Rebecca
@rebeccamallick
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Consultant gynaecologist @uhsussex + Sussex Endo Centre.TPD KSS deanery (RTT + gynae simulation).FVVO ass editor. @thebsge council member.All opinions my own.
Joined October 2015
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This has made me really smile today ☺️☺️
I am so lucky to work with such an amazing team
@UHSussex
and to have this pop up in my email was extra special!
@andyheeps
@GeorgeFindlay99
@maggiedavies
@KirstyTaaylor
@emmarossetter
@myuhsussex
@UHSussexMatServ
@DidiCraze_MW
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What an awesome cake!!
Made by the girls (13yr old) for my bday!!
I am super impressed by the endometrium, cervical canal and fimbrial ends in particular!!! 😍🥰😍
Love it!!!
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Saw a patient in clinic - had waited >12 months
Had a scan which showed an endometrioma at the time of referral.
Was still told by many healthcare professionals it was all in her head.
She has had to wait to see me to be told she has endometriosis and cried with relief.
We…
What are the priorities for
#endometriosis
care in the UK?
Number 1 is diagnosis
Statistics suggest 1 in 10 women have endo - however this should say at least 1 in 10
Unfortunately diagnosis still takes on average 8 years.
How we improve this? Increase awareness & education👇
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Rant alert ‼️
"Benign" gynaecology should not mean less resources, less funding and less attention!
Patients are struggling nationwide on ridiculously long waiting lists because it is just "benign" gynae
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@myobstetrician
respect ur opinion, disagree with the optics of ur tweet. There is a reason 4 this huge majority & its not madness - it's genuine concerns for working conditions, pay, pensions, training etc. Feel free to not strike but please don't disrespect colleagues who will.
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This has to change - how many times have I heard the phrase- "oh its just benign gynae"
Yes it is not cancer, but it has a horrendous negative long term inpact on patients- more funding, more visibility at trust level, more theatre capacity to tackle waiting lists and u…
The phrase ‘benign gynaecology’ is frequently used in the NHS as medical shorthand to refer to gynaecological conditions that are not cancers. New polling shows that benign is understood as meaning ‘not serious’ or ‘harmless’, which does not represent the patient experience.
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I know night time oncall selfies were very much last strike, but 2 nights in, feeling a little grumpy BUT still 💯 supportive of
#JuniorDoctorsStike
#PayRestoration
@TheBMA
@BMA_JuniorDocs
#oncall
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What are the priorities for
#endometriosis
care in the UK?
Number 1 is diagnosis
Statistics suggest 1 in 10 women have endo - however this should say at least 1 in 10
Unfortunately diagnosis still takes on average 8 years.
How we improve this? Increase awareness & education👇
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@Dr_Done_
nah.... the use of a title does not instil respect. Hierarchy doesn't instil respect. Behaviour and attitude instils respect
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10 years ago today!!
Certainly feeling old!
Still quite proud of this achievement 🏅 MRCOG
@RCObsGyn
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This 👇👇
Dont be "that" consultant!!!!
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Our first dedicated adolescent pelvic pain clinic at PRH
@UHSussex
Whilst I see alot of adolescent patients- this is our first dedicated pain clinic. Hopefully will streamline & improve the pathway for those <16 with pain from assessment to diagnosis & surgery.
#endometriosis
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I did find this shocking - in comparison our nurse hysteroscopists do a postgraduate qualification requiring >200 supervised cases before independent practice. They are highly qualified. I find the training here a little dubious...
Dear Britain,
If I told you that unregulated healthcare workers - who aren’t doctors and nurses, and with no formal surgical training pathway - were performing SURGICAL procedures on you in the NHS
How would you feel?
(Cystoscopy is keyhole into the bladder up the urethra)
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#MedTwitter
question, warning may be controversial!Addressing consultants - first name or Mr/Miss. I ask everyone to call me Rebecca, however almost all my male counterparts are Mr. Persist in trying to lower hierarchy for all? Or am i worsening the deep misogyny in the system??
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A thread on why i think gynaecology is left behind.
1. Historical issues - womens health has historically been belittled and conditions normalised. This has led to an inherent disregard to protect womens health services. This needs to change.
this this this👇👇👇 esp in gynaecology. We need more gynae capacity & more equitable access to funding and resources!
@RaneeThakar
highlighted this exceptionally well at the
@TheBSGE
ASM. Womens health/gynaecology is always left behind - on national and local levels.
