Jennifer Taylor
@Jen_Taylor2
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Acute Medicine Consultant. Swimming, biking, running, sailing, scuba and doctoring in between. Farm shops are my jam.
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Joined January 2012
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Pinned Tweet
There must have been some horrible custard related Datix in order to generate this SOP
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‘How was handover?’ Reply below… Consultant night cover during IA
@TheBMA
@BMA_JuniorDocs
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I would argue strongly that if you need to be constantly reminded of this then you need a meeting without coffee with your ES
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Someone rang AMU this morning asking to book an appointment for their Dad who has back pain as he was an inpatient 6 months ago. The explanation was not well received - is this some kind of secret OCSE test I’m not aware of???
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BBC news using footage of LeBron James during VT on Kobe Bryant.
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It happened! It happened!!!! Thank you to all the lovely people in Acute Medicine who have carried me through the past 6 years.
@acutemedicine
Here’s to the most fun specialty in the hospital 🥳
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Slow asphyxiation of the NHS in front of our eyes. Notice how it’s the young/middle aged fairly healthy people calling for privatisation. I don’t see my multi-morbid Resus patients on home treatments and 15 medications asking for it.
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5k PB. Too embarrassed to say what the time is but for someone who didn’t think they could run 1k 3 months ago I’m quite proud.
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I am prone to rambly entries in the notes - proper med reg style - where I think of all sorts of random diagnoses and then just write at the end ‘but it’s probably heart failure and CAP’. Most recent gem was when I theorised about rabies. But anyway….
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But honestly has made my week to know that someone appreciated that review and the information it provided. Everyone needs to feedback some positive things to everyone more often. More positive feedback!!!
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Weirdest thing about MedTwitter is that we have got to the stage where people write 'I wonder what the pizza will make of this' and everyone knows what it means.
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@FarahSharnouby
Another good one I like: Patient: I really don’t like hospitals. Me: Neither do I actually. Que endless laughter.
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@Beska
Which bleep do you want tonight? Resus, corridor or car park? Or Car Park Resus? Oh there’s only one of you - I suppose you get all four.
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Did another deep dive of notes on Rheum patient on nights at beginning of week. Didn’t think much of it until I saw consultant PTWR essential saying ‘see JTs’ summary. And then received email direct from Rheum consultant with positive feedback. It was only 2-3 sentences…
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@Neuro_Matt
You know the clinic is called something snappy like ‘Aspirational Aesthetics by Dr Rishi’
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@timricketts_
Try explaining acute medicine to non medic family members. ‘We are the medics, but the first ones, before the other ones’
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Weekend nights and agreed to numerous mini-CEX/DOPS/CBDs. Question - can I get an assessment for doing assessments??
@DrBenLovell
will know 😂
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@Neuro_Matt
Space. Dizzy and well people in ED are often sat in chairs waiting for beds and no appropriate space to do the exam.
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@bbchealth
Why is it relevant the the junior doctor working in 2008 may or may not be a consultant now and therefore earning more? They are different jobs with different remuneration achieved through competitive application at several stages.
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@sh_abbers
There are no infections anymore. Only sepsis. And that oft quoted diagnosis in the notes. Sepsis - chest vs. urine. THE ULTIMATE BATTLE.
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@mevparekh
Reminds me of the time I was bleeped to help do a difficult cannula on a neonate. Think I successfully put them off when I asked ‘Are the veins in the same place?’
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The very British combination of custard and NHS guidelines/policies has clearly struck a chord. Any other gems people can find?
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@DrEilidhMaria
I believe there is evidence that glove use routinely for examination and not for procedural use is actually worse for infection control. I’ll try and find the paper. As for nail varnish I’m not sure what the evidence is.
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And I don’t mean those occasional ‘I tried to squeeze one last patient in and it was a long one in the end and pretty please can you do meds for me’. I mean those who consistently feel it’s not their job to write up medications
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@Microbedoc2
It’s not the fact that people are eating lunch sat on the floor whilst being forced to do work related things - this is par for the course in the NHS. It’s the absolute hilarity that the hospital felt the need to highlight this as some kind of perk.
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Also Acute Med SpRs on any of their placements. Yes I am an SpR but not one of yours...
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@CrisMKM
@DGlaucomflecken
I have seen this exact story shared on social media in UK. Knew it hadn’t happened in the UK due to some of the language and it’s clearly complete bollocks.
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@thegradmedic
Just be kind to yourself. Doing 4 night shifts at 12.5hrs means 50hrs of work that week. With commuting, eating, sleeping you might find that 5 gym sessions that week would be very challenging.
