Lucie Cocker @Lucie_Cocker Twitter profile

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Lucie Cocker

10 months

I hadn’t anticipated the overwhelming response & engagement to my tweet as @ASTC108 left the NHS. I’m trying to reply to everyone but I’m sure there’s some I’m missing so here are 🧵’s answering the two main themes: 1. Why are we leaving? 2.Aussie system v NHS

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Lucie Cocker

@Lucie_Cocker

10 months

Final NHS shift done ✔️ UK license to practise surrendered ✔️ Bags packed ✔️ 🇦🇺 Australia here we come 🇦🇺

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Lucie Cocker

@Lucie_Cocker

1 year

Just taken a handover - 8 waiting >20hrs - 3 waiting >30 hrs - 1 waiting >50yr hrs This is no longer an A&E. We are a long stay ward BUT no patient washing facilities, no access to hot food, 3 toilets to 180 patients. This is inhumane & unsanitary. #TheNHSisBroken

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Lucie Cocker

@Lucie_Cocker

1 year

Ok ok… yesterday I was wrong TODAY is the busiest I’ve ever seen our ED… …and today it’s my turn to done the fleece and treat in the back of ambulances. The NHS is broken.

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Lucie Cocker

@Lucie_Cocker

1 year

At the end of this A&E shift: - I’ve seen >30 patients in the back of ambulances - still 15 patients outside - longest wait outside currently 6hrs - longest wait for a bed from inside >30hrs - patients waiting in ED for bed right now >80

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Lucie Cocker

@Lucie_Cocker

8 months

Hospital canteen food in Australia is on an entirely different level. It makes a huge difference to staff moral and health. Rare seared tuna, purple potatoes, edamame, cauliflower.

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Lucie Cocker

@Lucie_Cocker

10 months

@curtisdringle @ASTC108 You can hold both but it is expensive to keep a U.K. license and we don’t intend to come back so it’s an unnecessary expense.

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Lucie Cocker

@Lucie_Cocker

1 year

This is by no means the fault of the trust or our department. Emergency departments are simply not designed to have patients longer than the original 4hr target and therefore have no long term care facilities.

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Lucie Cocker

@Lucie_Cocker

2 years

Virtual interviews can show us not only the candidate but a window into their house and background. It strikes me this could be introducing a new aspect of unconscious bias.

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Lucie Cocker

@Lucie_Cocker

4 years

A senior colleague said today: ‘’I’ve only heard positive comments about junior docs attitudes & mucking in...I hope on the other side this puts to bed the “trainees were different in my day” nonsense.’’ Stay strong #juniordoctors your efforts aren’t going unnoticed.

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Lucie Cocker

@Lucie_Cocker

10 months

@RegHumber @ASTC108 I wouldn’t come back if the only thing that changed was the pay. The current system lacks staffing, resources and funding leaving doctors stretched beyond safe limits without equipment, time or space to safely treat patients. Change those things as well and we’d consider it 2/2

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Lucie Cocker

@Lucie_Cocker

10 months

We chose the later because we love our jobs, we are proud of the work we do and we genuinely want to help others. But we aren’t martyrs and we want and deserve to also be happy, healthy and appreciated. (5/5)

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Lucie Cocker

@Lucie_Cocker

10 months

@RegHumber @ASTC108 Australia has a mixed public and private healthcare system where A&E care is public and free at the point of access like in the NHS. 1/2

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Lucie Cocker

@Lucie_Cocker

10 months

Why are @ASTC108 and I leaving the NHS? We are both Emergency Medicine registrars with 9years of NHS service each under our belts since qualifying and have also both been involved through numerous roles in trying to improve the NHS for staff and patients. (1/5)

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Lucie Cocker

@Lucie_Cocker

1 year

@G_Runner Ultimately - We need the resource funding and capacity in social, primary and secondary care to move patients through the system as it has been designed and the system our staff have been trained for. That needs proper per capita funding akin to our peer countries.

