Elizabeth Farah @EMdocFarah Twitter profile

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Elizabeth Farah

@EMdocFarah

23 days

Saw 3x high blood pressures in A&E over night sent in by pharmacy first and 111. The highest BP was around 180/95, nothing to suggest end organ damage. Did everyone get a memo that I missed? Why are these patients suddenly being sent to A&E? What am I going to do at 3am?

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Elizabeth Farah

@EMdocFarah

3 months

My only criticism of #BREATHTAKING - it’s far too realistic. I remember when we were told to aim for lower oxygen saturations because of fears about running out of oxygen. I wrote a goodbye note to my daughter, just in case.

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Elizabeth Farah

@EMdocFarah

23 days

@ankitkant The refer to A&E if acute symptoms is doinv a LOT of heavy lifting there. It needs to define both symptoms and acute. Feeling generally unwell is a reason for the BP to be high, unlikely a symptom of the BP! Can’t tell you how many patients in our WR have these BPs!

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Elizabeth Farah

@EMdocFarah

23 days

@crackinggems You absolutely did the right thing. If you have a concern about your health that’s what we’re here for! My concern is when other healthcare professionals start sending things that are best served elsewhere.

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Elizabeth Farah

@EMdocFarah

23 days

@Elisabe99770240 3am by the time they’re seen… Unfortunately a few hours in the waiting room is not a good treatment for high blood pressure…

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Elizabeth Farah

@EMdocFarah

4 months

@DuchessSexpert Access to abortion is a necessity. Your choices as a legislator aren’t, people can have abortions or they can’t. Your choices are to as a leader make it safe for women, or to have it be exploitative and dangerous. Just read any history book on this. Idealism hurts people.

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Elizabeth Farah

@EMdocFarah

3 months

@docxusofficial The better question is - why does AI think we are so well staffed?!

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Elizabeth Farah

@EMdocFarah

6 months

@glurcher @DrRobgalloway As an A&E registrar, I have a very unhealthy lifestyle. I don’t drink and I don’t smoke, but constant stress and shift work takes it’s toll. Doth the bell roll for me? Who is deserving of healthcare?

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Elizabeth Farah

@EMdocFarah

2 months

@JanjuaAdam @BBCHughPym Most of the patients I see in A&E day to day actually need to be there… The few that maybe could have seen their GP frequently will not have tried… Ironically because of messaging like this.

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Elizabeth Farah

@EMdocFarah

1 month

@DrRobgalloway @NHSEngland I so hope you’re wrong about that job - NHSE needs passionate clinicians who aren’t afraid to be critical amongst its ranks.

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Elizabeth Farah

@EMdocFarah

4 months

@dr_dru_ It makes me so SO mad. It’s this bad every day, why does it only matter to everyone today? “Well it will make it worse”. No. It’s not worse. It genuinely, if anything, is better on strike days. Care all the time or don’t give two figs at all but don’t pretend it’s about safety.

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Elizabeth Farah

@EMdocFarah

23 days

@eoconor209 It’s in the water… Wish me luck tonight! I’m afraid to check my own BP TBH.

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Elizabeth Farah

@EMdocFarah

22 days

@ZeshRehmani They didn’t need same day bloods and ECG… They just needed a relatively non-urgent appointment at their GP surgery.

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Elizabeth Farah

@EMdocFarah

2 months

@drruthannharpur @Portfolio_GP I am the mum who needed to hear it was okay to neglect that stuff. The mantra, in my experience, was actually “focus on you, pick what is important to you and the other stuff can rot, and that’s normal”. I felt so much better knowing that. Housework rotted, but I had long baths.

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Elizabeth Farah

@EMdocFarah

4 months

@Parody_RCGP Absolutely not. Severity doesn’t matter. It’s the character of the pain and duration that matters. If you’ve got someone who has a weird heartburn feeling that makes them nauseous, they had it for a couple of hours and they’re a 60 year old smoker…. I mean clearly?

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Elizabeth Farah

@EMdocFarah

1 month

@walsh_joe I think it probably SHOULD be the lowest acceptable level of care - in that clinically it is important that these patients get these investigations in the right time frame. Also very important for RCEM to call it out and say - no way we can make this happen right now.

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Elizabeth Farah

@EMdocFarah

5 months

@NicholasTyrone Is this supposed to imply he works really hard? Or that when he can goof off he does? Very conflicting messaging… Also, doesn’t he have two young kids and a wife? Maybe instead of bowling coke cans go home and see the kids? Just… I don’t understand.