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#migs
#MedTwitter
spot diagnosis.... if you don't look for it, you may miss it!!
#gynaecology
#surgery
#laparoscopy
@TheBSGE
@ESGEorg
@AAGL
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1/2 Myth 3 - A hysterectomy cures endometriosis
Thank you for all the requests - hope this is helpful!
Take home message
1. a hysterectomy is not a cure for endometriosis
2. may be helpful if co-existing adenomyosis
...
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@goldstone_tony
@wesstreeting
I think we need to emphasise that it is not just impacting senior clinicians and forcing them to retire early. It is impacting relatively new consultants,like me, forcing us to limit and reduce activities which is ridiculous in times of huge backlog!
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@miriam_khalil13
treat everyone as you would wish to be treated. simple as that - kindness and humility are what people remember 😊
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💯 endometriosis, adenomyosis, fibroids and the importance of advocating for women's health! The challenges we currently face in the NHS, the horrific waiting lists in gynaecology and the need for better resources and funding!!
📣 Do you ever discuss a topic and think: ‘I’d love to hear that on Woman’s Hour’?
Well, here’s your chance!
Listener Week is coming up & we'd like to hear from YOU! Whether it's personal stories or guest suggestions, let us know what you want to hear ✍️ ⬇️
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1. Menstruation is not a detox
2. Menstruation does not prolong life
3. You do not need to have a period and lots of options available if you dont want to have one! Pill, coil, patch, injection etc
DOI gynaecologist who knows a bit about menstruation
Menstruation is a detox path and one of the main reasons women live longer than men. As usual, if you do the exact opposite of what medical professionals tell you, you'll be doing great.
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@csubbe
@HelenRSalisbury
@gmcuk
sorry Chris all nurses are women?
Anyway you are missing the point! The GMC should not be the regulatory body for a non medically trained professional. The GMC should only be the regulatory body for doctors.
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One of the reasons I am keen to develop an adolescent endometriosis/pain clinic
@UHSussex
seeing so many patients under 16 - need to revamp pathways and improve diagnosis!
#EndometriosisAwarenessMonth
#endometriosis
#Endometriosis
in adolescents - the cohort that is often not believed nor treated.
#EndometriosisAwarenessMonth
#EndoAdvocate
#EndoMarch2023
#inmheatr
óis
#dublin
#adenomyosis
#womenshealth
#EndoMarchIE
#EndoMarch
#awareness
#Support
#Ireland
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How do we improve endometriosis care in the UK?
👉Improve diagnosis - better awareness & access to specialist scanning.
👉Equality of care - all units have access to an endometriosis specialist not just in BSGE/specialist centres with a MDT setup (much like cancer centres and…
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Any thoughts on why gynaecology remains at the bottom of the list?? Slowest to recover and at 66% compared to pre-pandemic levels… time to re-prioritise gynaecology/ Women’s health!
#NHS
#NHScrisis
#womenshealth
#surgery
#MedTwitter
#gynaecology
Most recent NHS England data indicate that elective activity remains at 86% of pre-pandemic levels
We are asking consultants working in the English NHS to please help us to predict when activity might return to pre-pandemic norm
Short survey:
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Bloody amazing piece featuring
@RoshanaMN
This needs to change, the sexist, misogynistic behaviour still persistent in surgery needs to be called out and addressed! 💪🏼💪🏼
@RCSnews
@RCSEd
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Shall we just say it one more time - endometriosis can occur after the menopause. Menopause is not a cure
#Myth_Vs_Fact
#endometriosis
#menopause
Really important to be vigilant of symptoms particularly if on HRT
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Great summary of what to look out for when diagnosing adenomyosis on US from last weeks webinar.
#adenomyosis
#ultrasound
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Stand very much in solidarity with nursing colleagues! This action is necessary and could have been avoided by the government.
#NursesStrike
#NurseStrike
#RCNStrike
#FairPayforNursing
#NHSStrikes
#nhs
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Very excited to share that BSUH has become a provisional BSGE accredited endometriosis centre! Onwards and upwards in our plans to improve the gynae services we can offer our local women!
#endometriosis
@BSUH_maternity
@BSUH_NHS
@TheBSGE
@wshtchiefexec
@amandaclifton34
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Perhaps we could focus on what matters to the majority of patients on these womens wards the most (mostly gynae) - the horrendous waiting lists, the chronic lack of investment in womens health, the healthcare inequalities in womens health etc etc
More funding, more capacity and…
"Trans women have no place in women's wards."