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If you print off the Toxbase advice, put it in notes and write on plan - refer to ToxBase you still need to actually DO what Toxbase says. Having the print out in the notes is not a therapeutic intervention 🤔
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@DrLKVaughan
@gmcuk
Thank you for highlighting this. The main thing that needs to come from your helpful 🧵 on this is that people must respond to the consultation with their thoughts and not only on Twitter.
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Absolutely cracking day on SDEC. Lots of lovely patients, some great chats about difficult cases. Sometimes it can be hard to recognise when we really have a good day at work. And today was a really great day
@CHFTNHS
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@malinga_r
Since when does the
@gmcuk
investigate allegations of assault? Surely this would go to the police and if a crime was committed they would then look at FTP in that context. Why would they be the ones to do this?
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@clare_eliza
Yeah when you are doing a emergency C-section on a 19yr old girl receiving CPR the laminated birth plan is not as important.
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@DrBenLovell
But I can’t hold the Subtle Knife - I can only use the alethiometer to predict admission numbers from ED when I am on call 😂
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@JeremyVineOn5
@theJeremyVine
Coming into my second decade as a junior doctor
@theJeremyVine
yet only just got onto the final nodal point. ‘4-6 years later’ 🙄
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Reminiscing about a time I used to wear high heels and Hobbs/Zara dresses to see people in Resus. The damage Covid has done to my work wardrobe/make up choices can never be healed.
@StephanieOade
is my witness.
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@mevparekh
Wow wow wow. Makes you so mad. Worse thing about it is that there will be some that do need lanyard but being abused. I find it very amazing that whole families and couples seem to all be exempt! What are the chances!
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@zackferguson
Don’t be silly Zack - just employ them as consultants straight out of med school
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@juniordoctors_
@drbenwhite
What. The. Hell.
@gmcuk
how do I opt out of this please? Your role is to regulate my working practice not sell on my information which must be given to you under compulsory licensing
@carriemacewen
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@David_T_Evans
@ParisahHussain
Last night went through chest drain procedure with patient. Showed them scans. Consented. Discussed risks/benefits. Start to get kit - daughter says ‘Oh I didn’t realise you would be doing it.’ Why would you think that I wonder???
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My favourite thing is the emphasise on them being ‘swarming’ bees and not just regular ones.
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These notes are mostly ignored by consultants. Not gonna lie - can cut a bit deep when you are trying your hardest to be a super duper diagnostician. But I understand they may take some of this onboard and my diligence may enable quicker PTWR.
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@RCPhysicians
@Microbedoc2
This document is a lot of words but no actual tangible evidence of anything the RCP/JRCPTB has done to support my training so far.
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@j_ismay_graham
@moribunddr
I feel this is true if you have working relationship with someone and know that their response or reaction to you in out of keeping/not the norm. You are embedded in a team together. One of the benefits of locum work is not to tolerate poor behaviour for the sake of team harmony
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SUPERB day for running. 5k and 10k PB (long story but done separately). I don’t care if this is bragging but I am SUPER PROUD. Mainly cos I could run for more than 2mins 6months ago.
#ukrunchat
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@DrBenLovell
Never ever has anyone offered to take bleep off me. Even had crash bleep go off in the middle of doing LP because others refused to have it 🙄
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@JonnyGucks
This is tiny! The tweet stated it was going to be open in June. Email from trust today said it was due ‘summer’ but also still out to tender??
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@Medic_Russell
YES! I’m so glad someone else has this too. The ‘wait is this Jenny???’ and then you can relax knowing your friend will listen to you 👌🏻
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@MedCrisis
Agree. It’s a problem. IMO as an Acute Medic on a given day I should be able to manage 80-90% of the AMU take without having to refer out. People with 7 medical problems don’t need 7 separate opinions each time they are admitted.
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@Parody_RCGP
This is infuriating. Makes you think some people just don’t read the basic information or don’t bother to look at the details before sending letters. Or the other solution is that they are avoiding work. How else could you interpret a constant level of misunderstanding?
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Seeing all admissions by 3am and then 2 patients arriving at 0745 is the worse feeling ever 😅
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Nothing infuriates me more than the absolute cottage industry that is ID checks and production of paper utility bills to trusts prior to rotating. Waste of my day off after a weekend on call. Get a centralised system.
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@LiangRhea
@an_leavy
@rylo75039344
@gmcuk
I think the thing that makes me the most mad is that they dress it up like some amazingly complex medical problem solving exercise. This isn’t a patient dilemma or a treatment dilemma. This is just a poorly run medical staffing department.
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@dan26wales
Amlodipine takes 8hrs to reach peak drug concentration and 4-10/7 to reach steady state anti-hypertensive effect. It’s a reflex thing to give but if you really need to bring the BP down quickly then it shouldn’t be the first choice it often is.
