Andrew Davidson @AndrewJD Twitter profile

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Andrew Davidson

10 months

I hated the FRCA deeply, I still haven't really recovered. I get asked a lot about what strategies I used to prepare for it and I keep promising to write it up, which I've now done. Please enjoy "My FRCA Misery: A Practical Guide". 🧵 (22)

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Andrew Davidson

@AndrewJD

2 years

So it’s reinforced for me about how it’s worth talking to your patient when they’re unconscious, because as well as looking after their fluid balance or their ventilation, you might also be standing side by side with them at the prow of some ship, sailing through their dreams.

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Andrew Davidson

@AndrewJD

2 years

A proper thank you to @marksandspencer for being the only source of food for staff on Christmas Day

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Andrew Davidson

@AndrewJD

2 years

A while ago I started a new run of on-call shifts and went to briefly chat to an intensive care patient I hadn’t seen since he’d been critically ill and since he’d come off the ventilator. At the end of the conversation he said he’d been waiting to meet me. (1/7)

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Andrew Davidson

@AndrewJD

4 months

I am on strike because I want more money for doing my job. And that’s ok. There’s no gotcha in that, I’d like more money. It’s not shameful to ask for more money if you deserve more. And given its dropped 26% in real terms since I signed up to the profession, I do deserve more.

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Andrew Davidson

@AndrewJD

2 years

It may be an unpopular opinion but I can’t help but think staff on time limited lunch breaks shouldn’t have to queue behind hospital visitors to get food 👀

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Andrew Davidson

@AndrewJD

2 years

He wasn’t thanking me or anything, just saying that he knew I had been there, knew that I was his doctor and in some strange way had been looking after him. I don’t know if it should be moving to hear that, I didn’t do anything special, but it was.

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Andrew Davidson

@AndrewJD

2 years

I was strangely affected by the whole thing. Like most people, I half-heartedly speak to unconscious patients in ICU when examining them or doing procedures, but have never met anyone that actually remembered.

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Andrew Davidson

@AndrewJD

2 years

Whoever decided that you can recover from a week of nights and go onto 13 hour day shifts after 2 days needs to be binned

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Andrew Davidson

@AndrewJD

2 years

He said that he’d been waiting to meet the source of the voice that had been in his dreams. That I was the voice of the doctor that had accompanied him on his bizarre visions, sailing ships across turbulent oceans, cutting through forests. Now he knew who that voice belonged to.

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Andrew Davidson

@AndrewJD

1 year

Just having a little cry out in the middle of Blackheath because I passed the FRCA ✅

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Andrew Davidson

@AndrewJD

1 year

My hospital is finally (well, in a few months) ditching paper notes for a multimillion pound EPR system. I asked today how you search through notes. It turns out don’t, you just click through and read them all until you find the information you’re looking for. Sounds groovy.

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Andrew Davidson

@AndrewJD

2 years

I thought maybe he was confused, a lot of patients end up being stepped down from the ICU before they’re strong or well enough to have a meaningful conversation, a lot have delirium or tracheostomies or something. I asked though why he’d been waiting to see me.

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Andrew Davidson

@AndrewJD

2 years

I’ve started asking after putting in labour epidurals what the patients can remember of the risks we “discussed” whilst they were in agony, loads of people remember nothing. It’s pantomime legal consent, a little show I put on every night for the midwives.

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Andrew Davidson

@AndrewJD

1 year

This is great and I'm glad, but it's hard to look at his lovely office and not contrast it with how this usually happens, with a slow laptop on wheels with an impossible to use wipe-clean keyboard whilst you sit on a bin in the middle of the ward being interrupted every 2 minutes

Louella Vaughan

@DrLKVaughan

1 year

Hero of the Hour! @NeilAshman9 is spending 3 days whirling up patient TTAs for ALL of Medicine at @RoyalLondonHosp . Neil is the CEO. Leading from the front! @bass_XS @ClaireDow1 @Tara_esw

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Andrew Davidson

@AndrewJD

1 year

I work in an environment where I can talk about my boyfriend and nobody bats an eyelid but if I mention that I don’t drink coffee I spend 2 minutes trying to justify myself then everyone just looks at me with disgust and walks away (in the direction of starbucks)

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Andrew Davidson

@AndrewJD

9 months

If you’re not a union spokesperson, don’t accept media invites about industrial action. And if you do accept them, be well trained at media interviews and on message. And if you are on message, don’t turn up to a news studio in costume.

