Ian Wacogne
@ian_wac
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Husband, dad, paediatrician, ex-editor, CCIO Ride a bike too. Take your pick. Don't like these opinions? I've got plenty of others.
Birmingham, UK
Joined January 2010
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I always forget that adult wards still do this puzzling thing called "visiting time".
In paediatrics we've figured out that parent visitors provide a lot of the care and data so we can do our jobs better.
(I realise that visitors make the place untidy. But come on...)
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Hello
@RoyalMailHelp
At midday today your driver mounted the pavement and drove at me.
He ignore the double yellow lines and the no unloading sign. Harborne High Street, B17 9PN.
He responded to my challenge with impatient sarcasm.
What action will you be taking please?
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"You know what the biggest problem on the roads is?" he said.
I looked at him, single occupant in his 4WD, taking the entire width of the country lane.
I looked at me, about the same width as my handlebars.
I paused, assuming the question to be rhetorical.
He said:
"Cyclists"
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The replies here imply that, even when on a separated cycle path, all cyclists are expected to anticipate *every possible* bit of twattery from those driving.
Jeremy is my age (ish). But what about a 10 year old? Why shouldn't they be able to assume that they're relatively safe?
Can’t fault this driver, and I suspect he’s practised this manoeuvre. Gave me no chance whatsoever.
SCORE 🔟🔟🔟🔟
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I've got to say, I'm almost looking forward to the Bronchiolitis season this year - here's our
#TimeToGetBetter
care bundle ready to roll...
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Hello medical, and perhaps cycling twitter.
Could I politely ask for a signal boost for this please?
We're riding in memory of our colleague, Vish, and raising money for a subject that was close to his heart.
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@CJhgv444
@RoyalMailHelp
Sorry, you're saying we can't get folk into haulage because they can't casually break the law and put pedestrians at risk? Right.
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OK.
Proud and humbled to wear the colours for
#TeamVish
today.
Let's do this.
Hello medical, and perhaps cycling twitter.
Could I politely ask for a signal boost for this please?
We're riding in memory of our colleague, Vish, and raising money for a subject that was close to his heart.
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@robinince
I just don't get what people find so burdensome about it.
I mean - it's really hardly anything, is it?
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So.
Anyone else?
Every evening, a bit of a tickle at the back of the throat.
Every morning, just fine.
I don't like the word "psychosomatic" but I do think my body is taking the mickey a bit.
Anyone else?
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It's really strange.
There do seem to be people out there with chunks of their humanity missing.
Some of them are governing us.
But there are wonderful people everywhere.
Just take a look at this.
It's not unique either.
This is everywhere, if you look.
What an incredible day I’ve had! I’m exhausted. Honestly, I am. I feel on top of the world & slightly dazed. I never expected my adventure would elicit so much interest, generosity, kindness & love. I’m truly deeply grateful to all of you. Thank you. Contd/
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I was wondering if I should share that I'm a consultant general paediatrician with quite a few years under my belt and I'm unclear if we have a functioning thermometer in the house...
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Just read an online review on a great place I often stop for coffee which rates it low because "Cyclists hog all the outside seats" and I'm thinking I don't even know where to begin on that...
(but I will be going back for more coffee...)
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While our city is on the news for the wrong reasons today, here's something that me very proud indeed to call it home.
#TeamVish
What an amazing end to an emotional day for Team Vish. 112 miles, 5 Neonatal Units, 19 riders all for 1 great man who we will never forget. So many thanks to our riders, supporters and to everyone who donated
#teamvish
@Matt_L_Nash
@Bobna77
@ian_wac
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This is genius.
This is why I work with children.
Both of these having equal fun.
And, honestly, who wouldn't want a turn with the goggles on?
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@epiktistes
@mk_wilkinson
@neilhimself
Been happening to Shakespeare for about 400 years!
Standard thing is:
"(quote)" then "Shakespeare", as if this closes the argument - and as if he only wrote one character with one view!
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Yeah so that thing where you cycle to work in prescription sunnies to find that you've left your actual specs at home and so are going to spend the day squinting or looking like a faded pop star.
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A note that if this person visits our place I should probably be made absent for that day as I *will* call him out for this.
This isn't leadership.
This is hypocritical arrogance.
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How dare you.
The defense here is to effectively critisise parents who have been more frightened, more stretched - but ultimately more brave - that this sociopath?
For everyone who has tried to do the right thing for these past months, even when it has been tough.
How dare you.
Protecting one’s family is what any good parent does. The
@10DowningStreet
statement clarifies the situation and it is wholly inappropriate to politicise it.
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Folk of
#CyclingTwitter
and beyond - your love please for
@DrKidneyAsh
's first ever cycle commute!
#LoveCyclingWM
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Back in the saddle three months post op. No pain, just a bit weak!
Chuffed to bits!
@ProstateUK
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Chairing a regional clinical meeting via zoom.
Colleague from a different of the meeting finishes their part and is about to leave.
Me: Thank you for your contribution. Love you!
Pause.
General apoplexy...
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I realise that I've been feeling troubled by the phrase "social distancing".
I get it - oh boy, I get it.
