Sara Thompson 💙
@sthompsonjones
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I am me. Family first. Portfolio GP: Educator, Mentor, Coach. Middlesbrough girl living in Herts. RT not necessarily endorsement.
Hertfordshire, United Kingdom
Joined June 2014
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Can you feel her embarrassment? Can you imagine her peers’ reactions?
I can: 40 years later, this moment still haunts my dreams.
Can we PLEASE get a mature approach to the issue of hygiene/basic toileting needs v. a school’s inability to adequately discipline their students?
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I recall my 12 yr old self in her summer uniform of yellow & white striped cotton dress and ankle socks in her school exam hall. She finished early, and asked to go to the bathroom, but was refused.
An hour later the 60 students were asked to file out silently, in turn. 1/🧵
Has Mr Scales ever bled through a night time pad and two pairs of tights in Year 10? (And I get what a nightmare toilet policies currently are but I really feel for any student battling health issues in schools)
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She was refused.
Instead, for daring to ask, she was made to get up and leave first, to file past all the other students out of the hall, her blood-stained dress displayed to every student as she filed past them, drips of fresh blood trickling down her legs as she left.
3/n
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@Laurenharrhy85
Ah thank you. I feel the same when I think of her too.
I have an amazing mother who took school to task for such degradation and we were not refused again (at least in my time there) but it saddens me that it took that.
It should never take that.
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She put her hand up and asked to stay behind to the end, please?
She knew she was sat in a pool of menstrual blood, collected on her plastic chair under her.
She had been to the toilet before the exam. Swapped her sanitary protection and double-padded, but it wasn’t enough. 2/n
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I am an NHS Worker, a GP
“Double vaccinated”
Positive CoVid test this evening
I don’t want to risk infecting my colleagues or patients.
My family are isolating with me, because none of us wish to risk harming anyone else.
Isolation is what controls spread, it’s the only way
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@DrKartikModha
@BMA_GP
@rcgp
@NHSEngland
Just heartbreaking
I knew Gail at medical school, a truly lovely caring soul
She is the second GP of our year that I know to die by suicide
Something has to change; this job is literally killing GPs. Female doctors have four times the suicide rate of the public. It must stop.
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@Iamme02642837
@SwailesRuth
Go 12 year old you, I’m proud of her.
I hope your Mum defended you to the hilt in that follow-up discussion.
My 12 year old self got a lot more self-assertive after this, never fear.
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@rheumipainmask
Ah thank you. So do I.
Long ago now, but I am saddened to see regressive steps rather than progress being made.
Humiliation never improves a child’s behaviour. Why do schools feel that restricting access and increasing humiliation is the correct approach?
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@JanettoOz22
@fascinatorfun
School and sports uniforms need a significant overhaul!
Even recently it took over a season of negotiation with The Board to allow the women rugby players at a local club to have navy shorts for their kit rather than white. A whole season of negotiating?!
#dailymisogyny
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What has gone so wrong in healthcare? Particularly in the NHS?
Underfunding, sure, as with every public service.
But more than that, there has been an attitudinal shift, a culture change.
A thread 🧵 1/6
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@billpg
Oh no, just retired a year or so ago actually.
But was asked to explain their actions to my calm but terrifying mother at a meeting. I have never seen a man squirm so… there was a sense of justice from that meeting.
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Some thoughts on vocation in doctors:
Firstly, I promise you, my patient, that you will have my undivided care and attention when we consult. I will do my best to support your health needs, I commit to staying up to date with latest advice.
THIS is my vocation.
🧵 1/6
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GPs 'shun full-time work as pressures take toll'
I work 3 days as a GP but average 40hrs/week. I get part-time income for this.
I used to work 5 days but unsurprisingly burnt out at this rate.
Where else is 40hrs/week regarded as PT?
#changethelanguage
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Staff well-being has become an area to cut costs: access to hot meals, a bed to sleep in, Doctors Mess facilities.. this not only makes doctors feel devalued but puts patient welfare at risk.
We are human too.
We thrive in Teams.
We need to belong.
6/6
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Check out the date on this tweet. July 2021.
