Anahita @AnahitaS Twitter profile

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Anahita

@AnahitaS

9 months

Moved to a different deanery today for higher specialist training. Decided to go for hospital accommodation due to personal circumstances - all sorted in advance. Checked in... stained walls, mold behind the bed, flickering lampshade, an overwhelming sense of dreariness & gloom.

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Anahita

@AnahitaS

2 years

PACES. £650 out-of-pocket for a mandatory exam, weeks of unpaid out of hours practice, 2 hours of assessment under scrutiny, 6 weeks of anguish waiting for result, all to be failed on what feels like pedantry. Not only a social, psychological, emotional and physical cost...

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Anahita

@AnahitaS

2 years

"Can we please continue to do the job that we have already been doing"

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Anahita

@AnahitaS

3 months

@Dr_Done_ As per the tribunal, the entire assessment for patient C needs to be repeated including a full physical exam + collateral Hx PLUS requesting Ix/prescribing Abx. So how does this make the med SpR's, who's constantly juggling, job any easier?

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Anahita

@AnahitaS

7 months

@DiedSuddenly_ @VigilantFox No, these patients would have died much, much earlier had they not been put on a ventilator. Stop negating the knowlege/experience of actual healthcare professionals who are already traumatised by Covid. I cared for many patients who rapidly died who were NOT put on ventilators.

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Anahita

@AnahitaS

9 months

I remember the feeling when I was first handed a list of prescriptions, TTOs & scan requests for patients I hadn't seen, by a PA. The role is intended to support, but realistically at the moment, a ward cannot be staffed solely by a PA. I feel it explains many teething issues.

Dr Tanya

@veggieequallife

9 months

Oh here is also the list of jobs I was given by the reg level PAs when I was busy on call holding the bleep. So they can go to theatre/clinics ASAP. I had seen none of these patients. And I had to prescribe all these. Not from a consultant or a doctor but a PA.

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Anahita

@AnahitaS

9 months

Long story short, I'm out of there. Booked a last minute airbnb for induction, & need to work out housing options. Away from a very lovely home & partner. Why am I in training again?!

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Anahita

@AnahitaS

1 year

@ITVNewsPolitics @SteveBarclay But it was okay to sustain/justify a 32% pay rise for MPs over the past 13 years?

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Anahita

@AnahitaS

9 months

No functioning WiFi, bleak & bare rooms, old ceramic stoves. A sense of apathy for whoever has to live there. & it's not for free... £425pcm/person, in a 2-person houseshare.

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Anahita

@AnahitaS

1 year

@Dr_Done_ Unfortunately had a similar experience, but as IMT on a specialised ITU for only 3 months, so very short. They were brilliant/highly experienced... just found it odd they could perform highly invasive procedures, but not a PR exam for indemnity reasons! That came to me 👍🏽

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Anahita

@AnahitaS

9 months

NB - my expectations weren't that high. I've stayed in hosp accommodation many times (as a student). Received no photos/specific info in advance (despite requesting) but proceeded as it seemed an ideal solution. Perhaps my fault for taking a chance!

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Anahita

@AnahitaS

8 months

@CCWearmouth As a medical registrar, I literally cannot even believe this is a debate. Undoubtedly all foundation doctors, who routinely cover the MET/arrest bleep & are first port of call for the deteriorating patient. Foundation doctors go ON to become SHOs and registrars.

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Anahita

@AnahitaS

10 months

@UKGastroDr Everyone instinctively knows that if Lucy had been a nurse from India, the Phillipines or Nigeria, she would've been sacked at the earliest red flag, & rightly so given her crime. This case clearly demonstrates how white privilege can prove detrimental to *everyone*.

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Anahita

@AnahitaS

9 months

@rosieICM @thetimes With anaesthetists/views like this, no wonder a blind eye was turned to those assaults in theatre. Very grateful to all my colleagues who don't make "sexually inappropriate comments" in moments of stress, because actually, they don't just "occur".

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Anahita

@AnahitaS

9 months

Felt magnanimous today & went to offer aid to the ward struggling with a cannula, but dismayed when I was handed this. Wtaf is this, is it a good thing, & please can someone grab me a good ole Venflon?!