Sky News

@SkyNews

9 months

Dr @andrewmeyerson says he is 'always worried' about patient care, adding that the government is 'forcing' the public to go for private healthcare rather than use the NHS as they 'refuse to invest and fix the main problems' that it has. 👉 📺 Sky 501

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Andrew Davidson

@AndrewJD

5 months

witnessed a conversation today where an infection control nurse was suggesting the A&Es collection of air freshener cans might need to be binned because "It's an aerosol"... so maybe everything will stink but at least nobody will develop an invasive febreze infection anytime soon

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Andrew Davidson

@AndrewJD

11 months

What I’m obsessed with about this prescription is that the doctor added a letter in to try and fix it, and still ended up prescribing a drug that doesn’t exist.

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Andrew Davidson

@AndrewJD

2 years

@LynnMacD89 That's amazing, I know a lot of places have patient diaries, where the nurses write in what happened that day so that people can piece together a timeline of their illness, it would be nice if that could happen everywhere.

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Andrew Davidson

@AndrewJD

10 months

A bleep I got today needs a new AA battery, but I can’t get it from theatres coz they’ve got a stationary budget freeze. It’s a switchboard item so I should get it from there, which means stopping work for 20 mins so I can change, walk through the rain and get one. For a battery.

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Andrew Davidson

@AndrewJD

5 months

Why is it that NHS staff are not allowed to work in spaces that look or feel pleasant? Clinical areas have to look clinical. But every office wall has to have 27 angry signs, the keyboards have to be unusable wipe-clean monstrosities, even the lifts scream propaganda at you.

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Andrew Davidson

@AndrewJD

4 months

The night team trying to get morning handover started

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Andrew Davidson

@AndrewJD

19 days

When I was on renal there were a lot of “mild, explainable AKI, please review” referrals. On haem it was “FBC abnormal, please advise”. Now on gastro its “LFTs mildly deranged, kindly review”. When did we all get so helpless at first line investigations?

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Andrew Davidson

@AndrewJD

2 years

aside from the uniform policy, is wearing shorts and a scrub top the right vibe for the ICU reg? will death/anyone at all still respect me if they can see my knees?

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Andrew Davidson

@AndrewJD

2 years

The door of a walk-in centre, so now every gay guy with a rash can't access primary care, a really great move.

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Andrew Davidson

@AndrewJD

2 months

Just met an F1 doctor on an acute medical ward who was wearing joggie bottoms. Am I old now or is that beyond the line of acceptability? A scrub top and joggies.

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Andrew Davidson

@AndrewJD

8 months

just got my first piercing, nobody ever told me the guy just shoves a green cannula through your ear, I could’ve just got that done at work for free

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Andrew Davidson

@AndrewJD

2 years

I just want to say I passed the FRCA written and I’m now one step closer to being rid of these cursed exams forever.

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Andrew Davidson

@AndrewJD

2 years

@ChaseMbbsMbchb I don’t think a family of 4 are secretly plumbing contractors on a short rest period

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Andrew Davidson

@AndrewJD

1 year

Pass or fail, the relief I felt after walking out of the Final FRCA viva, a high stakes oral exam that has haunted me for months, was overwhelming. It's time we got rid of these awful instruments of cruelty in medical training once and for all. A brief 🧵 if you'll indulge me.

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Andrew Davidson

@AndrewJD

7 months

One thought on doing this medicine year in the middle of ICU training: stepping out of the job you’ve chosen, to do a job you specifically didn’t choose because you didn’t like it, is not a recipe for happiness.

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Andrew Davidson

@AndrewJD

2 years

- Anaesthetist spends an hour cannulating labouring IVDU patient - Patient says she wants to go outside for a cigarette - Midwife removes cannula - Patient returns - Anaesthetist contacted to replace cannula - Anaesthetist strongly considers resigning

Sinéad Taylor

@sineadtaylor

2 years

How does everyone manage ED patients with an PIVC in situ (and Hx of current/past IVDU) heading out for a cigarette? I’ve worked in a variety of EDs, all with a different approach and policy (often significantly so). What’s your approach/departmental protocol?