Home Secretary Suella Braverman says "biological men should not have treatment in the same wards and in the same safe spaces as biological women".
📺 Sky 501, Virgin 602, Freeview 233 and YouTube
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No cases of cervical cancer in those fully vaccinated!
Great news!
Science works!
No cervical cancer cases have been detected in women who have been fully vaccinated against HPV, Public Health Scotland has revealed.
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Save the date!!!
TLH surgical masterclass 26th July 6-7 pm via zoom.
Part 1 focuses on the surgical steps; from the straightforward hysterectomy through to tips and tricks and how to manage complications.
Link to register in comments
Open to all
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Myth 2 - Pregnancy cures endometriosis...
Have you ever been told to get pregnant as a "treatment" or "cure" for your endometriosis?
If so have a read and share your thoughts/experiences...
#endometriosis
#pregnancy
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We are now
@TheBSGE
"Sussex Endometriosis Centre" following our trust merger
@UHSussex
@CMUHSussex
@UHSussex_CEO
Looking forward to expanding links & offering our services to more patients Sussex wide!
@bbmidd
@DrSamiotissa
#endometriosis
@GillBrooks2
@windham_emma
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Really interesting stats - 35% of women under 25 had features of
#endometriosis
on US when presenting with painful periods! We must improve
#diagnosis
in the UK. First step is improving US training for sonographers and gynaecologists.
@RCObsGyn
@TheBSGE
@BMUS_Ultrasound
@ISUOG
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Bowel endometriosis - what is is? What are the symptoms? How is it diagnosed and how is it managed? Have a read and share your comments, thoughts, experiences below 👇 👇
#endometriosis
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Still remain fully supportive of the
@BMA_JuniorDocs
strike - O&G SHO today
@UHSussex
Government
@SteveBarclay
needs to negotiate & move towards a resolution.
The NHS is dependent on a properly paid and staffed workforce- recruitment & RETENTION is key.
#JuniorDoctorsStrike
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this this this👇👇👇 esp in gynaecology. We need more gynae capacity & more equitable access to funding and resources!
@RaneeThakar
highlighted this exceptionally well at the
@TheBSGE
ASM. Womens health/gynaecology is always left behind - on national and local levels.
The NHS waiting list doesn’t need more surgeons it needs more capacity.
There are surgeons all over the UK with one shared list per week. Maybe even one shared list per fortnight.
They can operate much more than that but there aren’t the theatres, wards, ICU and nursing.
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Happy to share that Sussex Endometriosis Centre
@UHSussex
has maintained accreditation as a
@TheBSGE
Endo Centre for 2023. Testament to all the hard work of the MDT
@GeorgeFindlay99
@andyheeps
@maggiedavies
@UHSussexMatServ
@CuthbertFaye1
@UHSx_Research
@DidiCraze_MW
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So excited about this
@TheBSGE
webinar!!!
All about adenomyosis
Free and open to all!
Hosted by the fabulous
@GynaeGeek
and honoured to join such an amazing panel
@martinhirsch100
@GynaecologyUS
Lots of time for a q&a - pop your questions in the comments 👇👇
@RCObsGyn
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"Benign" gynaecology
It is anything but benign!!!
😡😡
What terminology in your specialty do you really, really dislike? Here’s mine:
‘End Stage COPD’
Just awful.
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Sharing this from 2013 - MRCOG done! Was such a relief to pass and got a gold medal for my efforts 🏅 Well done to everyone admitted to the college today!! Such a special moment - take the time to enjoy it!!!
@RCObsGyn
#gynaecology
#mrcog
#membership
#rcog
#obstetrics
Today is a special day here at Union Street as we welcome 150+ newly admitted Fellows and Members to the College.
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Happy to share that the Sussex Endometriosis Centre based at PRH
@UHSussex
remains an accredited
@TheBSGE
centre for 2022! Thank you to the whole team for their dedication!
@UHSussex_CEO
@andyheeps
@BSUH_NHS
@BSUH_maternity
@maggiedavies
@amandaclifton34
@GeorgeFindlay99
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so a few of my thoughts...Women's health has always taken a back seat, never a top priority for trusts even pre-pandemic. If we compare the funding differences between for example urology and gynaecology - its is huge. Trusts are paid a-lot more for urological procedures
Any thoughts on why gynaecology remains at the bottom of the list?? Slowest to recover and at 66% compared to pre-pandemic levels… time to re-prioritise gynaecology/ Women’s health!
