Hi All!
Exciting news!
I've started a new YouTube channel for Gynaecology Girl Talk. I think our tots & teens deserve their own space!
I've uploaded all previous videos, ready for my weekly Thursday new episode tomorrow!
Link:
Be the first to subscribe!
The part of the NHS people don't see - I'm on annual leave but at home. Called today about a patient who was admitted. I'm now going in to do her operation as I'm the best person to do it. I won't claim any money or time back. This is the best thing for the patient. Full stop.
Recently saw a teenager with such heavy periods she walks around with this to sit on in case she leaks.
Just to emphasise that this should be taken seriously, and treated, or referral made.
I'm a consultant gynaecologist and had 2 vaccines & booster, as has my husband. My son had his 1st last week (he had Covid in Sept 21).
It is the single most important thing I can do to avoid being admitted to ICU or dying from COVID. And it will protect those I care about most.
As a trained Obstetrician & Gynaecologist and a mother, my heart breaks for the parents of the innocent children who lost their precious lives at the hands of Lucy Letby.
As a NHS consultant I'm proud of those Paediatricians who raised suspicions, battled management & saved more…
To my colleagues. I did strike over the past 2 days
All my elective work was cancelled
I had a sick patient on the ward, so I went in on both days to see her. Then promptly left.
I would have done the same on Christmas Day
If you saw me in the hospital, that's why
I won't be paid
Saw a patient the other day who told me that her son had just qualified as a doctor.
'Congratulations! You must be so proud! Tell him "Welcome aboard!" from me.'
She said, 'Unfortunately he plans to go to Australia'
.......
@Thornton_health
Actually, we are showing leadership by valuing and supporting our highly-skilled junior doctor, nursing and paramedical staff
We are making a stand to protect the consultant position and,by extension, the NHS for generations to come
Not demeaning, but rather dignifying ourselves.
It's
#followbackFriday
!
NHS supporter
Gynaecologist
Patient supporter
Medical podcaster
A bit of chess
Family
Great at naming things...
Follow me and I'll follow you back!
Let's gooooo!
Also, you've gotta like/RT to make this work!!
Working in the NHS is just not what it used to be.
Really disheartening. I feel for the juniors. Their training has been shattered by having to cover rota gaps all the time. Their pay has not kept up with inflation. They are having to compete with other healthcare professionals
Told my 15 year old that to support my juniors & keep patients safe, I'm gonna do a 12-hour overnight resident on-call as a junior doc during the strike
Him: 'Patients will take one look at you and ask:
"How many times were you put back a year in medical school, Doc?"
😳
Well, I've had an interesting day reading all of your comments and messages. Yes, ok, I will take time off in lieu. Thanks for taking the time to comment. And thank you for all your kind words.
Good morning!
It's
#followbackFriday
!
NHS supporter
Gynaecologist
Patient supporter
Medical podcaster
A bit of chess
Family
Great at naming things...
Follow me and I'll follow you back!
Let's gooooo!
Also, you've gotta like/RT to make this work!!
Last week myself, my secretary and a couple of colleagues received the most insulting and abusive email from a patient.
I have never seen anything like this before in over 25 years as a doctor.
I was initially shocked. I showed a couple of colleagues and their reactions nearly…
@DavidNautilus1
Yes.
It's like how when adults don't turn up for hospital appointments we say they 'Did not attend'
When a child doesn't turn up, we say: 'Was not brought'.
This distinction makes it clear that it was not the child's decision.
@piersmorgan
Desperately sad.
Also sad is the fact that NHS consultants have lost autonomy and respect, are dictated to by managers, are ignored, controlled and undermined repeatedly?
This is the life of many NHS consultants.
This was a massive example, but replicated in many smaller issues.
@EmergencyMedDr
I don't think it's shameful. I was just trying to help a colleague and a patient. However, due to many comments urging me to do so, I will take time off.
This a benefit of Twitter. One can hear varying views & opinions.
I'm glad I've posted it as I've heard the alternative view.
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.
The enquiry into the Mid Staffs scandal reported that consultants were to blame for letting it happen around them and not standing up.
I am standing up. I think the compromise in standards of health care that will result from roles which should be undertaken by non-doctors,
My son will soon be turning 17.
Husband says he only needs to learn to drive an automatic. I thunk he should learn to drive a manual to keep his options open.
Poll time!
Opinions appreciated. Can add rationale for your answer by replying below.
Thanks x
I'm coming round to the idea of calling medically-trained consultants 'Attendings' and postgraduate doctors in further training 'Residents' to remove ambiguity
Plus MD after one's name if a medical doctor
The current pick and mix of titles can't continue for much longer, can it?
Recently saw a 17 year old who had a cholecystectomy for gallstones.
How is this relevant to gynaecology and periods?
I asked her if she had been tested for sickle cell disease.
She had.
I use the broad range of knowledge I obtained in medical school on a daily basis.
It's
#followbackFriday
!
NHS supporter
Gynaecologist
Patient supporter
Medical podcaster
A bit of chess
Family
Great at naming things...