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Lucie Cocker

@Lucie_Cocker

1 year

At risk of sounding like an echo…today is the busiest I’ve ever seen my ED. We never hold ambulances outside but today we’ve even run out of corridor space and resus is at double capacity so even resus patients are waiting in ambulances outside. How does this end?!

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Lucie Cocker

@Lucie_Cocker

9 months

Day 1 in Australia 🇦🇺 ✔️ Bank accounts ✔️ Phone number ✔️ Tram card ✔️ Unpacked ✔️ First @Coles trip ✔️ First Aussie gin purchase

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Lucie Cocker

@Lucie_Cocker

10 months

Luckily we are an easily transferable and globally in-demand profession.

Rishi Sunak

@RishiSunak

10 months

@Conservatives 3️⃣ Today’s offer is final. There will be no more talks on pay. This country will not be bullied into higher taxes or higher borrowing to fund unrealistic pay demands, risking higher inflation.

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Lucie Cocker

@Lucie_Cocker

1 year

Are other ED’s seeing a high proportion of Flu with concurrent pneumonia and parapneumonic effusion all of a sudden?

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Lucie Cocker

@Lucie_Cocker

10 months

The culture & environment of the NHS is breaking our friends & colleagues and almost broke us. We’ve spent too long treating patients on corridors with staff in tears every shift. At some point you have to cut your losses, look after yourself and move on. (3/5)

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Lucie Cocker

@Lucie_Cocker

1 year

@Manjit49 Investment in: - staff - infrastructure inc social care - resources (the NHS major trauma centre A&E I work in runs out of patient monitoring on a daily basis!!) - force multiplying health technology to allow best use of the staff we already have ie wearable tech for obs

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Lucie Cocker

@Lucie_Cocker

1 year

@AmeliaHarperTV Hi Amelia, thanks for the reply and interest in sharing information. Your best ports of call would be @RCEMpresident @RCollEM @RCEMvp_Salwa and @TheBMA they can give you a far more in-depth and U.K. wide response than one doctor.

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Lucie Cocker

@Lucie_Cocker

10 months

Our choices were either to stay in the U.K. but leave medicine altogether for a new career or keep using our life saving skills as doctors but somewhere outside the U.K. that wouldnt be damaging to our own health and family life. (4/5)

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Lucie Cocker

@Lucie_Cocker

10 months

Had been feeling a bit sad about being without the dogs for four months whilst we emigrate 🇦🇺… …today the spaniel rolled herself in the decomposing corpse of a badger and the Labrador punched me in the eye. Four months dog free suddenly doesn’t sound so bad after all!

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Lucie Cocker

@Lucie_Cocker

9 months

Second shift convering major trauma in ED today. First kangaroo related injuries seen. Feels like a right of passage.

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Lucie Cocker

@Lucie_Cocker

10 months

We have stuck it out in the NHS for as long as we could whilst trying to create the changes that would have made it possible to stay. But week by week the system gets more overloaded, funding decreases, staff leave and patient care declines. (2/5)

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Lucie Cocker

@Lucie_Cocker

1 year

@MaryAli2308 Definitely a part of the problem, but not entirely at fault. We have fewer doctors (and other staff) and hospital beds per 1,000 population than most other European countries and spend far less on health care in relation too.

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Lucie Cocker

@Lucie_Cocker

10 months

Aussie system v NHS a 🧵 @ASTC108 and I will be working in @AlfredHealth a public A&E in Melbourne where care is free at point of access, like the NHS and the majority of Aussie A&Es. (1/7)

Australia's hospitals at a glance , Hospital activity

Australia@s hospitals at a glance provides an overview of the information available on the MyHospitals national reporting platform. It presents summary information about Australia@s public and...

www.aihw.gov.au

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Lucie Cocker

@Lucie_Cocker

10 months

@jameshughes1666 @ASTC108 Dogs (and cats!) heading out in a few months once we are settled!

