At 27 years old, I had to discuss my wishes for ICU admission, limits of treatment and organ donation with my family, ahead of caring for the sickest COVID patients.
Don’t come at us pretending we had it easy because we had our full wage, for working MORE than full time.
Filmed in the run up to my Dad’s final Christmas, which I missed, because I was following the rules, but also because I was working in ICU, seeing things which still haunt me.
Arrest the lot of them.
Helping my stretched nursing colleagues on ICU to safely extubate a patient, making their staffing ratios better, and get a fight picked with me by a passing senior nurse about my necklace, when the male consultant is wearing one without challenge.
I am a literal doctor that also has a first class honours degree in pharmacology and my husband STILL continues to buy branded medications like panadol and nurofen despite my very strong insistence that it’s a waste of money. Cba.
Handed over £50 to my tattoo artist earlier, for about 30 minutes’ work, and had absolutely zero problem with it, because skilled professionals deserve to be paid as such.
#JuniorDoctorsStrike
Genuinely struggling to get motivated for revision for the last bit of the FRCA. Feeling very bitter I’ve paid as much as I have in money, time and effort, only to have my own College support anaesthetic provision by those who’ve had to do none of it. 😔
This! Consultant anaesthetists are a superb example of this. They make it look so easy because of the ridiculous level of understanding of physiology/pharmacology they have. Ditto surgeons and anatomy.
@MStott88
@DrLindaDykes
Truly one of the biggest threats to the quality of medical education is senior doctors mistaking ‘things I learned and understand so well I don’t have to really think about them’ for ‘things I don’t use in my day to day work’
Sadly I can’t say I’m surprised. As a female anaesthetic reg my experience in labour ward is often very different to that of my male anaesthetic colleagues.
Wait, I’ve been driving 70 miles each way to work on the opposite side of the county to complete training I could have got 8 miles from home, paying through the nose for the experience, and that’s been for my benefit? I wish I’d known.
EXC
The NHS is too often run for the benefit of doctors, not of patients, Wes Streeting warns in
@theipaper
interview alongside Rachel Reeves.
He promises a decade-long reform programme to empower patients to take control of their own care.
Story:
Despite starting 6th form with 11 A* and 3 A at GCSE, head of sixth told me I was too stupid to be a doctor.
Enjoyed booking a careers advice appointment with her to help me choose between my 3 medical school offers. 🖕🏻
I want to hear some underdog stories. Tell me about your 12th grade advisor who said you wouldn’t get into college, your premed advisor who said you wouldn’t get into med school, etc. tell me all the ways you’ve turned their doubt into fuel 💪
It turns out Covid, working 70 miles away from home & a whole load of life stress don’t make for brilliant race prep, but very proud to have finished my 70.3 today. (And technically a PB but only thanks to slightly odd distances and a silly flat bike leg!)
Whilst it’s giving me all sorts of rage to see Boris Johnson still trying to lie and obfuscate at the
#covidinquiryUK
, it is quite satisfying to watch a talented barrister calmly dismantling him.
Good god, if mums of toddlers have to put up with the vitriol I just did at the swimming pool from a nasty elderly lady because my 3yo niece was having a meltdown, it’s no wonder they sometimes struggle with mood and self esteem. Utterly vile.
For me this is a major worry with the AA/PA and SCP issues coming through now. Are patients actually giving adequate informed consent to be anaesthetised & operated on by non-doctors? 🤔
@Xeon4f145d96s1
As a member of the public I am v concerned about informed consent. I had a wrist operation. I assumed my anaesthetist was a qualified doctor not an AA. I assumed the doctors who operated were fully qualified doctors too. Am I going to have to check every member of the team now?
@KateBurkeNHS
It’s a low bar!
Paid on time and correctly.
Rotas with time for us to plan our lives.
Lockers for personal belongings.
Expenses reimbursed quickly.
Access to training opportunities & not endless service provision.
Passed two exams and finished my FRCA despite some tough personal times.
Sold my house and moved into my fresh start.
Started to value myself, walked away from something lame and met a wonderful partner.
