Dr Linda Dykes @DrLindaDykes@med-mastodon.com @DrLindaDykes Twitter profile

Pinned Tweet

Dr Linda Dykes @[email protected]

6 years

CPR is not a treatment for #ordinarydying . Every instance of futile CPR - which is what will happen if nobody has sorted out the protection of a DNACPR for someone whose life is coming to an end - is a tragedy. Please, doctors, nurses, patients, families - #havetheconversation .

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

My 16yo niece, in her first paid job, is earning £20/hr (£40/hr on bank holidays) to dress up as an elf at an evening seasonal tourist attraction. £2800 for a Christmas holiday job. I’m delighted for her, but it starkly illustrates how undervalued NHS & social care staff are.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

What happened to #Eriksen is EXACTLY what CPR was invented for… a heart stopping suddenly in an otherwise healthy body. Whereas if someone’s heart stops because other parts of the body are malfunctioning , that’s ordinary dying. And CPR is not a treatment for ordinary dying.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

I'm literally crying at the #Youthquake tweets - could there be hope? Would it not be bloody brilliant if the country's arse was to be saved by the generation written off as irrelevant snowflakes by the sodding Tories? 18-30 year olds - do your thing. And thank you.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

I fully support the BMA campaign for hot food to be available for hospital staff 24/7, but I swear at least 80% of the benefits for staff morale could be achieved by returning toasters (and a large supply of white sliced bread + proper butter) to every department in the NHS.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

It beggars belief that the govt responds to news nurses have voted to strike by asking them to "carefully consider" the impact on patients... it's a crying shame the Tories didn't consider the impact on patients from a decade of #ToryAusterity & pay restraint. #ReapWhatYouSow

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

I've just checked the BBC website. This is the main UK news page, at 0015 on 31/12/23. Emergency care in the NHS is literally collapsing, dozens (if not hundreds) of people a day will die as a result of overflowing EDs & there's nothing about it in the headlines. #Gaslighting

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

My dad, Tony, died peacefully yesterday morning shortly at 0540. He was 81. Mum was with him, plus a family friend, as neither I, nor my brothers, could get back to Yorkshire in time. Despite increasingly frailty & Lewy Body Dementia, he was out & about until just last week. n/1

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

NHS colleagues: we might not be able to keep the wheels on the bus. That isn’t our fault, we bear no individual responsibility for the UK #COVID19 cluster**k, and we can’t fix it as individuals. We can only do our best. We may have to find a way to accept that will not be enough.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

My dad is dying 😢 Just had to say goodbye by phone - I can’t leave the smallholding as hubby away & time short. Enormously grateful to GP, paramedics & team at Friarage hospital for recognising Ordinary Dying, whipping him to a ward and not subjecting dad to ordeal of a 2023 ED.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

Top tip (from an NHS consultant); no, they’re bloody well not ⬇️ 🙄

Matt Hancock

@MattHancock

4 years

NEW poll shows the @Conservatives are more trusted by the public on the NHS than Labour. We are the party of the NHS.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

I am delighted to announce that my new job is Consultant in Emergency & Interface Frailty medicine, in Hereford: a (very!) bespoke post where I can truly get stuck into developing community-based admission-alternatives that are a win-win for everyone. #WherehasLindaGone

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

I literally have no idea what is going to happen to urgent & emergency care in the UK over next few weeks. We’re surely tipping from “huge delays” to “you will not get treated”. There will obviously be deaths. We can’t even keep up with triaging those in most need. What next?

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

A crucial lesson for NHS workers: don’t ever make the mistake of thinking that going above & beyond at work will be remembered, or count for anything, as soon as you want (or need) to work to rule or say “no”. Applies to so many layers of NHS reality. #NoIsACompleteSentence

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Dr Linda Dykes @[email protected]

@DrLindaDykes

5 years

Cauda Equina Syndrome: missed/delayed diagnosis can be catastrophic for patients. Did you know UK guidelines were updated in 2018 to lower the threshold for urgent MRI? @saspist and I have summarised for EM/GP. PDF available at #FOAMed Please do share!