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Lucie Cocker

@Lucie_Cocker

1 year

And yet >70% of medical school students, with no hope of a 9-5pm routine or the salary for ‘the good life’, are female. Csn i suggest resisting tweets without factual basis as your 2023 resolution?

True_Belle

@True_Belle

1 year

@LiamThorpECHO Modern girls these days are not attracted to nursing , they love their social life, nail care, make-up, and expensive clothes , they love the good life and 9-5pm routine .

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Lucie Cocker

@Lucie_Cocker

9 months

It’s go time! @AlfredHealth

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Lucie Cocker

@Lucie_Cocker

10 months

@RCEMpresident I’d encourage the U.K. system to evolve towards a similar healthcare model to Australia, and other countries with split funding models (Germany, Denmark etc). (7/7)

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Lucie Cocker

@Lucie_Cocker

1 year

Huge thank you to @EMASNHSTrust and all other crews outside A&E today - the warm welcomes, smiles and hot drinks all incredibly appreciated especially when I know so many of you were stuck for hours without breaks or past the end of shifts.

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Lucie Cocker

@Lucie_Cocker

9 months

In a short interlude from the usual themes… events of recent weeks are now officially official care of @thetimes ❤️ @ASTC108 ❤️

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Lucie Cocker

@Lucie_Cocker

9 months

Two weeks in 🇦🇺 ✔️ first set of night shifts survived ✔️ first ED ETT ✔️ found and signed for a house 🙌🏻🙌🏻 And now, brunch and sleep.

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Lucie Cocker

@Lucie_Cocker

1 year

Exciting things afoot for later in 2023! Very excited to be joining the ED team @AlfredHealth in Australia from August, with @ASTC108 by my side for our next adventure. 🇦🇺🇦🇺🇦🇺🇦🇺🇦🇺🇦🇺🇦🇺🇦🇺🇦🇺🇦🇺🇦🇺🇦🇺🇦🇺

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Lucie Cocker

@Lucie_Cocker

4 years

Things that made my weekend as ITU SHO better: 😷 Reliable PPE 🥧 24hr free food 🚗 free parking 🎁 treats from the public But most importantly an amazing team from consultants, to nurses, porters, domestics, caterers & more. Thank you @Leic_hospital #Convid19uk

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Lucie Cocker

@Lucie_Cocker

1 year

@G_Runner I’ll never argue against education. However that doesn’t cure the long waits my patients are having waiting to get a bed on the ward. They are all sick and require hospital admission, those who could have self treated or seen primary care don’t get admitted to a bed.

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Lucie Cocker

@Lucie_Cocker

9 months

🇦🇺 Day 3: ✔️ @AlfredHealth Induction ✔️ Emergency & Trauma Centre tour ✔️ ID badges ✔️ Mask fit testing ✔️ Lunch with new colleagues Now time to relax in the @FIFAWWC Fan Zone with more UK-escapees to watch England 🏴󠁧󠁢󠁥󠁮󠁧󠁿(hopefully) get the better of Nigeria 🇳🇬 🤞🏻🤞🏻

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Lucie Cocker

@Lucie_Cocker

1 year

We must stop accepting coming in early, staying late, personal time on audit, education etc. for free Start&finish on time wherever able. Exception report everything else. Including portfolio in personal time Then they will know just how much we already do for so little.

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Lucie Cocker

@Lucie_Cocker

8 months

🎉 Dissertation results are in and with that a few extra post-nominals! 🎉 Big thanks @karimbrohi and all at @TraumaMasters for a fantastic two years.

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Lucie Cocker

@Lucie_Cocker

9 months

Day 4 🇦🇺: Wore a puffer coat whilst riding the tram after going to a local café for a (large?!) flat white. Pretty sure I’m Melbournian now.