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Anahita

@AnahitaS

9 months

Simultaneously, PAs can do clinics/procedures/theatre/endoscopy. I think that rightly raises the Q: why no scope to do the perceived basics, but to do highly advanced procedures? & I feel so awkward saying this, because I've worked with some great PAs, some of whom are friends.

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Anahita

@AnahitaS

2 years

...but also a financial one. I know it's not the end of the world and I know I'll get over it, but it feels a bit traumatic facing the prospect of doing this... 𝘢𝘭𝘭 over again.

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Anahita

@AnahitaS

6 years

Thank goooooood for the nurses who go the extra mile and offer hugs, tea, banter, compliments, no-nonsense humour, & copious amounts of understanding – you're my everyday heroes, most critical colleagues, & definitely my best friends out-of-hours @theRCN 💕💕💕💕💕

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Anahita

@AnahitaS

4 years

@SamuelBS85 - Lack of integrated digital infrastructure - Portfolio requirements - Training applications which expect doctors to be at the forefront of research, QI, and education whilst simultaneously working full-time with out-of-hours commitment

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Anahita

@AnahitaS

3 years

Jed Mercurio's genius was in recognising that an ordinary day in the NHS really does make good drama. #bodies

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Anahita

@AnahitaS

2 years

@mevparekh I love how "work-life balance" is in passive-aggressive quotation marks, as if that's an unreasonable expectation

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Anahita

@AnahitaS

2 years

A consultant I work with always emphasises how it's important to leave patients feeling warm and cared for after any interaction - & how that's just as important as all the medical bits. As he has the same approach for the juniors as well, I totally understand why it matters.

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Anahita

@AnahitaS

6 months

When I was at medical school, CMT (as it was known) was widely considered to be a shoo-in. It started to get worse when I applied (plus a year shaved off specialty training), & now... I just really feel for more junior colleagues to be honest.

Tim Ricketts

@timricketts_

6 months

I applied to IMT this year, the competition ratio has gone up by 43% in one year. If I see one more person say “there’s enough work to go around”, I may fully lose it. We’re fighting each other like dogs for these posts, when there are gaps on every rota around the country

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Anahita

@AnahitaS

1 year

@Edwina_Currie Edwina, junior doctors staff a 24/7 service with LOTS of unsociable hours. Our usual contract is 48hrs per week (unlike the AfC contract). Going "part-time" is really not the "gotcha" you think it is.

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Anahita

@AnahitaS

9 months

@dx_mighty @DrEilidhMaria Bizarre, ostracising behaviour. You clearly have an important perspective & it's a shame they don't want to use that!

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Anahita

@AnahitaS

2 years

@josemehrinho This. Honestly, I am just so tired, every shift is so intense, and our working patterns are unstable and non-conducive to doing these expected extras. We need to celebrate just getting the job done.

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Anahita

@AnahitaS

2 years

@pkonline84 To be honest, your tweet made me think about the issue a lot more and realise how impractical we can be in hospital when advising patients to self-cert. I would also have been annoyed in your situation. I think it's a misunderstanding about who's responsible; we all are.

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Anahita

@AnahitaS

3 months

@Dr_Done_ Also no mention of what time it was documented that the case was escalated to the SpR, only that assessment concluded at 15:00 + PTWR occurred approx 2 hrs later. Was Dr. Z actually informed regarding urgency of case/need to R/V, because how else does one prioritise?

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Anahita

@AnahitaS

9 months

Induction as a brand new ST4 today, and the impostor syndrome whilst all the regs make inside jokes about your specialty is real...

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Anahita

@AnahitaS

2 years

@CatrionaRennis1 If you're reading this thread & are considering telling her: a) how she needs to learn to prioritise; b) that if she can't hack it, maybe she should consider an alternative career; c) that x and y is normalised in many other professions... ...you've COMPLETELY missed the point.

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Anahita

@AnahitaS

4 months

@DrGoblin3 Medicine makes us consider the worst-case scenarios, & we've all had patients who had wildly unexpected findings or rapidly deteriorated after only subtle signs at first. I've only become more paranoid with time to be honest.

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Anahita

@AnahitaS

6 months

@BucksHealthcare Are you able to share what your extra-contractual rates for these professional groups are outside of periods of industrial action to enable what you deem to be a valid comparison? I'm assuming rates for Drs are unchanged, based on this statement.

