Hannah Javanmard @HannahJavanmard Twitter profile

Last Seen Profiles

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@matshediso419

Hannah Javanmard

@HannahJavanmard

1 year

When is surgery futile? When should we consider not operating? What risk factors are associated with futile surgery? Answers to these ❓ and more in our latest 🔓access paper here: @susanmoug @asgbi @WSESurgery @sarah_hare @RCoANews #EGS #SoMe4Surgery

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Hannah Javanmard

@HannahJavanmard

1 year

@njohncamm @DGlaucomflecken He had an out of hospital cardiac arrest and spent time as a cardiac itu patient. Your not knowing that, and passing judgement on his worthiness to speak at a conference tells us all we need to know about you.

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Hannah Javanmard

@HannahJavanmard

3 months

@medicalmodelbri At 10 minutes she proceeds to give a run down of the medical histories of every patient in the bay shes looking after. She needs reporting to her employer for breaching confidentiality.

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Hannah Javanmard

@HannahJavanmard

3 months

I passed my PhD viva with only minor corrections! A huge thank you to my amazing supervisors @Schoolofsurg @susanmoug and the @NELANews team!

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Hannah Javanmard

@HannahJavanmard

4 months

The year before I applied for HST there were 9 jobs in the region. The year I applied there was just 1. I had just bought a house. I was devastated, sure we had just made the biggest financial mistake. People pushing MAP expansion have no idea what trials trainees go through.

Jonny Guckian

@JonnyGucks

4 months

"Doctors in training need to make significant financial & personal sacrifices to support their progression...MAP roles are being presented as a faster and more effective way to reach higher levels, along with significant funding incentives to employ MAPs in certain sectors." 6/

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Hannah Javanmard

@HannahJavanmard

6 months

@DrEilidhMaria @jim_crawfurd This for me is the problem with PAs. The medical hierarchy exists for a reason. I’ve been an SPR for >5 years but I still welcome supervision and scrutiny of my decisions. For them it’s all of the autonomy none of the accountability. Just dangerous lack of insight.

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Hannah Javanmard

@HannahJavanmard

3 years

Lovely day with @ruthmparks celebrating our year as @RCSnews research fellows and getting a look around the new college building! #ilooklikeasurgeon @asgbi

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Hannah Javanmard

@HannahJavanmard

10 months

@orlasaysthings My 1st week as an f1 I got bleeped by the urology nurses 10x a day saying mr x has got xxmls in his bladder after a TWOC should we recatheterise him? I said I don’t know, in your experience what would you normally do. They said I dont know, you’re the doctor. 1/2

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Hannah Javanmard

@HannahJavanmard

3 months

@telswood @medicalmodelbri It is not acceptable for anyone- med student, junior doctor, senior doctor or PA to give a 5 minute run down of the medical histories and management plans of every person in their care. It breaches GMC guidance about social media use and NHS confidentiality rules

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Hannah Javanmard

@HannahJavanmard

7 months

@cannula_service I just don’t understand how we can unregulated people in the operating theatre. How could this be justified medicolegally? Shall we let Sheila from admin or John from estates just have a go aswell?

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Hannah Javanmard

@HannahJavanmard

8 months

@Dr_Done_ This stuff is so tiring. No a PA hasn’t got “far more clinical experience” after a few years. They have done far fewer hours! They just appear knowledgable in department because they haven’t been forced to rotate every 4 months.

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Hannah Javanmard

@HannahJavanmard

3 years

Thank you to the @asgbi for the support over the past year and to the @BJSurgery for supporting this session! And of course a HUGE thanks to all the @covidharem collaborators, without your energy and enthusiasm during a really difficult time this wouldn’t have been possible!

ASGBI

@asgbi

3 years

🏆Congratulations to @HannahJavanmard on receiving the @BJSurgery Prize #ASGBI2021 🏆

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Hannah Javanmard

@HannahJavanmard

2 years

@walsh_joe @timricketts_ @HajaraPa I very often do by the f1/f2! having done acute med, cardio+ gerries foundation jobs I DO feel confident to do these things. You cannot be a Reg only trained in your lane or you will miss important things! The patient is a whole, not a single condition/organ

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Hannah Javanmard

@HannahJavanmard

2 years

That’s a wrap on #ASGBI2022 ! What a wonderful week with team East Mids. Winning the Moynihan Prize a cherry on top! Thanks to the amazing @asgbi team for a fantastic first in person conference.

