Dr Richard Daniels
@DrRDaniels
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Paediatrician | Clinical Advisor. Digital & Future Health, Leadership & Joy in Work. @rcpchtweets Milestones. Jew
London, England
Joined March 2020
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Pinned Tweet
I have always believed in the good of Twitter as a town square, accessible discourse and debate.
So I'm very reluctant muter/blocker.
But any bad faith, disingenuous trolling, antisemitism or other insults is getting blocked on sight now
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Hi
@thetimes
, this is not true and will cause HUGE public anxiety and unnecessary burden on services. Please correct ASAP. I'm sure anyone from
@RCPCHtweets
@rcgp
@RCEMpresident
or
@RCPhysicians
will be happy to counter this
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The Pandian case is the worst thing for the profession since Bawa Garba.
You want doctors to be able to reflect honestly and be sympathetic to issues. Sorry does not mean liability.
By shifting the balance so far towards defensive practice, the
@gmcuk
will create bad practice
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What does the perfect doctor do
@gmcuk
? Microphone to transcribe every single word? Bodycams with footage linked to patient record? Do 20% of the work because the notes now need to reflect thinking as well as facts?
You created this mess. You write Duties of a Doctor. So fix it
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This place is honestly vile.
I'm putting my kids to bed and people are tagging me in tweets asking for my opinion on the hospital strike. Why? Do they think it's a big gotcha?
Hospitals should be places of safety. It's really not difficult to condemn the attacks
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It will soon be impossible to defend anything. Something in writing taken out of context is as damning as the absence might have been. Goalposts shifting now makes every single historical patient interaction a personal risk.
Honestly what's the solution?
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IF, in the future, Israel do bomb a hospital, you can be sure I'll condemn it with my full throat.
Btw. Barzilai hospital in Ashkelon was hit last week. Didn't hear a peep.
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So, as promised - here's my learning from this excellent talk.
First thing's first - I had not heard of Dr
@axelheitmueller
before - although I had read his work. So,
#LearningPoint
1: Always look at the authors when you enjoy a piece of work! /1
Back at
@RoySocMed
for what promises to be a really interesting talk on the future of healthcare in the UK with
@axelheitmueller
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I've had several colleagues state to me that they agree that it's upsetting that only Jews go to rallies for hostages to return. So, here's another opportunity for people to ally with Jews. There's no reason why the turnout for a rally against antisemitism shouldnt be 300k+
Given that lots of NHS organisations go all out for Pride I expect we’ll see them on the march against antisemitism.
And all the EDI teams.
And NHS staff who’ve been furiously tweeting in ‘support of Palestine’.
Won’t we? Cos if not then the judgement to be made is obvious.
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The loss of empathy in the last 3 weeks is stark. I could say every single word of this tweet knowing how many HCPs can't condemn Hamas's barbarism and active gaslight Jewish colleagues
As a doctor, you disgust me.
It genuinely terrifies me to think that they are people who work in healthcare, that are supporting a genocide
I honestly fear going to work & looking at my fellow doctor and nursing colleagues wondering if they feel the same way
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@alienfromzog
@gmcuk
Which was based on discrepancy between the written notes and the patient's testimony - where historically contemporaneous documentation would be trusted and the individual not penalised for referring back to notes from a historic case.
There's also the issue of saying "sorry"
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A ceasefire is a win for Hamas. You can dress it up however you like, but it's a fact
That doesn't mean aid shouldn't get to those in need and doesn't abrogate the responsibility of Israel to prosecute the war in accordance with applicable laws, but a ceasefire is unconscionable
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I once asked someone from
@RCPCHtweets
why Paeds wasn't deemed a shortage speciality like EM, Psych, GP to try and make the package more attractive whilst the job was worked out
I was told because it would make it seem worse so people would be put off. How's that going? 🤔
Sadly Paediatric in 🇬🇧 second most unpopular training speciality by ST1 competition ratio - just behind GP
From
@bmj_latest
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To those who have left posts up blaming Israel and parroting the lines from Hamas, maybe you'll learn to wait and see in this social media age. A lie is halfway around the world before the truth has put it's trousers on
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@UKGastroDr
A counter offensive? Are you having a laugh?