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Anahita

@AnahitaS

1 year

@FacialPlasticMD @TPP_MD Either I'm glad you've made no mistakes in your career, or I feel sorry for you if you have. You can be an excellent doctor & *still* make mistakes. Every intervention/decision carries inherent risks and you simply can't survive in medicine with 0 self-compassion.

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Anahita

@AnahitaS

2 months

@Dr_BellaR Non-anaemic hypoferritinaemia. It's considered to be a precursor to iron deficiency anaemia & the BSG guidelines currently advocate investigating as IDA. Ferritin 20 is borderline though, but if symptomatic a therapeutic trial of iron supplements is probably reasonable.

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Anahita

@AnahitaS

1 year

@SusilPallikada1 NGL, I think this sentiment will attract a lot of ire from a lot of medics (generalists and otherwise) & I think betrays not enough experience in other areas of medicine! 😖

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Anahita

@AnahitaS

9 months

Some consultants don't appreciate this hidden workload. But I've worked in places where the role has worked really well (particularly acute med), & do feel a lot of tensions are created within individual departments who are directly responsible for how they implement the role.

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Anahita

@AnahitaS

10 months

@bykatewomersley I do wonder why, when the suspicions about her were raised, her practice wasn't supervised for a period of time (as would be the case for a Dr)? I imagine the unit didn't have the resources to double up on her shifts.

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Anahita

@AnahitaS

5 months

@RStomel @kaypeei @22_Lex_kate @RachelLyon99578 I always thought I would prefer a C-section until I observed one vs a natural birth (as a medical student)...

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Anahita

@AnahitaS

4 months

Cannulating an anaesthetist is nerve-wracking but simultaneously quite handy... they selected an appropriate vein, then immediately compressed proximally so it wouldn't bleed back & cause a mess. If only every patient made it so easy. 👍🏽

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Anahita

@AnahitaS

1 year

@PaperWhispers They know exactly what they're doing with the statements and the word choices are SO passive-aggressive.

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Anahita

@AnahitaS

2 years

@ElwinRansomed @AllisonPearson What data do you have to prove this?

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Anahita

@AnahitaS

5 years

I don't always make the right decisions, but tonight I picked a Kelly Rowland album and the beach over the sofa. #nailedit

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Anahita

@AnahitaS

2 months

@Drmehaktahir I started learning ECG interpretation in 2nd-year so had 3 additional years to apply that to practice. I don't know why this is being conflated with PA issues!

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Anahita

@AnahitaS

3 months

@medicalmodelbri @AlisonGeorge10 @DrSteveTaylor @DrNeenaJha Fair play to this PA. What a shame they're in this situation.

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Anahita

@AnahitaS

7 months

@Lawrenc28443726 @SaraTon08500527 @MichelePaduano @mi It's true & I'm not anonymous. A PA at the Royal supervised me doing a therapeutic pleural aspiration. They were very good & trained in US. At the same time, IMTs have nowhere near enough exposure to pleural procedures, particularly as the senior decision-makers to-be OOH.

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Anahita

@AnahitaS

4 years

Formula for a shift worth remembering... - Great seniors who get stuck in - Old & new faces - Lovely patients - Variety of cases - Opportunities to learn (mistakes included) - A sense of satisfsction The ones to treasure, that's for sure

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Anahita

@AnahitaS

6 months

@BucksHealthcare @Xeon4f145d96s1 @NMacdonaldBHT @AndrewMcLBHT @BucksHealthcare I'll give you the benefit of the doubt - are you aware PAs can't prescribe (including for discharges) or request radiological tests? This will fall to other colleagues (& more so on strike day) & that should be reflected in the hourly rates.

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Anahita

@AnahitaS

2 years

Amazing vibes @ #LFCParade #YNWA #LFCFamily thank you for an entertaining season!

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Anahita

@AnahitaS

2 years

@Larocatain @Saints_Mike7167 @notcapnamerica As a POC & non-royalist, I was pretty indifferent about MM (beautiful, but also who cares). I remember being shocked realising that she was *actively* disliked by the british public. Her behaviour is constantly policed. You have to ask why not her peers.

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Anahita

@AnahitaS

2 years

@noodles_nood Bad enough, but let's just throw a stigmatising jab about mental illness whilst we're at it.

