Cassie
@MrsGunnison
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Emergency Physician. Loves cheese, wine, cats, music & gin, gluten-free, trans-inclusive feminist, pro-choice. Friend. Wife. ADHD. 🏳️⚧️ 🏳️🌈Ally. She/Her
London
Joined September 2010
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Reviewing notes as part of a QIP. Documented by a nurse who called Ortho SHO about an ortho patient's fast AF. Ortho SHO says they're 'not a medical doctor' 🤯🤯🤯
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I am wearing a stethoscope. I introduced myself as your Doctor and still you call me nurse!
#everydaysexism
#girlmedtwitter
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Very excited to be able to say I've been offered a substantive consultant post in the ED where it all began!
#chooseEM
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Dear GP colleagues, please don't send patients to ED with letters addressed to the casualty officer. It's 2017
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@RoshanaMN
Hospital. The blanket and towel gives it away. The confusing factor is the presence of not 1 but 2 pillows!
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My grandma died the day after having a TAVI performed by a consult cardiologist. When the valve was deployed a shard of calcified valve pierced her heart causing cardiac tamponade. This was recognised and a pericardial drain placed promptly. Could an ANP do that?
I have had a lot of DMs
As way of context, a 🧵
1) Any health professional doing an invasive procedure should be able to deal with complications particularly life-threatening ones.
If they cant pt lives are put at risk
I trained full time for 3 yrs, did >1000 first opertor
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FRCEM SBA passed! Such a relief as it was a truly horrible exam.
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LA for ABGs in *all* patients (apart from critically unwell) has been in the British Thoracic Society guidelines since 2008. Update your practice and don't torture patients. Also think about if you actually need an ABG or if a VBG will do
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@MHA_92_
This is offensive on so many levels... the use of comic sans and an incorrectly placed apostrophe being high on the list of wrongs
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@sbattrawden
1 thing I'm not over, 3 years on, is that the Med reg rang me from my dad's phone when he died. I answered expecting it to be him, updating me on rugby & instead my world imploded. Also, the conversation started like they were trying to get collateral history not break bad news
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Deeply offensive comment *and* if you're going to malign an entire speciality then kindly refer to us by our proper title - Emergency Medicine. We've got a royal college and everything
@COSMakin
@NorthMcrCO_NHS
@BMA_JuniorDocs
You are right in medical specialists but standard of AE middle grades are dropping and many depend on locums. This is not the way to provide safe and effective care. We cant put
#patients
and these doctors at risk.
#patientsafety
must always come first
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@GrazianoDiPrima
@JohannesRadebe
@bbcstrictly
This was beautiful. I cried. My husband commented that he hadn't noticed it was 2 men dancing together until I pointed it out as it was such a natural performance to watch
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I am a firm believer in the benefits that ANPs & ACPs bring but this case is deeply disturbing. Firstly because, as already pointed out, the person performing a procedure needs to be able to manage the complications and secondly the damage it causes to training pathways.
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@DrLindaDykes
When everyone who's worked there and moved on describe it as toxic
When no amount of money is enough to go and do a locum shift
When you're labelled as the problem because you're a trainee so that's easier than addressing any of the actual issues
When you cry on a weekly basis
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@RoshanaMN
Had this woman been living under a rock for her entire life? The importance of folic acid has been public knowledge for well over 20 years AND the Internet was freely available and accessible when she was thinking about conceiving
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Got my outcome 6 for EM training today! Very happy and incredibly relieved 😊
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As an F1 I made a formal complaint about a surgical consultant. They were a notorious bully - shouting at juniors on ward rounds, belittling them in front of patients. They sent the most unprofessional email I have ever received in which they threatened none of the juniors 1/n
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@DrLindaDykes
When you count down how long you've got left on rotation, even if that means starting from 11 months
When the response to suggestions for change is 'but we've always done it this way'
When senior nursing staff bully the doctors
When long term staff members lack any compassion
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Why yes, I am eating eating a slice of
@Nigella_Lawson
's chocolate fruit cake (adapted to be GF) with extra thick brandy cream and yes, it is delicious!
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@MisterHreben
@DrHowieMell
I started my EM career in a department with a very low threshold for tolerating nonsense and removing idiots and I've carried it with me!
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I cried at work yesterday (not because of the pressure of the dept). I got a hug from one of the consultants. I'm so grateful to work somewhere where it's ok to 'have a moment' like that
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24 hours ago I got a call from an ED to tell me that PapaG had been taken there in cardiac arrest and that resuscitation efforts had not succeeded. I feel completely lost in this whole thing. 😞
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@davecurtis314
@Neuro_Matt
Hi Dave, I'm a medical doctor.
Trans women are women.
