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Tom Bircher Profile
Tom Bircher

@tombircher

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ED doc, corridor medic. ACCS Survivor #FOAMed . Views my own. @tombircher.bsky.social

Joined October 2012
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@tombircher
Tom Bircher
11 months
Why don’t rotating doctors, or locally employed doctors get their own laptops? . Seems like an open goal for improved productivity….
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@tombircher
Tom Bircher
1 year
RT @DrSusieC: What happened to my patient? Innovative Sheffield ED initiative developed by Joseph Harding and @tombircher. Written up with….
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@grok
Grok
23 hours
Generate videos in just a few seconds. Try Grok Imagine, free for a limited time.
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@tombircher
Tom Bircher
1 year
So I’ve been through a more complex process, that’s arguably not added any value for me OR the garage, because sometimes you just need a person who knows what they are doing to look at car, AND it’s delayed the actual thing that I need to move things forward.
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@tombircher
Tom Bircher
1 year
I now have a car appointment for next Friday. I’ve just got an email with the *exact* same form I filled in earlier.
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@tombircher
Tom Bircher
1 year
I call the number. Lovely lady. Books me in (few days later than was earliest diagnostic appt that was available at first contact). I give her all my car details again. Even though surely they’ve got that info from the previous form?.
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@tombircher
Tom Bircher
1 year
Engineer calls right on time. Agrees he needs to see the car. Tells me to call back a different number to book the service. He’s not seen my form.
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@tombircher
Tom Bircher
1 year
I get told I can’t be seen until the end of next week, but I can have a triage call with the engineer tomorrow. Ok. I get sent a 9 page electronic form to fill out. I go into detail. Hopefully it’ll help….
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@tombircher
Tom Bircher
1 year
Bit annoying but ok. We rearrange some stuff. We opt not to use the car until we know what’s wrong, I call up on Monday morning when the garage opens.
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@tombircher
Tom Bircher
1 year
Now I know nothing about cars. But I think that I need the car looking at by a professional. Unfortunately it’s the weekend. So I have to wait till Monday.
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@tombircher
Tom Bircher
1 year
I do what I need to do and drive home. By the time I get home the light has gone from flashing to being on all the time. The car shudders when I slow down and speed up a bit, but it’s not all the time.
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@tombircher
Tom Bircher
1 year
I got to my destination and looked at the manual. It said this light meant a “possible malfunction”. Thanks for that.
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@tombircher
Tom Bircher
1 year
A story 🧵. So I was driving to a nearby city when my automatic electric hybrid car (don’t @ me) started making juddering noises when I accelerated past the point when the car needs to change gear. A yellow blinky light came on.
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@tombircher
Tom Bircher
1 year
“This patient can’t come to our unit as they don’t fit the criteria”. “Ok. I kind of think they do, but ok, Can you tell me what the criteria are?” . “No”. “Ok. Are they written down anywhere?”. “No” . “Have you seen the patient?”. “No”.
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@tombircher
Tom Bircher
1 year
It’s not a zebra it’s a horse dressed as a zebra.
@phlegmfighter
The Phlegmfighter
1 year
You’ve heard the saying “ uncommon presentations of common diseases are more common than common presentations of uncommon diseases.”. Here is a picture that explains the adage followed by a more in-depth explanation. #clinicalreasoning #medicaldecisionmaking
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@tombircher
Tom Bircher
1 year
RT @edwinhayward: The biggest prize at the general election? The chance to stop the Tories coming second, and forming the official Oppositi….
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@tombircher
Tom Bircher
1 year
RT @theAliceRoberts: Just look at how life expectancy has been dropping in this country. And it’s not just since COVID/2020. The decline se….
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@tombircher
Tom Bircher
1 year
I’m not a fan of the new hosts of taskmaster.
@Nigel_Farage
Nigel Farage MP
1 year
Happy birthday to my friend Donald Trump.
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@tombircher
Tom Bircher
1 year
Absolute scenes in the consultant reply-all today.
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@tombircher
Tom Bircher
1 year
RT @RCEMpresident: English UEC Stats for May 2024 out today. A 🧵.
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@tombircher
Tom Bircher
1 year
What I always find difficult to understand is why this is accepted by trusts and ICBs.
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