neil orpen
@neilorpen
Followers
1,701
Following
1,238
Media
1,042
Statuses
23,514
spinal surgeon - interested in all things medical and factual - the many opinions will be my own - good food,wine & positive stories please - @ProgressiveRug
wiltshire
Joined December 2012
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
Puigdemont
• 181058 Tweets
地震情報
• 172205 Tweets
#世界猫の日
• 160109 Tweets
南海トラフ
• 129096 Tweets
津波注意報
• 88165 Tweets
震度6弱
• 80686 Tweets
Mossos
• 65756 Tweets
宮崎の地震
• 62453 Tweets
地震発生
• 60896 Tweets
日向灘の地震
• 58855 Tweets
緊急速報
• 52531 Tweets
地震大丈夫
• 49755 Tweets
津波情報
• 47956 Tweets
緊急地震速報
• 44295 Tweets
地震の被害
• 39926 Tweets
M6.9
• 38997 Tweets
#LAST_PARADE_MV
• 36219 Tweets
震度5強
• 35306 Tweets
地域の方
• 35258 Tweets
BAMESIS RELEASE NOW
• 34161 Tweets
九州地震
• 29709 Tweets
熊本地震
• 26370 Tweets
安全確保
• 25734 Tweets
身の安全
• 22678 Tweets
地震のニュース
• 22298 Tweets
九州大丈夫
• 19376 Tweets
地震警報
• 17959 Tweets
M7.1
• 17009 Tweets
宮崎大丈夫
• 16478 Tweets
九州四国
• 15652 Tweets
#InternationalCatDay
• 11897 Tweets
#TekDerdimizKademe
• 10870 Tweets
震度5弱
• 10294 Tweets
My daughter went for a routine chiropractor appointment. Now she’s paralysed - 1:20 000 chiropractic neck manipulations result in stroke from vertebral artery dissection
256
2K
6K
@CaliforniaFrizz
Would be really good to know who made the decision to revoke his licence in the first place and what influenced that
103
180
5K
@LauraFMcConnell
and
@CPSUK
are equally at fault for not calling it out or helping you as a witness in complaining about it . Just another case to them and one to tick off the broken system - because it is always like that
11
123
3K
@VirtueOfNothing
in fairness , a bullseye rash signifying limes disease does not typically occur within a few hours of the bite and may very well be a histamine response - I understand your point of your post though - I agree removing GP experts from primary care is a risk and I hope the
47
24
869
The problem is not all chiropractors - the problem is this obsession by some that everything has to be “corrected” - and those that use extreme force in any manipulation - the neck is a small collection of bones and discs - each vertebrae is about the footprint of a thumb nail
37
89
813
@darrellmaclaine
Just do like everyone and put glasses on , give em a book and make them Harry Potter
8
3
816
@greg_ashman
Still happens in a lot of spa pools - mostly to get rid of transmission risk of athletes foot and some foot viruses such as warts
12
4
796
@ShaunLintern
Massively reduce the amount of mandatory training and make it grade role appropriate
I really don’t need another course on how to clean my hands ( as a surgeon for greater than 25 years )
Or another recognising extremism and terrorism
Or one on how to sit ergonomically at
34
30
698
@voteforhani
Good to see the payslip format hasn’t changed since 1998 - neither has the pay by the looks of things though
2
16
649
If there is any positive action that is to come out of an inquiry into Lucy Letby and the trust and senior hospital executives involved , it must be that a regulator is required for senior hospital managers
#regulation
#NHS
64
78
566
Will the police now take on the senior executives that refused to stop Lucy Letby and made the doctors apologise to her - they did the typical side move and retired with nice big pensions
27
158
558
@BladeoftheS
No it isn’t
One political party ( not in power ) has suggested it - common sense would anyone realise that won’t happen in France or the U.K.
4
4
530
@claudcockerell
He scours his memory bank for words to make him sound intelligent - and often he cocks up - his disciples don’t notice it because they usually don’t know what all the words mean anyway
10
7
517
@20thcenturymarc
The endangered lichen species are killed - ironic that plant matter just is not as resilient as rock - perhaps this irony is lost on the dim
12
2
490
@20thcenturymarc
Amazing how sensitive endangered protected things can be - I wonder why they are endangered
6
1
422
@BarkerEllis
@CaliforniaFrizz
Or this happened deliberately and a livelihood was potentially destroyed, it is reasonable to hold poor council governance to account - they are acting on our behalf with our money
4
5
408
@peterwalker99
Why say this - they were not jailed for non violent protest - they were jailed for criminal acts
Protest as much as you want but don’t break the law
7
7
287
@BBCSport
Ewe - has anyone explained to the poor sod that eating your own faeces is not going to protect you from conditions in the Seine ?
