Dean @Dr_DeanS Twitter profile

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@AirdropEka

Dean

@Dr_DeanS

1 year

If you are wondering why we are striking. This is my payslip right at the very end of my second year as a doctor.

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Dean

@Dr_DeanS

1 year

@vickimoses I understand this frustration and sorry this has happened to you. But these delays are there with out the strikes, as seen with the 2.5 year wait. The strikes are not the cause. The chronic underfunding is.

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Dean

@Dr_DeanS

1 year

But my watch is an infection control risk

BBC Gloucestershire

@BBCGlos

1 year

So cute! 😍❤️ Penguins visited these patients in hospital for Christmas 🐧🎄

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Dean

@Dr_DeanS

1 year

I'm a doctor. My partner is a doctor. We are both at the same point in our training. We have no guarantee that we can live in the same area when we enter further training. We could end up opposite ends of the country. I've trained for years and the system couldn't care less.

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Dean

@Dr_DeanS

1 year

This is the same month I paid £565 for exams that at the time gave me extra points for application. But after sitting exams and passing both, the college decided to remove the extra points I receive no reimbursement for these, despite the fact they are compulsory fir progression

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Dean

@Dr_DeanS

1 year

A few replying "well you knew, if you don't like it, leave" That's the problem. Doctors are leaving and in huge numbers.

British doctors and nurses help drive record migration to Australia

Australia’s population is surging amid record migration as the government lures Britons to fill skills gaps with the prospect of tripling their incomes.Laurel

www.thetimes.co.uk

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Dean

@Dr_DeanS

2 months

So the same man who claims that junior doctors are paid incredibly well also states that £100k is not a huge salary. He's got no idea what even comes out his mouth

Sky News

@SkyNews

2 months

BREAKING: £100,000 a year 'not a huge salary', chancellor claims

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Dean

@Dr_DeanS

1 year

@COSMakin Which would be about £3,200 with inflation. It's almost unbelievable how little the pay has changed

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Dean

@Dr_DeanS

1 year

MP salaries have risen by £20,000 since 2011 We are asking for full pay restoration for almost the same period of time. So @SteveBarclay can you explain why all MPs are worth a £20k pay increase but junior doctors are not?

Shaun Lintern

@ShaunLintern

1 year

📢 @DHSCgovuk responds to @BMA_JuniorDocs saying 35% pay rise ask is unreasonable - Negotiations will only happen if BMA is "prepared to move significantly from this ask" and if it suspends strikes and agrees to talks in private. #JuniorDoctorsStrike

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@Dr_DeanS

1 year

I do not want a lump sum payment of £1,000 I want to paid for my worth going forward A lump sum is an insult #PayRestoration

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Dean

@Dr_DeanS

3 years

I can't believe this time last year, I lost my job as a waiter. Then within a day started working at co-op. Then within 4 days got asked to start working as a doctor 4 months early because of a global pandemic.

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Dean

@Dr_DeanS

2 years

One of the ward sisters just pulled me aside to tell me that Lots of staff have given really good feedback about me and how efficient things have been since I've been on the ward. It's honestly made my day

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Dean

@Dr_DeanS

3 years

I got paid £11 per hour as a waiter at uni. I'm now paid £13.50 per hour as a doctor. This is not meant as an insult to any waiters. But my responsibilities now as a doctor far outweigh those that I had when I waited tables, however my pay does not reflect this change

Paul Southall

@pjsouthall

3 years

Final thought on NHS pay in general. The argument that medicine/care work is a ‘vocation’ (ie - we should pipe down and accept whatever we’re offered) belongs in the 1950s It’s a job - albeit one I’ve trained for 20 years to do and that I love. Claps alone don’t pay the rent

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Dean

@Dr_DeanS

1 year

"BUT you're in training" My job role during my first two years: - responding to cardiac arrests - Solo GP clinics - taking referrals for burns, wounds and hand injuries. Managing them on my own. - reviewing major life threatening burns - solo ward rounds of 30 patients

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Dean

@Dr_DeanS

17 days

Had a student nurse call me overnight about a poorly child on the ward. She gave me an amazing SBAR. I found her afterwards to let them know and filled out their portfolio with my feedback. It made me realise how I need to give people positive feedback as a routine

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Dean

@Dr_DeanS

1 year

- telling people during COVID they had a 50% chance of waking up after we intubated them - working 12 hours in full PPE, not eating, drinking or weeing. - harming my health with shift work - trying desperately to provide the best care as conditions just get worse and worse

