Gail Busby
@DrGailBusby
Followers
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Lifespan Gynaecologist - adult, paediatric & adolescent Podcaster. Passions - patient education, equality & 4c's: cricket, chess. cheese & country music🏏♟️🎸
Manchester, England
Joined May 2011
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Pinned Tweet
Very excited to publish this amazing interview with Dr David Toub about the Sonata treatment for fibroids. Sonata is an incisionless high-tech procedure effective in treating fibroids.
Could it be a good option for you?
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The part of the NHS people don't see - I'm on annual leave but at home. Called today about a patient who was admitted. I'm now going in to do her operation as I'm the best person to do it. I won't claim any money or time back. This is the best thing for the patient. Full stop.
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Recently saw a teenager with such heavy periods she walks around with this to sit on in case she leaks.
Just to emphasise that this should be taken seriously, and treated, or referral made.
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I'm a consultant gynaecologist and had 2 vaccines & booster, as has my husband. My son had his 1st last week (he had Covid in Sept 21).
It is the single most important thing I can do to avoid being admitted to ICU or dying from COVID. And it will protect those I care about most.
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As a trained Obstetrician & Gynaecologist and a mother, my heart breaks for the parents of the innocent children who lost their precious lives at the hands of Lucy Letby.
As a NHS consultant I'm proud of those Paediatricians who raised suspicions, battled management & saved more
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To my colleagues. I did strike over the past 2 days
All my elective work was cancelled
I had a sick patient on the ward, so I went in on both days to see her. Then promptly left.
I would have done the same on Christmas Day
If you saw me in the hospital, that's why
I won't be paid
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@Wimbledon
@Wimbledon
you must have been so happy when
@serenawilliams
retired huh?!
But here we are!
Really disappointing!
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Started this week on the picket line, ending it doing a 12 hour overnight shift as a registrar to keep patients safe while my colleagues strike.
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He's surprised me with flowers to say thank you for helping and supporting his through his GCSEs.
All his idea!
What a wonderful son xxx
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Saw a patient the other day who told me that her son had just qualified as a doctor.
'Congratulations! You must be so proud! Tell him "Welcome aboard!" from me.'
She said, 'Unfortunately he plans to go to Australia'
.......
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@KirstieMAllsopp
The irony of taking to social media to tell people not to be outraged because social media seeks to tell us what we should be furious about.
'Don't listen to social media, listen to me on social media'
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@Thornton_health
Actually, we are showing leadership by valuing and supporting our highly-skilled junior doctor, nursing and paramedical staff
We are making a stand to protect the consultant position and,by extension, the NHS for generations to come
Not demeaning, but rather dignifying ourselves.
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It's
#followbackFriday
!
NHS supporter
Gynaecologist
Patient supporter
Medical podcaster
A bit of chess
Family
Great at naming things...
Follow me and I'll follow you back!
Let's gooooo!
Also, you've gotta like/RT to make this work!!
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Working in the NHS is just not what it used to be.
Really disheartening. I feel for the juniors. Their training has been shattered by having to cover rota gaps all the time. Their pay has not kept up with inflation. They are having to compete with other healthcare professionals
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Told my 15 year old that to support my juniors & keep patients safe, I'm gonna do a 12-hour overnight resident on-call as a junior doc during the strike
Him: 'Patients will take one look at you and ask:
"How many times were you put back a year in medical school, Doc?"
😳
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Well, I've had an interesting day reading all of your comments and messages. Yes, ok, I will take time off in lieu. Thanks for taking the time to comment. And thank you for all your kind words.
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Good morning!
It's
#followbackFriday
!
NHS supporter
Gynaecologist
Patient supporter
Medical podcaster
A bit of chess
Family
Great at naming things...
Follow me and I'll follow you back!
Let's gooooo!
Also, you've gotta like/RT to make this work!!
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Last week myself, my secretary and a couple of colleagues received the most insulting and abusive email from a patient.
I have never seen anything like this before in over 25 years as a doctor.
I was initially shocked. I showed a couple of colleagues and their reactions nearly
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@DavidNautilus1
Yes.
It's like how when adults don't turn up for hospital appointments we say they 'Did not attend'
When a child doesn't turn up, we say: 'Was not brought'.
This distinction makes it clear that it was not the child's decision.
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I have lived in the UK for 24 years and have treated innumerable patients in the NHS over that time.
I have never felt afraid to live here....until today.
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@piersmorgan
Desperately sad.
Also sad is the fact that NHS consultants have lost autonomy and respect, are dictated to by managers, are ignored, controlled and undermined repeatedly?
This is the life of many NHS consultants.
This was a massive example, but replicated in many smaller issues.