And yet
@ShaunLintern
describes exactly what we are seeing today in the NHS
Have you ever wondered what the collapse of the NHS would actually look like? It's in the small things - my latest
@Independent
newsletter:
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@NHSuk
Can you please make it clear that these tests are only for use in Asymptomatic patients, not those with symptoms who still require a PCR and self-isolation until a negative result?
No wonder my patients are so confused with advertising like this...
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Seeing my GP colleagues all over the country at absolute breaking point. The media narrative these past few weeks, the not-infrequent aggressive patient encounters are taking their toll now.
We care.
We are all doing our best.
Imagine how UK healthcare looks without us?
#NHS
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Before you complain about the wait for your GP appointment, or your surgery, or the wait in A&E, pause to ask the HCP how many hours of overtime they worked last week.
The delay is not because we are lazy, or “part-time”, or off on holidays... there are too few of us. Simple.
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My 19th GP Appraisal this week.
Can honestly say not one has made a difference to patient safety. Let’s not forget this was Shipman’s legacy to the profession. He’d have “passed” fine
Has it wasted hours of time I could have been tending to patients over the years? Absolutely.
Just submitted my 17th appraisal. Someone asked me if it’s been a worth while process. My honest answer is probably no - much better would be to have access to regular peer group support & learning encompassed within this. This is what
@DoctorsDistress
are advocating.
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You have little autonomy; you receive job allocations to areas you have no support in. Families may be separated by long distances for years of junior doctor training. Each move is expensive.
The harsh reality of the NHS is, you cannot have a vocation and bills to pay.
🧵6/6
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Coronavirus self-isolation & requests for GPs to issue sick certificates for affected people.
Could the Govt consider extending the self-certification period to 14 days at the present time to alleviate pressure on NHS?
Or 111 issue when advised?
@MattHancock
@NikkiKF
@TheBMA
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@Keshi
@ItsEmilyKaty
Thank you for your kindness, compassion and humanity.
Many could learn from you.
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The NHS knocks vocation out of us throughout our training.
Continual understaffing and underfunding so our hours are beyond safe limits, patients come to harm, the moral injury mounts up…
Your personal life is heavily compromised by your shift work and rotas.
🧵5/6
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Where did this idea come from that GPs have to accept abuse as part of their “vocation”?
That people who are aggressive or rude to us/our staff should be tolerated, that we cannot take steps to protect us?
Is it unreasonable to expect the same respect as any other professional?
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@KayteWriteDream
I do.
I honestly think no teacher should ever be the only adult in a classroom of children for many many reasons.
Toileting and such sanitary emergencies is only one of many.
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Dear Test & Trace,
I KNOW!!!
I told YOU it was negative when I reported it.
Just ten minutes ago.
Why do you need to tell me my own results that I entered over & over?
(And please stop pretending you are NHS too)
Yours,
A NHS GP
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From a Doctor view, losing the Hospital Firm was detrimental to staff & patients alike. MMC changes removed what little support doctors had early in their careers by flinging them far & wide across the UK away from Friends & Family when they are at their most vulnerable
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This is brilliant - and wait till they pull the baby out!
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It involves long antisocial hours, heavy emotional loads, and my family making many compromises so that I can do this.
This is not THEIR vocation, this is the reality of MY job.
🧵3/6
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I qualified as a doctor in 1998, aged 26, after 7 years of university, and have been proud to have worked in the NHS all my working life.
I do that for an income that falls year after year, where I face aggression, abuse and a risk of violence every day. (Assaulted x 4)
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I work to provide for my family, keep a roof over our heads. Like everyone else, to pay my bills.
Vocation is something altruistic teenagers have when they apply to medical school. Commendable perhaps, but naive.
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I think there has been a massive shift away from Team in healthcare, and that has been detrimental to both the learning culture and staff wellbeing.
And this impacts on patient care, well-being and safety as well as that of staff.
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People are afraid to speak up when errors occur, or they have concerns, because they don’t know who will support them.
Team is where it starts, in my opinion.
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Everyone now works their “shift”, meaning the teaching opportunities and learning events, as well as relationships between colleagues, are hard to foster and harder to maintain.
The subtle cues that someone may be struggling are missed or, worse, ignored.