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Dean

@Dr_DeanS

1 year

- managing heart attacks, blood clots and haemorrhages - being there for people as they take their last breath - telling their family and loved ones their relative has died - breaking bad news - facilitating people's last talks with family over facetime

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Dean

@Dr_DeanS

1 year

It's a strange thing a junior doctors salary. Everyone thinks we're loaded. You tell them how much you really earn and it's met with 'well you'll earn more eventually' you explain how long that will be and how much debt. Then it's well it's more than others earn

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Dean

@Dr_DeanS

1 year

@Michelledudd And you deserve way more than you do too Michelle. We all deserve more By multiple public sector workers taking a stance it sends a huge message to the government that we all deserve better. It's not a race to the bottom. Be angry at the government not me

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Dean

@Dr_DeanS

2 years

Someone has just sent their resignation via email to every single doctor in the Trust

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Dean

@Dr_DeanS

2 years

We have a suprisingly manageable wait in ED so the consultant has sent me home an hourly early and honestly, with only having 1 day off this week. That extra hour has made my week.

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Dean

@Dr_DeanS

1 year

So I did something crazy

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Dean

@Dr_DeanS

2 years

My inbox is starting to fill with job vacancies for Australia £55k base salary for 76 hours per fortnight. OOH additional pay. Part relocation expenses paid. Visa sponsored. Less hours, for more pay, with more teaching and better weather. It's becoming hard to resist

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Dean

@Dr_DeanS

2 years

Sometimes I worry that doing paediatrics I'll never see any adults again. Then I do a ward round and it involves asking what their favourite cereal is and it's coco pops and then the 2nd favourite is coco rice Then I realise I never need to see an adult again in my life

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Dean

@Dr_DeanS

1 year

Nurses and midwives please stop going on national news saying you don't go in to it for the money but the calling. As soon as you put forward this argument your undermine your requirement for a payrise. You are worth more. You should earn more. You deserve more. End of

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Dean

@Dr_DeanS

2 years

My beautiful nan died today. This was the last time I got to sit next to her and give her a cuddle in July 21. Last time I saw her was through a window in winter and my visit on Tuesday was cancelled due to a covid outbreak. I'm sorry you were alone. Give Grandad a hug for me x

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Dean

@Dr_DeanS

3 years

I'm looking at cleaners, local services want £22p/h fair enough this is their worth. But why as a Doctor am I only worth £16? BTW I have nothing against cleaners earning this, my question is how doctors have become so devalued over time. PS it's not a vocation I pay rent & bills

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Dean

@Dr_DeanS

3 years

To the nurses who have come over from @Bham_Childrens to help at @qehbham thank you so much. Volunteering to come to a full PPE AGP adult area is very brave and very much appreciated. I hope you feel welcome! Thank you

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Dean

@Dr_DeanS

1 year

What I have never understood with the rhetoric that we can afford to pay NHS staff higher wages. We are already paying it in agency/locum fees. Pay substantive posts appropriately, reduce your locum/agency spend.

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Dean

@Dr_DeanS

1 year

Also as an FYI to any media outlets, because I've had a tonne of requests today. Please direct all your queries to @TheBMA and their dedicated media enquiries. Thanks

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Dean

@Dr_DeanS

2 years

Just a reminder if a patient wants to self discharge they can. A hospital is not a prison in which we must keep someone until we think they can leave.

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Dean

@Dr_DeanS

1 year

@sheneybird1 Thank you We don't want to do it. But unfortuantely the government have forced it

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Dean

@Dr_DeanS

1 year

@cowjam

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Dean

@Dr_DeanS

2 years

Locum done. Reason I did it, to pay for a tumble dryer. What have I become

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Dean

@Dr_DeanS

2 years

I got told a 5pm discharge was inappropriate this week. We should aim for before 11. I was the only doctor on the ward. That morning I'd been with a sick patient for an hour whilst their systolic was 60. I finished my WR alone, made the decision another pt was fit for discharge

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Dean

@Dr_DeanS

2 years

Was told by a senior that I was a sensible doctor, reading that silly tweet about staying late all the time. Made me realise, I don't want to be the best doctor, I don't want to have reems of publications or be glorified. I just want to be a sensible safe doctor, is that so bad?