Here’s to 2024 ✨
Just over 5 years since this photo, a pandemic, huge life changes, a 30th birthday and a lot more wrinkles later, I’m no longer a homeowner (2 weeks until my purchase completes). Nearly ready to start my new chapter 🙌🏻🥂
NGL, after the worst few years of my life from 2020 onwards, sitting on the grass today in the grounds of my beautiful new home, feeling entirely relaxed and happy, I’m going to let myself be proud of finally getting here.
Severely underestimated the degree to which I needed to feel Italian sunshine on my skin and have an Aperol in my hand after the world’s longest winter and doing battle with the FRCA. Bliss.
I can guarantee, in the event of a genuine mass casualty incident, you won’t have to wait for junior doctors to turn up. We care and are dedicated, it’s only the Government that have pushed us to this.
When will junior doctors break their
#JuniorDoctorsStrikes
? Only in the event of a mass casualty incident or similar non-strike related major incidents. The whole process seems time consuming and risky:
This weekend a veteran ODP has called me sensible, a decent anaesthetist and said they like working with me.
A peak worth far more than the FRCA.
#ifyouknowyouknow
Plenty of justified disquiet from junior doctors at the moment but we must praise the good as well; my TPD has put in a huge amount of admin time today to figure out how I can do a Chief Registrar post (🥳) with minimal extension to my training 🙌🏻
Going to ignore the obvious misogynism and other big problems, but can we stop with the made up FY numbers? It finishes at FY2. Otherwise it’s just getting silly.
Yours, an ST4, or should that be FY9?
#grumpyoldwoman
Very grateful for the NHS today- given the all clear of any inherited cardiac issues after my Dad’s death at a very efficient one stop clinic, followed by my 4th Covid jab this evening 🙌🏻
I think, on balance, those who reached out with kind advice a year ago to say being in the Dead Dad Club gets easier were right. Still hits like a punch to the face sometimes though.
Hope you’re causing mayhem up there Pop-Pop ♥️
All the eyebags after a very late night dash from Hull to Blackpool after a long ICU shift yesterday. So worth it to be with my little bestie 😍 Merry Christmas from my little family to yours 🎄🥂
This can jog all the way on. I missed most of the last 2 years of my Dad’s life because I was obeying the rules. To think this shower of liars were partying makes me beyond furious.
Because the role of a leader during a crisis is to keep morale high amongst those who were working 17hr days 7/7 as morale slumps.
No10 was the engine room of the country, it was important to keep people turning up and working and saying goodbye to someone who was leaving was an…
@mouseter_chef
@AoAA_uk
I’m hoping there’s further context to this, otherwise it appears you’re slating the skills & training of those with the legal right to call themselves an anaesthetist by training and qualification,
@AoAA_uk
Our presence is only inconsistent due to rotational training & on call.
You know what? Let them, if it means FICM will stand on their own two feet and stop relying on anaesthetic trainees for endless out of hours ICU cover that doesn’t count towards our training & is never acknowledged.
@wiggs1234
The single biggest misconception about ICU is that it’s an exciting dramatic discipline.
Great ICUs attain their outcomes through the nursing staff.
Detail, discipline, thoroughness and care are what saves patients.
The doctors are mostly spectators and procedural bunnies.
"If we want to tackle the crisis in GP numbers, we should establish a pathway for physician associates to go on to train as doctors and for newly qualified doctors to go straight into five years’ training as GPs."
No hospital changeover for me today, but a big one job wise- embarking on 12 months as
@HarrogateNHSFT
’s Chief Registrar.
Looking forward to getting stuck in and learning the ropes, supporting our trainee body 🙌🏻
I honestly do not understand this culture. Do we infantilise surgeons by locking things that cost far more away in a cupboard and making them beg for them? No, we do not.
Paediatric resuscitation. Two words which strike fear into the heart of most anaesthetists.
@LeylsTurk
delivering a brilliant talk at
#WSM2024
about parental presence. TLDR; it’s a good thing!
