Jamie Murphy @Microbedoc2 Twitter profile

Last Seen Profiles

@JustAnkurBagchi

@DragonStone1963

@eunomian95

@p_millerd

@VentureCoinist

@H_KANNA_0203

@haze_tkn

@AyahLutfy

@telegrafrs

@snekberry

@UnlimitedIRL

@SouthpawSwag24

@StemanJose39147

@Sittipon0123

@chadroskelly24

@refer_best

@MarcoGranelliMI

@Mike240401

@repmorgan

@Savigny_law

@JasonSkelton79

@TechOutlet3D

@stw_pdg

@leytonkins

@80shorrormovies

@BrentKnoll11

@WolvesCassies

@Lydia8591593069

@chankie0331

@ZackeryOls59729

@CanadianVisaApp

@stw_pdg

@snkselca

@sikkisawhore

@JournalismSEEN

@lunaabh

Jamie Murphy

@Microbedoc2

2 years

Some stupid fuckers on this site - when we talk about bed capacity - the limitation isn't the frame and the mattress, if it were we'd have cracked covid with the DFS sale in Jan 2021.

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Jamie Murphy

@Microbedoc2

2 years

If you want to see the moral bankruptcy of estate agents, and the insanity of London's rental market. This is the flat I am moving out of that we pay £1700 per month for! An increase of over 100%!

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Jamie Murphy

@Microbedoc2

8 months

So this Tues it finally happened. A knock on the door at 630am, I clamber from bed confused and wondering who the fuck it could be. I open the door to find a Sainsbury's delivery man holding a crate with a sole bottle of Bollinger. An order I had created with the sole intention

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Jamie Murphy

@Microbedoc2

2 years

So being a gay infection doctor I am used to getting messages from friends regarding PEP/PrEP. But last few days have had quite a few messages from worried friends. So thought I'd create a tweet of my advice following the current guidance that is developing and in flux.

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Jamie Murphy

@Microbedoc2

8 months

of adding groceries and removing the champagne, that I had unfortunately forgotten about 😭🤣.

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Jamie Murphy

@Microbedoc2

4 years

I'm really sick of reading that those dying with covid either have comorbidities or are elderly. Having a comorbidity doesn't make them expendable. Being elderly doesn't make them expendable either.

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Jamie Murphy

@Microbedoc2

3 years

A junior doc that attempted suicide informed me that they were investigated by GMC & given formal warning for bringing profession into disrepute! What an archaic & cruel regulatory body we have. How can mental illness be considered a professional failing? I am disgusted.

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Jamie Murphy

@Microbedoc2

16 days

Called last night at 1am about an almost pan-resistant organism. First time in ages since I've needed to remote in and review all the microbiology at night to formulate a plan. I wonder if the rest of healthcare appreciates how common these organisms are becoming and the

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Jamie Murphy

@Microbedoc2

2 years

Monkeypox was discovered in 1958. It is about to get more research funding and study than in any of the last 64 years because it has become a potential threat to rich western countries. In a globalised world we cant keep seeing communicable disease as someone else's problem.

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Jamie Murphy

@Microbedoc2

3 years

ID exams: A man eats unpasteurised cheese at a deli, he is chased & bitten by a dog from which he flees via a river he presents to the hospital with fever & confusion. His new male partner informs you he was recently in a hotel in Spain where others became unwell. What organism?

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Jamie Murphy

@Microbedoc2

3 years

The BCG was first developed in 1921...It remains the only vaccine used for TB. COVID-19 has 12 developed in less than one year. If you think the 100 year lag for TB is because it has a complex immunological response rather than it is a disease of poverty, then you'd be wrong.

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Jamie Murphy

@Microbedoc2

4 years

I wish people would stop talking about ICU capacity based on number of ventilators. Unless critical care has turned AI in 4 years since I was clinical fellow, I remember it being a complex intervention requiring highly skilled nurses, physio, pharmacists & intensivists.

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Jamie Murphy

@Microbedoc2

3 years

Love when people say "I'd still work if I won lottery". If I won 107 million Euros the only way the NHS would see me again is to get my stomach pumped of champagne.