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@GertdeJong15
More publicity?!
My 12 yr old self would have been mortified at such a prospect!
Far better that the teacher had to meet with my mother and me, explain himself, and school policy was changed. That will do.
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Today I heard both my cousin and her mother, another cousin, had been admitted with
#COVID19
.
Sadly my younger cousin died just six hours later.
I really have had enough of all this now.
RIP
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GP Numbers continue to fall despite political promises of more.
Is anyone tracking where the GPs go? Now, in 5 years, beyond?
I see losses to illness, early retirement, emigration, suicide (now & later)
Are these numbers being monitored and followed up on?
@TheBMA
@NHSEngland
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How many UK medics claim their smartphone as a tax deductible expense?
Should we?
@DrEilidhMaria
Need a phone these days, eBNF, SIGN guidelines both on my phone. And consultant connect which saves going through switchboard. The standard book BNF is now far too big to carry around in a pocket, especially if you use the BNFc too. It’s a safety issue.
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@EDF975558824132
A ‘medical reason’ to empty your bladder?
As a GP this incenses me beyond normal levels of frustration. Why are we medicalising a school’s inability to adequately manage children’s behaviours?
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@janey33
That’s appalling to hear about, I am so sorry.
Menopause policy at work? I thought all the NHS had finally understood this now?
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@DrSteveTaylor
@Parody_RCGP
@RishiSunak
@BBCHughPym
I think we need to change the narrative on this.
FTE? I am not aware of any GP who can sustain 9 sessions now.
Each day is so overwhelmed it is typically 12+hrs - yet this counts as just 2 sessions. It would be 3 PAs for consultants.
A typical GP working “6 sessions” is FT now
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@RunchieC
Not until my amazing mother took school to task over it. That was a meeting I would love to watch again in review - never seen a man squirm so much. He couldn’t even say the word ‘period’ 🙄
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My Mobday Duty Day in Primary Care
After a complex morning of Mum & Baby clinic with more perinatal pathology than I’ve ever seen clustered in 20+ yrs (thank you Covid), I had 32 Consults this afternoon.
Yep, that was a half day’s work
Would you want to be patient 32?
Me either
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@DarryllLutter
A year ago?! I am so upset to hear this is still happening now
Huge hugs for your granddaughter. Please reassure her life gets much better
The only person who should ever be embarrassed by the sight of menstrual blood is the fool who let you flood rather than tend to yourself
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Without the support and education that
@DrSdeG
shared with me, I am confident I would have died from obesity-related illness already.
I am a GP.
I am a bariatric patient.
We must educate to stop the stigma.
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@Liz_ORiordan
‘I wouldn’t sleep with you’ - ‘Who said I was willing to sleep with you? Are you really that arrogant?’
‘boys don’t make passes at girls who wear glasses’ because they realise we can see them clearly and wouldn’t touch them with a barge pole! Who wants a ‘boy’ anyway? 🤯
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#COVID2019uk
I’m still not sure we are getting this.
We are all going to be exposed, we cannot avoid it.
The Govt measures are about trying to get as many of us as possible through this as safely as possible, by delaying the spread, not preventing it entirely.
1/
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I cannot ReTweet this enough
There is an easy fix.
Please lobby your MP if you want better GP availability and access.
Retain the experienced workforce.
Real Case😢
54yr GP partner, 6 sessions working 50s/week
Take home pay 22/23: £45,600
Annual allowance 22/23: £29,000
Net pay after pension tax bill paid: £16,600.
Hrly net pay: £6.38
Outcome: Retiring age 55
"main reason for leaving = pension taxation"
RT if concerned for NHS
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@RoshanaMN
I thought my three had chosen wisely as all chose non-medical first degrees. One has realised they have the vocation after all and is keen to do postgrad medicine now.
I’m feeling a strange mix of worry, pride and reassurance that they are choosing this with maturity and clarity.
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@tartanpunk
So glad she could contact you.
We had a wonderful school secretary in the office who would act as Mum in these moments - if we could get to her.
These are the people who make or break a child’s educational experience
#pastoralcare
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@DrHoenderkamp
Surely they have same CoVid risk? I’ve never understood this... unkind, thoughtless practice.
