Hannah
@muddy_gas_doc
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Anaesthetic SpR. Likes a chat, and cake. Post-FRCA (phew). Attempting self-sustainability in the hills of wales
Room of anaesthesia
Joined January 2012
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Midwife keeps suggesting a home birth would be a great idea for me. I’m an anaesthetist, have a HB of 108 and prev major PPH and live 1 hour from the hospital. Seems rather sporting!!
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Me to patient “you don’t look 90!”
Patient: “Nono I’m 89”
Me: “...but I’m sure you’re 90”
Patient: “2020 can f*** off, it doesn’t count, I’m staying 89”
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Of course the pay rise doesn’t include junior doctors or nurses, as they had it easy
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@jk_rowling
@AidanKerrPol
1. I'm a
#juniordoctor
so can't work privately, and I have never wanted to. I just want fair, safe conditions
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We don’t have the money to do routine tasks so we’ll patronise people into doing it instead. Do these signs exist outside the NHS?
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Why did I give up years of my twenties to do FRCA? Why do I need to still go through yet more years of rotational training? If not required, can we please urgently review medical training
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COVID has really made things weird, I’m retweeting Jeremy Hunt. Send help
It feels crushingly unfair that 6 people can meet in a pub & 30 people can go shooting, yet some mothers have to go through birth alone. My article in today’s Mail:
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After back and forth with HR, they have decided they don’t know how to fix the multiple payslip issues and the only way to avoid pension/loan issues is to - checks notes- NOT pay me at all. Wonder why so many doctors are leaving.
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To those who regularly do trauma lists. Remember that a 90+yr old has a family. Apparently my grandmother had surgery this morning, no one has called her family and still no call. I’ve seen this done so well in the trusts I work in, full MDT incl family it’s quite a shock.
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@LeanneMMcM
I think you’ve misinterpreted my tone, I’m not slagging her off at all, she’s a lovely women who is offering me her opinion, and I’m happy she wants to give all the options. Just from my (def biased) experience I wouldn’t choose that option. We all see things from dif perspective
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It is under played how stressful moving hospitals so frequently is. With having to move, try and get vaguely paid right, figure out your new role. Can’t help but feel if it was much less often there would be a lot more opportunity to invest time into training
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May this be a lesson to all those hospitals with no rest facilities. A good doctor is a well rested, well fed doctor
Can we all take a moment to appreciate how great the on-call rooms are at
@HarrogateNHSFT
@HarrogateICU
Freshly made 🛏 ✅
☎️ ✅
En-suite ✅
Wireless phone charger ✅
Emergency Jaffa cakes ✅
Tea/coffee making facilities ✅
Stuff like this makes a REAL difference.
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Me before I had a baby “my children will eat their dinner or go hungry”
Me now: “well she’s had a breadstick, she deserves some pudding”
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FRCA done. Very emotional day! Can't thank my family, friends and colleagues enough for getting me through it. Now let Christmas begin!
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@drandrewmackay
and we also need:
- Filters
- More monitoring equipment
- Buckets more of the white stuff
- PPE, PPE, PPE
- More testing
- Did I say PPE?
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As a LTFT trainee I spend an inordinate amount of time trying to fix incorrect pay. We should be able to charge them at a locum rate until it’s fixed
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So lovely to see the surgical reg painstakingly teaching their sho about hernia repairs at 3am. The mask helps me feign awakeneess at least
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@FiFiELewis
@mevparekh
Yes but as a woman in medicine good luck with getting an MSF if you don’t do those other jobs…
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@chebbes
I don’t mind doing these things, takes only a minute. But talking to people like this isn’t more likely to make me do it
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Been a bit busy. Very interesting being on the other side, thanks to all the Wrexham Maelor staff for bringing this precious one into the world. Baby Arwen.
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Moved trust (again). Changed work schedule (again). Paid incorrectly (again). Is there any wonder I consider quitting training just for a simpler life? The job is the good bit. Everything else is just faff.
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I definately did *not* switch into tonight just because the odps are having a samosa competition
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All this talk of double/triple masking. Surely the ward staff should be provided proper masks ie ffp3, before the public are wearing them just to nip to the shops?
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@drruthannharpur
Totally, I think she genuinely wants to offer me a better experience than I had last time. And she’s done so many she feels competent to handle to risks. I just don’t want to take those risks. I would hope other women have a very thorough conversation about it
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This year has been one of being a mummy rather than a doctor. Life changing. Pjs already on, I’m sure I’ll see in the new year with some midnight baby cuddles.
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I’m not sure there is any sticky toffee pud left in the UK. Lovely gift to the trainees!
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@hope_155
I think the main point is that it’s rude. There are far worse things than changing a laundry bag! But the point about efficiency is there. If you’re asked to do 20 jobs that someone else could do, but they can’t do your job, that’s twenty minutes a day that adds up over a year
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Sadly I was not able to keep a straight face when asked to provide an epidural and the patient actually wanted acupuncture. 😂
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Just got an offer letter of employment for a job I've been working since February. Well done NHS...
