Dr Marian Dover Profile Banner
Dr Marian Dover Profile
Dr Marian Dover

@DoverMarian

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Musings & Opinions of a Rural Doctor 😷🤰🏥 | Born at 351ppm | Coptic 🇪🇬🇦🇺| Guest on Birpai Land #VotedYesAustralia2023

Birpai Land (Australia)
Joined September 2018
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@DoverMarian
Dr Marian Dover
4 years
Just so we're on the same page, Rural Generalists are those badass, hold-the-chopper-while-I-stabilise-this-critically-unwell-patient, close to their home, serving a community, saving a tonne of $$, there where they're needed most, type doctors. #DestinationRural #JustaGP
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@DoverMarian
Dr Marian Dover
2 years
This Xmas I sutured wounds, reduced fractures, faced Covid, delivered babies, vaccinated, saved a man from sepsis, cried with a couple miscarrying, & held the hand of a dying cancer patient. Maybe I could’ve done more. But don’t limit & defund me to do less. #MedTwitter #RuralGP
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@DoverMarian
Dr Marian Dover
10 months
Why do I mask? I’m 48 hours into my 64 hour on call weekend in O&G. I’ve examined 3 people with confirmed Covid infections, 2 of them pregnant. PPE has prevented me from contracting or passing it on to my family. Thankful for masks😷 🙏🏻 #COVIDisAirborne #MedTwitter
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@DoverMarian
Dr Marian Dover
3 months
I’m still masking at work. I don’t really mind if you don’t, but please allow me the freedom to continue. Because preventing countless unnecessary insult to my immune system, and that of my loved ones, is a choice I’ve made. #MedTwitter 😷
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@DoverMarian
Dr Marian Dover
2 years
I come from a migrant very low income, welfare dependent family. I'm now a doctor. We fit in just fine, thanks Wendy.
@SimoLove
Simon Love
2 years
During a debate on a Greens Public Housing bill, Liberal MP @WendyLovellMP told @vicparliament : “There is no point putting a very low income, probably welfare-dependent family in the best street in Brighton..” @10newsfirstmelb #springst
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@DoverMarian
Dr Marian Dover
5 years
After the #suicide of another medical colleague, I want EVERYONE to read this. You are good enough. Messy house - who cares Bit of screen time - so what No groceries done - get tuckshop Feeling sad - ask for help Not coping - ask for help Please, please, ask for help. 🙋🌈🤝
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@DoverMarian
Dr Marian Dover
1 year
The mask mandates may be gone but I’m grateful to still have access to an N95 at work. I assessed people from the ages of 1 week to 98 years old today. I’ll continue to wear a mask to help protect myself, my family, my community and our most vulnerable. #MedTwitter
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@DoverMarian
Dr Marian Dover
2 years
Just in case you haven’t heard me say this: I’m an Australian trained [junior-ish] Doctor. I don’t want to run a business I don’t want to monetise clinical interactions I don’t want to chase my dollar from individuals patients I don’t want ppl worrying about cost of seeing me
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@DoverMarian
Dr Marian Dover
2 years
I walked away from being a nursing home GP because they deserve bulk billing & I can’t afford it. I’m a mum, with a mortgage & bills hanging over my head, still paying my HECS. Call me greedy. Do it. Because you’d be part of the reason I walk away altogether. @Mark_Butler_MP
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@DoverMarian
Dr Marian Dover
10 months
Covid-19 is on the rise again. If we have increasing cases of a highly contagious virus with potential for systemic inflammatory, autoimmune & lethal effects, our health system has a responsibility to protect patients. #MaskUp #COVIDisAirborne #MedTwitter @Mark_Butler_MP
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@NSWHealth
NSW Health
10 months
Emergency department presentations for COVID-19 increased across most age groups, particularly young children and those aged 65-years and older.