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Hannah Javanmard

@HannahJavanmard

4 months

@JaneEMCallaghan I dunno, I’m a woman, regularly get called a nurse despite introducing myself as a surgeon and very close to getting a PhD on top of my medical degree…But I still think the context of using the PhD “dr” AND consultant (without nurse/physio qualifier) as your title is confusing.

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Hannah Javanmard

@HannahJavanmard

2 years

Thank you to @WSESurgery for the lovely warm reception, for the fantastic conference and for my research prize! Looking forward to seeing you next year in Pisa!

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Hannah Javanmard

@HannahJavanmard

1 month

@drkeithsiau @cannula_service @ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote Individual ones are great people. But I’ve been in multiple departments now that have been happily training multiple nurse endoscopists up to jag certification while I beg for a training list once a month.

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Hannah Javanmard

@HannahJavanmard

8 months

Dr Peter Hilton from Haverfordwest says that workplace sexual assault/harassment is FINE ACTUALLY. Very telling that you feel comfortable putting that to paper with your name, location and exact years of work. Shameful.

Trisha Greenhalgh

@trishgreenhalgh

8 months

Response in the Times to the revelation that many female surgeons have been sexually assaulted by their fellow surgeons, including *while operating*. This is probably a TINY minority of male doctors but they are horrific creeps.

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Hannah Javanmard

@HannahJavanmard

3 years

What a pleasure to be able to present at the @asgbi virtual conference at the @BJSurgery session alongside such inspiring trainees and consultants! #SoMe4Surgery #ASGBI2021 @juliomayol @RickJEllis1

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Hannah Javanmard

@HannahJavanmard

8 months

@ollieburtonmed As an f1 I self funded BSS, as an f2 I self funded ATLS. All so I had a glimmer of getting into core training. This is a stunning indictment of training programmes that won’t train except if you are not a doctor apparently

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Hannah Javanmard

@HannahJavanmard

4 years

Who says you can’t have conference experience from home? Just waiting for the @Asgbi Emergency Symposium to begin!

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Hannah Javanmard

@HannahJavanmard

1 year

@BarakRaguan @ronansetron Be proactive, find creative solutions to a dilemma under pressure. Excellent advice to the ROTA CO-ORDINATOR, who should be doing all these things not you because a) you are DRIVING and b) they have numbers for everyone already. Unbelievable question

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Hannah Javanmard

@HannahJavanmard

3 years

Really?? Boring specialty bashing in 2021🙄 my patients get seen every day by a senior decision maker including weekends. My medical SHO jobs were the worst for all of these points, probably why I’m a surgeon now tbh.

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Hannah Javanmard

@HannahJavanmard

4 years

@reachimyq 4yrs undergrad + 4yrs medschool means graduating at minimum 26- you spend all your late twenties being pushed around the country on 4 month rotas preventing many from buying homes/having children, disadvantaging women and saddling you with 72k debt for nebulous “life experience”

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Hannah Javanmard

@HannahJavanmard

8 months

Our @NELANews work on the outcomes of patients with a NELA score >50% is out! 🔑 points: When compared to high risk patients Significant mortality PLUS 40% ⬆️ returns to theatre Protracted critical care stay Double the 🏥 length of stay

Beyond high‐risk: analysis of the outcomes of extreme‐risk patients in the National Emergency...

Patients who require emergency laparotomy are defined as high risk if their 30-day predicted risk of mortality is ≥ 5%. Despite a large difference in the characteristics of patients with a mortality...

associationofanaesthetists-publications.onlinelibrary.wiley.com

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Hannah Javanmard

@HannahJavanmard

4 months

@beckyjanemac1 @doctor_oxford @TomStocks1982 @iDrSunny @Dr_Done_ @Xeon4f145d96s1 @EmergMedDr @ollieburtonmed @TheBMA The bigger crime here is nail varnish and not bare below the elbows!

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Hannah Javanmard

@HannahJavanmard

7 months

@LeanneHPatrick ludicrous! If your role as an ACP is to fulfil the role of a doctor then doctors get to decide how autonomous you are. We are asked to supervise and act as a guarantor for your level of skill. You don’t just get to go on an unsupervised rampage. People’s lives are at stake here

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Hannah Javanmard

@HannahJavanmard

2 years

So exiting to see our paper out in November’s BJS!

