Natalie Silvey
@silv24
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Anaesthetic consultant. Dabbles in healthcare policy & healthcare data geek. Feminist & European
London, England
Joined February 2010
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Last Seen Profiles
This is the face of someone who just spent 9 hours in personal protective equipment moving critically ill Covid19 patients around London.
I feel broken - and we are only at the start. I am begging people, please please do social distancing and self isolation
#covid19
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Bit blown away by the responses to this. I was a crying mess when I sent it.
The real heroes - nurses. Today I saw just what efforts they are going to and I am truly humbled to work alongside them.
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Those red/purple marks across my face are from my mask and are deeper than you think. Today I have seen just what covid19 is doing and now I just want to scream at people to listen to us.
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How dare NHS staff be ill and how dare we take our annual leave.
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“Don’t worry, your body will never make a baby too big for your body to give birth too”
“All babies can be born naturally”
A friend attended a birthing class in which the above was said.
I could weep.
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A year ago I was on nights shifts for New Year, working in a system stretched by absences & sick patients, many with COVID.
A year later and I’m back on night shifts for New Year, working in a system stretch by absences & sick patients, many with COVID.
I don’t have the words.
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If you are a medical doctor and a hero to anti-vaxxers you might want to take a long hard look at yourself and the damage you have done.
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Do I enjoy wearing a face mask? No
Is wearing a face mask a real hardship? No
Is their evidence for their effectiveness in reducing transmission? Yes
Would I continue wearing one? Yes
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Love being told what it is like to work in the NHS during a pandemic by someone who isn’t working in the NHS during the pandemic.
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Hyde Park. Only a few minutes away from St Mary’s where many patients with COVID were admitted, lots survived but sadly many didn’t.
A story repeated up and down the country.
I don’t have the words.
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Colleagues whispering “I’m scared” - you are not alone. I’m scared. I think we all are on some level. It is ok to say that & to talk about it.
There is something very comforting in someone else saying “me too”. This will pass but it is normal to feel like this
#covid19
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Bodies with vaginas? Am I honestly reading this from one of the most supposedly prestigious medical journals in the world?
Our new issue is here! On the cover—'Periods on display' and the cultural movement against menstrual shame and
#PeriodPoverty
.
Plus,
@WHO
air quality guidelines, low
#BackPain
management, community-acquired bacterial
#meningitis
, and more. Read:
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Totally blown away by the response to my tweets yesterday and although I can’t reply to everyone individually - from the bottom of my heart thank you!
Now on my way in for a night shift so please remember - you all stay at home and we will be at work for you
#covid19
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I am an anaesthetic registrar and have had my 3 COVID vaccinations. I have not one shred of doubt that that it was the right thing for me, my loved one and my patients. The evidence is clear -
#GetVaccinated
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Hi Mark. I think there is a strong case of MPs to publish all of the public income they receive and the hours they work and other income sources they have. I am sure you will be the first to rush to do so
There is a strong case for GPs to publish all NHS income they receive. How that income is spent, what percentage of private work is undertaken (if any) and the hours they work? Clinical Care Commissioning Groups need to call for more transparency & champion taxpayers' interests
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Reading headlines with words like “hurrah” on a far busier commute than previous days whilst I travel for 13 hr shift on an intensive care unit to care for patients who are still critically ill thanks to Covid-19
I want to cry. I want to scream. I am scared for what happens next
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Also, can we please stop infantilising trainees? I am 35, have been a doctor for 10 years and an adult for quite a lot longer than that. Just because we are in training doesn’t mean we are childlike.
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@Mercifull
IMHO it infantilises women instead of providing them with information in order for them to make choices. And leads to real harm - both physical and psychological
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Abortion is healthcare. Denying women access to abortions doesn’t prevent abortions, it stops safe abortions and puts women’s lives at risk.
This is an horrifically sad day.
BREAKING: The Supreme Court overturns Roe v. Wade, eliminating the constitutional right to abortion nationwide
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Hospitals are having oxygen supply issues because of the number of patients needing it.
Ambulance services are struggling with the sheer volume of calls.
Colleagues in hospitals are talking about the pressure they are under.
And yet to some we are liars and there is no crisis?
