Jimmy Lam @DoctorJLam Twitter profile

Last Seen Profiles

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@gaypicturesxxx

@context_girl

@BlitzkriegGuy

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@paddington

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@tsurime_TT

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@harrytlambert

@dawnlewd

@JOCZECHOWSKA

@snipes7777

@ShacharTeva

@mediablasters1

Jimmy Lam

@DoctorJLam

2 years

When M&S slashes the price of school shoes from £34 to £11, you can’t help but do what your Asian parents would do…

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Jimmy Lam

@DoctorJLam

4 years

Priti Patel is the type of person who would sit an OSCE station on “breaking bad news” and walk out thinking she smashed it. Then react with shock and make a complaint against the medical school when she found out she failed it miserably.

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Jimmy Lam

@DoctorJLam

1 year

From my observations, the most misspelled word in the NHS isn’t melaena, amitriptyline or even levetiracetam. It’s dietitian.

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Jimmy Lam

@DoctorJLam

3 years

It’s astounding how my Singaporean wife of 5 years could get her MBBS from a London medical school, live in the UK for 10+ years, work as an NHS doctor on an O&G training programme, yet STILL get asked to do the Life in the UK test in order to get indefinite leave to remain 🤬

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Jimmy Lam

@DoctorJLam

2 years

‘I am sorry but that is the best that the NHS can do for you at this time’. Having to say this to patients on a fairly regular basis these days. Anyone putting it more bluntly and saying ‘I’m sorry but the government are f****** us over?’ 🧐

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Jimmy Lam

@DoctorJLam

2 years

Last day of paternity leave. 2 weeks nearly up and don’t want it to end 😩

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Jimmy Lam

@DoctorJLam

2 years

GPs: which is the nicest specialty to request medical advice from, and why is the answer haematology? 🩸

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Jimmy Lam

@DoctorJLam

1 year

As an FY1, I was taught how to remove a ring stuck on a swollen finger by a nurse on ward cover using the dental floss technique. Put that skill to good use on a home visit today. Arguably the most satisfying thing I’ve done at work all week 😃

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Jimmy Lam

@DoctorJLam

7 months

Every time my wife comes home from an on-call shift as a senior O&G registrar at a tertiary unit labour ward, I’m in awe of the work that she does. Managing the chaos of multiple obstetric haemorrhages, delivering preterm babies, supporting parents with stillbirths, repairing…

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Jimmy Lam

@DoctorJLam

7 months

What analogies do you commonly use to explain medical concepts to pts? I like comparing osteoporosis to having missing bricks in a wall, which renders it prone to breaking. And having low Ca/vit D is like having poor quality bricks. Hence important to treat both for bone health.

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Jimmy Lam

@DoctorJLam

1 year

‘Dear GP, I have seen this patient in my private clinic today. They are keen to continue treatment on the NHS. Can you please refer them to see me at [named] hospital as an NHS patient?’ 🤬

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Jimmy Lam

@DoctorJLam

3 years

Am always late to learn these tips, but here we go: Go down in 2s to convert HbA1c from DCCT to IFCC units: 6% = 42 mmol/mol (6, 4, 2) 7% = 53 mmol/mol (7, 5, 3) 8% = 64 mmol/mol 9% = 75 mmol/mol 10% = 86 mmol/mol 11% = 97 mmol/mol 12% = 108 mmol/mol 13% = 119 mmol/mol

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Jimmy Lam

@DoctorJLam

2 years

Any GPs wearing shorts for F2F clinics in this sweltering weather? Jealous of the NHS physios in their polo shirts and shorts right now 😓

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Jimmy Lam

@DoctorJLam

2 years

The standard triphasic Friday pm duty GP shift: 2.30: flurry of calls - ‘would like to make sure I’m ok before the weekend’ 3.30-4pm: ‘I just picked up my little one from school and they don’t look well’ 6.25pm (5 mins before lines close): ‘I have severe chest / abdo pain’ 💀

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Jimmy Lam

@DoctorJLam

2 years

I am a ‘part-time’ NHS GP. I don’t think we need to justify our work patterns to the 🦖 🦕. We all have our personal and professional reasons.

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Jimmy Lam

@DoctorJLam

3 years

Sherwanis > suits

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Jimmy Lam

@DoctorJLam

2 years

@techpriest I believe they also worked as an HCA for a year

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Jimmy Lam

@DoctorJLam

2 years

Any other GPs feel a sense of relief when you’ve assessed a patient who needs further specialist input and they say: ‘I’ve got private health insurance’…?

