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Join us 5-7 May 2023 to discuss "The Myth of Normal -Trauma, Illness & Healing in a Toxic Culture” by Gabor Mate

England, United Kingdom
Joined May 2016
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Join us 5-7th May 2023 to discuss The Myth of Normal (Trauma, Illness & Healing in a Toxic Culture) by @DrGaborMate Moderator @HornbyStella #dbcMay @drlesleybarron @s_m_sharma @HesterOosterhof @EViteriOft @DrDayaSharma @Doctorbookshelf
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Now that literally anyone can get GLP-1s via super drug and boots online, why can’t I prescribe it for my patients with idiopathic intracranial hypertension? A condition where severe patients need VP shunts to prevent blindness, and can be cured with >15% weight loss?
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Part of job as senior drs is to train drs, not just in knowledge, but handling uncertainty, managing ethical/moral questions, what to do when lack of evidence, etc. seniors who don’t do this, either because of COIs, ‘irritated’ etc- it’s how a profession fails.
Aware of GI Cons who prefer PAs to Res Drs on ward as they "don't rotate" and "don't need training" as there is "not enough time". Cons do lots of private work. Also aware of GI Cons who do PEG lists exclusively with PAs whilst residents struggle. Also does lots of private work.
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I’d like : A computer that doesn’t take 10mins to switch on An operating system that doesn’t crash 3-4 times a day A system that alerts me when tests/referrals I’ve requested haven’t been done Tony Blair: Britain should have AI doctors and nurses thetimes.co.uk/article/tony-…
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Only thing to know in surgery!
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A thread about consultants about giving feedback. 🧵 Consultants: Have you ever looked at feedback from rotating doctors - either end of rotation surveys or GMC survey data - that highlight a lack feedback in your department? And thought ‘but I give feedback all the time?!’ 🤨
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Every Doctor being gaslit by our own @NHSEngland is not what I expected for 2024 A Cancer specialist needs: 5-6 years Med school 2 Years foundation 2-3 years CMT or ACCS Then MRCP 4-5 years Oncology training to CCT Minimum 13 years Fellowships mean 14-15 years training
I’m simply horrified to see @NHSEngland now literally breaking the law in how it misrepresents physician associates & other allied health professional - who are NOT doctors - to the public. These posters are from the Bradford District & Craven Health & Care Partnership. 1/n
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“We should not play with patients’ lives.” Devastating comments on @DHSCgovuk, @NHSEngland & @gmcuk’s willingness to let non-doctors - physician associates - perform potentially life-threatening surgeries. This is a national scandal. A patient safety debacle. Just appalling.
A laparoscopic cholecystectomy is a major operation with significant major potential complications, including mortality. Even as consultants, there is a great deal of scrutiny on the number of cases and the complication rate. It is also an excellent training procedure for career surgical trainees who have been through 5 years at medical school and then at least 3 to 4 years before they are allowed to perform these cases. They have also been through structured surgical training as well as completing basic surgical skills training and laparoscopic skills training and completed Part 1 and Part 2 MRCS. These operations are NOT for the novice and should NOT be performed by anyone other than a trained surgeon or a surgeon in training with appropriate supervision AND only by qualified medical doctors. We should not play with patients' lives. This is unsafe and dangerous and needs to be stopped immediately. The @RCSnews should have raised concerns during the peer review of this case series for publication. I am astounded that the local ethical committee felt that approval was not necessary. @WalsallHcareNHS need to stop this practice with immediate effect.
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Absolutely spot on from @DrLKVaughan & @mancunianmedic on @gmcuk's appallingly dumbed down vision for UK medical education. Patients, doctors, med students, all health care workers - please read. Just what on earth is our regulator playing at? 🤷‍♀️ bmj.com/content/384/bmj.q728…
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BMJ Rapid Response: Steps doctors and other medical professionals can take today to improve medical care for people with Myalgic Encephalomyelitis #MyalgicEncephalomyelitis bmj.com/content/383/bmj.p237…
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Replying to @DGlaucomflecken
Sounds a lot like “are you going to hold that light correctly or not” working on the car with my dad.
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Absolutely wrecking my 8 year old for not adequately releasing the lateral canthal ligament during an orbital compartment syndrome simulation. “Congrats sweetie, the patient’s blind.”
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Replying to @DGlaucomflecken
That’s what I tell children when they say they want to wait for the biopsy results before starting steroids for suspected giant cell arteritis. They’ve gotta learn somehow
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Heard of another GP handing in their resignation today. Has young family, early 40s and literally sick with the stresses associated with trying to provide a service in his community. Leaving medicine altogether. A heartbreaking loss. This government has broken everything.
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One doctor takes their life every three weeks, @VictoriaAtkins. How can you possibly countenance slashing psychological support services for a deeply traumatised post-Covid NHS workforce? It’s pure vindictiveness.
Breaking/ Appalling news that @DHSCgovuk has decided to stop funding mental health services for hospital doctors from Monday. When I was broken & traumatised during Covid, sessions with an @NHSPracHealth psychologist helped me back on my feet. How can the govt suspend this?
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Me: orders vancomycin for patient Phone rings - Pharmacy: “Do you really want X dose for this patient?” Me: “Absolutely not, I have no idea how to dose this medication, please change it to whatever you think is correct”
Me: orders anything for a patient Phone rings: “I see an order for X, do you really want that?” Me: “Yes.”
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Such a shame. NHS practitioner health helped me recover and supported me back to work in the NHS. NHSE, look after your staff to help them look after our patients and families.
NHS England is rolling back its mental health support for NHS hospital staff. No new patients will be accepted....given the parlous state of services and how some staff can be broken by their work this seems a backwards step.
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