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Andrew Davidson

@AndrewJD

1 year

You’re having Easter eggs but I’m torturing the SHOs with teaching

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Andrew Davidson

@AndrewJD

2 years

My palliative care reg boyfriend points out that his specialty has halved the number of applicants since they introduced compulsory dual training with internal medicine, which I imagine very few pall care trainees will ever practically do post-CCT. An own goal?

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Andrew Davidson

@AndrewJD

9 months

I've started on an internal medicine rotation and I'm obsessed with how medics just don't introduce themselves. People I've never met come up to me and demand things. How are people comfortable working with someone they don't know the name or role of? Also just manners?

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Andrew Davidson

@AndrewJD

7 months

Was reminiscing today about doing 12 day stretches at work, and how it wasn't like you were falling asleep during a ward round or anything, it's just you absolutely could not care less about what you were doing for the last 5 days of it. Total professional apathy.

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Andrew Davidson

@AndrewJD

2 years

(Obviously many people aren’t in that position but when you’ve got a labourer screaming for 8 out of 10 minutes, mainlining Entonox and barely able to open their eyes in between what on Earth am I doing explaining about the hypothetical risk of meningitis?)

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Andrew Davidson

@AndrewJD

2 years

@JennyQQQ It's well known that people can have distressing experiences being critically ill, and that sometimes sounds they hear are part of this, but it's just been really interesting to hear it manifesting with myself as the centrepiece!

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Andrew Davidson

@AndrewJD

1 year

Interesting take in a thread about on call rooms, I feel like I’m in better shape 5 minutes after waking from a nap than I am in the last few hours of a night I’ve remained awake during. How do others feel?

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Andrew Davidson

@AndrewJD

1 year

night shift completed as resident king of labour ward

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Andrew Davidson

@AndrewJD

1 year

Probably my worst #TeamNights weekend in terms of lack of breaks and surplus of stress. “Could this get any worse” I thought at 3am, and then all power to our half of the hospital died. “The generator will kick in, give it a minute”. Reader, it did not kick in.

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Andrew Davidson

@AndrewJD

1 year

The weirdest part of anaesthesia is how I’ll come in and not know what the consultant looks like, they don’t know what I look like, we just start seeing patients in pre-op until we randomly meet and figure it out. Half the time this happens in front of a patient.

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Andrew Davidson

@AndrewJD

2 years

Get you a hospital that actually encourages you to penalise them when you work the horrendous clock change shift. I still think sharing the time between the day and night teams is more life-friendly but if that ain't happening then snaps for this GoSW telling you your rights 👊

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Andrew Davidson

@AndrewJD

1 year

A guy has sent an email to a massive mailing list trying to apologise to medical staffing for taking half a day off because of the unexpected birth of his son. This is a cute mistake, but also now there are about 2 congratulation emails a minute getting reply-all'd into my inbox.

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Andrew Davidson

@AndrewJD

9 months

@Beska just wait and see if the “actually if you book in advance and use off peak times and split your ticket by going via Aberdeen” reply guys find this

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Andrew Davidson

@AndrewJD

3 months

The irony of this is that what’s being clamoured over is one of the worst training programmes out there; get treated like an F2 for another 2 years, do some exams with little to any support or teaching, fight for enough time away from TTOs to get your minimum clinic numbers in…

Raja Adnan Ahmed

@drraja_

3 months

Internal Medicine Training (IMT) programme. Yesterday, the IMT ranking came out & the August 2024 statistics are: 6174 applicants 3682 interviews 1603 posts Below is the data from previous years.

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Andrew Davidson

@AndrewJD

3 months

@Dr_AlexDavidson it’s such a weird experience, you feel like you give a piece of your life to a place, and it responds with nothing. Cheers mate is more than most institutions say to their departing doctors, the service doesn’t really care as long as another cog in the machine turns up tomorrow.

