Honoured to be elected next President of the Royal College of Physicians of Edinburgh. Thanks to everyone who has sent messages of congratulations, support and encouragement.
@RCPEdin
We are pleased to announce that our President, Professor Andrew Elder, has become the first doctor practising in Scotland, and only the second in the UK, to be awarded a Mastership of the American College of Physicians. Please visit our website for more:
Seen on the bedside stand of an older patient with extremely poor hearing. Communication this way takes longer, but is time well spent.
@Bedsidemedicine
At a time when concerns about NHS staff wellbeing have never been higher this is a deeply worrying decision that
@RCPEdin
will contest.
@RCPEdinTrainees
My thanks to this group of doctors from Sudan, all working in the NHS at the moment, for coming to
@rcpe
to discuss how our UK and international medical communities can provide support at this very difficult time.
Better care of older people, and faster discharge from hospital, and community prevention of admission all need more OTs. ( and physios!)
Let’s push that up the agenda
How much data, repeated how many times do we need to see before we understand that “social” care must be fixed?
And not just to help treat people at the front doors of our hospitals, but to support those people stuck in hospital who don’t want or need to be.
@RCPEdin
@GeriSoc
A&E rising demand isn't driving long waits in A&E. Attendance rates are not dramatically up from pre-pandemic levels. The real issue is collapse of social/community care provision & some increased acuity. This is driving longer stays & means fewer open beds for ppl to go into
Off to deliver some
#mouthcare
prompt cards and pens for Albion wards away day on Monday. Which their ward manager will be delivering.
#mouthcarematters
📢 REPORT OUT TOMORROW!📢 "We need conversations to support recruitment, retention & support for a workforce caring for older people. This starts with recruiting the
#geriatrician
numbers that we need."
'The case for more geriatricians' is out tomorrow!
#MoreGeriatricians
@NEJM
This abdomen did not get like this overnight. "His medical history was notable for untreated hypertension and hyperlipidemia." .....and the fact that nobody had ever examined his abdomen, or if they had, had failed to detect this.
@Bedsidemedicine
Attention all those who prescribe statins to older patients, or want to stop them! More ( reasonable quality) evidence that current risk thresholds lead to overprescribing.
Think very short answer questions should replace best of five? Here is our roundabout take on that, featuring a riddle and a bar!
#meded
@medicalaxioms
@cuttingforstone
We welcome
@alzscot
Long Term Care Commission report and urge the Scottish Government to take forward its recommendations. Read the statement from our President
@AndrewElder
#DementiaAwarenessWeek
Many NHS units I know of couldn’t function without the input of SAS doctors.
Whether it’s In-patient or out-patient work, we need you, value you and thank you!!
#SASWeek2023
@RCPEdin
@RCPEdinTrainees
Discontinuity of care also happens in hospital and causes duplication of effort and frustration for patients and doctors. Has the impact been studied?
@DrLKVaughan
I’ve long thought that doctors don’t speak enough about - or have a place to speak about - errors they think or know they have made.
So, great to see a session at
#rcpetrainees24
on the topic of errors, leading off with a talk from Dr
@AddyMcleod
@RCPEdin
A huge thanks to Dr
@KerriBaker20
our
@RCPEdin
Director of Education and Dr Ishwinder Thethy Chair of the Organising Committee for putting together such a successful St Andrew’s Synposium.
My own personal apologies to everybody affected by this. We’ll do everything we can to reschedule sittings just as soon as possible.
@RCPEdin
@RCPEdinTrainees
Can't forgive Johnson for “The noblest prospect which a Scotchman ever sees, is the high road that leads him to England.” but I'm with him on knowledge.
And just because there's more "knowledge" on our phones, doesn't mean to say that doctors need to know less.
Important message in this letter which I signed on behalf of
@RCPEdin
Multimorbidity already is - and will continue to be - the new normal for many patients. Healthcare systems, guidelines and clinical research must all adapt to that reality.
ME/CFS - a multisystem disease, often with an infective or other immune trigger (but trigger may not be identified).
Defining characteristic is (delayed onset) Post-Exertional Malaise (PEM) - exertion can be physical, cognitive, sensory, emotional.
- Karen Leslie
#rcpeMECFSLC
"Doctors who are warmer and more competent are able to set more powerful expectations about medical treatments." Can a Nice Doctor Make Treatments More Effective?
🔬⚗️The challenge of
#delirium
pathophysiology research.
🧠 Multiple routes to brain disruption
Current practice = Rx triggers, normalising physiology, Rx symptoms, rehab.
❓ Will we have effective drugs for delirium in the future?
🔗
I am increasingly uncertain about the difference between what we call “health” care and what we call “social” care.
The distinction appears illogical and anachronistic and ultimately simply serves to permit means testing for “social” but not “health”.
Social care has been let down by successive government of all hues.
The starting point for
#SocialCare
reform needs to be the solid building blocks of a system we can all aspire to and want to invest in, says
@NatashaCurry123
in her latest blog.
Good to see my good friend’s
@abe_verghese
fabulous new novel - The Covenant of Water - on the shelf of a Glasgow bookshop.
Dr Digby Kilgore has come home!
And if you want to understand that comment, give it a read!
So….I bought this orchid in a major supermarket chain about 6 years ago. It has flowered about 3-4 times a year since then, always well, but this time eclipses all past performances. Occasional water, feed it its own petals- that’s it.
Thinking fast and slow is a great book.
And we should all heed this great quote.
“A reliable way of making people believe in falsehoods is frequent repetition, because familiarity is not easily distinguished from truth.”
@CASBSStanford
How much data, repeated how many times do we need to see before we understand that “social” care must be fixed?
And not just to help treat people at the front doors of our hospitals, but to support those people stuck in hospital who don’t want or need to be.
@RCPEdin
@GeriSoc
Situation 'getting worse instead of better'. Another grim set of A&E stats - these statistics would have been unthinkable a few years ago
'Deplorable' A&E waits see one in 20 spending more than 12 hours in emergency units
This report is useful and a timely reminder of the extent of understaffing in older people’s healthcare which must be addressed. We will continue to push for additional action to tackle vacancies and invest in the dedicated workforce that cares for the health of our older people.
Poor care at the front door of our hospitals often reflects poor care at the back door.
We can’t get people in because we can’t get people out.
Both groups deserve better - our
@RCPEdin
manifesto for the general election stresses this crucial matter for the next goverment.
Being forced to treat patients in inappropriate spaces is unsafe, undignified and unacceptable.
Our new report launched today shows the extent to which corridor care has become normalised and demands action to eradicate it across the UK.
Read more.
After direct patient care, the most important role of the doctor is to teach and train those who will follow them. We must ensure that all doctors, and consultants in particular, have the time in their job plans to deliver teaching and training.
Case based learning remains vital - and cases presented by early post-grad colleagues are always special. Congratulations to Drs Deyvani, Agarwal and Roy for speaking so well at our
@RCPEdin
meeting in Cardiff.
A massive thank you and farewell to our Medical Director of 5 years, Prof
@AndrewElder
. We wish him all the best with his Fellowship at Stanford University.
“Care has implicit worth—we will continue to experience the problems we currently see if we fail to grasp that fact.”
@DrDMacaskill
@scottishcare
Honoured, delighted, and no little daunted to be appointed as the Presence CASBS Fellow
@CASBSStanford
A real chance in my life to stand on the shoulders of giants - and study where they studied!
@cuttingforstone