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@DrHarryThomas
My kids report their obs along with their symptoms when they get sick.
I also get told a fluid intake & injury history with any headache, and a bowel movement history with any abdo pain.
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@Dr2NisreenAlwan
Can we measure the longer-term mortality AND morbidity please?
Tragic though these deaths are, each & every one, the sequelae for Covid survivors can have a huge impact on their wellbeing, their incomes, their health needs, all impacting on wider society. This needs measuring too
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I have shingles - and it hurts.
I have tried all the recommended options for pain relief - yet strangely a glass of red wine seems the most effective?!
Paper in this for the Christmas BMJ??
#MedTwitter
@DrSdeG
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I am a doctor, and this scares me.
A lot.
I fear for my older family members.
I fear for my patients.
I fear for my hospital colleagues who will be fighting this battle on the frontline.
Let’s all look out for each other.
5/
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@AnnRile19223035
No. Teacher stood at front of hall; every student had seen my mess before I reached him. I suspect by the time I reached his position and he realised, he was too horrified to consider any appropriate action.
At least, I like to think he was.
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@ofendlessbooks
Exactly.
And not just in Primary Care, but hospitals too.
Terrifying prospect really as they may be seeing patients who are immunocompromised, unvaccinated or those who haven’t had a good Antibody response to the vaccines.
It resembles a massive Darwinian experiment, I fear
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This is FABULOUS!
Buy it today, find a cosy quiet corner and enjoy. (Choose your corner wisely though because people look at you strangely when you laugh out loud in the hospital coffee shop...)
@amateuradam
please tell me there are more books to follow? 🤞🏼
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@helentamblyn
Ah thank you.
I’m good; it was years ago and I have spent my adult life advocating for and supporting others to advocate for themselves. I feel, I hope, I have made some differences for those I have encountered.
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@CountCarbula
@Parody_RCGP
I have a hunch
That those working in Staff Health
Regularly have lunch
While mine has been lost, by stealth
Climb 21 flight
To keep my limbs stretched and toned?
Or learn to write
Poetry to help my neutrons stay honed?
In a busy work day
I think I would rather eat lunch
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As a doctor and an obese person, I agree wholeheartedly. There is too much stigma. Far too many barriers to appropriate care in the U.K. It is the last acceptable prejudice in the NHS, and this needs addressing.
OAC is saddened to hear of Ellen's passing and her obituary serving as a reminder that
#weightbias
in healthcare can be detrimental. If you feel as though you are not being heard, you are not alone. Your weight/size should never define your healthcare.
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@KerrieG57507105
@kiityc
@rheumipainmask
There are some remarkably blind individuals in this world. They cannot acknowledge that which they choose not to believe in, and those they live with will modify their behaviours to accommodate their views.
I suspect this man is totally unaware he has menstruating family members.
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@hannahmillana
We have the power to raise our voices to alert to danger, for safety. Not to humiliate, threaten, bully.
This is not acceptable behaviour & needs reviewing. If not with her directly, then with your
#freedomtospeakup
guardian. Please ensure this cannot happen again, or to others
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@alishawgriff
Neither winter uniform nor coats allowed.
Even the uniform (archaic for girls of such age) smacks of pre-war era when girls were more likely to have left school than reached menarche.
We did get rid of the awful dresses as a result of this though! And a choice of skirt/blouse
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@StigersFan
Yes, my mother raised it and teacher was made to meet with us to discuss ‘the issue’ which my mother had no discomfort in naming as bullying degradation.
The teacher was unable to even say the word ‘period’ himself he was so embarrassed.
It felt good.
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@JRDPA
60 seconds?! In what world… never going to happen! Not if you want 20 seconds of handwashing for any semblance of hygiene too 🤦🏼♀️
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I am an NHS GP.
I am fully vaccinated so I can protect my patients, my colleagues and my family from the more severe effects of this virus.
I have had
#Covid19
, and I have
#LongCovid
now. So thankful for my vaccines.
Please
#GetVaccinated
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Doctors: please read. It’s a long 🧵 but an issue you must all recognise.
Thank you
@goldstone_tony
for another important thread. Your insight is very much appreciated.