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Elizabeth Farah

@EMdocFarah

3 months

@FrankCoffey26 @mmamas1973 @parthaskar @RCPhysicians @FPARCP @NHSEmployers @trishgreenhalgh @UKGastroDr @DrLKVaughan @iDrSunny @AntonEmmanuel2 @Rezaidi @DrAsifQasim @RowanHarwood @NHSE_WTE As an EM ST5 I am dismayed that I have endured such madness over 16 years of education to get to my current level of practice, when if what you say is true I could have foregone most of that. ACPs have different abilities. I have mine. We cannot substitute one another.

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Elizabeth Farah

@EMdocFarah

4 months

@EdTurnham The mad part is it doesn’t cost the taxpayer any less. It costs the surgery less, as they get the funding from a separate pot, but to the taxpayer it’s probably cost neutral at best. This seems like a really poor way to allocate taxpayer money. Separate funding pots need to go.

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Elizabeth Farah

@EMdocFarah

4 months

@dave_dlt We have done the same - a lump under my daughter’s armpit. Thankfully reactive nodes that took a while to resolve but in order to get a timely ultrasound went private. Not everyone can and it was a stretch for us. Our private health insurance didn’t cover the cost.

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Elizabeth Farah

@EMdocFarah

2 months

@anticeleb1982 @CrackedPot7 @toothfairyblog Even if I were to agree, which I don’t, he is still a child and therefore not responsible. He has a right to access healthcare including dentistry. Let’s say his parents are massively neglectful hypothetically, and that has resulted in his condition. He still needs treatment!

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Elizabeth Farah

@EMdocFarah

13 days

@DrEvans_Health All anyone can take from this post is that the person taking that photo and posting it has no respect. No one deserves to be shamed like this, especially not a healthcare worker doing their job.

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Elizabeth Farah

@EMdocFarah

18 days

@UKGastroDr I agree hospitals are not well funded. We need better funding and more beds too. But GPs seem to have been squeezed in all directions. I was shocked to hear about A&G, some of the frankly inappropriate rejections of referrals, & can’t imagine being a patient stuck in the gap.

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Elizabeth Farah

@EMdocFarah

6 months

@Lawrenc28443726 @TheDA_UK I’m afraid I don’t think this argument follows. Think of a public consultation as a piece of research designed to understand people’s points of view, not a vote. There was clearly some selection bias in the OG consultation. Poor research - discard findings and re-do.

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Elizabeth Farah

@EMdocFarah

2 months

@Davidchapm35998 @caroll_ste87889 It’s impossible to do a chest drain without causing a pneumothorax? By definition - it will cause one if the drain is correctly placed within the thorax…

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Elizabeth Farah

@EMdocFarah

2 months

@alisonleary1 @DrSteveTaylor @DrRamiMFikri The paper is about a practice where care was delivered almost 100% without doctors. If you wish to argue that is a good idea, then we need further data to support it but I imagine it won’t be. The current model; NPs providing specific (and valuable) care is not the problem.

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Elizabeth Farah

@EMdocFarah

14 days

@HSJEditor @theRCN It’s more than a little odd to imply that by pointing out other members of the BMA are also in dispute also in some way denigrates other professions. What power are you referring to? The power that led to the most substantial public service pay cuts being made to consultants?

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Elizabeth Farah

@EMdocFarah

5 months

@ShaunLintern @GSTTnhs Does it reliably predict who will become septic from their infections before they do? If not I fail to see how it will revolutionise care.

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Elizabeth Farah

@EMdocFarah

4 months

I wish I could like this chart x a million!

Dr Tony Goldstone

@goldstone_tony

10 months

@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 23/ So this my pay chart (CPI left); (CPIH right) Fin & Bus. ⬆️ 4.8% CPI, 8.3% CPIH Prof Sci & Tech ⬆️2.5% CPI , 6.1% CPIH All workers, All sectors ⬇️-3.5%, -0.2% CPIH Nurses ⬇️⬇️ -12.8%, -9.8% CPIH Junior Doctors ⬇️⬇️-24.2%, 21.6% CPIH Consultants ⬇️⬇️-23.9%, 21.2% CPIH

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Elizabeth Farah

@EMdocFarah

2 months

@caroll_ste87889 This should be being done anyway. We have morbidity and mortality reviews, and any never events or things that cause harm should be investigated. If you do see harm at work - report it. Regardless of who is involved. Concerning that you think this is not the case?