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Jimmy Lam

@DoctorJLam

1 year

Diabetes classification is getting out of control

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Jimmy Lam

@DoctorJLam

7 months

…perineal tears, emergency c-sections, training SHOs, advising midwives, reviewing endless CTGs, in a massively underresourced NHS where the stakes are so damn high and on a punishing shift-based rota. Truly underappreciated and underpaid.

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Jimmy Lam

@DoctorJLam

1 year

Why is there always an embarrassing shameless uncle? 🙄

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Jimmy Lam

@DoctorJLam

1 year

Why the F is there both an amoxicillin (liquid) and clarithromycin (liquid and tab) national shortage?!

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Jimmy Lam

@DoctorJLam

2 years

This little troublemaker is 6 weeks old already. Parenting 2 rascals is another ballgame but definitely enjoying it more the second time round.

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Jimmy Lam

@DoctorJLam

2 years

Wow the misconceptions and misinformation in this tweet and comments. Also when did everyone become an expert on Lyme disease?

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Jimmy Lam

@DoctorJLam

8 months

Had to take the 6yo to work after he vomited during the school run (he’s fine). Guess who decided to pull the emergency cord in the clinic room and send everyone running over when dad had to leave him alone for 5 minutes? 🤦‍♂️

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Jimmy Lam

@DoctorJLam

2 years

Decided to do a DIY outfit for my 4yo for World Book Day next week 👨‍🎨

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Jimmy Lam

@DoctorJLam

2 years

Hospital docs: have you ever received a call from a GP requesting an update on an inpatient, perhaps one they referred in or knew very well? Similarly, have any GPs here called in for a medical update because they have been curious to know about a patient they sent in?

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Jimmy Lam

@DoctorJLam

1 year

GPs of medtwitter: what is the most annoying test result you have to deal with on a regular basis? Mine is the isolated mildly elevated ALT 😤

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Jimmy Lam

@DoctorJLam

1 year

@ortrudethevegan @ERunswickBMA What’s wrong with you?

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Jimmy Lam

@DoctorJLam

8 months

So Psychiatry-UK are not accepting any new NHS Right to Choose referrals for adult ADHD or autism assessments until further notice due to unprecedented demand. Referrals from GPs now being rejected. No sign of locally commissioned services being given more funding. Not good.

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Jimmy Lam

@DoctorJLam

2 years

@timricketts_ The laminated infection control posters make a good pooper scooper I’ve heard

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Jimmy Lam

@DoctorJLam

1 year

@liambarker Asians batch cooking rice and microwaving it 5 days later without a care in the world amirite @arcl @techpriest

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Jimmy Lam

@DoctorJLam

2 years

Too many controversial food takes on medtwitter today. I’m gonna post something that has never been a subject of controversy before:

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Jimmy Lam

@DoctorJLam

2 years

I didn’t appreciate the skill and nuance involved in managing these consultations until the latter part of my GP training. The disappointment usually follows when the patient is told (directly or indirectly) ‘there is nothing wrong with you’.

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Jimmy Lam

@DoctorJLam

2 years

Curious as to what Dr Malhotra was like to work with as an SHO / registrar / NHS consultant before his descent into unhinged grifter self-worshipper status. Were the 🚩 always there? Or was he once a sensible man who liked the odd 🍩 like the rest of us?

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Jimmy Lam

@DoctorJLam

2 years

@TheSiddRaj I thought Drake would just go OT/OT

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Jimmy Lam

@DoctorJLam

1 year

A certain North London hospital social media team checking their notifications today after *that* ICU tweet

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Jimmy Lam

@DoctorJLam

2 years

Love doing a deep dive into clinical letters from 50 years ago. ‘A diagnosis of bronchial asthma was made and the child was nursed in an oxygen tent. He was given adrenaline 0.2ml 1/1000 on admission and phenobarbitone 8mg IM. His condition deteriorated and he was given…

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Jimmy Lam

@DoctorJLam

3 years

@iowmillie I set myself a personal challenge at every 6 week check to get the baby to smile at me. And spend a good amount of time checking their fontanelles so I can stroke their soft hair.

