Rachel Parish
@Dr_Rach_P
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Emergency Medicine consultant + PEM. Double Trap Shooting- Commonwealth Games🥇🥈🥉European Champion🥇‘16. World Champs🥉’14 + ‘17.
Joined September 2013
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ITZY IMAGINARY TRACK
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ハンターハンター
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アヴァンチュール
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Darnold
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#乃木坂工事中
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Nkunku
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Jefferson
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@drshehlaiu
@wilsonstsurgery
@DerbyLMC
@NHSDDICB
@NHSEngland
@SonaliKinra
@rcgp
@HeedDoc
@DrSelvarajah
@TheBMA
@DAUK_GP
I’m so sorry you had to experience this Shehla and I hope you’re ok. GPs are ace and everyone should value them.
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@timcs1968
@goldstone_tony
@SteveBarclay
Not just ‘senior’ consultants who are about to retire. I’ve been a consultant 4.5 years and likely to have a tax charge this year for going over AA. Considering dropping hours to mitigate this.
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@IsMiseStiofan
I took a pre-alert phone call years ago to tell me a young gentleman was septic as he was tachycardic and had a high respiratory rate. I asked what was wrong with the patient - he had an open ankle fracture that had just happened. I politely explained sepsis was unlikely!
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@MallinsonT
@DrLindaDykes
I’ve had a similar one to this
@MallinsonT
:
‘You don’t have any children so you can work Christmas’ closely followed by ‘well your Mum lives miles away and you’re working Christmas so you might as well do New Year nights too because you won’t be able to go and see her’
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I won a bronze medal at the Commonwealth Games last year
#imnotjustadoctor
#istandwithjohann
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@hasyourregtried
And some specialities (like emergency medicine) have no private work even when we become consultants
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Very eloquent explanation of how it’s not possible to live ‘with’ Covid.
This upset a lot of people. So maybe I should explain what I mean.
1) We are currently attempting to live “with” Covid- with sustained community transmission and continued lifting of restrictions
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@TessaRDavis
No!
I was advised to say something like ‘I’ve done my research and met everyone so I don’t have any questions, thank you.’
I now interview for SHO level posts and some of the questions asked are not ok!
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#ImInWorkJeremy
Paeds team handing over at lunch today. Consultant has been with us all weekend for 2x 13 hour shifts
http://t.co/uPmM5I0Roc
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Worked on my birthday this year. One of the wonderful paediatric ED sisters made me this awesome minion cake!
#workingonmybirthday
#fabulouscolleagues
#EMrocks
#PEM
#womeninmedicine
@FrimleyHealth
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This week
@UHDBTrust
ED we have been pledging to take our breaks so we can better look after our patients.
@pete_cull
and I managed to have a sociable break with a drink!
#ResponsivenessToStaff
@drsammills
@edlbateman
#EDbreakalways
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Last full day of
#training
today before the
@GC2018
opening ceremony tomorrow. Got our
@TeamEngland
opening ceremony kit today.
#CommonwealthGames2018
#excited
#lookingforwardtoit
#CompetitionTime
#shooting
#doubletrap
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@DesignTheFuture
@DrJewelKling
@JuliaFiles
@DrNatStrand
@LisaLemond
@AmyOxentenkoMD
@British_Airways
I booked a flight for me and my boyfriend, I paid for it, it was in my name. Made a complaint after and BA told me I had to get written permission from him for them to pay the compensation. Needless to say they got a piece of my mind and paid me!
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@julianhartley1
And how many were cancelled or postponed due to ‘winter pressures’ that are actually all year round pressures and totally predictable?
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A doctor friend has had to pay a fee to relinquish her
@gmcuk
licence to practice. She is doing this because she has advanced cancer and can no longer work. Doesn’t seem right or fair to me.
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@enamhaque31
@MFTnhs
@WythenshaweHosp
I hope you’ve been seen and everything is sorted now. I think saying that all you need is a referral to # clinic is an oversimplification. That’s what the ED team are for, make a diagnosis and make appropriate referrals. If another dr saw you in surgery would you ‘just refer’?
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@Jeremy_Hunt
Remember this tweet?