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@Dr_DeanS

2 years

Please don't waste your money. Nuromol costs £4.99 for 16 tablets It contains just ibuprofen and paracetamol. Nothing else. (30p per tablet, 60p per dose) At tesco you can get 16 paracetamol for 29p And 16 ibuprofen for 39p (68p for exactly the same)

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Dean

@Dr_DeanS

2 years

It can't be called a foundation programme and yet expect brand new FY1 to be conducting their own ward round. That is not a training programme. It's throwing people in the deep end with a weight on their back with no life jacket

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Dean

@Dr_DeanS

3 years

I've just realised I've got to the age where I wear a fleece to work. Please forgive me.

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Dean

@Dr_DeanS

2 years

A doctor on location, location, location with a budget of £900k I can't even comprehend

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Dean

@Dr_DeanS

2 years

Imagine any other employer had the number of staff leaving that the NHS does. They would be having crisis meetings. Trying everything to hold on to staff, looking at what they had done wrong, what needs to change. What needs to be done better. Or they'd crash and burn.

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Dean

@Dr_DeanS

2 years

I went to the toilet, knock on the door "Doctor, can I ask you something" Can I please pee in peace.

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@Dr_DeanS

2 years

The more I'm prescribing in GP the more I'm starting to realise the impact this can have on patients. I remember struggling to afford to pay the £10 medication. 2 weekly or monthly scripts are hugely costly for patients, sometimes no alternative. Prescriptions should be free

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@Dr_DeanS

2 years

Why whenever I say I want to be a paediatrician do 9/10 people look at me with despair or sigh. It's becoming quite tiresome. I honestly can't think of a more rewarding career path. I know it's not for everyone but don't shoot me down because of it.

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Dean

@Dr_DeanS

1 year

We're supposed to do a paper form for every cannula inserted (paperless notes) I asked why today? "Well we audit it" for what? "To see how often its completed" But no other reason that to check that the form has been filled out. Why waste everyone's time?

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Dean

@Dr_DeanS

2 years

I got to see my nan today for the first time in months, through a window and only for 10 minutes she was too tired for any longer. But to see her face light up when she realised who I was made it all worth while. She even managed to blow me a kiss just like when I was a kid.

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Dean

@Dr_DeanS

2 years

Am I the only one who thinks pharmacists would probably have better antibiotic stewardship?

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Dean

@Dr_DeanS

2 years

Love walking home in a blizzard post nights.

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Dean

@Dr_DeanS

1 year

@surgicalscribe Except its not though is it. Very few jobs require you to constant rotate around large areas of the country with little choice in where that takes you I'm glad your happy to accept shitty conditions. I'm not and allowed to have an opinion on it

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Dean

@Dr_DeanS

2 years

No where open at 8pm to get food at work. Nothing. Only thing is a chocolate bar from vending machine. I finish at 11pm and all the shops near me will be shut. I've got nothing at home either. 👍

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Dean

@Dr_DeanS

1 year

@nickengland78 I'm not in final salary pension. That has been removed for us.

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@Dr_DeanS

2 years

Honestly what has this cat become. This is him after rolling in, who knows what looking like he's eaten another 3 cats

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Dean

@Dr_DeanS

2 years

I'm just a doctor, sitting infront of a computer, just wanting to log in

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Dean

@Dr_DeanS

2 years

Just seen my last patient as an F2 That's it Foundation training done. What a 2 years its been. Dominated by COVID. Now for a year of locums and travelling

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@Dr_DeanS

9 months

We were looking at start getting the bus to work as it's so convenient for most of our shifts. Turns out it will cost £8 per day each for a 20 min journey. On average about £340 a month for the both of us. It's cheaper for us to buy a second car. Public transport is broken

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Dean

@Dr_DeanS

2 years

My biggest pet peeve is "They lack capacity" FOR WHAT?!

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Dean

@Dr_DeanS

3 years

How I've spent most of my Bank Holiday

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Dean

@Dr_DeanS

2 years

4 months of ED completed for FY training. I enjoyed it but realised that as a career its very much not for me. I know the rotas improve but I could not face working like that for another few months let alone years. I'm exhausted. I've had a few thoughts on my time

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Dean

@Dr_DeanS

2 years

First full ED shift complete, I'm mentally fatigued. I've seen a suicide attempt, chest pain, epigastric pain, pubic pain, back pain, head injury amongst others. So many decisions and recalling variety a different knowledge Someone tell me it gets a bit easier

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@Dr_DeanS

1 year

I always hate this admiration of skinny women who've had children. The same for ripped dads. They are always, without fail, people with personal chefs and trainers. Of course they can do it. Give these people the budget and time of a regular mum/dad.