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@DoverMarian
Dr Marian Dover
2 months
Y’all masking? 😷 I mask to keep my germs to myself, and reduce the risk of taking germs home to my family. Masking can feel isolating but in high risk settings, it’s part of healthcare provision. #YallMasking @YouAreLobbyLud
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@DoverMarian
Dr Marian Dover
4 months
I could cry 😭 The Commonwealth Government has officially paid off the remainder of my HECS debt! Over $15,000 wiped 😭❤️🙏🏻 Today I feel valued. Today I’ve added another reason for our next generation to choose Rural. @RuralDoctorsAus
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@DoverMarian
Dr Marian Dover
5 years
It's 2019. I was asked by a potential employer if I intend to get pregnant and take maternity leave. Let that sink in. #MedTwitter #genderbias #maternityleave #WomenInMedicine
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@DoverMarian
Dr Marian Dover
2 years
It’s amusing when people spit this delusional narrative of judging a person’s income by the car they drive. Your car reflects your *financial decisions*. People finance cars beyond their means. But anywhoooo here’s my 2006 Yaris. She’s been good to me. Sincerely, A GP
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@DoverMarian
Dr Marian Dover
2 years
Let me break this down for you, Australia. I’m one of a diminishing breed of trainee doctor who chose to specialise in GP. The current billing model has me doubting my choice. It’s not because I dislike the work. It’s because I never signed up to become a small business owner.
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@DoverMarian
Dr Marian Dover
1 year
I wear scrubs and an N95. I manage depression, heart failure, diabetes, psoriasis, asthma and pre-eclampsia. I am cost efficient. I am cost saving. I’m trendy and worth the investment, as is every GP. @Mark_Butler_MP @JEChalmers #Medtwitter
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@joegarra61
Joe Garra
1 year
Everyone knows that primary care is the key, but somehow we aren't "trendy" enough to get the necessary investment. We need to wear scrubs and hard hats
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@DoverMarian
Dr Marian Dover
9 months
This Rural Generalist is back in maternity this weekend and I wanted to send an appreciation post to @NSWHealth for reinstating mask mandates in our hospital again. Thank you for protecting our staff and our patients in this important way 🙏🏻🌸✌️😷
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@DoverMarian
Dr Marian Dover
5 years
Where I grew up, I couldn't find a university that would train me as a doctor. Now as a doctor, I chose a field where they couldn't find enough doctors to train. The gratitude is reciprocal. That's why I'm a Rural Generalist. #destinationrural #justaGP #medtwitter
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@DoverMarian
Dr Marian Dover
2 years
If you are the help, please, for the love of medicine, understand that your refusal to assist is a *patient safety* issue. It’s not about you, or the person calling you, or the hospital, or the economy, or the resources, it’s about PATIENT SAFETY 🙏🏻💔 3/3 #MedTwitter 🧵
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@DoverMarian
Dr Marian Dover
2 years
ALS2 course: “Where do u work, so I can make this scenario realistic 4u?” “Rural GP” “Oh.. 89yo Doris from nursing home is brought to ED unresponsive” Umm, that’s not realistic. “Doris & I put together an adv care directive ages ago. She doesn’t want to die in ED” #MedTwitter
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@DoverMarian
Dr Marian Dover
2 years
I’ve said it before & I’ll say it again. Let’s open up salaried GP led clinics in disadvantaged areas, with fair remuneration, preserved leave entitlements, safe work hrs & good infrastructure. Let’s fix Primary Care Don’t let me die on this hill. @Mark_Butler_MP @RACGP @ACRRM
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@DoverMarian
Dr Marian Dover
2 years
I once called a consultant for help in the middle of the night, with a premature labour I couldn’t manage. The help refused to come & I was told I’m too junior 💔💔 If you’re the help, please understand you may be called for one of two reasons: 1/3 🧵 #MedTwitter
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@DoverMarian
Dr Marian Dover
3 years
Non-GP Specialist: No, I only deal with glioblastoma multiforme in <12yo. Try oncology? Rural Generalist: We've got a 48M w a haemothorax + fractured radius. We've intubated, inserted an art line + chest drain & reduced the #. His dog's also here, fed & looked after in our ED.