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Jimmy Lam

@DoctorJLam

1 year

Feeling 10 years older than I actually am but had a wonderful day with the family

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Jimmy Lam

@DoctorJLam

4 years

@zackferguson Conspiracy theorists: "The NHS made all employees sign a gag clause" NHS workers: "I've been working for months and haven't even signed an employment contract"

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Jimmy Lam

@DoctorJLam

2 years

@_Doctor_Dom wow 'we're doctors, not nurses' this FY2 has managed to be a dick towards both professions with 4 words

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Jimmy Lam

@DoctorJLam

3 years

@pepemac27 Classic clip

Joseph ⭐⭐

@pepemac27

3 years

Me: father to two thriving kids, paediatric registrar, often the most senior paediatrician in the hospital at nights, regularly manages life and death situations. Also me:

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Jimmy Lam

@DoctorJLam

4 years

“Luckily my wife can make the most out of any old shit she can find. Which is why she married me.” Many of us grumpy bastards feel the same way @charltonbrooker #AntiviralWipe @Konnie_Huq

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Jimmy Lam

@DoctorJLam

2 years

@Dr_DeanS They might well do. One of the big problems is that Therese implied that patients can walk into a pharmacy and ask for antibiotics transactionally, rather than being assessed by a clinically trained professional. Her careless words did a lot of damage to antibiotic stewardship.

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Jimmy Lam

@DoctorJLam

2 years

My treasures ❤️

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Jimmy Lam

@DoctorJLam

2 years

@OrthopodReg Quick google search shows that this consultant is still running teaching courses for O&G doctors…😬

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Jimmy Lam

@DoctorJLam

7 months

Gosh this ADHD medication shortage is an absolute shitshow. Such a gigantic headache as a GP but I imagine only a fraction of the stress that patients must be feeling.

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Jimmy Lam

@DoctorJLam

10 months

@Neuro_Matt Omg this tweet definitely deserves top billing on episode 1

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Jimmy Lam

@DoctorJLam

1 year

@ortrudethevegan @ERunswickBMA How you could read that post and accuse the doctor of being thoughtless demonstrates seriously warped logic. Don’t be on the side of the bullies.

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Jimmy Lam

@DoctorJLam

3 years

@josemehrinho Solidarity - this was in my MSF as an ST3

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Jimmy Lam

@DoctorJLam

2 years

Celebrating Chinese New Year with the best that Barnet and my lazy self have to offer - steam at home dimsum from M&S 🐅

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Jimmy Lam

@DoctorJLam

3 years

@mevparekh Abdo exam OSCE circuit? Now that’s shifting dullness

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Jimmy Lam

@DoctorJLam

2 years

Lovely day out in Nottingham but my gosh these are clearly the faces of two parents who were woken up every 2 hours by a shrieking 8 week old 😆 😴 🥱

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Jimmy Lam

@DoctorJLam

3 years

Don’t forget the £2300 application fee, plus the extortionate visa fees and immigration health surcharges (totalling >£3000) that she had to pay to get to this stage

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Jimmy Lam

@DoctorJLam

1 year

Me: Your potassium/calcium/magnesium/iron levels are low Patient: should I eat more potassium/calcium/magnesium/iron then? Me: sure go ahead Also me: your sodium levels are low Patient: should I eat more sodium then? Me: um….no

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Jimmy Lam

@DoctorJLam

2 years

Snippet of ‘Prince Ali’ from Aladdin 🎹 My boy is obsessed with this song so had to learn it!

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Jimmy Lam

@DoctorJLam

2 years

@ArronThind @MStott88 Exactly this. It might be less of a travesty if they gave GMC registration to everyone on graduating med school and gave the opportunity to those without a F1 job to find a medical job elsewhere. But otherwise you’re leaving 800 in purgatory which no other profession does.

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Jimmy Lam

@DoctorJLam

2 years

@admit_medics

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Jimmy Lam

@DoctorJLam

3 years

Our ‘troublemaker’ FY1s doggedly chased after our trust who were playing hardball with our diary card monitoring which showed we were working excessive hours. Thanks to their efforts (which dragged on til FY2 year), we all got a one-off payment of £3k. Keep making trouble 👍

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Jimmy Lam

@DoctorJLam

2 years

@zackferguson Me: dressing please District nurse: which one? Jelonet, atrauman, mepore, allevyn, tegaderm? Me:

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Jimmy Lam

@DoctorJLam

2 years

Was given this as a baby gift and couldn’t help but be triggered 🤢

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Jimmy Lam

@DoctorJLam

9 months

@drcarolinej Your clinic may have been reinstated but I bet you’re still seeing GP referrals from 6+ months ago thanks to years of Tory underfunding and damaging policies that have put more children in worse physical and mental health. Can’t blame strikes for that.