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Andrew Davidson

@AndrewJD

2 years

Christmas shifts done, at last

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Andrew Davidson

@AndrewJD

3 months

Lots of doctors saying they're not sure if they'll watch this Covid hospital drama. Are you insane? Where is the uncertainty here? What next, "Titanic survivors considering giving the film a watch to check the accuracy of this deeply traumatising deadly event they lived through"

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Andrew Davidson

@AndrewJD

8 months

@Xeon4f145d96s1 @NCAlliance_NHS If they're anything like one trust I know well these rates will be "unescalatable", nobody takes them, gaps go uncovered, everyone left behind on shift is miserable and overworked trying to paper over the cracks, meanwhile managers high-5 each other for keeping locum budget down.

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Andrew Davidson

@AndrewJD

2 months

@IVfacts I’m struggling to parse through this take, are you saying that our pay and conditions row is because we paid too much attention to clothing? We pay very little attention to clothing, the bar is extremely low, sweatpants are definitely below it.

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Andrew Davidson

@AndrewJD

11 months

OK I've only done the title slide for this teaching session but I'm extremely pleased with my work so far

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Andrew Davidson

@AndrewJD

2 months

@alia_sooltan I think we should have a baseline level of professionalism. It’s not a high bar, but sweatpants is below it. Scrubs are a clean and simple uniform, they are in my view better than sweatpants.

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Andrew Davidson

@AndrewJD

2 years

@Dave1Brunton @altontowers The rust is a paint effect, the ride track isn’t actually rusting.

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Andrew Davidson

@AndrewJD

2 years

Something driving me away from applying to dual train in intensive care medicine is that I don’t want to spend any more time looking after patients with covid than I already have. We’re gonna be at this for years. The idea fills me with dread.

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Andrew Davidson

@AndrewJD

2 years

@CrotonKathryn You've really brought your own baggage with you to this tweet Kathryn 😂

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Andrew Davidson

@AndrewJD

1 year

Try doing an elective C-section list before labelling anaesthetics as a minimal-interaction specialty, absolutely exhausting levels of chat 💬

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Andrew Davidson

@AndrewJD

1 year

It was a Swiss cheese of badness, but last year I did long days on 24/25/26th and it was probably the lowpoint of a career. Felt like I'd completely missed Christmas and just spent the days shepherding people towards death instead. Sending love to everyone on call this year ♥️

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Andrew Davidson

@AndrewJD

1 year

But I refuse to believe my consultants want this for me. These exams aren't just a burden, they are torturous. We know they aren't the best way of assessing us, we know they're awful, and we're doing it to ourselves. The @RCoANews is filled with good people, let's fix this.

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Andrew Davidson

@AndrewJD

9 months

It bugs me because we all want to be famous, and every doctor on twitter gets DMs from journalists around IA, but most of us have the restraint to remember that this isn’t supposed to be an opportunity to further your media medic career and is about the future of the profession.

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Andrew Davidson

@AndrewJD

1 year

Sprayed a load of local anaesthetic in my eye accidentally in front of the boss, now I’m feeling embarrassed and also feeling nothing in my eye

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Andrew Davidson

@AndrewJD

7 months

@reo_alvarez this is so heinous, complain to everyone that exists

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Andrew Davidson

@AndrewJD

8 months

Currently topping up this medicine year as an ST5 for ICM, we’ve tried to make it as useful and palatable as possible but still feels like a bit of a waste of a year. Would kill for 3m of echo and bronchoscopy. That would be training, what I’m doing is box ticking.

Manoj Wickramasinghe

@Manoj_Wickram

8 months

@DocEd 100% agree! How much better could that shitty year of medicine/ACCS CT1 be utilised. 6M radiology, 3m micro/ID, 3m bronch lists/echo

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Andrew Davidson

@AndrewJD

1 year

I think what’s important to remember is that the exchequer has saved billions of pounds over the last 15 years by screwing doctors out of a decent pay award, it’s only a big number now to restore it because of the scandalously large pay cut levied upon us over those years.

