Folky, JUNIOR doctor. Card carrying communist. All tweets own, and all that guff. My political career was built on the ability to organise a ceilidh. He/him
I considered changing my Twitter handle to “Dr Thabo Miller” to show support for the
#ImmodestWomen
but realised that would kind of defeat the point. Therefore, as I have a Bachelor of Medicine, I shall be “Bachelor Miller” and encourage male colleagues to do the same
#HeForShe
@MrTweej
@TVsCarlKinsella
Point of information: Having an Irish great, great grandfather doesn’t make you Irish.
There are 3 million Americans who fetishise a country that most of them have never even been to
@KamdenStrunk
Mine isn’t nearly as cool. I got threatened with disciplinary action for plagiarism of a essay at med school, Because it had taken them ages to mark it and I had sub sequently published it.
@SonyaBonczek
If one of the mum’s said they needed my e-Mail address “to organise a birthday party”, then I wouldn’t give my personal one, just in case my wife found out and thought I was having an affair
@renate_julia
@MrTweej
@TVsCarlKinsella
But, unless all Irish-American people are inbred (which they may be; I don’t know), they probably have ancestors from every part of the world if you look back far enough.
Therefore, saying that “I am going to focus on this one country” is fetishisation
@Kc111499
@renate_julia
@MrTweej
@TVsCarlKinsella
Yes. Exactly. And they would all say that they are “Irish”, no matter where their grandparents were from.
The only people who care about percentages with ethnicity are Americans
#IAmPhilipMitchell
A terrible injustice was committed in court today: A judge decided that a patient with a frequently changing story, who wishes her daughter was never born, is more convincing than a doctor's usual practice and the healthcare record
@abandonedladder
@KamdenStrunk
To be fair, it was very quick to convince them that 1) I had written the article, and 2) The essay had been submitted before the article, so it wasn’t even a case of self plagiarism
@rheawolfson
Can we not just have trans only short lists in addition? Trans people need more political representation, but at the cost of cis men, not cos women
@RidgeOnSunday
@RobLaurensonD4P
@RidgeOnSunday
makes good point about spending lots in pandemic on things that maybe would work.
However, important to note Track & Trace/ substandard PPE were SO badly done that it is hard to believe they were meant to work. They were almost certainly just cronyism & corruption
@JohnBonoh
@turmerictown
@afuahirsch
But, as Trevor illustrated in his response, that isn’t ACTUALLY how the French do things. You are only French when you do good things, you are African when you do bad things.
@OwenJones84
There’s also nothing new about some homosexual men having a streak of misogyny because they have no use for women. And this does seem to be writ large in the ranks of trans rights activists
@fochti
To be fair, most of the people who I have heard say “everyone is a little bit autistic” are the ones who look at autistic traits and think “But that is normal behaviour, everyone has that. I have that”.
Ie. People who are autistic but haven’t been diagnosed
@Carina_Amyth
@Cooperstreaming
@ask_aubry
Also, somebody SO aggressively begging that they wear you down to the point you give them money IS kind of stealing the money. Or at least it is in the same ball park.
People say neonatal medicine outside a tertiary unit is just feeding and growing;
Last night I witnessed a Level 2 team simultaneously perform CPR, perform bilateral needle thoracotomies and intubate a baby to achieve ROSC before packaging them off to the tertiary unit
👏👏👏👏
As we don’t have cabinet responsibility at
#JDConf19
, I am at liberty to say that I think we have just made a terrible, small minded and inconsistent decision about MAPs, and should be suitably ashamed
@AnnaBorth
@SonyaBonczek
Or it could be that some people have significant mental health issues, and so their loved ones make adaptations to avoid exacerbating things 🤔
But Yes, why not just be sneery about how easy your partnership is 👍
#IAmPhilipMitchell
The judge ruled that the theoretical sibling born had the parents waited would have been a “normal, healthy child”.
This is untrue. To take a SINGLE condition, the chance of being born at less than 32 weeks gestation (with all associated problems) is 17%
@lovinloki
@Elliott61174239
@Blueeyenephilim
@DayPay9990
@Dr_Ophelian
I used to think it was dishonest for trans people not to disclose, but I now understand how dangerous it would be for them to disclose to somebody they didn’t completely trust. I don’t know what the answer is, but early disclosure isn’t a reasonable thing to expect
@dennisehayes
@EducationThrive
He wasn’t a healthy individual, otherwise they wouldn’t have put him on a ventilator.