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Jamie Murphy

@Microbedoc2

3 years

Spiking a temp isn't sepsis. Sepsis is life threatening organ dysfunction secondary to an infection. Spiking a temp is just spiking a fucking temp - all other obs & bloods normal - for the love of Christ stop labelling everything as sepsis.

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Jamie Murphy

@Microbedoc2

2 years

Imagine being entitled to £115k per annum for life having done 6 weeks work. Liz is living the dream.

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Jamie Murphy

@Microbedoc2

3 years

"that boy is our last hope".

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Jamie Murphy

@Microbedoc2

4 years

I hate the term "clients" in healthcare.

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Jamie Murphy

@Microbedoc2

4 years

Academic doctor parents helping their medical student children get published, either with them or groups they gave collaborated with, should be called out for what it is; nepotism.

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Jamie Murphy

@Microbedoc2

2 years

Med student suggests NHS culture is toxic. Others deny. Anyone that doesn't think NHS culture is toxic - a) hasn't worked for NHS. b) are probably the reason why its toxic.

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Jamie Murphy

@Microbedoc2

2 months

Maybe I'm just showing my age but I find Tiktok/YouTube videos being recorded at work while you are doing clinical duties really distasteful, even if no patient identifiable info etc it just doesn't sit right with me. I could totally be becoming a grumpy old man, but I don't

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Jamie Murphy

@Microbedoc2

1 year

Just got asked for my ID at Waitrose buying wine. This 37 year old (cusp of 38) sciatica ridden, greying homosexual will raise a glass to you tonight Waitrose lady. 🥂🍷🍾

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Jamie Murphy

@Microbedoc2

3 years

Anyone that thinks the NHS has orchestrated an elaborate COVID-19 hoax has clearly, never, ever had to deal with NHS HR.

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Jamie Murphy

@Microbedoc2

16 days

devastating consequences of organisms that effectively are bringing us back to pre-antibiotic era. (NDM E.coli also likely underlying ESBL - only options fosfo IV or colistin - cefiderocol R amongst every else - no Ceftaz/avi - aztreonam synergy performed).

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Jamie Murphy

@Microbedoc2

3 years

Such a great visual.

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Jamie Murphy

@Microbedoc2

5 years

Getting bottle of wine in M&S, my lanyard was under coat but the person must have spotted the NHS tag. "You are drinking & you work for the NHS!?" they asked incredulously! Fought back urge to say mind their own damn business; instead said "Try working for NHS and not drinking".

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Jamie Murphy

@Microbedoc2

4 years

In a pandemic the patient isn't the only priority. Healthcare worker protection is paramount. You do nothing until you are wearing appropriate PPE.

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Jamie Murphy

@Microbedoc2

3 years

No, from my medical degree & my specialist training in infectious disease medicine? Where did you get yours?

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Jamie Murphy

@Microbedoc2

3 years

When senior doctors say we don't need a payrise or others deserve it more. I sit there seething in my shared flat on the cusp of zone 2/3 in London at 36.

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Jamie Murphy

@Microbedoc2

4 years

I remember at med school in cardio osce reciting "no oslers nodes or janeway lesions". I'm still yet to see them & I've seen a decent amount of endocarditis. Why do we continue to train doctors as if they are practising in Victorian London before discovery of antibiotics? 🧐

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Jamie Murphy

@Microbedoc2

2 years

I often save a Sainsbury slot with a bottle of Bollinger (needs to be item >£40). Then amend the order nearer the delivery time - removing the champagne. I await gleefully, for the day I forget about the order and a bottle gets delivered alone.

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Jamie Murphy

@Microbedoc2

3 years

Being anti-vaccine is the height of privilege; being able to turn down efficacious preventions knowing in the event you get sick you will have access to all life saving interventions. Where low & middle income countries struggle to obtain vaccines , in the face of a variant with

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Jamie Murphy

@Microbedoc2

4 years

Reading tweets like NHS is empty, covid is a hoax, it was never that bad is just horrible. I don't want accolades, claps or thanks. But denying my lived experience? No. Maybe spare a thought for those expected to pick up the pieces, irrespective of the governments decisions.