It's deliberate targeting of civilians. You should be ashamed of yourself
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@COSMakin
@ShaunLintern
There's obviously no excuse for any ad hominem abuse, but I think there's been a real change in SL's output and tone since the HSJ days. Less focus on exposing bad practice in healthcare and much more political narratives. It's not inappropriate to point that out
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I've had several people reach out to me privately to see how I, my family and friends are, and I just wanted to say publicly how grateful I am and how much it's appreciated.
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@LiangRhea
Sounds like a hot take. One devoid of any context or recognition of facts over the last 24h.
So maybe keep your pearls.of wisdom on something you clearly know little about to yourself. You don't need to say anything.
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I once crunched the numbers on what it would cost a trust to offer all staff free tea & coffee and the answer was essentially less than the long lines I'd waste in a week failing to get them into premies
Got quite abruptly told the free tea and coffee on offer today in the postgrad Center was NOT for docs on training days. (I was eagerly walking in it’s direction)
The free coffee was for the executive’s meeting
The exec meeting was re our impending strike for pay & conditions
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Those on Med Twitter who find themselves able to justify acts of terrorism should really consider whether they belong in a caring profession.
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@ArmandDoma
@Fixermaxxer
@alexkaufmann
You do know that American Pro-Palestinian activists aren't the ones who'll be living in a one state solution right?
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I'm just sickened. The Palestinian people deserve more than Hamas and their ilk.
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I was at the rally for the hostages today and I have a few things I'd like to say /1
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But...it seems those requests weren't genuine. As the news filtered out that it was likely to be a misfired rocket and not an Israeli strike...they all got deleted.
Why? Becuase they didn't care about the innocent victims...it's all a game to them.
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@PeterStefanovi2
@RishiSunak
@SteveBarclay
@Dannythefink
you recently wrote about how the boards were "independent". Would you care to revise this opinion?
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Proper FOMO. London 2024 or else we riot
@DFTBubbles
Very excited for the next few days at
#dftb23
Ten years since they created a community of education, inspiration and friendship
@DFTBubbles
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To those who've just edited or taken down their posts and not corrected the record - I see you. You think it's more important to be seen to be right than to be honest.
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I am not a particularly religious or spiritual person. Today was one of the most meaningful times I've been in a synagogue for a long time. Probably since the Tree of Life attack in 2018
Singing Am Yisrael Chai & Acheinu in the Hakafot had an energy and a power I've rarely felt.
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Disappointed but not surprised that the voices who have, rightly, called for maximum support to be given to help civilians in crisis are silent about this. A government stealing aid from its citizens and the international community and charities say nothing
Hamas gunmen on top of aid trucks that have entered the Gaza Strip shoot at Palestinian civilians.
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@DrSelvarajah
@thetimes
@RCPCHtweets
@rcgp
@RCEMpresident
@RCPhysicians
It wasn't from a doctor unfortunately. They interviewed a Microbiology PhD in academia
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In fact, as per
@Health_Affairs
, 20% of your health determinants are your genetics. 20% is your environment. 50% (!) is personal choice and behaviour & only 10% your medical care.
So we spend 1% of the budget on somewhere between 50-70% of the potential impact. Pareto wept. /10
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And to those who held their breath when it might have been an Israeli strike but are now crowing given that the evidence showed it's from PIJ - shame on you. People still died when they were in a place of safety. Tell the truth but don't minimise the pain. Don't use them as pawns
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Between this and the empty Shabbat table 💔
Parliament Square, London.
30 children are still held hostage in Gaza. 30 children. Bring them back.
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@alexpybrown
@thetimes
@RCPCHtweets
@rcgp
@RCEMpresident
@RCPhysicians
A Microbiology PhD in academia. Not really the appropriate expert to be giving clinical advice
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@ShafiAhmed5
I don't understand Shafi. You initially posted that Israel struck the hospital. You then edited your post when it became unclear. Starmer has similarly made a non-blame statement and you've now ramped back up as more evidence comes to light to suggest it wasn't Israel. Why?
