Toni Russo ๐๐ค๐๐ ๐ง
@amnerisuk
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Independent nurse specialist in bariatric surgery & obesity issues. ADHD. all opinions my own. I ignore /block most DMs.
London, UK
Joined March 2009
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You are certainly NOT nursesโฆโrolls eyesโ.,
Nurses have accredited clinical training and are valued members of the MDT. They are also proud to state their profession for which they are professionally accountable. No- youโre not nurses.
Of course we get called nurses
*rolls eyes *
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Iโm a senior nurse and I strongly defend the doctors on this. As a patient, I refuse to have PAs involved in surgery, anaesthesia or invasive procedures. I recognise a medical degree. ACP/CNSs have extensive clinical experience and have an important role in the MDT.
@caspertown42
@nohandsup
@caroll_ste87889
'Not just PAs in their sights'
It is fairly disconcerting to see valid concerns being raised by doctors in the interests of patient safety being diminished by people like yourself by using dismissive language and purposefully refusing to consider context.
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Jo attended for cervical smear. Nurse complained about fat making it difficult so said she should lose weight before she returned. She didnโt return. I nursed her at the end with her extensive cervical cancer with secondaries . She died aged 32
#LivingWithObesity
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Can a registered nurse just sit the PA exam without the training? Thinking of nurses looking for an easy band 7
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Patient came for random BP check. Bad breath. Had seen PA 4 months earlier c/o difficulty swallowing (not pain) and weightloss. Was advised it was a virus and to drink plenty.
Shocking cases coming to light.
A patient with melaena seen by a PA, coming back in after *2* months - diagnosed with gastric cancer
๐ฎ
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Iโm a nurse and I agree with you. There are extended roles but nothing can replace MBBS
Once again, seems it is controversial to say that nurses shouldnโt replace doctors because doctors have training that is more in depth, longer, and more detailed. I donโt know why this is offensive, but no one has said anything to make me think otherwise ๐คทโโ๏ธ
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Why do doctors, nurses and AHPs have to do extensive training to extend their roles (often after 5 yearsโ practice) yet PAs (unregulated) can do these after 2 years and get paid team lead salary? NHS is in big trouble
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Iโm a nurse is the same field for 23 years. I know Iโm not a doctor and refer on as appropriate. I canโt replace one
This is:
Scapegoating
Elitism
Protectionism
This has NOTHING to do with patient safety.
This is:
You do not have 'Dr' in front of your name so you can not care for patients. You can not join our club.
You can't sit with us.
Punching down. Nothing to be proud of.
#RCPEGM
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@rupert_pearse
@djnicholl
@Prof_Marciniak
I am an NHS nurse specialist. I am COVID19 vaccinated, which protects my patients, my colleagues, my family, and myself. Vaccines are proven to be safe and highly effective at preventing hospitalisation or death
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@benn_elisbenn
What do I bring to the MDT? 23 years in my specialty with considerable experience and further training. Iโm professionally registered, regulated and accountable following a robust, accredited training set nationally. I bring the nursing perspective. No steth though
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Unprofessional? -I donโt recall any doctors posting videos of themselves on their beds consulting patients remotely. I also donโt recall many getting excited about cardiac arrests and dying patients.
See reposts, quotes and comments for exceptional examples of elitism, protectionism, toxicity, bullying culture, hierarchical power dynamics in healthcare settings, and unprofessional behavior.
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I have a complex iatrogenic health condition so was referred to SPECIALIST surgeons. They referred me for SPECIALIST gastro opinion for which I will have waited about a year after cancellations. Itโs a phone cons. Told PALS if itโs a PA I will hit the roof
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Leave the country if it will make you happy but don't expect the taxpayer to fund you, sign a non disclosure agreement and leave the titles that would bring the BRF into disrepute when you use them for marketing
#meghanharry
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Unsure what point you are trying to make here? You probably had an on call room, subsidised mess and hospital accommodation. Itโs likely you could buy property by the age of 30. Dog walkers get paid more than FY1s and 2. Do you think thatโs ok?
@iDrSunny
@DrANChekroud
๐กwtf. Try starting Friday 0630 , 24hr hospital shifts all weekend on the trot until 1830 Monday as junior drs did circa 1990! Even manually evacuated a rectum because nurses wouldnโt do it!!!!
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@Nigel_Farage
They pay their own training fees yet get paid far less than a pseudo professionals who doctors need to supervise because they only do a 2 year course! Wouldnโt you leave too?
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The hurt feelings of someone who couldnโt/wouldnโt do medical school is not my problem. My health is important to me
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@tobefair100
@BBCNews
Thatโs your experience. Itโs valid but not typical. Suicide rates are increased and many symptoms get much worse with age
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@SophieAnnBurges
@Doc_LawrenceL
@medicalmodelbri
@9nzmwjkxmyP
@iDrSunny
@UoCMedSchool
Very concerning. At the risk of hurting peopleโs feelings, advanced practice should be underpinned by extensive experience.
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You do realise that practice nurses are highly skilled with extensive clinical experience? Iโm unclear what PAs can offer above that of GPNs (many prescribe too).