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Jamie Murphy

@Microbedoc2

5 months

That 3 digit code was my exam result. 19 years since I started medical school - final exam done. Dr Jamie Murphy MBBS, MSc, MRCP(UK), DTMH. Last one - FRCPath.

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Jamie Murphy

@Microbedoc2

2 years

This payment has just made me sick.

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Jamie Murphy

@Microbedoc2

3 months

This is fucking disgusting. Imagine being a young patient that's been told they wouldn't survive resuscitation, then logging onto tiktok to see it documented like some "Rosie & Jim does healthcare". Just fuck off.

Dr Done

@Dr_Done_

3 months

▪️Signing DNACPR form ‘for a young patient’ (after a 2 yr course) ▪️Consulting instagram on whether to wake a neurosurgical patient for an intimate exam (after a 2 yr course) ▪️These people out-earn doctors by 35% (after a 2 yr course) Excitement of a 2nd yr med student ☠️

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Jamie Murphy

@Microbedoc2

5 years

I'm still surprised how often when I'm asked to see patients with severe infections that they have not had an HIV test performed. Treated HIV has similar life expectancy of someone without HIV. To treat you have to diagnose. Offer testing to everyone. 🤷🏻‍♂️

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Jamie Murphy

@Microbedoc2

10 months

Seriously, I'm done with being a reg...Three calls about antibiotics, same patient, regarding their allergy which isn't an allergy. There is a special place in Hell for doctors that label patients allergic to penicillin for "nausea/sickness".

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Jamie Murphy

@Microbedoc2

4 years

My biggest error has been the gluttony with free food, combined with wearing scrubs at work and pyjamas at home. Totally oblivious to the fact that as I tried to flatten the curve for COVID, I have been developing my own.

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Jamie Murphy

@Microbedoc2

4 years

Isn't it crazy that a piece of RNA, some protein and glycoproteins can pretty much bring the whole of civilisation to its knees.

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Jamie Murphy

@Microbedoc2

3 years

Pseudomonas implies the existence of an Actualmonas

Mehul Parekh

@mevparekh

3 years

C. difficile implies the existence of C. reasonable.

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Jamie Murphy

@Microbedoc2

4 years

Is there a RT PCR or antigen test for being a prick?

readsector

@readsector

4 years

Dr Alex George cheers up COVID-19 patients by wearing his Love Island head shot on his scrubs

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Jamie Murphy

@Microbedoc2

4 years

If I see one more person wearing a surgical mask with their nose out I'm going to start running a "how to wear ppe" workshop on my train.

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Jamie Murphy

@Microbedoc2

3 years

So the junior doctors that were put on surge rotas with less than 48 HR notice (more than once), redeployed, worked 100s of hours during pandemic, assisted in trials - won't be getting any reward for their work? Oh well, at least we had all those Thursday claps as reward.

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Jamie Murphy

@Microbedoc2

1 year

The recent ED discharge where elderly medically fit patient sent home at 11pm & family complain. Is it just me that wonders exactly where is the family in all this? I recognise not all older patients have family close, but it never ceases to amaze me how little some families

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Jamie Murphy

@Microbedoc2

2 years

£1.4k on exam. £1 dinner.

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Jamie Murphy

@Microbedoc2

9 months

This is why I rage when non medics say the doctor's mess is "elitist". Imagine taking over a doctor's work space then doing this. That hospital at night team needs to be fired straight into the sun.

Keith

@_DrIpFeed

9 months

In the room. 😑

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Jamie Murphy

@Microbedoc2

2 years

A frightening number of staff testing positive. 🥴

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Jamie Murphy

@Microbedoc2

4 years

Seriously, stop feeding NHS staff. We are most at risk of COVID-19 & obesity is associated with poorer outcomes. *Eats three doughnuts".

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Jamie Murphy

@Microbedoc2

5 years

I sometimes wonder how amazing a hospital would be if it was staffed solely by people I follow on twitter.

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Jamie Murphy

@Microbedoc2

5 months

"It's about love ultimately." Nah, they are degree educated professionals pal. Nursing is more than holding hands. Pay them properly.