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Honestly, would it be so terrible to keep mask wearing mandatory for a bit longer until we see how things really are panning out?
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Well if I have to spend Christmas day self isolating I might as well do it in style....
Cheers!!
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Just got a text from the consultant on overnight to say thanks for the hard work last night.
I did nothing out of the ordinary.
That is leadership. That is how to make your trainees feel appreciated. That is spreading some kindness and joy in work.
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Had a discussion about knitting baby hats for our neonatal unit and one of the midwives asked me if I would knit some for babies who are sadly born sleeping.
Shed a few tears, now wool ordered and a tiny pattern found. My knitting isn’t the best but will be an honour to do that
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I am returning to work tomorrow after 3 weeks off with burnout. I am nervous but I’m starting to feel positive again about myself after months of feeling really negative.
I couldn’t have done this without the love and support of so many people.
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Yesterday I submitted an e-consult to my GP surgery at 16.11.
Today I had an email from a GP at 12.38 & my prescription for a higher dose of medication had been sent to my local pharmacy.
GPs never get the praise they deserve, thank you from a grateful patient & colleague.
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Last year - clapping for NHS staff & appreciation for what was done during the pandemic
This year - physical assaults, accusations of lying, broken doors at GP surgeries, slurs spray-painted across hospital signs whilst the pandemic continues
What a difference a year makes.
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Honestly, how hard is it really to wear a mask in public spaces for most people? I wear one all day every day at work and manage to survive.
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I just got called a bitch for asking someone to cover his mouth when he coughed repeatedly next to me. Apparently coronavirus is made up and I am thick and ugly for making such a request.
This would usually be water off a ducks back but not now.
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I am 35 and my parents still make sure they get me an advent calendar every year. This year’s one was posted in case they didn’t get to see me.
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On my way out of our ICU last night, which is full of the sickest covid-19 patients imaginable, I saw this on the bin at the exit and thought it was as excellent advice to share.
To all my colleagues up and down the country and worldwide, keep your chin up and thank you.
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With help from some amazing friends, my wonderful family, incredible colleagues and a low dose of sertraline, I am feeling more like me than I have done in years.
Honestly, I can’t quite get over it and makes me realise how bad things were for so long.
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Well this is quite the welcome home. A socially distanced one but seeing my mum and dad means everything
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The last intubation I was involved in of a patient with COVID-19 sticks in my mind, the sheer terror on their face, how a nurse held their hand during, the rapid change in tone of the saturation probe as they fell incredibly quickly.
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To all of those who think that social distancing and mask wearing and restrictions are ridiculous and we should be living as pre-covid.
I’m glad you won’t ever have to see what my colleagues & I did. I’m glad you won’t experience that. Because it has nearly broken so many of us
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Today is the end of an era. I started as a junior doctor in August 2010, now over 13 years later my time as one is finishing.
Over the moon to have my CCT and looking forward to the next stage of the journey as a consultant anaesthetist
@ChelwestFT
!
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Men on dating apps “looking for someone who exercises/eats well/does CrossFit/gym bunny”
Me….
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Could he go up any more in my esteem? What an answer!!!
"This is sometimes said by people who have no understanding of health at all... and when they say it, it's usually because they want to make a political point."
Prof. Chris Whitty responds to concerns that the NHS is prioritising Covid other serious health issues such as cancer.
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Funny that in my late 30s I am only starting to find real confidence in myself and today embracing the no makeup look, which rarely ever happens. But I’m trying.
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If you tweet anti vax nonsense at me it is an automatic block. I’m not engaging, I’m going to simply keep tweeting about how amazing vaccination is.
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Oh come on BBC, there is no 'anti-vax row'. There are people who believe utter nonsense about vaccines over science & evidence. They put their children & other children at risk.
Vaccination is overwhelmingly safe &effective. This is irresponsible.
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Waiting for a bus home and started being shouted at by a random man walking past. A man closing up at a restaurant came straight over to tell him to leave me alone and said that if I had any more problems to come and find him but he would keep an eye out.
Restores some faith.
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In ten years as a doctor I didn’t think these really existed until today....
A brand new bleep.
No tape holding it together. No slightly bent clip that falls off. No buttons that only work when you jam your finger into them 20 times.
