Naseer Ahmad
@nas_vascular
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Following
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Vascular surgeon. Clinical Director Manchester Amputation Reduction Strategy (MARS) and Aneurysm Screening, former deputyCCIO, all about +ve system change
Manchester, England
Joined May 2019
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Pinned Tweet
Today is the first day I have ever known NHS consultants to strike.
Here’s the top 5 reasons…
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Most people think of patient facing roles being only Doctors and Nurses.
However, there’s a whole other group called Allied Health Professionals (AHPs).
There’s 14 groups that work side by side with us to provide the best care for patients.
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Bank holiday ward round continues!
We have 70+ inpatients to see and Josh, Sesha and Rob are doing a fab job!
These doctors are the future. They work incredibly hard but remain in significant debt. They’re paid less than the person who served you coffee.
We need real change
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Check out these bad boys…anatomically correct 👌
(they’re the blood vessels in the leg)
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The best explanation of how pay and inflation has affected NHS staff
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In case you think becoming a surgeon is easy,
It took me a Physiology degree (4 years), Medical school (5 years), basic surgical training (3 years), MRCS, higher surgical training (6 years), MD (2 years), 14 papers, FRCS and a consultant interview….
….and I still REGULARLY
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@medicalmodelbri
@ClinOncDoc
@ExplosiveEnema2
Thank you for forwarding this.
Let’s get one thing straight.
I am FURIOUS at being called a clown as it undermine team ethos.
There is a clear lack of understanding of what it means to be part of the MDT and an arrogance that I have never seen in medical students.
I called
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Feeling stressed this morning as im driving in as there’s a lot going on.
Then I see a man in a kilt dancing outside Bury Market.
#BuryMarketDancer
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…and we’re done!
On call for 180 hours over 10 days covering vascular emergencies across Manchester…
…and let’s not forget one viral tweet! 😜
I’m now signing off and ask that you continue to support doctors. These long hours are because there’s not enough of us.
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@implausibleblog
@OperaSocialist
I think the lettuce still has more to offer than she does.
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How about this for a Friday feel good?
Iulia migrated from Romania aged 11 with her mum (who came to work in the NHS), learned English and went onto complete her Masters in Podiatry.
We just appointed her to start her training to become a Podiatric Surgeon!
What a journey!
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I’m privileged to work as a NHS Surgeon.
I was born, trained and paid for my own degree in 🇬🇧
A typical week is 50 hours but on call is >100hrs. I’ve done this for 20 years. The toll is high.
#juniorDoctorStrike
is sad but the real-terms pay cut (26% since 2008) is unfair.
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After my night shift, driving back from hospital, witnessed an out of hospital cardiac arrest!
I parked up and began CPR.
It’s surprising how quickly it all comes back!
🚑 arrived impressively fast.
(Ps, didn’t do rescue breaths as I had no mask-but airway was clear)
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@ortrudethevegan
I think it’s difficult to argue that a doctor and a barista should be paid the same.
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…and we’re done!
A whole week of surgeon on call, over 120 hours and more operating in 7 days that I usually do in 2 months!
…but that’s how busy Manchester Vascular is nowadays!
…but… now…it’s downtime and rest.
Have a good evening and weekend guys
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I’m a friendly surgeon that works across wards, theatres, clinics and critical care.
I’m vaccinated to protect me, my family, friends and patients.
If you work
@MFT_MRI
and are hesitant, I’m happy to chat. No judgement. First floor Manchester Vascular Centre. I have cake 👍
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The Podiatrist who became a surgeon then Professor of Surgery is now a MBE!
Congratulations to our friend and colleague Frank Bowling on his remarkable journey. The Manchester Vascular Team salute you.
@MFTnhs
@RoyColPod
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Ok, it’s not the healthiest of on call lunches the hospital does…but oh the comfort ☺️☺️
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It began with a decision!
Liz is now starting her journey to become a Consultant Physiotherapist.
To support her
@MFTChiefAHP
@FrankLBowling1
@lauramayoshea1
@ChrisNester10
and I are building a support structure. These roles are really important & add value.
Wish her luck!
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@drphilhammond
I don’t think I’ve ever come across such a thoughtful, well written and clear opinion.
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If anyone ‘trained in the medical model’ is confused about social media protocol, here’s the link.
Hint: posting, in real time, patient symptoms to guess the differential, thinking it’s ‘teaching’. It’s not.
Now you know.
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So I did my first
@tiktok_uk
with my youngest showing off the wedding outfits.
What do you think?