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@BenJamalpsc
Weird that the police haven't arrested any marchers today for hate crimes, and removed Robinson....can you say the same for any PSC march? Looks like there's only one group that allows marchers to explicitly be racist in the streets of London
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Privileged to be asked to present at
@RoySocMed
today about Remote Access to Specialists. Definite imposter syndrome looking at the other speakers!
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@Richard_GP
@thetimes
@RCPCHtweets
@rcgp
@RCEMpresident
@RCPhysicians
They interviewed an academic non-medical microbiologist for their take
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@PaediatricFOAM
@DFTBubbles
These guys. Walk the walk. Talk the talk. Bloody heroes.
Just don't leave them near any kids toys at meal times
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@Damian_Roland
@DrSeanMon
@thetimes
@RCPCHtweets
@rcgp
@RCEMpresident
@RCPhysicians
It's published at 12.01 on the digital edition (and still live as of now). Don't know about print because it's 2022 and I haven't bought a physical paper in years.
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@ShaunLintern
@RoyLilley
Let alone someone who retweets notorious antisemites and then leaves the tweet up long after being notified of it, in case it was an oversight...
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@OzKaterji
As ever, it's very telling that Egypt have never once shown any interest in opening their border. Any blockade could be ended immediately
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Really upset it has come to another escalation.
Disappointed in those who've decided that their support has limits.
There is only one party at fault for patient safety issues and it's the one controlling the purse strings.
#fullpayrestoration
We won’t give up until junior doctors are fairly paid.
On 13 July, we will stage a 5 day strike, the longest single walkout by doctors in the NHS’s history.
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The state of some of the replies to this.
Toxic. Gaslighting. Belittling. Whataboutery.
@pepemac27
is a British Jew. In his city, people are walking the streets proudly dressed as a member of a proscribed terrorist group who call for the death of Jews globally.
This is incredibly frightening.
I do not feel safe as a Jew in this city anymore.
This is what has been whipped up, or actually just probably bubbled under the surface for generations and now has another opportunity to come out.
Scared doesn't even scratch the surface.
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As an example, this individual's output the day after 1400 civilians were murdered and 240 taken hostages - no expression of sorrow. Just a Palestinian flag and a heart.
🤷🏻♂️
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@Dr_BellaR
Uncomfortable. I usually call them sausage or baby. But, in fairness, they are literal babies
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@marinadpol
In fairness, I don't think scrubs are designed for human bodies but I take your point
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Pretty sure this is a pokemon
Platysternon megacephalum (or big headed turtle) is a very odd-shaped turtle with a huge head and a long tail that are almost the same size as its body.
[📹 47ruacanhphongthuybmt]
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There's no doubt that DV have been incredibly successful in their aims to get elected and change the agenda.
The flaw in this article, is that they also have overwhelming support from the rank and file. Look at the strike ballot results.
This isn't entryism. This is democracy.
With more strikes looming, DoctorsVote has won 70 out of 75 seats in internal elections at the BMA. They're taking the fight to the Govt. But insiders also describe a darker side to their activism with dissent ruthlessly crushed. My Sunday read:
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I am not ok. I cannot tell you how much I'm hurting. And yet - the number of people who can happily gloss over Jewish pain over and over and over - pain of people they know and work with - is just astonishing. It's not unnoticed
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It really really really should not need saying that targeting British Muslims for the actions of Palestinian terrorists is completely and utterly unacceptable
Statement from Tell MAMA's Director Iman Atta about the tripling of cases to our service in six days.
Read our briefing here:
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Golders Green. An area in London with a high Jewish population, lots of kosher restaurants etc.
Run by
@BarnetCouncil
&
@MayorofLondon
. Not Israel last time I checked.
So attacks on Jewish businesses and political graffiti is of course a new addition to the road.
