Jim Parle
@profjimspeaks
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professor, retired GP. Labour supporter but disappointed with current Crew. support PR. hate Tories. let’s go back to EU #westandwiththernli # freenazanin
Birmingham, England
Joined June 2010
@doctor_oxford @NHSEngland Well I am a huge advocate for PAs and was one of those who wrote the original guidance, ran one of the largest programs, and chaired the national exam. But if these posters are true, I am equally horrified!!!.
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@chrischirp @carolecadwalla I am concerned about the ‘let it become endemic’ policy which seems to be in place. This virus isn’t JUST bad because we mostly lack immunity, and hence we have large numbers and it spreads exponentially, but because it is a horrible multi system disease. We must eliminate it.
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@RupertMyers Still waiting for statements from Peston, kuenssberg et al that they weren’t there. As if they don’t deny it … then They were there. And it will emerge anyway.
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@dgurdasani1 I was especially wnnoyed with the guardian headline on kids vaccines which said it is a fine balance of benefit and risk. RUBBISH.
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@LGalloway77 @sws110160 The sooner he goes the better. And we haven’t forgotten the parties. #Johnsonout48 and GTTO and KTTO and PR ASAP.
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#carolvorderman.The BMA isn’t presenting the full and fair story about physician associates. Happy to share what I know. (I have been involved in leading this new profession’s development). DM me?.
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@PrfChrisPainter So what are whitty et al doing about it?? Simultaneous resignation would maybe shame The Johnson into action??.
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@NotThatBigIan Excellent thread. Shame we treat prison officers (another set of key workers) so badly however in terms of salary, respect etc.
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@apsmunro @ScienceShared But alasdair: you don’t seem to have fully addressed consent?? Just because ‘we’ think a trial is necessary doesn’t mean we can just go ahead and do one, at least not in medicine generally.
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@devisridhar disappointed that you didn't talk about ventilation in your article, which could help reduce risk for children in schools, and could be installed over the summer.
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@GGriffithsbrown @PippaCrerar Yes, what’s this questionnaire bollocks? Since when is that how police investigate?? ‘Dear Sir. We believe you may be a burglar. Please complete the questionnaire below indicating whether you have burgled anyone recently, at your earliest convenience’. Yeh, right.
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@globalhlthtwit A really strong lock down (ONLY essential workers go to work) will reduce viral numbers quickly such that the vaccine will have a chance so to speak to kill this thing off NB by lockdown I also include closing borders andor quarantining border crossers, closing schools for 1/2.
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@AgnelloFabrizio @vivamjm Sainsburys Selly oak (Brum) today: large chunks of fresh food shelving filled with bottles of Xmas wine. Too chicken to admit to Brexit supply problems #sainsburys ??.
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@KateKennedy66 So sorry to hear this. And yes, many people around us are clinically extremely vulnerable and we don’t know and indeed cannot know. Some may even be taking immune suppressants for skin disease and not realise their vulnerability. So MASK up for gods sake.
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@jonlincbrown Yes of course. There is no such thing as a free lunch. Influence comes from the ‘donations’. #JohnsonOut46 and GTTO and KTTO and PR ASAP.
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@nadhimzahawi For gods sake @nadhimzahawi Are you even paying any attention to the data??? You are just showing magical thinking.
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@jmd60 Great. As a young GP I thought mourning and grief lasted a year. But subsequently realised that they last forever BUT time does dull the pain and life must go on. Good luck.
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@Dr__Sarmy No it isn’t. Why do you think it is? Come on, explain yourself please. Fully, chapter and verse. Not just anecdote or assertion. Happy to receive direct argument: polite only please. At j.v.parle@bham.ac.uk.
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@CCriadoPerez @mrjamesob @HysteroscopyA Speaking as a (now retired) GP of around 40 years: of course I would prescribe (although the consultant/ hospital dr probably should). The patient should not be caught traumatically in the middle.
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@SpanishDan1 @GrahamBrown16 @tomhunt1988 @tomhunt1988 did you know about this?? I assume when you found out you had it removed and sacked the person responsible???.