(better with sound on)
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Another all nighter.
Whilst coffee is helping, the reality is that it’s really busy across the entire NHS. A&E is heaving (again) and everyone, and I mean everyone, is tired.
I’ve not seen it like this for so long in 20 years. We all know the reasons.
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@medicalmodelbri
@ClinOncDoc
@ExplosiveEnema2
She wasn’t in my theatre. I’ve never had a PA in my theatre.
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What’s the first thing you think of when someone says Manchester? 🤔
2K
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I have now seen examples of blatant breaches of social media policy from Physician Associate students.
Some accounts have now been deleted (but screen recorded).
Please review/delete and ensure SM posts are in keeping with the STRICT policy - before you develop Coulrophobia.
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Congratulations to my friend Frank Bowling, the podiatrist who become a surgeon who is now Professor of Surgery, Diabetes and Translational Medicine at
@OfficialUoM
and
@MFTnhs
. He has revolutionised lower limb vascular surgery and has just got going!
@mftchiefnurse
@DGArmstrong
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It was four years ago today that something terrible happened in our city. I came in and operated on some of the victims. I will never forget it. What I remember most, however, is how the city and NHS came together like never before
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Congratulations to Kelly, our Podiatrist who has passed her non medical prescribing course
@MFTnhs
🥳🥳🥳
#ProudSupervisor
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Today marks the end of Ramadan and we celebrate Eid!
It’s a time for family, friends and plenty of biryani ❤️❤️
Have a lovely one folks!
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I think
@Muslim_Hikers
have an excellent social media team.
The way they respond to racist and Islamophobic hate when all they’re doing is promoting exercise and the great British outdoors is a masterclass.
Absolutely! Pakistan's stunning landscapes await us. As for home, it's wherever we find warmth, camaraderie, and beautiful trails...so we'll definitely be back to enjoy the Great British countryside! 😊🏔️
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It began with a decision!
Kelly, our podiatrist
@mft_mri
is now doing her prescribing course and I have the pleasure of supervising her!
Helping to skill up colleagues helps everyone!
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So went onto the wards this afternoon to review a patient and met a lovely HCP,
‘Hi, I’m Nas, vascular surgeon’
‘Yes, I know. I follow you on Twitter. You like cheese on toast and wear awesome socks.
Wonder what my legacy will be?
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The National diabetic foot audit data is in;
Our (Salford) diabetic foot ulcer outcomes are twice the UK average!
Not only have we reduced amputation prevalence by 48% in 6 years but for diabetic foot ulcers…
1. Time to first expert assessment (<14 days) is 80% (40%
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Meet, Winnie, probably the best healer across the entire organisation of
@MFTnhs
and Greater Manchester.
He never fails to put a smile on your face.
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After a long week I’ve been thinking…
..working in the NHS is harder now than ever - regardless of job. The disparity between need and resource is wider than ever…
…but what option do we have but to believe and fight to make it better?
So I sip my coffee and begin typing..
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My friend told me that being a manager in the NHS is less about managing expectations and more about managing frustrations
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After the ward round (67 inpatients), because it’s a Tuesday, we did the Foot Round. Here we discuss complex lower limb inpatients in a MDT led by vascular which has podiatry, diabetes, physio and micro
…but it’s been a tough week so coffee and cake (yes cake) for everyone!
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After a 60 hour shift, I’ve got Monday off….and…yes, I’ll be spending it with my best friend.
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So I think it went well! Let’s celebrate collaboration between vascular and podiatry ‘toe and flow’
@CollegePodiatry
@dgarmstrong
@GMEC_SCN
@MFTnhs
@Martinfox2000
@drsohailmunshi
@suzhibb
@DeanPodSurgery
@CaraCarahendry
@MFTNHSCoder_GJ
@mftchiefnurse
@ProfNeilReeves
@paulchadpod
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This week saw the start of the reconfigured vascular service for Manchester
@MFTnhs
(stewarded by
@Mancvascular
) and I want to thank all the medics, nurses, AHPs, pharmacists, managers and support staff for continuing to smile and being kind whilst doing a tough job
#teammft
❤️
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Theatre today and with me is the amazing Mary Murray!
42 years in the NHS as a scrub nurse and always smiling and ready to help!
As a surgeon, when she’s in your theatre, it’s going to be a good day!
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I was there 7 years ago and operated on some of the victims.
The images still haunt me.
Never again. Please.
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@ShaunLintern
Modify mandatory training so that you can take the test first and if you fail, only then do the 1 hour module.