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

Ah FFS, what hope do we have of teaching the public not to use lateral flow tests when they feel unwell when the health secretary @sajidjavid opens video by cheerfully explaining that’s exactly what he did (implying that if it had been negative, he’d have cracked on) 🙄

Tom Harwood

@tomhfh

3 years

🚨BREAKING: Health Sec @sajidjavid is isolating at home after testing positive for Covid-19.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

I'm still thinking about the elderly lady in the ED corridor I avoided making eye contact with on Tues. I walked past because I was hungry, tired, & trying to get home 2 hours late. She was on a chair looking lost. I wish I'd had the energy to stop and offer her a cup of tea. 😢

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

Today in handover, one of our juniors said “there is a fracture” and I started to laugh, and I kid you not…. everyone looked at me like I had three heads. #IfYouKnowYouKnow - another generation has entered medicine since this 2010 classic.

orthopedia vs anesthesia (orthopaedics, anaesthetics conversation)

This is a work of fiction. No harm intended. No registrars or patients were harmed during filming of this video. Any similarity to real life events is entire...

www.youtube.com

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

… and cases like #Eriksen are why *everyone* should learn CPR, because when it works it is little short of a miracle. But everyone should also learn about DNACPR, and recognise there will come a time for us all when CPR wouldn’t work and shouldn’t be tried. #havetheconversation

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

If you work in UK Emergency Medicine or pre-hospital in a UK ambulance Trust, can you share how you are’re feeling right now… with traditional peak of demand still 4 weeks off? @SteveBarclay do you even understand the magnitude of this crisis with every wave of it getting worse?

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

Many people are puzzled about why the percentage of patients admitted to hospital with #COVID19 who have been vaccinated is going up rather than down. TLDR - this does NOT mean that vaccines don't work. PDF at Please share! #FOAMed #GetVaccinatedASAP

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Dr Linda Dykes @[email protected]

@DrLindaDykes

7 months

Do patients in England realise that govt guidance is that NHS staff with covid basically ignore it & work as normal (incl. face to face patent care, with no requirement to even wear a mask - though one hopes most do) OR go off sick, despite punitive sickness absence policies?

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

This is a bloody stupid idea. In fact it is beyond stupidity. It is verging on insanity. Is it really beyond the wit of man to grasp the need to unblock flow right through the system? Expanding ED without a magic staff tree will result in dead patients.

A&Es to set up ‘arrival lounges’ to slash waits in ambulances

Airport-style “arrival lounges” are being trialled in London A&Es in a bid to stop patients spending hours stuck outside in ambulances, the Evening Standard can reveal.

www.standard.co.uk

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

I think it’s very important to dispel a few myths about pigs. Meet my friend #FergieThePig !

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

“Nightingale Surge Hubs” will do f*ck all because we are fast running out of staff. Surely even your most junior media liaison person can tell you the optics (let alone reality) of allowing NYE parties whilst setting up tents in hospital car parks is an utter disgrace? 🙄

Sajid Javid

@sajidjavid

2 years

Thank you to our health workers working tirelessly on the frontline to deliver for patients every day. Nightingale surge hubs will help prepare us for any scenario but I urge everyone to #GetBoostedNow - to help ensure these hubs do not have to be used.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

5 years

@haaohaoo @feline_charm @nowthisnews As if that wasn’t bad enough, did you hear the fear in his voice when he said something about not being the next person that the police kill?

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

One of the Welsh Emergency Medicine family has died 😢

Phil Pembrey Circuit

@PhilPembrey

4 years

Our thoughts and condolences go out to Jeremy Williams’s family and partner, who sadly passed away today. Jeremy was a brilliant emergency consultant who enjoyed his Rugby & Motorsport but more than that he was an absolute Gentleman. He will be sadly missed 🏉🏴󠁧󠁢󠁷󠁬󠁳󠁿🏁RIP good Friend!