Please do enact this as soon as possible. It’s not just doctors in their fifties retiring, it’s those of us who have been consultants 3-5 years who are also now being hit with big pension tax bills and looking to reduce hours to mitigate this.
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Difficult day shooting today but managed to win a
#bronzemedal
@GC2018
test event.
@TeamEngland
#shooting
#doubletrap
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Fabulous day at the
@RCollEM
FRCEM graduation. Thanks
@RCEMpresident
for the extra mention!
#graduation
#WorkLifeBalance
#FRCEM
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Christmas Eve shift done. Handed over to
@AndrewTabner
for the late late shift. Back in the morning for
#workingchristmasday
@UHDBTrust
#EMrocks
#EmergencyMedicine
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Thank you, proud to work
@derbyhospitals
in the ED and
@DHFTChildrensED
#WorkLifeBalance
#worksportbalance
#commonwealthgames
Dr Rachel Parish, a Senior Registrar in Emergency Medicine here at the Royal Derby Hospital, has been named in the Team England Shooting Squad for next year's Commonwealth Games. Congratulations, Rachel!
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@DrSelvarajah
@DrLindaDykes
Already work weekends in the emergency department… I’ll do more if paid for it appropriately and given reciprocal time off elsewhere. Oh and good luck finding enough ED consultants to staff departments 24/7. Already work a 44 hour week btw 🤷🏼♀️
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@wesstreeting
Where do you plan on finding the senior doctors to train all of these new juniors? Consultant salary now down >30% plus punitive pension taxation year on year for those of us who still have 20 years of consultant posts to go before retirement? None of us will be here!
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Thanks very much
@FHFT_wellbeing
for bringing us some lovely eats to
@FrimleyParkED
paeds ED
#wellbeing
#rest
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British Champion + another
@TeamEngland
qualification score for
@GC2018
with
@HullCartridge
pro ones
#Britishchampion
#confidencetowin
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Med Twitter- advice needed. Struggling to achieve any ‘off’ time and seem to just be thinking about work, sorting email, rota and other things. Tips please!
#WorkLifeBalance
#needsometimeoff
#downtime
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First day training today at the range with
@TeamEngland
#teammates
. Followed by a run through scribbly gums conservation area with
@Paraguk
#training
#CommonwealthGames2018
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@NJBanbury
Our ED regularly expands it’s walls with patients in corridors with no additional staff or bed spaces…
It’s all wrong everywhere but ED can’t be expected to manage all of the risk all of the time. It must be shared
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@DrZeshanQureshi
Emergency medicine isn’t a career for women, you won’t be able to cope with the work when you have children….
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There’s quite a lot of work in organising the ED SHO rota particularly in August. If I don’t get names and contact info from HR or HEE I can’t contact you and give you a rota. I ask for names months in advance. With 4 weeks to go I still don’t have all the names. 1/4
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So proud to be representing
@TeamEngland
at the
@GC2018
and feeling very privileged to have walked out at the front of the England athletes parade. The games are now OPEN!
#TeamAndCountry
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@RCollEM
@RCEMpresident
Congratulations also to
@HewittSusie
for winning the
@RCEMpresident
medal
#thederbyway
@DerbyHospitals
and to all the other Derby EM team who graduated today
@transkeidoctor
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More than once: 'you're single and don't have a family, you can work Christmas and new year'
@feminemtweets
#thatsbias
#likealadydoc
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@EmergencyBod
@BBCNews
It also really irritates me that they’re reporting that we’ve rejected a 4% pay increase… this deal didn’t give me any pay rise! As someone else has said, twice nothing is still nothing!
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@RedemptionBroon
@ChrisCEOHopson
@JamesWard73
Is that because you are young and usually well and hopefully wouldn’t have severe symptoms if you got covid? You are in the minority of patients we see in hospital. It’s a very dangerous premise to allow staff to knowingly work when they have a highly contagious virus. 1/2
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10% of all paediatric major trauma is in babies under 5 months old.
@ffolliet
#neptune23
#paediatricmajortrauma
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@EmergencyBod
Swapped to a rolling ED consultant rota for the first 10 weeks of the pandemic.
Vividly remember ‘washing off the covid’ as soon as I got home from a shift.
Didn’t see my Mum for months to protect her.