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Viral illnesses often cause symptoms including fever for more than 24 hours, even after taking paracetamol and/or ibuprofen and do not require antibiotics
Hi
@thetimes
, this is not true and will cause HUGE public anxiety and unnecessary burden on services. Please correct ASAP. I'm sure anyone from
@RCPCHtweets
@rcgp
@RCEMpresident
or
@RCPhysicians
will be happy to counter this
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@UKGastroDr
You don't want to relate it to IL/PA - fine. Let's talk broadly.
The right to resistance is universally accepted and legal. Legitimate targets are enshrined in law by state actors.
Anything outside of that against a civilian population is terrorism. Its really that simple.
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I stand fully with and behind my friends and colleagues in getting
#FullPayRestoration
.
#JuniorDoctorsStrike
@TheBMA
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To all those debating whether babies had been decapitated or if theyd *just been murdered*, I hope you're happy now.
Absolutely sick in the head. Take a breath and think about what you're arguing over.
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So I was having a bad day at work.
Came home and found out a friend had lost 4 members of their family at Be'eri.
Tonight I went to a ceremony where the list of hostages - not casualties....civilians in captivity was scrolled across a screen. It felt like it would never end
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@rosieICM
@KateBurkeNHS
I was amazed at how his words were given any sort of positive slant. They were awful, he is awful, FIFA is awful.
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So, we've reached a point where as
@donberwick
(one my personal heroes) says, "it's not we can't afford to do it, we can't afford not to"
The only way to improve health outcomes (and then impact on the economy, social mobility, education etc) is to rethink how we do things /13
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The central premise is that the
@NHSuk
is not working. This may come as a shock to some. The rationale being that many outcomes are now worsening, or at best stagnating and this is in part due to the National *Health* Service being a de facto National *Sickness* Service /3
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@RichardJMurphy
Hi Richard,
You're not the only one who had a sleepless night and who cares deeply about harm caused
But proportionality is a legal test, not an emotional one. War is horrific by design, especially a conflict where one actor has deliberately embedded themselves in a civilian /1
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@COSMakin
@ShaunLintern
And fwiw, those who I follow of SoMe do so with their own names - so any criticism they'd share wouldn't be hidden behind some anonymous troll accounts
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Israel cannot allow the rage and revulsion to lower her standards. Turn the water back on. Stop threatening Rafah and work with Egypt (& the US) to allow civilians looking to leave easy passage.
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UK Healthcare spending is ~£229bn annually. Of that, Public Health gets £3.3bn - and that number has fallen over recent years.
1% of UK Healthcare spend is spent on anything that could be considered preventative. And we know that prevention is better than cure for many things /9
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Proceeds of Crime act. Confiscate the lot
Trump campaign raises $7.1m following historic Georgia mugshot
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Disappointing to listen to
@RoryStewartUK
and
@campbellclaret
on
@restispolitics
and find out that they don't read my column in
@RCPCHtweets
Milestones or they'd know all about Eglantyne Jebb.
Let me know if you'd like a copy lads...
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@UKGastroDr
Yes. There is no justification for entering someone's home, gunning them down in their bedrooms and dedesecrating the bodies
There's no justification for kidnapping grandmothers and hiding them in tunnels in another country
There's no politics aside. That's not ever acceptable
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5 years since the Tree of Life shooting. Until this month, probably the last time I had the urge to be in a synagogue - to be amongst my people at a time of grief.
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Politicians should not use their privileged position to personally enrich themselves at the expense of their constituents and the wider public but we all have our own bugbears don't we...
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That's the mad thing. The thousands who marched yesterday for Palestine could have joined the rally today without compromising any of their beliefs. Retuning hostages, removing terrorists and making peace. What's not to like?
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@COSMakin
@ShaunLintern
No arguments from me on that
My medic chats though (who I'm assuming have read it as links were shared) haven't gone near personal insults - just frustration and anger tbh at what's perceived as quite biased journalism and not for the first time recently. Without fear or favour?
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According to the BBC, Antisemitism is a controversial issue....
Shame on them.
BBC staff ‘blocked from march against antisemitism’. Racism is racism and something we should all abhor — but not when it comes to anti-Jewish racism it seems. Bloody disgraceful.