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Meet the weekend Manchester Vascular Registrars!
We’re really lucky to have Adam Haque and Alison Phair on this weekend with both theatre and over 60 inpatients to see. They’re senior and incredibly knowledgeable.
…it was also Alison’s birthday!
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The following is taken from a friend of mine who is a junior doctor.
We’ve all been and continue to be here and know it is unsustainable.
I support the
#juniordoctors
strikes.
It is sad it had to come to this.
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Wowsers! I was surprised, humbled and honoured to have been shortlisted for
‘Clinician of the Year’ by
@BAME_HCA
Thank you
@MFTnhs
for the nomination and recognition of the work my team and I have done.
@doctormkumar
@MCubbonNHS
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Our new Consultant Podiatrist, Matt,
@SalfordCO_NHS
has hit the ground running and now orders CT angiograms!
We started with duplex scans and this new protocol allows further streamlining of the patient journey.
Patients now come to me worked up!
@RoyColPod
@Martinfox2000
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Whether you celebrate it or not, have a great day and Eid Mubarak!!
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….and we’re done!
A week of on call finished, and, as it’s a sunny day, thought I’d celebrate with a ‘Feast’
My favourite ice-cream as a kid!
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If you are a podiatrist, nurse, surgeon (vascular, ortho, podiatric, plastic), service lead or academic
…AND involved in lower limb ulcer care….
….AND toe pressures is NOT part of your routine practice/teaching…
It’s now modern practice and in guidelines!
Toe pressures
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Meet the Manchester Trauma Team
@MFTnhs
today.
Vascular, Ortho, Plastics, Radiology all came together for a case this weekend.
Proper multidisciplinary working (and banter) in our state of the art Hybrid Theatre.
@JosephAlsousou
@haroonmajeed
@Rosie1878
@Docj88
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There’s something about this lead jacket that I like….can’t quite put my finger on it
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Congratulations to Frank Bowling!! Within 3 months of becoming a Prof, has been awarded 2 ACLs! He’s championing Manchester, AHPs and vascular surgery as promised! What a journey from podiatrist to Professor of Surgery!
@MFTnhs
@CollegePodiatry
@SuzanneRastrick
@mftchiefnurse
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Eid Mubarak to you and yours from me and my eldest 💜💜
Today Muslims celebrate the life of Prophet Abraham and his family. It also marks the end of Hajj
@CheadleMasjid
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I needed a healthy pick me up this afternoon so I walked down the corridor!
We’re so lucky
@MFTnhs
not only to have hot food 24 hours a day but also incredibly healthy stuff. Just look at it!!
So why not pop down to see Nils outside St Mary’s
@HABwholefoods
@NeelyMozawala
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As we begin Ramadan, a time for reflection, charity and prayer, I’ve decided to take some time off social media….
…but I’ll be back soon 💜
Ramadan Mubarak 😊😊
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It’s been said that, as a doctor, I should not be promoting the unhealthy
@SalfordCO_NHS
cheese on toast.
They’re right.
Please do not eat the deliciously cheesy and crispy cheese on toast from the Salford Royal canteen especially on Wednesdays around 7.30am.
Thank you.
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Big shout out to the Manchester Emergency Theatre Team 💜💜
@Mancvascular
and I have done over 30 hours of vascular operating this weekend and theatres have run incredibly well to get through it all.
@MRI_TEIR
you rock!
@MCubbonNHS
@l_ebah
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I once spoke about this to a group of similarly aged friends and no one remembered.
Is it just me who remembers this?
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Final night covering the
#JuniorDoctorsStrike
✔️
…It was a strange feeling going back to do your first job - but with 20 years experience ! 💪
Let’s hope the government restores their pay as this generation of doctors have far bigger financial worries than previous ones.
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Shout out to Kelly and Sue, our Vascular Specialist Nurse and Podiatrist combination!
Their roles compliment vascular surgeons and ensure correct triage, treatment and onward referral. This combo is central to both community and hub/spoke model of reconfiguration.
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My week on call is now over and after working 120 hours, a relaxed weekend beckons…😊😊
….and to top it all off, I’m walking home in the sunshine (and blue sky)
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So I was operating for a third consecutive night but this time was joined by the legends that are Stella (Trauma) and Susi (ENT)!
it makes such a difference having great colleagues.
Quick cup of tea, rounds then home
@MajorTraumaMRI
@MFTnhs
@SusannahPenney
@StellaSmithSurg
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At a patient’s request, I just did their operation to the tune of
@coldplay
It went without a hitch. I may just do it again 😊😊
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After nearly 24 hours at work, I’m off to get some shut eye.