5
6
290
@KM_newsroom
@Nigel_Farage
@reformparty_uk
I count 30 - and suspect some are there as part of his travelling group
Why not just say thousands / or unprecedented numbers
If you are going to make it up , go big
26
8
259
@cfmagindia
So Hamilton was making the corner , verstapen had lost it was he approached to fast and locked up and was not making the corner
Who is complaining ? Let me guess
8
0
249
@trentconsultant
Thread
I friend of mine died 3 weeks ago from complications after a spinal cord injury
He presented to A&E with a numb and weak arm and was triaged as possible stroke
He had a normal brain CT and was placed on a thrombolysis pathway
1/
21
90
234
@theAliceRoberts
Doesn’t it allow concert goers feel part of the light show. So more included like an immersive experience
Traditionally light shows are coordinated and projected onto the audience - this allows them to be the show
I wonder if all those that were part of it , feel the way you
13
1
228
Saw patient with 6 months of spinal stenosis symptoms today with bilateral tingling and weakness in legs , advised and given cupping by physio - stop this nonsense please
20
10
228
@DHSCgovuk
These figures are not going to age well for you - those of us that know , realise this average salaries include overtime and antisocial hour enhancements for nights and weekends.
Just state the basic wage so that people can actually compare like with like - I dare you
1
15
220
@BBCSport
Yet Paula Radcliffe
@paulajradcliffe
remains a BBC pundit after supporting him - I am yet to see a statement from her stating she believes he should not be there rather than multiple statements how she wishes she had not stated how she supported him - come on
@BBCSport
, which
24
17
229
@DGlaucomflecken
Don’t tell me they are bull testicles - I had my glasses off and thought they were litchis
4
1
217
@BladeoftheS
@aashfaque14
Morality quickly shifts depending on what it means to you financially
Currently we can see where the money lies
0
5
215
@Beno_ldn
People snorting cocaine will tell you how you are making poor life choices
Ignore others that criticise you when you are progressing
3
1
214
@NormanBrennan
Next week : a mouse, cat and a dog have taken over a house in London - refusing to leave or pay rent
2
1
211
@K_G_Spearpoint
@RegMorse
Always unfair that you can’t use your mobile in ICU - all the bleeping and stuff and those annoying machines - bet they were gasping to phone in
1
4
193
I am really surprised the public are not more outraged about this - it is your public service and it is being downgraded
GMC asks NHS England to reassure doctors there is 'no plan to replace them with PAs' - Pulse Today
The replacement is already happening
@gmcuk
They are being described as “senior registrars” in some trusts.
Platitudes won’t help.
25
172
505
24
78
195
@archer_rs
I expect her new lover doesn’t support Brexit - this may be really important and used in the impending standoff
2
4
191
@trentconsultant
Throughout his diagnostic journey he did not see a doctor and was treated as per a protocol driven by nurses and non doctors
Legally liability admitted by the hospital and agreed this could have been avoided had seen a doctor who would likely have diagnosed a disc prolapse
3/
1
25
189
@trentconsultant
Now he has died - and this was avoidable
We have to decide what sort of level of care we want
Downgrade it at all of our peril
22
20
191
@whitehartdave1
@JamesBlunt
I see the company you keep , but sometimes you should just question things before you speak
3
0
194
Essentially if you are deemed to be unkind to a poor manager you are in breach of good medical practice and can be reported to the
@gmcuk
After all that’s just happened, new guidelines from GMC; call into question for example a non clinical manager’s decision, attitude, ability & you’re in breach of good medical practice. Does this apply to anyone else in a hospital, lawyer, accountant, business, IT, finance, etc?
47
81
323
15
40
173
@implausibleblog
Maybe we can stop seeing Nadine Dorries for a few years as her type of politics has been made irrelevant
5
8
171
@VirtueOfNothing
that makes more sense and I too would share a similar concern and start antibiotics - and prefer him to have seen a GP
1
0
168
@AnahitaS
Remind all those that “would rather leave the U.K. than be treated by an immigrant “ that they may want to use a different hospital
11
8
296
The surgeon that will likely perform my hip replacement or spinal decompression one day , is not likely to be a consultant yet - this is why protecting the skills of the U.K. is important now - protect junior doctors pay !
Literally every single junior doctor I am the educational / academic supervisor for is making plans to leave. This is not an exaggeration. The general public has no insight into how screwed they are going to be in the next couple of years in relation to their healthcare.
31
438
1K
3
41
161
@NotNoodles666
@CaliforniaFrizz
Well it seems the council also reversed the decision and so it seems they also disagree with it
5
0
161
@NHS_HealthEdEng
How long before comments are removed from this tweet - for fear of showing the PR disaster it is - I hope at the very least someone reflects and rather than dismiss it , tries to improve it
4
3
155
@andy_murray
Well at least thank you for trying it - you never really know till you give it a go
2
0
176
I don’t get this - we need a policy to stop PAs doing something illegal ?
If a profession needs a policy to stop illegal behaviour there is a problem - just doing do something you know is illegal - how can we even be having to discuss this issue - health care may be doomed
How about hold the PAs who are illegally prescribing to account?