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Lucie Cocker

@Lucie_Cocker

4 years

**ORIEL DEADLINE EXTENDED** We have just had agreement from @NHS_HealthEdEng that the deadline for #juniordoctors submitting applications through #oriel will be extended until Monday 24th Feb. @BMA_JuniorDocs @DrSarahHal @TheBMA

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Lucie Cocker

@Lucie_Cocker

10 months

@RCEMpresident estimates 23 000 deaths per year associated with crowding in U.K. emergency departments. That would be unacceptable in any country, let alone one which calls its health service ‘world leading’. (6/7)

Is the NHS’s urgent and emergency care plan delivering what patients need?

England’s urgent and emergency care system is in deep trouble. A lack of strategic thinking and investment—particularly when it comes to the workforce—have resulted in reduced access to primary care,...

www.bmj.com

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Lucie Cocker

@Lucie_Cocker

9 months

‘Melbourne’s grey and miserable they said’ 🧐

Adam Collins

@ASTC108

9 months

This walking commute ain't so bad

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Lucie Cocker

@Lucie_Cocker

10 months

The U.K. deserves a safe, quality, accessible health system that provides care where & when needed. Not 1-2 yr waiting lists, 12+ hr ED waits in corridors, overburdened GPs and psychiatric and social care that’s is inaccessible to most due to demand far exceeding capacity. (5/7)

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Lucie Cocker

@Lucie_Cocker

4 months

5 months + 1 week + 3 days later Our pack have finally joined us in Melbourne! Now Australia is most definitely home 🏠 🐾 🇦🇺

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Lucie Cocker

@Lucie_Cocker

4 years

#juniordoctors we hear oriel has crashed this evening for many ST3 applications. I have escalated this to @NHS_HealthEdEng and am hopeful they’ll fix it quickly & will push for extension of application window if not. Please let me know of any other issues. @BMA_JuniorDocs

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Lucie Cocker

@Lucie_Cocker

4 months

Sending huge congratulations across the seas to my fellow students in @TraumaMasters class of 2023 for graduation today. Thank you again to @TraumaEMC @karimbrohi and all the incredible international faculty. I could not recommend this course more. With you all in spirit!

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Lucie Cocker

@Lucie_Cocker

4 months

@DrLisaBanh Hi Lisa, I’m in Melbourne and here to help/listen. I’m currently on a night shift so will be awake all night so feel free to message at any time.

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Lucie Cocker

@Lucie_Cocker

4 years

Is it just me who finds the title ‘Edutaining the Millenials’ patronising? #JuniorDoctors range from early 20s straight to uni ,to 40+ with families, mortgages and years of experience in life and work. Treating us like children is disrespectful & unhelpful. #DEMEC2019

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Lucie Cocker

@Lucie_Cocker

9 months

Really Australia?!?

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Lucie Cocker

@Lucie_Cocker

10 months

Lucie Cocker

@Lucie_Cocker

10 months

Why are @ASTC108 and I leaving the NHS? We are both Emergency Medicine registrars with 9years of NHS service each under our belts since qualifying and have also both been involved through numerous roles in trying to improve the NHS for staff and patients. (1/5)

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Lucie Cocker

@Lucie_Cocker

4 years

@MissingPetsGB Thank you everyone for sharing and your kind words...our little wanderer reappeared this evening after a month missing. Best early Christmas present ever!

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Lucie Cocker

@Lucie_Cocker

1 year

@i_Stiofan Im afraid from the vantage point of this knackered and worn down A&E registrar the system is truly broken. - elective waiting lists >2yrs in some cases - ambulance waiting times >12hours - patients waiting multiple days in ED - pharmacies running short This is not sustainable

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Lucie Cocker

@Lucie_Cocker

9 months

Exploring more of what Australia has to offer. Less than four hours drive from Melbourne… 🎿

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Lucie Cocker

@Lucie_Cocker

3 years

@ClareGerada As an EM physician I don’t have the option to bring people back for repeat BP or ‘follow up’ in any way. If I can’t ask the patients GP to follow up on the long term care of their patient then who should be doing it?