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Elizabeth Farah

@EMdocFarah

3 months

@alisonleary1 @HSJnews @HSJptsafety 2) Corridor care. Just unacceptable. If anyone says “but there’s nothing we can do about it,” please promptly throw them out of the window. It will be hard, take campaigning and PR and some foot soldiers but it CAN be done and the fact it’s just accepted is a scandal.

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Elizabeth Farah

@EMdocFarah

16 days

@ecgandrhythmRoe RSR complexes with a taller left rabbit ear in V1. Most specific finding for VT (Brugada criteria).

VT versus SVT

An important rhythm distinction between ventricular (VT) or supraventricular (SVT with aberrancy) this will influence your patient management

litfl.com

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Elizabeth Farah

@EMdocFarah

2 months

@RogerWagnerMD @MSharifpourMD Had one in glass revolving doors before… It posed some unique challenges.

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Elizabeth Farah

@EMdocFarah

4 months

@DrSelvarajah If only we had funded the current system properly. Imagine if all of that funding had gone to GPs and social care-we’d all be a lot healthier, have better access to timely healthcare and our loved ones would be well cared for. Novelty is for well maintained, functional systems.

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Elizabeth Farah

@EMdocFarah

2 months

@dr_dru_ Please don’t turn up in my ED… That sounds like a nightmare consultation where both refuse to come see you and I end up referring you to medicine 24 hours down the line.

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Elizabeth Farah

@EMdocFarah

2 months

@natalieben Interesting that the question of scope seems to have been posited as being put down to the royal colleges. It may be that the best place to challenge this is them - safe and restricted scope is what is needed - but also likely to make the idea economically unviable.

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Elizabeth Farah

@EMdocFarah

2 months

@clifford0584 Are you being paid to recruit? 😅

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Elizabeth Farah

@EMdocFarah

3 months

@Lacey817766 @doctor_oxford @ITVX The diagnostics department is an outpatient department. It should have been relatively empty - they were actively trying to ensure the waiting room was clear to prevent transmission.

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Elizabeth Farah

@EMdocFarah

2 months

@gmcuk @drcolinm If there is anything the word “innovation” should be kept far away from it’s the rigorous standards with which doctor’s education is delivered. Nothing novel is r innovative please. Evidence based and methodical much better.

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Elizabeth Farah

@EMdocFarah

3 months

@MerpBurp98803 @Justdavenow1989 Vaccines aren’t injected into the blood stream. They’re injected into a muscle. Exactly like botox.

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Elizabeth Farah

@EMdocFarah

2 months

@joanna_neaves @DrEilidhMaria Staff policy should not require discomfort for you to do your job. If many staff are falling asleep doing the same task, then making them uncomfortable cannot be your solution. Regular breaks and swapping - sure. Access to material so they can stay awake? Yes.

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Elizabeth Farah

@EMdocFarah

3 months

@DrJPGannon @Dr__Sarmy Weekends ARE out of hours? The time commands a premium but there should be a service on those days. It costs more to provide that service on Saturday and Sunday, people SHOULD be paid more for working those days. A favourable contract that reflected that would be a solution.

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Elizabeth Farah

@EMdocFarah

23 days

@hines_stephen Hahaha! Sent in earlier, waited to be seen by doctor until 3am…

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Elizabeth Farah

@EMdocFarah

23 days

@AshJaySa @ankitkant Why is an ambulance being called for an asymptomatic BP of 180?! God I feel for you. Thats an extra £400 minimum right there…

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Elizabeth Farah

@EMdocFarah

2 months

@alisonleary1 @DrSteveTaylor @DrRamiMFikri You are correct, it doesn’t evaluate our current model. You surely know, though, that there is significant anxiety that this paper represents the model of primary care that we are moving towards? I believe that was the OP point. Therefore data like this is valuable.

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Elizabeth Farah

@EMdocFarah

1 month

@Parody_RCGP @mstotty88 To be fair A&E isn’t a bad option, we of course can send in the right direction… Just terrible for the patient who will wait hours and then we will just duplicate your work. We really need an internal directory and a way for GPs to access the bleep system. That might work.

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Elizabeth Farah

@EMdocFarah

4 months

@TomStocks1982 Most of the calculations on this include, in the main, our actual SALARIES whilst in postgraduate training (ie. our pay for working and providing a service whilst working our way up to being a consultant. Like a teacher being paid whilst aiming to be a head). What a farce.

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Elizabeth Farah

@EMdocFarah

22 days

@Pat1194158 Counter question - how would a previously fit and healthy person know their BP spike was of sudden onset? ;) No way to tell really in the patients I saw. Didn’t take their BPs regularly at home.

