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@scullingmonkey
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dr² | stuff&science | vascular reg | spreadsheets | German really |📸| yeastwaterfloursalt | coffee | always dark blue | mostly retired rower | private rants
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Joined June 2022
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“Ohhhh but the pension”
Friends, do you realise that the world outside medicine who gets paid well in the today world and not future hopeful spends money on property, investments, savings and other things that will make their retirement happen earlier and be more pleasant?
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Me: I’m doing this pgcert in higher education, which means i can be a FHEA
Dad: so you’re gonna get a pay rise
Me:
Dad: it’s great you’ll get time to do this from work
Me:
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Rotational staff
- always ‘the new one’
- no lockers
- no offices
- often no access to eg cycle2work
- moving house all the time
- trying to keep it together In job
- antisocial rotas = what friends?
is it elitist to ask for a place to belong w those who get it?
#WhatAMess
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One of our f1 who is incredibly hard working and has family abroad has lived in Oxford for a year and not seen anything apart from hospital.
I’ve given him a few jobs for his last weeks here, all include sightseeing tips and small hidden gems of this beautiful town.
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Once upon a time a patient DNAd
We contacted their transport service and asked to check again
Turned out they had collapsed at home
They were taken to resus rather than clinic
But instead of looking out why patients don’t attend you want us to send a bill?
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“Until 3 years ago I haven’t heard of physician associates and now I am one and am seeing patients in Resus”
Normal things in Normal Island
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People working in adtech:
Here, have a bigger salary, get an iPad, laptop and more devices for free which you don’t need, have more days off, have an office and free food
People working in nhs:
Pay for your parking, food (if available), buy all your essential equipment yourself
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Coming back to London, seeing this bend from up high always does feel like home
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This is important - we all need “easier” / lower stress interactions to balance out the complexities
Leaving one group with just high stress high risk jobs will lead to even quicker burnout
@DrEilidhMaria
Also, MAPs in clinics or GP surgeries take away the easier more basic cases which often act as a moment of relief to us. My clinics are now a distillation of difficult cases and I am fried by the end in a way that is not sustainable.
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A salute to
@JonnyGucks
who w/o losing his temper replied to a gazillion tweets re disinformation about doctors pay and how much (some of the twitter) public hates doctors
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I hear they have actual chairs not just bins to sit on
Thousands of PwC staff to get 9% pay rise to offset cost of living
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Guys guys guys
The answer to foundation programme doesn’t work should not be
“Let’s make it longer”
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@AjvictoryMD
similar scenario / an unspecified time ago
"is she ready to come home now, im fed up of eating from the microwave"
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Do you remember the last time National bodies tweeted about how amazing doctors, locally employed doctors and IMGs are ?
Ah yeah it didn’t happen did it
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the 'how to make surgical F1' tips **for** seniors section is growing, written by outgoing F1s..
any more? 👇
Are there any interested (outgoing + creative )F1 who can help me turn this into a nice infographic?
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New GP surgery
> online triage w/o patronising Qs
>options to choose how to communicate
>options to choose when not available
> good comm via text of what’s happening
> f2f appt next week
It’s possible
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I’m a big fan of how design facilitates use/function and to my eyes one of those signals collaboration and one confrontation.
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No this is not about improving access
Don’t @ me
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Really excited and happy to be joining the Associate Editorial Board for BJS and BJS Open - looking forward to working with the rest of the team
@BJSurgery
@BjsOpen
#Surgtwitter
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The last hospital appt I missed was due to
1. Not getting letter until after the date
2. Not getting a letter ever
3. Me cancelling an appt as on call and they still keeping it and saying I DNAd
£10 wouldn’t fix this and also who will collect that
Appalled at Rishi Sunak’s proposal to charge patients £10 for missed appointments
That’s their solution for tackling NHS backlog?
Punishing patients & not addressing WHY they can’t make an appt? Not to mention the damage to dr/pt relationship
As a GP I do NOT support this!
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10K
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@JohnWest_JAWS
@WhatsApp
@BorisJohnson
And didn’t Sunak also get affected but at a different time point?
So unlucky
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@FrankCoffey26
@rosieICM
if you were exposed to everyday sexism, it would also 'preoccupy' you
asking not to be stereotyped based on being female has nothing to do with self importance or pecking order.
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I’m German but have lived in England for a long time
I love football
I grew up playing every day with the neighbours
Seeing the love around
#WEuro2022Final
and the tournament has just been ❤️❤️❤️
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I’ve been to many conferences in many roles, what an eye opening experience when you talk to someone senior about your research, have a good chat and then they ask
Where do you work, what grade are you
And watch peoples faces when you say you’re an LED.
The conversation stops
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@079LV
@chrisMcG4
do you realise that 'trainee' doctors are fully qualified doctors and that clue is a misnomer?
you finish med school, you are on GMC register, you are a doctor, you work 48h (average) but some old outdated reason means the contract refers to you as a 'junior' or 'trainee'
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fantastic to see this out published in
@TransplantJrnl
this month.
