to Dignity by Deacon Blue on dog walk this morning. Still an amazing song 36y later.
6
0
51
Wish we’d known how many nurses and others would leave the NHS during and after the pandemic then we could have had “leaving gatherings” too.
Neither right, nor honourable but unfortunately still MPs.
Because the role of a leader during a crisis is to keep morale high amongst those who were working 17hr days 7/7 as morale slumps.
No10 was the engine room of the country, it was important to keep people turning up and working and saying goodbye to someone who was leaving was an…
1
116
516
2
3
51
Good luck to all doctors in training moving post today across
@nhsggc
and
@NHSScotland
!!
Please remember that we are all here to help and support each other despite what Twitter might occasionally suggest.
1
0
50
A 12PA contract means that they are being paid for 48h a week of work. What they do outside this is neither the NHS’ business nor mine.
The behaviour of NHS Consultants in private hospitals negotiating ways to financially benefit from NHS waiting lists makes me feel very uncomfortable for the probity of our profession
19
0
12
4
0
47
Went to the kebab shop tonight.
It’s a public service I take on in January to keep them afloat until the rest of the world returns to using them in February.
6
0
47
The media will also trot out a few doctors who disagree with striking (some young, some old) and treat these views as equal. Based on polling, you'd need to hear 49 times as many people in favour of strikes for every voice against to be representative.
1
9
47
Someone cycled past me yesterday dressed head to toe in camouflage clothing with a high viz vest on top and it’s troubled me ever since.
4
1
47
I try to end every patient interaction with “Is there anything else that I can do to make today better for you?”
Mostly it’s a no, often it’s a minor ask that we can easily sort, occasionally it’s a chance to vent. It all helps.
3
0
46
Just finished a week on for ICU at
@qeuhccm
Hard going but great variety of work alongside a team of excellent colleagues delivering excellent quality patient centred care.
@nhsggc
@ScotTraumaNwk
@qeuh_surgery
@qeuhanaesthesia
@EMQUIRE_
1
3
46
Have Tesco mistaken Grenade bars for *actual* grenades?
6
2
45
It's time for the government to take responsibility for the NHS' problems and invest in the resources and staff needed to provide high-quality care for all. Junior drs’ strikes are not the root cause of these problems, but a symptom of a much larger issue.
#JuniorDoctorsStrike
1
4
44
The junior doctors' strike is a response to years of wage stagnation which have resulted in an hourly rate of pay that is not commensurate with their training and responsibilities. The strike is a necessary step to protect the viability of medicine as a career and the NHS.
1
6
42
Every person in Scotland has their own personal cutoff but 16C to me and no clouds is the threshold for taps aff.
3
0
42
Think somebody should probably have explained to
@lizzo
the significance of cracking out a flute solo at a Glasgow gig…
7
0
42
ICM and Anaesthetic trainees, ACCPs and nurses from across Scotland joined a faculty of CLODs, TRODs, SNODs and QEUH ICU Consultants for today’s Organ Donation Simulation Course, the first in collaboration with
@NHS_Education
@NHSBT
Huge thanks to all 👏
3
15
74
2
7
37
He’s absolutely right. Junior doctors are vital. And if you reflect on what the “service” is then it’s the staff.
All the technology, drugs and non-existent PPE you’ve paid your pals for is of no value without HCPs to care for people.
Pay them properly.
2
6
36
@thegradmedic
It’s not illegal. It’s nonsense along with IV vitamin infusions and a lot of the other absolute crap that is offered by people who work in “aesthetics”.
1
2
34
Thanks to colleagues at
@RHCGlasgow
ED last night for patching up my 14yo’s eye after an unfortunate hockey stick to the face during a game. Was obviously very busy and useful to see the patient side of life.
Thanks!
@NHSGGC
1
1
32
The “For You” tab should really just be renamed “People You Choose Not To Follow And Their Hot Takes You Don’t Want To Hear”
3
2
32
I’d also add “Making a referral to a tertiary centre”
How to get comfortable being uncomfortable:
- exercise
- cold showers
- meditation
- fasting
- public speaking
1
0
14
2
0
32
Never ask a junior colleague to do a project that you wouldn’t do yourself. Lost count of the number of times I’ve seen people given projects where the time taken vastly outweighs the reward or that are just impossible.
