Nick Francis 🇪🇺
@ncl_medic
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Consultant 🧠 Anaesthetist. #neuroanaesthesia #TIVA #civilaviation 🇪🇺✈️👨🏽⚕️🐈 Southern bred, northern reared.
Newcastle Upon Tyne, England
Joined September 2011
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HAVE WE VACCINATED DAVID ATTENBOROUGH YET????
2020’s been shit enough already.
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@GoughCJ
Thanks so much for sharing and glad you’re on the mend. We’ve heard very little about the vast majority who are beating this and getting well again.
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It’s true TBH most pregnant women carry their unborn baby in a discrete wheely suitcase or tote bag. Only fame-hungry D-listers like Meghan would have the audacity to have it in their uterus so openly displayed in the middle of their abdomen. 📸
Have you noticed how Meghan Markle ensures her baby bump takes centre stage?
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There’s a woman in front of me on the bus just happily noshing into a full ball of mozzarella. Just like an apple.
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@andreajenkyns
@SteveBarclay
We could probably also shorten an airline pilot’s training to 4 weeks, and nurses could just do a half day distance learning package in lieu of training. I’m sure you’d love your family to be treated by a junior who’d done LESS training than their predecessors. But yay Brexit!
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As someone whos been double vaccinated since March and also been flat on my back with Delta V since yesterday, the thought of dropping all restrictions/saying it’s all over next week fills me with concern.
Keep wearing a mask and avoid crowds. UKGOV doesn’t care, but you should.
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Happy to announce I’ve been offered a 12 month Fellowship at
@uclh
in
#neuroanaesthesia
starting in Feb 2022! 🧠👨🏽⚕️🏨💉
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@EdHutchison
I would cringe so, so hard (and feel so disappointed with myself) if one of my colleagues felt the need to address me as Dr Francis. People who need their title to feel important have no natural authority. It’s really divisive within a team.
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8 months of work, missed holidays/weddings, and being the worst husband in the world, but the stars have apparently aligned and I now have 4 extra letters to make me feel important.
Now if the stars could stay that way and give me a Labour Gov’t that would be swell.
#FinalFRCA
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@oweneagle2
Also, Charles Grey was a Left wing progressive who was instrumental in demolishing slavery so probs best to leave him where he is.
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Crazy. A gentleman with cancer feels guilty for maybe having to postpone his surgery for a leaking AAA to have his ITU bed.
#hospital
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Outcome 6 at my final ARCP ever!
Only 27 days left of being a trainee ✅
Honestly many points I didn’t think I’d get here.
Looking forward to starting next chapter as a consultant in August 🙌🏼
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Unpopular opinion: Christmas markets are an overpriced inauthentic crock of shit, that steal Christmas business from struggling shops at the only time of year they can make any money, and contribute a huge burden of non-recyclables to landfill.
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@IanLaveryMP
@BorisJohnson
Great job Ian. She’s a medical student and future doctor. Crazy right that every female NHS worker isn’t a nurse?
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@LiangRhea
On the face of it, the subservient apologetic tone we often use when referring is rather perverse - I’m just asking you to do your job. But actually being friendly and conscious that people have competing stresses from elsewhere probably encourages a more positive response.
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@lewisgermain
I do agree, but I can also understand how the gen public feel frustrated at HMGov mixed messaging...”spend, travel, work work work or the economy will never recover” vs “never get on a plane again in case we change the rules at a moment’s notice”. 🤷🏻♂️
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Nursing staff being penalised (docked pay, disciplined, humiliated) for sleeping during their UNPAID breaktime on nightshift is draconian, inhumane and unsafe to patients and staff themselves. It’s another unthoughtout policy that has no place in a safe NHS.
#fatigue
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So today have booked to donate blood next month for the first time in 18 years. Long overdue changes that come in today no longer discriminate against gay men.
#GiveBlood
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@rosieICM
I don’t think anyone seriously believes this group of consultants could have pushed any harder, and against the very worst sort of bullying/gaslighting.
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@timricketts_
The care is fairly standardised which is good - oxygen, dex, physio, nutrition. Remember the softer side: pts are scared, isolated and frustrated, so it’s amazing what a joke, a hand-hold, and a little pep talk can do!
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#clocksgoforward
is basically hospital Armageddon. Every machine reads a different time and no one knows how to change it.