BBC Breakfast

@BBCBreakfast

1 year

'We've been asking Steve Barclay to put forward a credible offer for months and months and months' Dr Emma Runswick from the British Medical Association spoke to #BBCBreakfast about the 4 day strike by junior doctors in England

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Andrew Davidson

@AndrewJD

1 year

@SeonaidWicks I don't find that helpful. I don't know which author wrote about the patients echo results they got phoned across from a different trust, I don't know what note type they used. Keyword search has existed for as long as computers have existed, why should this not exist on an EPR?

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Andrew Davidson

@AndrewJD

2 years

@mevparekh Don’t understand, unless by “office” you mean “the bin you’ve dragged over to sit on by the nurses station”

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Andrew Davidson

@AndrewJD

1 year

Finally an answer to the "what's the worst thing you've ever been involved with at work" question, "I did an entire day of ICU patient CT transfers"

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Andrew Davidson

@AndrewJD

2 years

@MHA_92_ @TheBMA Lol, if I'm too sick to work in your department, the threat of taking away the extra shifts I was going to do for you is hilarious.

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Andrew Davidson

@AndrewJD

2 years

Honestly I know me and my kind have come in for enormous criticism over posting about an underground railway but I had the best day riding around the underground railway.

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Andrew Davidson

@AndrewJD

1 year

@docbenh Great thread, anyone reading it thinking “that’s how everyone cannulates right?” should take time to watch others. Choosing the right site and being careful to flatten and advance before withdrawing the needle are the two errors I observe most commonly.

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Andrew Davidson

@AndrewJD

1 year

This is Pim’s little hoard this year of baubles he got off the tree and dragged over to his hideaway under the sofa.

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Andrew Davidson

@AndrewJD

2 years

Seeing lots of tweets about exams is reminding me that I chose to visit Petra instead of sitting a viva, with absolutely zero regrets.

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Andrew Davidson

@AndrewJD

1 year

@youngvictheatre Rent is not very good

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Andrew Davidson

@AndrewJD

2 years

me watching the F2 do a central line

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Andrew Davidson

@AndrewJD

1 year

Let me tap the sign again, that if you focus on improving conditions for existing staff you wouldn’t have to constantly invent new ways of getting non-doctors to do the job of doctors. The government is trying to race-to-the-bottom the medical workforce, it’s a bad bad idea.

Politics UK

@PolitlcsUK

1 year

🚨 | NEW: School leavers will be able to become doctors without taking a degree under new government plans to fix NHS staffing [ @Telegraph ]

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Andrew Davidson

@AndrewJD

2 years

I have no time for the term “Venflon” after a traumatic experience as a medical student where I kept getting asked if I could do “Venflons” and why I didn’t know how to do “Venflons” and it turns out I could it’s just nobody was calling an IV cannula what it’s actually called.

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Andrew Davidson

@AndrewJD

2 years

Never been more excited to be at custom house

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Andrew Davidson

@AndrewJD

11 months

It’s a fine thing, to fall in love with your own country. 🏴󠁧󠁢󠁳󠁣󠁴󠁿 #HighlandsNotIslands2023

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Andrew Davidson

@AndrewJD

2 years

@_Kanishka_6582 I'm not at liberty to say...

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Andrew Davidson

@AndrewJD

6 months

Ok I’m going to get absolutely roasted for this but I’ve been wearing Figs for 3 months and I love them. I’ve never looked this good or felt this comfortable at work before, the pockets are amazing, it’s a shame they’re so overpriced. My recommendation is be rich and buy figs.

TDM

@DrTADM

6 months

Okay #MedTwitter , we’ve likely talked about this before but where y’all getting your scrubs from? I have been v tempted by Figs for ages and can’t see any others that look as tailored/ nice.

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Andrew Davidson

@AndrewJD

1 year

And I'm the model student for this. I'm white and male so yay statistically I do better in these assessments, I have no dependents and I'm not a carer so I have time to give up, I'm not generally anxious or depressed. If I can sink this low, how are others even surviving?

