Dr Sethina Watson
@morefluids
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Anaesthetics Registrar & @anaes_trainees TC member. Interests: Regional & obs anaesthesia & transfer/PHEM. Former career PR, writer, IT, comms. Views own
Bristol, UK
Joined April 2010
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@mattyheron
& I are excited to share Ep2 of ‘Fascinating Fails’ a new series for
@pbsds
&
@pbsterra
!
This episode dives into how we only have general anaesthesia we use today because of some… very serious partying (yes, you read that right!)
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Appalled to receive a letter on my daughter (with
#cysticfibrosis
) poor school attendance (due to clinics & illness). Subtle threats incl legal action if we do not take steps to improve her attendance next year. Grossly insensitive & upsetting. You can imagine my reply.
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Did you clap for the NHS during covid? If you did, now is the time to support nurses, doctors & other professionals who will soon to balloting for industrial action. Clapping didn’t pay any bills. Clapping doesn’t repay good will. Clapping doesn’t replace staff who are leaving.
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I’m an Anaesthetic Registrar & mum of 4. My youngest has
#cysticfibrosis
& is not yet eligible for the jab. She relies on us & those around her. I am 3x vaccinated against
#COVID19
because it protects me & those around me. Caring for others is a basic moral duty
#GetVaccinated
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As a hospital doctor I cannot stand by & see what is happening to our GPs. Without them the whole healthcare system will collapse. They are being scapegoated & used to divert blame from year of Gov failings. Once done with GPs we are the next targets
#GPCrisis
#SupportGPs
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‘Do you know how old you’ll be when you graduate med school?’
Yes, 40
‘Do you know how old you’ll be when you finish your training?’
Duh, yes
50 years old today & still an ST3. Age is just a number. May as well be 50 & doing something I love
Birthday in
#shielding
#lockdown
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Every day I get asked what area of anaesthesia I want to specialise in. Answer is. I don’t know yet.
Got me reflecting on how long it took to get to this point. Someone said you must share your story. Feels like over sharing, but bear with me. Long thread!
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24 years ago I gave birth to my oldest child. Had an epidural. Vowed there & then to become an anaesthetist. Wasn’t even a doctor. So it took quite a while!
Today I collected my
#FRCA
from my F1 & F2 supervisor &
@RCoAPresident
Dr Fiona Donald. How marvellous!
#RCoADips
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Nurse on the ward. ‘Are you a surgeon?’
‘No, anaesthetist.’
‘Oh, I was looking for someone to prescribe. You can not.’
Anaesthetist are doctors, just in case you ever wondered!
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I’m working nights next week. My petrol tank is empty. Bus or bike not feasible. Pumps empty. Thoughts please
@BorisJohnson
on how key workers will get to work?
#panicbuying
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My Uber driver once was a surgeon from China. He had 18 years surgical experience. Was unable to get through necessary GMC admin &££. Drove Uber while his wife did GP training. He resigned himself to this fact, relished his supportive role. But honestly, what a loss
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Ten years ago - graduating medical school. My darling daughter didn’t enjoy the day 😂🤣
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She loves school and goes in despite feeling not up to it at times. If a child is not at school don’t send blanket letters. Find out more. Be sensitive, esp to children with progressive medical conditions
#SchoolAttendance
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As a parent of a child with a significant medical condition the impact of this letter cannot be underestimated. Caring for her takes hours each day, hours of pharmacy visits, medication ordering, hospital visits. You do the best that you can. You try to live life normally.
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It’s a v busy shift. The surgical reg was downing an ice cold Fanta (Lilt). ‘Oh how delicious’ I said, ‘I’ve not had one in years. I’m going to get one later!’
A few mins later the Reg appears with an ice cold can for me! Could have cried. Made my shift. Thank you 🙏🏽 🤩⭐️
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Tonight’s collection is dedicated to
#NHSToiletSigns
. They are truly fantastic. I love them.
This one transcends language. It’s my favourite.
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What genius created this guideline? I shall nominate you for an award
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I passed my Final FRCA!! No more exams ever.
Since 2004 my kids have had their mum doing some sort of exam. They are soooo happy too.
Massive thank you to everyone who helped with practice, support & so much more. Giant thanks to
@DrPaul_Watson
- our household is now exam free!
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Your most embarrassing moment in medicine?
I have several that I’m not sure I could share 😳
Whispering 69 to the dean of the medical school in front of the entire year is one. I meant to say 99. He replied ‘only on Saturdays’
TBH I’ve blanked the details of this
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Asked my white doctor husband how many times he’s been mistaken for the domestic. Never.