3
2
32
The NHS is facing numerous challenges, including rising demand for services, an ageing population, and the ongoing pandemic. Addressing these issues requires a comprehensive and sustained effort and has to include ensuring all staff are paid enough to recruit and retain them.
1
3
32
Prostate owners: please watch this from
@garethe1967
a friend, colleague, surgeon, Ironman triathlete and all round good guy.
'I thought I was overrunning in cheap shoes... turned out it was cancer':
2
8
17
1
6
31
The idea that this money could be “better spent on patient care” ignores the fact junior doctors make up a significant proportion of the NHS workforce. The government should address their concerns, negotiate with and support them, rather than scapegoating them.
2
5
31
Would you like to work with us
@qeuhccm
in our 50 bedded general ICU/HDU as a Clinical Fellow for 12 months from August?
Apply below!
Closing date 12th May
@NHSGGC
@m_a_henderson
@MoAlHaddad2
@ProfMalcolmSim
@RobertDocking
@curlychris82
2
21
29
To be fair mate, I’m sure that the same junior doctors could try to feed themselves and pay rent with morality but sadly Asda and landlords don’t recognise it as a form of payment.
Selfish. Junior doctors who risk lives aren’t fit to be doctors and I hope they don’t get any pay rise. Morality means you save lives regardless of pay. If you save lives to get paid, then you’re in the wrong profession
#JuniorDoctorsStrike
2
12
60
0
3
30
Two absolute legends who I am delighted to have worked with
@nhsggc
and continue to work with via
@bridgesprogs
Unstoppable even in retirement.
Congrats to
@bridgesprogs
refugee doctor facilitators, Pat & Dave, who received President's Medals from
@rcpsglasgow
for supporting refugee medical graduates arriving in Scotland. They've provided support to refugee professionals aspiring to jobs with
@NHSScotland
#NewScots
3
2
12
0
3
30
Belter day for a run in Pollok Park. Colder than Suella Braverman’s heart but still sunny.
1
0
28
That moment when you realised you had one job in opposition and you’ve absolutely screwed it by upsetting every HCP. Maybe get some as advisers? Preferably ones who are old enough to remember why the system evolved as it did…
This is a good, informative, thread that reflects the debate *within the profession* that Labour is tapping into (we don’t pluck ideas out of the sky!)
Self-referral won’t often be clinically appropriate, but where it is, and where it can improve service for patients, why not?
160
85
358
3
3
29
Thanks to all the staff at the fracture clinic at the National Treatment Centre in Kirkcaldy for looking after my mum yesterday. Excellent service from door to door.
@nhsfife
1
2
28
I see that we are well into the gaslighting phase of the strikes
“If you guys can find the money by doing your jobs better, then we will give you a bigger raise”
5
1
29
I'm always surprised when I get an email from an HR dept looking for a reference requesting an Official Hospital Stamp or compliment slip to validate the reference. Is it still 1995?
3
1
29
“Communication overhead” is the proportion of time you spend communicating with members of your team instead of getting productive work done.
In order to keep everyone on the same page, communication is necessary.
The more team members you have to work with, the more you have…
3
4
28
A conga constituted entirely of people who share posts from Britain First on Facebook and think that trans rights are “PC gone mad”.
Some pro-union demonstrators are performing the conga in George Square, Glasgow, chanting “conga, conga, conga, Nicola’s no longer”
#HeartNews
2K
1K
6K
2
1
28
T-42h until start of
@WHWRace
2023. I’ll be running 96 miles with 10000ft of climbing in about 24h - some of it in this very fetching vest - for
@MNDScotland
If you’d like to sponsor me then here’s the link:
Please feel free to RT
@qeuhccm
@NHSGGC
1
5
25
I’m logging every mile this week for
#raceforrecipients23
@R4R2023
for team
@nhsggc
You can join too, join our team and support organ donation here:
@m_a_henderson
@pamdean
2
2
27
Even simpler to me. I use the best device available. Most of the arguments against VL sound like the same ones I heard advocating for landmark IJ insertion 20y ago.