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

The #ClocksGoBack tonight, and that's the cue for the *entire UK population* to start taking Vitamin D until spring. It's been official NHS advice to do so for several years (nothing to do with #COVID19 !) but it isn't well-known, so please do share:

Vitamin D

Find out about vitamin D, including what it does, how much you need, and how to ensure you get enough.

www.nhs.uk

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Dr Linda Dykes @[email protected]

@DrLindaDykes

5 years

Admit it, docs-who-aren't-geriatricians: when someone says "OT", I bet you think "equipment" 😳 OTs do so much more than that & are increasingly found in emergency & acute care settings (including prehospital). #LoveyourOT #NotJustAboutEquipment #PracticalProfessionals #FOAMed

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

I’m very sad about the death of HRH Prince Philip, and even more sad for the Queen, but I think 8 days of official national mourning is both excessive, and disrespectful to the tens of thousands of families unnecessarily bereaved by covid due to an inept UK govt response.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

Have survived. Vast majority of a seemingly vast number of patients were absolutely lovely and very stoical. It may not have been the care we want to give, but we did the best we can in the situation we find ourselves in. So very proud of the team today… you were amazing xx

Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

Right… time to head in for my bank holiday EM shift. Can’t pretend I’m not feeling very, very apprehensive. It was a post-Christmas BH shift that drove me out of full-time EM (and that would’ve been considered a pretty good shift these days).

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

Stumbled across a thread this morning that confirms that the same people who are objecting to lockdown/masks and are complaining about disruption to NHS services, are also whinging about plans to get the country COVID vaccinated ASAP. What the fuck *do* they they actually want?

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Dr Linda Dykes @[email protected]

@DrLindaDykes

11 months

My adored pet #GooseyLucy has died. My heart is broken... I didn't realise she was ill until it was too late (we thought she was just broody). I know she had a great life, but should have lived till her teens 😢 Goosey Lucy: 8 May 2022 - 10 June 2023

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Dr Linda Dykes @[email protected]

@DrLindaDykes

6 years

A black American pastor getting into his stride, c/w arm waving and passion and facial expression and a bit of yelling... at a #RoyalWeddding at Windsor Castle. Bloody brilliant.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

I'm sick of this fucking virus. I'm sick of being scared (though I'm lucky to be day 7 post-vaccine dose 1, and hopefully good protection starts kicking in next week) and I am sick and VERY angry at the govt incompetence that has made things so much worse than they needed to be.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

7 months

Regrettably I will be striking from 0700... in real terms, I earn roughly the same - after 18 years as a consultant - as I did towards end of Registrar training (Band 2A/sometimes Band 3 rotas). Newly appointed consultants on equivalent of not much more than I had as Yr 5 SHO.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

And now his story has drawn to a close. A long life, well lived. A family man, a stalwart of the local church. A musician, hill-walker, friend to many, allotment-holder. A husband who hated fuss: right to his death spared mum any drama. A dad. My dad. And I love you, daddy. xx

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

If I ever win the lottery I think I would like to set up a charity and have accessible, assisted bath facilities for frail elderly people who can no longer manage baths in their own home. A soak in the bath is a pleasure denied to so many older people.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

Ambulance delays are problematic across the whole country, but why aren’t we pointing out to the public that if they live a mile from hospital & have access to a car, then - unless CPR ongoing or injury precludes - they’ll likely get there quicker than a Cat 1 on a good day? 🤔

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

People got used to using condoms when AIDS came along. Would it really be so terrible in years to come to pop a mask on in crowded indoor places, or on public transport, whenever #COVID19 is circulating significantly? (see also - flu).

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Dr Linda Dykes @[email protected]

@DrLindaDykes

6 years

Do Something About Delirium - Top Tips to help you spot it. Brought to you by @dan26wales and jazzed up by yours truly... we'd be very grateful for your help sharing the message! #DoSomethingAboutDelirium #Delirium

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

I’d recommend repeating this with half the number of chairs, no tea or coffee, full bladders and a soundtrack of people moaning and crying and being interrupted with a ringing phone and people shoving ECGs under your nose every few minutes.

