Dr Elliott Carthy 🏳️🌈
@elcarthy
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Doctor 👨⚕️ Consultant Forensic Psychiatrist 🧠 Expert witness ⚖️ LGBTQ+ (gay) 🏳️🌈 Books 📚📖 YouTuber 📽
Oxford, England
Joined January 2011
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Pinned Tweet
I made a video about conversion therapy. Well, a video of me watching a VICE documentary about it and explaining stuff coz for some reason IT HAS STILL NOT BEEN BANNED!!! Hope you like xxx
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This is my first Mothers Day without my mum who died about 3 weeks ago from a very sudden and unexpected illness. This is Fiona reading to my nephew. Grief just clouds everything at the moment but one day at a time and just a reminder to not take your loved ones for granted x
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V pleased to have been offered (and accepted) my first consultant post at
@OxfordHealthNHS
where I'll be working across prison psychiatry (v busy and v acute) and in our forensic learning disability and autism service
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Does anyone else have those days where you end up googling careers outside the NHS and questioning lots of life decisions?
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I've just re-watched this three times in a row and honestly, it has set me up for the rest of the day
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A lot of medics have heard of Cotard’s syndrome, or walking dead syndrome that can be seen as part of delirium, schizophrenia and psychotic depression. But did you know that the anti-viral drug, aciclovir is another cause?
A tweetorial!
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Yep. That's because "mental health awareness" has little to no appreciation of severe and enduring mental illness and devolves everything to go for a walk, have a bath, do some yoga and talk to somebody. It's quite rubbish.
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Decision made. I'll be applying for higher training in psychiatry of intellectual disabilities later this month. It was the reason I went into the specialty and is still the group I enjoy working with the most :D
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AS AN NHS DOCTOR (ahem) I think ...... that ITU and Public Health specialists know what they're doing so can everyone else stfu and do as you're told
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Yesterday I got to go an observe in Crown Court for the day while one of our consultants gave evidence. No need to take study leave, just a culture where training is actually prioritised 🙂
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Officially an uncle! Not the simplest delivery to put it lightly, but my sis was amazing and this little one is absolutely gorgeous x
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Guess what, Twitter? I got that academic fellowship in child psychiatry I interviewed for a few weeks ago. Happy happy happy!!! 😁
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I've been asked to do a lecture to our medical students on gender identity and mental health. If there was one thing you wished mental health professionals knew, what would it be? Please RT as keen to make this as useful as possible.
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I’m finding the history of medicine (particular history of psychiatry), utterly fascinating at the moment. Most medics have heard of the monoamine hypothesis of depression. However, did you know that TB played a critical role in modern day treatment? A thread. (1/12)
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All the feels after meeting
@ChaseTMAnderson
and putting the world to rights about life and mental health 😍 .... (coming to YouTube v soon)
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Outcome 6. End of core training is in sight. Hello forensics from August (with lots of special interest time to come in LD/ASD/ADHD)
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Remembering the time when I was an A&E FY2 and shifts finishing at 4am were classed as twilights so the rota coordinator could just run wild with them. That shaped my career choices more than you might imagine.
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This morning I saw patients IN PERSON for the first time in 2021 and it made me so happy
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Can anyone point in the direction of how I can learn NHS pensions as if you're explaining it to a 5 year old?
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Slight update to the Twitter profile. Finally an SpR!
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Omg there was a time when I wanted to be a cardiologist and now I'm a forensic psychiatrist and so much happier. Can you imagine me doing a percardiocentesis? No hun
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So remember, it's not always a psych disorder that leads to psych symptoms! If you made it this far then why not check on my YouTube video on Cotard's based on a really interesting NEJM case report.
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Bad day today where the grief of losing a parent has just completely paralysed me. Trying to just accept the feelings for what they are but its bloody hard.
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Finally getting fit tested tomorrow which means I am now clean shaven for the first time in well over 5 years. I hate it!
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Forensic psych is great. Also being an SpR is soooooooooooo much better than being an SHO. Can we say SHO anymore? Don't answer that as I really don't care
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New job. Same issues. No access to the locked wards yet. No access to the online system. No ID card (it's probably on one of the locked wards that I cant get on to). No laptop. No doctoring happening anytime soon.
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While uni's are closed I wondered about live streaming some tutorials on psychiatry/neuroscience/pharmacology on my YouTube channel this week. Anyone interested?
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One of our SpRs (now consultant) arranged for all the forensic SpRs to have a tour of the Supreme Court today. No annual/study leave required. Psych yet again valuing training 😁
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Instagram saw it first but I decided to go clean shaven for the first time in forever
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Having one of those 'googling alternative careers in medicine' afternoons
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I'm doing a talk for our Trust on the history of psychiatry and homosexuality for LGBT+ history month next week. I'd really like some thoughts (esp. from patients) on how we can make healthcare settings safer for queer people. Pls share and retweet xxx
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Psychopharmacology tip
#6
: avoid thiazide diuretics for patients on lithium. The body handles lithium like it handles sodium. If you precipitate hyponatraemia your kidneys tend to reabsorb lithium instead of sodium to compensate. This can trigger lithium toxicity.