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@HRHPWales
@10agapanthus
Having to cope with recovery from cancer and all of this scrutiny must be awful. Wishing a stress free recovery to all- whatever their circumstances
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Transpired that initial โnurseโ was an HCA. Please take great care when delegating to someone without a professional PIN (4)
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Numerous specialist appts this year including cancer scare. All made worse by having to beg hospitals not to be seen by PAs. Patients donโt need this stress. My GP refers me to secondary care to get expert knowledge beyond their own.
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@SafeSENCOSaeed
I disagree. Parents actively choose that school knowing the rules and that it is secular. Many are very much against organised religion. If you want to have faith involved, choose a faith school. The rule affects all not just the muslims
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@KirkwoodEinir
@muddy_gas_doc
Former midwife here. I met a few clinicians I didnโt rate but Iโm professional and wouldnโt slag off a whole prof group to sound witty. Attended many home and Hosp deliveries. All had their merits
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I thought their USP was that they didnโt rotate?
โFollowing a redesign of our junior doctor rota we are looking to appoint a Physician Associate to rotate every 6 months through Neurology, Neurology Day Care Unit, and Strokeโ
@IVfacts
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The vast majority of posts are challenging the covert change from assistants to associates and how the PAs are put into medical roles when they are not suitable trained or qualified. Other concerns about the adverse effect on medical training. โฆ..
You won't find many Physician Associates or Doctors who appreciate and support the role of PAs willing to speak here. Many have deleted the app due to the pervasive bullying and harassment. This platform is toxic and detached from reality.
There are like 8 pro PA accounts here.
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@ItsnotrightUK
I didnโt know the final result but very suspicious of a cancer (oesophageal)
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@debbiebarnes66
Iโm far from woke and wouldnโt take a knee but I couldnโt care less about who they feature in ads. Iโve recently seen people with disabilities on adverts. They are in a minority but still exist so why not feature them? I live in a diverse area so maybe I donโt see the issue?
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@IncogAssociate
@LittlePersonDoc
I did nursing, midwifery and masters. Still doesnโt make me a doctor
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Having seen some of the exam questions, Iโm surprised it warrants a masters. Who overseas the courses an exams for quality?
@LukeAmos__
@ItsnotrightUK
It is at that level (7) because on afc that is where a masters level qualification required job sits. Your preoccupation with another roles pay, and wanting it cut rather than focussing on your own professions poor pay is sick and shows what an awful human you are.
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@ProfGrahamTowl
@LeanneHPatrick
@SaraTon08500527
@thatsnotmine125
@caspertown42
@Erin_Dean_
@ASiTofficial
@ExplosiveEnema2
@RCPLTrainees
@HSJnews
@AnalysisDrawer
@JamesLynchGTC
@keepnhspublic
Seriously? Iโm a nurse and I want the doctors to get all of the training that they need
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๐งต removing identifying details. Neighbour was visiting her mother in DGH after hernia surgery. Mother had acute retention of urine so was advised that she would need a urinary catheter. โNurseโ came to place catheter and advised daughter she could stay through to support mum (1)
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@moyboy1984
@benn_elisbenn
I wouldnโt want to because Iโm happy being a nurse. If I wanted to practice medicine I would apply for GEM
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@according2_taz
Adele has a great voice but her songs are depressing. The coronation should be upbeat.
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@SandyofSuffolk
My (late) mother had to retire from teaching because the stress and work ruined her health. Donโt believe everything about the holidays. She was always working
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Physician associates make job harder, not easier, say thousands of NHS medics | NHS | The Guardian
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@khadijapodd
@Miss_Snuffy
The complaints are vexatious. Most of the troubles in the world are related to religion and so this has been removed from the school so that children can learn without melodrama. Iโm RC and support the school removing religion. There are many other options available
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NIC was horrified and stated that the chosen catheter was, indeed, for post prostatectomy. โNurseโ grumbled under breath. NIC sent staff nurse with correct catheter which was placed (3)
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@JaneyGodley
@toryman1979
I donโt get people who are obsessed with people they donโt know. There must be something special about you (there is!) for you to live rent free in his head
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@Xeon4f145d96s1
I thought the role was designed to be the assistants undertaking admin etc to release docs to undertake more clinical work?
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@LittlePersonDoc
@IncogAssociate
I met my first UK PA about 12 years ago. Iโd never seen them in the NHS (somehow we muddled through before). I asked about the role and was impressed and thought what a great support to doctors to free them to do clinical work. There was no suggestion of clinics and procedures
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@DrJessMRCVS
Iโm so sorry but I believe every word. Iโve had 8+ stones (stopped counting) and now keep meds at home. Write to PALS because this is a issue requiring further education. Not just pain but you feel so ill. I hope you feel better soon
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@PatrickMackle4
I agree. Patients often call me doctor and I always correct them. In fact I introduce myself as nurse specialising in obesity treatments. If they ask why Iโm referring to a doctor a say that Iโm experienced but missing the essential 6 year degree and laugh
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UK PAs queuing to collect their new Littmanns?
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@Chris55597867
Iโm beyond that stage but genuinely interested for nurses struggling to get experience and qualifications e.g non medical prescribing when itโs less fussy to do PA
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@MayorofLondon
@NDinBusiness
A neurodiverse child scuffed a Koranโฆ..that didnโt end well.
