@ajhowes70
@ajhowes70
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Own views. Wife, Mother of Boys & Consultant Radiologist 🩻- Nuc Med & Skin Cancer. I crochet 🧶, I run 🏃♀️ & listen to audiobooks. @ajhowes70 .bsky.social
In a dark room
Joined January 2014
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Presume I am not the only person to find that bedwetting tweet by Jess re F1s (refusing to quote the tweet and give her airtime) one of the most offensive I have seen in a long time?
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Dear
@justinmadders
Sorry to be a pain again- I haven’t been a Consultant for 20 years to have to deal with this nonsense being supported by our government, rolling out unqualified quacks who want to practice medicine without the “nitty gritty”
All the fun, none of the knowledge.
“Learn from a clinical perspective without delving too deep into the nitty-gritty science”
What on earth is this.
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Where do the news outlets get their “the average consultant earns £128k” from? That is more than top of pay scale so even with on call banding, most people would have to have lots of CEAs and be working way more than 10PA to get there much before at least 15 years in post!
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To all FY1s just starting, we have your backs! When I started back in 1994 we didn’t have induction - thrown straight onto the ward. My most memorable patient on my first day in Ortho was a now fairly notorious drug baron (multiple imprisonments) 1/n
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@Poppyjuice
Thank you for this - as radiologists we were relatively protected just reporting the horrible imaging, but my Dad,post lockdown, with COVID, wasn’t allowed visitors for 6 weeks, till end of life. My Mum deteriorated rapidly with her metastatic Ca and was dead 7 months later!
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It is with great regret that from 7am tomorrow I will be taking industrial action. My newly appointed colleagues should NOT be earning 35% less than I was with a higher tax burden and higher costs of living
#ConsultantsStrike
@BMA_Consultants
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A little bit of me is sad that we have come to this (after nearly 20 years as a Consultant), but I voted for it and whole heartedly endorse it in the same way that I am trying to support our juniors - we cannot go on being overworked and undervalued!
Consultants in England have voted a resounding YES to taking industrial action this July.
✅Turnout: 71.08%
✅Yes votes: 20,741 – 86.08%
Together we can
#FixConsultantPay
now and for the future. Read more:
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Have just offered to cover some of the ST evening shifts for
#JuniorDoctorsStrike
whilst on annual leave but only if paid at
#bmaratecard
rates
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@marinadpol
At my previous GP practice I was 38 weeks pregnant when I registered. A couple of years later during an asthma review the nurse was concerned about my weight loss and I had to point out that I was no longer 38 weeks pregnant!
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@DrEilidhMaria
@chriscpritchard
Every single one of these should be put through the DATIX system and reviewed by their Radiology governance team. Potentially referred to CQC - this is a massive issue and something we would take VERY seriously. Will be a huge undertaking
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@gmcuk
@EmergMedDr
@TheDA_UK
The GMC should absolutely NOT be regulating non-doctors. That is the remit of the HPCP. This is entirely designed to muddy the waters and downgrade doctors. Time for a mass resignation from the GMC. If we all resign we can’t be held to account!
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@peteneville65
Totally agree - Radiology is on its knees - massive increase in demand nowhere near matched by increased posts that we can’t fill and a significant proportion of radiologists retiring in next few years
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@Roddy_Neilson
Well given that I have been a Consultant Radiologist for 20 years and still struggle with anything beyond basic MR (I’m Nuc Med and hate MR but…) this frankly astounds me! The audacity of these people is beyond belief!
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@sergeslothrop
@mmamas1973
@Joe_Sutton92
@ sergeslothrop Absolute hogwash! GPs are specialists in primary care, make decisions about appropriate referral pathways etc and need a very broad medical knowledge to do that.
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@DrHannahBB
This is really important - my Dad died 4 weeks before Christmas and my Mum a couple of months ago - both “relatively” unexpected so this really has hit me quite hard as feeling like another constant in my life has gone - not something I would expect to feel
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Good Consultant bosses are the ones you will remember fondly and aspire to be like. Bad ones are the ones you will remember and strive to be the opposite of. Junior doctor posts can be rubbish but it will get better, at least until you feel the need to go 8/n
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@SteveBarclay
Just remind me, Steve, when we have a significant shortfall in the number of Radiographers to perform scans and Radiologists to report them, how exactly this is going to work?
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So glad our Middle son (Y13 and doing A Levels), who had been thinking of Medicine whilst doing GCSEs changed his mind
I’ve been involved in the med student selection process for years & have always said that the training/job & life of a Dr will involve a lot of hard work & is likely to be challenging along the way.