It is a thing of beauty.
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Covid-19 doesn’t just damage people’s lungs, it causes blood clots, strokes, heart attacks, numerous heart problems, kidney problems....it can leave survivors facing huge health issues.
Vaccination against covid-19 is effective, two vaccines 21 days apart
#Iwillgetvaccinated
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Men - look at the tweets from women you follow. Look at what we are talking about, look at the fear we experience, look at the gut wrenching sadness of tonight.
Don’t try and tell us “not all men”
Don’t try and tell us to alter our behaviour
Listen to us
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I have honestly have no faith in the way this pandemic is being managed and the series of utterly baffling mistakes that have been made. This is not blaming individuals working within a system - some of whom I know and admire hugely and I know will be working tirelessly.
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Just want to say the biggest thank you to every single person involved in COVID-19 vaccines, from the scientists to trial participants to all those involved in the vaccination campaign.
In half an hour I will see my parents for the first time in months. All because of a vaccine
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I am not defined by being single and not having children.
I am not a failure because I am single and don’t have children.
Not every woman wants to be in a relationship and not every woman wants to have children.
Let’s not start with assumptions as a baseline!!!
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Oh Matt Hancock, I just burst out laughing on the tube reading that his UN role had been withdrawn. Just perfect
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Can add a few more letters after my name now - FRCA positive. How many times will I check the results before I believe it?
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If you think that just because you are below 60 you are invincible to this virus you are wrong.
To see patients younger than myself critically unwell and needing the highest levels of support possible is just terrifying.
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I cannot beg people enough, when you are offered a vaccine please get it and please make sure you have both of them.
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Oh and whilst I'm at it....
STOP TELLING PEOPLE THAT IT IS NIL BY MOUTH FROM MIDNIGHT. IT ISN'T A THING.
6 hours for food and 2 hours for clear fluids (a shorter time for clear fluids at some places).
Stop excessively starving and dehydrating patients.
Thanks.
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I genuinely don’t know how another wave of COVID admissions and deaths will leave the already fragile state of many staff in health and social care.
I have never heard so many people talking about symptoms that sound very much like PTSD.
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Women have the right to walk home.
Women have the right to walk home at night.
Women have the right to be safe.
Stop blaming women for the actions of men.
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I don’t want to be tracked walking home.
I want to be able to walk home and be safe doing so.
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I’m taking a bit of a Twitter break. I talked last year about having a period of time off work with anxiety and I have realised in the past few weeks that it has started to rear its ugly head again. I have some leave this week and I’m home with my family for some TLC.
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To the families I looked after the day of Grenfell - I still think of you often and hold you in my heart. And especially two mothers who lost their children that day, the stories you told me about them, the love you showed will never leave me. I won’t ever forget them.
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How flippantly he says that. He has never held someone’s hand as they died, called their family, listened for the absence of heart sounds or breathing, checked for a pulse, signed a death certificate.
Each death is someone’s son or daughter, someone’s loved one.
“We must reconcile ourselves to more deaths from Covid,” says Boris Johnson.
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I’m a liar, an idiot, a big pharma shrill.
Amongst some of the milder comments for tweeting about an anti-lockdown protest which happened near a hospital that treated many COVID patients, some of whom died.
All of those are facts.
Yet to some I’m the liar.
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Tonight don’t say his name, say hers.
Sabina was walking to meet a friend, she was doing what women do day in day out. She should have been safe.
Sabina should still be alive.
#SayHerName
#SabinaNessa
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Hands up if you are a woman and have been told to watch/alter your tone by a man?
🙋🏼♀️ (definitely not smiling about it like the emoji)
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And done. Feel extremely fortunate to have had my second Covid-19 vaccination this morning. Best end to a night shift in ages
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Don’t drink alcohol.
Don’t be a doctor.
Don’t walk on your own at night.
Don’t wear “revealing clothes”.
Don’t weigh too much.
Don’t weigh too little.
Don’t talk too loudly.
Don’t be emotional.
Don’t stand out.
Don’t speak out for what you believe in.
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I keep tweeting about what is happening to girls and women in Afghanistan because their voices will be silenced by the Taliban, their freedom curtailed, their education stopped, their faces covered, their lives no longer their own to control.