#NHS
#NHScrisis
#womenshealth
#surgery
#MedTwitter
#gynaecology
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Lovely gift from one of my fantastic trainees
@UHSussex
i can now officially join the
#theatrecapchallenge
crew! will be styling this look on delivery suite
@BSUH_maternity
#patientsafety
#maternity
@TheatreCaps
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Patients are not allowed access to the best resources as it is just "benign" gynae
Money is not allocated as it is just "benign" gynae
Why is this?
We need to do better!
@RCObsGyn
@TheBSGE
#gynaecology
#endometriosis
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@EllieMRogers
This is really worrying - so many trainees and SAS doctors are not getting adequate gynae training in the early stages as it is. I do think the
@RCObsGyn
needs to be clear on its stance. PA are trained to assist doctors not take away training opportunities
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Asked quite a lot to discuss the different types of endometriosis - here is it!
👇👇
#askthegynaecologist
#endometriosis
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well said
@RCObsGyn
and
@morris_ep
💪🏼💪🏼
#WomensRights
#RoeVsWade
#RoeVWadeprotest
#RoeOverturned
#prochoice
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so happy to share that Brighton and Sussex Endometriosis Centre is now an accredited BSGE centre. Great news! was a challenge in 2020 but all the hard work and the amazing team effort paid off!
@BSUH_NHS
@TheBSGE
@wshtchiefexec
@GeorgeFindlay99
@GillBrooks2
@BSUH_maternity
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Careful dissection with excision of all disease is the gold standard surgical treatment of endometriosis
my thoughts!!
#endometriosis
Excision vs ablation of endometriosis
Which is better??
Have a read and share your thoughts 👇👇
#endometriosis
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1/2 while i agree with this statement in the new ESHRE
#endometriosis
guidelines - there is still so much work 2 b done around endo diagnosis. an US or MRI is only as good as the person doing or interpreting it! education is key!
@MathewLeonardi
@AliUltrasound
@GynaecologyUS
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1/3 Thanks for all your suggestions!! Very excited to share with your our first ever
@TheBSGE
and
@EndometriosisUK
patient webinar!! This will be covering all things endometriosis (including many of your suggestions!) Wed 23rd 6-7 pm UK time via zoom.
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Trying to help the waiting lists!
Sunday pelvic pain clinic
@UHSussex
#endometriosis
#adenomyosis
#nhs
@AndyHeeps
@GeorgeFindlay99
@emmarossetter
@HughJelley
@maggiedavies
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Delivery following myomectomy - the evidence (+my thoughts)
1. Incidence of uterine rupture -
Open myomectomy - 0.4 - 1.7%
Lap myomectomy - 0.49 - 1.2%
Comparable to prev LSCS 0.5-1%
When ruptures do happen with prev myomectomy - they tend to be PRE-LABOUR (70% >36 weeks)
Obs & gynae opinions please - thoughts on delivery following myomectomy....
What do you advise and why? What guides you when counselling patients?
Interested to hear practices in the UK & beyond. Will share my thoughts...
#myomectomy
#laparoscopy
#laparotomy
#surgery
#labour
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Lovely to meet
@andyheeps
at PRH
@UHSussex
today! Thank you for taking the time to meet me & chat about our vision for gynaecology, leadership, the future, the challenges and robotic surgery! While we have challenges these are exciting times!!
#teamwork
#leadership
#nhs
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It is election time at the BSGE - please vote to shape the future of the society!!
I am running for vice president and would be honored if you consider voting for me 😊💪🏼
It’s BSGE election time. Closing date for voting is Monday, 25th March 2024 at 5pm and the results will be announced at the BSGE 2024 Annual General Meeting on Thursday, 2nd May, 2024. Check out the candidates and cast your vote at : .
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1/2 Saw a patient yesterday and they asked me "am i allowed a hysterectomy?"
This made me both sad and angry that a patients feels like they need to ask permission for a treatment that is very likely to cure their symptoms.
Their body/their choice/ informed consent
Can’t believe that today a gynaecologist told me that a hysterectomy wouldn’t be considered as an option for my debilitating period pain on the off chance that I divorce my wife, my sexual orientation changes, I meet a man and decide I want children 🙃🙃🙃
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Misogyny in medicine - still alive and kicking 🤦🏻♀️🤦🏻♀️
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Another excellent robotic session at PRH
@UHSussex
Thanks to Zeiad &
@IntuitiveSurg
for their support! Huge thanks also to the amazing gynae surgical team! Fantastic we can offer this locally to patients!
