Dr Thomas Key 💙
@Tjkey
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Bikes bikes bikes. AIM/GIM ST4. IKEA enthusiast. Occasional jogger. BMA Regional Council. Personal views only.
Leicestershire
Joined October 2009
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Survived my last night shift for a little while. Time to take care of myself.
I tried to escalate the rota gap. I emailed the clinical director, chief of medicine, MD, CEO and GOSW.
Its now been 24 hours. I've not even had a single reply or acknowledgement.
NHS culture.
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Medical consultant sees patient and notes rapidly growing skin lesion on patients forehead. Suspects SCC. Refers to Derm for 2WW opinion. Referral rejected - advised needs to see GP and then they can refer. Surely a huge waste of everyone's time??
#MedTwitter
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I urge doctors of all grades to join
@TheBMA
. Further pay cuts for consultants. An absolute insult of 2% for burnt out, overworked and underpaid JD's. a
A huge pay cut. The time for industrial action is now. Join your union.
#payrestoration
@BMA_JuniorDocs
@Doctors_Vote
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I'm having one of the worst days in my NHS career today. But I've just seen
@MarkCavendish
levelled the TdF stage wins record and I'm oh so happy. Got me into cycling as a teenager with those first wins and I can't honestly say how much joy it's brought me since. So thank you!
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7th med reg night in 14 days tonight.
Physically and emotionally exhausted. Insane pressure on the medical team. Sickness tonight with no cover forthcoming.
Everything in my brain tells me this is not worth it for my own health and wellbeing. It's sad.
Wish me luck.
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An anonymous pizza holding NHS trusts to account more than anyone has done in my whole career is a true dystopia.
#nhsstrikes
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Hmmm. Only getting scored 12/20 on 'commitment to specialty' when you've worked in it for 2 years and passed the SCE already. Something a bit off on that. Upset that my QI was in cardiology (which I also presented at BCS..). Doesn't seem like a specialty that wants trainees eh.
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@trishgreenhalgh
Even as doctors there has been a huge silence about the fact it is and always has been airborne transmission. The 'droplet' dogma disappeared but why we are not supporting FFP3 for all staff with Covid patients still baffles me.
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@walsh_joe
This is also assuming everyone passes first time, and no one dual CCT's or develops special interests/subspecialties. This is the absolute minimum.
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@foi_requests
Unfortunately as the medical reg with a rota gap overnight it may well be a them problem but ultimately it's a me problem when I have less staff overnight and the management team are tucked up in bed.
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The life of a rotational doctor. My wife is rotating to
@NGHnhstrust
today. She was meant to get a pay schedule 8 weeks ago. Despite several emails, this has been ignored. (1/5)
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I deleted my last ID badge post. I fully expected my 5 followers to make a joke about me not being a real doctor. I just wanted to show how silly ID badges can be - not start a big PA scope creep debate.
Someone clearly saw it and the trust have contacted me to fix the badge 🙌
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@OrthopodReg
@parthaskar
@RoshanaMN
@BMA_James_Steen
@ERunswickBMA
@TheBMA
@BMA_JuniorDocs
@LeedsHospitals
This has the potential to put Leeds medical students in very difficult situations. They are not junior doctors but risk being treated like one on these days. It's not worth the risk.
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@HugoGye
@theipaper
Mate I had to organise cover for my own wedding day. I must have got the wrong end of the stick and didn't realise I was in charge!
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@paulbristow79
@LBC
'Student protestors'? Tell me that when I'm leading a cardiac arrest call at 3 in the morning. 😤
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@Thornton_health
Can be the most senior doctor overnight (medical registrar) but seen as 'just' a worker. No words. At least I've confirmed what NHS management really think of me.
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This is an illegal deduction of her wages. It's typical of being a rotational doctor.
@BMA_JuniorDocs
@TheBMA
are now involved. If this is how
@NGHnhstrust
think is acceptable to treat their staff, I'm not sure why she would want to work there in the future. (3/5)
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@SteveBarclay
@WeMakeAI
@MKHospital
@NHSEngland
Sorry. The day after doctors announce joint strikes your main concern is about employing robotic penguins to replace workers? I guess they'd be less likely to strike. Probably cost a hell of a lot though. I do wonder if there's any conflict of interest here!
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@DrSelvarajah
@EmergMedDr
Nail. On. Head. Plus not infantilised and at the mercy of a jobswirth rota coordinator for the next 10 years of their adult life.
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@Andrew_Jordan_
@UHNM_NHS
@Doctors_Vote
@BMA_JuniorDocs
Wow. That OOH rate is more than I'd get as the med reg overnight. And very nearly the same as a consultant.
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We have a mortgage to pay. Bills to pay. Please sort this out. Thank you. (5/5)
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Why should she go and do her on call shifts this month. She's not going to get paid for them currently due to HR. This is why morale is so low. This is why we are all leaving.
@NGHnhstrust
can I receive any reassurances this is going to be sorted and she is paid correctly? (4/5)
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@DBater29508
Serious answer.