#NHSPAScandal
#NHSHatesDrs
@DrSarahClarke
@CathrynmEdwards
@NavinaEvans
1/
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@LouiseAllard18
And MIs were diagnosed with serial ECGs and cardiac enzymes and treated with bed rest. If you were lucky enough to work in a hospital with a CT scanner, you needed a letter from the Pope countersigned by a Unicorn to get one, rather than most patients having at least one etc etc!
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I’m absolutely delighted that child number 2 has a place to study something other than Medicine! He did entertain it during GCSEs (but eldest and youngest have never shown any interest!) Leeds and Geography - be afraid! I hope you know what you are letting yourself in for!
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I will be on the picket line tomorrow and Wednesday because in a shortage speciality, I do not see why my younger colleagues should be on a starting salary around 35% less than I started on
#consultantstrikes
@BMA_Consultants
@justinmadders
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If you need yet another letter / email from me I will be more than happy to oblige! The “nitty gritty” is what qualifies us to actually practice medicine and be safe to deal with undifferentiated patients. PA expansion is frankly unsafe at best and dangerous at worst
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@mmamas1973
@Joe_Sutton92
I think this is a very valid point but brave to make on a public forum where you will be shouted down by anti-Doctor trolls. I am a Radiologist - prior to that I was an O&G trainee - my knowledge of certain medical conditions will be less than those who came in with MRCP
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@Neuro_Matt
I remember starting neonates in a regional unit as an O&G trainee - the only non-Paeds trainee. Started on nights - no idea how to do a heal prick sample for the blood gas machine - literally sobbing because samples weren’t adequate
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@reece_dinsdale
@justinmadders
This is a really cheeky tweet, but am raffling a 2022 temperature blanket I have made to support
@TMartinGallierP
a suicide prevention charity. If either of you (as my two most well known followers) could share I might make my £700 target!
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Like me now - aged 53 but getting burnt out by the relentless demand on what was previously a fairly quiet speciality - we need more radiologists and it will become an awesome job again! I think that’s it for now (but I am working the weekend so expect rants!)
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Re
@UKFPO
if anyone has been allocated a job in Mersey region, it is unknown to them, is feeling lost and doesn’t know anyone etc, message me and I will do my best to try to find supportive colleagues who can help (and if the worst comes to the worst, my cooking isn’t too bad!
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I am part of
#ConsultantsStrike
not just because of our pay erosion and the impact on my younger colleagues. I graduated having not paid university fees and could buy a house as a PRHO which is a pipe dream now with student debt near £100k 1/n
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When work is getting you down and you don’t want to be a doctor anymore, I can highly recommend
@reece_dinsdale
to put a smile back on your face (loved him since
#hometoroost
with the late, great John Thaw)
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I would just like to say that I actually had a good day at work today. No pressure and I did what I enjoy and enjoyed what I did. I feel that it has been a while since I have had a day as good as today.
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@DrSdeG
Hate to be the voice of dissent here (and all women are different!). 3 sections, paracetamol and PR voltarol more than adequate - the post op pain was many many times less than my usual period pain which I had to cope with paracetamol and ibuprofen for!
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One of my Consultants (now long retired) as a HO lives nearby and I still totally respect him. We were at a wedding recently and I tied his bow tie for him, saying “The role of the house officer never changes…” ironically because I would do anything for him 7/n
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He was only a youngster then (about 19) and had been shot. He used to refer to me and my female SHO as Nurse and the male nurses as Doctor but he was terrified of venflons so we got our just desserts! 🤣 2/n
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@Morton1867
This is something I have had too much experience of recently as my Dad died before Christmas and my Mum at the beginning of July. I always use “died” when making all the calls etc I need to. It is never reflected back!
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Tomorrow is “go and pick all the apples from my parents tree” day so they don’t drop and rot all over the garden making a mess before we put it on the market. This will be the last crop of apples they give me and now I have written it down I am crying
#sillylittlethings
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@DrLindaDykes
Dad dying 4 weeks before Christmas last year (and not taking any time) then Mum dying this summer put things into perspective for me - you don’t get any thanks for being a martyr!
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I fondly remember the Ortho Reg who sent me straight home the day my Mum was diagnosed with her first breast cancer and who also taught me loads. 6/n
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@PMccoubrie
When I think how difficult it is for trainees to get the experience they need (partly because of hideous shifts for service provision), to see someone paid more, working 9-5 with significantly less qualifications and experience removing training opps for STs boils my p1ss!