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@DoverMarian
Dr Marian Dover
2 years
Anaesthetist glares at me over the drapes as we prep for a Caesarean section. “Didn’t I see you working in the emergency department yesterday?” Yes, love, I’m a Rural Generalist. #SwissArmyKnife #MedTwitter #DestinationRural
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@DoverMarian
Dr Marian Dover
2 years
I failed a Fellowship exam. Beautiful colleagues & mentors telling me it’s not reflective of my competence as a clinician.. which leaves me feeling more devastated. Anyway, pls send me some inspiring quotes. Feeling a bit lost. #MedTwitter
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@DoverMarian
Dr Marian Dover
2 years
I’ve diagnosed, palpated, sutured, delivered, palliated, consoled & held. Patients who asked to see me by name. Patients who asked me to be their family doctor. Womb to Grave. From dying to living. Are you sure you don’t want to be a GP? #MedTwitter
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@DoverMarian
Dr Marian Dover
2 years
When someone asks what I do for a living, I will henceforth be responding with: "I'm the kind of GP that can do a Caesarean section, reduce a fracture and manage a cardiac arrest." We exist. We will continue to exist. Come join us. #DestinationRural #MedTwitter @RACGP @ACRRM
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@DoverMarian
Dr Marian Dover
5 years
One of my patients had a 1.6L Postpartum Haemorrhage. But because her #justagp optimised her Haemoglobin antenatally, she went into labour with Hb 147 and didn't need a blood transfusion. I didn't save her life. Her GP did 🙌🙌🙌 @RACGP @ACRRM #MedTwitter #gorural
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@DoverMarian
Dr Marian Dover
2 years
Either: 1) The patient is really unwell and needs specialist care, in which case your help is needed Or 2) The doctor calling you for help doesn’t know what they’re doing, in which case your help is needed #MedTwitter 2/3 🧵
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@DoverMarian
Dr Marian Dover
3 years
If you call in sick, and admin responds by making someone else work twice as hard, the problem isn't COVID. COVID is the scapegoat for years of poor workforce planning, staff burnout and underfunding. It certainly didn't help, but the problem isn't COVID. #auspol #MedTwitter
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@DoverMarian
Dr Marian Dover
3 years
Metro: "I don't care if the patient is known to me. She's a public patient & I'm not on call." *hangs up phone* Rural: "Marian I heard the chopper flying over. I'm home & happy to help. Can I give you a hand with anything, even if it's to bring you lunch?" #DestinationRural
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@DoverMarian
Dr Marian Dover
2 years
A visionary Doctor I know introduced a roster wherein FACEMs & Emergency Adv Trainees had to do 1day/month in a smaller rural hospitals of the network. The effect was rapid. No requests for transfer denied. Camaraderie & respect for rural peers grew. #MedTwitter @ACEMPresident
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@DoverMarian
Dr Marian Dover
9 months
I got blasted for saying this on social media before. Med schools aren't choosing the right people to become doctors. With < 10% of med students coming from under-privileged areas, it's no wonder shortages in rural medicine persist @Mark_Butler_MP
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@DoverMarian
Dr Marian Dover
10 months
The issue of increasing #COVID19 remains divisive. Although I'm sad to see misinformation & mistrust amongst some, it gives me hope that many respect and share the decision to don PPE and #MaskUp . Disrespect is an automatic Block. #MedTwitter
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@DoverMarian
Dr Marian Dover
5 months
Happy Easter, all! Shoutout to all staff working over the weekend, the kitchen staff, the nurses, midwives, pharmacists, drs, physios, social workers, admin, wards people, cleaners, security who have saved my backside countless times. Much love from this rural doc 🙏🏻❤️🌈✌️
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@DoverMarian
Dr Marian Dover
1 year
Person: “Ok, so what do you folk do for work?” Husband: “Pharmacist & a Doctor” Person: *looks at me* “Wow, must be nice being married to a Doctor, hey!” Me: “I wouldn’t know. I am the Doctor.” Come on, society. It’s 2023. #MedTwitter
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@DoverMarian
Dr Marian Dover