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I volunteered to be a subject for a regional anaesthesia course as a student (and about a stone ago). The course lead while demo’ing on me announced to the whole course “you’re very fat. If you ate less this would be easier”. So I just removed the probe from me and walked out.
So what’s the ballsiest thing you’ve all ever done as a medical student?👀
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Make sure you locate the best place to cry. Sluice, drug cupboard (or nurses station if you prefer to weep surrounded by empty Celebrations boxes) are all valid options.
Sometimes I’d like to find a pillow to scream into but spare pillows don’t exist in the NHS.
#TipsForNewDocs
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Top tip: don’t try to demonstrate to the recovery nurses how a KwikPen insulin pen works whilst holding your finger over the needle guard. 12 units in my thumb later, I was fine and being forced fed slow release carbs.
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@Neuro_Matt
I think this is ok! I think the realism of being basically flattened by an unsupportive system so your available bandwidth for being nice is depleted is almost spot on!
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Dessert is a pointless, tacked on, clumsy addition of calories at the end of the meal for people with unrefined palates. Grow up.
Quote tweet this with your most controversial food opinion, I want to feel hate again
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I’d be happy to....oh wait, the blood of a monogamous married gay man is considered higher risk than a less discerning straight person.
Because “science” and stuff.
New donors are urgently needed to help patients with sickle cell disease.
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@EmergencyMedDr
I do hear you and we all agree we’re a) paid less than our predecessors and b) not paid enough now.
That said, I’m paid ~£65k a year and will earn more as a consultant. I have *effectively* a job for life, and have been gainfully employed for the whole pandemic....
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@WelshGasDoc
Assisting during breast surgery:
“I really enjoy working with you. You have literally zero aptitude for surgery but you stay where I put you”.
(Full disclosure, he is still probably the best surgeon I’ve ever worked with).
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@Nuzzzzie
Really sorry this has happened and totally understand the massive anxiety this will cause. Much of this behaviour would meet the threshold for stalking (the police use the F.O.U.R mnemonic: fixated, obsessive, unwanted, repeated). Very much worth logging the complaint….
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@wesstreeting
Honestly it’s great for headlines Wes, but the issue genuinely isn’t that we don’t train enough doctors - it’s that we don’t fund post-grad training places for them. So they all leave….
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So after 15 months, Friday night was (for no apparent reason) when all the covid tears decided to come out!
I think it was talking about all the patients who died alone.
Just a year+ all hit me at once! Feel a whole load better for it and luckily had lots of support!
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@jeremycorbyn
It’s with a very heavy heart that - along with my husband - I’ll be joining thousands of other former Labour voters under 45 who are deserting the party. Listen to your own members, over 70% of whom don’t want Brexit at all.
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So I tested negative for COVID antibodies and am happily starting the Oxford
#COVIDVACCINE
clinical trial next week. Apparently risks include Guillain-Barré, death or a much more severe form of COVID, so that all sounds peachy.
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The same reason a 16yr old girl thrown from a horse has her treatment and rehab paid for, smokers have their cancer care funded, and obese patients their diabetes treatment paid for. Unfortunately there’s no cure for being a prick, but if there were, the NHS would fund for you.
Why should HIV sufferers, a disease contracted as a result of an individuals own life choice, be funded by the NHS, whilst Dementia sufferers, an illness that can befall any of us, at any time, without our own choice, have to fund their own health care? Sort it now
@BorisJohnson
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I’ve just found out after 2 years of marriage, and 7 years together before that, that my husband puts the milk in with the tea bag.
I may have to sleep in the spare room...
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Trying to arrange a critical care transfer and ambulance service told me I should try 111…
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@srturaga
Also who’s teaching these apprentices on the job? There isn’t a huge swathe of clinicians with loads of extra teaching time. We struggle to meet the expectations of the existing (and ever expanding) medical student numbers.
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Shit, shower, shave.
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I don’t understand the furore in some quarters about mandatory NHS covid vaccination when the same people have already had a mandatory Hep B vaccination…
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@KatPaton13
It does sound like a safety concern. Pushing IV drugs in a ward environment should never be deferred to those who don’t do it a lot, as that’s how mistakes can happen. I’d escalate this up via your team to nursing team as doesn’t sound like a fair or safe position you were put in
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@CCWearmouth
They did what?? Foundation doctors are often the first medical responders to cardiac arrest and are often a really critical part of those teams! The ALS course I teach on is almost exclusively F1/2 and they’re fantastic candidates.