Please thank your family from me for their tolerance too. These must take you a lot of your personal time!
1/46 If you are a doctor this may have landed on your mat. Some more info for GPs, consultants & some crucial new info following
@CommonsHealth
this week. Sorry its long read🧵 Pls read all carefully/share. Needs fixing, by government NOW. What will, & importantly WONT work.
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I know of two fabulous GP colleagues who have quit the NHS in the past two weeks also.
It is heartbreaking but I totally empathise.
I always imagined I would fight for our precious NHS until my last breath. Now I have an early exit planned myself.
#GPburnout
#GPcrisis
#teamGP
There we have it.
ANOTHER GP colleague of mine handed in her resignation today. An absolutely brilliant dr. What a loss for the NHS 😞
GPs are being failed
Our patients are being failed
@DrSimonHodes
@DrShanHussain
@wanderingwelch
@lizzie_toberty
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I emailed my MP
@JulieMarsonMP
and received the standard cut and paste response you highlighted, talking about the AA taper so it shouldn’t not affecting most doctors. 🤦🏼♀️
AND despite me explaining I am a GP and signing the letter Dr, she addressed it “Dear Ms Thompson”!!!
1/ 🚨V IMPORTANT🚨
We need your help, today please, just 5 mins of your time to write to your MP.
With a new SOS for Health / Chancellor, PM who made promises to "fix" pension taxation, & increasingly calls from the opposition to fix this problem too. Please do this NOW & RT
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@drgandalf52
Work that was traditionally done in secondary care is being moved piecemeal to Primary Care, with no funding, dramatically increasing the number of patient contacts each year.
Yes, it is work we are capable of, but we need more of us to do it. Because there never way any slack b4
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Duty Dr today: a typically intense day that is usual right now in General Practice.
47 consults today.
Thought I was heading towards one of those days where there would be 65 or 70, but suddenly it all dried up…
Not a single call after 4:45pm?!
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And this is why my birth plans all said “I am comfortable with whatever action is required to get my baby/babies and me home safely and healthy. Thank you”
Birth is messy, painful, unglamorous, hard work for everyone involved; it will often need medics. We need to
#tellthetruth
.
@UniofNottingham
Midwifery Studies, Maternal and Newborn Health MSc
This needs to stop. Modules like this one need to stop.
@TeamCMidO
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@clarentina
That would be me 🙋🏼♀️
Mother to three, daughter, wife, sister, friend and GP to many.
But because my genes mean I struggle with my weight, I’m expendable.
I am no less and no more worthy than any other human being. We ALL count.
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@DrSdeG
@flowergirl_lon
Shopping around costs too though.
In my town, it’s Tesco, Sainsburys, Waitrose and a small Aldi with very limited stocks.
When you are unwell or need to make a quick trip, it’s one single shop, often with later hours, that you need, so here it is Tesco that everyone uses.
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“I work as a Doctor”
NOT
“I AM a Doctor”
(People ask “What do you do? What’s your job?”
NOT
“Who are you?”)
@timricketts_
I think my Gen were certainly selected for being able to display how much they viewed med as a vocation….I’m now unsure if this is good or not. It’s worrying how many people feel their ID is so linked to work and struggle when that stops for a while….hard lesson to learn
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@lcnutt92
Not a practical option for most.
School provides more than academic lessons, it is community, friendships, different ways of thinking, new approaches and experiences beyond your family unit.
And for many households allows an opportunity for parent to work.
But it must be safe.
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@DrJessMRCVS
@DrSdeG
I am so sorry for this awful experience.
Sadly far from unusual, I see and hear this far too often in my capacity as a GP, and have experienced similar as a patient myself.
I hesitate to say this, but hospital nurses seem generally very reluctant to provide adequate analgesia.
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@msteggy
@DrSteveTaylor
I think it is more than the workload, although this is way more than we have ever seen before (20+ yrs in the job)
I came across this recently.
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“The prepandemic hero claps have been replaced by insults and slaps.”
The GP crisis: demonised and demoralised | British Journal of General Practice
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@DrSelvarajah
@Parody_RCGP
@NHSPracHealth
@dave_dlt
The longer I do this, a few decades now, the more I feel we all need regular MH support in this role. Normalise it.
