Jonathan Adamson
@adamsonjon
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Consultant in Paediatric Emergency Medicine at Birmingham Children’s Hospital, one-paced footballer, concise story-teller, long-suffering Villa fan
Birmingham
Joined January 2012
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I had genuinely never seen a child with measles in my paediatrics career until 2 weeks ago and I’ve seen multiple every day since.
Not a single one in a child who had their MMR (even just first dose if not old enough for their preschool booster yet).
Vaccinate your children!
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@DrBryanLeyva
*In America. Not in literally any comparatively developed country does it come anywhere near. I’ve treated just two children for (non-life threatening) gunshot wounds in 7 years of paediatric emergency medicine (and 11 years total of paediatrics).
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@DrBryanLeyva
Additional context: I work at one of the biggest paediatric major trauma centres in the UK in the second biggest city. Gunshot wounds simply do not feature in my day to day work like they do for my US counterparts.
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As a paediatrician I can confirm that a bag of pasta, however cheap, does not constitute a complete diet for a child. And that apart from a very tiny minority of cases, no parent is letting their kids go hungry if there’s literally anything they can do about it. Cruel nonsense.
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@AnjanBa91282506
Aside from first few months of life (as most have passive immunity from mum’s MMR) they have been all ages throughout childhood, but so far exclusively in unvaccinated children.
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All the “jabbing and cleaning” has resulted in infants born in the UK today having a life expectancy 12 years longer than when you were born and an 8-fold increased likelihood of surviving childhood than you had
This 👇🏼& just seen an ad for flu jabs for three year olds! If they’re perfectly healthy children we must let their natural immune system learn to do its job..we can’t just keep jabbing & cleaning, jabbing & cleaning & think it won’t have an effect on how human bodies have
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As a year 5 consultant I’m delighted you’ve negotiated me a zero percent rise until 2027 thanks
11/ changes to pay scale are:
- higher starting salary ~£100k
- shorter time to top of scale 14 years instead of 19
- fewer pay points -4 rather than 8
- higher top paypoint ~£132k
- a range of additional increases from 0-12.8% on top of the 6% but payable from Jan 24
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Nadine Dorries is going to make us choose between her & Boris and Line of Duty? Bold
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It’s a very weird quirk of Brexit that its staunchest supporters are annoyed by every one of its obvious consequences and delighted by every move that undoes aspects of it (see Dorries’ tweet about Spain visa waivers for touring musicians)
From the end of 2022, British holidaymakers will need to pay a fee to simply step foot in the European Union
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Mings has gone in 3 years from being unwanted by Bournemouth to 15 clean sheets in a PL season and 2 clean sheets from 2 starts in a major tournament where we got to the final. His focus on football is just fine. It’s that he’s better than you at politics too that is your concern
We are all proud of our England team, who have had the support of the whole country over recent weeks, but please focus of football, not politics. If you win for England, you win for everyone! 🏴🇬🇧
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Redeployed to QE: Can’t get over the utter brilliance of ICU nurses
@uhbtrust
I’ve had the privilege of supporting for last 2 days. Resilience can be a dirty word in medicine but they have it in spades. Fiona, Warren, Keely, Sim, Kerry, MJ, Mary and all the others - thank you.
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@MStott88
@DrLindaDykes
Truly one of the biggest threats to the quality of medical education is senior doctors mistaking ‘things I learned and understand so well I don’t have to really think about them’ for ‘things I don’t use in my day to day work’
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@RoshanaMN
@rosieICM
@thetimes
It’s a disgraceful opinion. Is there an argument that publishing it shines a light on the persistence of this kind of mentality in medicine/surgery? The fact the author felt willing and able to send it in is kind of telling in itself!
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Personally I think to pare down the whole experience of an undergraduate medical degree (mine was 6 years) to ‘things I need to know most days as a middle England GP’ is to fundamental misunderstand the purpose of education. Could I have done it in 4? Yes. Am I glad I didn’t? Yes
My medical degree took 5 years to complete. I'm very confident that at least 50% of it was useless and forgotten by everyone within a week. I learnt the vast majority of my skills as a junior doctor in Stoke. Apprenticeship med training is a great idea and 4 years is long enough
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NHS waiting lists are the longest in history but consultant pension taxation rules means that young consultants are essentially financially incentivised to work part time and many consultants over 50 are financially incentivised to retire. Make it make sense!