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Jimmy Lam

@DoctorJLam

3 years

Wedding season 🎉🍾🥂

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Jimmy Lam

@DoctorJLam

3 years

Kind hospital ward manager called me to apologise that my grandma's semi-emergency hip reconstruction was cancelled as she was mistakenly given breakfast by one of the nurses this morning. Said he would do a Datix. Thanked him but told him not to waste his time...

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Jimmy Lam

@DoctorJLam

3 years

Anyone referred a patient to a specialist who is also their partner/spouse? My wife is starting her O&G SpR placement at the hospital where our referrals go to and for some reason I’m more nervous at the prospect of bleeping her when she’s on-call than anyone else!

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Jimmy Lam

@DoctorJLam

2 years

Anyone else tend to request more investigations and/or do more referrals when they are exhausted? Must be to do with less mental bandwidth to absorb risk and facilitating path of least resistance. Unfortunately leads to higher admin workload and ultimately feeling more tired 😩

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Jimmy Lam

@DoctorJLam

2 years

@LeylsTurk For me, it’s the smile and love that greets me whenever I come home from work (or whenever I pick him up from school). No matter how bad a day I’ve had, he cheers me up and puts everything into perspective.

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Jimmy Lam

@DoctorJLam

2 years

31, but feeling a lot older 🎂 #NewProfilePic

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Jimmy Lam

@DoctorJLam

3 years

He marks his own work.

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Jimmy Lam

@DoctorJLam

1 year

@uhbwNHS You imply that you managed to find cover in a fast-moving situation, hence did not have to draw on derogations. Did you notify the BMA yourselves, or wait until you were caught and had derogations revoked?

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Jimmy Lam

@DoctorJLam

2 years

Yeah baby #ChineseChristmas

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Jimmy Lam

@DoctorJLam

2 years

I generally set low expectations for UK holidays but first visit to Center Parcs was pretty great. Also got the chance to take the little one for her first swim, 4 years after her older brother (and in the same costume!)

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Jimmy Lam

@DoctorJLam

10 months

I do find these simplistic takes quite grating. Cases are often ‘barn door’ if you strip away the numerous biases and distractors that occur with real patients. An IT worker being able to diagnose a clot based on a list of symptoms does not prove anything in this case.

Gail Busby

@DrGailBusby

10 months

Re: Barn door... Gave my husband (works in IT), the history of calf pain and shortness of breath, and that the patient died shorty after being seen twice. His response: 'Did she have a clot?' He works with computers folks! Enough said.

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Jimmy Lam

@DoctorJLam

2 years

@Allan_Katie Oh god infectious diseases. They are nice but if I haven’t taken a minute-by-minute itinerary of their travel history then I feel like I’ve failed them!

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Jimmy Lam

@DoctorJLam

2 years

A hospital clinic letter in Comic Sans font. What were they thinking?!

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Jimmy Lam

@DoctorJLam

1 year

Highlight of the day: getting home from work just in time for bedtime story ☺️

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Jimmy Lam

@DoctorJLam

2 years

@myeyemyview We’d save the NHS a lot more money if we didn’t have to treat racists

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Jimmy Lam

@DoctorJLam

1 year

Ok muting this thread now as it’s all v exasperating to read. Basically there are bureaucratic barriers at different links in the chain that are stopping us from doing our job properly. Everyone (esp me) needs to switch off and rest!

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Jimmy Lam

@DoctorJLam

4 years

I’m guilty of singing @WhitHealth ’s praises often, but am truly a big fan of their d/c summaries now having an “Information for Patient” section at the top, with the FY1s writing really thoughtful layperson summaries of the pt’s admission for them and their family to understand

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Jimmy Lam

@DoctorJLam

1 year

@ShivaniM_KC @Medifectious I fortunately did well in the SJT knowing that I had to pretend to be the most passive, kowtowing, non-confrontational person when answering the Qs. Then I left the exam room and became a normal person again.