Me? Too many times to count. I have no issue with these important & vital jobs, they are valued team members. The issue is assuming a brown woman doesn’t have the capability to be a Dr.
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I was recently given some ‘constructive’ feedback on my personal appearance. Comments that were in-fact deeply hurtful. But just to be sure, this is my messy hair in its natural untamed state ICYMI. We need to accept that hair can be unruly & frizzy. It is mine. I own it. Thanks
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I am a ‘junior doctor’. We are not children or immature. We will put you on life support, send you off to sleep for an operation, perform surgery, treat your heart attack, diagnose your illness, deliver babies, prescribe life changing medications & save lives. Waiting lists, NHS
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I made a significant error of judgement today in ICU. I apologise to my team & everyone affected. I fully understand if this goes on my MSF. To take a microwaved mackerel meal into the radiology meeting & confined space was totally unacceptable. It was selfish & misguided...
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I’ve actually been holding in my dismay & frustration for a while now. I think many NHS workers have. But no more.
People - Stop sharing the utter nonsense & dangerous peddling of lies.
@twitter
actually do something about it. Remove posts, strip/add
@verified
to key accounts
When you say you don’t know who to believe on Covid, you’re treating the testimony of frontline NHS doctors and nurses like me as no more believable than anonymous Twitter trolls.
Can you imagine how that makes us feel?
We’re your NHS.
Please trust us 💙
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I would share all her medications, equipment etc should we get a home visit
@GillianKeegan
Headteachers should pick up absent pupils from home, says education secretary Gillian Keegan
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@EmergencyBod
Oh my gosh so similar! I arrived in primary school in Glastonbury with my frizzed up hair & no friends. A little Ghanaian girl out of place. This girl came up to me & said do you want to play? She is my best friend Bev & we’ve been friends for 48 years!
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The perpetual infantilisation of the medical workforce must stop. When we people get it, people are
#juniordoctors
well into their 30-40s, & 50s (like me). This article by
@gabyhinsliff
shows why the term must be ditched. Being a doctor despite age requires maturity beyond years
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Doctors - how long & what qualifications have you earned that enables you to do your job?
Me -
3 yr BSc
1 yrs MSc
6 yrs med school MBChB
2 yrs (FTE) foundation doctor training
8 yrs training in anaesthesia
FRCA diploma, numerous professional courses
And lifelong learning/CPD
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#JuniorDoctors
working an 8pm-8am nightshift, have worked 8 hours of one day right? So why is this post nights component of that day called a 'day off'?
How did this come to pass?
@BMA_JuniorDocs
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Confirmation of death is something all doctors do. It’s happening a lot right now.
I often wonder what other healthcare professionals do at that moment. Not the actual ‘no carotid pulse palpable etc’ but the unspoken stuff. I address them by name (silently) & bid them goodbye.
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Diversity of background, age & experience mean we all bring something different to medicine. Rather than discouraging & judging I hope we are more supportive & open of our differences.
#MyPathToMedicine
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The Primary FRCA was the hardest exam I ever took. I took 4 attempts to pass written, 3 for OSCE & 2 for viva. It took years of my life. These example questions from RCoA demonstrate it’s rigour. The Final was another challenge to overcome. The exam is humbling.
#TeamAnaesthesia
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So my daughter ‘graduated’ today! Congratulations on your achievement
#NCLgrad
But…..
11 years ago at my graduation you were a little terror. I smiled & thought I will do that at your graduation.
Today, my savage (back) turn.
#RevengeIsADishBestServedCold
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So absolutely ecstatic. I got the anaesthetics registrar training job in Severn. So happy 😀
#ST3
#anaesthesia
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Why do people persist in wearing scrubs to and from work?! Just bring a change of clothes.
#petpeeves
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Petite CT2 in XXL surgical gown coming to do your spinal
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I remember intubating people one after another. The PPE, the plummeting sats, the desperation. Much of it has been buried in my mind. But can be recalled in an instance. I shall watch. Thank you Rachel for telling the story.
Here’s a new clip of
#BREATHTAKING
- on tonight, 9pm on
@ITV
Please watch if you feel able.
Please don’t look away.
#NHS
💙
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Weighing up my post nights decision. I may or may not have gone to Costco and come out with a giant 3-scoop gelato and a flat screen TV
#Costco
#postnightshift
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2004 started medical school. 2014 started ACCS Anaesthetics.