Feel free to use whatever you want, I’ll keep using a VL every time.
“Can anyone explain to me why some of you propagate universal VL for all patients?”
Sure Hans I’d be happy to. Are you sitting comfortably?
A 🧵…
18
73
291
0
5
26
*Opens twitter*
*Reads last nights
#MedTwitter
debacle and is glad that it wasn’t a Laurence Fox fanboi anaesthetist this time*
*Closes Twitter and goes to enjoy rest of weekend*
1
0
26
BREAKING: Junior doctors representatives say they are “ready and willing” to meet with government but only if they agree to full pay restoration.
NEW: Rishi Sunak's spokesman says govt "ready and willing" to meet with junior doctors but only if they call off strikes and drop their demand for 35% pay rise.
442
140
604
1
0
25
So vital that the hospital faces “extreme disruption” whenever staff reduce activity yet not valuable enough to negotiate better pay and conditions.
2
6
25
Sitting on
#InternationalWomensDay
with a full arena of people screaming for
@lizzo
to come on stage having spent day at work and home with a bunch of boss women.
2
0
24
It’s taken me 44 years to realise that other people’s opinions aren’t necessarily the truth, any more than mine are.
The eternal critics of twitter really helped with that so thanks.
1
0
24
Does anyone remember when No 10 lying would have been a big story?
Whether it's "Brexit is good", "immigration is bad" or "the NHS is fine", they're just such a bunch of duplicitous sh!tehawks.
When you have a chronically underfunded essential life saving service
#NHS
with lack of investment in infrastructure & staff, any new money it will take yrs to materialise into meaningful outcomes.
So, this headline is a soundbite & doesn’t help patients waiting for ambulances.
5
28
73
0
1
23
“Write an SBAR” in response to a request for change is the NHS equivalent of you saying “Maybe” to your kids. It loses effect when they realise it just means “I’m going to say no later”.
1
1
23
Last short run done this morning & boxes packed and ready for loading up tonight.
T-12h till
@whw_race
underway. Nearly at the 5k mark for
@mndscotland
which is AMAZING!
Please consider donating in memory of my feet and kidneys at link below or in bio:
1
3
23
To be honest, if I could find a way of charging people to tell them that their health issue isn’t a health issue despite all evidence to the contrary and falling out with literally everyone on Twitter to raise my profile, then I’d probably do it too.
2
1
22
You’re 24 times more likely to become a doctor if one of your parents is a doctor. That neither makes you worse nor better as a doctor but most doctors I know would now actively discourage their kids from pursuing it as a career.
A big proportion of my year at med school were “children of doctors”. Do you think millennials doctors are going to look back on a life of deteriorating pay, appalling conditions and soaring house prices and think: “this is what I want for MY kids”? That demographic is gone
48
58
793
1
0
22
My dad once told me “Son, when you think everyone else is being an arse, then there’s only one arse”
I think about that a lot these days.
0
0
22
Been working all week while it’s been warm and sunny. The one night I decide to walk the dog in the evening and I was worried that Noah might pick her up in his passing Ark.
2
0
22
We’ve got 43000 staff in
@nhsggc
and only 108 signed up for
@R4R2023
I’m sure that we can do better than that ….
#raceforrecipients
I’m logging every mile this week for
#raceforrecipients23
@R4R2023
for team
@nhsggc
You can join too, join our team and support organ donation here:
@m_a_henderson
@pamdean
2
2
27
2
4
22
Myers-Briggs is just astrology for people who have LinkedIn accounts.
3
1
21
The picture is a man in camouflage scrubs, just in case they work so well that you can’t see him.
1
0
20
Day one of 7th consecutive
#Marcothon
No days off in between
Started 1st Dec 2017
2192 days ago
#RED
#streakrunning
3
0
21
In 9 days time, I am attempting to run the West Highland Way (95 miles, over 15000ft of climbing and aim to do it in ~24 hours)
I've decided to try and raise some money for MND Scotland to help with my motivation on the day.
Please donate if you can!
3
4
20