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@EmergencyMedDr
I don't think it's shameful. I was just trying to help a colleague and a patient. However, due to many comments urging me to do so, I will take time off.
This a benefit of Twitter. One can hear varying views & opinions.
I'm glad I've posted it as I've heard the alternative view.
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Re: Barn door...
Gave my husband (works in IT), the history of calf pain and shortness of breath, and that the patient died shorty after being seen twice.
His response: 'Did she have a clot?'
He works with computers folks!
Enough said.
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The enquiry into the Mid Staffs scandal reported that consultants were to blame for letting it happen around them and not standing up.
I am standing up. I think the compromise in standards of health care that will result from roles which should be undertaken by non-doctors,
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I'm letting Obstetrics and Orthopaedics fight this one out on accuracy!!
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My son will soon be turning 17.
Husband says he only needs to learn to drive an automatic. I thunk he should learn to drive a manual to keep his options open.
Poll time!
Opinions appreciated. Can add rationale for your answer by replying below.
Thanks x
Automatic only
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I'm coming round to the idea of calling medically-trained consultants 'Attendings' and postgraduate doctors in further training 'Residents' to remove ambiguity
Plus MD after one's name if a medical doctor
The current pick and mix of titles can't continue for much longer, can it?
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You are such a beautiful person. Thank you for your kind words.
They have brought me to tears xx
In 2020, an immigrant left me with a scar...
@DrGailBusby
removed a huge parasitic fibroid in a major gynae op. Gave me a pain-free life & saved my fertility. She was kind, caring, hilarious, one hell of a Surgeon & an asset to this country. If you think otherwise, Get In The Bin!
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Recently saw a 17 year old who had a cholecystectomy for gallstones.
How is this relevant to gynaecology and periods?
I asked her if she had been tested for sickle cell disease.
She had.
I use the broad range of knowledge I obtained in medical school on a daily basis.
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It's
#followbackFriday
!
NHS supporter
Gynaecologist
Patient supporter
Medical podcaster
A bit of chess
Family
Great at naming things...
Like/retweet and Follow me and I'll follow you back!
Let's do this!
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@jjfitzgeraldMD
I'd say watch this excellent podcast to learn all about it....and spread the word - women need accurate information about endometriosis!
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@Werrington2
We're taking a stand.
We're taking extra shifts to cover colleagues who have left.
We're taking the future of the NHS seriously.
We're taking care of the next generation of consultants.
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Maybe medical consultants need a bit of rebranding (everyone else seems to be having one). Why don't we self-assess & call ourselves something else commensurate with our knowledge and experience?
Maybe Medical Grandmaster? (totally ripped off from chess)
Any other title ideas?
Out now: our self-assessment tool supporting the career progression from Advanced Clinical Practice to Consultant Practice! Track your development as an aspiring or consultant practitioner 👉
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@DavidNautilus1
When I was Clinical Director for gynaecology, I instituted a rule that all patients who 'Did not attend', instead of just discharging them, were sent a letter saying that if they wished to be seen, that they could contact us within 28 days to rebook their appointment.
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This folks, is what the tip of an iceberg looks like....
A newborn ‘left disabled after signs of serious illness were missed by physician associate’
This is truly sad to hear.
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Well, I've had an interesting day reading all of your comments and messages. Yes, ok, I will take time off in lieu. Thanks for taking the time to comment.
The part of the NHS people don't see - I'm on annual leave but at home. Called today about a patient who was admitted. I'm now going in to do her operation as I'm the best person to do it. I won't claim any money or time back. This is the best thing for the patient. Full stop.
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I've heard it all now!
Just when you thought this couldn't get any more ridiculous!
Stop minimising and undermining doctors, for goodness sake!
@iDrSunny
@DeanEggitt
@TheBMA
@BMA_GP
Also ‘less-qualified clinicians known as a physician associate (PA).’ Is wrong. They are differently qualified. It’s as if one says a paramedic is less qualified than a doctor. It’s insulting to these groups and really undermines their skills.
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'Promiscuous tight shorts'...these 3 words alone reveal your antiquated, small-minded, judgemental attitude towards women.
An attitude most modern people don't really want to hear about.
You’d never see Therese Coffey swaying to seductive Latin beats.
Priti would never strut her sass on a public highway.
Would Liz Truss wear promiscuous tight shorts like this?
Yet this is our DEPUTY PRIME MINISTER Angela Rayner.
Britain is now BROKEN!
😡
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@dawnashley13
@NTeesHpoolNHSFT
@MADEinHEENE
It's a shame they are not as passionate about safeguarding the title of 'Doctor' or safeguarding the public's right to understand who they are being seen by.