1 year
Our hospital kitchen and catering staff are absolute legends! But can we get a dietician to oversee the menus? Maybe eliminate the white bread, biscuits and chocolate milk they’re giving a patient with diabetes admitted for insulin titration? 😭 @NSWHealth
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@DoverMarian
Dr Marian Dover
2 years
This is really important #MedTwitter GPs are not asking for more money. We are asking for Primary Care to remain affordable for vulnerable people. We will charge what it takes to keep our businesses & doors open, but the rebate needs to be equitable. @Mark_Butler_MP 🧵 1/3
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@DoverMarian
Dr Marian Dover
2 years
The average ED presentation is $550+ & hours long. A standard consult with a GP is less than $50, lasts <30mins and promotes continuity, preventative care & longer life expectancy. Tell me again why we aren’t shifting our investment into Primary Care? 🩺🏥🩻 @Mark_Butler_MP
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@DoverMarian
Dr Marian Dover
2 years
The fact that our Aussie medical grads don’t want to be GPs should be terrifying. You have a suicidal teenager? Your dad had a stroke? The pregnancy test is positive? Your newborn won’t sleep? Take a number and wait your turn in ED. The GPs voted with their feet 🎤 #auspol
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@DoverMarian
Dr Marian Dover
10 months
I chose to be a GP over any other Specialty. I have super-powers like composing Mental Healthcare Plans, Leading an Emergency Resus, Pregnancy Counselling, Team Care Arrangements, Indefinite Referrals. When will the govt value my worth and fix Medicare? #auspol
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@DoverMarian
Dr Marian Dover
1 year
Dear #MedTwitter Have you ever seen discharge plans like: - “Follow up with GP in 24hrs” - “GP to chase [critical] result” - “GP to arrange [imaging that a GP request won’t attract a patient mbs rebate for]? These plans aren’t just bemusing, they’re dangerous. Pls think twice.
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@DoverMarian
Dr Marian Dover
2 years
“Fees and bulk-billing rates give an indication of the balance of supply and demand, because they indicate how much competition there is between GPs.” No @GrattanInst . You’ve got that wrong. I bulk billed a widowed refugee w 4 kids because I’m a human with empathy. #MedTwitter
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@DoverMarian
Dr Marian Dover
2 years
In fact, the number of student doctors choosing to specialise in GP has dropped from ~80% to ~15%. As a group, doctors are trying to tell society that we want to focus on our job, and not our earnings. We want to treat you, without worrying about whether you can afford it.
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@DoverMarian
Dr Marian Dover
1 year
So privileged to be working this weekend doing what I love. I’m not a Midwife I’m not an ObGyn Consultant I’m not a Doula I’m proud to be a Rural Generalist @ACRRM trainee with Obstetric, GP & ED Skills, working rurally to keep people close to home. Happy Easter #MedTwitter 🐣
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@DoverMarian
Dr Marian Dover
2 years
Did an ALS2 course in Sydney this week with a room full of PGY2 junior doctors. - none of them applying for GP - none of them had done a GP term since becoming a Dr - none of them knew a GP could do anaesthetics or operative O&G work What have we done to Primary Care #auspol
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@DoverMarian
Dr Marian Dover
2 years
But here we are, bickering about Bulk Billing, gap fees, “rich doctors being greedy asking for more $$”.. And slowly the GPs of the future are steering clear of the mess that has become of the Medicare system.
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@DoverMarian
Dr Marian Dover
2 years
Working in a small town of about ~2000 people & everyone I saw in ED over Christmas has either apologised for making me come in to see them, or thanked me multiple times. These rural towns deserve excellent medical care, as much as anywhere else. It’s been a Xmas well spent 🥲
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@DoverMarian
Dr Marian Dover
1 year
Rural Generalists are the *only* medical Specialists who can: 1. Run a rural emergency dept 2. Keep a rural maternity open 3. Keep an operating theatre functioning 4. Keep patients out of hospital Versatile, cost saving ✅ Back a Rural Generalist and you’re backing a Winner.