People my own age died in front of me of covid.
Not letting my hair down
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Thanks
@SScrubd
for donating these amazing rainbow scrubs to paediatric ED
@FrimleyHealth
via
@FHealthCharity
.
#paedsED
#paedsEDrocks
#rainbowscrubs
@NeilDardisFHFT
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One of your
@RCollEM
trainees won a bronze medal at the world champs in Russia this week
@EMTAcommittee
#worklifebalance
@GBShooting
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@harryclax
@dannymcg
One extra patient on every ward
Functioning SDEC to move patients out of ED Including assessment units for each specialty
Referral pathways that function so GPs can get through to specialties for advice and referrals
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@JackBarton07
‘Senior review’ should not be the whole investigation and management plan. Write a differential diagnosis and an initial plan then enact the easy bits of it e.g. CXR, urine dip, ECG then get your senior review.
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Setting up for the paediatric sim day
@DerbyHospitals
with
@ianlewins
... he’s getting into character!
#paediatrics
#Simulation
#wig
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@RedemptionBroon
@ChrisCEOHopson
@JamesWard73
It’s easy to twist words on twitter isn’t it? That is not what I’m saying at all. I don’t want to risk giving vulnerable patients a highly infectious disease that might cause them harm. Knowing going to work with covid is an unacceptable risk vulnerable patients and staff.
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So proud of my
@GBShooting
team mates
@cazpovey
and Ed Ling for getting into the mixed team final 👍🏻😀🇬🇧💥
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Well it wasn’t to be. Sorry if you got up early to watch. Sad that it wasn’t the end I wanted to my double trap career. Looking forward to going home. Miss you all.
@TeamEngland
#GC2018
#GC2018Shooting
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Good weekend
@GBShooting
Grand Final. New PB, got into the final and finished 6th
#olympictrap
#igobeyond
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So pleased to be able to officially say I’m going to my 3rd Commonwealth Games representing
@TeamEngland
#shooting
#doubletrap
#goldongthegoldcoast
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@RedemptionBroon
@ChrisCEOHopson
@JamesWard73
The moral injury we all already have would be vastly exacerbated by knowing that we could pass on covid to all of our patients. That is an unacceptable risk. 2/2
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South East ladies Olympic Trap champion 🏆
The
@HullCartridge
pro ones definitely worked!
#confidencetowin
#olympictrap
#comeback
#gettingbetter
#regionals
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Carter and Abby had clear masks like 20 years ago! They look pretty good too. Can we have some now for our pandemic?!
@edlbateman
@DocFizzabella
#clearmasks
#ERknew
#pandemic
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A colleague, mentor and friend. Always there with a kind and gentle word that made it all ok. Thank you for teaching me so much. Rest in peace.
It is with deep sadness that we share the news that we've lost a colleague. Mr Manjeet Singh Riyat was a hugely respected Emergency Consultant at Royal Derby Hospital
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British ladies champion. New PB 111/120 (women's WR is 110) and new British record. Thanks
@HullCartridge
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@DrBenLovell
@EmergMedDr
Perhaps a reminder that sometimes the ED reg has seen more medicine than med reg... had a night shift with an excellent, new ST3, med reg pacing a patient in ED where as the ED reg I had more experience than them. We both learnt from the case and supported each other.
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Thank you so much
@sainsburys
for bringing us goodies to
@FrimleyHealth
ED.
#nhsworkers
#CoronavirusPandemic
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Training yesterday
@nuttyclays
. The hat kept me toasty warm
@TheCraftyRabbit
and it looks fab
#training
#shooting
#doubletrap
#bobblehat
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I've only just discovered it missing. I'm fucking LIVID.
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ACCS training day today
@FrimleyHealth
and
@geris_lucy
is talking to us about frailty
#SLO1
#frailty
#learning
#everydayisaschoolday
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It may have taken a while but nice to eventually have some recognition for my British Record from
@GBShooting
. At the time this was one better than the World Record.
#recordbreaker
#WorldRecord
#shootlikeagirl
@HullCartridge
#thisgirlcan
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Nottinghamshire ladies English skeet champion- not too shabby for a trap shooter!