Nurses have pens on wards and could use it to prescribe on a drug chart but they don't because it's illegal and outside their scope (not talking NPs).
Don't blame the GPs.
24
183
792
6
39
153
@No1wtb
@theJeremyVine
If they pulled into single file it would still not be safe to overtake - that is the point
Sometimes you just have to slow down till it is safe, their speed is not unreasonable for a residential narrow road
5
2
139
@KristinCollie20
@kjdelay1
@UMichMedAdmiss
Peaceful personal protest is the strongest tool we have and should be encouraged - these students should be applauded for making a stand
7
2
130
@bmj_latest
Beware - being a fully qualified doctor at 21 / 22 may be a big ask for the level of maturity needed to take on the role safely and in the best interests of patients
Rushing this has many potential risks
13
9
130
@trentconsultant
Turns out he had a disc prolapse in his neck - history would have shown he and a disc operation some years before for the same symptoms
Thrombolysis resulted in a massive intraspinal haemorrhage and resultant quadriplegia
2/
4
18
130
So I understand - is a consultant practitioner more senior than a general practitioner - they must obviously both be doctors right ? I am just a simple patient so I want to understand this
20
17
127
@Xeon4f145d96s1
@gmpolice
@BTP
Kicking someone in the head and then stamping on their head. * so hope this is being investigated immediately - that officer is not safe to be in front line duty with the public
5
7
115
@paulajradcliffe
Are you willing to stand up and also publicly condemn the athlete and the Netherlands for selecting him on your public forums and television positions you have ?
5
0
123
1
5
112
@sianharries_
In the U.K. that only happens with mens football - no other sporting event - go figure
6
2
102
@Parody_PM
@tarka00
Interestingly the Republican affiliated shooter is now referred to as the left
7
3
97
@paulajradcliffe
Although you so publicly supported
@MightyCaster
being banned from the Olympics - will you be so vocal against this child rapist - or is this just a PR exercise to save your lucrative television career ?
3
4
106
@PeteOlusoga
I not noticed that , but
@Simone_Biles
is going to win everything she takes part in and commentators and spectators are in love with her - I think you are finding something which isn’t there
43
2
98
@WillPantano76
@David_Leavitt
Were you shot by a gun ? Gun shots ( ballistic injuries ) and different to cuts
3
0
97
@JujuliaGrace
My private elective operating list is going ahead - my team get paid enhanced rates, those with children that need the day off will get it, and I will order in pizza for the team just to make up for their missed lunch at home - and 5 patients will get their operation they want
11
7
93
@JeremyVineOn5
@Guto_Harri
@FamilyLawGuruUK
@theJeremyVine
There are some accidents where there is no reasonable way it could have been prevented - these result in terrible but uncommon tragedies
There are many preventable accidents and all our efforts have to be placed on reducing those
13
0
94
@timricketts_
Even a multi bedded ward in the middle of the day on the trauma unit with bilateral lower limb fractures and it is possible to be romantic apparently
2
1
88
@RugbyPass
So they went nuts about the one time in the history of rugby that a mark was called and springboks asked for a scrum so banned it because it slowed the game - hold my beer , let’s introduce this instead
2
3
88
@EmergMedDr
@UKLabour
Although I get your sentiment , I don’t mind the upbringing / schooling / university of politicians as long as they are good people - I don’t like this recent trend in politics where we constantly have to be told how poor someone’s parents were to make them credible - the idea of
13
2
89
@JustStop_Oil
@metpoliceuk
Your headline says he was sectioned. His discussion says he was assessed and not sectioned
So in an exceptional abuse of your social media power , you are attempting to fabricate evidence
22
4
87
@BladeoftheS
Private healthcare is in the U.K. - this does not and can’t happen in the U.K. - this is like saying we should never fly BA because in Russia, Aeroflot is a bit risky
9
0
88
@InternetH0F
You do have to colour them to make them yellow
Normal lemons straight off the tree are white
14
0
85
@GreenJennyJones
Stick to the law - why don’t the rest of us find this hard
If the law needs to change then change the law , in the mean time , don’t break the law - millions of the rest of us don’t
19
1
83
@NadiaKamil
I served Nelson Mandela at his birthday party - he was polite , charming, and after the meal and party we asked his security if we could speak/ meet him - he didn’t answer he just came over to us and chatted - we were in awe and she’ll shocked - he was amazing
1
0
83
Trouble is - 8th on the day feels better
Just got a call from the
@TeamUSA
that my placement in the 5000m at the 2008 Beijing Olympics has been officially moved up to 8th. I really appreciate this call. Top 8! 🙌🏼
41
47
2K
2
1
80
@trentconsultant
@LeedsHospitals
Further confirmation that junior doctors are right to go on strike - it is not just about salaries , employers working practises are a big part of the problem
1
5
82