BJS

@BJSurgery

2 years

Open Access in Nov's BJS: Antibiotics as first-line alternative to appendicectomy in adult appendicitis: 90-day follow-up from a cohort study @AmyLightnerMD @bplwijn @des_winter @ksoreide @MalinASund @evanscolorectal @nfmkok @robhinchliffe1 @young_bjs

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Hannah Javanmard

@HannahJavanmard

3 years

@Neuro_Matt I. Am. Usually. Busy. Examining. A. Patient. Taking. A. History. Explaining. A. Condition. To. A. Lay. Person Or. Consenting. For. An. Operation. Sorry that’s inconvenient for you. It’s also upsetting for both me and the patient when the phone rings 5+ times in a consultation.

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Hannah Javanmard

@HannahJavanmard

8 months

@cannula_service I spend a lot of time as a general surgeon explaining that hepatitis is a thing and how to interpret lfts to a lot of EM people for whom RUQ+ any “red” on lfts= cholecystitis. I feel like this is a big reason why. You don’t know what you don’t know.

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Hannah Javanmard

@HannahJavanmard

4 months

@amateuradam 7/10 for greys anatomy? Don’t think so! In the first episode a patient having an appendicectomy nearly arrests on table because the SHO fumbles a stitch 🤦‍♀️

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Hannah Javanmard

@HannahJavanmard

3 years

@mevparekh Saw this absolute gem up in mine. Was sorely tempted to rip it down and shred it.

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Hannah Javanmard

@HannahJavanmard

7 months

Really excited to have this piece of work finally out! A really important read for all of the MDT involved in counselling emergency laparotomy patients about risk. @AgeAnaesthesia @asgbi @Assoc_Anaes @RCoANews @RCSEd @RCSnews @GeriSoc @RCollEM @estesonline @WSESurgery

𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢

@Anaes_Journal

7 months

🔓Beyond high-risk: analysis of the outcomes of extreme-risk patients in the National Emergency Laparotomy Audit. @hannahjavanmard @brettdoleman @schoolofsurg @sonialockwood79 @sarah_hare @lyndsay_pearce1 @susanmoug #OpenAccess and #FreeForever ! 🔗

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Hannah Javanmard

@HannahJavanmard

10 months

@nursie6 @timricketts_ The places where this doesn’t happen are in the very minority at this point. Haven’t heard of any nursing (or any other healthcare) school that gets their students to shadow an f1 though

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Hannah Javanmard

@HannahJavanmard

9 months

@TheLighthousek1 @neilorpen @trentconsultant Sure when we don’t know what we are doing, chuck a d-dimer at it. That always makes things better 👀

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Hannah Javanmard

@HannahJavanmard

1 year

Can a laparotomy be futile? 🟢anaesthetics, surgeons+ intensivists were in agreement 🔴 geriatricians were less likely to agree as strongly 🟠 overall 78% thought a laparotomy for palliative purposes was appropriate despite poor survival prognosis @GeriSoc @Assoc_Anaes @asgbi

Hannah Javanmard

@HannahJavanmard

1 year

When is surgery futile? When should we consider not operating? What risk factors are associated with futile surgery? Answers to these ❓ and more in our latest 🔓access paper here: @susanmoug @asgbi @WSESurgery @sarah_hare @RCoANews #EGS #SoMe4Surgery

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Hannah Javanmard

@HannahJavanmard

4 years

A huge congratulations to my amazing supervisor Miss Tierney, well deserved!!

ASGBI

@asgbi

4 years

We are delighted to announce that Miss Gill Tierney has been elected as ASGBI’s Vice President for 2021 and 2022, and will thus become President for 2023 and 2024. Congratulations to Gill, we look forward to the next four years. #womeninsurgery

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Hannah Javanmard

@HannahJavanmard

4 years

The Med Reg just came into SAU looking for the Surgical Reg and confidently strolled directly to the male SHO sat next to me to discuss the patient .... 🤦‍♀️ #everydaysexism #womeninsurgery

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Hannah Javanmard

@HannahJavanmard

10 months

@orlasaysthings In my first feedback, for teamwork one of the nurses said “should listen more to the valuable contribution of the ✨experienced✨nurses, who know more about urology than her” 🤦‍♀️

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Hannah Javanmard

@HannahJavanmard

11 months

“There are substantial deficiencies in palliative care training among surgeons.” Considering this session got half the attendance of the preceding one on the open abdo, definitely! How do we get surgeons to engage in meaningful discussions about futility+/- palliation?