Rishi Sunak

@RishiSunak

1 year

Today I hosted the NHS Recovery Forum in Downing Street with clinical leaders, health experts and ministers. We are determined to ease pressure on the NHS, ensure better care for patients and deliver our promise to cut waiting lists ⤵️

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

Now obviously that’s a very short-term job, and it’ll be tough (outdoors, all antisocial hours) etc etc. But I use it to illustrate that market forces are alive & well in the labour market, and yet NHS & social care can’t/won’t even acknowledge this.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

Yup… If 🤦🏼‍♀️ nurses 🤦🏼‍♀️ and 🤦🏼‍♀️ doctors 🤦🏼‍♀️ were 🤦🏼‍♀️ paid 🤦🏼‍♀️ and 🤦🏼‍♀️ treated 🤦🏼‍♀️ well 🤦🏼‍♀️ there 🤦🏼‍♀️ would 🤦🏼‍♀️ not 🤦🏼‍♀️ be 🤦🏼‍♀️ routine 🤦🏼‍♀️staffing 🤦🏼‍♀️ gaps 🤦🏼‍♀️ needing 🤦🏼‍♀️ expensive 🤦🏼‍♀️ agency 🤦🏼‍♀️ locums 🤦🏼‍♀️ - see also “what scarce and skilled staff are worth on the open market” #payrestoration

Nuwan Dissanayaka

@nuwandiss

1 year

Entirely down to Tory choices

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Dr Linda Dykes @[email protected]

@DrLindaDykes

5 years

One of the ward nurses in Ysbyty Gwynedd was killed in an RTC a few days ago & the @YGEDBangor nurses (who are busy & tired at this pressured time of year in ED) are organising to cover the ward over the funeral. I just think that’s bloody lovely.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

Around half of the frail elderly medical patients in hospital today will be dead one year from now. So about half of those stranded in hospital awaiting care packages are going to be deprived of their final Christmas with their family. Months wasted in their final year of life 😢

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

Many people are puzzled about why the percentage of patients admitted to hospital with #COVID19 who have been vaccinated is going up rather than down. TLDR: this does NOT mean that vaccines don't work. Here's a Mk 2 version of our explanation! PDF at

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

I'm wondering which will be the first UK hospital to lie adult patients on the floor in an organised way as there's nowhere else they can lie down (it's almost normal to lay kids down on chairs). Like in a disaster zone. Which is what it is... demand >> capacity.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

EM staff are digging deep: we are doing our best, but we cannot & must not take the blame on our shoulders for a system that’s been deliberately crashed. So much distress within EM today across the country, WhatsApp groups & DMs full of despair: was yesterday horrific everywhere?

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Dr Linda Dykes @[email protected]

@DrLindaDykes

6 years

Just found this on Facebook: Harry Potter & the cranial nerves. Hands up if you have just immediately cross-checked against “oh oh oh to touch and feel” and stumbled at VIII? #FOAMed (according to pic, it’s by Howard A Lloyd/Medbridge)

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Dr Linda Dykes @[email protected]

@DrLindaDykes

9 months

I will be participating in #ConsultantsStrike tomorrow (but I can’t Fri, as I’m on call). I’m not worth a third less than I was in 2010, and I also have a unique skill-set (EM, GP, & 7 yrs exp in acute community Geris). If NHS won’t pay me properly, I’ll seriously look at RoI.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

Anyone else's household planning to reduce/stop indoor social contact again, regardless of vaccination status, until #COVID19 rates reduce again? I'm sticking with outdoors, unless all parties double-vacc'd and windows open. Otherwise mask on or don't go.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

I just went outside and the neighbours were standing outside their houses clapping and wishing me well from over the road. I may have something in my eye. #covid19UK

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

Such a good point ⬇️ the cognitive dissonance between (justified) hyper-vigilance for hospital-acquired infections such as MRSA and C Diff, vs. almost just shrugging at covid, is real, astonishing, bizarre, and makes me very, very angry.