My kids have only ever known me in training. They were shocked that I am still in training after 20 years & still called ‘Junior’. 2024 I CCT.
It’s an epic journey. Twenty years in training. 20!
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You are given the following blood gas...
Ph 6.8
pCO2 13.5
PO2 4.4
Na 125
K >20
Cl 108
Ca <0.1
Glu 26.9
Lac 8.5
Hb 197
SaO2 45.2%
BE incalculable
Hct 59
What are your thoughts?
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As a 50 yr old black woman I’m in a higher risk
#COVID19
category. When lockdown hit I decided to improve my
#fitness
. Literally feel a new person. Even have
@Strava
🤣
Hated
#running
at first, but now it’s my only me time. Headphones, shoes & road.
#Keepgoing
#fitover50
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Welcome to your OSCE station.
You have 15 seconds to detach 8 Omnipotent White Plastic Aprons (OWPA™®)* without structural damage.
What are the common causes of damage to the OWPA?
What are the ideal properties of an OWPA?
#RealLifeOSCE
Trademark owned by
@drphiliplee1
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Being an
#anaesthetic
registrar is mostly amazing & rewarding. I do wonder if folk have a good idea of what anaesthetists do. With a looming strike & implications that all NHS staff need to work ‘harder’ let’s just run through some things we do. Do please add your experiences too
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‘I boshed in the tube. Grade 3, MAC 3. Mate, 26cm at the teeth. Art line in. BP was like 45/20 so pushed some adrenaline. Central line in within 2 mins. Life saved. I’m pretty good to be fair.’
R Sunak, SHO
* when he says ‘I’ he means the Cons did it but he was there
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#BREATHTAKING
NHS staff who worked during that time - ‘it’s so accurate’
Conspiracists who didn’t- ‘it’s a lie’
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I’m woke. Who else is woke too?
I also like Tofu, avocado, 20 mph speed limits, trans rights, human rights & all the rest of it.
Woke isn’t an insult for me. I find it funny that people use it as such.
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Finally, nine years after graduating med school, three years of F1, two babies, extra time in anaesthetics (extension, exam failures, fellow) today I can finally say ‘I’m a Registrar!’ I’m not even sorry I keep repeating this. I never thought this day would come!
#TeamAnaesthesia
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In 2010 I was told I didn’t stand a chance at an anaesthetic career.
In 2023 I gave the address
@RCoANews
Diplomate ceremony as a FRCA. I am elected to
@Anaes_Trainees
committee
1.5% of UK anaesthetists are black. This does not reflect our patient mix. Diversity is vital…
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#Anaesthetists
&
#ODPs
are a partnership. We cannot do our jobs without you. Have a great National
#ODPday
Stay safe & thank you for your work.
Thank you for your work. You are amazing.
#loveyourODP
Here's
@barackobama
as an ODP
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Well the pandemic certainly has some odd things. Consultant interview in the bottom of the garden.
No matter, as
@DrPaul_Watson
nailed it!! Congratulations 🥳 - so proud!!
Consultant in Anaesthesia & Persistent Pain management
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will be when you finish your training? Yep, I do 😂.
It’s taken 23 years to get to today & I am old enough for Saga holidays.
Not sure if this is of interest at all. But obstacles & discouragement make the journey long & winding. One step at a time... keep on going.
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You don’t compare the pineapple or banana to the ubiquitous apple. Apples themselves come in many varieties. You look at a varied fruit bowl with excitement & appreciation of the differences of each fruit. We should look at people with that same appreciation
#diversitymatters
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Im sure I’ve done a shift with Shruti. I know her. I’ve been her.
Well I haven’t. But her acting is so brilliant I feel like I have. Ambika Mod deserves as much accolade as Ben Whishaw
#ThisIsGoingToHurt
Shruti from This is Going to Hurt was so fantastically played. The TV show feels a lot darker than the book, but special in its own right. Incredible. (And a bit hauntingly relatable as a clinical student).
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The myth that
#anaesthetists
pick the specialty ‘because you don’t need to talk to your patients’ persists. Gaining trust in a patient to render them unconscious & take over their vital physiology requires effective communication. I’m about 3-4 years into my training. But...
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Night shift done. 75 minute drive home to sleep. Back later
#ImInWorkJeremy
@Jeremy_Hunt
@IminworkJeremy
#7dayNHS
http://t.co/GcXgdMq44S
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Phrases unique to your job in six words or less!
I'll start...
Off to patient, open to air.