You are a transphobe and I'm glad you're retired and no longer able to damage patients with your outdated, bigoted views.
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@SteveBarclay
@BMA_JuniorDocs
@Telegraph
They were at the negotiation table on Friday, Steve. You didn't turn up. Your words are meaningless until you have a mandate to negotiate. Your handling of this unprecedented industrial action has been an absolute disgrace.
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#dasSMACC
bound and very excited but even more excited by what happened on Saturday night...
#thoroughlymodernengagementannouncements
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Start my substantive consultant post on Monday. The imposter syndrome is very real and very loud!
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@the_learnaholic
@jessphillips
It was the first time I haven't voted Labour since I turned 18 too. I just couldn't support the mess that Corbyn has made nor turn a blind eye to the antisemitism
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In a new and unexpected twist of being LTFT I've been told that I'm in a job share (I'm not) and therefore won't be paid for all the OOH and weekends I work but a proportion of them. I have highlighted how completely wrong this is and am waiting for them to agree with me. 🤦🏽♀️🤦🏽♀️🤦🏽♀️
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@GoodishIntent
@DGlaucomflecken
My grandma is also dead. When she was alive she danced on tables, beat all her grandchildren (all of drinking age) at tequila slammers & once was in a hot tub with 8 naked men... she was also baffled by pyjamas and asked if young people had thought of sex to keep warm instead!
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@irishayesha
Italy is definitely an example of a country doing it right. No such thing as mask exempt. Green pass required to eat inside restaurants or enter museums etc. People still taking covid seriously.
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@4hrEmergencyDoc
I'm sick of being told to be more resilient. The system is broken and we're working under extreme pressures
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@NHS
I can't believe this is even a question. At a time when morale in the NHS is at an all time low suggesting that they shouldn't be allowed to have fluids whilst not directly involved in clinical care is ridiculous. Dehydration does not a safe Dr/HCP make.
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@parveenazamali
@jama_marwa
@David_T_Evans
@ParisahHussain
It's not belittling nurses to be unhappy that my role in healthcare has been assumed based on my gender. Nurses are amazing but I'm a doctor and I am incorrectly called 'nurse' frequently because I'm a woman. It doesn't happen to my male colleagues.
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@silv24
@noodles_nood
Reminds me of being the ITU 'reg' in a small DGH as an ACCS ST2 when the senior nurse for the night would be disappointed it was me & that my being there as the doctor for the night was an issue because I 'wasn't airway trained'. Had to deal with 6 months of similar nonsense.
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Also please don't use the person's phone to make a call to family members... the night my dad died the hospital rang me from his mobile - I answered it expecting an update on the rugby match only to be told they'd stopped resuscitation efforts
If you ever have to ring a family in the middle of the night please please be able to tell them how their loved one is now. Because answering I'm not sure at that moment really isn't helpful.
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@BootstrapCook
He's glorious! Bella is about 17 pound of fluff, she's part Norwegian Forest and likes to climb into full size IKEA bags!
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@absoluteradio
@OC
@RichieFirth
please make sure your listeners know that hospitals are open today & if sick they'll be seen by a consultant
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Made a
@Nigella_Lawson
inspired glass noodle and turkey salad. Inspired because I only didn't have half the ingredients! Fresh and tasty and perfect for before joining
#teamnightshift
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@noodles_nood
NBM from midnight isn't a thing - 6 hours for food, 2 for clear liquids. Will be thinking of you today x
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So this is my first Father's Day without my dad... I decided to channel my grief into something positive so I've bought vaccines, rehydration salts, soap and school supplies through
@UNICEF
. Big hugs to the rest of you struggling with today ❤
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@harlotan
@clare_eliza
As I say repeatedly... Lord give me the confidence of a male F2/F1/medical student
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My big brother and his wife sent me a box of meat as a care package instead of flowers! Tonight we're having roast venison for dinner 😊
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@em_j_b
No but it does remind me of a surgical F2 (who a few weeks before had been in ED) trying to explain to me how to manage a patient's high BP (elevated due to pain secondary to severe pancreatitis). I declined to prescribe amlodipine and opted for analgesia instead!
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@silv24
@noodles_nood
This was also a unit where highly skilled EU nurses weren't allowed to cannulate patients because some of the senior UK nurses didn't want to learn how to or to get everyone trained. When I asked one of them why she said it was because she was worried about cannulating an artery
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One of the kittens has developed a habit of climbing up on the hand basin and howling at her reflection in the mirror...
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I have been increasingly tearful over the past few weeks and it was only yesterday that I worked out why. I'm an angry crier and I'm so incredibly angry at our pathetic excuse of a government and their handling of the pandemic, of brexit, of child poverty, of homelessness
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Also shout out to the (male) consultant who wished me a happy international nurses day. He looked suitably ashamed/mortified when corrected (especially on realising we'd worked together a while ago).