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@trishgreenhalgh I have suggested to Rcp president that he considers asking Wellcome if they will step in, as they did 30+ years ago when thatcher stopped the sexual health survey when AIDS was emerging.
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@dem_cath @CuretonSara @GoodLawProject Is this doable?? The number of deaths (especially disabled, care homes and healthcare staff) compared to other countries and the willingness to ignore advice suggests at least an a priori case?.
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@YouAreLobbyLud Brilliant. Support staff have been left out of the discourse too often. And they are front line too.
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@iDrSunny Hmm, so where is the science in your comment? The point is that anecdotal evidence of evidence of errors by PAs is just that. And of course there are indeed plenty of errors by drs, nurses etc etc etc. PAs properly supervised provide safe care. USA evidence.
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@BlokeOnWheels I am so sorry that despite being a GP for 30 years I hadn’t realised this issue and its impact on people’s lives, mental health, independence and so on. Has it always been so or is this another ‘austerity’ cock up? 1/2.
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@SpanishDan1 @GrahamBrown16 @tomhunt1988 Blimey. And the conservatives gave saville a knighthood!!! #Johnsonout_23.
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@DavidPNoble63 @DrNeenaJha @DrSelvarajah Oh for goodness sake. Not every GP’s decision is a complex one (and I am a retired Prof of GP and a PA profession Leader). The height of stupidity is assuming every medical decision needs the highest level of training!!.
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Ok #waterstones how about you too?.
Dear @Tesco @sainsburys @WHSmith @asda please honour the bereaved #COVID19 families by not stocking #MattHancock's Pandemic Diaries. The Protective Ring around Care Homes led to many thousands of needless deaths. And for what? #ToriesThisIsOnYou #ToriesCostLives.
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@EnPrimeurLefty @BobHopcraft We know that the anti Tory vote is way higher than the Tory vote. We need Labour to stop faffing and back PR, and for the next election to back a progressive alliance. Just do it!!!.
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@Juliest101 How can this ‘journalist’ write such nonsense. If any country has been humiliated it is the UK.
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@bolddigger52 Why??? Actually for those of us away from home a lot for work, having a postal vote is very useful. What’s the problem with them??.
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@LloydHardy #Johnsonout22 and #protectnhs and where are you Chris Witty and what’s your view on removing all mitigation’s? @CMO_England.
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@Femi_Sorry @getprdone @UKLabour @TheGreenParty That is deeply disappointing. For goodness sake everyone please vote for whoever is most likely to get the Tories out. I am old enough to remember Maggie and Major years. Please do everything and anything to prevent that happening again. GTTO and KTTO and PR ASAP.
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@carolvorders @TheBMA Carol: can I please correspond with you on this? I am a UK expert having been involved with PAs for >15 yrs. there is a BMA campaign to impugn PAs. I understand and when first met the idea was sceptical. But most drs, pts and staff who have worked with PAs value PAs.
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@Azeem_Majeed What is the position of the health and safety people and indeed law on this stuff? Knowingly requiring staff to come to work with a dangerous novel virus doesn’t sound legal to me.
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@Chaela1982 @LCWF_TBK Well all they need to do is install proper hepa filters and require masks and school would be a much safer place. Good luck.
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@AlexTaylorNews @TeresaC123 @BethRigby Why aren’t those journalists wearing masks?? Including you Beth (BUT a great question).
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@brent945 I hear the government may stop funding random covid testing (the most reliable measure we have). If so: @wellcometrust how about you funding, like you did in thatchers time when she blocked mrc funding for sexual@health survey??.
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@10Megaton @janemick @drhjefferson @trishgreenhalgh It would look even worse if you included the data re proportion of population vaxed and unvaxed.
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@HillsBekki15323 Quasi-training is just rude. But no way would such a PA be appointed to such a post. And I am a PA advocate). It is clearly for someone with loads of experience (and I know ow of PAs with >10 years paeds liver experience).
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@lifespilgrim111 Absolutely right. Of course I don’t like all that Starmer does. But the only (current) way to get the Tories out is to vote tactically, which may be Labour or Lib Dem or whatever. GTTO and KTTO and PR ASAP.