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I have my CCT date confirmed. After starting FY1 in 2010 & ACCS Anaesthetics in 2014, I’m down the home stretch.
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Having seen the tragedy & trauma in
#ThisIsGoingToHurt
when someone says ‘I’ve just come from a bad arrest’ ‘something bad happened’ etc, instead of ignoring it stop & ask more. Listen. This may be a hint that they need to talk about something. Look after each other.
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@Coliboo
@BarbaraSutton15
I am aghast. Sadly these punitive exclusionary practices seem to persist. They are decidedly ableist & discriminatory to those with chronic illness & disabilities. Must be in violation of Equality rights
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Pretending I’m in a space capsule at 1.30am
@NBTAnaesthesia
taking
#FightFatigue
seriously. Dept invested in these pods to ensure we had somewhere flat & comfortable to nap in. Just a short nap means we are refreshed to attend activities in a
#MTC
#humanfactors
#Wellbeing
#rest
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When I was a foundation doc in a nightmare job, child in nursery (with 6pm pick up). Official hours were 9-5. A ward round started at 5pm, expected to stay. I couldn’t stay late so I would come in 1hr early to ‘pull my weight’ This was not noticed only that I left early at 5.45pm
She was in her 40s.
A junior doctor.
Older than all her peers, she was different.
She was the one who left on time.
Eyes rolled.
People tutted.
She wasn't committed.
She lacked dedication.
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Before you hit send on that passive aggressive toned email to trainees stating that someone must step up to cover the rota, disappointment that no one has submitted a poster/audit etc, saying the Cons will have to step down etc, remember trainees have already worked above..
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🧵
Retention
Retention
Retention
Retention
Retention
Retention
Retention
Retention
Retention
Retention
Retention
Retention
Already trained.
Readily available.
Immediate.
Most common sense solution
@RishiSunak
@SteveBarclay
Pouring more into a leaky bucket when the holes are getting bigger wont help.
Spend on retention. Its the cheapest solution.
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Anaesthetists work with highly skilled Operating Department Practioners (ODP/ODA/Anaesthetic Nurses) like Russ here. We cannot do our jobs without them. Looking forward to sharing their role next week on my
@NHS
Twitter takeover
#loveyourODP
#ODPs
#listentoyourODP
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Peter telling it like it is. Thanks for your long standing support
@PeterStefanovi2
#JuniorDoctors
#JuniorDoctorsStrikes
Ignore Government lies & spin - this is why I’m standing with the junior doctors who sacrificed so much to keep us safe during the pandemic. If you’re standing with them too RT this widely. Let’s do what we know in our hearts is right
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Whilst we’re on a
#medTwitter
conundrum- it’s worth resurrecting this blood gas for your consideration!
If you’ve seen before, no spoilers!
What’s going on here?
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Five years ago I started ACCS Anaesthetics. Multiple exam failures & caring for a child with
#CF
made me feel I would never progress. It’s been a long journey so far. Next week I start ST3 anaesthesia
@NBTAnaesthesia
- commencing 3 months
#ICM
@NBT_ICU
!
#nevergiveup
#keepgoing
It is my final week as STAR Research Fellow. It has been a fantastic year. Working with
@katie_samuel_
& the
@STAResearch
Committee has been an honour. I shall be handing over this account to our new fellow Dr Tom Clements - Follow me on
@morefluids
👋🏼👋🏼👋🏼😀
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I absolutely love these arterial lines. Quick to insert. Often ultrasound not needed. Whose with me? 😂
#FlowSwitch
#ArterialLines
#ArtLine
#MedTwitter
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We were 1 year apart at medical school. Have reunited recently in our efforts to improve representation & raise awareness for Black & Brown anaesthetists & intensivists. So lovely to see her at
#RCoADips
#YouCannotBeWhatYouCannotSee
#RepresentationMatters
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It’s been a difficult decision but we have removed our child with
#cysticfibrosis
from school. She’s not well at the moment. Not willing to let her be a vector for herd immunity. Massive support so far. Thank you
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Theatre hats. Note - hat typically worn by men is called
#Surgeons
hood (incl tie back version too). Hat usually worn by women
#Nurses
cap. Manufacturers, how about just
#theatrecap
#theatrehat
!
#everydaysexism
#ILookLikeASurgeon
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The person who presents the scrubs like this was in today
@brisgasdoc
- a marvel to behold. Give them a raise!
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For patients. If you feel uncertain about the contents of the vaccine. Just have a peek at one day’s supply of meds in ICU
These are all medicines required to keep ONE covid patient safe for ONE day one critical care….