#sunshine
#champion
#shooting
#shootlikeagirl
#WorkLifeBalance
@NottinghamGC
@NCPSA
@HullCartridge
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Head home: implementation during the Covid-19 pandemic. Our head injury discharge at triage has been published
@FrimleyED_TILT
@FrimleyParkED
#headinjury
#HIDAT
#paediatricheadinjury
#published
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The jumpers have arrived!
@LGeddesEM
is pretty happy about it!
#workfamily
#smile
#emergencyphysician
#EMrocks
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My friend’s girls have made my day today by creating pictures of every day heroes and drawing me! Thank you 😊
.
#everydayheroes
#frontlinedoctor
#emergencymedicine
#paediatricemergencymedicine
#PEM
#allthelove
#feelingappreciated
@FrimleyHealth
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Just gonna leave this here...
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Chilling out with the kangaroos
@lonepinekoala
on my rest day today!
@TeamEngland
#kangaroo
#restday
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@docthake
@happywombelle
@dermotor
As ortho F2 saw same pt every day for 1/52 + introduced myself as Dr. Then patient told consultant on Friday that not seen Dr all week!
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England shooting with
@weRengland
chef de mission JP
@GBShooting
#openingceremony
#bringiton
@Glasgow2014
http://t.co/hX1uUg5E2N
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Thanks
@GriffinlloydSG
for putting on double trap today. Shot my first 30 straight
#training
@GBShooting
@TeamGB
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Trauma in babies under 5 months old is more common that sepsis
@ffolliet
@NEPTUNEConf
#neptune23
#paediatrictrauma
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@Naomimiii
It’s because they forget we are actually people with lives outside work and feelings.
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@RCollEM
Me competing at the Commonwealth Games (one of 3) - won bronze just after this photo was taken!
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Happy birthday and retirement
@HewittSusie
.
I am so privileged to have worked with you and your mentorship has shaped me to be the consultant I am today.
Thank you, you will be so missed.
Suddenly it’s Happy Birthday and a VERY happy retirement to
@HewittSusie
. To say she will be missed
@UHDBTrust
ED &
@UHDBChildrensED
is an understatement.
An amazing mentor, colleague and friend, to everyone in emergency medicine.
We’ll “crack on and see some patients” now.X
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English Open ladies champion
@CPSAuk
@BeverleyCTC
@HullCartridge
#confidencetowin
#bling
#sunsoutgunsout
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Gold 🥇and a new World record. Well done
@Scottie2507
and
@SophieThornhill
#TeamAndCountry
#TeamEngland
🏴
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TICKETS NOW ON SALE!!
Stellar lineup inc those tagged + many more! Poster/abstract submissions coming soon
#EMTA17
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ED Simulation day
@FrimleyHealth
today. Fun with an open fracture sim!
.
.
#simulation
#emrocks
#openfracture
#lifesupport
#learning
#training
#humanfactors
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Loved winning medals at the Commonwealth games +
#gold
at the European champs and hoping 2b
@GC2018
#WSW16
@GBShooting
@CPSAuk
@TeamEngland
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Dr Aldridge sharing lessons from M&M around the region.
Red flags:
- persistent tachycardia (
#abnormalphysiologydoesntgohome
#Rachsrules
)
- limb pain
Complexity and comorbidities, could they have covert sepsis?
Lactate never lies (treat and repeat)
Patrick’s hat trick
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@doctor_oxford
@SteveBarclay
@RishiSunak
@Jeremy_Hunt
Ugh, it’s just ridiculous isn’t it.
We *do* work weekends. I would do more if appropriately paid for it and had time off elsewhere. Good luck finding enough ED consultants to provide a 24/7 service in every hospital.
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Fun so far at the
#CPSAAwards
Always good to meet up with the coach
#shooting
#doubletrap
#commonwealthgames
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Looking forward to speaking at
#EMTA17
about balance between ED and sport. V pleased to have won bronze 🥉 at world champs
@EMTAcommittee
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@jmugele
Rach’s rules:
1) being nice is a bad prognostic sign
2) abnormal physiology doesn’t go home
3) if you’re not a frequent flyer and you genuinely need iv morphine for your pain you’re not going home
4) farmers are always properly ill
#rachsrules
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