Dominic Marley
@DominicMarley
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Consultant Trauma&Ortho Surgeon @Boltonnhsft . @rcseng surgical tutor Married to @emsehmer . Dad of 2 wonderful boys. @mancity ST holder. All views are personal
Manchester via NI
Joined February 2014
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Pinned Tweet
Promised I’d link my little brothers new online shop which specialises in streetwear/vintage clothing. He’s just starting out… good luck 🤞
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I’m a consultant orthopaedic surgeon. I’m triple vaccinated as well as the flu jab to protect my family, patients (young and old), colleagues and anyone I come into contact with by reducing the risk of transmission. I understand that vaccinations aren’t just about me.
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How much do you pay a highly specialist tradesman in the middle of the night when there’s an emergency?
Have no doubt these headlines are designed to be inflammatory
Doctors paid £261 an hour accused of 'profiteering' from strike
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Absolutely delighted to have been appointed as a consultant orthopaedic surgeon with the amazing team
@boltonnhsft
! Has taken a few days to sink in. Looking forward to joining
@MrJCChilds
,
@jruddlesdin
and the rest of the team!
#celebrations
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MIPO is not an excuse to accept a sub-optimal reduction. Osteoblasts don’t have wings.
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@SImonBu14712300
@doctorsp194
@r1chardf1tzg3r1
@SteveBarclay
@AACE_org
@ParamedicsUK
@wesstreeting
@TheBMA
@rcgp
@TheBHF
@TheStrokeAssoc
@RCollEM
Simon I have an MSc in orthopaedics and the FRCS examinations. They don’t even begin to compare.
I can say for absolute certainty an MSc in ortho would not leave you as an equivalent to a registrar. Apples and oranges
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@doctorhelgi
@drgarethroberts
I think you are going to find a lot of senior consultants quite happy and quite a few juniors not so much. I don’t think that’s an accident
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Today seems like a good day to bring back this public service announcement
#ifyouknowyouknow
#orthotwitter
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My son won a Man United kit in the after school club raffle. He didn’t want it (obviously) and came home with these instead 😂
#likefatherlikeson
#CTWD
#MCFC
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Welcome to the world James William JoHn Marley!
#perfect
@EmSehmer
was amazing through a tricky labour
#family
#firstborn
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@LawrenceDunhill
Senior NHS boss doesn’t understand the importance of a relevant clinical history then
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Absolutely delighted to say that I've passed my
#FRCS
Tr&Orth exams. Has been a bloody long hard year. It's been tough for my wife but she's been absolutely amazing.Looking forward to some well earned family time 🙌
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I’m not sure of the source…but to say you are at the same level as a “gp registrar” after 12 months is absurd.
When it comes to Dunning-Kruger this is off the chart. I’m not sure what they teach, or how they teach it… but I was dumbstruck when I started as an FY1
According to this, I could theoretically become a GP partner in 5 years, starting from scratch.
This is quicker than an actual doctor who has just graduated from medical school would be able to (if they can even get a training place).
How this can possibly be right?
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This arrived today. Will be a handy picture book for parents in fracture clinic. Some impressive cases
Thanks
@Davembmd
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She talks like they are children. No acknowledgement EVER from the Tory party how long and how far real terms pay has fallen behind inflation for a decade and has the audacity to suggest we are “chasing it”
Get in the sea
"They shouldn't be on a picket line, they should be in a hospital."
Education secretary, Gillian Keegan, tells
@krishgm
junior doctors should be tackling the backlog of elective surgeries.
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Today our son’s nursery were having a
#keyworker
fancy dress party to celebrate
#CaptainTom100
Hopefully this brightens up your day.
#chipofftheoldblock
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Today I worked on a 2x consultant surgeon trauma list, covered the wards and spoke to several different medical specialties. Patient care was not compromised. I fully support our juniors.
#solidarity
#JuniorDoctorsStrike
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End of an era
@boltonnhsft
!
James Warner is synonymous with hand surgery in the North West and has devoted 24 years to the Trust. From all the trainees and consultants- thank you for all you support/training and guidance throughout your tenure. He leaves several surgical 1/2
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My first list today in our new Elective Care Centre
@boltonnhsft
🔨
Really impressed with the facilities and layout of the unit.
Well on our way to establishing our ambulatory arthroplasty protocols in line with
#GIRFT
#ForABetterBolton
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Preparing a talk for an arthroplasty course on:
“Choosing the right implant”
Tempted to prep 2 slides
First slide being a picture of an Exeter and the second slide “any questions?” 😂
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More pics... this time dads room @ home
@ManCity
#bell
#lee
#summerbee
#hart
#silva
#signedsquad
#CityShowAndTell
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Chelsea actually sold this seat. What a disgrace. Fans travelling down to this view
@ChelseaFC
mocking the away support
@ManCity
#MCFC
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@BritishAlba
@SkyNews
It’s not free speech it’s hate speech, misogyny, violence directed toward women. It’s causing a problem at an adolescent level.