Rishi Sunak

@RishiSunak

5 months

My message to nurses today, thank you.

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Jamie Murphy

@Microbedoc2

2 years

A nurse told me I was in the wrong the PPE the other day as went onto the red ward in a surgical mask and needed to be in FFP3. Great we finally got here, but made me reflect on 2019 when we were told to not wear surgical masks outside wards as could frighten patients 🤣

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Jamie Murphy

@Microbedoc2

1 year

I've just made an aubergine & lentil moussaka. Having relapsed into clinical depression this is the first proper meal I've made from scratch in over a month, because my executive functioning has taken such a hit. Even if it tastes like shite, it's still a positive forward step.

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Jamie Murphy

@Microbedoc2

3 years

Has anyone elses concentration turned to shit over last year? As a pretty avid reader, I'd expect to be working quickly through novels. Instead, all I can seem to muster at home is scrolling through netflix.

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Jamie Murphy

@Microbedoc2

3 years

I was just logging onto eportfolio & I just realised how damn ridiculous it is we need to pay £850 to have access to a mandatory tool for training. We all are absolute mugs in this profession.

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Jamie Murphy

@Microbedoc2

4 years

Making the micro reg do the antibiotic stewardship mandatory training module is everything that is wrong with NHS induction.

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Jamie Murphy

@Microbedoc2

3 years

Haha so someone just matched with me on Tinder to ask about the vaccine, then after I did they said thanks and unmatched 🤣 Health promotion: 1. Love life: 0

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Jamie Murphy

@Microbedoc2

4 years

I still find it crazy number of fy1s that have their first job at 23. It isn't a problem in itself. It just really highlights how medical school recruitment, is massively skewed towards a certain social class.

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Jamie Murphy

@Microbedoc2

2 years

My new year resolution is to pass this final exam (£1.4k) and never, ever spend another penny on the racket that is medical education & royal college fees.

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Jamie Murphy

@Microbedoc2

3 years

Just on metro in Barcelona. I kid you not every, single person wearing a mask. We have so many knobs in UK.

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Jamie Murphy

@Microbedoc2

4 years

Spare a thought for my flatmate, working from home, social distancing, only leaving house for essential groceries once a week... Then living with me, COVID reg. 🤣

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Jamie Murphy

@Microbedoc2

4 years

ID ward rounds normally "So you have 3 dogs, a cat and once swam in Lake Malawi 20 years ago". ID ward rounds in a global pandemic "You are mobile, no COVID symptoms - Home"

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Jamie Murphy

@Microbedoc2

2 years

I just formed an orderly queue behind three police officers in M&S, doing my duty as a good Brit to always form a queue. Only to realise as I stood there smiling that they were in the midst of arresting someone and a shop assistant ushered me to another till to purchase my wine.

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Jamie Murphy

@Microbedoc2

2 years

I see a certain tribe complaining that COVID has negatively impacted their training...We've all been screwed, and I'm ID! Try getting your fever in returning traveller & travel medicine competencies signed off when the furthest people have been is Tesco Express.

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Jamie Murphy

@Microbedoc2

3 years

Not a single document check at Gatwick. Well, other than passport. No check vaccine status. No check had lateral flow/PCR No check that form completed. All of this checked on arrival to Spain though 🧐

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Jamie Murphy

@Microbedoc2

2 months

@gmcuk AAs and PAs are not medical professionals though. The practice of medicine requires a medical degree. We as a profession do not consent to this.

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Jamie Murphy

@Microbedoc2

2 years

I'm sat on a ward where every e note is taking 5 seconds to load. As I approach the sundown of my 30s - am mournfully reflecting how much of my 20s & 30s has been dedicated to waiting for NHS IT to load.

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Jamie Murphy

@Microbedoc2

4 years

An evangelist med student told me that yes I was going to burn in hell for being gay. I told him tbh I'd rather be in hell with all the gays than stuck in heaven with people like him.