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Sent for coffee as a CT1 for entire theatre. Come back with massive tray of coffees just as infection control and CQC enter theatre 👍🏻😩
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HR Locum person: “you must prove your right to work, give me every document under the sun”
Me: “but I already work here”
HR person: “well I must have the documents”
Argh 🤦🏻♀️
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Only 37% of FY2s are going into specialty training compared to 71% in 2011. Where will they get the consultants from? Some day the government will realise you can't have an NHS without doctors
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@WelshGasDoc
Shining a light on the wholly inadequate staff rest spaces in Nhs hospitals. Impossible to maintain any distance
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@ERunswickBMA
As an fy1 I’d have definitely cried. What absolutely awful behaviour, I just want to hug them.
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@MedicWeary
I suspect shes see some wonderful deliveries and it allows you to keep the family together. Very experienced midwife. It’s not for me as I’m too much of a wuss with risk aversion
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Yes. NHS theatres are depressing for those of us who care about the environment
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Today in baby class they dressed them up as dinosaurs and it is so ridiculous but cute
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@N1c0l3Leida
@DrSaraWickham
I’ve seen too much and had a very challenging first birth and live very rurally, just not for me. I’m grateful she’s offering, just surprised as I see it from a totally different side
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This morning so far my consultant has asked me about the physiology of snails, and pigeons. Perfecting my blank face today.
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To all the people saying about junior doctors “if they don’t like it they can leave”. Ok we will.
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Passed my primary frca. Despite being asked about phosphate for five minutes and looking at them blankly. I'm so happy! (And relieved)
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@KatyaMid03
I’m not opposed to the idea in principle, sounds like a lovely idea, but I’ve seen too much and my previous experience tells me it’s a terrible idea!
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But no suggamadex or we’ll hunt you down
You know you had a good case in the lab when this is just HALF of the boxes opened at the end of the case 🤣🤗 Video coming soon😉
#DoubleRotablationDoubleBifurcationPCI
#WexhamCardiology
@nav4879
@OzmaAshiq
@PatriciaRigunay
@phoebus88
@bullet_ara
@Lizzymwins
@jentomatoes
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@Dr_Done_
I was under the impression that there are strict minimum staffing (doctor) levels for ICU. Have these been dropped?
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My last patient got cancelled. ODP suggested I go home and revise with wine. Always listen to the ODPs.
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Me: "ummm CT, can you take a relook at this scan, it appears you've commented on the uterus in my large male patient"
CT: 🤣
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When the consultant asks why trainees aren't interested in that area of anesthetics, I say the ethos/work life balance, and her answer is "Trainees are just lazy these days" I think that's probably her answer. 😟
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I'm an anaesthetist and I just got an iron out. Must be exam time again.
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I'm not accustomed to such luxuries, but today, I have a treat on the way home from the college. 🍷
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Wonder how quickly I’d get the odps calling my consultant if I tried this...
Anesthesia let’s the patient push his own propofol to put himself to sleep
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We managed one week without the toddler being sent home from nursery. Now temp >40 🤒. I’m sure I just pay “in case” she’s well enough to go. How do two fulltime parents without family do it?!
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£700 lost in this month's paycheck due to pension arrears. So unimpressed by the BMA
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just one more step in the FRCA hurdle... such a relief to pass the written. Any recommendations for resources for the final FRCA viva?
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@Dr_Done_
@ExplosiveEnema
This is shocking behaviour, from someone who is supposed to be supporting the FY1. If PAs want to have the same role as a doctor, what is the point of the PA degree? They should have a specific role in supporting doctors and those who want to be doctors should go to med school.
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Remember that 2% great pay rise? Actually you'll see less money, and potentially owe some. What an own goal. As a LTFT trainee I'll be affected most surely as pensions % done on FT salary.
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@Jopo_dr
Can’t say it’s a surprise. People love to see the -ve side of everything. I have no intention of criticising a colleague, just from my perspective it’s very far from what I’d go for. I’m happy shes offering me alternatives as it challenges me to think but still a big fat nope!
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I think faiing the final FRCA by 0.3%, likely due to my poor knowledge of prostate examinations, might be the most upsetting thing to happen to me in quite some time.
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I showed you my pigs, well here is Alice the cow. She is not for eating. She is for scratches, cuddles and the occasional milking. Dexters are a great breed for conservation grazing, and much smaller for a beginner like me!
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This is how today's list went:
Case one = missed cannula
Case two = consultant: "look at that vein, you can't miss!" (Hums'under pressure' by queen under his breath...) 🤣
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@JonathanLane36
Of course. I’ve little doubt they’re extremely competent experienced clinicians. But they haven’t done the broad based medical training or years of anaesthetic/ICU training. The occasional exceptional person might work but if it were routine I Worry
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The rotational aspect of trainee life: we are just ships passing. No body cares enough to make an effort.