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Hannah Javanmard

@HannahJavanmard

3 years

Do you look after #emergencylaparotomy patients? Head over to the @GeriSoc blog to read about difficult decision making in the extreme risk laparotomy patient @susanmoug @ELFStudy @asgbi @ASGBI_MA @NELANews

British Geriatrics Society

@GeriSoc

3 years

"The decision on whether to perform an #emergencylaparotomy can be extremely difficult, especially if the patient’s comorbidities or functional status makes them at very high risk of mortality or adverse outcomes" Read the BGS Blog via @hannahjavanmard

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Hannah Javanmard

@HannahJavanmard

10 months

@Dr_Done_ @SDS_Ludlow “Almost everything” doing some HEAVY lifting here…

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Hannah Javanmard

@HannahJavanmard

4 years

‼️We have moved ‼️ We have had to upgrade to a bigger platform! Amazing engagement from our anaesthetic colleagues who make up 75% of our responses! 👏 Can we get a few more surgeons involved? Please share with all your colleagues 👇👇👇

Defining clinician's attitudes and perception of surgical futility in the emergency laparotomy...

Average completion time: 1min 52 seconds.

docs.google.com

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Hannah Javanmard

@HannahJavanmard

3 years

Highlights from today’s @NELANews #COVID19 report: Patients with COVID-19: 🦠 are 26% more likely to die than if there were COVID -ve 🦠 have longer 🏥 stays (12 vs 9 days) @SoniaLockwood79 @sarah_hare @susanmoug @asgbi @ASGBI_MA @Schoolofsurg

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Hannah Javanmard

@HannahJavanmard

8 months

@yazeedjamil Looking through the thread a few people said you were pulling the ladder and one called you a sell out. It’s mild name calling, hardly “abusive” is it? You’ve spoken out about a very divisive issue on social media, some strong feelings are to be expected.

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Hannah Javanmard

@HannahJavanmard

4 years

Excited to be speaking on behalf of @covidharem

COVIDHAREM

@covidharem

4 years

Come join us (and our friends @CASCADE_study ) talk about the management of appendicitis during the COVID-19 pandemic!

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Hannah Javanmard

@HannahJavanmard

3 years

@Neuro_Matt It’s not about difficult conversations, I will give my phone away for that. All conversations with patients are important to that patient and they deserve my full attention for the 10 minutes I can give them. No one is sat deliberately ignoring the phone or bleep.

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Hannah Javanmard

@HannahJavanmard

4 years

Exciting news!!!

COVIDHAREM

@covidharem

4 years

Our interim analysis paper is out and available to read here: #COVID19 #collaborativeresearch #researchactive #crstrial #appendicitis #covidsurgery

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Hannah Javanmard

@HannahJavanmard

1 year

@rosieICM Ah yes I graduated the year JFK was assassinated and most people didn’t have a colour tv, but I know exactly what it’s like to be a doctor in 2023. Good luck paying for ATLS with your £1200 a year salary 💀💀💀

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Hannah Javanmard

@HannahJavanmard

3 years

What a pleasure to host the Q&A for this mornings @NELANews session at #AAAconf . Wonderful to be able to hear from everyone involved in Emlap care including patients and relatives!

Age Anaesthesia

@AgeAnaesthesia

3 years

Really interesting panel and session - from national data to patient voice #AAAconf

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Hannah Javanmard

@HannahJavanmard

4 years

So many amazing centres involved! Keep up the fantastic work guys!

ASGBI

@asgbi

4 years

@covidharem are fast approaching 1000 cases - thanks to all the fantastic contributors! There is still time to join the party, for more information on how to get started email covidharem @asgbi .org.uk

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Hannah Javanmard

@HannahJavanmard

3 months

@caroll_ste87889 @Zafirahk26 No medical school I've ever heard of provides free high quality stethoscopes to med students. Why don't you find one before you go one about how fair it is for PA students to get them.