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@ELHopkins

1 year

Tell me how you can take personal responsibility to protect yourself in a hospital if you are undergoing surgery @SteveBarclay 14,000 people have died because of HAI’s of #COVID #BringBackMasks People want to survive hospital not see a smile!

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

I’m going to go and shovel horse shit to decompress after becoming enraged by the Nightingale surge capacity nonsense.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

5 years

Whilst every death from sepsis is a tragedy, it simply isn’t true that every death fron sepsis is preventable, and it really isn’t helpful to suggest that it is 🙄

Matt Hancock

@MattHancock

5 years

Sepsis kills over 52,000 every year - each death a preventable tragedy. So we’re introducing new guidance to use #data to identify & treat sepsis faster - and save more lives

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

What blithering idiot suggested releasing sky lanterns to celebrate the NHS during #COVID19 ? No, no & no again. Please, please never release sky lanterns “for the NHS” or ANY OTHER REASON - they’ve a fire hazard in rural areas and lethal to livestock and horses! 😡

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

Hearing from intensivist friends in Midlands cities/conurbations that they’re getting slammed by COVID cases, and are now shipping patients out to London. What is so difficult to understand about a finite supply of ICU beds & impact on rest of NHS? 🤔🤷🏼‍♀️

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

A moving account of the late @kimberleystjohn ’s last day, by her husband Sam... she was felled as a consequence of a carotid dissection whilst training. Thank you Brighton ED for taking such care of Kim & her family, it really comes across in this blog.

And now, the darkness

An unrefined, blow-by-blow account of the day the light went out in my life

samwlock.medium.com

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

Anyone else running on a completely flat person-battery? I am so very very tired. Hate midwinter at the best of times.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

Hey @BorisJohnson , I fixed it for you - on behalf of all those front-line NHS workers who are considerably more concerned about people's lives than you appear to be. If people are going to meet up at Christmas, they need to consider the risks. Please be honest. #WillItWait

UK Prime Minister

@10DowningStreet

3 years

We know people want to be with friends and family over Christmas🎄 Between 23 and 27 December, you can form an exclusive ‘Christmas bubble’ of up to three households 🎁 This applies across the UK. More information ⬇️

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

I have a horrid feeling it’s time to fasten our seatbelts for the next part of the #COVID19 journey. That taste of semi-normality over summer might prove very brief.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

6 years

Be bloody careful seeing patients labelled as "flu-like illness": so far this month I've found a big bilateral PE and a disseminated malignancy (different patients) presenting under the "flu" banner. Watch those cognitive biases! #FOAMed

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

Best thing on Twitter today ⬇️ Less then two minutes of your time, I guarantee it’s worth it 🤣🤣👍👍

Channel 4 News

@Channel4News

4 years

“As far as I’m aware she does not have any degree in economics.” “I was and I remain a professor of economics.” This is what happened when a Brexit Party MEP questioned the expertise of Green MEP Molly Scott Cato over post-Brexit trade.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

This is NOT NORMAL. This is desperate ⬇️

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

What’s this nonsense about Boris relaxing the rule of 6 for Christmas? A) you CANNOT treat Christmas as something special after asking Muslims to take one for the team & abandon Eid celebrations and B) unless you preface Christmas with a lockdown, it’ll cause surge in cases.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

6 years

I am honestly at a loss what doctors are meant to do now that following the duty of candour, covering for gaps in rotas or refusing to cover gaps in rotas can now all either land you in court or struck off. Leaving Medicine or leaving UK is going to look increasingly appealing.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

6 years

Top Tips About Delirium #2 : What NOT To Do PDF can be downloaded from ( #1 is there too) - they're #FOAMed : @dan26wales and I would very much like you to help yourself (and spread the word!) #DoSomethingAboutDelirium

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

Many NHS hospitals are either on their knees or heading that way. Why on earth are we even having a debate about upgrading to routine FFP3 use (from FRSM) to bump up protection to staff? Why don't CEOs want to do everything they can to protect staff, and protect their services?