Josh Trebach, MD

@jtrebach

4 years

I actually had a medical school classmate tell me, AFTER I shared my coming out story, that they didn’t understand my “choice to be homosexual” but graciously accepted me anyways 👁 🥖 (Eyeroll)

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Jamie Murphy

@Microbedoc2

4 years

I woke up yesterday looked in mirror and thought I looked jaundiced. 101 differentials running through head for hepatitis almost called gastro mate; then I remembered I'd cooked with turmeric day before and not washed hands when moisturising. Hold liver unit transfer please.

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Jamie Murphy

@Microbedoc2

3 years

Having a hypnotherapist splaining PCR testing as picking up fragments of dead DNA, when SARS CoV2 is an RNA virus, is just so peak 2020.

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Jamie Murphy

@Microbedoc2

2 years

Still astonished that there are NHS employees that view a canteen being open for a few hours at night, so that staff have the option of hot food as some sort of excessive luxury. I'm non resident now, but I remember those days of forgetting your lunch or being sick of sandwiches

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Jamie Murphy

@Microbedoc2

6 months

You know it's going to be a bad oncall when someone calls you about leprosy.

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Jamie Murphy

@Microbedoc2

2 years

*over 98%. Had 3435 in my head.

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Jamie Murphy

@Microbedoc2

4 months

I'm ST7. I've been on strike with all of my junior colleagues, despite any outcome likely to impact me. That's nearly 1/4 of next month's pay for you guys. I'm highlighting this not because I want thanks...Thanks isn't enough, I want a fucking round of applause.

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Jamie Murphy

@Microbedoc2

3 years

I was called yesterday oncall every hour up until 1am. Then again at 4am, then again at 7am. I don't want sympathy....Just likes pls.

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Jamie Murphy

@Microbedoc2

2 years

"Why is it infecting gay men now?" Seems that the Monkeypox virus (a relative of smallpox but not as severe) has found a naive population and it is suspected has been circulating at large gatherings such as recent festivals with epidemiological links to Gran Canaria pride

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Jamie Murphy

@Microbedoc2

16 days

@JurnBon I think as these organisms become more and more commonplace I think there is going to need to be some mention of the risks when patients are consented for procedures.

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Jamie Murphy

@Microbedoc2

5 years

Micro oncall: 3am - Antibiotic stewardship 4am - Antibiotic stewardship 5am - Antibiotic stewardship 5:30 - 6:00am - **crying** just give tazocin, thats what you want isn't it?

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Jamie Murphy

@Microbedoc2

9 months

Wish I'd been the micro reg to call out that Legionella result. I'd have done it at 1659, then when they called back for advice I'd have said I only speak to cabinet ministers or above as out of hours.

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Jamie Murphy

@Microbedoc2

5 years

Urology tried to give me antibiotic advice this weekend. Pick. Your. Battles. Wisely.

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Jamie Murphy

@Microbedoc2

8 months

It isn't lockdown, this is the only time I've ever forgotten a delivery order. It is a commercial service, not an elderly care one. Stop trying to shame people for accessing it.

Joanne Livsey

@jolivsey

8 months

Silly me. Now I know why it was so damned hard to get a grocery delivery for my elderly parents during lockdowns.

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Jamie Murphy

@Microbedoc2

4 months

I graduated back in 2009 during the Swine flu pandemic, went on to work in the West Africa Ebola outbreak in 2014, I was a reg in one of the earliest & hardest hit trusts in London when COVID landed. In 2022, I was at the receiving HCID centre for the first cases with local

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Jamie Murphy

@Microbedoc2

2 years

My mother just sent me a pic of my gran in an ED waiting room wearing a mask. Imagine being a grown ass man/woman refusing to wear one as "infringes your human rights" when someone with pretty severe dementia cracks on with the IPC.

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Jamie Murphy

@Microbedoc2

2 years

"I'm a gay man and I am scared" It is anxiety provoking. But so far cases have been mild. An effective vaccine exists. We have treatments if people become unwell. Caveat - this is correct at this time. But like with COVID things change fast. Not official advice! --END--

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Jamie Murphy

@Microbedoc2

5 years

Just got a "Behaviour assessment" from one of the FY1s. Seriously, when are medical educationists & deaneries going to stop infantilising trainees? Fucking "behaviour assessment" they are 24 year old professionals not primary school kids.

