Alvin Tan
@alvin27june
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ST7 Caring intensively & acutely, lift heavy things occasionally, beer/food/dad dancing, Swiftie, secretly a Lab in human form 🏳️🌈 he/him ig:alvin27june
Joined July 2009
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Did anaesthetic novice course (Fri x 4) years ago. Forgot to give feedback for the 4th day cos it’s weekend before MRCP exam. Emailed week after to apologise and offered to give feedback then. Told no and I won’t get a cert at all 1/2
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@NHSE_WTE
No one should be titled Consultant in a hospital unless they assume overall responsibility of a patient. Give them lead, director, head of and etc. I don’t care. Language matters to patients and this is not candour.
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@docib
@_VivekTrivedi
@SteveBarclay
Sorry Iain. Enough of this Stockholm syndrome. Having lockers/enough toilets are all occu health bare necessities that the NHS has gotten away with for decades - not a replacement for fair pay for our job.
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@JohnGreenwoodMD
@AmericanAir
@BayhealthDE
@MaineMed
I do love that it took 2 senior doctors to prime and administer 1 bag of IV fluid challenge. This is why we have nurses and let them run the show 😂
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@Doctors_Vote
Can we also just agree that medical ethicist and barrister who has no idea what it’s like to walk in our shoes for even half a day shouldn’t be writing about the ethics of our on calls?
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@bruceppdl
@wiggs1234
Hmmm I wonder who dictates the treatment direction. I didn’t know ICU nurses decide which vasopressors/inotropics/antibiotics/type of filtration a pt needs. Stop selling the medical profession short. We make it look easy for everyone else cos we know what we are doing
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Thankfully my college tutor & CD at the time backed me to demand for it. Course director reluctantly sent me the cert but with this on it ⬇️ also emailed back with this coded response. Not surprised at all it is a hostile place of work 2/2
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@MPgardiner
They will always have a seat at the table cos who else is going to train the AA so that does not feel earnest
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@EmergMedDr
She is. This happened in Texas. How convenient of Laurence posting this during times of UK nursing strike tho
The bitch in the video attacking the elderly woman was fired. The woman who took the video as evidence and proof was also fired for being a whistle blower.
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@Molly2323232323
LOL “I might look like a doctor”. Didn’t realise it’s a look issue rather than a knowledge issue. Maybe this can be the next Harley street trend. Can I have the doctor look please? Eye bags free for regulars
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@WelshGasDoc
Yes! That headline pisses me off. Should be rephrase “Patients who are less likely to have successful resuscitation are not tortured by UK doctors”
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@jamiebrough
@HattyFeldman
@Dr_Done_
@trentconsultant
LOL I’ve worked in all 3 major trauma centres in Manchester and as busy as we can be, we are not doing nurse led tracheostomies in the corridor 😂
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@MStott88
They have highly specialised training Martyn. Super intense like SAS. All within 2 years. Learn everything without the faff of being an glorified admin fodder
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@ani_ruok
The med reg is not supposed to be clerking that many pts apart from really sick ones! Our role is so much more! Inversely you could check if she sees a patient/hour as per most ED’s culture! Everyone else who asks what the relevance of her gender and race - check your privilege
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@parthaskar
@Xeon4f145d96s1
LOL at the president of PA society not wearing a PA lanyard despite posting tonnes on how PAs are changing the world 😂 also is it really wrong to not let PAs lead an arrest? Most docs would’ve had 10 years experience (inc med school) under their belt before they do.
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@Laithalexander
Why are they so obsessed with our title? No one should be titled a consultant in a hospital unless they assume overall responsibility of a patient. Give them lead, director, head of and etc. I don’t care. Language matters to patients and this is not candour.
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@callmewario_
@ColtonLHaynes
@taylorswift13
Mid 30s is absolutely the most relatable swiftie. We grew up with her. What’s your problem?
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@ollieburtonmed
Couldn’t agree more. Show me another profession in healthcare who can pick up, learn and be decent at a new specialty every 3/4-6 months.
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@william_cuham
@Dr_Done_
This is insane. How does the governance work? Surely CQC will have something to say about this.
@ShaunLintern
thoughts?
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@basic_d4d
Reputation need to be next. I feel so guilty listening to it as part of eras tour set list cos I don’t want Scooter Braun to get a single extra penny out of it
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@helloimnicholas
HCPs can run arrests provided they do it regularly and is qualified. I don’t see how a PA in haematology who does not do a lot of OOH work would meet those criteria. Someone also found out he only became a provider 2 years after that post. Being “ignored” is not an excuse to lie
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@lewisthughes
@Xeon4f145d96s1
@adamgordon1978
@GeriSoc
Adam, I would also like to highlight it’s not just the title on the door sign. It is also the LinkedIn title. What are our thoughts on this?