Just found out that by working as a consultant for the last year - on an 11 PA job with no private work - I have somehow put too much money into my pension (like I have any say or control over this) + now must pay a tax bill as punishment.
I have to pay bills to go to work now?
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If we can take anything from the fact a drone has closed Gatwick for 14 hours it’s that Aviation could learn a lot from Medicine about continuing to actually serve its purpose despite mild adversity
#twowaylearning
😉
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Commentators and politicians really need to understand that when they think they are being clever invoking (the only four words anyone knows from) the Hippocratic oath, anyone in medicine immediately recognises it as a sure fire sign they don’t know what they are talking about
The Junior Doctors’ strike is causing serious risk of loss of life.
Today I asked the Prime Minister when the British Medical Association abandoned the principle of ‘First, do no harm’.
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Imagine that unsettling feeling when you’re an SHO and your consultant isn’t very good. There’s not much you can do about it but you feel less confident as a result and you can tell the nurses are twitchy?
Now imagine being Colonel Dr. Deborah Birx.
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Overwhelmed and humbled by the generosity of congregation of the Guru Ravidass Temple in Handsworth which has delivered packed lunches of curries/naans/drinks to emergency departments across Birmingham tonight for our night shift staff. It is truly appreciated.
@Bham_Childrens
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@DrRosena
@HPIAndyCowper
@WHO
The UK government also says self isolate for 14 days if you live in a household with someone symptomatic. 7 days if you have the symptoms. The incubation period is, by definition, irrelevant to those already displaying symptoms. Your tweet is incorrect and as a result misleading.
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Whatever the announcement later it’s worth remembering as doctors that we can always present a compelling case for more lockdown. But for others the experience includes unemployment, inability to feed kids, social isolation or being abused. Our perspective isn’t everything.
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@FootballCliches
@CDEccleshare
I can only hope that when he talks football he explains things using elaborate medical analogies
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@Samfr
Also, you can’t just suggest a horrifying solution to a difficult problem and then claim nobody else has solved the difficult problem so you can’t object to the horrifying solution. It is absolutely possible to just reject it on its own merit.
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1. Doctors are also taxpayers
2. £500k has been shown to be made up nonsense many times
3. Medical students actually do pay 100s of 1000s and either need v rich parents or accrue massive debt
4. This will only drive more of some of the best trained doctors in the world to Aus/NZ
My
@DailyMailUK
column today. We tax payers pay half a million £ to train a doctor and when they are qualified, almost half of them from some medical schools head to Australia or NZ. Time to impose pay back!
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Couldn’t be more excited to have been offered a job as a Consultant in Paediatric Emergency Medicine at
@Bham_Childrens
today. Can’t wait to join
@kackmac
@stuarthartshorn
@AnandKanani
@tinanewton
and everyone else in the team. It will be a privilege.
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Good enough to work for the NHS through a pandemic, but not good enough for us to find him a space on a plane out of a war zone.
What has this country become?
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“Your job is important so you should be willing to do it for free but my job provides no value to people whatsoever so I can demand to be paid really well” 🤷♂️
Selfish. Junior doctors who risk lives aren’t fit to be doctors and I hope they don’t get any pay rise. Morality means you save lives regardless of pay. If you save lives to get paid, then you’re in the wrong profession
#JuniorDoctorsStrike
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@nizzyhussle
@anothercohen
With his counting of days 300 years ago is only like 1960 as well 🤣
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In other ground-breaking news majority of staff at the FA not in the England first XI
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Start of induction, day 1 as a consultant. You think you have dealt with pressure until you have to pose for the mugshot that will be on your ID badge for the next 30 years.
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@AvaSantina
Hard to imagine why people in their 20s aren’t lining up to have a life totally devoid of any enjoyment in exchange for a sizeable mortgage on a small new build in the rubbish part of a town they don’t want to live in.