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Elizabeth Farah

@EMdocFarah

2 months

@markwneale @AmarHujan I believe what you’re describing is someone who owns their own business. Or in other words, an entrepreneur. Do you apply the same ethical standards to all businessman?

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Elizabeth Farah

@EMdocFarah

2 months

Our healthcare system would crumble without good primary care. It is the foundation for any good healthcare system. The new offer is ridiculous. Government is destroying the NHS on all fronts. But inheritance tax? Oh yeah, let’s scrap that 🙄

Jamie Green

@drjamiegreen

2 months

1/ I need to share how bleak Primary Care is. I’m a partner in my surgery and last summer, the CQC rated us as Inadequate and placed us into special measures. #PrimaryCareCrisis ... @BMA_GP

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Elizabeth Farah

@EMdocFarah

3 months

@KyleRoys @TheEMboardround This does mean that A LOT of normal scans get done, but significantly fewer than would have to be done to pick up every case. The front door gestalt is actually quite good, it seems. If you’re interested, we discuss this very topic on the February @RCEMLearning podcast. Fin

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Elizabeth Farah

@EMdocFarah

1 month

@clifford0584 @ranelagh75 I’ve got to be honest - I like the transparency! It’s making me consider ALL of my options and to be able to do that properly everything should be transparent

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Elizabeth Farah

@EMdocFarah

2 months

@rkh_md I feel that this is a uniquely American issue… Applesauce in the UK is just a condiment that we sometimes eat with pork. Not particularly popular. Is it literally like apple jam in America but people take their medications with it?

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Elizabeth Farah

@EMdocFarah

1 month

The only argument I’m hearing when we talk about the needs of departments and service provision, is that we need to end rotational training. There are SO many negative impacts, + on development of skills. Maybe sister hospitals? A DGH paired with a 3’ centre for entire span?

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Elizabeth Farah

@EMdocFarah

3 months

@AllisonPearson @DaveLewisWriter Why does the source of funding change the outcome? Why does a system where tax pays for everyone’s healthcare equate bad healthcare? Hard disagree. Agreed, the NHS is on its knees. Due to misplaced/mismanaged/under funding. The funding model is still the best way to provide care

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Elizabeth Farah

@EMdocFarah

3 months

@dr_irfan_malik It’s awful, but for context - when the waiting room is rammed wall to wall with people sleeping on the floor - multiple times in the night patients will be called, don’t answer, and almost all of them will have just left. It is easy to see how this happened.

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Elizabeth Farah

@EMdocFarah

5 months

@theveindoc @KenCatchpole Unexpectedly, I think we have ended up agreeing on everything and solved the NHS crisis. - Focus on generalists like GP and Geris (retention big part here too, + funding) - Increase bed capacity - When space, start running theatre lists as above Mate, we should run for office!

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Elizabeth Farah

@EMdocFarah

19 days

@mstotty88 I do get that you deserve time off as much as I do. And I’ll take massive hits to get christmas day off (happy to work the night). I’ll work the whole festive period rota to get that one day and see my kids open their santa sacks. I have maybe 16 years of chances for that stuff.

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Elizabeth Farah

@EMdocFarah

3 months

@Dr_Claire_B The narrative around birth needs to change. Even as a doctor I felt the pressure to try for a “natural” birth. Ideology should not be a part of the conversation. We can discuss risks and benefits of all options (Including natural labour), but we need to cut the rest.

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Elizabeth Farah

@EMdocFarah

23 days

@Neal94G @ldndoc @ankitkant You’re right, but does it need to be done same day? Each of these attendances have cost the NHS maybe into the thousands by the time they’re done - and really they could have just been started on amlodipine in the community.

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Elizabeth Farah

@EMdocFarah

2 months

@gmcuk @drcolinm This is a false equivalence. Just because “the way patients are treated” is changing does not mean the structure of education of a histopathologist, or an emergency medicine consultant, or a paediatrician also needs to change.

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Elizabeth Farah

@EMdocFarah

4 months

@chang3ling123 @miranda_nigel @BMA_Consultants But the majority were against. Over half voted no. Read: A huge proportion of an integral profession are so unhappy with their current conditions they are willing to vote down a pay uplift. I wouldn’t dismiss that lightly.

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Elizabeth Farah

@EMdocFarah

16 days

@doctor_katie @Parody_RCGP @BMA_GP This will actually be really useful. Figuring out what is reasonable to ask of GPs when patients are being discharged from ED is actually really difficult.