Still in awe of my good friends who came to help out 😊😊
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Walking is exercise. You don’t need a gym or fancy equipment.
Here’s some simple lifestyle advice for everyone not just those with intermittent claudication (pain in the calves on walking due to atherosclerotic disease)
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First live digital consultation between podiatrist and vascular surgeon for a patient with a critical leg at home. Expert advice provided & wound reviewed resulting in an admission being prevented! Go Manchester!
@Martinfox2000
@VaLSAcademy
@dgarmstrong
@MFTnhs
@drsohailmunshi
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I can not believe
@HABwholefoods
is having to leave its
@MFTnhs
spot outside St Mary’s 🥲
I mean, what’s wrong with having a banana?
Let’s help Nick and save our little hospital fruit and veg shop by signing the petition at …
@MENnewsdesk
@BBCNWT
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Did you know a toe pressure takes 2 minutes to perform and tells you about blood flow into the foot itself. An absolute pressure of >60mmHg is a good predictor of healing. It is also one component of the WiFi score
@krishpod7
@NatWoundStrat
@Martinfox2000
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Congratulations to the podiatry team on their publication describing how transformation of the foot clinic
@SalfordCO_NHS
reduced amputations by 42% over 6 years…
…and levelled up all lower limb ulcer care to the diabetes standard without additional staff!
Read how 👇
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It’s been an incredibly busy on call with 2 vascular theatres running overnight.
Have a lovely day folks - I’m off to get some shut-eye.
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It’s Go Go Go-Live with
@MFT_Hive
🥳🥳🥳🥳🥳🥳🥳🥳🥳🥳🥳🥳🥳🥳🥳
Our super-user hub is up and running as is our command centre!
The Epic guys are with us and we’re all ready to roll!
#HiveIsHere
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Decided not to go to the gym this morning and instead follow the River Irwell for a few miles.
Glorious!
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…hour 60 on call and just leaving a hospital (not my base hospital) where I was operating…
….and…I…wait for it….yes, have to pay parking fees!
I have no problem helping friends with operations - but paying parking fees for the privilege?
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Busy day on call again with ward rounds and theatre...
…but Tuesday is foot round day!
We see foot ulcer patients on the ward in a multi-disciplinary approach with Kelly, Liz, Teffy, Anthony and Hameed give podiatry, micro, physio, diabetes and vascular care.
A proper team
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What a start to the on call week!
It’s only day 2 and already completed nearly 15 hours of operating! Onto case 6!
…why the smile? Ask any surgeon 😊😊
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…hour 47 of 72 on call (although no operating overnight)…
…the eyes are more tired, the coffee stronger but worryingly…I’m now listening to ‘Snow Patrol’
#WeekendOnCall
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It is clear a narrative that junior doctors are immature and petulant is being pushed.
Let’s get one thing clear.
They are adults in their 20s and 30s, who have graduated with ~£100k of debt.
They’re asking for £21/hr
How much do you pay a plumber per hour?
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…and we’re done!
My on call week is over as is Mo Ashrafi’s first ever on call week as a consultant!
It’s been a tough but fun one with plenty of learning from challenging cases - but that’s Manchester for you!
We’re now on downtime!
See you all on the other side! 🕺🕺
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More good news about amputations (+/- Diab) in our region?
Yes! …between 2015/16 and 2021/22
Greater Manchester amputations
⬇️ 21% with 6.9% population rise
Salford (primary MARS pilot site)
⬇️42% with 15.4% pop rise
@parthaskar
@SalfordCO_NHS
@Jonnyboyle1
@doctormkumar
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Another 10 mile glorious walk but this time along the Salford Trail.
You may not realise it but Salford has some amazing walks
@salford_mayor
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…and it’s done!…..Naturally, the last few hours were eventful - of course they were! 🤣
So, after 80 hours, I finally get to go home and have a night to myself.
Have a lovely evening everyone 😊😊
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Today was
@AmakaCAI
first clinic as a fully qualified Vascular Advanced Clinical Practitioner (vACP).
I was so proud to be her co-supervisor (esp as she passed with a distinction!) and loved working with her today in clinic and wards
@SalfordCO_NHS
.
What an asset! 🥳🥳
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One of the final duties of the outgoing Vascular Consultant of the Week
@MFTnhs
is…
KEBAB FRIDAY!!!
and everyone in the dept gets one!
@Mancvascular
started it, we get about 20! It costs but does wonders for everyone’s mental health.
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