Dr Yusef Smith
@PropaneFitness
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Watch me build an automated online coaching business from scratch in 4 hours 51 minutes.
Link below for the full video and blueprint.
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I just quit being a doctor for the NHS.
Here are 12 reflections:
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Back in the day before our dopamine receptors got fried
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Correction:
*Thinks* that she eats 2200 calories a day
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2. Nurses are top bants & impressively tough.
I can’t fathom what keeps them going.
They cardiovert you, intubate, perform CPR, administer IV meds, yet paid literal peanuts.
I’ve seen some patients treat them terribly (& then switch to best behaviour when the doc walks in).
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9. “But we’ve always done it like this” is not a satisfactory excuse for a broken process.
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5. You aren’t paid your worth in healthcare.
£1800/month for my hours isn’t enough to keep me here.
Apply the same time, energy & training to other fields, and you’d see 10x the return.
There’s easier ways to earn £1800 without 7+ years of training/exams/sweat/nightshifts.
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> lift & meticulously hit protein targets for 10 years to impress lads on the internet
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14. If nurses were allowed to prescribe paracetamol, we'd receive 90% fewer phonecalls.
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1. Recruit enough driven, intelligent people and they will heroically hold together an underfunded, duct-taped system.
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I’d return immediately if, (unthinkably):
- We could use Apple computers
- We were adequately compensated
But we needn't worry about such a radical shift happening any time soon.
Thanks for reading.
Follow, heckle, DM me your abuse etc. 🙏️💙
bye x
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7. The technology is worse than I’d ever expected.
Wrestling with fax machines & using a battered windows PC with a broken keyboard all day is enough to drive anyone insane.
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8. I made an astonishing discovery: beeping alarms, interruptions & sleep deprivation are not conducive to clear thinking or clinical decision making 👀
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Explained:
The original post trying to make the point that there is vast individual variation in metabolism.
The reality is that there is approx 600kcal between the 5th percentile and 95th percentile of BMR
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It's a seductive belief that we are the ONE anomaly with an abnormal metabolism, and that must be why we aren't reaching our weight goals.
The data says what is overwhelmingly likely is that you are mistracking.
A slippery biscuit here, a drizzle of oil there.
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10. There is a weird taboo around financial incentives in healthcare, as if its somehow exempt from the laws of supply and demand (see below).
Yet it would solve the discharge letter problem instantly.
A fiver would do it. Hey, even a parking pass.. or lunch.
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6. Americans don’t get it.
Over here, the financials are completely removed from our individual clinical decisions.
I can say that with absolute confidence.
See point 5. We aren't paid enough to shill for big pharma 🧑🌾.
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3. There is no such thing as a peaceful poo.
You WILL get 6+ phone calls when you’re at your most vulnerable.
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I conservatively estimate 3+ lost hours per day waiting for a hospital computer to load. 1500+ hours over 2 years.
That’s hella costly.
Here's a day in the life:
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4. I have worked with inspirationally smart, competent colleagues.
Mindblowingly so.
It has taught me to raise my standards in my own work.
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Doctors: Sleep is important
Hospitals: 24/7 bright white/blue lights and constant beeping + alarms
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11. I have learned the importance of user interface.
Every extra click, or 5 second delay creates an avalanche of organisational friction.
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Ed Sheeran playing in the gym takes 15kg off your squat max.
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13. Junior docs do more adminning than doctoring.
It’s a blessing in the early stages, but seems like a strange way to allocate the system's highly trained human resources.
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Doctors: Sleep is important
Hospitals: 24/7 bright white/blue lights and constant beeping + alarms
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It’s been a ride, and I’m sad to leave.
I will probably return.
The system is showing signs of failing - by the time I’m back it’ll have been packaged and sold off.
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This was going on right under our noses when we were 10
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Ed Sheeran playing in the gym takes 15kg off your squat max
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Just been told by a 102 year old patient that ‘life starts at 80’.
What a legend.
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What on earth has happened to the price of protein?
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“You’re in great shape, what’s your secret?”
“Just train 3-4x/week for 5+ years”
“bUt hOw MaNy GrAmS oF cReAtiNe’
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Not lifting weights because you’re afraid of getting ‘too big’ is like not going for a jog in case you accidentally win the 100m gold medal.
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Big response, thank you.
To clarify:
- I still love NHS: leaving because other projects need my attention.
- The comment about salary rustled some jimmies. £1800 is NET & I don’t mean to seem ungrateful.
It’s a good, secure living. But CHUNKY tuition debts & the ROI is low.