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Hannah Javanmard

@HannahJavanmard

3 years

Excited for this to be out and open access 🔓! A huge thanks to our collaborators in 🇬🇧 and 🇮🇪 who made this possible!

COVIDHAREM

@covidharem

3 years

🚨Check out our NEW paper out now in @BJSurgery 🚨 📌💊 is successful in 4/5 patients 📌 has a ⬇️ 🏥 stay 📌 ⬇️ complications 📌 is cost effective 💷 📌 should be discussed with 🧑🏾‍🦱👩🏻👩🏽👦🏼👩🏿‍🦱 as a tx option including risks vs benefits 🔓 Free paper:

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Hannah Javanmard

@HannahJavanmard

2 years

Amazing job Ricky and Ruth! So good to see the East Midlands so well represented 👏🏼👏🏼👏🏼

ASiT

@ASiTofficial

2 years

Good training can be found at all stages of training, not just from the top down. That is why we also recognise trainees who demonstrate excellence as trainers, with our #SilverSuture2022 award. The shortlisted nominees this year are @mabdelrahman100 @ruthmparks @RickJEllis1 .

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Hannah Javanmard

@HannahJavanmard

10 months

@nursie6 @timricketts_ This already happens. At UoN we shadowed a nurse for a shift on every rotation - medicine, surgery, paeds, psych, you name it. We also shadowed physio, midwives etc. Never seen any profession shadow an f1 though …

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Hannah Javanmard

@HannahJavanmard

2 years

Things in our office that just make sense…Unless you are a doctor, then you don’t have an office, you have to battle for a computer just to do your job and a snack is the only meal of your day that you eat as you do more jobs…

Catriona (she/her)

@CatrionaRennis1

2 years

Unsure why my trust thought this was a good idea to post when junior doctors are being refused lockers, have to change in the toilets, the doctors office light is broken and we don’t have a place to rest on a 12h night shift.

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Hannah Javanmard

@HannahJavanmard

2 years

@SurgJournal @SWexner @juliomayol @JBMatthews @SyedAAhmad5 @JCAlverdy @DissanaikeMD @kmattox1 @WHO @NHSTransform @NHSuk @GianlucaPellino @luciacolorectal @DeliaCortesGuir @ManishChandSurg @SAGES_Updates @TomVargheseJr @BrennanSurgeon @nlavellaneda @CaitlinWHicks @hayfarani It’s false equivalence to compare the death rate in commercial aviation directly to the death rate from operation as an opening paragraph. One is the physical manipulation of an unwell human body, one is a high-risk taxi journey!

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Hannah Javanmard

@HannahJavanmard

2 years

Futility is a difficult topic to discuss, in part because it means different things to different people. However discussing futility is a key to shared decision making!

BJS Open

@BjsOpen

2 years

ICYMI: How do we define futility in emergency #laparotomy ? #videoabstract #some4surgery #emgensurg @asgbi @SEIQuirurgica @ASiTofficial

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Hannah Javanmard

@HannahJavanmard

3 years

2 more patients recruited for @ELFStudy from the bank holiday weekend! We will be wearing those elf hats one day! @susanmoug

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Hannah Javanmard

@HannahJavanmard

2 years

I’m so excited to be going to an in-person conference again. What a privilege to be presenting at the Moynihan session to top it off!

COVIDHAREM

@covidharem

2 years

🚨 We have been shortlisted for the 2022 Moynihan Prize!! 🥳🥳 🚨 We look forward to seeing you all in-person at the @asgbi congress in May to share with you the results of our 1 year follow up study! @misshollyman @susanmoug @ASGBI_MA

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Hannah Javanmard

@HannahJavanmard

11 months

@wyliedpod @Dr_Done_ @rcpsglasgow I don’t know why this needs saying again and again but trainees NEED high volume low risk procedures so they can move up to high risk procedures. Instead they get shafted with ward round, ward cover and low complexity clerking. Stop giving our training cases away!!!!!!!

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Hannah Javanmard

@HannahJavanmard

8 months

@Xeon4f145d96s1 I have to defend Jodie here, when I worked there the SCPs did lumps lists of lipomas+ sebaceous cysts. They didn’t take any opportunities away. They were excellent first assistants, allowing the consultant to step away and the SPRs do hernias and lap choles independently

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Hannah Javanmard

@HannahJavanmard

4 months

Wrong. A good PhD supervisor *wants* you to shine. Because they want the best for you and also because you shining reflects well on their supervision.