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Jamie Murphy

@Microbedoc2

3 years

@GillianMcKeith Gillian, if you had a compromised immune system e.g. from chemo you wouldn't want a nurse with "religious exemption" caring for you. Period.

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Jamie Murphy

@Microbedoc2

2 months

The PA debate is about the inherent unfairness of the entire project. Why are doctors now saddled 100k of debt? Why do we need to work 48 hrs? Why do we study for 5/6 years? Why do we rotate for most of our young adult life? Why do we need to sit multiple exams post graduate

Secret NHS Chief Executive

@SecretNHSCEO

2 months

2/3 The PA dispute seems to me to be a symptom of a wider generational chasm that is emerging in medicine (in wider society too). It has been present in the recent industrial action and in other controversies as well. It is real and is worrying as it feels very destructive.

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Jamie Murphy

@Microbedoc2

4 years

What really pisses me off about this pandemic is that anyone working in acute specialities will for years have been saying that our ICU capacity should be expanded that for a developed country we have less beds than we need. That our number of acute beds should not be reduced;

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Jamie Murphy

@Microbedoc2

3 years

Infantilising the elderly is something we should all avoid. A new district nurse last week did just this to my nan who lives with dementia. "Can I look at your bottom?" speaking like she was a child, my nans response "well, you show me yours and I'll show you mine" 🤣🤭

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Jamie Murphy

@Microbedoc2

2 years

Being back on the wards for 1.5 weeks and I have reached the conclusion that if ever my swallow is deemed unsafe, I don't want fucking anyone bringing me "thickened fluids". Actually, I am going to get an advanced directive.

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Jamie Murphy

@Microbedoc2

2 years

A friend got asked in consultant annual appraisal. "What are your ambitions?" Ffs, do we continue to need these fucking goals as consultant? As my aspirations died in ST4.

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Jamie Murphy

@Microbedoc2

3 years

My prediction is that come July we are going to have surge rotas & redeployment again... Not to medicine & icu but to GUM services.

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Jamie Murphy

@Microbedoc2

2 years

RIP... Passed well before its time.

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Jamie Murphy

@Microbedoc2

1 year

Acting up as consultant is weird - You go from being a confident, ST7 not wanting consultants to get involved and interfer. To no scrutiny of your decisions and desiring your safety blanket back.

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Jamie Murphy

@Microbedoc2

9 months

How is this a £57 shop?

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Jamie Murphy

@Microbedoc2

5 months

When people talk about access to medicine coming from a working class background (actually working class - not the cosplay performative fetishism of working class, from those clearly originating from middle class backgrounds that pretend otherwise) they only look at the entry

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Jamie Murphy

@Microbedoc2

4 years

So the inevitable has happened, developed a persistent, dry cough overnight, gonna need to self isolate. Anyone know if @goop has any anti-covid-19 crystals or candles I can make use of? I think I saw something supporting their use in a non randomised, no control trial in @NEJM

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Jamie Murphy

@Microbedoc2

2 years

Darklands festival. "Is it sexually transmitted?" Can be associated with aerosol spread & contact with lesions - so far the dominant spread seems to be via close contact e.g. sex, saunas, festivals. "Is it dangerous?" Most cases are mild so far. Previous Case

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Jamie Murphy

@Microbedoc2

1 year

What's your favourite Dunning-Kruger moment in healthcare? Mine was being told by an anaesthetic/ICU reg that microbiology input isn't needed as they had "covered microbiology in their ICU exam".

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Jamie Murphy

@Microbedoc2

4 years

Been sick since Friday. As an infection doc when the microbes turn on you, you can't help but feel betrayed, like when a lion tamer is attacked in their shows.

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Jamie Murphy

@Microbedoc2

2 years

If I had £2 million in assets in a limited company. I certainly would not be in a national newspaper stating that junior doctors with salaries starting at 29k, many with debt sometimes exceeding 100k shouldn't strike. If I truly felt this, I would just avoid the question - as

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