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@DoverMarian
Dr Marian Dover
6 years
#GP is NOT the easy, fall back option. Please stop telling me that #GeneralPractice is good for me because I'm a woman and a mum! I've gone days without seeing my 2yo son & my on call days are long and trying. It's damn hard work but I chose it because I love what I do.
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@DoverMarian
Dr Marian Dover
3 months
Doctors of all specialties: “Follow up GP tomorrow” “GP to chase results and contact patient” “See your GP in 48hrs” None of these are safe plans. GPs aren’t sitting around waiting for work. Put more juniors in GP so they can understand our specialty.
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@DoverMarian
Dr Marian Dover
2 years
*Rural Emergency Triage System* CAT3(urgent): requires attn within 30mins. CAT2(emergency): req attn within 10mins. CAT1(need for resus): req attn immediately. FARMER(help): req attn yesterday. Call retrieval, this is not a drill. I repeat, THIS IS NOT A DRILL. #MedTwitter
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@DoverMarian
Dr Marian Dover
5 years
#MedTwitter 🙋‍♂️🙋‍♀️ Instead of asking: "Do you want to do GP or specialty training?" Try: "Have you chosen to specialise in GP or something else?" Let's give our primary care colleagues the respect they're worth. Thanks for listening to my TedTalk.✌️ #notjustaGP @RACGP @ACRRM
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@DoverMarian
Dr Marian Dover
2 years
Rural medicine is for everyone. You don’t have to be from the country (I wasn’t!) and you don’t need to be here forever. We will welcome you with open arms if only you come with an open heart. #DestinationRural
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@DoverMarian
Dr Marian Dover
11 months
Many doctors don’t understand Rural Generalism. The vast geographical distances of Australia warrant the need for a doctor who can stand between you & a wide array of disasters, from delivering a premature baby, to being the gentle guide through your last days, We are..
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@DoverMarian
Dr Marian Dover
1 year
Detected new AF whilst checking his blood pressure. Prevented the stroke he would’ve had. Convinced a woman to have her overdue Pap smear and she’s just had a hysterectomy for cervical ca. GP work isn’t invisible. We save lives every day. @ACRRM @RACGP
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@DoverMarian
Dr Marian Dover
1 year
Australia’s coming Referendum is literally a question of whether we can listen to people who were victims of colonisation and trauma. Literally just listen. Someone explain to me why this has caused any debate? #VoteYesAustralia #Referendum #auspol
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@DoverMarian
Dr Marian Dover
2 years
Which wine pairs well with “I am going on a cruise next week so can you please bulk bill me?” 😭😭
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@DoverMarian
Dr Marian Dover
2 years
No, Doctor, your 2 hour university lecture doesn’t equate to this patient’s lived experience of 37 years, or the 30 years of ICU nursing of that colleague. Humility goes a long way in medicine. #MedTwitter
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@DoverMarian
Dr Marian Dover
3 years
Can you please come and be our doctor? I made the decision to leave the city more than 10 years ago and have never regretted it. If you see obstacles, join me in advocacy so we can make things right! #MedTwitter #DestinationRural #auspol
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@DoverMarian
Dr Marian Dover
3 years
This is me at almost 40 weeks pregnant. - No I'm not "about to pop" - No I'm not "HUGE!" - And yes, I'm absolutely "sure it's not twins" Surprisingly those comments still hurt, whether you're pregnant or not. If ever in doubt, choose kindness.