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@JohnLauner
@cathjw
@bmj_latest
I often walk through ED waiting areas to get to SDEC. I’m dressed as a doctor. They often look hopefully at me as if I’m going to call their names. What would be the reaction to saying hello to 40 people and then walk past - particularly if I have my lunch or drink in hand?
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@MStott88
Also used when referred to Medicine - ‘got abdo pain but not a surgical abdomen.’ What does that meeeeeean??
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@thegradmedic
Depends entirely on the rotation for sure. Just don’t put too much pressure on yourself - you will also be cognitively fatigued with the new job.
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@DrBenLovell
Husband does this now and if we sleep away from home he insists to sleep closer to door even if we have to switch sides of the bed
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@toates_19
At my previous hospital I felt like I said this once per week. Crazy system - no Spinal surgeons locally, they can’t go to Orthopaedics so have to go to Medicine. Imagine if I said no Hepatology unit so all liver patients have to be admitted under Orthopaedicss???
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@DrBenLovell
From a quick look at my make up bag looking at >£200 to replace all items. But not sure how they will manage to flog a load of second hand stuff.
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@WhistlingDixie4
ED: Hello - are you the Respirarory SpR on call? Me: no such thing. Our SpRs are now designated as follows: COVID and sick, COVID and not sick, everything else vaguely medical SpR.
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@medicluke
One of my pet peaves. Similar to insistence of certain INRs in IR cases when patients have had comprehensive Haem reviews and individual factor levels measured and replaced
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@ellennelsonrowe
I’m very sorry to tell you that you will be doing this every year for the next 10 years or so. Keep a separate folder of passport, DBS, immunisation records on laptop and it will save you lots of hassle in the future.
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Peak Twitter achieved so early in the year with custard related content. Working for the NHS is the gift that keeps giving.
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@DrBenLovell
I think scans should be requested as you go along on ward round. Much easier to do now that most are requested electronically. Also helps with the quality of the information for the reporting Radiologist.
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Just signed up to
#SAMLondon
@acutemedicine
. Looking forward to spotting the great and good of
#medtwitter
chairing a few events. Early bird rate ends 29/2!
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@Neuro_Matt
@jim_crawfurd
@DrSharandeep
@BMA_James_Steen
However, if the junior doctors didn’t rotate every 5mins then they would feel that procedural skills relevant to that rotation would be more important and have more time to learn.
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@JonnyGucks
@theCFOM
Very interesting. Gives off ‘if you don’t know why I am leaving then that’s part of the problem’
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SHO I’m working with overnight didn’t get my joke about Cilia Black and Blind Date. He’s TOO YOUNG to remember the show!
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@girldoconline
Urgh. Chasing study leave expenses this month. Told ‘to be patient’. I am not a child who cannot get their sweetie allowance. I have a mortgage, rent, bills to pay. I am an adult with adult responsibilities.
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@clare_eliza
This probably led to the ED assessment that I once read of. ‘Positive Ddimer at triage. Plan: LMWH and SDEC.’
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@AbbieSBrooks
Equally writing c with a dash above to mean ‘with’. I have done that in birthday cards before.
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@CharSquires
I believe 4-6hrs to have any affect. 2-3 weeks to reach steady state. Any change in BP 30mins later is pure coincidence. Unfortunately do see fair few med SpRs colleagues prescribing it as a stat treatment.
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@sleepy_homo
Showed consultant pic on my phone the other day. Told him to swipe left to look at next picture. He triple checked which direction - feel he has been burned in the past.
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@DrBenLovell
‘Well as a true Drag Race fan here’s my take on the Sherry Pie scandal... Oh wait you want to ask about how I do my post take ward round??’
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@Microbedoc2
The phase ‘triggering for sepsis’ or ‘flagging for sepsis’ is now intensely triggering for me.
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Antibiotics aren’t just needed for your trivial coughs/colds. Modern surgery and chemotherapy including stem cell transplants would not happen without them.
@theresecoffey
is irresponsible for dishing them out to friends and family. Plus it’s illegal under the Medicines Act!
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@DrHethWeth
@wesstreeting
I found this very interesting thank you. Just reminded me to bear in mind the small numbers I see from GP in an acute setting.
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@gillybean712
@ncl_medic
It just gets worse and worse. People talk to male F1s who are writing notes for ward rounds I am leading all the time.
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@mevparekh
Everyone is in the queue for Costa and due to social distancing they are only serving one coffee at a time.
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Doctors who wear make up. Why are we not saving money on expensive foundation and not doing the bottom half of our face?? Focus on cheekbones and up.
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