Like/retweet and Follow me and I'll follow you back!
Let's do this!
@jjfitzgeraldMD
I'd say watch this excellent podcast to learn all about it....and spread the word - women need accurate information about endometriosis!
@Werrington2
We're taking a stand.
We're taking extra shifts to cover colleagues who have left.
We're taking the future of the NHS seriously.
We're taking care of the next generation of consultants.
Maybe medical consultants need a bit of rebranding (everyone else seems to be having one). Why don't we self-assess & call ourselves something else commensurate with our knowledge and experience?
Maybe Medical Grandmaster? (totally ripped off from chess)
Any other title ideas?
Out now: our self-assessment tool supporting the career progression from Advanced Clinical Practice to Consultant Practice! Track your development as an aspiring or consultant practitioner 👉
@DavidNautilus1
When I was Clinical Director for gynaecology, I instituted a rule that all patients who 'Did not attend', instead of just discharging them, were sent a letter saying that if they wished to be seen, that they could contact us within 28 days to rebook their appointment.
Well, I've had an interesting day reading all of your comments and messages. Yes, ok, I will take time off in lieu. Thanks for taking the time to comment.
The part of the NHS people don't see - I'm on annual leave but at home. Called today about a patient who was admitted. I'm now going in to do her operation as I'm the best person to do it. I won't claim any money or time back. This is the best thing for the patient. Full stop.
@iDrSunny
@DeanEggitt
@TheBMA
@BMA_GP
Also ‘less-qualified clinicians known as a physician associate (PA).’ Is wrong. They are differently qualified. It’s as if one says a paramedic is less qualified than a doctor. It’s insulting to these groups and really undermines their skills.
Long theatre list yesterday - 6 operations. One was more complex than anticipated. It went well, but took longer than expected, so the list overran.
No one even mentioned cancelling the last case, we just all agreed to stay for longer (2 hours).
I'd like to thank the team for a…
My daughter has just returned from surgery - blown away by the brilliance of
@DrGailBusby
& teams
@TraffordHosp
We have been treated with such care, compassion, & competence by every single member of the team/s throughout. We cannot thank you all enough!
#oustandingNHSCare
💙
@dawnashley13
@NTeesHpoolNHSFT
@MADEinHEENE
It's a shame they are not as passionate about safeguarding the title of 'Doctor' or safeguarding the public's right to understand who they are being seen by.
@liambarker
I always assume that what I say may be documented, so I always introduce myself as Dr Busby, gynae consultant.
So people know who they're talking to and my grade
I've always done this..
I'm Dr Busby, gynae registrar
I'm Dr Busby, gynae sho..
No judgement about who I'm talking to
may be missed until it's too late. The British public deserve better!
I've been pretty quiet about these issues, but I think it's important to add my voice to those speaking out.
If you've got this far, thanks for listening!
@LMuttl
I would not dream of posting it otherwise. Even though she is not identifiable by the photo.
They were so grateful to be listened to that they were happy to raise awareness.
Consultant colleagues, be present, train your juniors. Be a role-model. Consultants make a difference. A message I received today:
I wanted to say that you have been a true inspiration to me. I admire the way you care for and advocate for your patients, and how you have…
My views haven't changed.
Yes, I'm striking.
Striking, not for myself, but for the future of my profession within the NHS, and the futures of the bright, hardworking and skilled colleagues who will be the consultants of the future.
Working in the NHS is just not what it used to be.
Really disheartening. I feel for the juniors. Their training has been shattered by having to cover rota gaps all the time. Their pay has not kept up with inflation. They are having to compete with other healthcare professionals
shortening medical school & medical apprenticeships right out of secondary school (bypassing medical school) is unsafe & should be resisted. The recent incident is the tip of the iceberg The British public will be the ones who pay the price with their health & they deserve better
Of course it is the anaesthetists who will make the first formal stand against what we have all been muttering about!
Respect to them...don't mess with the gasmen and gaswomen!
They rock!
Good luck!
🚨🚨 Ok this is big‼️
A group of baddie anaesthetists have been working behind the scenes to uphold the integrity of anaesthetics in the UK
They will call for an Emergency General Meeting to force
@RCoANews
to represent views of its membership
Docs are taking a stand
🔥 🔥 🔥
@hervedespois
I grew up in the Caribbean, spent a lot of my time bare-footed as a child, and loved going to the beach. Fresh tropical fruit is delicious and healthy. This did not hamper my education in any way. I aced maths, English, Spanish, biology, chemistry, physics.....
to get experience to do procedures in their chosen specialty. The GMC is always looming and we constantly hear about inappropriate referrals and hearings that should never have reached that stage.
Please tell me what's good about being a junior doctor these days.
Consultants are
'I really like being on call with you.'
Registrar during my most recent on call. I let her do the very urgent theatre case and assisted to support her.
Personally I see that as a big win!