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@JamesPkns
@Dr_Done_
@mouseter_chef
@Xeon4f145d96s1
and et al have an entire catalogue of evidence of PAs pretending to be medical Dr with their online overseas “PhD” to back you so worry not
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@bron_ftw
I will also add no clothes are sexual. People make them sexual. No amount of sexy clothes justify unsolicited sexual advances
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@mark_tehan
The meat of the very sad case aside - the repeated confusion for the patient as to who they were seeing is a huge governance issue which is what I’ve said all along. The use of appropriate title is about candour to patient, not to appease AHPs or falsely inflate capabilities
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@VirtueOfNothing
It’s worse still when you know what the standard of care looks like but you get gaslighted by colleagues for daring to achieve/demand such standards. My nickname is “Princess” for being so “demanding” all the timeee 👑🤴
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@parthaskar
@NHSEngland
@RCPhysicians
👏👏👏 accountabilities matter! Thank you for standing up for what is right !!!
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@CaptainDavidoff
Couldn’t agree more. One also cannot call themselves “registrar equivalent” unless they can manage unselected workload in the hospital OUT OF HOURS. Makes me laugh when senior PA/AP/AHP call themselves that
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@MStott88
Erm. Register does not mean F1 equivalent. A lot of foreign grad have to do PLAB and they get full registration after that. Often they go into trust grade SHO job to get Crest (f2 equivalent) signed off before applying for training
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@sisaacturner
@veggieequallife
Maybe we can talk once PA starts doing their fair share of unsociable hours
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@Xeon4f145d96s1
@Megsenmumdr
Haha true! I am so lost for words! But at least it’s not a blanket NO INDIAN and CHINESE food!
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@Dr_Done_
@ExplosiveEnema
That is so patronising. Maybe
@jasaunders90
you need some homework yourself. I’ll refer you to
@GMC
best medical practice handbooks. Ask one of your F1s, they will have a copy. It will be handy to keep your practice safe. Especially the chapter on candour
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Thanks folks for the support. Yeah it was awful. I completed 3 feedbacks, just not the 4th cos I was preoccupied with MRCP in 2 days time. Worth noting 4th day was sim & only 1/2 group had to do it & I was one of them! Other 1/2 got the cert for watching!
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@LeylsTurk
I would work but will hire a personal assistant to walk around with me all shift to do the silly things I shouldn’t have to do myself
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@dr_km_
this shows your inadequacies > anything else. A good clinician would consider CHB from the hx & ex. This allows prioritisation of getting the pt to ED ASAP, not waiting 3 hrs to ask the OOH GP what to do. It’s not the win you think when thankfully dx is less severe in hindsight
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@OmgItsTania
That is awful. When I was a SHO - I had a cons who will only let you write after you’ve seen at least 8-10 pts (albeit in minors) but still. One time he took my card out & said to only claim it back once I’ve seen more patients (I’ve seen 5 without writing by this point).
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@MStott88
@HelenCrosier
How do you make more post FY1 doctors if you don’t train more FY1 doctors? 😅
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@BabysGotTheBens
I know. Baby doc me at the time was horrified. And to be told to not be an outlier felt like a threat
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@_jim19
@Xeon4f145d96s1
No way. I hope you reported it back to the trust running the course. Non doctor can’t be an -ologist surely?!
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@rosieICM
And the worst bit of all is he is not a medical doctor but trying to mansplain to a female asian medical doctor how she should feel
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@Bleedinheart2MD
@KingsCollegeNHS
@ValentinoInter
Nobody asked your opinion. Stop with your hate mongering. The progressive pride flag is not ANTI anything. That’s is the whole entire point of it. Go read a book.
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@StSenka
@techpriest
@Medic_Russell
“My upper body is not fantastic. I was just sort of flailing at this boat." If there ever was a quote 😂
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@DrJSherrington
When I was an F2 on cardiothoracic, consultant said pt with advanced mesothelioma can have whiskey. Error being not stating the quantity, pt was having an entire bottle a night 😂 on matron’s advice, we clarified the quantity the next AM WR and all including pt had a good laugh🙈
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@TharushaGunawa4
The bathroom is amazing. You get to look all over london when having a pee at the urinals. A boy took me on a 1st date there once & I felt the same! But agree with the rest. Nice shirt and chinos. Can’t go wrong sticking to classics. Drinks are standard London prices!
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@caffeinemedic
I am v bolshie these days. I just email their cons directly w neutral but concise reason why they should’ve seen the patient from d1. CC my consultant and their junior be it a reg or SHO in it. Leaves a paper trail too so usually don’t dare be as flippant as they’d over the phone
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@drphiliplee1
Next time a surgeon try to re-refer a patient that ED had referred to them - I am telling them I only take referrals from a doctor 😂
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@ExplosiveEnema2
@FPARCP
Destroying evidence? I firmly believe any withdrawals should come with a statement explaining why and appropriate corrections
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@ExplosiveEnema
@LivUniMedicine
can we look into this potentially serious probity issue by
@SwanCArt
please?