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Lucie Cocker

@Lucie_Cocker

3 years

In the last 24hrs I’ve: - failed an exam by 1.5marks - been knocked off my paddle board by an aggressively low flying swan - had a chimney fire in my office mid #jdconf2021 No this isn’t a ‘which 1 of these 3 is a lie’...this is apparently my life 🤦🏼‍♀️ That’s enough universe!

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Lucie Cocker

@Lucie_Cocker

10 months

In the U.K. a very small minority can afford private care, the provision of which is still very limited in coverage nationally and doesn’t include A&E. Everyone is therefore reliant on the over burdened and breaking NHS for atleast some part of their care. (4/7)

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Lucie Cocker

@Lucie_Cocker

4 years

A sore nose is a small price to pay for healthy lungs. Time to go home for a rest, and then back at it tomorrow. #CoronaUpdate #ImAwakeThisLateBecause #MedTwitter

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Lucie Cocker

@Lucie_Cocker

10 months

This allows those that can afford to to go elsewhere & reduces pressures on the public system so those who can’t afford private insurance can also benefit from timely and high quality care. (3/7)

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Lucie Cocker

@Lucie_Cocker

10 months

Australia has a split funding model health system; private healthcare sits as an optional part of the system rather than as the sole mandatory healthcare provision (unlike USA). (2/7)

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Lucie Cocker

@Lucie_Cocker

8 months

@drchriscarson Many other options were available…

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Lucie Cocker

@Lucie_Cocker

1 year

Team ED out this morning for #JuniorDoctorsStrikes for #PayRestoration in a Nottingham.

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Lucie Cocker

@Lucie_Cocker

1 year

If you actually have ‘internal bleeding’ there is already a way to see a specialist without seeing your GP. It’s called the Emergency Department. The NHS stands no chance when those with the power to fix it have so little understanding of healthcare.

Saul Staniforth

@SaulStaniforth

1 year

"One of things we've put forward.. self referrals so individuals dont have to go to a dr in order to get referred to specialist help.. if youve got internal bleeding & you just need a test there ought to be a way that doesn't involve going to see a GP" Keir Starmer on #BBCLauraK

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Lucie Cocker

@Lucie_Cocker

1 year

Dear Trauma People of Twitter Does anyone have contacts with these trauma networks and could put me in touch (for a research into Trauma Team composition)? - Northern - Cheshire & Mersey - Greater Manchester - N. Yorkshire - S. Yorkshire - NW London Please and thank you!

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Lucie Cocker

@Lucie_Cocker

1 year

@KAZZA499 @KeechA13 If our trust was an outlier then maybe - but in reality we have held out from ramping ambulances longer than most in the U.K. Fault lies much higher and further away than my trust alone.

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Lucie Cocker

@Lucie_Cocker

9 months

Slightly more touristic 🇦🇺 Day 2: ✔️ Sight seeing run in the Botanical Gardens ✔️ 1st Aussie flat white (with @GemsRidley 😁) ✔️ Shopping & eating at South Melbourne Market 😍 ✔️ 1st Aussie wine (Chardonnay obvs) All with a side of life/pre-work admin.

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Lucie Cocker

@Lucie_Cocker

6 years

It’s absolutely essential that we stop pushing ‘resilience’ training on clinicians which suggests blame for physician burnout lies with the individuals, but instead address the root systemic causes. #EUSEM2018 #MentalHealthMatters

Charlotte Kennedy

@charkennedyEM

6 years

A key message for all of us from the excellent speaker Martynas Gedminas on optimising human performance #EUSEM18

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Lucie Cocker

@Lucie_Cocker

1 year

@G_Runner In the acute phase instead of boarding all patients, and therefore concentrating risk, in the A&E where these facilities are lacking we may need to shift the burden of risk to wards that have the facilities for these patients. However they are also over stretched. Not an easy one

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Lucie Cocker

@Lucie_Cocker

5 years

@MissingPetsGB @LeedsCats_Linda @cats_leeds @roundhaypark @AlanDaffern @SheridanAlcock @leedslivenews @CatsProtection @CatsMissing @petsreunited @ukanimals We have put posters up around und the area today. Please please do get in touch if you have any info at all

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Lucie Cocker

@Lucie_Cocker

9 months

Turns out being an Emergency Registrar is perfect training for attending the Melbourne International Coffee Expo… Five cups in and still no sign of the caffeine shakes ☕️ 💪🏻

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Lucie Cocker

@Lucie_Cocker

2 years

I know many before me have achieved MRCEM…BUT did their partners recreate the @RCollEM logo on a celebration cake using only candles?!