Mushtaq Bilal, PhD

@MushtaqBilalPhD

4 months

A Machiavellian Guide to Doing a PhD Rule One: Never Outshine Your Supervisor

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Hannah Javanmard

@HannahJavanmard

8 months

@cati1313 @LiangRhea *context* 🙄. The context is trainees are desperately trying to tell you all we don’t feel safe to raise issues while in post, so stop banging on about how SM isn’t the right place. It is the ONLY place that is safe for us.

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Hannah Javanmard

@HannahJavanmard

2 years

@JenniHawes @svig2 @ShafiAhmed5 @ASiTofficial @OrthopodReg @RoshanaMN Not disagreeing with you, but I think if we are dragging out surgical training to give people time to “mature” then we have to make the process more life-friendly. It can’t be 6 monthly regional hospital changes with 8 weeks notice and 6 weeks rota notice for your entire 30s.

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Hannah Javanmard

@HannahJavanmard

4 years

Pleased to have been able to contribute to the JASGBI during their centenary year! Happy 100 @asgbi !!🥳 🥳🥳

ASGBI

@asgbi

4 years

The Summer edition of “Surgeons Life” is now available online for ASGBI members. Lots of useful reads from new developments in the field, to field work 100years ago!

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Hannah Javanmard

@HannahJavanmard

4 years

A great presentation from @sarah_hare but I definitely still think it’s pronounced Nee-lah 🤣 #ASGBIEGS

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Hannah Javanmard

@HannahJavanmard

5 months

@RobJimFleming I quite fancied this astronaut bauble, but my husband called it gateway tat 😭

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Hannah Javanmard

@HannahJavanmard

9 months

@FromPsychtoMed @manLikeTool @rcpsych Surgical PA, Countess of Chester. Surgical core trainees don’t even take on this level of responsibility. Please explain to me how this PA hasn’t taken on the doctors role. Because the job she is describing is called the Surgical Registrar.

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Hannah Javanmard

@HannahJavanmard

4 years

@lizzyelsey Join the dark side @asgbi where the women sometimes even outnumber the men! 👩👩👩👨 #womeninsurgery #ilooklikeasurgeon

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Hannah Javanmard

@HannahJavanmard

4 years

Tune in this Thursday for a discussion on Diverticular Disasters, a sequel to our very entertaining webinar on appendicitis 🤣 #diverticulitis #webinar #womeninsurgery (and one man too!)

ASGBI

@asgbi

4 years

@petesagar7 shares some thoughts on Diverticular Disasters in advance of our webinar this Thursday, 9th July at 6pm. Looking forward to lively discussions with @HannahJavanmard and @susanmoug . Details of how to register here:

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Hannah Javanmard

@HannahJavanmard

2 years

Our review is out! 🔑 point: literature currently focuses on quantitative futility, suggesting survival time defines futile surgery. But we know that patients put more importance on quality of life. ⏱ to change our focus to PROMS/PREMS? @susanmoug @sarah_hare @Schoolofsurg

BJS Open

@BjsOpen

2 years

A regular dilemma: What is #futility in #emgensurg / emergency laparotomy? Scoping review identifies 3 papers on this question: death <48 hrs as futile (n=2) death <72 hours as futile (n=1) Need more data to inform #SoMe4Surgery @asgbi @SEIQuirurgica

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Hannah Javanmard

@HannahJavanmard

3 years

This is great! We love our surgical ACPs @UHDBTrust

ASGBI

@asgbi

3 years

Congratulations to our surgical ACP colleagues for formal approval of a new curriculum - fantastic achievement! It will facilitate surgery working even closer together as a multi professional team. We look forward to supporting them as members of ASGBI.

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Hannah Javanmard

@HannahJavanmard

7 months

@dr_doddle Vividly remember “and why are you ordering a CT angio on a ?ischaemic limb and not an MR angio” “because I didn’t think you would do an MR at 5pm on a Friday. Can I have an MR instead in that case?” “Uhhh no” “okay so CT angio it is then” 😇

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Hannah Javanmard

@HannahJavanmard

2 years

Nice to see frailty and futility on the list of current issues in EGS @WSESurgery 2022 conference!