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@sarah_aslannnn
My husband had one with a typo where the o after the C in “Consultant Surgeon” was accidentally entered as a u and there was a t between the n and the s
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Of course back in the day Nurses rarely did IV antibiotics so Ortho on call, was on endless IV drugs round (including said piece of s**m). I am eternally grateful to
@MerseyPolice
armed guard who shared their takeaway pizza (it’s the small acts of kindness you remember 🥰)
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@drhjefferson
@SandipP64097927
@goldstone_tony
@simonbuckley4
@TheBMA
@AmandaPritchard
@NHSEngland
@theartfu1doctor
I am a year 20 consultant on Friday and it goes no way towards redressing things like my fall in pension etc. I have voted no.
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@andyheeps
@thetimes
“If these girls want to be surgeons” - “these girls” are grown up women in their 20s and 30s! FFS!
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Just a few quick notes to say if you want to be a non-medical referrer, when you fill your form in its IR(ME)R not ERME (we might think you haven’t been paying attention on that score). 1/n
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@thomasllewis
@BMA_James_Steen
I have had 3 x CS under spinal and one GA - anaesthetic terrified me way more than surgery. Fortunate to have excellent anaesthetists (who were gifted same thank you present & card as the surgeons, acknowledged with surprise - like us radiologists they are used to being ignored)
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Lots of nice empty calories for my on call registrar shift for Radiology
#JuniorDoctorsStrikes
#PayRestoration
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#impostersyndrome
I am possibly vaguely an expert in my field of sentinel lymph node mapping (having worked in one of the earliest centres in the UK to adopt with over 4k pts in my personal database) so why do I get so anxious talking about it to a regional meeting?
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@SteveBarclay
Steve - have you been paying any attention AT ALL to
@RCRadiologists
- which bit of a dire shortage of Radiologists to interpret these images acquired by your shiny new scanners are you failing to grasp? (And the shortage of Radiographers to acquire the images of course!)
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@hasyourregtried
@Edwina_Currie
Smiles don’t pay the £100k student debt and childcare Edwina! (I would say mortgage too but it’s increasingly uncommon that junior doctors can actually afford to buy a house, assuming they are in one place for long enough!)
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And anyway they don’t have blanket access to MR. And added to that and the biggest bugbear of mine (caps lock on)
IT’S A REQUEST FOR A RADIOLOGY OPINION - ORDERING IS FOR PIZZA!
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Went for a run this evening and bumped into a friend at 3.5km - we went for a beer instead!
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One Consultant was very supportive, the other just wanted me to crack on with the ward round as did the other House Officer who felt she wouldn’t cope if I was sent home so I did and first Consultant took us for a beer after work as was the norm on a Friday! 5/n
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@dr_revati
“Finally a Med Reg a main character” - you are clearly too young to remember the awesome Claire Maitland in Cardiac Arrest! First aired a few months before I graduated
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In my second six months I was assaulted by a patient (back in the days where that was rare) because he thought I was “stuck up” due to my accent - he sat up all night waiting for me. 4/n
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And this is what an awesome leader / role model looks like!
@LouiseAllard18
You qualified in 1991. I qualified in 1985 and would not have the temerity to post what you have given the entirely different circumstances being a junior doctor involve now compared to then. You should take a hard look at yourself.
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Well today has been a roller coaster of emotions - as a Consultant of nearly 20 years I have long thought the BMA have been “keeping their powder dry”. Today we have shown the profession are not willing to be shafted any longer!
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I was on call the first weekend and had the absolute text book PE on the toilet arrest with all the ECG signs (alas, my first patient death). 3/n
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@HelenRSalisbury
@ann_bowman
I would ask, given what you say, that you have to go through every single case, how is it helpful? How is it saving time? (Genuine Q not a criticism) - at least with the comparison with Med Students they will be autonomous doctors in years to come - what are PAs providing in GP?
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@VirtueOfNothing
Pulling up the ladder- I despair (autocorrect wanted to put despise and I almost didn’t change it) these senior medics who are supporting the rise of PAs over and above fellow doctors (and I am arguably a senior medic but would ALWAYS prioritise training doctors)
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@andrewpunton
You should read the comments in the likes of The Times where people assume that all junior doctors are just out of medical school and serve no real useful function
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@Microbedoc2
You will be in the same group as us Radiologists, the Anaesthetists and the Pathologists - people have no clue we are actual doctors!
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@dawnashley13
@NTeesHpoolNHSFT
@MADEinHEENE
Sorry - just to clarify, as I’m not sure I understood this either. A NON-DOCTOR is doctor of the week? Am I being really stupid in failing to comprehend this?