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@DoverMarian
Dr Marian Dover
3 months
Australia has 2.5 doctors per 1,000 people in rural/remote areas, & 4.1 per 1,000 in metro areas. Armed with procedural obstetric, emergency and GP skills, I am proud to be a Doctor addressing the healthcare inequity between rural & urban Australia. @ACRRM @RACGP
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@DoverMarian
Dr Marian Dover
3 years
I'm going to say it louder, for those at the back. I am a young rural doctor who is Australian trained. I don't get sick leave. I don't get maternity leave. Medicare doesn't appeal to me. Please offer me a salary. @BradHazzard @GregHuntMP @DaveGillespieMP #auspol
@mariamtokhi
Dr Mariam Tokhi
3 years
What we need is (hospitalist equivalent) salaried positions for GPs in areas of high need. Medicare doesn't work: it forces churn and burn care. There. I said it.
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@DoverMarian
Dr Marian Dover
2 years
It’s taken me years to realise that saying “I don’t know” as a doctor isn’t a deep affirmation of my deficiencies & failures. “I don’t know” means I’ve listened, really listened, put my ego aside, and set goals to correct this deficiency because I’m curious & I care. #MedTwitter
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@DoverMarian
Dr Marian Dover
2 years
@stathistav I think I still have PTSD recalling that night 😖 I called the help 4x, then the tertiary centre for more advice. Long night but thankfully ended with good outcome for mum + bub. I fed back to the head of dept, who said I needed training and blacklisted me.
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@DoverMarian
Dr Marian Dover
4 months
We delivered babies, we cried over lost ones, we hoped for conceptions that weren’t happening, & saved a life from catastrophic bleeding. That was 3 days in O&G, now I’m back to GP to do the vital work that supports hospitals Womb to Tomb My happy place is Rural Generalism
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@DoverMarian
Dr Marian Dover
2 years
As a final year med student, I delivered babies, was the 1st assist for surgeries, intubated, sutured, on 1st name basis with consultants, who all knew my career aspirations & goals. I also had a baby that year. Call me biased but #DestinationRural is unbeatable. #MedTwitter
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@DoverMarian
Dr Marian Dover
4 months
I have become the doctor I am today, not in spite of being rural, but, because I’m rural. I wouldn’t have seen as much fulfilment, or sense of community, or connection, or breadth of experience, or clinical courage if I stayed urban. Not in spite of, but because I’m rural 💪🌈
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@DoverMarian
Dr Marian Dover
2 years
Many doctors are tired. Many GPs are leaving. But that means there will be more demand for my broad skillset, my love for rural medicine, my passion for providing access to people in every postcode. I love what I do & I’ll be here when you’re ready to join me 😘 #MedTwitter
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@DoverMarian
Dr Marian Dover
5 years
"Did you choose to come out here?" Yes, #rural Australia, it is a tremendous privilege to serve you as a #doctor . It's not a punishment, nor imperative. I choose rural because being a doctor is about helping where you're needed most. Thank you for the privilege. #gorural ❤️
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@DoverMarian
Dr Marian Dover
4 years
Take a med student with interest in rural medicine - make them study in the city - give them zero rural mentors - tell them repeatedly that specialists must network in the city to get a job - offer limited rural placements You've done them & society a great injustice #auspol
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@DoverMarian
Dr Marian Dover
5 years
Absolutely living the dream about to start life as a GP Registrar with Obstetric skills in a rural town with a population of 5,000 people. The continuity & relationships I'll build have me buzzing with excitement! #justaGP #RuralGeneralist #DestinationRural #gorural 🤰👩🏽‍⚕️🚨🚑🏥
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@DoverMarian
Dr Marian Dover
7 months
Top Tip #MedTwitter “Your talents are wasted in GP” isn’t a compliment, and it makes you look like a class A clown. Just don’t ✌️ Signed, Every GP
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@DoverMarian
Dr Marian Dover
2 years
Show me a pharmacist counselling women on all contraceptive options including LARCs, screen for DV, check BP, offer & arrange STI screening, check CST status, shadowing a GP doing implanons & IUDs, and I’ll happily endorse them to prescribe the pill👌 @PharmGuildAus @Dom_Perrottet
@YvetteDAth
Yvette D'Ath MP
2 years
BREAKING: The LNP have refused to endorse our North Queensland pharmacy scope of practice trial, which will allow pharmacists to prescribe the contraceptive pill without women having to pay for a GP appointment
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Dr Marian Dover
2 years
This week I: - was the sole ED doctor - delivered a baby - inserted IUDs - gave analgesic joint injections - kept people out of hospital - admitted people to hospital Name me another career where I can do all the above. I’ll wait. #DestinationRural #MedTwitter
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@DoverMarian
Dr Marian Dover
3 years
Take a medical intern: 🙅‍♀️ Give them zero exposure to GP terms 🙅‍♀️Offer a drop in income to enter GP 🙅‍♀️Remove all their leave entitlements leaving the hospital And this, ladies & gentlemen, is what we've done to Primary Care. #auspol #justaGP
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@DoverMarian
Dr Marian Dover
2 years
Deleted an earlier tweet which offended a subset of [very intelligent, highly skilled, excellent] doctors. I do apologise. We need to promote more diversity in our medical school applicants. More refugees, caregivers, ATSI people.. diversity that reflects our community’s needs.