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Hannah Javanmard

@HannahJavanmard

8 months

@Dr_Sarah_Bellum @cannula_service Exactly. When everything is drilled down to protocolised basics, who is going to be left to identify the zebras from the horses? They can and do come up. Secondary care has to be able to deal with it.

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Hannah Javanmard

@HannahJavanmard

10 months

@rbarbosa91 @SurgeryBro The appendicolith more than doubles the rate of non-op failure ( @covidharem ). So not ideal candidate for abx management….

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Hannah Javanmard

@HannahJavanmard

11 months

@gregcjones @Xeon4f145d96s1 If you can be appropriately trained without med school, SJT, foundation years, core, st3-8 (+fellowship), annual ARCPs, exams, 50 WBAs a year, 2x MSFs a year, 6 monthly rotations, nights and weekends + multiple national selection processes… why did I have to do it?????

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Hannah Javanmard

@HannahJavanmard

9 months

@FromPsychtoMed @manLikeTool @rcpsych Next up for her is being EVEN MORE senior and giving conscious sedation while completing endoscopy procedures. Again SHOs can only dream of being given these opportunities…..

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Hannah Javanmard

@HannahJavanmard

1 year

@doll_ballet @RoshanaMN Rubbish. Every job someone doesn’t want to take any risk for ends up at the door of the f1. From their very first day. Classic example pt need ct, patient only has central line, whole ward of nurses trained in central lines, no one will go to ct to give contrast even if f1 there

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Hannah Javanmard

@HannahJavanmard

4 years

‼️📣 Calling all clinicians that work with emergency laparotomy patients 📣‼️ Please take less than 5 minutes to fill out this survey looking at the perception of surgical futility amongst different specialities 👇👇👇

Survey moved! Please copy/paste the link below for the new one. Thanks!

Take this survey powered by surveymonkey.com. Create your own surveys for free.

uk.surveymonkey.com

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Hannah Javanmard

@HannahJavanmard

1 year

@DrBenLovell Dayteam were late joining PTWR once so I suggested we stop to cons and check if they were here yet. They were all just sat in office, hadn’t realise we were going round. Consultant made a big deal of “Hannah stopped the round to find you, she’s SUPER EAGER to go home.” 🤦‍♀️

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Hannah Javanmard

@HannahJavanmard

3 years

Emergency laparotomy- it’s everybody’s business! Join the @NELANews team for a MDT webinar on all issues emergency laparotomy! @ELFStudy @asgbi @ASiTofficial @teachmesurgery @ChaseSurgical @Dukes_Club

Sarah Hare

@sarah_hare

3 years

On April 19th, join @PedenCarol @lyndsay_pearce1 & me on the @NELANews lunchtime webinar; where next for emergency laparotomy? Can you really #ERAS #emergency #laparotomy ? Free, CPD points & perfect to eat your sandwiches whilst listening, register @RCoANews website!

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Hannah Javanmard

@HannahJavanmard

4 years

Thank you! A great opportunity to combine forces with @CASCADE_study for an interesting conversation about adult and paeds appendicits management!

Sarah Hare

@sarah_hare

4 years

Fantastic to listen to our @NELANews Fellow presenting her work on the @covidharem study - what has been happening to patients with acute appendicitis since #lockdown #COVID ー19 @RCoANews @asgbi

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Hannah Javanmard

@HannahJavanmard

4 years

Check out the EGS research tab on #ASGBIEGS and please take a minute to answer our survey on your perception of what “surgical futility” means in the emergency laparotomy patient! @asgbi

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Hannah Javanmard

@HannahJavanmard

6 months

@jim_crawfurd @DrEilidhMaria If there are only 3000 in the country then what proportion behaving like this are we calling acceptable? Because we have hit dozens of examples now. That’s an unacceptably high rate of worrying ones in my opinion.

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Hannah Javanmard

@HannahJavanmard

1 year

@BestOrthoDr @BMA_JuniorDocs 🤦‍♀️ They aren’t being “woken up” to prescribe paracetamol. They are awake in SAU/MAU/ED slogging through clerking 15+ patients a night, making clinical decisions fatigued. No one gets to sleep through nightshifts anymore.