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@KateBurkeNHS
This derogatory language grinds my gears
This pathetic short termist thinking will ne the thing that finally pushes me out of healthcare
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@marthie
@thetimes
@RCPCHtweets
@rcgp
@RCEMpresident
@RCPhysicians
Hi Martha. Where does it say this on the NHS website? I've just checked and there's nothing there
I'm not sure why you've always been told to do so....most paediatricians don't get very excited about fever. How the child looks is much more important
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Whilst on the same day...cancer research becomes that bit more difficult
We all know someone affected by cancer.
In Nottingham this morning I saw how our new screening programme is detecting lung cancer early – critical to saving more lives.
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@MedicGrandpa
Yes, if you'd bothered to look you would have found numerous times I've called out people, policies and actions I can't support. Becuase unlike you, I can both be cognitively honest AND be bothered to do the research. Don't worry though. You won't have to now
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Big day today for
@hello_pando
launching a new product and a new specialism. Very proud of my brilliant colleagues who've worked flat out to get this across the line
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@UKGastroDr
On the contrary. I very much like your tweets (on medicine etc), which is why I follow.
Which is why this is so disappointing. It's an entirely false equivalence and incredibly insulting to the families of those who've seen loved ones murdered today
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@Siobhan96463411
@rcpch_trainees
I'm a
@rcpch_trainees
, a Jew and have led much of discourse with
@RCPCHPresident
&
@RCPCHtweets
over this issue. So I can speak with authority when I say you are vile and do not represent the views of Jewish paediatricians in the UK.
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@KateBurkeNHS
*and* the chosen photos are in swimwear because...ofc
Hope she sues them for breach of privacy as its definitely not in the public interest
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Life Expectancy is also comparitively worsening - we had the 7th best LE in the world in 1952 and are now 29th. We consider ourselves to be a wealthy nation with a stable political system and an excellent healthcare system. This is sobering. /5
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Aside - my point not Dr H's - this can also be seen in the complacency around the economy, Brexit and many other political arguments. Too many believe Britannia rules the waves by birthright, and we've squandered a position we may never recover, to everyone's detriment /6
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@EmergencyBod
So I do think it's important to know and recognise who perpetrated this.
What it's absolutely unacceptable to do is use the dead as a gotcha & lose any humanity. It's an absolute catastrophe. If the only dead people you care about are the ones who suit your purpose, shame on you
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But...Hamas treated them so well that they were gazing lovingly at their captives I thought????
Alma Avraham is a former hostage, released today, and 84-years-old.
Soroka Hospital is now telling the Israeli media that her condition is “serious and life-threatening.”
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The latest announced strikes from
@TheBMA
are tragic.
The only party to blame are those who have refused to come to the negotiating table and have already wasted more on these strikes than the cost of full pay restoration.
This is an existential threat now to UK Healthcare
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Back at
@RoySocMed
for what promises to be a really interesting talk on the future of healthcare in the UK with
@axelheitmueller
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@Danchaart
@PiKee0x314
100%. Not just Israel...the world need to show the Palestinians that they are cared about, and that Islamism and Hamas like groups are their enemy too
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Calling all GPs - A quick bit of anonymised market research here! Would be grateful for 2 minutes of your time!
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We also know that this has significant economic impact. Long Term Sickness is a major contributor to economic inactivity and is increasing. Without wanting to praise Liz Truss, she's not wrong that GDP stagnation is not ideal. Of course, diagnosis is only part of medicine /8
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One of our fantastic midwives at
@hello_pando
has gone out to Poland to use her clinical and language skills to help out with refugees for Ukraine. To support her team, you can donate here
Very proud of her
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The UK has one of the worst numbers for premature death in the
@OECD
over the last 10 years. 700k lives lost - some due to Covid (150k), some due to the limits of modern medicine (300k) but 250k death we have to own as UK specific. That's
#LearningPoint
2 /4
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@DrSeanMon
I mean *your* job has becuase you've gone from medical student to work-shy fat cat consultant drinking whisky paid for by my taxes
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