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Long theatre list yesterday - 6 operations. One was more complex than anticipated. It went well, but took longer than expected, so the list overran.
No one even mentioned cancelling the last case, we just all agreed to stay for longer (2 hours).
I'd like to thank the team for a
My daughter has just returned from surgery - blown away by the brilliance of
@DrGailBusby
& teams
@TraffordHosp
We have been treated with such care, compassion, & competence by every single member of the team/s throughout. We cannot thank you all enough!
#oustandingNHSCare
💙
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@NicoGagelmann
In a female patient, always also do imaging (ultrasound or MR scan) to rule out co-existent uterine anomalies.
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It's 6:25am. Just got home from being called in at about 1:30am and operating.
Sitting and waiting to wake my kids up in 10 minutes....
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@liambarker
I always assume that what I say may be documented, so I always introduce myself as Dr Busby, gynae consultant.
So people know who they're talking to and my grade
I've always done this..
I'm Dr Busby, gynae registrar
I'm Dr Busby, gynae sho..
No judgement about who I'm talking to
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may be missed until it's too late. The British public deserve better!
I've been pretty quiet about these issues, but I think it's important to add my voice to those speaking out.
If you've got this far, thanks for listening!
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@wesstreeting
@BMA_JuniorDocs
Next on the agenda - stop the PA agenda in its tracks and stop risking lives.
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@LMuttl
I would not dream of posting it otherwise. Even though she is not identifiable by the photo.
They were so grateful to be listened to that they were happy to raise awareness.
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Consultant colleagues, be present, train your juniors. Be a role-model. Consultants make a difference. A message I received today:
I wanted to say that you have been a true inspiration to me. I admire the way you care for and advocate for your patients, and how you have
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@hervedespois
I grew up in the Caribbean, spent a lot of my time bare-footed as a child, and loved going to the beach. Fresh tropical fruit is delicious and healthy. This did not hamper my education in any way. I aced maths, English, Spanish, biology, chemistry, physics.....
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My views haven't changed.
Yes, I'm striking.
Striking, not for myself, but for the future of my profession within the NHS, and the futures of the bright, hardworking and skilled colleagues who will be the consultants of the future.
Working in the NHS is just not what it used to be.
Really disheartening. I feel for the juniors. Their training has been shattered by having to cover rota gaps all the time. Their pay has not kept up with inflation. They are having to compete with other healthcare professionals
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shortening medical school & medical apprenticeships right out of secondary school (bypassing medical school) is unsafe & should be resisted. The recent incident is the tip of the iceberg The British public will be the ones who pay the price with their health & they deserve better
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Of course it is the anaesthetists who will make the first formal stand against what we have all been muttering about!
Respect to them...don't mess with the gasmen and gaswomen!
They rock!
Good luck!
🚨🚨 Ok this is big‼️
A group of baddie anaesthetists have been working behind the scenes to uphold the integrity of anaesthetics in the UK
They will call for an Emergency General Meeting to force
@RCoANews
to represent views of its membership
Docs are taking a stand
🔥 🔥 🔥
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I've decided to start playing chess! I guess it had to happen eventually!
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to get experience to do procedures in their chosen specialty. The GMC is always looming and we constantly hear about inappropriate referrals and hearings that should never have reached that stage.
Please tell me what's good about being a junior doctor these days.
Consultants are
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Hi Peter, guess what? Women are doctors and consultants too!
I'll leave any other comments to the replies to your tweet...have a read!
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@KeithUrban
was walking around Manchester yesterday and heard these buskers. He invited them to perform at his concert tonight. What an amazing guy!!
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@Paediatrik
@sh_abbers
Just say, 'Is that your steth? It looks just like mine that I lost a while ago.'
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Christmas in Trinidad! Tree of live Poinsettias..beautiful!
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'I really like being on call with you.'
Registrar during my most recent on call. I let her do the very urgent theatre case and assisted to support her.
Personally I see that as a big win!
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@miriam_khalil13
See 1 patient at a time. Don't try to save time by, e.g taking a history in 1 room and examining another patient in another
Give each patient your full attention & the time they deserve, even if you run late. The later patients will understand when they receive the same attention
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May I introduce the 2023 Manchester Megafinal Under 12 Boys Champion. Undefeated!
Well done, Dylan, I am so proud of you! xxx
@AshtonChess
@mgs_1515
@Delancey_UKCC
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@VictoriaAtkins
@Conservatives
Shame Rishi Sunak didn't call an election a year ago to make you desperate enough to want to negotiate.
'Too late, too late shall be the cry!'
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@Verytallbecca
@BMA_JuniorDocs
@TheBMA
@Doctors_Vote
I'm doing the 12 hour resident overnight shift tonight. I've planned what food I'm bringing, because that's what I did as a junior doctor.