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@DoverMarian
Dr Marian Dover
4 months
Let me repeat this clearly: A doctor’s training is not “superior” to that of a Pharmacist or Nurse or Psychologist or Allied Health. It’s not a turf war. It’s not a competition. It’s not for substituting. Our training is different and together we work better.
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@DoverMarian
Dr Marian Dover
1 year
Watching the mist hovering over the hillside after a 72 hours on call. We consoled, we resuscitated, we took away pain, and saved a life or two. Doing work that’s appreciated in a country town is pretty unbeatable. #MedTwitter #DestinationRural @ACRRM
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@DoverMarian
Dr Marian Dover
1 year
I called 5 pharmacies in a regional town to source MS-2Step for a vulnerable patient today. She travelled over 150km to see me. Her GP said no. 2 pharmacies wouldn’t order it in. Seems there is still a way to go for Australian women to access essential services. #MedTwitter
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@DoverMarian
Dr Marian Dover
4 years
We literally saved a kid's arm the other day. One minute there was no pulse & her hand was blue, we sedated her, reduced her nasty fracture dislocation, and her arm was SAVED. Our rural team is freakin' AMAZING! I love my job. #DestinationRural #GoRural
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@DoverMarian
Dr Marian Dover
2 years
When you see a state funded doctor & you have respiratory symptoms, they wear: - a fit-tested N95 mask - a gown - gloves - a face shield/goggles - the safety net of sick leave pay if they need it Can we arm our GPs with the same before we expect they take the same risk? #auspol
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@DoverMarian
Dr Marian Dover
2 years
If we open up salaried GP led clinics in disadvantaged areas, with fair remuneration, preserved leave entitlements, safe work hours and good infrastructure, junior doctors will favour Primary Care as an attractive specialty option again. I will die on this hill. #MedTwitter
@imaanjoshi
imaan joshi 💉💉 💉
2 years
@ozjohnd I think it’ll move to a two tiered system with publicly funded GP clinics with FRACGP on salaries perhaps to serve the worst disadvantaged and the rest will move to gap fee paying. The “greedy Dr” arguments don’t mean much now when the alternative is that clinics will close. 🤷🏽‍♀️
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@DoverMarian
Dr Marian Dover
8 months
Primary Care in Australia needs Resuscitation No more half-baked, poorly delivered, economist driven policies without follow through. I tried to handover a patient of mine to a GP in Dubbo, called 7 practices, all closed books, so she drives 6 hours to see me every 6 months.