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Doctors-who-don’t-normally-wear-scrubs-at-work-wearing-scrubs-because-they-are-at-a-political-rally alert. Come on guys, whatever your views on Brexit the scrubs aren’t necessary. There aren’t lawyers marching in pin-stripe suits or firefighters in yellow helmets. Cut it out!
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@teaforpterosaur
I wonder if it came up at all in the longest murder trial in UK legal history 🤷♂️😂
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Andy Murray is the greatest sportsman this country has ever produced and an unbelievable role model. He has absolutely no business winning 6 hour matches at 4am with his false hip at a stage of his career where his legacy is long since cemented. Absolutely elite mentality.
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@FootballCliches
There is a definite tier of celebrity, don’t know how you’d define it but where you’re well known enough to get asked to do these things but you have to dress as the thing you’re known for because otherwise you’re definitely not well known enough
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The only thing demeaning is your casual disregard for nurses, paramedics and junior doctors with this description of them.
Am I alone in thinking it is wrong for consultants to strike? Nurses, paramedics, junior doctors, yes, they are just ‘workers’ but consultants are senior leaders, just like senior managers. They demean themselves by striking.
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@drphiliplee1
Indeed this is the knock on effect of constantly reducing admin staff and managers to ‘direct money to frontline staff’ - the front line staff just have to do the admin & managing (this doesn’t miraculously disappear by cutting the staff that do them, despite what BCG might say)
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Just accurately predicted the exact weight difference to the gram between our 4 week old twin boys and the eye-rolling
@HelenBM85
and health visitor were quite impressed. Seriously they don’t just hand out CCTs in paediatrics you know we do have some skills, however pointless 😂
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It feels like we are at a tipping point where the geographical considerations that may have stopped these highly skilled doctors going to earning double or triple this in similar healthcare systems (easy to professionally adapt) are less than the benefits now - huge exodus coming
For some groups in particular, the numbers are eye-watering.
Specialty registrars — junior doctors about 5-10 years into their professional career — would be earning *£20,000* more per year today if pay had kept up with inflation.
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I expect nobody saw it coming that Mike Ashley and the Wetherspoons bloke would be the ones whose companies would behave in a disgracefully self-interested way towards their staff and customers during the pandemic.
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Probably the most infuriating thing about this is asking why medical students don’t want to “repay their debt to society”
1. Too busy repaying their own, real debt
2. No chance did this arrogant piece of work ever, EVER feel that he had a debt to repay to society in his work
✒️ 'It is a waste of public money to train doctors who do not wish to work in the NHS' | Writes J Meirion Thomas
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Worth noting that Great Ormond Street does not have an emergency department. Regardless of anyone’s thoughts on this event it is unlikely that this apparent nurse source at GOS is well placed to comment on the current pressures on kids emergency departments.
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Absolutely 100%
@SuzyWrack
- amazingly enough the answer to getting kids into football is not making it “snackable content” or introducing gimmicks, it’s their parents being able to afford to take them. The game itself is fine.
Football is bending over backwards to prove its relevance in a bid to attract a newer, younger audience. But the solution may be a simple one.
By
@SuzyWrack
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@VillaViews_
United won Carabao so assuming they finish top 5, extra place goes to 6th. If City, United or Brighton win FA cup and finish in top 6 (Brighton being the only real doubt there I guess) then extra place will go to 7th.
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Prof Jonathan van Tam is excellent. Very clear and detailed answers, not afraid to say when he doesn’t know with certainty. And Matt Hancock just referred to him as “JVT”, a fact I don’t know how to react to but seems worthy of note nonetheless.
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The Sainsbury’s employee who owns this car is the only person in the country who will have made any saving on their petrol because of Sunak’s budget.
Confirmed by Treasury sources that this Kia is not Rishi Sunak’s car but is actually owned by a Sainsbury’s employee. The Chancellor apparently paid for the petrol.
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@WeCareAboutMH
@totalguff
@thomasdolphin
That’s because your understanding of how it works is wrong 😂
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@VillaViews_
Personally would be shocked if Mings is not still a nailed on starter next season. He gets a lot of bad press, unfairly in my view, but we are better with him than without.