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It doesnโt help when Gabor Mate (trauma not ADHD specialist) says ADHD caused by trauma. Itโs not and means parents feel guilt so wonโt seek or accept ADHD diagnosis in their children
Comments Iโve had from eating disorders โprofessionalsโ include:
- Something must have gone wrong when you were younger
- Youโre a man so we donโt know what to do with you
- What โaestheticโ do you want to have in recovery?
- You donโt fit any of our funding brackets
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#iamabariatricpatient
very proud of my
#duodenalswitchsurgery
. Share your photos to
#stopobesitystigma
have the
#patientvoiceheard
. 17 years post op maintained over 90% excess weight lost
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The GMCโs answer to the doctor shortage
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Sure. Patients would choose a 2 year course which canโt be failed over 5+ years of medical training. Who do you choose for your family?
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My beautiful angel crossed the rainbow bridge at 2am en route to the emergency vet. The haemangiosarcoma final won. Thank you Oscar for the love xxx
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Nurses and paramedics generally have 6 years clinical experience (post qualifying) to get a band 7. Many are prescribing on a band 6. They work around the clock and often isolated. They then refer to a PA? Itโs perverse and the rest of the world are baffled.
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When daughter saw trolley the catheter looked โvery thick/ like the one used when dad had his prostate outโ. She queried this and was told that was all left in cupboard. Daughter asked โnurseโ to check with nurse in charge (2)
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Isnโt it time to return to health job titles that specify the profession? People seem to be desperate to be practitioners and lose the title nurse etc. Iโve been in my speciality since 2001 and introduce myself as a specialist nurse. Misleads patients
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Surely someone can replace Ragi to check thatโs heโs ok? Failing that there is a serious problem with the autocue or signal
#itvnews
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They are overpaid for a role that they shouldnโt be doing. Many of the activities should be only done by MBBS holders. It is an issue of patient safety.
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Iโm sorry if you were sold an easy route into the nice bits of medicine. Clinicians and patients are absolutely entitled to raise the concerns. Patients deserve better. Ex PA doctors has highlighted the differences.
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#bariatricsurgery
saves lives. I have lost 70kg but small C19 regain. No metabolic disease. No asthma. I can buy clothes anywhere and survive long haul flights. Services should be available as needed. Hard work but worth it
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Patients are coerced into seeing PAs (often unaware) and may wait months to see a hospital specialists only to be seen by a PA instead who has less K&S than the referring GP.
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@LeanneHPatrick
@doctor_oxford
@medicalmodelbri
Only anecdotal but Iโve never personally seen this from a nurse or doctor
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Grandad John Wilkens who was telegrapher who HMS Starfish when she was hit. 2 escapes from POW camps saw him sent to Colditz (far right). RIP
#FestivalOfRemembrance
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You mean they want to practice medicine without the bother of doing GEM?
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Shame on you. They donโt even have a professional recordable qualification. You are damaging the safety of the public by deceiving them-and abusing the true professional doctors that have to pay you to regulate them. Despicable
๐งตThe updated
#GoodMedicalPractice2024
uses the term โmedical professionalsโ as a collective term for doctors, physician associates (PAs) and anaesthesia associates (AAs), rather than listing out each individual role for every reference. We haven't removed doctors from the
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I recently had a serious health scare and received excellent care from Drs, nurses and AHPs. I was constantly concerned that I would have to see a PA without the K&S and something would be missed. Itโs a safety issue
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Do you get upped and sent all over the UK for training posts? If raiding these issues is bullying then Iโm sorry for you. If you want to practice medicine do GEM. Patients are very scared. Return the role to assistant with appropriate pay
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There is no absolute entry criteria and courses are unregulated so there is no guarantee of knowledge or skills. Drs have to do extensive work to become GPs yet PAs can take GP roles with no experience โฆ.
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@TomKat56184663
I may have had the brains but my ADHD meant medical school not an option for me. Iโm not jealous of doctors and respect their role. I always introduce myself as a nurse to patients
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If itโs not good enough for your mother, itโs not good enough for mine!
The audacity to suggest itโs acceptable for working class communities to have physician associates instead of actual doctors.
The working class built the NHS, in no small part to ensure equality of access to qualified doctors, irrespective of class or wealth.
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100% pass rate? Sounds legit
@amnerisuk
Royal college of Physicians oversees the national examination and osce element. Perhaps stop formulating your opinion of a 200 question paper and 14 station osce, based on a couple of Twitter screenshots you absolute melt.
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So if a PA (ex nurse) prescribes and there is an adverse outcome, are they referred to NMC? Assume they have to keep registration up to date etc? How do they get enough nursing hours?
@NHSEmployers
@WestSuffolkNHS
Once prescribing and requesting ionising radiation is allowed for them , the world is their oyster . THIS is what they really want . Sod the patients .
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@LeanneHPatrick
Iโm pro nurses extending their roles and utilising knowledge and experience. I also know when to refer to a doctor.
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I expect the donors believed their cadavers would be used to train doctors of the future
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