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20 years as a Consultant Radiologist today! There has been some debate whether Congratulations or commiserations is more appropriate- although some say Congrats regardless as nearer to retirement!
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@Dr_Kelly_C
@veggieequallife
@trentconsultant
Go girl! As a 20 year (tomorrow) Consultant it goes no way to redressing my issues, predominantly with how my pension has fallen but also that it goes no way to addressing longer term issues for younger consultants
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@Dababydoc
@TheBMA
Extremely disappointed in this comment from the EX
@RCRadiologists
president
@JeanetteRCR
. Totally unsupportive and a blatant disregard for the concerns of most members of most Royal Colleges!
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@AboutLondon
@porridgebrain
Finished mine last night apart from sewing in ends and putting a border on. Raffling mine for charity
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@EstherClift
@IOWNHS
@melisapasi
Please advise of your GMC number if you are a Consultant, not specifying your role? This is very very opaque.
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We have two new Consultants starting soon - needed DOB to request film badges (apparently). One was born just as I finished my O levels (NOT GCSEs). One was born a few weeks after I went to Medical School - I feel old!
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4 hour shift as the Radiology Reg tomorrow and 5 hours on Sunday to support
#JuniorDoctorsStrikes
- once again I am significantly longer in the tooth the the Consultant on call!😂
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@TheLastLeg
Just remind us whether men are the same as women when it comes to athletics? An
#isitokay
you appear to be completely ignoring!
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@parthaskar
@pwhitakerwriter
@RCPEdin
@RCPhysicians
@doctor_oxford
@OrthopodReg
@RobJimFleming
@RowanHarwood
@DrLKVaughan
@UKGastroDr
@trishgreenhalgh
@AntonEmmanuel2
@doctorhelgi
@iDrSunny
THIS is what leadership looks like! Other Royal Colleges should take note or risk a very big drop in paying members!
@RCRadiologists
- do you have any comments?
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I am currently crocheting Mr H a gall bladder (as you do!) - he has insisted it needs stones even though he won’t be able to see them, so I will have to use some of the surplus pearls from QEI!
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@DrLongissimus
Nah - Radiology is easy enough to find even in the basement - it’s us and ED so 50:50 odds but Nuclear Medicine - well we are a whole different story. And if I ever see a medical professional (of any description just to be clear), I assume the are lost!
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@NicklessStephen
@mancunianmedic
I managed to get few a few more Oxford commas into reports yesterday AND into a presentation I am giving - felt like the pinnacle of achievement!😂
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@mmamas1973
F*ck! My 3rd section, baby was smallish and my scar literally fell apart as the opened! I was glad I had a VERY experienced Obstetrician doing it
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Tomorrow is 19 years since I started as a Consultant Radiologist & I have never seen the NHS as a whole in such a state as it is right now! “On its knees”is an understatement - “critically ill and no space in resus” is more like it!
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@DrDLittle
@RCRadiologists
@halliday_kath
@OliverReichardt
Today I reported a CXR from COPD community team - nice very lengthy letter attached from the PA (request signed by presumed supervising doctor). Nowhere was there any mention of the lobectomy for lung Ca 3 years ago!
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@ReddicalMedge
@UKGastroDr
I am an “older consultant” (in my 50s) and a Radiologist so we don’t have F1s and F2s. I do however always try to make time to discuss meaningfully and educate appropriately (hopefully without being patronising) because how else does learning happen? Sometime I am just too busy
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Back to being just a Radiologist in October and will take some time to look after myself.
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@drtomround
@PBBrachytherapy
Looks like he qualified 4 years after me (I was 1994) - I support
#juniordoctorsstrike
as yes, although we were poorly paid, things are far worse now (not counting the change in the nature of the job) with debt, house prices relative to income etc. I am NOT pulling up the ladder
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@hasyourregtried
It’s alright - the Consultant PAs will be able to do it (but only 9-5!) - you’ll still be the one getting up in the middle of the night, for less pay than them!
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@sthompsonjones
I feel your pain- thankfully we didn’t have summer dresses and our nasty heavy duty blue skirts huddled a lot but I do remember having to phone my Sad to pick me up from town on a Saturday for a similar incident a similar number of years ago
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Wedding anniversary today and we are both “on call” (aka working) all weekend. Always difficult to know who will be busier - he was in theatre till about 10pm last night but I was on a PACS workstation for 5.5 hours from 5pm and another hour this am before heading in
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