But don't we need "social" contact more than ever? Don't we need to reach out and touch each other's minds more than ever?
Physical distancing, yes.
But we need closeness.
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At the end of everything, all we really have - all that really sets us apart - is kindness and time.
Be generous with both.
#TipsForNewDocs
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I have news.
Big, tasteless Christmassy news.
This year,
@contender400
@BCH_CPSC
and I have taken our shirts on tour... (In, of course, our spare time).
If you can bear it, watch this space, because there is more to come...
@BWC_NHS
@BWCHBoss
@BWC_CPADS
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The CQC telling folk "Don't be a dick".
Twitter, this is the content I came here for.
If anyone is in any doubt:
The social distancing guidance applies to every one, including you.
Full details:
Short details: Don't be a dick, observe
#coronavirus
guidance
#StayHomeSaveLives
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I get that modal shift is difficult and I get that not everyone can cycle to work.
But look at my commute this morning...
#LoveCyclingWM
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Exceptions:
- infection control - fully support
- protection: eg mother of newborn - visitors can be exhausting
- crowd control - so make a maximum number
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I refuse to formally link to this tweet - hence the screenshot.
Just imagine being one of the parents of one of these children and reading this headline.
Or sibling.
Or aunt or uncle.
Or, for that matter, anyone with a single trace of humanity.
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@ryanhull23
@RoyalMailHelp
Thanks - I have, thankfully, unlocked that achievement. Do you need advice?
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Christmas in the hospital. A short thread.
One of the many joys of working in paediatrics is Christmas.
I'm proud to say that in December
@BWC_NHS
turns into The Place That Taste Forgot.
It is like a Unicorn vomited. And then soiled itself. It is hilarious and brilliant.
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A lovely ride today.
Struck me, seeing lots of folk out, unfit, running slowly, or on bad bikes badly set up, that it must take a tremendous meanness of spirit not to wish to applaud their amazing effort.
They're doing proper hard work.
I raise a glass to you all!
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I think this is quite important.
I now realise that none of my adherent Muslim friends, or others who eshew alcohol for other reasons, have ever had a party.
Nor has there ever been such a thing as a children's party.
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@theJeremyVine
I've tried to minimise casual medicalisation since a child psychiatry professor colleague described that OCD was one of the most challenging things he struggled to treat. Describing ourselves as "a bit OCD" does devalue the true suffering of some folk.
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Yesterday was a horrible day for cycling in the West Midlands, with a cyclist killed and another very critically injured.
Decided to head out today between rain showers to... I don't know. Breathe?
But it was achingly beautiful.
#LoveCyclingWM
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I'm beginning to form the impression - bear with me here - that the folk in the replies who are concerned that they may need to, well, pay attention while operating dangerous machinery might be better off not actually driving any more?
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I'm becoming increasingly certain that, after some reading and maths, we should be teaching children genuine critical thinking skills - how to interpret evidence, etc.
And that this should be repeated and repeated and become a core part of who we all are.
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Here we go then...
On the first day of Christmas
My true love gave to me...
A coffee in the conservatory!
#BWCFestiveSilly
You might have noticed that it is December later this week...
You might remember this thread from last year...
So.
What do you think?
Have
@contender400
,
@BCH_CPSC
and I been busy?
Watch this space to find out...
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To the people who say "But it never hurt me" - the fact that you say this, and can't perceive that it is wrong, is proof of a lasting hurt.
Time to outlaw all assault on children.
BBC News - Scotland becomes first part of UK to ban smacking
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Hot off the press... The 2021 version.
As ever, happy to share the pdf etc.
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I just found an electronic folder I made which I named "Return to after Covid" ha ha ha ha ha ha ha
Ha ha ha
Ha.
Ha.
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Suggestion.
Folk who write "... and it never did me (us) any harm" in a non ironic way should have to submit a 10,000 word essay on recall bias, selection bias and survivorship bias, to be marked by three statisticians.
Resubmitted until they're happy.
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Dear
@MooseAllain
,
I'd like you to know that I've carried these with me and shared with 60 or more children at
@BWC_NHS
.
I gave the last few away on the round this morning.
Loved by every child - and not a few adults too.
Thank you so very much
Sincerely
Ian
Our free to download Advent calendar is here! It’s a little different this year, we hope you will embellish and decorate it in fine style. Please share, print off, and distribute far and wide.
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@Pandamoanimum
I think I might lean into a bit if cognitive dissonance...
"I'm sorry, I can't hear you, I'm wearing a mask..."
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When my uncle was in the last year of his illness, an HCA needed to feed him, as his wife wasn't permitted outside visiting times.
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@MooseAllain
In my team a while back we had a horrible time.
I realised that while the naff management-speak is strictly true that there is no "I" in "team", there is, however, "tea".
My role was to make lots.
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@DrEricLevi
I'm a paediatrician.
Yes.
But the important thing is to ensure the focus for care is on the patient, family, not you and your grief.
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@laurencyclist
@RBKC
@RBKC_cycling
@London_Cycling
@MikeyCycling
@theJeremyVine
@betterstreetskc
Serious respect that whole this was happening you read the light change properly too. I think I might have missed that, fearing for my life.