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I know I say this everytime but this might be my favourite yet 😂
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The next door neighbours kid is learning to play the trumpet. I used to play the trumpet. I hereby apologise to all my former neighbours
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@PMccoubrie
@DrDLittle
I once saw a CT chest/abdo/pelvis report that simply said: "a complete waste of time"
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Paper has been accepted today on psychotropic prescribing in people with ASD with and without psychiatric comorbidity. While avoiding the need for meds is always ideal, I hope the paper helps people prescribe safely if and when needed
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Day 18
#WeCreateEdu
job:
I'm a junior doctor in the UK specialising in psychiatry. My favourite part is treating kids and teenagers with learning disabilities, autism and ADHD. I only get to wear scrubs when I'm on nights and the bosses aren't around 😉
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Dear America,
Please can you make it a bit easier to access some sort of fruit and/or vegetable alongside everything being deep fried?
Yours, a tourist who'se already gained weight in 48 hours in your country
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I repeat, NOT ALL MENTAL ILLNESS IS CAUSED BY TRAUMA!
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Oh fuck right off
NEW: Conservatives are safeguarding scientific research from the denial of biology and the steady creep of political correctness.
@michelledonelan
announces plans to depoliticise science at
#CPC23
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Pulled a muscle in my back at the gym yesterday and I guess that's what being in your 30s is now
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Psychopharmacology tip
#14
: quetiapine and clozapine are (relatively) low affinity D2 antagonists. This, along with their 5-HT2 antagonism increases dopamine and noradrenaline transmission in the prefrontal cortex and nigrostriatal pathway, means... (1/2)
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Can any lovely neuropsychiatrists point me towards some resources on psych disorders associated with traumatic brain injury? Prepping a tutorial on this and it would really help :)
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I miss being on holiday. Also Canada is better than the UK. Fact.
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Wondering how I got this far in medicine with zero knowledge of organic chemistry or embryology but happy for it
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I love working with kids with mental illness. I don't love the structure of CAMHS services. Someone fix it please.
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So yesterday I found out I have an unconditional offer for Core Psychiatry Training :)
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Sooooo I had an interview this morning. I GOT THE JOB doing a lectureship in physiology and pharmacology alongside my clinical work. Absolutely chuffed to bits.
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Can I stay in forensic psychiatry please? Loving my job atm
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Psychopharmacology tip
#5
: tricyclic antidepressants are NOT very amenable to haemodialysis. They're v lipophilic, have a high vol of distribution and are highly protein bound. OD can be fatal and the treatment is supportive only. Think carefully about this risk before initiating
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Why, after getting my full MRCPsych, is my next professional decision to sign up for a diploma and more exams? Why am I like this?
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My chat with
@ChaseTMAnderson
is now up my YouTube channel. We put the world to rights about queer culture, mental health and why medicine is actively contributing to marginalisation and discrimination. Hope you like :)
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But it’s ok, coz ketamine will save the world, innit. (12/12)
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Amazing! My YouTube channel started the year with 1000 subscribers and now it's at 5000! Hoping to continue building a platform to talk about mental illness for the general public
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May the pre-strike trains from Oxford to Edinburgh be at least temporarily in my favour...
#RCPsychIC
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Attention anyone at
#RCPsychIC
interested in queer healthcare - come along to our seminar on Chemsex and it's interface with the mental health, sexual health and criminal justice systems later today x
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Visibility is everything. Thanks for wearing the armband
@HarryKaneMBE
#pride
#LGBTQ
#EnglandvGermany
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I've been doing DIY all weekend and have collapsed in bed with wine, chocolate and pizza on the way...
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How's
@RealDoctorMike
's blood pressure after making this? Great vid and glad someone with his platform has addressed this head on.
You asked for me to watch The PLANDEMIC movie & so I did. Buckle up, here’s my fact-check of the entire conspiracy. 🙏🏼⛑👉🏼
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£984 later and I'm signed up for CASC. No going back now
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Not sure if this consultant business is for me. Shall I just retrain in another psych subspecialty? 😭
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Here's me pretending this shirt still fits by hiding the bottom half
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Motivation for self-care and exercise is basically non-existent today
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Not in London but solidarity and support to everyone going to the
#BanConversionTherapy
protest today
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I was asked about this drug in one of my tutorials this week. Brexanalone is a recently approved new antidepressant for postpartum depression and has a unique story of discovery and novel mechanism. A tweetorial (1/8)
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I've been asked by a few subscribers to do vids on how to prepare for psych OSCE's. Here is my first one. Hopefully this can be of help to any med students that follow me. Please do RT and spread the word as I'll do a series if people like it
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CASC is done (for now). Shattered. Absolutely shattered.
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If any trans or gender diverse people with an interest in mental health and medical education (especially if you have a formal role with this) would be open to helping me with a teaching session I'm updating then pls get in touch. I'd love/greatly need your input!
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Special interest day in London today. Miss this stupidly busy and chaotic city more and more every time I come here.
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2/12
Aciclovir is a nucleoside analogue that inhibits the replication of the herpes simplex and varicella zoster viruses. 1% of treated patients experience neuropsychiatric side effects. This is usually patients with renal failure.
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May have had a (v strong) aperol which has dictated the vibe of today
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