Freedom to Shut Up🏳️🌈🏳️⚧️🎵
@BanjoBlood16
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Doctor who wants to keep patients safe, will call out injustice when they see it. Believes in the NHS and primary and secondary care working together
Joined March 2024
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If you asked a member of the public or most NHS staff what a Cancer Specialist was, most of them would think it referred to an Oncology Doctor. Maybe in certain circumstances a CNS or surgeon. This is lies to patients. Where is
@gmcuk
? They should be all over this!
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@dr_woodall
It's interesting, isn't it, that the GMC ruling about supervision seems to have shot themselves in the foot about this whole project? In one FTP hearing, by saying a doctor HAS to reassess each patient and can't go on PA word, they have removed any use for PAs beyond assistant
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@adamfare1996
For women being refused interventions/scans if you won't have a pregnancy test as your word that you are not having sex is insufficient
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@medicalmodelbri
@geriatricsdoc
I hate the line about workshy and learning. Of course they are soaking up all the learning which is being handed to them while they are consistently there and not on stupid rotas. And it implies that the doctors who are made to work more hours are workshy. Not on. Not. On.
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@DragancaorGames
So he assaulted you? No justification for that at all
Also, your hair colour is fabulous
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@medicalmodelbri
@rcgp
@Parody_RCGP
@DrNeenaJha
@doctor_oxford
@iDrSunny
Doctors listening to this would nod sagely....the initial "trivial" concern masking the deeper real reason for the visit, often coming out as the patient gets up to leave. PA is just annoyed.
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@KatyMontgomerie
According to her, there are no "female" Olympic athletes, ever! I wonder what she thinks women look like if it is none of these people. Does she go out of her house at all?
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@Xeon4f145d96s1
@gmcuk
@MedReddit
I can only come at this from haematology, but our ST3s cannot do this, because we decided it was too soon, we want them to have had a year of proper haem training first and then they are still supervised. PAs, WTAF?????
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@thesalariedGP
This is utterly heartbreaking and the BBC should be ashamed of themselves for that headline. The poor GP should not be further villified and blamed having tried so hard in a desperate situation
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@jkcyriac23
@gmcuk
Once PAs come under regulation by GMC, maybe you will understand just how serious it is to threaten a colleague with investigation by them. Doctors have lost careers and lives due to this and it is not something to be done on a whim due to a disagreement. Please reconsider
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@drokane
Ooh,that gives me an idea about teenage kids of haematologists managing reversal of anticoagulation, they already shout "vitamin K" the minute my phone goes, they are most of the way there, right?
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@IncogAssociate
A GP practice manager is a management position. A TPD has to understand every detail and nuance of the specialty and of the training programme, know the needs of their trainees and have a lived experience which allows them to provide pastoral guidance as well as organisational
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@LukeDashjr
@InternetH0F
And this answer is why better reproductive education is needed in schools
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@iDrSunny
They have "previously sat in with the consultant"?? I have been treating leukaemia for over 2 decades and still sometimes struggle with complex conversations with patients. Giving them someone who has "sat in" to ask questions of is horrendous, shows no respect for patients at
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@DrEmmaNash
I recently facilitated an ECG for one of my patients on antipsychotics as he happened to be coming to our day unit. Apparently psych "couldn't" do it and had done "GP to kindly". We don't give drugs which prolong QT without doing own ECGs, why can't psych do their own??
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There are some really alarming bits in here for me:
"Filing blood results"- not acting on them?
"Cancer care"- seriously? With what qualifications?
"Learning disability reviews"- these are a super specialist area which have no place being undertaken by somebody dabbling
📢 Hola
@OfficialUoM
Your physician associate is bragging about the ability to prescribe anticipatory medications for patients approaching their end of life???
I thought it’s illegal to do so???
We are not happy that they teach medical students.
Thank you.
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@doctor_oxford
@NHSEngland
I am a haematology consultant who treats blood cancers but would not introduce myself as a Cancer Specialist as patients would assume that means Oncology doctor, as would other members of staff
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@lays02273833
@BiCapybara
Yup, we don't want to adopt the TERF warcry of "we can always tell"!
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@Ask_foradoctor
@gmcuk
Surely when Botox is being used for migraines it is no longer aesthetics and therefore CQC should actually be interested in this one?
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@iDrSunny
I saw contrasting ends of the ACP spectrum this weekend, one hugely experienced with the insight to know to come to me with weirdness and several who had no grasp of the basics but were being used in senior positions and quite happy to be there, so utterly dangerous
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@doctor_oxford
How is 8 months sufficient? Vile racism and sexual harassment and abuse which surely is only the tip of the iceberg. GMC decisions make no sense to me. How are female or BAME colleagues or patients going to feel safe with this surgeon?