#medtwitter
#transplantation
possible because of the high quality samples
@InQuod
- allowing us to study in clinical samples what wasnt possible before
#TranslationalMedicine
@scullingmonkey
found no evidence of a progressive rise of proinflammatory mediators with prolonged duration of brain death, questioning the hypothesis of a progressively proinflammatory environment.
#OpenAccess
#TransplantTwitter
#MedTwitter
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filled in GP online form
" a clinician will contact you in the next 24h "
> can i go for a shower, cause last time i missed a phone call as didnt hear phone i got told i DNAd
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It’s like the answer you get from a student who just hopes to stall long enough until rescued by a bell
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<subtweet>
Publishing a paper a month doesn’t actually say anything about the quality of what you publish
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medical students to me
"its nice to speak to someone who really likes their job and is happy despite all the negativeness everywhere"
i think sometimes we forget to point out the good stuff that keeps us in medicine, despite <points around>
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All female surgical, anaesthetic and scrub team in vascular surgery today
🙌
#ILookLikeASurgeon
@sarahnzari
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Todays focaccia will be special cause
- sourdough started from
@Irgendweranders
- rosemary from balcony
- olive oil from colleague’s home in Palestine
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@BellaRoscetti
its also very different if you choose to stay late to do <something/learn something> or if someone tells you you have to and you won't be paid.
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When your hairdresser is a friend and opens up early to cut your hair before your long shift
#feelingLoved
🫶🏻
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On day of pay review announcement (where is it?)
We are offered a convenient dead cat distraction of non detailed slogan heavy new medical doctor apprenticeship
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Another good email just landed
“ Congratulations on achieving Fellowship of the HEA”
🥳
#MedEd
#medtwitter
#postnominals
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Friend visiting Germany “wow it’s so clean and things work”
That’s what happens if you use taxes for everyone, not run a country on faux philanthropy of a rich few who get tax cuts and volunteers
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@Dr_BellaR
speak to GP
speak to occu health
pause training
focus on health
dont worry about FY2
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discussion "healthcare collapse in germany vs UK"
germany: its shocking, some people can no longer pick the date of their elective <pick a joint> operation! they might even have to wait.... a couple of months!
me: {no words}
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one of the things we learned first in med school was 'anaemia' - i thought it was quite easy, but the more patients i see the more it baffles me about how global the effects of anaemia are. and i judge myself for thinking it was easy.
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Need to find all my followees and followers again
Fell into deactivation hole
@scullingmonkey
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Addressed as nurse every time when reviewing patients in ED / EAU these set of nights
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@LukeAmos__
Absolutely.
You never know when a bus hits you, your aorta disintegrates or you get any other bad illness that means you wasted a life waiting for a pension that never arrives
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briefly logged into twitter and this seems to be the latest xenophobic exceptionalism take from some
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ok lets try this (it might not work*)
for all outgoing F1s who had rubbish surgical placements, knowing all the limitations there are (staffing/rotas/bla bla) - can you name *one* thing that you think could realistically be changed in your rota/placement to make it better?
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@DrDMcGregor
@Rob_Kimbell
This is not Happening to German doctors
You finish med school (w/o debt)
You choose where you work
End of
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When switchboard tells you “ghosh. You’ve been busy all night”
And you are happy someone else noticed
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No one wants to strike.
It’s a last resort when your voices/ concerns haven’t been heard.
The fact that key workers up and down the country consider strikes, should make you worry about the state of the country. These are the people who you 👏 in 2020
👏again - and listen
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Should I go for it?
Nominations are now open to join the Rouleaux Club Executive Committee.
New for 2023, a SAS/LED Representative to promote engagement and representation of SAS and LED members within Rouleaux Club.
More details are available here.
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@ZainKhanMed
I don’t think that’s wjay hes saying.
And as someone who has striked last time, I can confirm it wasn’t successful. It can only work better if lessons are learned. How comms work and how we speak to each other.
I don’t think criticising others for a valid point is a good look
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I’ll start
- the teamwork
- the ability to focus on one thing
- the music
- the fact that no two operations are the same
- the decision making and thinking
- seeing how your skills improve
- dissecting blood vessels and creating a perfect anastomosis
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Yesterday I presented work that was bothering me for a long time
Do we study the patients we operate on?
300 studies, >60k recruited patients and barely any patient characterises reported beyond age and sex
@VSGBI
Systematic review and comparison to NVR
#BetterTrials
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Feeling for lower limb pulses is not a special skill.
Medical/surgical specialists: what’s the one thing you wish other specialties knew about your own?
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It’s called graduate entry medicine
Happy to send you information about it
You work in ent - you must have heard of max fax where dentists also- gasp - study medicine (Sarcasm)
@fessdoc
@ENT_UK
@HelenCocks5
We need to rationalise medical training - we must reduce the bottlenecks to specialist training. We could consider an accelerated MBBS for PAs who want to progress as doctors and use the experience, instead of trying to define a role where they progress ‘like a doctor’
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So this bike is a story. Got it end2019 pre rotating to trust that would require commute by 🚂🚲. Then covid hit and <redacted> / 🤬 meant I didn’t go. A 🌀of misery ultimately led to quitting. On top,
#LongCovid
meant I couldnt even think of cycling. Today, I cycled that bike.