Rather than gaslighting the profession to be ‘more resilient’, recognise it is tough, demanding, stressful, & working patterns limit normal family/friend supports.
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I know of at least one sudden cardiac death in a younger patient who had been telephone triaged away from their first Rapid Access Chest Pain Clinic referral, and was awaiting an appointment for their second referral when they collapsed and died.
There will be more, many more.
RAPID ACCESS CHEST PAIN CLINICs
Currently referring a person for an assessment of suspected angina - best locally 47 weeks - best nationally 15 weeks (200 miles away)
This was & should be 2 weeks, impossible/unsafe for patients & GPs
This Government is responsible for deaths
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@rachali79
@RoshanaMN
I think you are right about closing.
I recall as a junior hearing about a doctors’ strike in NZ. All patient care continued, all paperwork stopped. Anything non-critical ceased.
Including death certs.
Morgues filled in 2 days.
Overflowed by Day 3.
Govt rethought by Day 4.
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@carolmay54
I guess that depends how much we value life/long-term health?
Small businesses and those dependent on the s/employed suffer hugely if death or Long Covid occurs.
I am unlikely to need hospital as double vax but I’m still pretty unwell and no-one needs this. Avoiding is better?
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@heatherdesign
That’s terrible. I am sorry for your experience too.
Appalling behaviour from a ‘responsible adult’
Should not be in that role, clearly.
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@AJMattis
Thank you. I’m so sad to see and hear it is still happening here today too. I had hoped it was all historical until as a GP I was being requested to write letters for students to have access to school toilets ‘for medical reasons’
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@trishgreenhalgh
Those are the moments..
A few years ago a man sat in my patient chair “I popped in to leave a card at reception but they said you were free due to a cancellation. You saved my life 3 years ago - the consultant said so! - and 2 days ago I became a dad, so I wanted to tell you”
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@Liz_ORiordan
As the expert speaker, I would hope your hourly rate at least matches the professionals you are addressing.
(And if someone tries to persuade you to do it cheap/free, embarrass them by asking what their hourly rate for booking you is)
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Anyone still doubting this is the deliberate strategy to undermine the NHS at its core?
New GP contract ‘will see more GPs quit and patients wait longer for care’
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If you have ever been a member of the NHS pension scheme, are not yet retired, please read this.
It is complex, beyond frustrating, but most concerning is how much this is likely to cost you, now or when you draw your pension.
Big factor in why are GPs reducing their hours
1/46 Today
@bma_pensions
have written to
@BMA_GP
highlighting urgent issues regarding Annual Allowance in 22/23 related to inflation & *manifestly wrong* way AA is calculated. A vitally important 🧵 incl free tool. Pls read all carefully/share. Needs fixing, by government. NOW
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@fionamac64
@docib
Indeed we are; the whole university admissions process needs a review. Too many of the markers used to discriminate between applicants are simply signs of privilege and opportunity.
(DoI: GP, mixed education, independent>state on scholarship, Head Girl x2, DoE, etc. Still wrong)
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Thought for today: Is it time all doctors had mandatory Supervision sessions for debrief and reflection?
The Importance for Doctors of Taking Time to Reflect
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@DrHFRyan
While we are at it, can we do something to limit the “just a locum/just a salaried GP” rhetoric too? The consultant who wanted to speak to “a senior clinician” rather than myself last week has been educated now, but there are many more out there than who view us as substandard
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@DrSdeG
@drhelenrainford
Totally this.
I was told, in induced labour, that “Redheads are always the wimpiest with their pain thresholds… redheads and doctors” with an eye roll.
By a midwife.
To the anaesthetist (who was lovely and corrected)
While labouring!
The eye roll should really have been mine
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Stanley Tucci’s Searching for Italy is simply joyful - charming presenting, food to make you drool, stunning scenery and Italian practice to boot!
Watch it if you haven’t yet, I think you’ll love it
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This. For anyone who still struggles to comprehend that obesity is more complex than “calories in = calories out”
Christmas is a great time of year to understand how obesity happens, just by observing the associated culturally acceptable human behaviour 1/8
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