#everydaysexism
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Wtf is a surgical assist? I stayed late when my patients needed it to ensure thorough handover to relevant parties. I struggle to believe that an F1 in their 4th week would be essential to any surgical case when at least a CST and SpR also available.
3 hours late off for a surgical assist. In two minds about exception reporting.
On one hand, id like a bit of recognition I went through that.
On the other hand, it feels like I’m blaming the team/Cons who were incredible and all chipped in.
#MedTwitter
#FY1
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@IainDean_para
@josh_paramedic
@OFFICIALWMAS
If only those
@OFFICIALWMAS
guys were as sensitive about consent as they are about banter...
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.
@katierazz
I'm using my week off work to revise for membership exam. I might do some knitting too. Is that ok with you?
#imnotinworkkatie
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Had a little cry in the car earlier. The one person I wanted to tell about my exam success but can't is my dad. These milestones hurt so much
#Grief
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First day tomorrow as clinical fellow rather than trainee. Really excited to be going back to the ED that introduced me to EM!
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I hope that the experience forced the consultant to evaluate his behaviour. I stood up to him because I couldn't bear the way he was treating my peers. I had no skin in the game and was able to do so. It's so much harder though when it's your training and career on the line. /fin
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In what has been the toughest (academic) year of my life I'm really pleased to have passed the second year of my MA and incredibly grateful for the support of tutors and friends getting me through it.
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It's amazing how much love you can feel through tweets. Thank you all for your kind words, it really means a lot. X
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@Dr_DeanS
A great example of this is when doing the 7am obs before handover and they're the same as they have been since midnight but because it's almost handover it's now a problem (which will probably be rectified by their morning antihypertensive meds 🤦🏽♀️)
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I am fully aware I should not have been at work last night or over the weekend but I honestly didn't feel I had a choice (for a variety of reasons). Now off for the next week and won't be going back if I continue to feel as unwell as I do.
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@NadiaKamil
I get raised eybrows when I prescribe it. Have people never read the dosage instructions on the box?
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So it has been 11 weeks... I find myself sobbing on the sofa because I really want to call my dad & discuss the France v Wales six nations match and its implications for England and I can't because he's not here anymore
#grief
#griefsucks
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@NicholasChrimes
@TessaRDavis
But when I introduce myself as Dr, take history, examine, make diagnosis & management plan and prescribe drugs to then be asked when they're going to see a doctor that's not a gamble...
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3 years of being MrsG! I married such a wonderful man, he's helped me through the toughest times and brought me so much joy! ❤❤❤
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If you know that we had a rendition of 'If I didn't have you' by
@timminchin
at our wedding then this card from MrG makes perfect sense...
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In preparation for return to work on Monday I have made a headband
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@mina_el_naguib
@SteelCity_ENT
It feels like there's a distinct gender divide between the responses. The men are all shocked & clutching their pearls and the women are resigned to the reality and talking about the bravery of speaking up
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@DrBenLovell
Sending you positive and healing thoughts. Have you considered learning to knit for your post-op recovery? I did a huge amount during mine and found it helped to be making something rather than just sitting. I've got some simple patterns I could send you 😊
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After a difficult couple of months for me healthwise, today we got the best news we could hope for and so we celebrate with bubbles and party food!
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@WAMM_2019
It's not about offense being taken, it's about completely unacceptable comments being made. This behaviour needs to be stopped not brushed aside.
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Threads like this are why I love Twitter!
Okay. Let's talk about how the Royal Navy discovered the cure for scurvy, won the Napoleonic War, lost that knowledge without realising, then got saved by Norwegian guinea pigs.
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Managed to cook dinner tonight: Dijon pork tenderloin, roasted celeriac, cheesy mustard cauliflower mash and
@Nigella_Lawson
's carrot & fennel with harissa. Wasn't sure everything would go together but it was delicious and MrG cleared his plate 😊
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It has been a week, grief is exhausting but I am surrounded by people that love and support me and for that I am so incredibly grateful.
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Ran for 20 minutes non-stop today with
@iFit
Paulo on the
@NordicTrack
. 4 weeks ago this felt like an unachievable goal and 10 minutes was a struggle. Persistence pays off!
#thisgirlcan
#thisgirldid
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@sh_abbers
@Medic_Russell
This is mine from the other weekend! Was the most chill set of nights I've had in about 10 years!
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Ticking multiple 'unprofessional' boxes here...
#MedBikini
with a massive aperol spritz (thanks MamaG), unnatural hair colour and I was probably swearing like a trooper when this photo was taken!
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