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@DoverMarian
Dr Marian Dover
2 years
Any arrangement where the clinician, directly or indirectly, financially profits from writing a prescription is fraught with risk. Consider your motives. @Mark_Butler_MP @nick_coatsworth @PharmGuildAus @RACGPPresident @ama_media
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@DoverMarian
Dr Marian Dover
4 months
After witnessing a couple of strong women transition to motherhood, this rural doctor is signing off for the night ✌️ Happy Mothers Day to all the mums here. And to all those who have lost, all those who are longing, we see you 🌈 ❤️
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@DoverMarian
Dr Marian Dover
1 year
I’m determined to no longer be the “rarity”, a locally trained doctor who was given positive, supported rural placements early in my training that cemented my passion to be a Rural Generalist. This needs to be the norm, not a rarity @Mark_Butler_MP @RuralDoctorsAus @RACGP @ACRRM
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@DoverMarian
Dr Marian Dover
2 years
Unnecessary hospital visits cost around $540 per presentation. That’s it. That’s the Tweet. #justaGP #MedTwitter @Mark_Butler_MP @Dom_Perrottet @bronnietaylor
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@DoverMarian
Dr Marian Dover
4 months
I didn’t work this weekend. It’s Orthodox Easter. After working almost every public holiday, I’m so thankful to the team who worked in my place to keep our services going. We’re stronger and happier as a diverse rural community. Happy Orthodox Easter 🐣
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@DoverMarian
Dr Marian Dover
1 year
An unwell patient is brought to a rural ED, retrieval often hours away. My training equips me with the skills to stabilise them. Med students to this day carry the “just a GP” “call a metro hospital Specialist” misconception. Without the exposure, this won’t change #MedTwitter
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@DoverMarian
Dr Marian Dover
1 year
Seems we still have some work to do in recognising what GP Specialists can diagnose & manage. My patients would benefit from me certifying this form after I diagnosed their T1 Diabetes, or their Spine MRI for suspected Multiple Sclerosis. Maybe one day @Mark_Butler_MP
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@DoverMarian
Dr Marian Dover
2 years
I still love the double take I get from students, colleagues & patients they find out I work in Emergency and Obstetrics on the weekend. Nothing quite like having skills across different disciplines to meet the needs of a community. I am so grateful for the variety in my job.
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@DoverMarian
Dr Marian Dover
2 years
Patient in ED says to me: “Feels like you’ve figured me out in 5minutes, doc. You’re awesome. You should totally become a GP!” Made this GP registrar’s day. 🥰🫶😊 #MedTwitter #JustaGP
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@DoverMarian
Dr Marian Dover
5 years
Did a Caesarean section at the end of my 24 hours on call, having spent 17 hours in the hospital that day. If we don't allow a tired pilot to fly a plane, why do we allow [or expect] a tired surgeon to operate? #SoMe4Surgery #SoMe #MedTwitter #crazysocks4docs
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@DoverMarian
Dr Marian Dover
2 years
“I had no idea you could do that!” Yes, as a GP, you CAN: ✅do operative obstetrics ✅manage an emergency department ✅take on teaching, leadership, research roles ✅do complex flap repairs & grafts ✅perform endoscopies ✅empower women with reproductive choice @ACRRM @RACGP
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@DoverMarian
Dr Marian Dover
2 years
Perhaps an unpopular opinion or beyond the understanding of some. If you want to attract a doctor to your rural town, we need the infrastructure to support & welcome us. I need a good school, a place of worship, safe housing. I’m not sacrificing family or culture #MedTwitter
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Dr Marian Dover
2 years
I’m getting whiplash trying to go from “I love my job” (because I really do) to “Fix this broken system” 😅 Just another day in GP. Still love what I do and happy to die on this hill, haters. #MedTwitter
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@DoverMarian
Dr Marian Dover
7 months
There were 190 applicants for 100 places in Rural Generalist training. I am incredibly proud to be amongst this group, but it makes complete sense for us to increase the number of training places to make Rural Generalists more accessible. @Mark_Butler_MP @RuralHC_Aus @ACRRM
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@DoverMarian
Dr Marian Dover
5 years
You know what's great about Rural Generalism? No matter where I go, I have sought after skills. - Friend collapses at a party - Pregnant lady with urge to push at supermarket - Guy on train discloses he is going to kill himself - Must drive manual car to escape zombies #GoRural
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