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No x-rays/bloods/bleeps/phones/notes. This is unprecedented. It will be a miracle if no-one comes to harm
#NHS
#CyberAttack
attack
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People won’t wear masks yet my 2yo requests to wear one in public cause everyone else is
#hegetsit
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@AnnaBatchelor
@Davidmarkpye
Where’s the oversight/regulation/indemnity for that? It’s non existent. As it shouldn’t be.
Doctors and surgeons should be taught to do the operations and tasks that will be staple to their work.
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Cases like this, with no clinical history only provide shock/concern to general public.
Treat the patient in-front of you, full medical history, clinical exam. Leaving displaced fractures alone can be a completely appropriate treatment. Without all the info it’s just an x-ray
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“The next NICE guidelines will not have aspirin for VTE prophylaxis after hip arthroplasty” big words from
@xlgriffin
Another shift in the sand in VTE prophylaxis potentially.
#bhs2024
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In shock news... reviewer 1 AND reviewer 2 have recommended publication of a paper with very minor revisions 🤯
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Many thanks to the team at the ED in the RVH
@BelfastTrust
for looking after my mum so promptly. To my orthopaedic colleagues- watch out she’s a handful 😂
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Absolutely delighted to have secured my post CCT
#Fellowship
for August 2019! Just need to make sure i get the CCT now 👍
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So the coolest Dad I know can collect his pension today. Words don’t do him justice. Someone I will always be inspired by.
#happybirthdayDad
#samebirthday
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Having a chat with my trainee this morning about fracture plating. Does anyone view the biomechanics of buttress/anti glide differently? My understanding from AO is they are the same. But others disagree. Thoughts?
@InvictaOrtho
@traumaticum
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Now a month into post! Have survived with the support from great colleagues 😀
What’s very clear from elective clinics is the extent of SEVERE Arthritis with extensive acetabular erosion/femoral collapse with LLD that’s occurred as a result of the delays incurred due to Covid
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@AFCCentralHQ
@CharlieWyett
yep your right I did. Would walk into the Arsenal team tomorrow. As would KDB Kompany silva aguero to start
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I’m oncall the weekend of the strikes. I 💯 support the junior doctors in their fight for
#payrestoration
. As a profession we have to support each other.
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First day on the slopes since 2017 and the first time since J & D were born! Really proud of J on his first full day of “ski school” ⛷ he’s absolutely shattered now 😂
Great to be back
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So ems and are delighted that this one is due in January. Four weeks before the exam should be fine 😂
#delighted
#babydue
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@kostralee
@elonmusk
@JosephR60039766
@dogeofficialceo
The man was an Irish citizen. Has been for 20 years. Don’t let that get in the way of far right propaganda
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Inspired by
@ExeterHipUnit
thread have a little bit of
#ortho
#hip
history from the Museum in the
@wrightington16
hip centre.
The early hip replacements were pioneered by Gluck in the 1980’s. These were made from ivory and cemented in with plaster pumice and Resin 1/
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The Bolton Arthroplasty Course is now celebrating its 20th year! This 2 day course (12-13th May) is being held F2F for the first time since the COVID pandemic. It is aimed at Core trainees/early years registrars wishing to get a better grasp of hip and knee arthroplasty. 1/
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@EdgarMoose43433
@thomasdolphin
Harassment of what? A title? Tom hasn’t named anyone.
In a patient facing role, on paper, the title on the sign is clearly obfuscating.
Whether you like it or not, there is a need and indeed a legal obligation to be clear with patients about your role and qualifications.
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Oncall tonight and got a video message from my 3yo saying that he wants me to “ask the boss of the bone keepers to let me come home” because “he doesn’t want daddy to fix bones when he’s asleep” 😂
All sounds quite sinister 🙈
#ortho
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@GinnyAB
@Bloch_ortho
@gmcuk
Absolutely. If the GMC are going to provide the same service pay the same fee.
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@HelenCocks5
@fessdoc
@ENT_UK
I’m not sure you are in a position to consider Mr Harries decision “reflex and unconsidered” without speaking to him personally.
This is a poor choice of tone.
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The government can get senior doctors back doing waiting list initiatives if they want. Many doctors want to do extra sessions and clear backlogs. Punitive annual allowance taxation is preventing this 👇🏻
Asking for an NHS literally on its knees
@Jeremy_Hunt
...
Do you still agree (with yourself) its "crazy not to fix this" and are you still "on the case", Mr. Chancellor?
RT if you want the chancellor to fix this 👇
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@DrJesseMorse
@NaanDerthaal
@FollowingForFu2
Charging 1000s of dollars for a load on injections isn’t the answer either.
Just because you can doesn’t mean you should.
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End of an era
@boltonnhsft
today.
Bill Ryan has retired. He was a fantastic TPD, a brilliant trainer (x2) and I was very lucky to call him a colleague for the last couple of years.
Their will be a giant hole in orthopaedics in Greater Manchester now that he’s gone. Cheers Bill
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The hand surgeons clearly just want a piece of the best operation going 😝
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Arthroplasty surgeons what do you think have been are will be the biggest advances in knee Arthroplasty in the next 10 years? Robotics? Implant design? Rehab/recovery protocols?