This is up there with one of my proudest work moments. Reduced an ‘impossible’ shoulder with sux fasciculations* alone before the orthopods touched the patient 💅🏻
*I will not be taking questions or criticism on my use of sux
Just relocated a joint by kinda…picking it up and looking at it.
I am a Jedi/wizard today
I will not be taking questions at this time
#orthotwitter
#medtwitter
Not going to celebrate too hard quite yet, but it would appear I’ve just sold my house to a cash buyer and negotiated a big reduction on the flat I’ve had an offer accepted on 🥳
@drcolinm
@gmcuk
@theCFOM
@AoMRC
To be honest, it’s deeply disappointing to see the representative face of our regulator (that we pay extortionate fees to in a cost of living crisis) engaging in such events. We receive absolutely nothing from the GMC as it is, and now to see this is a gut punch.
We CANNOT ask one group of people (doctors) to go to medical school, do rotational training, jump through hoops, compete at national selection, pass difficult postgraduate exams and the other groups to do nothing aforementioned. TO DO THE SAME JOB.
Online dating may have its downsides, but the absolute cutest thing is how my Mum is living vicariously through me now she has declared herself ‘out of the game for good’. She just asked for screenshots and a league table.
This time next week I will be exam free (even if just for a while), and packing to head for a weekend in the Lakes. Cannot bloody wait. Only 75
meltdowns left to have first
#FinalFRCA
I swear to god, the kidney is my least favourite organ on the planet.
(Yes, I have hit that point pre exam, where I am once again trying to teach myself how a filter works, beyond ‘membranes’ and ‘🤷🏼♀️, magic’)
#FRCA
Past Sarah has left a huge amount of MSc work to do on the final day before deadline, when she is also post-nights. Past Sarah is a dick.
Pass the coffee 😭
They tell us there’s not the money to pay doctors fairly.
But there is money to pay more than DOUBLE the salary of a doctor these new non-doctors with only 2 years training, who can’t even prescribe medications.
And they wonder why we’re on strike.
Would highly recommend saving your birthday celebrations for revision season and tagging them onto your partner’s birthday for a joint spa break 🧖🏼♀️💆🏼♀️
@DacreJane
Basics not in place for trainee level. Safe parking, lockers for belongings, IT needed for job & quiet space to work in. Endless portfolio in own time. Paying out of pocket for courses & delays claiming back.
@nurseAnnieA
Wasn’t aware stretched nursing ratios made you single out a female doctor to take issue with when they’re helping make your ratios better, but maybe my approach to stress is a little kinder!
I love LTFT working and it’s random nature.
Last week, I was an ST3. Absolutely nothing has materially changed, only an arbitrary amount of time elapsed, but I go back to work tonight as an ST4.
@DrEilidhMaria
A lot of nuance, but anxiety is a bloody bold diagnosis in severe chest pain & vomiting with cardiac history (just like reflux is). Would be extremely wary of either.
‘I boshed in the tube. Grade 3, MAC 3. Mate, 26cm at the teeth. Art line in. BP was like 45/20 so pushed some adrenaline. Central line in within 2 mins. Life saved. I’m pretty good to be fair.’
R Sunak, SHO
* when he says ‘I’ he means the Cons did it but he was there
Absolutely loving seeing a steady stream of
#PrimaryFRCA
passes coming through today- well done all! Definitely keeping me motivated for my Big Quiz™️ next week…
Never been told that, but there are still many (male) anaesthetists teaching techniques that only work for anaesthetists with large hands. I had to seek out a female consultant with small hands to learn proper technique.
If it’s taking a battering by doctors choosing to work the same hours as every full time AfC staff member, it’s clear things need a rethink.
Zero incentive to work more when pay is so dreadful.
Two thirds of our specialty trainees now work less than full time.
Anyone who wishes to, can choose to do this, and it will always be accepted, with no reason having to be given.
Medical training in the UK is taking a battering.
But surely this is progress and a good thing?
@dr_lungs
I’ve had the same conversation about coffee in the anaesthetic room (in a lidded KeepCup).
‘Ok then, last patient’s cancelled, I’m off for my 30 minute break that I’m entitled to’.