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Anahita

@AnahitaS

1 year

Literally NOTHING makes turning off this graduate physician's computer off during the most stressful high-stakes exam of her career okay. @PrometricGlobal @TheUSMLE you absolutely MUST make an enquiry into this employee's behaviour & how it affected her

AP, MD

@DrAPMD

1 year

I thought coming home after finally finishing the USMLE step series would be such a victorious moment. Instead I’m replaying the moment where my examiner told me he “did not like my attitude” and proceeded to turn off my computer MID-EXAM.

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Anahita

@AnahitaS

6 years

Nantes has been waiting for its sunshine for a long time, and voilà... @nantesfr

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Anahita

@AnahitaS

9 months

@cannula_service After 5 years postgrad medical training, I know I simply wouldn't possess the knowledge/training/skillset to independently deliver anaesthesia in only 2 years. Where does this level of confidence arise? Do the majority of AAs have ODP/crit care background?

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Anahita

@AnahitaS

6 months

@TVRJDC @BucksHealthcare @AndrewMcLBHT By this very logic, an F1's salary isn't half of that of a PA's. So why the disproportionately higher hourly rate?

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Anahita

@AnahitaS

8 months

Post-work run 10 mins away from my hospital today. Absolutely in love with Lancashire countryside, & dreading the winter evenings to come!

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Anahita

@AnahitaS

8 months

@IM_Crit_ Worst case I've seen was a haemorrhagic PR bleed from a patient with a lymphoma eroding into the SMA... truly awful. Hours spent doing the MHP. (Embolised in the end) Fresh PR bleeding can definitely represent a very brisk UGIB!

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Anahita

@AnahitaS

6 months

@Doc_IonaCollins @drokane For a 4-year course, you have to ask why the funding hasn't just gone into increasing capacity on medicine/Pg medicine courses. Why would a student apply to become a PA at an undergraduate level over medicine, when the advantage of the MSc is always cited as shorter training?

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Anahita

@AnahitaS

10 months

@KHoulgate Yes. I really like & get on well with my ACP colleagues. At the same time, medical trainees are downskilling & it often feels like we have to fight for opportunities. I wish there was a healthier way to have these conversations & foster a good training environment for everyone.

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Anahita

@AnahitaS

3 months

@PhilSmithIsBack @mancunianmedic Bizarrely on my last set of nights a clin fellow on AMU told me an opportunity arose for paracentesis on AMU, seen by PA on WR. Both he and IMT expressed wanting to do procedure; IMT ofc needs exposure. Consultant supervisor of IMT *ASKED PA if IMT could do procedure*, but

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Anahita

@AnahitaS

9 months

@dx_mighty @anonPA5 @timricketts_ I remember reading @dx_mighty 's tweets quite a while ago & I thinking that she's genuinely really proud of her PA background & was keen to continue working in her scope as a PA post-medical school. I don't think it's fair to turn the bullying accusation on her?

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Anahita

@AnahitaS

9 months

@leadingmeded4u I think you're right: I will. I've written to the accommodation team at my new Trust, but that's also a really good shout (once I figure out my actual accomm!)

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Anahita

@AnahitaS

5 months

I don't dislike nights, I just really dislike the lack of downtime (sleep to work, work to sleep, feeling like a cog in the machine). Particularly depressing on short, winter days.

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Anahita

@AnahitaS

4 months

Recently watched an ED SpR bosh an EJV line into a patient we were really struggling to cannulate (even with US). Makes me nervous cannulating in that general area, but I'm not sure my anxiety is justified. Is this one to more readily go for in difficult access situations?

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Anahita

@AnahitaS

4 months

@TheSalariedPA This would be great. However, in a particular department I worked in, each week a PA was allocated to be "off the ward" to pursue CPD, attend clinics (including procedural ones), audit/QI. Forget the IMT3s who actually had to hold the referrals bleep PLUS do WR/jobs.

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Anahita

@AnahitaS

6 years

@DrHethWeth @angela_sheard I’ve worked as a care assistant in the past so know the ropes. As a student in A&E, I firmly asked family to leave resus then scrubbed the bed of and washed up a withdrawing heroine user — a lot of faeces — with an HCA. We signed up to look after and maintain people’s dignity.