He was a very sick man who, unfortunately, didn’t pull through in spite of the best efforts of the health service
@PoliticalFandom
And imagine if the black and brown feelings consisted of “I like fried chicken, I want to take drugs, I don’t want to support the mother(s) of my child(ren), I don’t value education” and other stereotypes
@TVsCarlKinsella
Both goals he let in this tournament have been due to the defence mucking up; if they had built a wall better against Denmark then they wouldn’t have scored, and if the outfield team hadn’t sat in the English penalty box for 60 minutes then Italy wouldn’t have equalised
@dr_alex_gates
I have only been an adult ITU doctor for 5 days.
However, I would be surprised if anyone is going into an ITU bed at the moment without being ventilated. If he just needed special treatment and particularly close watching, surely you'd put him in a side room with 1 to 1 care.
@_garmc
I have some sympathy for the “Only medical consultants in the NHS” position, from a clarity point of view: As the public think “Consultant = Senior doctor”, then maybe using a different term/having a big educational campaign would be a good idea
@thegradmedic
Do you know what they call the person who graduates 450 out of 450 at medical school?
Doctor.
It just matters about getting over that line, doesn’t matter how it is done
Happy birthday and Congratulations (and get well soon)
@PartyHkt
@SonyaBonczek
So, you are too selfish to prioritise somebody else’s needs; and yet you want to criticise me for Co-parenting?
Weird flex, but OK
@EmergencyBod
I love the fact that so many health professionals(including me) clearly treat parenting like it a triage:
“Persistent screaming implies patent airway, spontaneous breathing, circulation good enough to perfuse the brain and GCS at least 9”
😂
@Ivanabreakfree
@medichulston
Here, I’ll correct that for you: ‘Med reg bravely calling out potentially dangerous behaviour by a senior doctor who has a lot more power and influence than the reg does”
@Complicateditis
Giving viagra to newborn babies
I was also surprised just how long a period of asystole you can induce with a bag of ice to the face of a baby
@plastic_baggy17
When I was single, if I did extra shifts then the only person who suffered was myself. However, if I have caring responsibilities and work extra, then children/parents/pets also suffer. Therefore it IS more of a big deal.
Was listening to
@BBCr4today
this morning and who should appear but
@HannahPopsy
. No surprise there, you might say. However, what was a nice surprise is that they had got her to talk about something that WASN’T disability or gender! 👍
Hot take: If somebody junior phones you, you should always be willing to make their problem your problem
(Particularly if it is just after august changeover)
@downtomarsgirll
@MrTweej
@TVsCarlKinsella
But they are not what their ancestors were. They are different people.
Hasn’t much of the western world just been celebrating a film that celebrates letting go of generational hang ups?
@PrasMao
I have never, and will never, say no to a referral.
Either the person referring knows what they are doing, in which case you need to see the patient. Or the person referring is incompetent, in which case you REALLY need to see the patient
@StynaLane
Nothing to apologise for (as somebody who also thought that was where you were going with the thread). It was instantly obvious from the second tweet what you were saying and, if people fly off the handle from not reading properly, that is their problem not yours
@dob86
@Iylmkmc
This may piss off my colleagues in the Consultant/GP/SAS branch of practice, but I think that we should make it a requirement of their revalidation (plus mine, as a registrar) to have completed a minimum number of WBAs for more junior staff
@dr_alex_gates
I would guess (but, again, not really an ITU doctor). So it is only a very vaguely educated guess) that he is more poorly than the press office is saying
@sianharries_
Q: What did the humanities graduate say to the science graduate?
A: “Do you want fries with that?”
Art and Humanities do make modern life more fun. But Maths and Science make it possible
So, just so I understand: If you are a sports reporter for BBC speaking in a personal capacity; you must be impartial. If you are a news reporter for BBC speaking in a professional capacity, you can be as political as you like. As long as you follow the government line
This morning’s
@NickTriggle
piece for the BBC contains a number of misleading claims about the BMA’s upcoming industrial action.
First and foremost, we are not “demanding the biggest pay rise”—we’re demanding that our members’ pay be restored to what it should be.
@plastic_baggy17
And completely agree that we shouldn’t let medical staffing guilt us by saying “Well, everyone else has children so they can’t do
it”.
Your co-workers reproductive choices are not your concern or problem, and hospitals shouldn’t make them so.