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Lucie Cocker

@Lucie_Cocker

2 years

‘But aortic dissection is rare isn’t it?!’ Deaths from AD are on a par with those from PE annually in the U.K. By falsely reassuring ourselves it’s uncommon we increase risk of missed diagnosis, death and mortality. @AorticDissectCT #EUSEM2022

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Lucie Cocker

@Lucie_Cocker

4 years

Protective equipment for all #NHS staff is vital to ensure that staff do not become too unwell to work and we will still be able to look after patients in weeks&months to come. #COVID2019 #ClapForCarers #MedTwitter @BBCBreakfast @BMA_JuniorDocs @TheBMA @DrSarahHal @DrAdamCol

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Lucie Cocker

@Lucie_Cocker

1 year

Absolutely. This is far worse than 5years ago when the Red Cross were called in and ‘humanitarian disaster’ fits the current state of care.

Saleyha Ahsan

@SaleyhaAhsan

1 year

Is it time to ask humanitarian medical organisations to deploy here in UK?

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Lucie Cocker

@Lucie_Cocker

9 months

The most welcoming, friendly, clean, foodie city! Three weeks after emigrating and from the U.K. and I never want to leave. Oh and despite what some people say the weather is pretty great too. #Melbourne #Victoria

Melbourne, Australia

@Melbourne_vic1

9 months

Please, say something nice about Melbourne ♥️ #Melbourne #Victoria #Australian

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Lucie Cocker

@Lucie_Cocker

3 years

@silv24 Hi Natalie - BMA, along with NHSE/I, HEE etc are in the process of developing a digital staff passport which will address all these issues and digitally port your information from employer to employer. Discovery-phase testing is going well and it’s hoped to be rolled out soon!

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Lucie Cocker

@Lucie_Cocker

4 years

🚨 ACCESS TO LTFT FOR ALL SPECIALITY TRAINEES 🚨 Following on from the successful pilots in EM, O&G and paeds. Will be rolled out to all specialities in the next two years. And #Psych trainees... you’re up next!! #JuniorDoctor #MedEd #medtwitter #flexibleworking

Sarah Hallett

@DrSarahHal

4 years

Huge news 👉 @BMA_JuniorDocs are delighted that access to LTFT will finally become available to all specialties in the next two years, after close working between the committee and @NHS_HealthEdEng .

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Lucie Cocker

@Lucie_Cocker

10 months

Lucie Cocker

@Lucie_Cocker

10 months

Aussie system v NHS a 🧵 @ASTC108 and I will be working in @AlfredHealth a public A&E in Melbourne where care is free at point of access, like the NHS and the majority of Aussie A&Es. (1/7)

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Lucie Cocker

@Lucie_Cocker

3 years

Masters ready!

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Lucie Cocker

@Lucie_Cocker

10 months

@MattDoy @ASTC108 Melbourne 😍

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Lucie Cocker

@Lucie_Cocker

10 months

This is exactly the #MedEd I needed today in Melbourne after spending the last 2 days flying!

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Lucie Cocker

@Lucie_Cocker

10 months

@amapresident @TheBMA @BMA_JuniorDocs @campbellclaret @RoryStewartUK Thank you! Look forward to joining you in three weeks!

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Lucie Cocker

@Lucie_Cocker

1 year

@marella0411 @MarkWebb9898 Both.

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Lucie Cocker

@Lucie_Cocker

10 months

@jonhossain @ASTC108 Thanks Jon! And thanks for all your support and guidance along the way over the years.