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Hannah Javanmard

@HannahJavanmard

1 year

@acdebeaux But is it the right thing to do? Does the patient want a 40 day hospital stay with multiple complications that results them being moved out of their own home into a 24 hour care nursing home? That is the question.

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Hannah Javanmard

@HannahJavanmard

4 years

‼️ There’s only 24hrs left to complete our survey ‼️ Surgeons, anaesthetists and intensivists all invited to share their opinions! 🗣 #SoMe4Surgery #MedTwitter @asgbi @NELANews @RCoANews @RCSnews @RCSEd

Defining clinician's attitudes and perception of surgical futility in the emergency laparotomy...

Average completion time: 1min 52 seconds.

docs.google.com

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Hannah Javanmard

@HannahJavanmard

4 years

We have had 2️⃣2️⃣9️⃣ responses to our survey on surgical futility❗️ Team anaesthetics is in the lead‼️ -anaesthetics 4️⃣5️⃣% -surgery 4️⃣4️⃣% -ITU 8️⃣% The survey will be open 5️⃣ more days, please keep encouraging your colleagues to get involved 👇👇👇

Defining clinician's attitudes and perception of surgical futility in the emergency laparotomy...

Average completion time: 1min 52 seconds.

docs.google.com

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Hannah Javanmard

@HannahJavanmard

3 years

@PonziniF I’m a 5’2” lefty, never been a problem so far! Be extra nice to the scrub nurses and they make sure you get the best platform in theatre, got to watch out for the ones with wobbly legs and uneven feet 🪜 !!

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Hannah Javanmard

@HannahJavanmard

10 months

@aleebearr Why, it’s a totally unnecessary CT scan that has caused the patient unmeasurable anxiety from poor communication. I’d be mortified

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Hannah Javanmard

@HannahJavanmard

3 years

@neely_nly These are some of my favourites from the last year- tiramisu cupcakes, baby yoda gingerbread, gooey chocolate orange cake and lebkuchenherzen #medtwitterbakers

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Hannah Javanmard

@HannahJavanmard

3 years

We have a start date!!!!!!

ELF

@ELFStudy

3 years

**ELF2 IMPORTANT UPDATE** NEW START DATE: February 15th 2021 Still welcoming NEW sites. Get involved! @ACPGBI @susanmoug @angeline_price @CUGeriMSc @drKathrynMcC @lyndsay_pearce1 @Jen_L17 @jemmaboyle25

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Hannah Javanmard

@HannahJavanmard

11 months

Great to see our work quoted today in @WSESurgery session on futility and palliative surgery today!

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Hannah Javanmard

@HannahJavanmard

2 years

@OrthopodReg @JAMANetworkOpen @JAMANetwork @JohnsHopkins 1) nonhuman 🤢 how did that get through peer review also 2) I feel like their premise of less time by the bedside=higher rates of burnout is a correlation/= causation thing

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Hannah Javanmard

@HannahJavanmard

1 year

Very excited to kick off an amazing programme at #ASGBI2023

ASGBI

@asgbi

1 year

Are EmLaps after GynaeOnc surgery different and what does @NELANews data show? When should we put the knife away and think again? Hear from @lyndsay_pearce1 @HannahJavanmard and Elly Brockbank at #ASGBI2023 Early Reg Deadline TOMORROW 12th April

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Hannah Javanmard

@HannahJavanmard

3 years

@bluedoggobook @bad_KATtitude_ But this is the conversation we need to have. You might not be emotionally “ready to go” but if you have a cardiac arrest at 98 your body is “ready to go” and CPR is not appropriate. CPR is not a cure for dying, it buys time for us to fix your body, if there is a fixable problem

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Hannah Javanmard

@HannahJavanmard

4 years

@SecretRadiology @admit_medics Don’t worry I’ve got a list of most of their hospital numbers

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Hannah Javanmard

@HannahJavanmard

2 years

Futility- what is it? why does it matter? and how can it be used in shared decision making? Open access 🔓and out now in this month’s @BJSurgery ! @susanmoug @asgbi @ASGBI_MA @NELANews

The virtual uncertainty of futility in emergency surgery

Futility is a controversial topic within surgery. This editorial defines the concept, explains the differing types of surgical futility, and discusses the

academic.oup.com

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