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@LloydHardy Sorry you are being hassled but as you say: it shows they are worried. #JohnsonOut14.
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@larnswick @AngelaRayner @btwodo Me too Angela: GTTO is the priority and Labour are in danger of gifting this seat to The Johnson by splitting the anti Tory vote.
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@chriscraigCCC Just as when a pharmacist sees someone with a flare up of eczema and treats it: that is medicine. Or an ANP in the ED sees someone who has fallen and suspects a #. That’s medicine. Drs don’t have a monopoly.
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@carolecadwalla @jessbrammar Carole: keep the faith. You are doing a great job and I have nothing but admiration for your resilience, clarity of thought and speaking truth to power.
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@COVIDnewsfast In UK the Zoe app gives good estimates although not as reliable as the ONS regular survey, which is I believe being stopped because of course ‘it’s over innit?’ Which it isn’t. (Over 1000 deaths a week in UK).
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@lizzieslists @trish_mn No and it will therefore be very bad for the entertainment and restaurant industries.
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@devisridhar Great. But a civil servant who is also a doctor also has the freedom to speak out and the moral duty to do so since they can always go back to full time nhs or academia. Are you listening? @CMO_England.
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@KayBurley @dem_cath @campbellclaret Apologies?? Noooo. Resignations of everyone involved: PM, ministers, MPs, journalists, SPADs etc etc. Nothing less is good enough.
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@shearogersnyc @choo_ek Effing hell. If that’s the majority god help us. A simple measure with no demonstrable harm, which protects ourselves and especially those who are clinically vulnerable. Just mask up for gods sake!!.
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@iDrSunny And as I am sure you know (or maybe you don’t) this is a commonly missed diagnosis even by experienced drs in GP, ED, OPD.
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@SimonDunbavand Yes it’s sly isn’t it. Makes it feel like a charity instead of an entitlement. #JohnsonOut_24.
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@ChesterfieldEU @OliverDowden @Heritage I guess he just doesn’t really understand what woke means anyway. #JohnsonOut21.
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@suzannne_x Well. An office party is very different from office working unless you have a very weird office: drinking, singing, dancing etc etc. Obvs much higher risk than a presumably quiet work environment. So it ain’t just the people it’s what they DO that matters.
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@octopus_50 @allthecitizens I am a retired GP and academic, on the GMC list. If you can provide me with some evidence I could do a cost-free letter for you. It is very clear to me that covid is airborne and you are at risk in travel in tube. I avoid the tube too. J.v.parle@bham.ac.uk.
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@Sean1Hagan @getprdone @btwodo I agree with all@that and as a life long Labour supported I would vote for whichever candidate is best placed to GTTO. This should be the aim above all.
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@clairebubblepop It’s the media tho isn’t it? How do we all know what is going on? It’s what we read and what the media tell us. I bet she reads the Fail or torygraph!!.
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@daraobriain @GaryLineker @BBCMOTD Is there a petition to sign? as I cant find it (apologies, am not very Twitter literate).
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@sarahpegg9 @metpoliceuk Hmm from whom do they have to reduce a complaint?? And does that apply to all offences? Eg bank robbery in progress, PC outside spots it. do they wait for a complaint from bank staff or what??.
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@elaine_patten Yes where is @CMO_England and what does he think about the Johnson’s plan?? #Johnsonout27.
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@nigel_revell @LloydHardy I think the whole of the opposition should stand up one by one and say The Johnson is a liar.
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@MrRobertBob1 @ChangeGottaCome THEY should ALL resign if they were at the party (parties) andor lied / bullshitted us afterwards. And I mean resign as MPs not just go to the back benches.
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@BristOliver @MonkEmma They would have fallen eventually anyway so there is no point in trying to prevent or avoid.
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@fitterhappierAJ Just like the post First World War flu pandemic is thought to have caused Parkinson’s many years later. Scary stuff.
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@Dr__Sarmy I have I am afraid no memory of this and if you were unfairly treated by me I am truly sorry. So far as your comments about PAs however I have put a great deal of effort in trying to get PA regulation in place, and a rigorous national exam so I don’t follow your comments.