@UHSussexMatServ
@GeorgeFindlay99
@maggiedavies
@emmarossetter
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Absolutely hilarious by
@JDKirkBooks
Lots of laugh out loud moments!! Highly recommend!
#eastgate
#roberthoon
#crime
#CrimeFiction
#fiction
#bookstoread
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Ovarian torsion on ultrasound
Enlarged ovary ✅
Ovarian oedema ✅
Follicular ring sign ✅
Surrounding FF ✅
However torsion is a clinical diagnosis!
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ICG again - following on from last post. Case of frozen pelvis, prev hysterectomy, ovaries imbedded with dense bowel adhesions. Used ICG - initially unable to see due to significant fibrosis, but once the pelvic side walls were opened, I did find it a helpful adjunct to help...
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Following my rant yesterday - me doing my bit for our "benign" gynae patients - weekend catch up clinic!
@UHSussex
💪🏼💪🏼
#gynaecology
#endometriosis
#fibroids
#adenomyosis
Rant alert ‼️
"Benign" gynaecology should not mean less resources, less funding and less attention!
Patients are struggling nationwide on ridiculously long waiting lists because it is just "benign" gynae
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This is the problem- the utter ignorance of who/what
#JuniorDoctors
are. They r the ones running a busy labour ward, co-ordinating emergencies, doing LSCSs/instrumental deliveries. This is what they do & they deserve fair pay
#JuniorDoctorsStrike
#PayRestoration
@BMA_JuniorDocs
And how come your consultants are leaving you in charge like that?
Have you put in an official complaint?
Would
@thebma
support you?
Or are they too busy organising a strike..
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Another non medical post! Don't normally share family bits on here but a huge thank you to the
@ScotlandNT
womens team 4 spending so much time with the girls taking pics & chatting! It has made their whole holiday & u r all a huge inspiration to them!! 🏴 ⚽️
#football
@NicDoc11
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Number 2 is capacity
We need more funding and we need to be a national and local priority.
Womens health (non cancer) does not bring in as much funding for trusts when compared to specialities such as urology and cancer services- hence less priorty, funding, access to tech.…
What are the priorities for
#endometriosis
care in the UK?
Number 1 is diagnosis
Statistics suggest 1 in 10 women have endo - however this should say at least 1 in 10
Unfortunately diagnosis still takes on average 8 years.
How we improve this? Increase awareness & education👇
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I am beyond excited about the new lap simulation suite at LMB
@UHSussex
This is going to be amazing for the KSS lap course & a great resource for all surgical trainees!! Great to see
the investment in training and great for the deanery
@GeorgeFindlay99
@andyheeps
@lungsatwork
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So proud to be elected as a senior member to
@TheBSGE
council! Really enjoyed my time in the comms/scope subcommittee and looking forward to working on council now too! Thank you to all who voted 😊😊
@Jimi_Odejinmi
@TJustinC
@shaheenkhazali
#BSGE2021
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Really looking forward to co-hosting this
@TheBSGE
webinar!! A topic close to my heart - improving the diagnosis of endometriosis via ultrasound and MRI. Details below 👇👇
@RCObsGyn
@ESGEorg
@AAGL
@GynaecologyUS
@CuthbertFaye1
@MathewLeonardi
@lucianachamiec1
#endometriosis
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12.5hr shift as part of a consultant team keeping maternity/gynae services safe today. Will be back again tomorrow! Stand in complete solidarity with my
#JuniorDoctor
colleagues fighting for
#fairpay
and
#PayRestoration
@BMA_JuniorDocs
#JuniorDoctorsStrike
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True this - many male colleagues are praised for their assertivenes...
Many female colleagues (me included) hold back for fear of being called aggressive or argumentative.... fair?
#MedEd
#MedTwitter
#LeadershipMatters
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💯 this!
Today i was the frontline o&g SHO
Negotiations need to happen now!
#juniordoctorstrike
@TheBMA
@BMA_Consultants
@BMA_JuniorDocs
#strike
#PayRestoration
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1/3 Calling all women with
#endometriosis
#adenomyosis
what would you like covered in a
@TheBSGE
webinar for patients? diagnosis, treatment options, current research, patient stories, Q&A session- share your thoughts!
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Borrowed this from the wonderful
@bbmidd
❤️ this so much
Another sign of a true leader - lift your team and give them opportunities to shine ✨
💪🏼💪🏼
#leadership
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A few endometriosis/menopause facts: a 🧵
Endo symptoms might improve after the menopause, however a large number of women still experience symptoms after natural and surgical menopause.
