Laith Alexander 🏳️🌈
@Laithalexander
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Academic Clinical Fellow @KingsIoPPN | Resident Doctor @MaudsleyNHS | Brain, emotion, mood disorders | Views my own
London, England
Joined April 2012
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Always feel a little sorry for myself when on call on a Sunday 😅
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Me: “hi I’m laith alexander one of the junior doctors”
patient: “you studied years for that degree there’s nothing bloody junior about you!”
… now this guy’s got my back 😎
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Wes Streeting
@wesstreeting
needs to lose his post. He’s clueless.
Tell me the NHS is run for the benefit of doctors when I can’t get a working computer, working ECG machine, toilet break, lunch break, or a place to properly rest on a night shift.
EXC
The NHS is too often run for the benefit of doctors, not of patients, Wes Streeting warns in
@theipaper
interview alongside Rachel Reeves.
He promises a decade-long reform programme to empower patients to take control of their own care.
Story:
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Delighted to have won Junior Doctor of the Year award; a positive end to a very challenging year. Thank you
@GSTTnhs
!
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I’ll bite. I find this absolutely bonkers, and totally demoralising, as much as I respect all AHPs. The bottom post presumably requires >=10 yrs more training. It’s not a fault of PAs. It’s our own fault: why don’t we value our time more… Taken from
@MedReddit
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On call - day 7/7. Knackered but at least it is a beautiful day 🫠
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… and just like that, got my first choice ACF in Psychiatry at King’s College London
@KingsIoPPN
. Over the moon 🌝 🤩
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The UK medical profession is being degraded in front of our eyes… what on earth is a consultant practitioner
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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Can’t believe it. I’ve passed PACES. Absolutely over the moon. MRCP done ✅
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Can’t believe it. I’ve been awarded an Early Career Research Award for a neuroimaging study I’ve been designing
@kclcfad
… I’m over the moon, best Christmas present ever.
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Just finished my set of four nights... to find out I've PASSED MRCPsych part A! Over the moon.
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UK medical training is too long and that’s because the system wants cheaper labour for service provision for as long as possible
#stickittotheman
Not sure if that is unpopular though 😂
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@doctorhammond
@thegradmedic
I say this with respect. If your generation took action a bit sooner, and didn’t let pay erode like it has, it wouldn’t have come to this.
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Yesterday was too emotional... finally actually graduated
@TrinCollCam
and my parents met my partner for the first time. I was so nervous but it turned out so great 🥲
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Last day of FY2 done 🥲 Through COVID wave after COVID wave has definitely been a tough 2 years but loved it
@GSTTnhs
... now onto psychiatry training
@MaudsleyNHS
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Why were a group of practitioners let loose on patients without a defined scope of practice in the first place?
IMO
@TheBMA
filled a gap which urgently needed to be filled
Remember they represent doctors who are expected to supervise PAs - their guidance is much appreciated
Regardless of content.
Why is a trade union publishing scope of practise guidance about a group it doesn't represent?
What authority does this guidance command?
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There is *ONE* on-call Child and Adolescent Mental Health registrar for the whole of South London for children in crisis...
... and wonder how much public money will be spent on Her Majesty's funeral?
We need to think about our priorities as a society 😪
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The government is collapsing and I passed MRCP part II! A good day
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Over the moon to win London trainee of the year
@rcpsychLDN
@rcpsych
-- great to meet so many people & thanks for the brilliant event!
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Just done MSRA exam. (sad - during my annual leave)
Remind me why lots of doctors **must** sit squeezed together in an unventilated exam room for **three hours** when the exam is completely online and could be sat at home?
MRCP was done at home & was fine
@trishgreenhalgh
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After years of work our paper is out in
@NatureComms
! Another step in understanding the causal role of the prefrontal cortex in symptoms and cardiovascular dysfunction relevant to depression and anxiety disorders.
#neuroscience
#medtwitter
#psychiatry
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I find it infuriating that going from CT3 to ST4 means I will take a pay CUT because of the way nights are paid. That is INSANE.
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I am over the moon after receiving my job offer today - I will be spending 2 years at St Thomas' in London as an AFP doctor in psychological medicine and psychiatry
@rcpsych
@wendyburn
@GSTTnhs
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Many doctors
@MaudsleyNHS
have not been paid for their locums for weeks/months
Other doctors have been underpaid
Yet strike pay is docked from wage slips in big chunks unfailingly
How is this fair? Needs to be sorted asap
@BMA_JuniorDocs
@TheBMA
V frustrating
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The team
@EvelinaLondon
have supported me so much as a new FY1. Genuinely considering a career in paeds now. Good supervision makes a huge huge impression.
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Presenting our poster at RCPsych international congress in Edinburgh! What an amazing first day
#RCPsychIC
@rcpsych
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At the start of FY1, getting a call about a potassium of 6.5 would’ve thrown me totally off. Yesterday on call: managed that and other unwell pts. Main diff being an appreciation of how much nurses can do. Nice to see the development over my F1 🥲
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Pan-London rate of £26.90/hr for FY1 shift 7PM-7AM is a bit insulting - night spent covering many patients, both surgical and medical, +- COVID-19... only way trusts will budge is if doctors collectively refuse to do the work b/c their time is undervalued
@TheBMA
@DrOKaneAgain
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Public transport in Oxford is infuriating! Bloody stagecoach
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How I hope psychiatry changes in next 20 yrs:
- classify disorders based on disrupted domains of function rather than symptom/sign list
- use of neuroimaging for biomarkers to subclassify patients and predict responders vs non-responders
- ++ recognition of brain-body interaction
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Um WHAT?? I did not know there was this massive gap in london weighting
Don’t even get me started on the disparity between new doctors and new PAs working in central London.