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@Xeon4f145d96s1
@drmattuk
@doctor_oxford
@trishgreenhalgh
@mmamas1973
@DrAsifQasim
@parthaskar
@DrLKVaughan
@PeterStefanovi2
@carolvorders
If a medical student worked a doctor shift, they would (rightly) never graduate or practice as a doctor, GMC would not allow it. But because PAs are not regulated, trusts are just using them IN TRAINING to pretend to be doctors? With absolutely no consequences for the trust?
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Got an A&G today which was utterly uninterpretable
Written entirely in note form, multiple question marks, no clinical details, no actual question, no blood results. Only bit which made sense was "send A&G to haem"
Not from a doctor, why are we letting this tosh happen??
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@ClinOncDoc
@NHSEngland
@wesstreeting
@TheBMA
I would also ask what arrangements there are for rest should doctors be too tired to drive home at the end of a shift. Lost too many colleagues to this and I seem to remember all trusts were given ring-fenced funds, but nothing appeared in many places
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@RobynMPowell
I love the cognitive dissonance- all disabled people should make efforts to get into work, disabled students claim accomodations to progress towards this, "no, not like that!"
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@Dr_Done_
So breast surgeon takes 5 years med school and 8 years post-grad training with multiple exams. PA gets 8 weeks and is then assessing patients? Seems absolutely fine and above board.
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@Ask_foradoctor
As a Haematologist I am more concerned that he has the hubris to be advising on bloods on the alive patients, with doctors thinking they are getting specialist advice
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@TheBMA
@MFTnhs
There is a very good reason why doctors have always been paid for breaks, it's because we are NEVER uncontactable during them and they are never breaks. Personally I feel that the same should apply across whole NHS as I see nurses have constant interruptions too. Not wellbeing!
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@TheBMA
Thank you for careful consideration. I am sorry staff are being abused. Some of these replies are unnecessary and further adding to the bigoted responses
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@artsngrafts
@JacquesGalois
So you have additional needs since last time and they have taken it off you? Make it make sense!
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@Shrink_at_Large
I have seen utter lies written by assessors about my patients on their PIP reports prior to us doing appeals. This is for severely disabled people who get turned down
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@DrEilidhMaria
So I, as a consultant Haematologist, could be referring a myeloma patient with cord compression to a nurse with no neurosurgery experience who is pretending to be the NS medical middle grade today? Surely the only use they are is to write down patient details for the consultant?
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@annasiancole
We were discussing this today. Given how utterly disabled my daughter is with migraines and then diarrhoea, vomiting and intractable back, abdo and leg pain there is the very real possibility she just wouldn't make it into her A-level exam if it hits wrong.
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@Dr_Done_
Why do they think "exposure to patients" is a way to expand scope??? It's so weird. We are there for the patients, the patients are not there for us, but for lots of PAs, the patients seem to be a tick list of conditions to see without really understanding
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@Ask_foradoctor
What the actual?? I cannot believe that someone posting this on social media remains employed? I was threatened with disciplinary action for asking a question on our trust SoMe as a patient and not declaring I was also staff once!
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@Medic_Russell
I made the mistake of showing this to daughter, who is now having a horrified meltdown screaming "Why? Why would anyone do this to Colin????" I hope you are proud of yourself, Russell! Physics GCSE revision totally trashed now as she struggles with her world shifting on its axis
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@Abster_1983
@DrNeenaJha
@ankitkant
@DrSteveTaylor
This is a brilliant tweet, shows fantastic understanding of your scope and the complexity of a)medicine and b)human beings. Just understanding variations of normal takes robust foundations, before you start going into the pathology
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@nas_vascular
@medicalmodelbri
@ClinOncDoc
@ExplosiveEnema2
Does this mean that potentially when she was assisting in surgery it is because the surgeons thought she was a medical student they were training and not a PA?
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@broadwaybabyto
Please know that there are many doctors just as horrified as you at the politicisation of disabled people and that we are fighting in many corners against government policy becoming medical policy. Many of us are also disabled but that is not the only reason why we fight
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@Gastrografin1
@SuperSouthmead
If I, as a consultant in one specialty, phoned for specialist advice from a registrar in another specialty and got a PA what the heck am I meant to do with that advice? There is no way they will have the expertise to help. So I will bother the consultant. Every time.
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@MrsRieB
Personally, I think every single new building should be wheelchair accessible at ground floor level as a minimum and every new public building accessible throughout as standard. Not even new hospitals are accessible, utterly bonkers
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@Annareporting
@NorthMidNHS
Anyone is entitled to emergency care with or without an NHS number and you shouldn't be being asked these questions. I am sorry and I hope he gets seen soon
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@Ask_foradoctor
I reckon the tattoo parlour where he got his ink done had better set up, cleanliness and sterile field than this absolute mess
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@RussInCheshire
@andreajenkyns
I always have a chuckle with my older or male patients at that question, lightens the mood a bit! You are exactly right, Russ, nobody is asking a 70 yo man if he "identifies as pregnant" it will just be a standard form.