@sbattrawden
@thegradmedic
Also important to remember to do something similar when you are giving a colleague bad news
I walked on to a shift to be told that the child I admitted the previous night had died just after I went home, and the team started by saying “You did nothing wrong, even in hindsight”
@PeterMcGuireIE
This is a straw man argument. Even the leadership of groups like
@Womans_Place_UK
are supporters of trans people’s right to exist and to flourish, they just disagree with the tactics of the louder trans activists
@Aleexxies
Because we don’t have the adequate staffing, resources or desire at a high level to make it better. Therefore , to stop ourselves feeling depressed, we rationalise it that this is how it should be and that it is all part of being an NHS Hero
@Jenny_Pewsey
This is why referrals to other specialties are done by me (the reg) or the ST3 (about to become the reg).
Then, if it is a stupid referral, I can cancel the plan, rather than the poor F1 being stuck between two groups of seniors
@PAalice19
But the data suggests that yours is a minority opinion,
@PAalice19
.
A very sizeable minority, I agree. But there is a large group of PAs who WOULD choose to be a doctor, if being a junior doctor wasn’t so crap and medicine wasn’t so expensive
@dan26wales
I disagree. This is classic “No true Scotsman” territory. Medics represent a broad spectrum of opinions; some are dicks. That doesn’t change our clinical abilities and appropriateness
@parkerflash
I think it depends who you are. If a brown, female, working class doctor who has to prove themselves ever day does it, then that is fine. If it is a white, middle class male, then you’re just a prat
@RJS_med
Clarification: Thinking about that child and “maybe I could have done something” would have haunted me for the rest of my career. The original comment wasn’t meant to be a tasteless dead child joke
@sbattrawden
@thegradmedic
Obviously not comparing getting bad news as a professional to getting bad news as a parent; the above post just made me remember a time when colleagues got it absolutely right
@lifeoftazza
What was the point of the lecturer saying it? Was it to emphasise to female students that their main purpose is as wives? Was it to emphasise that medics are incestuous and so it is important to look after reach other as you’re one big family?
@karenerrichetti
1️⃣I’m Thabo, a paeds SHO at the Royal Brompton in Kensington
2️⃣ My wife and I went for our 12 week scan this morning, and found out we were expecting twins; the first set in either of our families as far as we know 3️⃣ Tagging
@DrSarahHal
for providing leadership from isolation
@Disgruntled_SHO
I agree that it is very annoying when I am busy, and seniors want me to go and stand there and write for them.
The way I make it less bad for my juniors is that we clerk patients together, and alternate who scribes (and do work based assessments when they are clerking)
Looking at the motions submitted for
@TheBMA
#ARM2019
. Particularly good batch of motions this year, should lead to some really passionate and important debate that shapes the direction of the association over the next year and beyond
@ellennelsonrowe
Umm.... I think Grey’s stretches the definition of medical drama.
I think it is more accurately described as ‘soap opera whose characters incidentally cut people up”
@medstudentali
Well, you know what they call the person who scrapes through their exams and graduates bottom of their year at medical school:
Doctor.
👍
@RJS_med
I admitted a toddler a few months ago because something didn’t feel right and, for the first time ever, we happened to have empty beds.
Child died 8 hours later.
If I hadn’t trusted my feelings (and had fewer beds), that patient would have haunted me for the rest of my career
@WakeRevolt
@Dr_Ophelian
No it’s not. It’s saying that the struggles that trans women face are different enough to the struggles that cis women face that it is tactically silly to try and lump them into a single liberation struggle.
@QuinnPBrown
@wellamorr
Anyone can be a feminist (except misogynists, I suppose). Whether the struggle for trans rights is a branch of feminism, or a similar but distinct struggle (with some fundementally overlap), is a different debate
@springday_6
@PreciadoHime
@EmmyC484
@pjsdreams
Krum was 17 or 18 and Herminone 14 or 15, which is a in the realm of just about OK I suppose. The one that I found weird was Bill Weasley/Fleur one. Apparently they were 24 and 17 in goblet of fire
@hayleymagill
The question is: Why do you need to come in on your days off to see fun stuff? What is the problem with how training is delivered in your unit that means you don’t see this stuff during your working hours?
@Jenny_Pewsey
One of the best jobs I did was a paed cardio job (ie. the consultants hadn’t done general paeds beyond ST3) where, when they wanted another subspecialty opinion, they would double check with the SHOs (ie. Recent experience of general paeds) that it wasn’t a stupid referral
@uinseann87
PAs I have worked with have all been pretty good and keen to learn. Agree with MedTwitter that they shouldn’t get training opportunities to the complete exclusion of trainees; but also think that there are enough training opportunities for all