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Another reason the northern deanery is awesome - from April 1st, there is no financial cap on study budget!
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Successfully made it through ALS and even got asked to be an instructor. Bradford was a brill centre - highly recommended!
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Gas folk: I’m finding myself in that awkward senior position of accidentally imposing *my* anaesthetic plan on junior colleagues I’m supervising, which I hate being on receiving end of and used to irritate me no end.
Any suggestions for strategies to deal with this?
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Mmm I’m not sure the lawyer suspended from practice for possessing a commercial supply of class A chemsex drugs, and supplying them to his partner who later died, gets to lecture me about arrogance and democracy.
#BBCQT
‘It is nothing but sheer arrogance of people that have lost, and people that want to subvert democracy’
This audience member says he is against another referendum on leaving the EU.
#bbcqt
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@yiunamcheung
@Nigella_Lawson
There is literally nothing in this recipe that would render it unsafe to eat the next day as long as it was refrigerated, stored and reheated appropriately.
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Got completely backed and supported by my boss when a member of another clinical team was pretty vile to me and refused to engage. Seems like a tiny thing, but doesn’t always happen.
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Can I just suggest that during an infection control crisis wearing your A&E scrub uniform to and from work makes you look like a total prick (especially when our hospital has ample changing facilities)?
#Covid_19
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First day of a course is basically like day 1 of summer camp, and sitting in my car scared to go in and make friends with the other kids. 🙈🙈🙈
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@nomiackerman
Wow guess my medical degree from Newcastle was second rate and mediocre. Glad that nothing that happens in the north of England is of any consequence to the rest of the country.
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I don’t know how supervising consultant always instinctively knows how to “pop in” during an otherwise dull case just when the patient decides to drop heart rate to 30 and you knock the TIVA pump over. 🤦🏼♀️
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@healthbyjames
Well given that she’s “paralysed from the legs down” she’s doing a great job of connecting her brain to her lower limb muscles, and sitting up with great core muscle and upper limb tone.
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Do you ever go into the kitchen to make a snack, and then eat another snack while you’re making your snack? 😔
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@GEBP1988
Love this. My little nhs pride flag badge started up a whole conversation with a transplant patient I looked after who was struggling to come to terms with her son coming out. Really good moment.
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The cutest part of working in obstetrics is that all the little hats for the new arrivals get knitted by actual nannas.
I always imagine it’s like a gigantic sweatshop of frenzied elderly activity.
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We/media need to stop referring to Boris Johnson as ‘Boris’. It feeds into his own self promotion that he’s in some way individual or special. A brand in his own right, rather than a self-serving incompetent gammon rolled in straw.
You’re no Britney, Celine or Beyoncé, bitch.
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In December 2020 I had to hold my phone up in ICU so a mother could try to say goodbye to her 32 year old son via FaceTime just before he was intubated. He died 2 days later.
#Partygate
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Also: genuinely not trying to scare anyone! The vaccination programme has clearly done a huge job in stopping severe illness, even from the delta variant. But we can’t pretend it’s an iron shield against infection and we all need to remain responsible.
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So that's a wrap on my last ever cardiac rotation.
Just need to stop myself whamming a 14G cannula, an awake art line, a quin lumen and a PA sheath into the poor dear for a check cystoscopy on Monday...
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A friend went to see a private orthopaedic consultant regarding a primary hip replacement. She was told that “I only do this procedure under GA, and you can expect to spend around 3-4 days in hospital post-op”?!!!! 💀💀💀💀
(Just to be clear, this was a month ago not in 1986).
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Jesus wept. Drs, shift fitters, nurses, midwives, ACCPs, healthcares, ODPs, porters, radiographers, lab staff, ward clerks, site managers, IT analysts, pharmacists, physios, security, catering, managers...
We work as a team
@MattHancock
- at 2am, 5pm, and every other goddamn time
At the risk of angering you all further here is the section from the speech as released by
@DHSCgovuk
just now:
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I genuinely can't believe I'm looking at London studio flats and thinking "£1500 a month?? Bargain!"
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