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Me “we have a lot of issues with rota due to covid gaps”
Cons* “why don’t you encourage the don’t look approach and you all stop testing”
*from different specialty, was only overheating my conversation as I wasn’t actually talking to them
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Things are bad in the nhs but good news, if you come to our clinic you won’t spend long enough in the waiting room to develop pressure sores 👌🏻
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I think what upsets many is the opportunities denied to drs: procedures, involvement in curriculum dvlp + teaching. Which junior dr in their 6th year gets a lecturer post without doing a PhD? Instead they’re on their 6-10th trust, no one knows their name and they sleep on chairs
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what could have been
Britain faces a simple and inescapable choice - stability and strong Government with me, or chaos with Ed Miliband:
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Referring a patient to a different specialty
“ oh are you the one from twitter?”
😰
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Dear
@TheBMA
@BMA_JuniorDocs
Which one of your committees represents the tens of thousands of doctors on local, trust contracts?
Many pay BMA fees so deserve representation
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So my trust no longer allows surgical registrars to have “miss/mr” on their badge
It’s all those little shitty things that wear you down
#medtwitter
#MedMastodon
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Me to Friend who left medicine: we have finally a chair in the reg office
FWLM: is this a special role?
Me: huh?
FWLM: the role of a chair of registrars
Me: no I mean an actual chair to sit on, the old one was broken for a long time
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@sh_abbers
@AbiBosher
@TheBMA
@BMAJamesP
@BMA_JuniorDocs
@royalhospital
@LibraryCRH
@BAspinallDME
@CRHHumanFactors
@crhcceteam
@CRHMedicineDiv
@the_mdu
@teamsurgery
sitting on carpet, in a crowded windowless room.
top points there
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If you think about saying something negative about nurses strike, remember that the government could stop this simply by engaging in a discussion.
If you think nurses are too indispensable to strike, there’s your answer to “should we pay them fairly/better”
#RCN
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@Dr_F_Khalil
surely whoever prescribed antibiotics inappropriately should get the NHSE letter
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Thoughts after a week in Germany:
England has fallen further than I’ve appreciated down some selfinflicted brexit accelerated hole
It’s refreshing to see buzzing city centres and people going out, roads without potholes, clean streets, construction happening
Why England, why.
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Every now and then people say
“Oh you’re the person from
Twitter”
Or
“We all
Chatted about you”
And I clutch my gmc certificate whilst hyperventilating
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on call rota sent out until april.
xmas rota ("rank your top 3 rota slots") sent out for selection.
i wouldnt say i like doing the rota but i do like to try and make it fair / avoid all the stuff i hated
makes for a happy team.
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mmmh vienetta
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Fascinated by British media obsession of Finnish PM going to a party whilst ignoring weeks of BJ doing sweet fuck all, getting wedding paid for and holidaying as people in the uk don’t know how they will pay bills.
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Also can we stop diagnosing women with anxiety all the time. Anyone sitting in front of you with tachycardia should have the tachycardia investigated thoroughly.
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@G__Halliday
so nothing that 'we' have done. oh dear.
sounds like "we survived the trenches together and made great friends" as the only positive. 🥶
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US hospitals : welcome incoming residents, here are glamour shots and equipment you need
Uk hospitals: we are not aware that you’re starting with us next week
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Love people discussing how “Medicine easily doable in 4 years”
(uG Medicine that is)
And that “science is not needed”
Yet also being upset about being purely mindless protocol workers
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If you call someone at 4am for a non lifethreating thing
Please
At least know somethung about the patient
Hearing you scroll 2-3 times after every question
And then still
“Errr I don’t know”
Is kind
Of
Not ok
Really
It
Is
Not
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on call this week
phone call from <mumbles>
sorry who am i speaking to
<mumbles>
sorry can you confirm who you are?
<a member of the team>
yes but what role do you have
<hangs up>
is it too much to ask to know who i am speaking to?
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bad life choices (not ranked)
studying medicine
staying in england
taking up rowing
all associated with this island though
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Man fixing stuff in our flat
“My daughter is also a nurse”
“I’m a doctor”
“She’s done a prescribing exam and works in primary care”
“That’s good for her”
“She’s basically the same as a gp”
I was post nights and tired and the best I could do is a minute long stare &change topic
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@noodles_nood
you have a door too.
and a seat that is not a bin.
my GP surgery was amazing at treating me as a real part of the team when i was an F2, felt respected and valued. it was great and such an eye opener.
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reminder that some basic teaching about tax should be part of any vocational degree.
or foundation school.
also: Tax is a good thing, dont @ me
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@HodgeJM
@justxmisha
I disagree, the med reg has none of the icu resources and is holding the hospital together, only a bleep and stethoscope in their hands.
Full admiration (but also would / could never do their job)
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its not the video that causes offence, its the idea that you dont treat your staff equally - attempting to cut hourly wage for some recently too
@OrthopodReg
Hi Simon, we are sorry for causing offence and have withdrawn the video from our social media channels.
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