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I'm sitting here chuckling at the memory of the 6 yo I saw recently who wasn't sure whether they should include, in their family tree we were constructing, their imaginary brother.
In other news - the imaginary brother was quite naughty and played tricks.
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This keeps popping up in my time line.
Each time I think how much I envy that young person's energy and attitude.
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Profoundly proud of my adopted city.
Cash-strapped yes, but they know that this is important.
BREAKING: Leader
@BhamCityCouncil
@BrumLeader
says city will fund 61k children who receive free school meals over this half term
@bbcwm
@bbcmtd
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One of my core professional behaviours is the ability to say
"Oh.
I got that wrong.
I'm so sorry.
What can I do to make thing better, for this time and the next?"
Would be great to see someone in government embrace this from time to time.
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Went out to try the new A38 cycle route.
Amazing.
Added to my list of commute routes.
#LoveCyclingWM
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As a paediatrician, I don't know quite where I stand on this.
Oh, hold on - I do, it's brilliant and I wish I'd thought of it when my kids were small enough!
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Welcome to Procrastination Club.
Now, the first rule of Procrastination Club is ooo shiny, I wonder what that does, maybe I'd feel more like this after a nice cup of tea.
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Overheard my own
@MirandaKeeling
moment earlier.
A mum with a small child.
Presumably having seen the nearby bloke with a baby in a front papoose.
"Babies don't go back into tummies darling. We've explained this lots of times"
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A new sign appeared.
Even in the saddest week you *must* have some silly.
Sometimes, often, my role is
#TeamGenPaeds
' resident clown...
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@elinlowri
For me it is about whether you are adding to the burden of the other person.
If, in your expression of emotion you add to their burden, this is bad.
If, somehow, you can help them shoulder some small fragment of it, then OK.
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@GrahamR80837612
@RoyalMailHelp
Thank you for your comments.
I sincerely hope that you are never in a situation where you are a vulnerable pavement user, or with one.
Have a lovely evening!
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A general reminder.
Setting a country into a process which results in years more negotiation is no more "getting it done" than my cracking an egg is "baking a cake".
Especially if I have trashed the kitchen and bought no ingredients.
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@JORDDEASY
@RoyalMailHelp
Thank you for your comments.
I sincerely hope that you are never in a situation where you are a vulnerable pavement user, or with one.
Have a lovely evening!
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I wonder if it would be possible, if appropriate, to get a retweet from
@RCPCHtweets
or
@RCPCHPresident
?
Vish was an outstanding paediatrician who embodied the values of the finest healthcare professionals I've met.
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I'm not sure I know how to ask a medical student if they're the sort of hungry that
@noodles_nood
seems to be describing.
But please know that if you're working with me, and you are hungry, or would just like a coffee, then just ask.
This offer to remain open until I retire.
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@theJeremyVine
1. Fewer cars.
2. Narrower cars - reverse the growth from the last 50 years.
3. Fines, ticketing, towing
4. Walking with a nice sharp-edged pushchair even when you don't have kids...
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Now, I was at the Christmas Tree Light ceremony and I didn't see those elves...
Must have been because it was dark...
@BWC_NHS
@contender400
@BCH_CPSC
#BWCFestiveSilly
Here we go then...
On the first day of Christmas
My true love gave to me...
A coffee in the conservatory!
#BWCFestiveSilly
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@tigerroarcouk
@RoyalMailHelp
Honestly? No.
And I'd have not taken it anywhere if he had not persisted in driving at me, and doubled down with rudeness and sarcasm, as per my first.
But what will happen next time he fancies driving like this?
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@KateClanchy1
The image makes it look like you've managed the near impossible
- left eye above the top of the glasses for top wither
- the right through the lens for added focus.
Score 12/10
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This morning, the wrong time of year, but absolutely the right sentiment which always brings me to tears, from
@JFDavidson1964
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A shout out to the driver I saw yesterday, wearing a facemask as a single passenger in their sealed car whilst also clearly texting and driving.
A thread called "let me teach you about risk..."
(1/
#WhyAreFolkSoThick
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Here we go with
#NHSSweatySelfie
number 1 - five laps of Bartley Reservoir this morning.
Tagging in all
#LoveCyclingWM
friends - they'll give us £5 per tagged selfie per day!
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@ETWriteHome
I have a theory that a time traveller could identify the decade by what veggie option they're offered in a restaurant.
Nut loaf - niche but 80s
Veggie lasagne - 90s
Risotto - 00s
Variety - emerges in 10s but retro recurs!
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I know that this will appear like ego, not intended, but what I want to say is that sometimes the kindness of messages like this shine light into the darkest parts of our work lives.
If you're in any doubt, stuff like this makes my day.
Week.
Month.
Year.
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My daughter's arrangement of apps on her phone.
Genius on some levels...
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This is nice.
I'm not sure I entirely agree with the
#ClapForOurCarers
hashtag tho.
There is something, um, not quite right about it...
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I've just realised that taking my shoes off without undoing my laces first doesn't destroy my shoes nearly as quickly as my mum would have led me to believe.
I'm 52.
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