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Anahita

@AnahitaS

6 years

Survived my first days as a junior doc in the NHS... whatta bag of emotions!

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Anahita

@AnahitaS

4 years

@arcl From one dirty SHO to another, thanks Alan! I've haven't done enough shifts to draw these correlations yet, but that was certainly my experience whilst on-call last week (in Liverpool).

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Anahita

@AnahitaS

11 months

UK government offers 6% payrises to public sector workers, but cites extortionate 50%+ increases in visa fees are required to fund this. Who would've thought an Asian-British prime minister could sign off on some of the most xenophobic policies we've seen. So disappointing.

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Anahita

@AnahitaS

5 years

@ronanlyne How'd you think she made to 100?

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Anahita

@AnahitaS

5 months

@DrSelvarajah Most of my colleagues I worked with this weekend on the acute medical take (+ A&E!) had an exit plan. The NHS should be really, really worried.

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Anahita

@AnahitaS

7 years

Missed shadowing good family doctors! Just love the infinite tips, remedies, and tried-and-tested wisdoms, that G.P.s hide up their sleeves.

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Anahita

@AnahitaS

1 year

@ZainKhanMed I always wear scrubs on nights. If I'm driving into work in fresh & clean scrubs, there is zero problem with that. Alternative being coming in even earlier on back to back 12h shifts to change fron clean clothes... into clean clothes.

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Anahita

@AnahitaS

7 years

Whilst I've been endlessly taught this over five years, the significance of the axiomatic 'history is everything' is finally sinking in.

Dr Gordon Caldwell

@doctorcaldwell

7 years

The conversation between doctor and patient the medical interview is the single most important diagnostic tool in medicine By @danielleofri

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Anahita

@AnahitaS

5 months

@JimWarrenENG @SimonSm58362297 @TomStocks1982 Well... they weren't saving your life for free!

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Anahita

@AnahitaS

7 months

@Dr_BellaR I honestly can't cope with the quality of replies you're getting. As a doctor I am *more* than happy to denigrate the system which isn't allowing us to deliver good care & basically makes rocking up into ED a hellish experience. There is 0 blame on medical/nursing colleagues.

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Anahita

@AnahitaS

2 years

Ironically, the anxiety is not in admitting sick patients (because even if your first suppositions are incorrect, the hope is that the diagnosis will reveal itself through progression or investigations). The anxiety lies in discharging the apparently well patient home.

Dr Fi Shallis 🦁 🏳️‍🌈 ❄️ (she/her)

@f_shallis

2 years

Just read a thread about someone’s experience of having a stroke, with symptoms seemingly being isolated to upper limb coordination difficulty & headache. Reading the thread & replies I’ve realised one of the reasons I don’t think I can do medicine any more is the weight of 1/n

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Anahita

@AnahitaS

4 years

Check this beautiful garden in my new job at @sthknhs ! A balm to soothe the pain of August rotations.

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Anahita

@AnahitaS

1 year

@jbcarmody Maybe just ask why your application is rejected instead of building a case against those less privileged than yourself? Who can probably demonstrate far more examples of genuinely negative discrimination over the course of their lives. The scale on the MCAT scores too...

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Anahita

@AnahitaS

6 months

@KeeleyMP @gmcuk Thank you so much for speaking up on behalf of doctors who are urging for clarity on this matter. We are merely asking for clear definition of a scope that supports/enhances the work & training of Drs, public education regarding the role, regulation that doesn't cause further

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Anahita

@AnahitaS

6 years

“There’s no systole without diastole,” said my old anatomy professor, advising us on the importance of rest. Words to remember as I lie comatose on day 1 of annual leave...

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Anahita

@AnahitaS

11 months

@parthaskar @gmcuk @AntonEmmanuel2 @morefluids @eveosh @iceman_ex @BinitaKane @SonaliKinra @OrthopodReg @RoshanaMN @AimeeRobson4 @healthyopinion Always find it weird how the Royal College posts these stats every year, & then it's just like... meh 🤷🏽‍♀️ We know it exists, but little remedial action.

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Anahita

@AnahitaS

9 months

@anonPA5 @dx_mighty @timricketts_ I think the truth is apparent when she's been systematically removed from every PA group explicitly for "divided loyalties". Why does loyalty even come into this? But as she's eloquently said, the other side is welcome to explain its position.