@CenterRotation
@EdinburghKnee
@PhilWalmsley4
@Bloch_ortho
@jointdocShields
?
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Wrote a book chapter on fellowship looking at “evolving trends in knee arthroplasty” glad to say it’s made it into this new book 😄
Few other names I recognise in there
@GeorgePavlou76
😂
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@RobbieSavage8
game rearranged at short notice. I've 14 hr working day tomorrow and got home at seven. Happy?
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@misspaulalondon
@iDrSunny
@goldstone_tony
@_VivekTrivedi
@RobLaurensonD4P
@Vish_Sharm
@trentconsultant
@DrPhilBanfield
@ERunswickBMA
@Doctors_Vote
@BMA_JuniorDocs
@NHSMillion
@10DowningStreet
@RockyWasYer
I’d love to see your statistics Paula….
Prove him wrong?
Media love to quote all sorts of wrongs when it comes to doctors pay.
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My role as surgical tutor is to promote and protect the training of the future generations of surgeons. PA scope creep has been demonstrated to be a real issue.
I will not compromise the training of surgeons for a quick fix. The only appropriate solution is very
🧵1/3 Last night, the House of Lords approved the anaesthesia associate and physician associate order. Regulation will help assure the public that AAs & PAs have the required knowledge, skills and experience to work safely. It will also help to increase the contribution PAs & AAs
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Sometimes you don’t realise what was on your doorstep until you move away. Good to be back
#home
#northcoast
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Thursday is my last oncall shift as a fellow/Reg! Then much needed catch up with other families. First stop- a week in Ireland and then off to 🇨🇦 To see the in-laws for a few weeks 🙌🏻
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Happy birthday to the coolest kid I know! I cannot believe he’s 4 already. Highly recommend
#bibblecakes
in
#saletown
-she did his amazing paw patrol cake last year and now
#legobatman
for 2022
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Fantastic talk on spino-pelvic relationship and impingement in THR. Really made it clear how 3D templating may change you operative decision making
#hipsurgery
#WAIM22
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@theveindoc
@SteelCity_ENT
No he’s not David. You left the NHS a long time ago and clearly have no idea what it’s like currently.
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This is a sticky looking cup 👍🏻
I think it’s going to have to go on the shelf as part of our revision portfolio
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Its crazy to think this picture was taken two years ago. Time flies. So much has changed including the birth of our wonderful boy James. Hopefully many many more to come!!
#timeflies
#anniversary
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Congratulations to
@Kimbo26
our elective orthopaedic ward manager. She’s not been in this role long but she’s absolutely committed to improving our patient experience, delivering ambulatory care pathways and reducing overall LOS. She’s been a fantastic addition to our team
👏🏻👏🏻🥂
@tyroneroberts2
@OurBolton_NHS
@AlteraDH_UK
@wheatcroft_r
Our Anaesthetics and Surgical Division Diamond winner is Kim Ashcroft, Ward Manager.
Kim is someone who always works with dedication and goes the extra mile to support division. Under her excellent leadership, F6 has achieved gold on BoSCA.
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@AndyParrott1
@poorscousertom
That’s incorrect. An anterior fat pad is commonly normal. A raised posterior fat pad is indicative of a fracture
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@LFCStanleyHouse
@SheikhZammo
Its an amazing part of our history and not a single city fan I know would have it any other way. Makes us value everything we have. Dont think we had a god given right like the fans of your 'big club'
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I married well 💚
Came home to Irish stew fresh soda bread and a Guinness 👏
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@mancunianmedic
@trentconsultant
I’m not accepting it.
It does nothing for me on the short term and not a great deal over an entire career.
The public require a functioning healthcare service. I’ve not had a patient receiving care complain about the strikes.
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Have officially finished two years
@wrightington16
! Had an amazing time there. Can’t recommend it enough.
@GeorgePavlou76
and
@Sunil_Panchani
are fantastic trainers. Lots more mentorship from the wider MDT incl
@anilgambhir9
@tim_n_board
@tonyclayson1
and many more not on Twitter
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Really enjoyed
#manchestergreatrun
Managed it under an hr and raised a few quid for
@macmillancancer
in the process. Thanks -
#Rudy
sale for the free pizzas 🙌🏻
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@RockyWasYer
@misspaulalondon
@iDrSunny
@goldstone_tony
@_VivekTrivedi
@RobLaurensonD4P
@Vish_Sharm
@trentconsultant
@DrPhilBanfield
@ERunswickBMA
@Doctors_Vote
@BMA_JuniorDocs
@NHSMillion
@10DowningStreet
But it’s not… because she’s been told why it’s counter intuitive. Just suits her narrative. Happy to leave this where as always
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@MCFC
my little brother never did like wearing his brothers clothes
#mcfc
#ctid
http://t.co/UHKBwpTEpL
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Book chapter finished ✅
Paper submitted ✅
Abstract submitted ✅
I must be coming down with something 😂
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Yesterday morning the beautiful
@EmSehmer
made me a very very happy man by saying YES on
@grousemountain
#engaged
http://t.co/IDghrBqzAM
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