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@Fcuk_my_life
@Noah_Halpin
I have been practicing medicine for over 2 decades, if I have someone with an asthma attack in front of me, I treat with same meds regardless of sex. Detailed resp physiology needs height, weight, Hb etc, but still does not require misgendering.
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@DrAnimeshSingh
I swear the minute doctors tell rota coordinators their wedding dates they are immediately rotad on for that exact date. It happens too many times to be coincidence.
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@iDrSunny
Also a workload of 40-60 patients is way above safe even for senior staff. No time to do the clinical admin for these, definitely no time to get senior reviews. It will be a production line
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@mmamas1973
@RCPhysicians
Well, who would have thunk it? Jamie eh? Have they learned nothing?
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@Sue_Cowley
How would they expect to fit every single paediatric clinic needed and all the patients after 3.30? Simply not enough time of physical space to do so, never mind how bonkers it would be to have NHS staff not seeing anyone the rest of the time
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@medicalmodelbri
@gloshospitals
@RCPCHtweets
@RCPhysicians
@RCEMpresident
@KatherineRCEM
@parthaskar
@LittlePersonDoc
They cannot be the anything Doctor of the day. Because they are NOT a DOCTOR! When will people get this????
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@DrEilidhMaria
Eilidh, I am now a consultant in the hospital I did my SHO rotations in. I think my good working relationships with many different specialties come from just such teaching moments decades ago, that they remember me being "their" SHO, that a relationship was formed and has evolved
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@ExplosiveEnema2
My child has been on the receiving end of a PA doing a subspecialty clinic with no doctor present. Needless to say it was useless and resulted in some utterly pointless tests and no coherent plan. This attitude of letting them have a go is so dangerous
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@SophieMattholie
It is 2024. Disabled people have been graduating for a decent portion of the last century. Why does it come as a surprise to universities every year that one of these people may want to access their graduation ceremony?
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The comments made by members of the public donating their hard-earned money to back this fight should be all GMC need to reverse their decision to regulate PAs without setting scope for training or work. Please read, share and, if you can, donate
@PeterStefanovi2
@wesstreeting
@GillysGuidance
@TheBMA
@gmcuk
Yes, a substantial number of donations have been made by the public as well as doctors.
We collected the comments that donors have made for your reference.
Thanks for your support.
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@jacquelineowo
@carolvorders
@LBC
Highly qualified to do what though? This is the bit that nobody can answer
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@Dr__Sarmy
I remember having to wheel my flatmate from his inpatient bed to see the Dean to explain why he couldn't sit one of his exams in 3rd year. Despite the wristband and the fact he was on IV antibiotics they still tried to argue. They seem to have no humanity
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@medicalmodelbri
Unlike many newly graduated doctors who have no other degrees to fall back on and are currently without confirmed jobs
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@medicalmodelbri
@rcgp
@Parody_RCGP
@DrNeenaJha
@doctor_oxford
@iDrSunny
"Various symptoms lol"?? Also how dare they say internet isn't real life then proceed to put details of their patients' real lives on the internet?
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@edna1234
@AliaWaheed
@GarySpedding
1/3 of the doctors in my department are Muslim women but crack on with your racism
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@DrJCraneBatman
One of our specialist pharmacists is shadowing some of us to build up experience so she can help with prescribing for one bit of the service and I think this is appropriate as she is trying to get better understanding of the "why", she won't be initiating Rx, doing "repeats"
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@doctor_dru_
@wesstreeting
I once turned up on day one, having previously driven over with all my paperwork etc, to find someone else already doing "my" job and the dept saying they had no idea I was coming....I must have hallucinated the meeting with HR and clinical lead 2 months earlier!
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@ExplosiveEnema2
@RCPhysicians
@sashnhs
@KSS_PAS
@Art_Li
@DrAsifQasim
@ClinOncDoc
@DrLKVaughan
@UKGastroDr
@iDrSunny
@parthaskar
@mmamas1973
@BDChadwick
@AlisonGeorge10
Pardon my French but fucking hell, have they learned nothing? Did they deliberately go looking for the biggest COIs possible?