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Elizabeth Farah

@EMdocFarah

22 days

@alfiesmum5 Sent 2 home with advice for follow up with GP and no medication required at the time, 1 I started on a tablet that will take 6 hours to work and sent home with a prescription for it to continue, and also needed to follow up with GP.

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Elizabeth Farah

@EMdocFarah

6 months

@fatima_medic I’ve been qualified for 13 years. Only found out last year it’s not floo-clocks-ah-sill-In

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Elizabeth Farah

@EMdocFarah

2 months

@DHSCgovuk @VictoriaAtkins You’re not getting the experienced ones through the pipeline. You’re losing talent and experience and paying to bring in more junior staff. If you want to talk about efficiency and productivity… Maybe time to look at your own policies.

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Elizabeth Farah

@EMdocFarah

4 months

@sanilrege @Foreman1David @SameiHuda @psycheureka I also think GPs get quite a lot of hate for no good reason…

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Elizabeth Farah

@EMdocFarah

3 months

@UKGastroDr It’s the sinusitis one that worries me… Difficult to properly diagnose at the best of times.

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Elizabeth Farah

@EMdocFarah

4 months

@FrankCoffey26 @NHS_Teaspoon @craniorectal @EstherClift @IOWNHS @melisapasi @HantsPolice If there is a problem that massive parts of medical school are superfluous, and doctor’s training need not be so arduous, and this would inevitably lead to a happier medical workforce then surely the answer is to fix medical training? It would be cheaper and more effective?

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Elizabeth Farah

@EMdocFarah

3 months

@KyleRoys @TheEMboardround Aortic syndromes are difficult to diagnose, with a high burden of morbidity and mortality when missed. Recent studies would suggest that in order to pick up every presentation of an aortic syndrome to ED 2/n

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Elizabeth Farah

@EMdocFarah

3 months

@DrSelvarajah I am perpetually in awe of my GP colleagues. A&E would be a mess without you! Thank you.

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Elizabeth Farah

@EMdocFarah

2 months

@alisonleary1 @DrSteveTaylor @DrRamiMFikri I’m confused, sorry. What do I find comforting? I hope they wouldn’t experience anxiety because it isn’t about them, it is in fact about the importance of doctors in primary care. Surely they wouldn’t be upset by the assertion that it is important to have doctors in primary care?

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Elizabeth Farah

@EMdocFarah

3 months

@KyleRoys @TheEMboardround EM is a speciality that in my experience, very much follows an evidence based approach. We do more investigations because we see acutely unwell, undifferentiated patients. Let’s look at the aortic syndromes 1/n

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Elizabeth Farah

@EMdocFarah

2 months

@dr_dru_ Have you done an MRI yet? Are you sure you can’t see the pupils? Ophthalmology - Discharge home and we’ll see in outpatient clinic Me - ….. But…. He can’t see….. 😭

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Elizabeth Farah

@EMdocFarah

4 months

@RCEMpresident @EM_Dr_Jacklin I may have set a cat amongst the pidgeons on this one… But I’m too pleased people clearly listened to care! 😅

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Elizabeth Farah

@EMdocFarah

3 months

@KyleRoys @TheEMboardround (collapse, chest pain, sensory changes, stroke, back pain…) we would have to do thousands of scans. 3/n

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Elizabeth Farah

@EMdocFarah

22 days

@GracieBrownxox @Drdork74 Let’s break this down. It isn’t unusual for BPs to be higher than 180/90 during intense exercise. We don’t advise people not to exercise because it might cause a stroke… The guidance is to bring these blood pressures down slowly. GTN would only be suitable in end organ damage.

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Elizabeth Farah

@EMdocFarah

6 months

@MaxWarnerIFS @wesstreeting Yes. As you would expect. Out of money spent on public services almost half goes to health and social care. I would hope education takes the next big chunk and then DWP. After that, what else is there that we should spend a lot on? Disingenuous graphical representation.

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Elizabeth Farah

@EMdocFarah

4 months

@Dr_Done_ And yet our electronic systems are still woeful.

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Elizabeth Farah

@EMdocFarah

4 months

@Edmund_B_W Genuinely hope you get the change that is needed. Nothing short of a complete restructure of how OFSTED works and getting rid of the one word system that describes schools will suffice. #rememberingruth #ruthperry

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Elizabeth Farah

@EMdocFarah

2 months

@MallinsonT @RCPCHtweets There is a year between the episode where he was given adrenaline by ambulance crews and when he died. Adrenaline is not part of any in hospital management for asthma, except arrest, and there is little evidence it works in the context of asthma unless possible anaphylaxis

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Elizabeth Farah

@EMdocFarah

2 months

@DrLKVaughan Is there no legal recourse for this? Can we not at least find a way to get out of these RIDICULOUS contracts?