@gmcuk
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@caffeinemedic
@RoshanaMN
@HHFTnhs
is this behaviour of your staff at Basingstoke hospital in line with trust values?
@rmjsimmonds
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@bfhermann
@bridget__marc
LOL coming from a plastic surgeon is a bit rich. So in your opinion, what specialty is over taxing enough that suicide is justified? Enlighten us all please
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@VishwajeetP4t3l
@DrEilidhMaria
I am upset because I am no longer allowed to commit crime (illegal prescribing and requesting ionising radiation) is not the read you think it is 🤡🥸
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@charlotte_e_ray
@FrancesBoott
There is no shortage of trainees. Most specialities have a 3:1 competition ratio. And these are people who are eligible to apply I.e completed FY2/core training/courses/membership exams
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@caroll_ste87889
@TheBMA
Oh moving from 1 goal post to the other? Didn’t realise we’re playing 21 Qs but I’ll answer. Find me the data that there is a “quiet” time suitable for calling strikes in the NHS in the past 4 years. I’ll wait. You’re welcome. Go read a book.
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@BreastDocUK
@mouseter_chef
Richard, the issue here isn’t just misdiagnosis. It is governance. It is that it wasn’t clear to the pt and family she never saw a doctor. She didn’t know she could escalate if she was not happy with the assessment and plan. This is not candour
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@drsarahedwards
@RCEMpresident
@RCollEM
@EMTAcommittee
Whoever does their comms need retraining. They should have led with an apology. Not hide it under comment number 4. That was how long it took before they realise they need to say sorry. I thought they should all have had duty of candour training by now.
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@RoshanaMN
@SteveBarclay
Lol I bet he counted the PAs and MAPs in that number which is counter productive because who does the supervising when they are 700 GPs supervisor short
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@doc_matt_jacko
What are your thoughts on rotational trainee who can’t choose to live close enough to work to cycle as workplace changes every 3-6 months? Deanery only subsidises fuel for anything above 21 miles and I don’t think that is a reasonable distance to expect someone to cycle?
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@EmergMedDr
I think they forget the complexicities of it because 90% of the time - a fasted patient and having an anaesthetist doing all the background work make it all look so easy and effortless
#dunningkruger
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@drphiliplee1
ED doc: it’s a referless system so cons said I can just add it to the list
Me: surely it’s common sense to let me know if there is a sickie?
ED doc: my cons said I don’t have to bleep. If you’ve a problem - go speak to my cons
Me: 🤬🥲🤦♂️
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@adam_culyer
I am not sure if you meant to come across as though you disagree that FY1 should be valued for their role. Paramedics are great but you also have the luxury of dealing with one patient at a time. Hospital doctors don’t
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@ivabrodine
And the lack of apology time and time again is appalling!!!!! They need all be sent to more communication skills training. “Unfortunately” does not cut it!
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@WelshGasDoc
Agreed but not if they are not doing it regularly. I can’t imagine arrests is a common occurrence on a haem ward so ALS or not (some dug out he only got ALS 2 years after that post), he is not the best person to be leading and pretending to not be a PA so he could is criminal
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@anna_rebowska
@drraja_
They reduce the amount of training number year on year to make the fill rate looks better.
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@SamuelBS85
Disclaimer:also ICU reg so I might be spoilt on the other side. But what is wrong with being treated well. As lovely as all my consultants are on medicine, I can count with 1 hand the ones who care to check I’ve had time for breaks instead of the usual 5pm lunch and 11pm dinner
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@RoshanaMN
when they moan about it, let’s gaslight them into thinking they don’t care about medicine and patients enough and diseases occur 24/7. What a whole lots of BS. ICU Cons who deal with sickest don’t leave shit for their juniors to pick up, no one has an excuse
@Aleexxies
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@DrHuw
Omg how does the
@RCoANews
feel about this? I feel another NAP coming 😂
@AjEusuf
@doctorhelgi
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@LucyPearce13
It is only toxic when you can’t engage in a 2 way discussion. Trying to bulldoze your opinion in one direction rarely leads to a conducive discussion
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@EmergMedDr
I have seen so many patients with campylobacter that they caught from work place. Alcohol gel doesn’t kill most D+V bugs! We need to soap and water! Hope you get better soon!
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@Learner00490431
@MichelePaduano
I will refer you to this comment
“ this procedure requires drugs to be administered, prescribed and an X-ray but the PA cannot prescribe or administer drugs and by law cannot order an xray due to their unregistered status . 2/2
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@Xeon4f145d96s1
Most importantly, do they practice independently or do they need to run their assessment pass a consultant geriatrician? If they do not practice independently and nor do they assume overall responsibility for a patient - they should not use the title Consultant within a hospital
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@drmattuk
I agree. It is in no way trying to offend barista but more to give the public some context when the gov is clearly trying to make it out as tho we are overpaid > paid “just enough” when the reality is we are massively underpaid for what we have to deal with day to day
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