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I say this as someone who obviously went through this and is now long in the tooth: if you’re an FY1 who *isn’t* ‘wetting it’ when they start, you have simply not grasped the magnitude of the responsibility you have suddenly been given. £45k plus shouldn’t even be controversial
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Fantastic performance in August
@Bham_Childrens
ED, an 8% rise in attendances from last year and still achieving 99% of children seen and discharged/admitted within 4 hours - best in the country. Well done team.
@kackmac
@stuarthartshorn
@AnandKanani
@kjam210379
@tinanewton
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Doing the e-learning on the Pfizer vaccine ready to start jabbing colleagues from next week and just in awe of the absolute brilliance of the mRNA vaccines. Just magnificent science. Conceptually just brilliant.
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Stunned to find out the guy being wheeled out to opine on junior doctor pay is appearing a couple of days later to essentially advertise his private practice under the guise of debate
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After 10 years, last night as a resident of St Paul’s Square. Will miss
@MyJQ
Weird few months so obviously no leaving drinks
@SaintPaulsHouse
but takeaway from
@PastaDiPiazzaUK
will do the job. Leaving plus one wife (
@HelenBM85
) and only just before we add one more into the mix!
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Truly emotional seeing this, simply a triumph of humanity. Well done Mrs Keenan & Sr Parsons. Let us remember that she may be the first *patient* to receive the vaccine but we got here so quickly due to the incredible altruism of thousands who volunteered to receive it in trials.
90-year-old Margaret Keenan is the first to receive the Pfizer/BioNTech vaccine, administered by Matron May Parsons, as UK's mass vaccination programme begins
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@_PaulHayward
Absolute nonsense. Gets fouled all the time because he makes people think they can tackle him but they can’t. And his strength is very underrated - gets a lot of fouls because players think they will knock him off the ball but his body position receiving the ball is so superior.
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Ok do January 2021.
Or I can: I was drafted to volunteer as a nurse on an ICU at 400% of usual capacity (200 vs 50). The system was near collapse even without providing almost any routine work. Has enough time passed to stop having to deal with your nonsense?
"We were filling up ICUs and hospital beds"
At peak of the first wave (12 Apr), 43% of NHS hospital beds were unoccupied, as were 42% of ventilator beds.
So is it fair to say the NHS was "facing collapse?" Has enough time passed to talk plainly about such things?
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I know it’s pedantic, but Wakefield was not “widely blamed”. He was absolutely, unequivocally to blame and was struck off accordingly. The lack of precision, which in this case implies this is a matter of opinion, is infuriating.
Leader of the House of Commons Jacob Rees-Mogg has apologised to Dr David Nicholl for comparing him to Andrew Wakefield who was widely blamed for the scare over the MMR jab after they disagreed over the impact of a 'no-deal' Brexit
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@drbenwhite
I know it’s not the main point but I find the use of “anyways” as one of the most grating elements of this 🤣
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By no means an expert on grime but loving
@stormzy
@GlastoFest
Got to love a guy that has sensed this is his moment and is absolutely rising to it. The Union Jack stab vest. Understated but great social commentary. The ballet interlude! Fully deserves this moment.
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@GaryLineker
@willahmed
Accuses Lineker of letting his career skew his opinion, then literally lets his own career skew his own opinion. (Despite going to Harvard).
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Didn’t we know this about 10 years ago? LEAP study or something like that? General paediatricians help me out here
@ian_wac
@DrSeanMon
Give babies peanut butter to cut allergy by 77%, study says
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HEALTH UPDATE: not a single one of these medicines will make any of Piers’ illness get better quicker. The 20p packet of paracetamol may make him feel better until he does. Private medicine isn’t better, but treats you like a consumer and is therefore happier to take your money.
HEALTH UPDATE: Man-flu now upgraded to bronchitis, sinusitis & a dash of laryngitis. The trifecta of hell for TV presenting. Doc’s given me this lot to ‘nuke it all away.’ I’ll be at my
@GMB
work station tomorrow if it kills me, which at this rate it might just do.