Absolutely there should be food available for hospital staff working overnight.
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@MVoikhansky
Maybe, but which 50% depends on what you end up doing, so starting with 100% keeps all options open!
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@ivymycin
Looks great! It's all about how you wear it!
Just tell the anaesthetists that is a token of your unyielding support for them!
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lifelong knowledge gaps. I voted to strike to make things better for our junior doctors of all specialties, not so much for myself.
Well, a bit for myself, as one day I will be old/ill and I will need competent doctors to look after me! I want someone like me or my colleagues who
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I was on call with a doctor some months ago.
She said, 'You won't remember me, Dr Busby, but I came to speak to you in your office some years ago. I was in a difficult place and not progressing in my career. You listened and encouraged me with advice and examples from your own
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also underpaid and have lost so much autonomy. So it's not as if when you climb that steep and slippery mountain, it's all ok. Not at all.
I fear we are heading for a 2 teir system in which, if you can afford it, you see a fully trained consultant privately and if you're not well
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Triaging referrals
From GP: '...the neurologist would like an opinion from you & has asked me to refer...'
Why doesn't the neurologist refer directly? Is it that we don't know how as the system's so complex?
Is it that we're not 'allowed'?
Prolongs patient pathway, uses GP time..
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What a wonderful way to end my Friday.
10 year old patient on leaving the consultation room said, 'You're kind.'
Melted me!
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GPs/other colleagues, please DM me your details, and I'll send you some of these A4 posters to put up in your surgeries/waiting rooms/hospitals.
Happy to send to any other company as well.
Great resource for your staff/customers
Starting with women's health.
Health is wealth!
RT
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off, you see someone who has had limited exposure to the full spectrum of training and may not think of a coagulopathy in a patient with cirrhosis who comes in with heavy periods or that a patient with adrenal insufficiency will need steroid coverage to undergo a procedure as
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@DrEilidhMaria
As a female doctor, actually I don't agree with this.
In fact, it has never crossed my mind.
It is more political than gender-related, I think.
As for unqualified people thinking they can do a doctor's job....who is giving them that impression? Politicians and doctors!
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@AllanDodds14
It's definitely a tiny minority. I travelled by train to Birmingham Thursday/Friday and met lovely people on the trains (had great chats), met some fab guys in a record shop - even did a crossword with them!! And many people were so kind to stop and give me directions while
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My gynaecology joke is the funniest.....period!
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can palpate a liver or spleen when I need to, who can recognise an undiagnosed pelvic kidney because I understand the embryology, etc, even though I hardly come across these things in gynaecology. I once diagnosed meningitis in a patient on my gynae ward round. Patients like that
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@BrookesTimes
@thetimes
Hi Peter, guess what? Women are doctors and consultants too!
I'll leave any other comments to the replies to your tweet...have a read!
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Yes, every single patient I see who needs a hysteroscopy, I offer the choice of outpatient or general anaesthetic.
I quote that 1 in 3 women have severe pain at OPH. If this option is chosen, consent is reconfirmed throughout the procedure. The patient is in charge at all times.
The Campaign Against Painful Hysteroscopy THANKS
@ProfEmmaCrosbie
for offering all her
#hysteroscopy
patients the CHOICE of a short general anaesthetic & the CHOICE of attempting it in outpatients with the assurance that it wd be immediately stopped if painful. (Podcast - 30')
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Good luck to Dylan at Blackpool chess congress. I couldn't take him tonight as I had an operating list....which was then cancelled! 😔
But he won his first game!!
I'll be joining him tomorrow and Sunday!
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Back in theatre again...busy weekend, but being busy definitely makes the on call go faster!
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they've never been exposed to it in medical school or rotating through specialties as a junior doctor. Examples of everyday use of this information are numerous, but the straight out of secondary school 'trainee doctors' will not have this foundation on which to build, leaving
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Thanks to everyone participating in
#followbackFriday
. Keep it coming!
I've run out of followbacks for today, but I'm good for it.
All the remaining followbacks will be completed tomorrow!
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At the start of a recent on call ward round:
Registrar: Dr Busby, would you like to lead the round?
Me: No thanks, I've led hundreds, it's time to pass the baton to you guys. I'll support.
She did a great job!
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@PaulaMc007
I'm certain that no one who hasn't been through this can even contemplate what it is like or how it feels.
I'm sorry that you had to experience this.
It must surely only add to your pain and hurt.
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Congratulations to my gorgeous son. School chess champion at
@mgsjuniors
! Undefeated!
Well done Dylan!! x
@Delancey_UKCC
@SarahLongson5
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