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@IMMPJ10 @QuondamOptimist Why is it risky?? I would happily vote for an anti-Tory progressive candidate as (almost) whatever part that was would be better than the Tories.
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@AlexMays90 No no no that is just silly. Please just vote anyone who is likely to get the Tories out. Or are you saying the Blair Brown years were ‘just the same’ as the last 12??.
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@theAliceRoberts Sorry Alice: show me some real proper evidence, not bill…. Anecdote. My understanding of extensive (mostly American, understandably) evidence is the stability PAs provide to the often churning medical team improves pt care.
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@iDrSunny Gosh that is amazingly rude and indeed unprofessional. Perhaps even libellous towards people such as myself who have been one of the leaders. Are you saying I have lied? Or that I have had conflicts of interest? If so please so point them out as undoubtedly that is implied.
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@Intisar1973 Oh bollocks. If you can’t see the difference then you need new glasses. Of course no one party can represent everyone but please, write a list of what the Tories do, what Labour did, what you think the country needs, what you want. And compare. We must avoid Tories in power.
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@THemingford You mean they aren’t already? Where’s the serious fraud office? They could start by sending a questionnaire to Dido?? #Getjohnsonout_23.
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@njc99 @CounsellingSam @RefugeCharity @bbcquestiontime @refugecharity. Can you really stand by and let her comments on @bbcqt stand?? Surely incompatible with your charity’s aims and the sated role of your ambassadors?.
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@ahandvanish Hmm. Weight loss should always be carefully and thoroughly investigated. Thyroid dysfunction is one of the causes. See:
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@LCWF_TBK @JujuliaGrace Madness. Sadly we dont seem to have hospital CEOs with the guts to tell NHS England that they will continue masking to PROTECT their patients. In other news, masks no longer needed in operating theatres (not).
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@FrankCoffey26 Absolutely right Frank. And too few medics are saying this for fear of being bullied.
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@Captaincoby00 Of course. It hasn’t gone away and the more cases then the more mutations. And masks aren’t too difficult: as a junior doctor I wore one all day in operating theatre.
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@premnsikka @preetkaurgillMP any comment? This is a disaster for Labour. I have worked in Bartley green and Northfield for ~35 years as a GP and would say majority of patients didn’t have photo ID. Especially women and BAME.
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@DrEilidhMaria Many countries use PAs. Netherlands had the sense to put in proper regulations first. Plenty of evidence they are effective, there and here. Most evidence in USA.
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@Charles83230639 I don’t really get it. Med students (and others ) have to have other jabs eg hep B. So why the issue with this one? Ridiculous. I think GMC and NMC should regard failure to get immunised (if in a patient contact role) as unprofessional behaviour.
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@dgurdasani1 Thanks so much, yet another clear analysis. Unvaccinated are at high risk now aren’t they, as Omicron is so infectious. TBH I don’t really care any more about vaccine refusers BUT I do about the CEV, and some of them may not realise as are on small dose of immune suppressants.
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@YouAreLobbyLud So what was the cause of death? Well, diabetes of course. Same with covid: lots of micro embolism , renal and heart and brain disease due to covid, and hence due to covid. Just like diabetes.
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@RBReich And in uk 3 shootings and 107 deaths associated with contact with police in whole of 2020 (and UK population ~1/5th of US).
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@benphillips76 When the UK finally introduced laws to require reasonable adjustments for disabilities, and as a consequence dropped kerbs became more common, and kneeling buses too. Suddenly there were more people in wheelchairs. This is a tweet about trans too.
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@Helen23uk No, we have to vote for whichever party is most likely to oust the Tories. GTTO and KTTO and PR ASAP.
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@Dr__Sarmy Well given how much the BMA has been dissing PAs such a result is totally unsurprising. And rubbish.
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@iDrSunny Why do you write this rubbish? Do you really think a newly qualified PA would get such a job??.
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@wammylammy @CuretonSara Well I thought Corbyn was great. But the people on the door steps didnt (at the 2019 election). And ANYTHING is better than more Tories (I remember the thatcher years). PR would actually give true socialists the opportunity to argue their case and be represented.
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