1. I genuinely want to make a difference to patients. Looking after sick patients and seeing them get better is fulfilling.
2. Inertia I guess.
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@DrLindaDykes
@SteveBarclay
I'm medical reg on call in ED today. It's unsafe. Unfair. Poor care being given. Staff trying their best but woefully underequipped.
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Now, she is employed by a lead employer (
@StHK_LE
) - who have now said she won't be paid in April for any of her on calls. Just a basic salary. Because
@NGHnhstrust
haven't provided any pay schedule details despite chasing. (2/5)
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@doctor_oxford
@sajidjavid
Have we not learnt! Another salient point is that if the NHS is left to suffer this winter I'm seriously thinking (and I imagine many other healthcare professionals are the same) of an entirely different career path. Already enough emotional baggage.
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@NotAdoctor0000
I guess there is no point in a response now.
I'm fine. I'll chase it up Monday.
Switching off for the weekend.
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@TDC1991
@SteveBarclay
£684 a year to park at work. Disproportionately effects staff who work OOH/rotate (JD's!) with limited public transport options. Outrageous.
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@ShaunLintern
@TheBMA
The government has to come to the table. The DDRB is NOT independent. It needs reform. They won't listen to the RCN but they will have to listen to the BMA.
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@MedCrisis
It's great that I myself, with MRCP and a future NHS consultant can partake in this debate.
Oh wait...
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@Xeon4f145d96s1
As a member of the
@RCPhysicians
I believe this is the last nail in the coffin in my view. Why ask my opinion if you disregard what you do not like. Unless things change significantly I will be cancelling my membership.
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@_VivekTrivedi
@RCPhysicians
Completely disregarded
@TheBMA
survey on PA's.
Meanwhile just posted cherry picked stats from their own survey.
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@KHoulgate
>6hr wait for a type a aortic dissection to be transferred to a surgical centre yesterday. How has it been let crumble this far. (I'm by no means blaming those just trying to do their job.. it's the government's deliberate fault.)
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@NeilDotObrien
How do you 'hire some more GPs'? Young GPs are leaving in record numbers. It's not medical school places that are the problem is it... It's retention.
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@Xeon4f145d96s1
@NCAlliance_NHS
Jeez. Imagine being med reg on take for £37/hr. Nooooo thank you.
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@Doctor_Hutch
An argument to count the number of riders up the road and count them back in? It's not even like it was a big group! What a mistake to make.
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Back from a well earned ride after 12.5 hours on a Covid ward yesterday. (Which is a horrid place). Neighbours have friends round in the garden drinking etc.... I mean words don't even describe it.
#socialdistancing
#coronavirus
#notacceptable
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@UHP_NHS
@DrMinaIp
@BMA_James_Steen
Sending an email is not a procedural error. An error of judgement, yes.
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@rohan_aziz_
For someone who contributed so disproportionately to my medical school revision this makes me sad.
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@NHSMillion
We already have other mandatory vaccinations to work I don't see it as any different...
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I'll say it again.
I'm an NHS hospital doctor.
There's a second wave.
But I'm not allowed to be excused from Jury Service.
Absolute madness.
#coronavirusuk
#covid19
#covid
#secondwave
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@jonburkeUK
Wait can you ban someone from doing something they aren't meant to do anyway? Confused.
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@AlirezaEsfa
@ABarotchi1
Yes and not only a consultant orthopaedic surgeon but input from a consultant in elderly care medicine too through the orthogeriatrics MDT. Can be some of the most challenging patients to look after in the hospital from my experience as med reg!
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Just got asked if I was the medical student. Clearly not giving off good med reg vibes today.
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@JonnyGucks
@jtjbooth
I don't know... The 'F3 phenomenon' is becoming the F4, F5 etc etc phenomenon. And why not when you're paid the market rate. The longer you take out the less likely you are to return to training. (All subjective of course)
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@AbdoPainHotline
This is the worst mnemonic I've come across on all the ambulances outside my hospital. 'Its the worst you've ever felt' - could no one be more imaginative? The obsession with sepsis distracts and I find often saying the patient assumes someone is at fault for it?
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@danielgoyal
No more money. I emailed the chief of medicine, clinical director, CEO, MD and GOSW yesterday. We survived.
How many of those people have even acknowledged my email?
Zero.
If that doesn't tell you about a workplaces culture I'm not sure what does.
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Big up the athletes at the Olympics championing mental health. Simone Biles, Tom Dumoulin to name just two. Mental health problems are far more widespread than many care to admit. Many people are barely treading water. They're my champions.
#olympics
#MentalHealthMatters
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@DrBenLovell
I also don't understand why we put elderly bedbound patients on LMWH and then carry it on whilst they are 'medically fit' but suddenly they don't need it in the nursing home?
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Classic NHS IT. Several of my colleagues IT accounts deleted at midnight due to changeover. Mid shift. Couldn't make it up.