Canellecitadelle

@Canellelabelle

1 year

40 years old. 3 children. 😮‍💨The clean lines of her silhouette are insane. We were expecting Sweet Catherine and HRH the Princess of Wales showed up. And we are still picking our jaws from the floor, honey..🤩💚🔥🔥🔥

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@Dr_DeanS

3 months

I don't think I'm being unreasonable by saying that the person who is putting me to sleep, responsible for my life whilst I'm asleep. Responsible for making sure I'm safe to have an anaesthetic and deal with unforeseen complications during that period should be a fully trained dr

Dr Done

@Dr_Done_

3 months

I retract my statement. I’ve just discovered what is covered in AA training, and we’re all good - examine away. Kidneys, liver AND blood!

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Dean

@Dr_DeanS

2 years

I'll never forget when I asked a medical student how they are reading an ECG. They looked me straight in the eye with disgust and said "With my eyes" 😭

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Dean

@Dr_DeanS

2 years

Applying for a new passport as its expired, have to send of my GMC Certificate as confirmation of title, though I think my tape of choice to seal the envelope provides more evidence

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@Dr_DeanS

2 years

The scenes prior to a CQC visit always make me laugh. Painters in, suddenly new trolleys appear, nursing director scrubbing blue tac off the wall, infection control washing all the trolleys. Why do trusts always put on a front?

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@Dr_DeanS

3 years

First long day of 4 on adult medicine. Things I learnt 1) tickling is not appropriate anymore 2) no one cares about Peppa pig 3) dinosaurs are not acceptable conversation starters 4) a fart is no longer cute and funny

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@Dr_DeanS

1 year

I love how most of the replies to this suggest I'm the problem because this is the system. Not thinking maybe that a change to the system might benefit alot of people. But no, because its always been terrible it must remain terrible because "we went through it"

Dean

@Dr_DeanS

1 year

I'm a doctor. My partner is a doctor. We are both at the same point in our training. We have no guarantee that we can live in the same area when we enter further training. We could end up opposite ends of the country. I've trained for years and the system couldn't care less.

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@Dr_DeanS

3 years

As a teenager I was expelled from my science classes, I didn't take one science A-level and I never wanted to go to university. Two degrees later and today my certificate for full registration as a medical practitioner arrived. I wonder what 15 year old me would say

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Dean

@Dr_DeanS

11 months

I'm so fed up of people saying oh well mortgage rates were over 10% in the 70s Yes they may well have been. But 10% of 40K is not the same as 10% of 400k is it.

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Dean

@Dr_DeanS

2 years

I've had to delete my tweet, it was a tongue in cheek tweet but too many people stating I'm making fun of patients, a few predictably deciding to tag the GMC. The amount of patients who've called me or my colleagues a c*** trust me it's 100% non-identifiable but hey

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@Dr_DeanS

2 years

Few weeks into GP I'm finding it clinically one of my hardest jobs. Maybe as its end of Foundation so expectation of myself is higher. But there is nowhere to hide, patients often want an answer there and then and often I won't know it. Which I try to explain.

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Dean

@Dr_DeanS

2 years

Patient seen 2ww, during appointment another lesion noted that needs 2ww. Clinic can't take photograph as not in initial referral. Advised back to GP for another referral and another appointment. Make it make sense.

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Dean

@Dr_DeanS

2 years

It should not be underestimated how huge this is. Nurses are striking for the first time EVER. There should be no doubt that @Conservatives are solely to blame for this. Our nursing colleagues have no other choice.

Pippa Crerar

@PippaCrerar

2 years

EXCL: Nurses across UK vote to strike before Christmas in first ever national action - by ⁦ @JonUngoedThomas ⁩

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@Dr_DeanS

3 years

When people ask "Why on earth would you want to do paeds?"

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Dean

@Dr_DeanS

2 years

After a turbulent few years with lockdowns, horrible shift patterns, starting citalopram and since coming off. I became the heaviest I'd ever been in my life. In the last 75 days I've lost 12kg and in the best shape I've been in years. Thanks @6PackRevolution

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@Dr_DeanS

2 years

I started taking fexofenadine now it's OTC Is this how you non-hayfever sufferers have been living all these years?