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12. Time is SO valuable.
Most employers take the mick with it.
Being a doctor is not a full time job.
It’s probably 1.5x once you account for the actual hours PLUS the bandwidth, personal life + circadian disruption from night shifts etc
Lockdown has got me looking like Boris Johnson. 🧓
Here’s my un-progress photo for the year:
🧵👇️
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Back issues? Split squats will give you DEEP ass soreness without the spinal loading.
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Unpopular opinion: if you’re not building a brand, social media takes more than it gives.
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People microwaving their tupperware while worrying about the vaccine
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Exercise is negligible when it comes to fat loss. It’s heartbreaking to see people endlessly jogging with no results
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One 200ml serving of soy milk = exceeds daily acceptable intake of fluoride.
Fluoride toxicity is NOT good for your balls.
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This is from a PS5.
I haven't played video games since I was young, and I'm now convinced that this is wizardry.
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Also, the point of this post is not fat-bashing.
Quite the opposite: tracking gives us the empowerment that we are not 'broken'.
More on this here:
The darker causes of obesity that nobody likes to talk about:
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Imagine the kettlebell and the barbell were coaches.
Who has the barbell produced? Every olympic athlete, every bodybuilder, every powerlifter.
Now what about the kettlebell? A bunch of crossfitting vegans with shoulder injuries
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And med students: don't let this put you off.
It's an excellent career with great training opportunities, security, intellectual stimulation, satisfaction and personal growth.
You got this 👊🚀
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@Rainmaker1973
Love the hygiene-window at the start. We need that in UK - get your grubby fingers off my bread 🍞
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Potatoes for cutting, rice for bulking
If everyone just sticks to that rule we’d all be fine
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I’m such a chump for spending 6 years at medical school when I could have just:
- Graduated from the Royal College of Gumroad
- become a twitter health guru
- single handedly solve global disease with keto diets and cold showers.
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📽️ NEW VIDEO: 👇️
I avoided estrogens for 12 weeks.
Here's what happened:
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I am from the future
The doctor of the future will prescribe heavy lifting, whole foods, high protein, a gallon of water & 8000 steps a day.
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COVID VACCINE 101 💉
On Twitter, it's difficult to get a clear, objective view on the COVID vaccine.
I have just had mine today, after I spent some time reading around it.
So here’s a thread to clear things up 🧵:
👇️👇️👇️
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Life is short. Don’t make it shorter by not lifting weights.
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To people seeking advice who are feeling stuck in their job or want to diversify their income - here’s my advice:
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IVERMECTIN 101 💊🪱
A humble deworming tablet has built quite a mystique for itself this year.
But finding a clear answer online is not so easy:
Can it treat COVID-19?
A thread: 🧵
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This is why you can charge for information products.
Yes, someone could randomly google their questions, but you add value by ORGANISING the information for them.
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Free weights vs machines
Healthcare vs prevention
Low carb vs high carb
Cardio vs lifting
etc. etc.
Why not both? Stop thinking so black and white.
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9 THINGS I LEARNED FROM GETTING TO SINGLE DIGIT BODYFAT 🧵
1) You’re probably fatter than you think
It takes 8-9kg weight loss to go from ‘quite lean’ to ‘shredded’.
I had visible abs at the beginning of this diet @ 82kg. thinking I was only 2-3kg off being shredded. Wrong.
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The main thing is to pick a job that suits your ideal combination of time/freedom/satisfaction/impact/money, whether inside or outside of medicine.
When you don't know what you want out of life, do this:
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When you don't know what you want out of life, do this:
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I’ll do everything in my power to avoid medications, anti-depressants and surgery.
But I’m not so arrogant to say that I’ll never need them.
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You know you’ve made it when you start getting steroid accusations
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@NoContextBrits
Lidl 100% 💪
gimme dat frozen ostritch burger, powerdrill and inflatable dinghy
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Genetic variation between BMR is around 600kcal between 5th and 95th percentile.
The bigger driver of bodyweight variance is appetite and food habits
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Intermittent fasting does not increase testosterone.
Cold showers do not increase testosterone.
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Serious question: does anyone actually like american cheese?
The orange plastic paste squares
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- One hobby to feed your soul
- One hobby that makes you money
- One hobby that keeps you fit
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Twittergurus: i have a 400kg squat, 150 supermodel girlfriends and a $2 billion portfolio
Also twittergurus: no proof because i’m staying anonymous to prevent attacks
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Quit smoking before you worry about what’s in the vaccine.
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There’s something fishy if you have the exact same opinion as your friends.
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