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@medicalmodelbri
On our ward, the non-haem doctors (SHOs) who are usually doing their MRCP and more up to date than us on medical management are invaluable at helping us dinosaur haem docs with the diabetes, heart failure, asthma etc, it's a fab two way learning experience. No way could PA do it
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@guidelinexpert
@ASiTofficial
@RCSnews
@RCSEd
@rcpsglasgow
@RCSI_Irl
@gmcuk
@JCST_Surgery
@CoPSSuk
@NHSE_WTE
"The fun stuff"??? This is the attitude which terrifies me. Patients are not there for the entertainment of staff. We are there to treat their illnesses, to improve their health and, in some cases,to save their lives. Patients should always come first
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@drbruceashford
Not even the ones still going to dance classes weekly for whom a stroke would be a huge impact on their QOL?
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@WorstExcellency
@burningviolins
@lovessmallsong
Um....what men? Why assume there is a man involved?
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@pa_StephenNash
I am a medical professional posting but also a mum of a child who has had care compromised by a PA in a superspecialist clinic. Am I not allowed to comment from both perspectives?
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@Prisca1964
@doctor_dru_
@fox83_fox
Completely bonkers that nursing competencies aren't transferable between trusts
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@Dr__Sarmy
@iDrSunny
There is still a practice in my area refusing to see patients F2F "because of COVID". That's right, 4 years, no F2F appointments. I didn't believe the patients so I phoned up myself to confirm. They are blatant about it. How is it allowed?
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@neurosurgerySpR
@Beaumont_Dublin
They are actually now saying they are putting them on doctors pay scale?
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@Mike88881221
@AlderHey
You can't learn normal and abnormal in one month of clinics. I haven't seen all variations of normal and abnormal in 20 years, but that's OK because I went to med school and also had proper specialty training before "flying solo"
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@ItsnotrightUK
PAs should never be working alone because, all together now, they should "always be working under supervision"
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@EmergMedDr
EpiPen. I have this with my EpiPen. Yes, I am miraculously no longer deathly allergic to nuts, I will be just fine.....
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@zackferguson
In my old-fashioned head, that initial X-ray looks like it has signs of overload other than effusions. Admittedly don't look at as many CXRs as I used to. In ancient times we would have had a lateral view to show the more fluid!
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@PeterStefanovi2
I had a "friend" rant at me about the huge junior doctor pay rises yesterday, at least they had the grace to shut up when I pointed out it wouldn't get them back to what I was earning in 2008
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Has anyone else done the GMC PA consultation, gone to put their name in and then chickened out because they genuinely can't 100% guarantee that the GMC won't come after them for their responses even though they are considered and polite?
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@JennBridge
@RevRichardColes
I like weaponising my handbag, shove it between us with something sharp sticking out
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@drgandalf52
I think that is completely reasonable. I wish we could do the same from our end and say no referrals without a full name, role and professional registration number (getting increasing numbers of nonsense from first name only referrers)
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@TTOTrainee
Absolutely not!! They would have no understanding of the specialty training, curriculum, consultant pathway etc etc
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@Ask_foradoctor
@gmcuk
Even the STs don't do A&G for GPs as it is a consultant to consultant service (or it's meant to be, increasingly we are getting requests from PAs, it would be awful if it was a PA advising a PA)
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@Ask_foradoctor
@_BNUni
One very basic question is how are photos being allowed in the operating theatre for them to post in the first place?
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@medicalmodelbri
@UniBradCareers
If med students are being "taught" by PAs they should be getting their course fees back
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@LouHaigh
@mayorterekhov
Our railways are a disaster, overcrowded trains, cost a fortune to go anywhere, just hope that you get to where you want to go, if disabled you might not be able to get off. But sure, let's sort out someone else's transport system??
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@yuvalsagron
@LogKa11
I loved their contrast, absolutely perfect duo with her colourful braids and grin and his utter nonchalance and ability to blend into the background
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@Wordslinger__
We are quite a small, evenly split team. If anyone goes to make tea, male or female, they will ask if anyone else would like a cup. This includes men who one would assume from their ethnic background would "expect" otherwise.
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@Bubblejet
I had to write a RESPECT form for one of my long term patients to emphasise that they SHOULD be for escalation and resuscitation because the minute anyone saw the wheelchair and communication difficulties all sorts of prejudices came into play. Horrific
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@NicolaSillyBum
@LuLoopie
I informed airline prior once, only to find out (on a transatlantic flight) that there wasn't a single meal available which was nut free. I had bread rolls and a flight attendant's pot noodle because she was horrified that they had put me at risk
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@BenAllenGP
Yes, patient asks for a second opinion, first doctor asks whether they want it within or outside the hospital, refers on appropriately. No need to involve GP
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@KingBobIIV
@EssexPoliceUK
I have heard about cases in the US where it has been used to arrest black men even when they were provably miles from the supposed crime and it has been incredibly difficult to overturn/get police to look elsewhere. Feels like further racism may be incoming
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