At a local centre of excellence, a paediatric department Secret Santa is for admin staff, nursing staff & consultants only! "It's just too complex if we include the junior doctors."
Fucking petty bullshit at every level.
#Fuming
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Newborn snuggles are the bestest. New member of the Pop family arrived 21.09.22 and is settling in well. Babi Elinor
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We have a house build, a newborn and a toddler. Is something going on in the news?
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You know you’ve left DGH land when the emergency list stretches over three pages
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We had a very exciting day yesterday. First calf born on the farm, and it’s a girl! She’ll hopefully be with us for many years to come
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@andrewpunton
Med reg is the hardest job in the hospital. Big respect to those that go through it.
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Best on call moment this weekend: consultant delivering coffee to the bay while I'm doing lines. They look after us, I wonder who looks after them?
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I realise to the public we're paid a lot of money, but this should be seen from a personal perspective. Why would anyone want to take on these roles now? Seniors will just choose their family over this awful stress
Unfortunately I get emails like this every day. Consultant in early 40s - helping out his trust in a difficult position. No PP. Left with a AA bill between £40-60k that not even his accountant can work out. Worried he can't pay. Stood down.
DO NOT IGNORE THIS.
#ModelYourPension
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Ok how on Earth do working parents manage? We have no close relatives to look after a sick baby, and go to work. Return to work has been a resounding failure of repeated pyrexial baby and husband so far!
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Answered the door to a cold caller... "Is your mum or dad at home?" Apparently being post nights and out of it is anti aging 😂
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ESICM webinar: COVID-19 Myocardial injury is common, high trops seen. Thought to be due to direct injury from the virus to the myocardium - does not respond to vasoactive agents or fluid. Results in sudden collapse.
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Nurses need decent pay. As do all in the NHS to retain staff
#scrapthecap
From tomorrow we ask NHS nursing staff what they think about the pay cap and how we should take action.
#scrapthecap
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@abi_carey
Having been ltft for health reasons since core training, I understands this, had some very awkward conversations in the past. “But you don’t have children?!”
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I definitely judge the hospital culture I rotate to on how easy it is to get a locker.
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If you ever wondered, this is what a
#NOF
looks like in a cat. Very grateful my neighbor owned up and I was able to find him
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Sugammadex has a generic version. Game changer! Remember to counsel those ladies on the OCP folks.
You can’t put the genie back in the bottle; I must that Sugammadex is definitively the best most recent anaesthetic drug development.
But it has been so expensive, for so long.
Well, no longer. A generic version is now here in the UK.
@MSDintheUK
’s monopoly ended by
@Teva_UK
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The work WhatsApp group is currently focused more on baking than on COVID, I feel this is a win.
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@AdamBoulton17
This is just a bit off. I do remember some of the worst numbers I’ve seen, and I really remember the faces that go with them. Worst numbers usual don’t mean good outcomes. Maybe if it was “this is the craziest number I saw and the patient did great” it would be better
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@DGlaucomflecken
During the doctor's strike here, three ortho consultants were spotted staring blankly at an ecg. Pretty sure anaesthesia saved them.
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@RodricJenkin
@Xeon4f145d96s1
@royalhospital
That is such a lovely thing to do. Here “what, you *both* want time off for your wedding?!”
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Scotch eggs. One of my fave snacks to make. Made from our rare breed OSB pigs and happy chucks. Only problem is there are never enough!
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My husband has trained the cows to come to a whistle. Gathering is so easy now! (Helps when 8 months preggo)
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In this heat I’m not sure which is worse, being stuck to a Velcro baby, or being on an NHS ward. First year since 2013 I’m not at work during FY changeover, good luck to you all!
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@olliehi09708798
If we’re overtrained can I just have my cct please? 😇 😉I don’t feel like there’s much of my training I’d want to dispose of tbh, maybe less service provision maybe
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when someone normal asks me how I feel about my thirties:
Me: I spent most of it at home reading about boyles law and ketamine
.....
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I think my baby is part banana, part paracetamol right now
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In the last 12 months I have seen my GP on a very regular basis (new baby) and they have always been lovely, including seeing me on the same day on several occasions for minor new mum freak outs. GPs are amazing+overworked, could we all send them more love
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The beautiful sunset in our welsh hill farm makes shielding that bit easier. Feels pretty useless being at home when your colleagues are working so hard
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@iDrSunny
So so confusing for the general public. And they can issue prescriptions? Surely not
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I’ve reached the stage in our house build where managing it is blowing my mind. Think I’d rather be in resus.
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@Dr_Done_
I think an important point amongst all this discussion is informed consent. Are patients aware of who is managing them or performing their procedure? Many will be confused by all these titles and it would be very difficult for them to understand the qualifications.
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