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@cjsnowdon
The contrarians have moved on from reminding everyone about innocent until proven guilty re Brand and are now posing presumption of innocence even after being found guilty 🤷♂️
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@jessphillips
As a paediatrician I’ve been an ‘in the corner hoping not to have to get involved’ bystander in enough delivery rooms to know this guy urgently needs to turn the camera off, put the pad down, and hold her hand. Seriously how is he needing to be centre of attention at this moment!
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The outlets reporting that Djokovic is being held in squalid conditions in a grim hotel with asylum seekers who are held there indefinitely are just so close to getting down to the real scandal.
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Surgeon: any chance you could answer my question instead of making a glib point about saline at this particular moment? 🙄
Surgeon: Do you know if this [actively bleeding hemorrhagic shock] patient coming in is on any blood thinners?
Me: Yes, unfortunately he is.
Surgeon: Which one?
Me: Normal Saline.
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@tweediatrics
@tedcruz
Or that the judiciary isn't the government. By very clear and specific design. Literally one of its fundamental tenets.
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Did Florence know how to set up a Belmont rapid infuser? Access a vascath? Administer IVIg? Safely care for kids on ECLS? I guess you’re right modern nursing would have been pretty alien to her.
Suspect she’d have been familiar with this sort of dated, nonsense opinion though.
@DrUmeshPrabhu
Umesh, that is fascinating. FN was a real nurse with impeccable standards.
The so-called nursing today would be totally alien to her.
The reason: nurses today are not nurses. Traditional nursing, built up over thoudands of years, is non-existant.
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@MrMichaelSpicer
Superb 🤣 Please take on the clip of Gary Neville talking on the diary of a CEO podcast about having staggered “mini retirements throughout the year” (as if nobody has ever taken a holiday before) next please, would be ripe for your treatment!
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Last year I couldn’t visit my wife when she was induced for 4 days and couldn’t visit our son when he was admitted for jaundice, both at the trust I’m a consultant at. And I had it ok because at least I always knew my family would be coming out alive and well. This is a disgrace.
Exclusive: Downing Street staff shown joking in leaked recording about Christmas party they later denied
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Final night shift as a trainee! Bring on Consultant nights on call from home for major trauma.
@HelenBM85
has even invested in a new landline handset for the flat ☎️👍
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@FootballCliches
I love when Cole says “I’ll know the name when I see it” and as it flashes up he lets out an instant “nah” 😂
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Almost exactly ten years after passing my finals, so ends my last day as a trainee. Massive thanks to everyone
@Leic_hospital
Children’s ED - particularly brilliant consultants
@rachrwlnds
@Damian_Roland
@SJisinterested
@garufflewis
@sintydavid
for fantastic support and training.
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I must add, I could not have done it without the fantastic training and support of top class consultants and colleagues
@Leic_hospital
@LeicChildHosp
It is a great place to train in PEM as evidenced by 4/4 of us getting first choice consultant posts this year.
@rcpch_trainees
Couldn’t be more excited to have been offered a job as a Consultant in Paediatric Emergency Medicine at
@Bham_Childrens
today. Can’t wait to join
@kackmac
@stuarthartshorn
@AnandKanani
@tinanewton
and everyone else in the team. It will be a privilege.
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Feel like a total buzz kill to say this but 2 shifts into the 2 week firework frenzy that is the Diwali-Halloween-GuyFawkes period let me say this: the sooner fireworks can only be sold to, and set off at, licensed events with proper safety regs, well away from kids, the better.
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@doctor_oxford
A couple of things: it’s clearly nonsense that the EU mandates 5 year degrees as most grad courses in Uk are already less than that. The proposal was made in 2013 so has nothing to do with a “Brexit opportunity” and is typical of the clutch at straws approach to selling Brexit.
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Today I squatted at a patient’s bedside and my knees cracked so loudly that my registrar called through to me from a different bay to check I was ok 😐
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We were all working hard mate. Don’t remember any mention of that exempting people from lockdown.
“These were people who were working together day in day out, most days 19 hour-days…”
Education Secretary
@nadhimzahawi
argues a gathering of his department’s staff is being unfairly portrayed, saying it wasn’t “a big bash”.