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Elizabeth Farah

@EMdocFarah

4 months

@DrJSherrington 4 MILLIGRAMS?! But… That’s like ten vials.

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Elizabeth Farah

@EMdocFarah

6 months

@helen_barnowl @feleciadsouza @fatima_medic oh no! We may be unearthing a hidden controversy.

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Elizabeth Farah

@EMdocFarah

2 months

@alisonleary1 @DrSteveTaylor @DrRamiMFikri Then we agree! And I believe Steve does too though I don’t pretend to speak for him. The model to date of primary care in the UK should be preserved (with greater untethered funding) and further push towards fewer doctors as part of the team should be regarded with caution.

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Elizabeth Farah

@EMdocFarah

5 months

@RobLaurensonD4P Awesome and calm.

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Elizabeth Farah

@EMdocFarah

1 month

@ankitkant @ConsultantConn I genuinely don’t understand the concept of advice and guidance and how in any way it improves patient care. If primary care could deal with the condition, they would have done. I imagine most patients would be better served actually being seen in OP clinics by specialty.

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Elizabeth Farah

@EMdocFarah

3 months

@EdgarMoose43433 @drruthannharpur @gill11099 Almost all statistical analysis is done by calculator (or programmes). No one sits down with a pencil, paper and abacus anymore. This is a very legitimate way to analyse data.

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Elizabeth Farah

@EMdocFarah

4 months

@krdebaughn @BladeoftheS There is no private emergency care in this country. Your only option if you’re having a heart attack or stroke is the NHS, and privatisation is unlikely to improve emergency care - it’s not a money maker.

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Elizabeth Farah

@EMdocFarah

2 months

@msteggy “The NAO found that NHSE had been overly optimistic” Really? Shooketh. I am shooketh!

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Elizabeth Farah

@EMdocFarah

2 months

@cianmcdermott @orangedis @SwearyPaed @LawrenceDunhill I feel it has more to do with the maintenance and monitoring of those things. We don’t have 1:1 nursing even in resus so if you have someone that needs a tube or an art line for inotropes they really need to be out of the department - and so it’s another speciality that takes

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Elizabeth Farah

@EMdocFarah

2 months

@doyley14 @DrNeenaJha I think if you watch both that counts as both FRCS and FRCP?

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Elizabeth Farah

@EMdocFarah

2 months

@DrSelvarajah @guardian @TPP_SystmOne Oh God! Don’t even know how to express how awful this is. So sorry people 1) think like this and 2) are able to ever even consider saying it out loud.

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Elizabeth Farah

@EMdocFarah

4 months

@MStott88 We as a speciality are lobbying for change, recognition that this level of patient care and crowding cannot continue. It isn’t ED vs the surgeons, and we would very much value your platform behind us! Am happy to say we need more beds and resourcing for surgery to reduce lists

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Elizabeth Farah

@EMdocFarah

2 months

@JDF_Keswick I see your serious vascular pathology and raise you a gallbladder stone ;)… Nasty little buggers.

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Elizabeth Farah

@EMdocFarah

6 months

@glurcher @DrRobgalloway Obesity or aging or alcohol above 14 units per week or having 5 kids or being a HGV driver. We don’t need to make these decisions, we already have measures to assess the cost effectiveness of a treatment relative to benefit provided. You’ve used a correlation to suggest causation

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Elizabeth Farah

@EMdocFarah

4 months

@Microbedoc2 Congratulations. Massive achievement.

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Elizabeth Farah

@EMdocFarah

4 months

@RobJimFleming -Sultanas -Raisins -Dried grapes -Currants - Syrup 5 I’d say ;)

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Elizabeth Farah

@EMdocFarah

5 months

@hirstposition think we could muster something up on the @RCEMLearning podcast? I too would like to figure out why there are so many different non-adhesive dressings. To cream or not to cream? That is the question.

Nat

@NJL_Blancq

5 months

I’d kill for a resus-room style podcast focussing just on minors. Such a huge paucity of evidence based practice and variation in the area would make it super tricky though.

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Elizabeth Farah

@EMdocFarah

4 months

@RobJimFleming @Parody_RCGP Depends… Is it from Waitrose?

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