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Dr Linda Dykes @[email protected]

@DrLindaDykes

7 years

I can assure you virtually nobody working in the NHS would make the error of thinking the Tories can be trusted with it!

Telegraph Breaking News

@TelegraphNews

7 years

Labour 'no longer party of NHS' as poll finds voters trust the Tories on health

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

Right #MedTwitter - I’m thinking of creating a presentation about red flags that indicate you’re probably in a toxic organisation. I’ve got my own list from a previous life, but interested to hear yours. NB “Gaslighting” can only be #1 , #2 and #3

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

This book by @charliemackesy , (probably and/or SSRIs) are keeping an awful lot of NHS staff afloat, too.

Beth Matthews

@BethMatthewsz

3 years

My GP has known me since the day I was born & is honestly the kindest, most compassionate man I have ever met. When I was struggling last week, he drove out & left this book on my doorstep with a handwritten note inside the cover. 🥺💜

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

My med school classmate’s death yesterday, just a few weeks after his first symptoms, has galvanised me to live more for the now, in case tomorrow never comes. This may include a “buy the damn pony” moment: I’ve asked a friend to look at a fell pony foal on my behalf tomorrow 😍

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Dr Linda Dykes @[email protected]

@DrLindaDykes

7 months

It is illegal for anyone but a registered farrier to put shoes on a horse. And yet we have PAs doing surgical procedures on people. 🤔

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

A hangover from a childhood where we never went hungry or cold, but money was tight, means I feel bit anxious about the cost of living crisis. And I’m a very high earner cf U.K. average. This must be properly terrifying for millions of people 😢

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

Bright sunny day, first-day-at-school-type nerves as I queue up for my new ID badge for my second consultant post, 15 years to the day since starting my first one! Good luck to all the others starting new jobs today 👍

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

Since I was 5 years old I’ve wanted to look out of the bedroom window and see my own horse grazing…. Today she was in position at the top of the hill for that to come true! #smallholdingdream

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

Well, if @MastercallH were ever short of doctors before, they're gonna be truly stuffed now. Reporting their (Indian) doctor to GMC for something so pathetically trivial that it should have been sorted over a coffee makes them look remarkably like a bullying, racist employer 🤔

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

Round of applause please for @WyeValleyNHS who recently changed their policy on use of FFP3 - no longer restricted to AGPs, WVT also supports staff in patient facing areas wearing FFP2/3 facemasks if preferred. Brilliant response & I hope many more NHS organisations will follow

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

I haven't done one of these #FOAMed snippets for a while... 10 Pharmacology Tips & Tricks - how many did you already know? Download the PDF to access the embedded links, and enjoy an hour's almost-effortless CPD flicking through them:

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

Has anyone asked why the CQC are remaining silent whilst health and social care fall apart? It’s inconceivable they don’t know. But they appear to be doing nothing. Why not?

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Dr Linda Dykes @[email protected]

@DrLindaDykes

5 years

For those who followed the #CautionaryTales #FOAMed thread - how could the first infographic generated from it be about anything other than farmers-as-patients?

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

I’m as sad as everyone else is to hear the news that surely means #TheQueen ’s life is expected to be drawing to a close (if indeed she hasn’t already died). But a peaceful death after a very long life, very well lived is as good as it gets.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 months

I bet #TheKingsProstate biopsy wasn’t done by a PA 🤷🏼‍♀️

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

Can we please add barbers the list of essential key workers? May have struggled with the #cuttinghusbandshair challenge 😳 turns out it’s not quite the same as clipping a horse #whoknew have not dared touch the top 🤣

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

So 12 hours post vaccine dose 1 I’m getting the sore “dead arm” feeling WHICH MEANS MY VACCINE IS GETTING TO WORK! Get in there, my wee cells: take a bloody good look at those spike demo proteins so you can shoot down real fuckers on sight when you see them again... #docsforvax

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

Siri, show me something to illustrate the disconnect between the “NHS improvement community” and the “poor buggers trying to actually deliver care in a system that’s been deliberately collapsed” ⬇️🙄 We’d get a buzz if you fixed social care provision. #FiddlingWhilstRomeBurns