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@ShaunLintern
The nurses union is rightly upset. But it just goes to show if you don't pass your strike ballot then you are powerless to fight for better T's and C's
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@DrLKVaughan
@TrishikaSuji
@bmj_latest
Does this chart show they make a profit of half a million pounds but instructors often don't get paid to instruct on their courses? 👀
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@Xeon4f145d96s1
@TracyBullock12
It's funny... I doubt they offer the escalated rates if there's a last minute SHO gap overnight....
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@UKGastroDr
@RCPhysicians
There is a huge amount of anger. There are hundreds of good doctors struggling to progress in training whilst they see these misused roles coming in and taking parts of their jobs. They see the RCP seemingly willing to enable it.
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@DrKidneyAsh
As a group of doctors we should not out up with it. We need at least annualised rostering and forward planning so we can plan our lives like the responsible adults we are. Not treated like kids until we're into our mid 30s, at the earliest.
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Today's going to be rough at work. Med reg on take. 20+ outstanding to be seen (plus all the med patients stuck in ED cos no beds) plus cardiac arrest bleep and surgical referrals. Longest wait to be seen 9+ hours from referral. Ouch.
#NHSStrikes
#nhs
#wintercrisis
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@TomStocks1982
@trentconsultant
I firmly believe annual leave shouldn't be cancelled, ever. If you need people to work on their annual leave day... Offer them a decent locum rate to come in for extra work. It just makes morale even worse than it is.
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@Xeon4f145d96s1
There is a pathway. Graduate entry medicine. Foundation training. GPST training. Simple.
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Of course I'm on-call for my own wedding day. And of course I've been asked to organise my own swap for the day. And people wonder why the NHS has a recruitment and retention problem.
#medtwitter
#NHS
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@SteveBarclay
Maybe don't treat doctors in a way that they end up on strike. Wasn't that the reason for the 'independent' DDRB in the first place? Problem solved.
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I also ran the medical teaching programme and set up a journal club in the specialty I'm applying for. Not sure what else I could have done! I think feedback other than 'im worried your poster/QI was in a different (but part of the job!) specialty would be somewhat appreciated.
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@TomStocks1982
@zackferguson
Agreed. Members of the public couldn't believe an fy1 doctor is paid less than a barista. Ultimately everyone's monetary value is comparable. The time for being polite has long gone. That's what's got us in to this mess.
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Glad to know it'll take 14 years after qualifying as a consultant to become a consultant now rather than 18 years working as a consultant to become a consultant. Wait what.
2/ Interview below @ 2:18
"in the past, it's taken up to 18 years to become qualified as a consultant with different bureaucratic stages in the process. We have shortened that to 14 years with four progression points"
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@rsb8s
@drcarolinej
@LincsLive
I am also an Easy Midlands doctor and will be voting to strike. This article shows a complete detachment from reality. The NHS is now fundamentally unsafe with huge numbers of doctor vacancies. Why? Because we can go get as good if not better living standards elsewhere, (1/2)
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@Xeon4f145d96s1
She has never supported doctors with regards to industrial action or improving doctors lives. Just feels like another doc in it for the letters after her name in good time.
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@drmknight
I will continue mask wearing. Ridiculous decision. It's not putting me out at all to wear one.
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@moribunddr
This is why extra locum shifts are rarely worth it. The emotional stress is not worth the money.
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Looks like 'clap for carers' is back today. That should fix everything. Thanks Boris.
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@DrDLittle
@RobLaurensonD4P
Lol my wife was put on nights and I was put on long day on call for our own wedding. Despite giving notice.
Had to fight our own corner and only got it off due to generosity of colleagues swapping shifts.
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@DrBenLovell
They were confused and had a CRP of 10 so they're on IV co-amoxiclav to cover for chest/urinary 'sepsis'
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@josemehrinho
Definitely. Feel like you need to do them to top up income. Can hardly roll out of bed in the morning due to burnout. A vicious cycle.
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@parthaskar
@BBCNews
'Poster girl' because she was a white blonde nurse. What a country we live in.
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So this GP on BBC breakfast looking after '400 families'? How many actual patients is this? How plausible is it with GP numbers? I imagine it's a bit if an anomaly presented as the norm? Happy to be corrected. Just interested!
@Parody_RCGP
@DrSelvarajah
?
#GPTwitter
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'Fresh' off a twilight shift and 4 hours sleep....
@ChampionCS
getting me pinging through this crisis. Might be able to just rude the virus straight off my wheel soon... 😂😂
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@ProfDFrancis
Why does being a TPD mean you can't comment? Surely not mutually exclusive. Good pics though 😅
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@ShaunLintern
@ESHTNHS
I'm sure the consultants doing twice daily ward rounds of medically fit patients awaiting social care will really get things moving.
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- I've just donated. Steve Barclay wants to draw this out. Let's unite and stick together. The BMA is as powerful as its membership.
@BMA_JuniorDocs
@EMRJDC
#JuniorDoctorsStrike
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