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Lucie Cocker

@Lucie_Cocker

10 months

@LaoCaiLarry1 @jfwduffield @RegHumber @ASTC108 You’ve obviously not read my tweets then because I have specifically said I urge the U.K. to adopt a similar system. If you’re going to try and criticise then atleast read the tweets first, otherwise you’re just embarrassing yourself.

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Lucie Cocker

@Lucie_Cocker

10 months

@ron__west @ASTC108 ‘Many globally famous’ is a bit of a stretch. A couple of publicity hungry charlatans in reality - who cared more about getting their faces and names known and lining their pockets than sharing factually accurate and evidenced information to support global population health.

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Lucie Cocker

@Lucie_Cocker

10 months

@colleenhartlan1 @ASTC108 @AlfredHealth Coats, suncream, ski boots and umbrellas all packed ✔️

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Lucie Cocker

@Lucie_Cocker

6 years

I spoke to @BBCNewsnight tonight about the ongoing crisi in A&E and the wider NHS

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Lucie Cocker

@Lucie_Cocker

6 years

89% vote to declare no confidence in the GMC as a professional regulatory body #ARM2018

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Lucie Cocker

@Lucie_Cocker

4 years

A lack of bruises doesn’t mean you aren’t being abused. A lack of bruises doesn’t make this ‘just a difficult patch’. A lack of bruises doesn’t mean people won’t believe you, won’t support you, won’t help you free yourself. #EndViolenceAgainstWomen #WhiteRibbonDay

1

10

28

Lucie Cocker

@Lucie_Cocker

8 months

@DrGeorgeyD @ASTC108 It’s more beach than I had in Nottingham, or anywhere prior I lived in the U.K. so for me it’s very much ☀️ beach ☀️

1

0

27

Lucie Cocker

@Lucie_Cocker

4 years

Grateful to have this level of PPE. It’s astounding so many of my colleagues accross the U.K. don’t even have reliable access to paper face masks. #Convid19uk #juniordoctors #MedTwitter

6

4

26

Lucie Cocker

@Lucie_Cocker

6 years

Happy International Womens’ Day. Incredibly lucky to be surrounded by such inspirational women in all parts of my life. @catboggild @DrSarahHal @HannahPopsy @docanthea @helenamckeown @gurshjohal @McCourtEllen @sheona_macleod and many more!

3

15

25

Lucie Cocker

@Lucie_Cocker

10 months

@DoctaQuokka @ASTC108 Registrars. We will be provisionally registered with @Ahpra as IMGs for the first year so not in formal training but plan on applying for @acemonline training numbers once we are fully registered after 12months

3

0

26

Lucie Cocker

@Lucie_Cocker

4 years

Sure I can often feel certain of a diagnosis in ED, but not always. And esp. not always in 4hrs, while seeing 5 other patients, in an overflowing department with limited resources. Admitting uncertainty should be encouraged. #DEMEC2019 #medtwitter #MedEd

2

4

25

Lucie Cocker

@Lucie_Cocker

10 months

@LaoCaiLarry1 @jfwduffield @RegHumber @ASTC108

Lucie Cocker

@Lucie_Cocker

10 months

@RCEMpresident I’d encourage the U.K. system to evolve towards a similar healthcare model to Australia, and other countries with split funding models (Germany, Denmark etc). (7/7)

16

12

99

1

0

25

Lucie Cocker

@Lucie_Cocker

6 years

When not to panic in Paeds ED when a stressed mum at triage says ‘I just turned my back for a minute and it was in their mouth...’ #EUSEM18

1

14

25

Lucie Cocker

@Lucie_Cocker

3 years

@DrBenLovell @EMTAcommittee 1. Rotas built around requests rather than trainees forced to fit around ‘off the shelf’ templates. 2. Regular scheduled teaching 3. Consultants encouraging and enforcing breaks 4. Consultants & seniors who care about you as a person, send people home when looking sick etc.

1

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