#Peston
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Absolutely. Not least for children who, for the overwhelming most part, do not suffer severe effects from coronavirus itself.
The withdrawal of social safety nets, school the biggest, will be causing harm to vulnerable children at risk of abuse, neglect or mental health crises.
We should not underestimate the collateral damage of this lockdown.
Coronavirus is not the only danger we are facing.
As the weeks go by mental health deteriorates further, more cancer goes undiagnosed and deprivation spreads.
This costs lives too.
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Paeds: as much movicol as they can physically ingest
approach by specialty:
neuro: tPA
cards: PCI
GI: golytely
pulm: bronch
neph: furosemide
hospitalist: IV fluid
ID: rec consult surg
surg: rec consult IR
IR: inari flowtriever
urology: tamsulosin
neurosurg: mannitol
anes: mcgill forcepts
EM: ketamine
derm: steroid
obgyn: c-section
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We have treated an unprecedented 722 children in our ED in the last 3 days
@Bham_Childrens
Kids EDs up and down the country are under enormous strain. This position statement feels timely.
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@CountCarbula
Toffee pennies are great but they are a gamble on a ward round because you’re committed to a solid 15 minute chew
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@fourhourtarget
@theveindoc
So the increasingly polarising view which paints medics as fear-mongering cravers of lockdown is so false. Vast majority want nothing to do with covid and want to be able to run their normal clinics, surgical lists, diagnostics etc but know they can’t if covid escalates unchecked
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We were told as consultants we should no longer buy pizza for the rest of the team because it wouldn’t come individually packaged and we weren’t allowed to have more than 2 people in the staff room at any one time. But do go on…
"I don't think at any time he thought he was breaking the law... he thought just like many teachers and nurses who after a very long shift would go back to the staff room and have a quiet drink"
Tory MP Michael Fabricant urges Boris Johnson to apologise
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@AVgoffy
@AVFCOfficial
@JackGrealish
Come off it mate. They drew up a release clause for so much money we have rebuilt half a team off it. We nearly had to sell him to stop the club being wound up, he dragged us back to where we belong. Nobody is turning down being a £100m player - pretty impressive company.
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First consultant meeting via zoom today a success, great that time limit lifted. Best behaved consultant meeting ever, we should maybe never all sit in the same room again 😂
@stuarthartshorn
@kjam210379
@bennyhana22
@kackmac
@EdgworthKate
@AnandKanani
@tinanewton
@chrisbird_poa
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Very pleased that amongst other standards for paediatric emergency and acute care set out today, the importance of play specialists in Paeds ED is recognised as essential. They are an absolutely vital part of our team at LRI and should be everywhere.
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@piersmorgan
@ManUtd
Except out of the last 28 FA Cups there have only been 3 not won by Utd, Arsenal, Liverpool, Chelsea or City. Giving the CL spot would have been essentially redundant and the big teams definitely take it seriously.
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This is tremendously sad. Vish was a wonderful neonatologist, who was the heart and soul of the NNU. He was a very kind and patient mentor to many a Birmingham trainee paediatrician finding our feet in NICU rotations over the years and will be greatly missed.
It is with great sadness we share the news that we have lost a colleague and a friend. Dr Vishna Rasiah was a well-respected and much-loved Consultant Neonatologist at our Women’s Hospital.
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@_katieknight_
@rhiannonlucyc
@RCPCHtweets
@AssocPEM
@LondonPaeds
@Damian_Roland
Not sure about anticipating a surge in numbers specifically, but we have early help workers based in our ED now to direct families to any financial help they can access. Anticipating huge numbers who are unable to adequately feed their children or heat their homes.
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“Nationalising children” is the most pathetic, empty, meaningless ideological rhetoric. If you can’t in 2020 of all years, see that children may be in extreme poverty through no fault of their parents then you are either so out of touch or so callous your opinion shouldn’t count.
Brendan Clarke-Smith(Tory MP) - “I do not believe in nationalising children. We need to get back to the idea of taking responsibility. This means less celebrity virtue signalling on Twitter by proxy"
#FreeSchoolMeals
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