Helen Bevan

@HelenBevan

1 year

There's a buzz within the NHS improvement community about these "6 improvement lessons to apply as winter pressures bite". It's about applying systems thinking & improvement to big challenges, not short term fixes: TY @PennyPereira1 @DrAmarShah #QITwitter

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

Someone here tweeted last week about how awful it is that elderly people nearing the end of their life & admitted to hospital will never see an unmasked human face IRL again. I thought about that at work today and it made me unbearably sad 😢

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Dr Linda Dykes @[email protected]

@DrLindaDykes

3 years

18 years ago today @NeilHarold380 and I were doing this…

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Dr Linda Dykes @[email protected]

@DrLindaDykes

6 years

I wasn't on duty last night, but I hear the NYE night shift in my ED was just the same as everyone else's: stranded medical patients coming out of their ears as the hospital completely full 😢not irresponsible patients: poorly people who needed our help #nhspressure #itcouldbeyou

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Dr Linda Dykes @[email protected]

@DrLindaDykes

6 years

Obviously futile CPR is a terrible thing to do. Subjecting a frail, ill patient in last days of life to hours on trolley in hospital corridor is even worse. We must protect those who deserve right to die peacefully in their own beds. #havetheconversation before it is too late.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

Ah America, it’s been 3 years. And I still love wandering round a pharmacy.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

1 year

If you looked at the dates & thought - as we surely all did - “shiiit that’s going to cause havoc backing onto Easter” - that’s the whole idea. NHS Trust bosses will be freaking out and putting pressure on NHSE. All the govt have to do to stop it is start negotiating honourably.

Junior Doctors

@BMA_JuniorDocs

1 year

11-15 April will be the next round of Junior Doctors strike action in England. The Government is still refusing to make a credible offer - or any offer at all - to resolve our dispute. Read more:

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Dr Linda Dykes @[email protected]

@DrLindaDykes

2 years

This is a very profound message - short video, highly recommended ⬇️

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Dr Linda Dykes @[email protected]

@DrLindaDykes

6 years

This makes me very angry. Children *needlessly* ill. Vaccinate your kids, people. 🙄

Measles warning – Bristol cases soar and infection now ‘widespread’

People have been hospitalised and the health body said it could be ‘serious and life-threatening’

www.bristolpost.co.uk

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

Bittersweet day: I’ve left Bangor ED and many wonderful colleagues after 15 years. Working in a troubled organisation takes a huge toll ( @BetsiCadwaladr now in 6th *year* of special measures) & the organisational culture is unrecognisable from that which I joined. #TimeToMoveOn

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Dr Linda Dykes @[email protected]

@DrLindaDykes

6 years

It can be really difficult to assess severity of illness in kids with Down's Syndrome. Twitter has been awash with tragedies of Jack Adcock, Krishan Saujani & #BawaGarba - now refresh your memory. Infographic produced with @Lizjl78 Download PDF at #FOAMEd

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Dr Linda Dykes @[email protected]

@DrLindaDykes

6 years

Everyone's life will come to an end. CPR is for when a heart stops suddenly and prematurely, not #OrdinaryDying due to great age or terminal illness. We must empower people in the winter of their lives to be able to opt-in to a peaceful, dignified death. #HaveTheConversation

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Dr Linda Dykes @[email protected]

@DrLindaDykes

4 years

If you ever take a referral from a GP that starts with “.... we hardly ever see this patient”, be wary. Be very, very wary.

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Dr Linda Dykes @[email protected]

@DrLindaDykes

24 days

To put this in context, when I did my GP training I was already an EM consultant with 5 years undergrad & 9 years post-grad training… and I still *needed* to ask my trainer something most days. And in EM I discuss with colleagues most days.

Ronald MacDonald

@quackophage

24 days

"when I first started as a PA, I had to see my GP [supervisor] after every patient ... now I only see them every two months or more" 🫠 hey @rcgp if you're serious about fixing this problem you've created, you better pull your thumb out. quick.

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