@miriam_khalil13
See 1 patient at a time. Don't try to save time by, e.g taking a history in 1 room and examining another patient in another
Give each patient your full attention & the time they deserve, even if you run late. The later patients will understand when they receive the same attention
@Verytallbecca
@BMA_JuniorDocs
@TheBMA
@Doctors_Vote
I'm doing the 12 hour resident overnight shift tonight. I've planned what food I'm bringing, because that's what I did as a junior doctor.
Absolutely there should be food available for hospital staff working overnight.
lifelong knowledge gaps. I voted to strike to make things better for our junior doctors of all specialties, not so much for myself.
Well, a bit for myself, as one day I will be old/ill and I will need competent doctors to look after me! I want someone like me or my colleagues who
also underpaid and have lost so much autonomy. So it's not as if when you climb that steep and slippery mountain, it's all ok. Not at all.
I fear we are heading for a 2 teir system in which, if you can afford it, you see a fully trained consultant privately and if you're not well
I was on call with a doctor some months ago.
She said, 'You won't remember me, Dr Busby, but I came to speak to you in your office some years ago. I was in a difficult place and not progressing in my career. You listened and encouraged me with advice and examples from your own…
Triaging referrals
From GP: '...the neurologist would like an opinion from you & has asked me to refer...'
Why doesn't the neurologist refer directly? Is it that we don't know how as the system's so complex?
Is it that we're not 'allowed'?
Prolongs patient pathway, uses GP time..
off, you see someone who has had limited exposure to the full spectrum of training and may not think of a coagulopathy in a patient with cirrhosis who comes in with heavy periods or that a patient with adrenal insufficiency will need steroid coverage to undergo a procedure as
GPs/other colleagues, please DM me your details, and I'll send you some of these A4 posters to put up in your surgeries/waiting rooms/hospitals.
Happy to send to any other company as well.
Great resource for your staff/customers
Starting with women's health.
Health is wealth!
RT
@AllanDodds14
It's definitely a tiny minority. I travelled by train to Birmingham Thursday/Friday and met lovely people on the trains (had great chats), met some fab guys in a record shop - even did a crossword with them!! And many people were so kind to stop and give me directions while…
can palpate a liver or spleen when I need to, who can recognise an undiagnosed pelvic kidney because I understand the embryology, etc, even though I hardly come across these things in gynaecology. I once diagnosed meningitis in a patient on my gynae ward round. Patients like that
they've never been exposed to it in medical school or rotating through specialties as a junior doctor. Examples of everyday use of this information are numerous, but the straight out of secondary school 'trainee doctors' will not have this foundation on which to build, leaving
@BrookesTimes
@thetimes
Hi Peter, guess what? Women are doctors and consultants too!
I'll leave any other comments to the replies to your tweet...have a read!
Good luck to Dylan at Blackpool chess congress. I couldn't take him tonight as I had an operating list....which was then cancelled! 😔
But he won his first game!!
I'll be joining him tomorrow and Sunday!
Thanks to everyone participating in
#followbackFriday
. Keep it coming!
I've run out of followbacks for today, but I'm good for it.
All the remaining followbacks will be completed tomorrow!
Yes, every single patient I see who needs a hysteroscopy, I offer the choice of outpatient or general anaesthetic.
I quote that 1 in 3 women have severe pain at OPH. If this option is chosen, consent is reconfirmed throughout the procedure. The patient is in charge at all times.
The Campaign Against Painful Hysteroscopy THANKS
@ProfEmmaCrosbie
for offering all her
#hysteroscopy
patients the CHOICE of a short general anaesthetic & the CHOICE of attempting it in outpatients with the assurance that it wd be immediately stopped if painful. (Podcast - 30')
At the start of a recent on call ward round:
Registrar: Dr Busby, would you like to lead the round?
Me: No thanks, I've led hundreds, it's time to pass the baton to you guys. I'll support.
She did a great job!
@PaulaMc007
I'm certain that no one who hasn't been through this can even contemplate what it is like or how it feels.
I'm sorry that you had to experience this.
It must surely only add to your pain and hurt.
I was told this week that many junior doctors do Uber driving in their off time to make ends meet.
I was incredulous and I can't get it off my mind.
Is this true??
@DrBenLovell
I forgot how much time junior doctors spend trying to contact other people!
Yeah, and the bypassing the SHO and bleeping the Registrar directly. That's new.
@DrGailBusby
@Castagnaccio345
It is so sad that members of the public just don’t get what’s happening here-I wish they would do their homework -then they would understand why this strike is happening
#SupportOurNHS
- it is being destroyed by atrocious working conditions + an arrogant Govt that doesn’t listen
I think I'm going to go part-time. The pensions thing is stressing me out.
I've worked so long always full-time, I am also raising a family and it's just constant.
I want to be around more for my kids. This time doesn't come back.
Anyway, these are my morning thoughts.
@Castagnaccio345
Trust me, this is not my idea of a day off!
Thousands of patients are waiting longer due to consultants and doctors leaving the NHS to other countries.
I have personally lost several colleagues to the middle east.
It's patients we are fighting for...trying to stop the exodus.