Symptoms may worsen with the use of HRT particularly oestrogen.
Shall we just say it one more time - endometriosis can occur after the menopause. Menopause is not a cure
#Myth_Vs_Fact
#endometriosis
#menopause
Really important to be vigilant of symptoms particularly if on HRT
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Fellow obstetricians/midwives etc- thoughts on this? My thoughts - LSCS rates should be essentially ignored. When we have targets maternal choice and maternal/neonatal outcomes suffer.
@myobstetrician
@susannacrowe
@doctorrah
@tonykellyuk
@DOckendenLtd
@JamesTitcombe
@rob_buist
Vaginal delivery is more environmental friendly than cesarean delivery… if ever you needed extra arguments in countries with major increase in cesarean rates.
@ConryJeanne
@EBCOG_org
@FIGOHQ
#EBCOG2023
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Amazing work!! Increasing the efficiency of non cancer gynae surgery using robotic surgery! 24 cases in 2 days - highlights what can be done!
Would love to be able to replicate this
@UHSussex
@andyheeps
@GeorgeFindlay99
@HughJelley
@NHSHuw
@emmarossetter
@bbmidd
Watch gynaecology consultants Jessica Preshaw and Islam Gamaleldin on
@itvwestcountry
this evening from 6pm as they talk about a high-intensity theatre list which took place at Southmead Hospital over the weekend, where they carried out 24 robotic-assisted procedures in two days.
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Talking adolescent endo and our experience
@UHSussex
soon at the
@RCObsGyn
and
@britspag
Annual Update in Paediatric and Adolescent Gynaecology 😊😊
#endometriosis
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@AmyLaskyMD
i hate that term "denied"! it is a patient centred discussion and no one should "denied" treatment if it is an informed decision and not causing harm.
#patientchoice
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Our fabulous prize winning trainees from
@UHSussex
2 prizes
@TheBSGE
ASM!
So proud of these guys!! And congrats to all the winners! KSS deanery were well represented 💪🏼💪🏼
@andyheeps
@bbmidd
@lungsatwork
@UHSussexMatServ
@drkatiefraser
@KatieChristie82
#BSGE2023
#bsgeasm23
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Thank you to Denis Tsepov and
@IntuitiveSurg
for supporting gynae
#robotic
surgery at Princess Royal Hospital
@UHSussex
Fantastic to be able to offer this option to patients!
@GeorgeFindlay99
@maggiedavies
#gynaecology
#endometriosis
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I am so lucky to work with such amazing women! The
@UHSussex
gynae dream team
@TheBSGE
#BSGE2023
#bsgeasm23
@HughJelley
@GeorgeFindlay99
@maggiedavies
@andyheeps
@bbmidd
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When you meet one of your surgical idols in person!! 😊😊
Natalia was a consultant I looked up to immensely while training - listening to her lecture at conferences, watching her surgical videos etc she was definitely a role model from afar!
Pleasure to meet her in person and I…
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@ThisisDavina
@carolynharris24
not at all - use alot for HRT and can be fitted in women not having periods. Mirena is the only coil licensed for use in HRT (a few others are contraceptives) DOI - gynae consultant ☺️
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Save the date!!! 31st May 6-7pm
Really looking forward to this
@TheBSGE
webinar. Must watch for all gynae consultants, trainees and medical students
Free and open to all
Link to register in comments 👇👇
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This surely cannot be real.... subcut sterile water injections in labour as analgesia!!
Can someone sensible come along and tell me I an out of touch as this is recognised analgesia.... or not 🤦🏻♀️🤦🏻♀️
Shame on you
@NICEComms
. Agreeing that healthcare professionals can offer pseudoscientific pain relief to women in labour is nothing short of a scandal. Shame on you.
New NICE intrapartum guidelines
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Super proud of
@UHSussex
colleagues at St Richards! Great paper on same day TLH published
@BMJ_Open
A true example of sharing best practice!!
@NHSGIRFT
Well done to 1st author
@DrAlistairWard
@DrSamiotissa
and the rest of the team!!!
#hysterectomy
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Just spotted this on the
@RCObsGyn
trainees eportfolio 👇👇
An option to tick senior SAS dr - important acknowledgment that in O&G we have huge numbers of SAS doctors in senior roles providing training and education and it shouldn't be just a consultant sign-off 👏
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