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Andrew Davidson

@AndrewJD

7 months

@mattyheron Carol the ward clerk walking in, talking about her lovely weekend and me staring right through her into the dark abyss

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Andrew Davidson

@AndrewJD

2 years

I got a bunch of silly old tube stuff recently as a present for myself, one of the best things was this lovely in-car line diagram in its original framing from the metropolitan line. Spot the differences from todays line…

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Andrew Davidson

@AndrewJD

2 months

Looking forward to the UKFPO releasing some data about how their new system performed. Did more people end up where they wanted? Lot's of sad cases on twitter. Does the system just *feel* worse because you're genuinely randomly allocated instead of masking it with the SJT?

halseyhands

@halseyhands1

2 months

Be kind to Medical Students Day UK FPO Allocations out today First year these have been RANDOMLY allocated A lot of young talent being sent places for their first job they’ve never been, worked or chosen This is terribly unfair #MedTwitter

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Andrew Davidson

@AndrewJD

1 year

And when the stakes are enormous (can't resit for 6m, the limit to resits, it's cost around £900 just to practically do it never mind the books, online resources) you end up losing yourself. For the last few weeks especially I've been sad, stressed, not sleeping, gaining weight.

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Andrew Davidson

@AndrewJD

8 months

That’s the sort of side-eye I’ve grown accustomed to when they see me turn up at an emergency

UHCW Simulation

@UHCWsimulation

8 months

Another successful delivery of in-situ simulation for our recovery staff in Main Theaters. Two new scenarios successfully tried and tested. Thank you for making us feel so welcome and a big well done to all those involved. @nhsuhcw @InnovationUHCW @covuni #insitu #simulation

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Andrew Davidson

@AndrewJD

2 months

@clifford0584 I’m not talking about cuffed scrub bottoms, I’m talking about striped Adidas style sweatpants

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Andrew Davidson

@AndrewJD

1 year

If we need them so much, we need to reverse their years of continuous pay cuts. Standing 100% with all the nurses on strike today 👊

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Andrew Davidson

@AndrewJD

1 year

Even trying to be balanced though, in the run up to a massive exam the amount of knowledge you need to consume and the fact you consume essentially all of it in addition to a 48hr/week job means you have to give up your social life, your rest time. There's no way around it.

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Andrew Davidson

@AndrewJD

5 months

@RedLaser4000 I can’t speak for your experience but I have smelt some truly earth shatteringly awful things in my career and I’m happier to have febreze at least mildly distract from it

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Andrew Davidson

@AndrewJD

2 years

The gay male couple at the lesbian wedding <3

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Andrew Davidson

@AndrewJD

10 months

I honestly didn't stage this photo, Pimlico is just a cat with a work ethic

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Andrew Davidson

@AndrewJD

2 years

@NeddyFlanders11 Did I ask for a 24 hr service? I’ve been working 13 hour shifts back to back since Xmas Eve, I had half an hour yesterday to open presents and wolf down cold turkey before I went to bed. Half the staff we need are off sick. Why should I not be able to buy a hot meal for lunch?

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Andrew Davidson

@AndrewJD

1 year

Another shift, another equipment/drug shortage. Patient care affected again. It’s so insidious it never makes a newspaper headline but supply chain has been a continuous healthcare problem since a certain recent political event, I’m not sure if the general public know that.

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Andrew Davidson

@AndrewJD

1 year

Or if you’re in an acute hospital, put out a crash call, have an NP shoved down for some reason, ABG taken, ten people around the bed until someone has a good read of the notes and hopefully de-escalates everything. Repeat until discharged.

Charlotte Davies

@OneLongPlait

1 year

How do you help someone through a functional seizure?

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Andrew Davidson

@AndrewJD

2 years

the western end of the pocket tube map is getting very chaotic

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Andrew Davidson

@AndrewJD

2 years

the queen providing for her gay subjects by stocking her funeral full of extremely hard men in slightly camp navy outfits

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Andrew Davidson

@AndrewJD

2 months

@stu4rtdavid I think a lot of doctors aren't tuned into this, but those of us who are agree with you and I can only imagine what those particularly screwed over are feeling right now. Medical training just seems to be getting progressively worse.

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Andrew Davidson

@AndrewJD

2 years

A few years ago now but the worst LGBTQ+ treatment I ever saw was of a trans patient in an ICU, persistently misgendered, trans status always mentioned at the start of every round, lots of raised eyebrows and snarky jokes. Didn't feel as an F3 I could call it out. I should have.

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