Our governments have failed them.
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This is not an apology. What happened to Bob’s daughter is utterly tragic. All of us wish there hadn’t been a pandemic, wish that we had been able to do our day jobs instead of being redeployed.
@doctor_oxford
didn’t cause the issue.
A virus and our government did.
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Female doctor experiences everyday sexism by a man assuming she isn’t the doctor.
Cue many replies with various excuses rather than just acknowledging that this happens day in day out. And is just sexism.
Unless we call it what it is we won’t ever improve it!
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Chris Whitty has been an outstanding leader throughout this pandemic.
There isn’t much more to say as he has been exceptional and we have been so lucky to have him.
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When I sent my tweet with frankly the worst photo of me I have ever taken on Saturday night it wasn’t about being seen as a hero or anything special, it wasn’t about self promotion, and it certainly wasn’t because I think I am special. I am one part of a huge healthcare team
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Now this is how to show babies having vaccinations. This is just so lovely
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I’m taking a day trip to see my parents on Saturday, it will have been 14 weeks since I saw them last. I’m getting the train, walking home, sitting in the garden with them 2 metres away, walking back to the station and then getting the train home. And I am so excited about that
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She is glorious
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@Zulu_Actual_
@Robmillsmma
I am glad you haven’t seen what I saw today. My colleagues working flat out, nurses barely stopping to take a breath, trying to save the lives of critically unwell patients.
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I tweeted yesterday about clinical engineering and the vital role they play and had a reminder about all the other incredible staff in the NHS that no one ever hears about and so to try and change that
NHS Covid unsung heroes list
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I can’t be the only one with no motivation to do anything productive on days off at the moment. I keep thinking of all the things I should be doing and then sitting on the sofa and watching another episode of Below Deck.
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Why would we lie about the pressure we are under because of covid-19? We are trying to warn you.
We are the canaries in the mine.
We are warning you of the danger and telling you how bad it is in the hope that people will listen and protect themselves.
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And done. Back with Mummy and Daddy Silvey and can’t quite believe it. Just so relieved after having to isolate last Christmas
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A reminder that the term junior doctor covers doctors from their first day to those on their last day of training with many years of experience.
I am a junior doctor, qualified in 2010 and due to finish my training towards the end of this year.
There is nothing junior about me
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I honestly want to scream at the “oh cases are dropping so we should start to lift restrictions now“ lot. We are still in a precarious situation and anyone who pretends we are not is lying.
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Lots of people tweeting about their achievements this year and it is lovely to see.
But if you can’t think of any, I think living through a pandemic with all of the uncertainty and moments of awfulness is an achievement in itself.
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Well…..
And what exactly have you been doing for Covid patients throughout this crisis Natalie?
Whilst this doctor was saving lives?
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If you had told me at the start of this year that before the end of it I would have had a vaccination against a virus we knew almost nothing about I would have said you were ridiculous.
This is a triumph of science
#docsforvax
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How has it been 5 years? Miss her immensely and will be raising a glass of something sparkly to her later.
You were one hell of a woman Kate Granger. You were something so very special.
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When you are doing a paediatric list the Friday before Christmas there is only one way to go….
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Delighted to see others tweeting
#Iwillgetvaccinated
. If there was ever a time when we needed to stand up and speak out about how amazing vaccinations are it is now!!
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Accidentally sent an ex a 👍🏻 whilst reading an old set of messages and deleting things (my rock and roll Saturday night) and now I have blocked him on everything and am considering changing my identity.
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Today the paediatric registrar bought me a bar of chocolate when he realised it was 4pm and I had been in resus for hours with them and hadn’t eaten since the morning.
He may be my new favourite person.
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The number of people tweeting me who seem to not be able to grasp the idea that a woman can be a doctor.
It is almost the same number who assume I can’t read or listen or understand what I have heard.
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Just had a slight panic about a mole that had appeared and looked very dodgy and melanoma like until I realised it was a melted bit of Jaffa cake chocolate.
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“Do you wear a mask for 12 hours a day?” bleats the man telling me I’m totally wrong for daring to express my views.
How do you like them apples?
(Other types of mask are available)
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