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Dean

@Dr_DeanS

2 years

This is only to stop the pictures of him drinking wine in the garden being plastered all over them

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Dean

@Dr_DeanS

2 years

The obsession with AM discharge is wrong. We should discharge once ready, most people are safe to go home in the afternoon/evening. Some are obviously not. I always prep my TTO/letter where known the day before, but I can't predict the future

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@Dr_DeanS

2 years

Hanging up in the staff room. I have some concerns

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@Dr_DeanS

3 years

Finally got to see my beautiful nan today and give her a much needed cuddle

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@Dr_DeanS

2 years

@Rob_Kimbell I've paid for my education. I'll decide what I want to do with it after. A medicine degree does not mean that I even have to work as a doctor. Make the working conditions comparable to Australia and we will be incentives to stay. Carrot not a stick.

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@Dr_DeanS

2 years

How is thay care homes can just refuse to have a patient come back to them following an ED visit? Is it even legal? If it is, it's a pretty shitty thing to do to someone.

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@Dr_DeanS

3 years

I was always so scared about how others would perceive me as a gay man. My twitter verse is small, but it's so nice to know that the majority of people I come across are accepting, loving and carefree of others choices. It makes me wish I had stepped out sooner.

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@Dr_DeanS

2 years

Whenever I do an AMT and ask Who's the current prime minister? I get an answer along the lines of "That idiot, with the scruffy hair, knobhead"

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@Dr_DeanS

1 year

Got my top choice deanery. Paediatrics ST1 in Thames valley

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@Dr_DeanS

3 years

First time ever donating plasma today I drank so much water in preparation and I've been hooked up to this machine for 40 minutes trying not to wet myself

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@Dr_DeanS

5 months

Become a doctor they said. You'll have a guaranteed job for life, they said. You'll never be out of work, they said.

Dr. Zain Khan

@ZainKhanMed

6 months

The 4:1 competition ratio for IMT has been deliberately manufactured. The market is now flooded with SHO-level doctors who have no choice but to work cheap Trust grade contracts while they wait for a place to open up. We have a doctor shortage, but they won't let us train.

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Dean

@Dr_DeanS

3 years

I think one thing that is never discussed enough with medical students, people considering medicine and the public. Is that we genuinely, as juniors, can not plan our life more than 4 months in advance(max) By the end of a rotation, sometimes not more than 3-4 weeks. It's tough

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@Dr_DeanS

2 years

Called a patient. Me:"how can I help you today?" Them: "well you called me, so you tell me!" Me: "erm, OK, did you not make an appointment?" Them: "well yes, but you called me"

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@Dr_DeanS

2 months

I have now got to a point where I am actively telling my loved ones to ask for a qualified HCP in their interactions with healthcare. I can not in good faith, pretend that a PA is a qualified substitute. I have no regrets telling my family to reject PA care in GP or ED settings.

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@Dr_DeanS

3 years

Another patient almost refused me to cannulate them because I was a junior doctor. Once I explained I'd have easily done 300 this year. But I'm sure the surgical consultant would love to come and do it.

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@Dr_DeanS

2 years

So 800 doctors on reserve list. We're chronically understaffed everywhere. This is the number of locum shifts I've been asked to fill just today in 3 hours. This isn't a one off, it's every single day this number of emails asking for help. I don't understand

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@Dr_DeanS

1 year

So there's a lot of people who have suggested the solution to this is one of two options 1) give up my career 2) leave my partner I didn't realise I had it so good

Dean

@Dr_DeanS

1 year

I'm a doctor. My partner is a doctor. We are both at the same point in our training. We have no guarantee that we can live in the same area when we enter further training. We could end up opposite ends of the country. I've trained for years and the system couldn't care less.

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@Dr_DeanS

1 year

@Leaper81 No guarantee of progression. Many people can not get training posts around the country Will continue to be a 'junior doctor' for another 8 years. So will be a minimum of 13 years after I qualified as a doctor to become a consultant.

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@Dr_DeanS

3 years

I supervised two medical students last night do a full medical clerking. It was only after they asked my grade. I've never seen two people look more disappointed as I explained I was an F1. Which meant I couldn't sign them off. (I hadn't realised this prior)

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Dean

@Dr_DeanS

8 months

Guess it's official now then

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Dean

@Dr_DeanS

1 year

Bloods, ecg, refer medics is not a plan

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Dean

@Dr_DeanS

1 year

@DHSCgovuk Here is my payslip from end of F2 £16.30 an hour You've decided to use an figures which would include the weeks we work 70 hours, creating an average of 48 hour weeks. 10 more than a standard FT Hardly a fair comparison