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Jimmy Lam

@DoctorJLam

3 years

He’s so excited 😍

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Jimmy Lam

@DoctorJLam

1 year

Me and two GP colleagues still at the surgery 2hrs after closing time dealing with our mountain of work admin. Which sucker will be the last to leave? 🤔

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Jimmy Lam

@DoctorJLam

2 months

PA debate aside, would any NHS GP have managed this case differently? I don’t think many GPs would be cautioning pts about an A1c of 40 - yes it is close to prediabetes but it’s still a normal result and sadly we don’t have capacity to send comms for results that are *almost*…

Hara

@laleeselene

2 months

This was the worst response I’ve had from my GP…I’ve only just realised it was PA that sent this me shit👇🏽 (I’ve had sleep apnea since I was at least a teen but it was only diagnosed 2yrs ago, which caused me to develop insulin resistance, which then caused me to develop PCOS)

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Jimmy Lam

@DoctorJLam

7 months

@jakepmann I still remember observing an obstetric SpR suturing a tear during a major obstetric haemorrhage as a medical student and deciding pretty soon that it wasn’t for me 😂 Those who have the fortitude and skill to do it are incredible. Their hourly pay def doesn’t reflect this.

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Jimmy Lam

@DoctorJLam

1 year

@Neuro_Matt Anyone else here googling ‘orbital bruits’ after reading this tweet?

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Jimmy Lam

@DoctorJLam

2 years

I feel that the follow-up consultation after the ‘normal bloods’ is equally important as the initial one. The patient needs to feel validated that their symptoms are still affecting them and the clinician needs to show ongoing curiosity to find a diagnosis.

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Jimmy Lam

@DoctorJLam

1 year

@ShaunLintern @WalsallHcareNHS Staff sickness will inevitably rise further as Trusts try to extract more work from an already burnt out workforce. Things are only going to get worse after that.

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Jimmy Lam

@DoctorJLam

2 years

Me when I get a certificate at work: ‘hmm bit of a token gesture’ 🙄 Me when my son brings home a certificate from school: ‘omg soooo proud’ 🥹

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Jimmy Lam

@DoctorJLam

1 year

@lizrob92 @Telegraph Rob did not apologise for undermining the strike. He said he was sorry that his actions contributed to a suspiciously anonymous poster feeling undermined. Hundreds of GPs then rallied around to support Rob and he retains the support of almost all the doctor members he represents.

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Jimmy Lam

@DoctorJLam

1 year

Note: this is a screenshot from a daily mail article published today. Not posting the link as do not wish to boost their traffic.

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Jimmy Lam

@DoctorJLam

2 years

She’s hard work but totally worth it

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Jimmy Lam

@DoctorJLam

3 months

2022/23: NHSE asks PCNs to commit resources to switching patients to edoxaban for stroke prevention, despite GPs everywhere saying this is short-sighted due to upcoming apixaban patent expiry. 2024: NHSE recommends switching everyone to apixaban 😶

The Pharmaceutical Journal

@PJOnline_News

3 months

. @NHSEngland has recommended generic #apixaban over previous first choice #edoxaban as a preferred DOAC for the treatment of atrial fibrillation in new patients

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Jimmy Lam

@DoctorJLam

1 year

Look I love surgical registrars but I don’t really want to be supervising one at my practice for 3-6 months. And frankly I’m sure they wouldn’t want to be supervised by me either 😉

Raja Adnan Ahmed

@drraja_

1 year

I believe all hospital speciality training should include 3-6 months of GP placement. Trainees need to see how primary care work & how issues related to their speciality are dealt with at that level. Maybe they will also develop some sympathy toward GPs.

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Jimmy Lam

@DoctorJLam

4 months

Doctors should not accept Quality Street as a gift. Not because of its value, but because it is simply a crap box of chocolates.

PulseToday

@pulsetoday

4 months

From the end of this month, doctors should not accept ‘an unsolicited gift’ unless it is ‘of minimal value’, defined as gifts such as flowers, fruit, sweets or cake.

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Jimmy Lam

@DoctorJLam

3 years

If we all worked 24 hours a day 7 days a week the pressure on the NHS would be less.

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Jimmy Lam

@DoctorJLam

2 years

@LeylsTurk

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Jimmy Lam

@DoctorJLam

7 months

Another eg: you can do an MRI of the knees/spine of a marathon runner and it would prob show the most horrendous wear-and-tear. Yet they can still run 26 miles. Therefore treating your joint pain from a functional perspective (ie physio) is often more beneficial than a scan.

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Jimmy Lam

@DoctorJLam

1 year

Me: ‘you should consider reducing your caffeine intake to help improve your BP / overactive bladder / dyspepsia / sleep quality’ Also me: drinks 5th tea/coffee of the day ☕️

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Jimmy Lam

@DoctorJLam

2 years

@cardioyousaf WHERE DO THEY FIND THE CONFIDENCE

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