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Anahita

@AnahitaS

2 years

The irony when 30% of doctors and 20% of nurses are immigrants, and anyone who has even worked a day in the NHS and looked after patients knows this rhetoric is completely wrong. SO done with this. When do immigrants get to go on strike so the public can understand their worth?

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Anahita

@AnahitaS

2 years

@jdrwilcox @pepemac27 @rosskeat @TfL I would 100% pull the card if I'm on the way to work. It could potentially cause patient harm to leave the shift uncovered. There's a public interest there. Besides, a bus driver helped me out when I had a bike puncture (pre-doctor days) just because, uh, he was nice & had space?

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Anahita

@AnahitaS

9 months

@clare_eliza How did this even get published?!

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Anahita

@AnahitaS

3 years

@LaineyL10 @JakeMaverick5 @halfpennychew Why scapegoat the most vulnerable people in our societies who survive on virtually nothing, make up a tiny fraction of migrants, have suffered endlessly, & lost their homes & all their savings? It's needless. It's another lie sold by the tabloids. This doesn't deserve your anger.

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Anahita

@AnahitaS

2 years

@YousufMed the patient got the scan & was whisked off to IR. Same thing happened when I was F1 - patient was unstable, had perf'd and had pneumoperitoneum on XR! Fair to ask for reg for clarification if the clinical request is unclear/inappropriate. Pointless otherwise.

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Anahita

@AnahitaS

8 months

@SnotSurgeon I mean, seriously, why is there an h before the t?!

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Anahita

@AnahitaS

1 year

@ApartThis @MilitiamanRawl @DrAPMD @AXP1x1 She was obviously stressed out as she was doing the most high-stakes exam of her entire career. 18 HOURS. The Proctor should've been aware of this, & just sorted it himself as most do. I've never faced this sort of disruption during an exam (based in UK).

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Anahita

@AnahitaS

5 years

When your registrar unexpectedly asks you to "come discuss a patient", and your heart momentarily stops before realising he's presenting you with a bottle of prosecco. Have to admit the moment clinched the year for me. F1, it's been swell...

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Anahita

@AnahitaS

3 months

@PhilSmithIsBack @mancunianmedic PA apparently declined & said they had dibs! Common occurrence apparently. #BeKind

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Anahita

@AnahitaS

2 years

Christmas decorations: 1 PACES: 0

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Anahita

@AnahitaS

4 months

@iDrSunny @KhyjaMccalla @JoshuaSoane @medicalmodelbri In my view, 2 years of training is just not enough to learn to Dx and Rx undifferentiated complaints. Patients don't present according to a matrix of conditions, unfortunately. My worry is that the degree engenders a sense of hubris that this is possible.

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Anahita

@AnahitaS

2 years

@Larocatain @Saints_Mike7167 @notcapnamerica I remember a friend of mine (white), said "I just don't trust her. At all".... I was like, why? And what makes you trust any other celebrity? There is definitely a subterranean instinct against her.

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Anahita

@AnahitaS

7 years

Today's front cover of the @rcgp magazine. Just let GPs do their job!

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Anahita

@AnahitaS

4 years

Consultant dropped me a brownie in clinic today. Hey, training isn't all that bad!

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Anahita

@AnahitaS

1 year

@SteveBarclay @BMA_JuniorDocs Can you give us a % you think is reasonable and we go from there?

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10

Anahita

@AnahitaS

5 months

@juliaisobela I get so annoyed whenever I read her tweets, but can never bring myself to start arguing with her. Not everyone with trauma experiences psychosis, & vice versa. Feel like she's never been on an acute inpatient psychiatric ward & seen how life-changing antipsychotics can be.

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9

Anahita

@AnahitaS

6 months

@wendyburn @cannula_service @timricketts_ @actor_joshua @DrEilidhMaria @Xeon4f145d96s1 @Dr_Done_ But according to this PA, their role is directly replacing that of a doctor's. What do you make of that?

1

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9

Anahita

@AnahitaS

6 months

Rotational training, exploitative rotas, pay erosion, intensifying competition for training opportunities, vast numbers emigrating to Aus/NZ... where are the government solutions to workforce retention? In any other industry, surely this would be seen as a major crisis.

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