London Weighting:
All Doctors (FY1 to consultant): £2,162
PA at Band 7: £7,746
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MRCP Part 1: passed!!! (Found out that results were out via a friend, via Reddit 😂)
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Absolutely incredible marching with teachers, university staff, tube drivers, civil servants and
@TheBMA
. A collective force of will like this feels unstoppable.
#juniordoctorstrike
#PayRestoration
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Laith Alexander PhD MBBChir
Today I graduated from med school after 9 yrs - from clinic to lab and back to clinic.
Finally made it: junior doc.
Not an ending expected, nor a beginning relished, but a journey thoroughly enjoyed.
@TrinCollCam
@Cambridge_Uni
@PDN_Cambridge
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Why are locum doctor rates so variable? Medway getting over £60 per hour for FY1 locum cover and I am offered £26 per hour to work in a COVID filled ward 😭🥴
#MedTwitter
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@Molly_FG
I learnt seven rules:
- Staph: fluclox
- Strep: penicillins
- Gram -ve: co-amox, quniolones
- Atypicals: macrolides
- Anaerobes: co-amox, metronidazole
- Severe: co-amox, piptaz, ceftriaxone for meningitis, carbapenem
- Resistant G+ (and MRSA): vancomycin G-: aminoglycosides
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Paper from my PhD out in Neuron - hopefully one more step in understanding the neurobiology of depression!
#anhedonia
#ketamine
#prefrontal
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@JaneGr01
I hope it is resolved tonight by contacting an on call manager or suchlike. This is disgraceful.
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Picket day 2 at the Maudsley - incredible energy + miraculously my voice has persisted!! (X2 lemon and honey teas)
#JuniorDoctorsStrikes
#BMADoctorsVoteYes
#PayRestoration
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PAs exemplify an insidious mid-level creep which will overall provide a cheaper but less skilled workforce
pay docs better
rationalise rotational training for docs (continuity of care balanced with diverse experience)
define limits of PA's jobs better + rename them
One thing I’d not quite appreciated with the PA debate and salary - when prescribing rights come in (which I understand is relatively imminent), won’t they then have to start on band 8a on AFC, rather than band 7? Thereby having a starting salary DOUBLE an FY1 (>£50K)?
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Missed our first flight but made it to Ireland!🇮🇪🇮🇪
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Hi I’m Laith and I’m currently an academic clinical fellow in translational psychiatry
@MaudsleyNHS
@KingsCollegeLon
… love my job, v. rewarding and never boring
selfie is hot off the press looking suitably excited/happy/tired
#choosepsychiatry
Welcome to the Twitter Takeover! Over the next hour we are going to ask our fantastic tweeters questions about their jobs and training – to start we will ask our tweeters to introduce themselves, a cool selfie will be awesome… Don’t forget to use the hashtag
#choosepsychiatry
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Maudsley picket - get to the negotiating table
@SteveBarclay
we are fed up!
#JuniorDoctorsStrike
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Paper is out! Our systematic review and meta-analysis explores the anxiolytic effects of ketamine across clinical settings.
Two wonderful MSc students at the helm and my first senior author publication.
#research
#Psychiatry
#ketamine
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It's 100% true that doctors of every speciality benefit from good psychiatric training. Firm grounding in psychiatry can really set some doctors apart...
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Great to present my poster at
#FENS2022
and incredibly grateful for funding support from the
@FENSorg
-IBRO/PERC travel grant
#MyFENS2022
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I had a dream last night that I visited a ‘D-dimer’ museum, where an elderly couple explained that D-dimer was a fibrous material that was used to make bed mattresses and also gave mushy peas their texture.
What is going on in my brain 🤯
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... and guess how many referrals for ?DVT post Astra-Zeneca vaccine we had at our ambulatory unit today? 😬
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Let me just go and cry into my NHS instant coffee
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Update: our final
@Cambridge_Uni
clinical examinations are cancelled. The virus clearly causing lots of disruption - must’ve been a very difficult decision to make
#coronavirus
#CoronaVirusUpdate
#medstudenttwitter
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Is actually a nice day to be on call at the Bethlem 🤩
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As patients get more medically complex and multimorbid…
…the government is seeking to devalue the medical profession by recruiting an under qualified and cheaper workforce…
It doesn’t make sense
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@Beska
My very tangentially related (i.e. not at all related) insight is that '7-up' is so-called because it used to contain Lithium (mass number 7) as a 'mood enhancer.'
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Solidarity with the nurses - I’ve seen my mum slog for years in one of the toughest professions there is. Nurses are not paid a fraction of what they’re worth!!
You have voted to reject the NHS pay offer for nursing staff in England.
Next steps:
- Seek urgent talks with UK govt
- 48-hour strike from 8pm 30 April, without derogations
- England-wide statutory ballot to extend current strike mandate
Read more.
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Amazing first day but I’m 100% sure I will have lost my voice tomorrow 😂
#JuniorDoctorsStrike
#PayRestoration
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This weekend it all really hit me. Tired and exhausted from it all. Being a (very) junior doctor right now is bloody hard 😔
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And after many blood sugars on many absolutely wasted members of the public - the New Years night shift was done 😂
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