Or just ONE vaccine?
#getthejab
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This would be life changing if widely adopted 🤣And add the size too (double, king etc)
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Anaesthesia is such a supportive specialty as a whole. I was lucky as an F1-2 to be allocated Fiona Donald as my ES. She continues to be my mentor & has supported & encouraged me the whole way. Plus, brilliant CTs such as
@edcur1
, Hugo Hunton who taught & supported me. Thank you
VP Fiona Donald spoke of the unique challenges faced by anaesthetists in training during COVID.
“Trainees are not junior student doctors unburdened by responsibilities. They balance home & family life around this often exhausting, demanding & antisocial job.”
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Some recent anecdotal chat & observations with regards to gender & anaesthesia training. Do add yours!
Men being asked to ‘step up’ on rotas to act as senior trainee, women not
Regional blocks being offered to male trainees first
Make SHO ‘supervising’ female senior doing..
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For those of you starting anaesthetics - welcome to an amazing specialty. Your communication, practical & medical skills will make such a difference to so many people. You’ll be with patients at birth & death. Here are some tips to make the most of it
#tipsfornewanaesthetists
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Who are anaesthetists? What do we do? Join me next week on
@NHS
to follow one week of my life in a busy hospital
@NorthBristolNHS
. Learn more about these drugs!
#anaesthesia
#anesthesiology
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Doctors do please share the times you have been told you were unprofessional for things like this - hair, dress, appearance, accent etc
I have a friend who was told her NAME was unprofessional & she shouldn’t use it. Her name.
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My kids simply don’t get the significance of seeing Jason Donovan getting a doner from Jason Donervan.
Since early Uni days I never thought this would ever happen 🤣
I, however, was at work
#SaturdayNightTakeaway
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Anaesthetists walking about the mall be like.
Wouldn’t fancy anaesthetising you.
You’d be ok.
Nice veins.
Airway 🚨‼️🔔
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Listening to all the chat among striking doctors I think that the pure bubbling level of discontent is drastically underestimated. People are literally fed up & actively looking at other careers or countries. It’s very serious. Who will look after you or family in the future?
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The work of
#JuniorDoctors
, like many say can’t be compared to other professions. True.
The doc who put a breathing tube in after a young person was attacked , a junior doc
The doc who put an epidural in a labouring woman so she can birth her child born sleeping, a junior doc
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The infantilisation of the medical doctor workforce has to stop. The term
#JuniorDoctor
should be ditched ASAP.
It’s time that doctors were seen as competent adults making life & death decisions contributing to the healthcare of the nation.
Is it a child looking after you?
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The training path is so long in many specialties that by the time you add in family, exams & life events the age of a junior doctor is in middle age. Please consider this
@gabyhinsliff
Signed by Dr Sethina Watson, ST6, 52 years old, mum of four…. Anything but junior or young!!
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CCT next month and no job. Just keep swimming, swimming.
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If you want to understand white privilege- this is it.
Black protestors would all be shot by now
#USCapitol
#25thAmendment
now
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We pay for our degrees. We pay for exams, essential courses & more. We move hospitals every few months. Our families sacrifice birthdays, holidays & more. People have simply had enough
Let’s be clear this is not a PAY RISE. It is
#PayRestoration
- rectifying years of decline.
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In my 13+ years as a doctor I have worked many many night shifts. A huge amount of my learning as an independent doctor comes from these shifts. They were vital. What do others think?
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Interesting chat last week with VERY experienced senior female consultant anaesthetist. Chatting about how she too gets talked over & down to by male SHOs/Regs. I was shocked that happens to her too. Men, if you are someone who does this, it is noticed!
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I qualified med school in 2010. Still in training after 12+ years. I’ve four children, two who have graduated university themselves, I’ve worked in another career prior to medicine. I owned my own business. I am 52. Still people patronise & infantilise me.
I am also
#juniordoctor
Just a bit of a
#factcheck
I qualified med school in 2006
I have a PhD, FRCS, have a global reputation for what I do, & have a family
I am a
#juniordoctor
Any media trying to suggest it’s just
#medstudents
or
#juniordoctors
in their first year or two is *checks notes* wrong
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Confidence doesn’t necessarily mean competence. And vice versa.
Just sayin...
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This portrayal of GPs as somehow to blame for the crisis is orchestrated & harmful. The NHS & GPs have delivered care during the pandemic despite immense challenges. Once we were all heroes. Now heroes are falling. Enemies now.
#GPs
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