Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰ Profile Banner
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰ Profile
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰

@Richard_GP

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#TeamGP GP trainer | NIHR Clinical Lecturer @capcbristol | bad triathlete better dancer | MSc DrPH PhD LGBTQ cis he/him/δ»– @GP_SexualHealth @SussexBeacon Trustee

London, England
Joined November 2010
Don't wanna be here? Send us removal request.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
🚨New study @BJGPOpen Q: What was it like accessing contraceptive care during first wave covid-19 lockdown in the UK? A: Not easy for some! Thread 🧡 1/8 Access to & use of contraceptive care during first COVID-19 lockdown in the UK: a web-based survey
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
Hi @wesstreeting - about direct access to specialists, I have questions ... thread 🧡 You have a lump in the back of your head, you want to see a dermatologist. Why not a surgeon? What if the lump was in your neck. Is it a gland swelling, a lipoma, cancer? Who do you see now? 1\6
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
Medicine is complex right? Who do you want to sift through the myriad of possibilities? Sometimes give you advice on what is most likely given the epidemiology, your demographic/history, family history, examination findings? You need GPs, we are trained to do all that. 6/6 end
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
@twicezer0 @wesstreeting No. You need more GPs, not a silly policy of allowing everyone to self-refer when the system is already on its knees to deal with the current demand.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
My turn! #NormalizingHIVChallenge Name: Richard Age: 48 Home: London/Brighton Occupation: doctor (GP) Children: no thanks! Married: in relationship HIV status: diagnosed 2008, CD4 120 ARVs: they work! #Undetectable within months. Doing triathlon few years later!πŸŠβ€β™‚οΈπŸš΄β€β™‚οΈπŸƒβ€β™‚οΈ #uequalsu
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
Knee pain- orthopedic surgeon surely? What if you have pain, swelling & stiffness in your fingers - see a rheumatologist? What if you also have psoriasis - how do you know it is not psoriatic arthritis? Do you see a dermatologist now? Wait till I tell you about STIs & SARA. 2/6
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
Dizziness - oh this will be fun. Is it vertigo/balance issue so go to an ENT? What if you had really slow or fast heart rate or heart valve prolapse - would a cardiologist suffice? What if it is a problem with your BRAIN - how about a neurologist? Maybe you're just anaemic? 3/6
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
2nd day running I have been in my surgery since 8am. Not sure I have the appetite, or the emotional energy to spend my Saturdays doing the same. 9 to 5 on a rota they say but hey, that will turn into 12 hour days in no time. You need more GPs not more hours from same tired lot.😞
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
Depressed? Want to see a psychiatrist? Good luck with that. Tired all the time? Where do we start? People always worry about cancer. You will need more oncologists than what you have now. By then maybe they might be too overwhelmed to see people who ACTUALLY HAVE CANCER? 5/6
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
I haven't finished. Shortness of breath & cough. Sounds like for a chest physician? What if you had poor heart muscle/heart failure & your lungs were full of fluid? Cardiologist surely? Night sweats, fever, & gland swelling too - lymphoma? Maybe you are anaemic (again)? HIV? 4/6
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
Dear David. As a GP Partner I've unblocked toilets, mopped floors, moved furniture, done blood tests, cleaned the patio, fixed IT problems, but I really rather other people did them to let me get on with my own job because apparently people are having difficulties seeing GPs
@d1_david
David
3 years
@imnotnorse @Telegraph 650k non medical staff employed by the NHS. Does that not concern you?
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
8 months
@Azeem_Majeed @DoctorJLam In Sheffield we had a neurology lecturer who used to present with acetates. He would start with a simple illustration, then add layer after layer or flip to another set to illustrate where the nerves came and went. Modern day equivalent of PowerPoint animation.
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
Every GP training scheme should start their year with a talk by @MichaelMarmot to fire up their motivation to understand deprivation, how it affects the patients they see, and what they can do about it. #RCGPAC #woncaeurope2022
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
On this #WorldAidsDay2021 I'm wearing a red feather boa because: βœ…13 years living with #HIV βœ… #Undetectable βœ… #UequalsU βœ…Feeling fabulous I owe this to HIV campaigners before me & honour those who died too young and/or unable to access treatmentπŸ•―β€ #WAD2021 #WorldAIDsDay21
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
A reminder: STI treatment from GPs can now be endorsed with "FS" for FREE SUPPLY (England only). You can also just tick a box on EMIS. 15 years after I first raised it at DH I am glad we finally got it sorted. Thanks for everyone who made this happen! πŸ‘πŸ™
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
@twicezer0 @wesstreeting Successive governments have promised more GPs, but they say nothing when media demonised us, at the same time created unrealistic demands and working conditions leading to GPs leaving the profession in droves. I am one of the few left to hold the fort. One day I too will break.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
Meanwhile I got a job as GP registrar. I am eternally grateful to my training practice who took me onπŸ™I learned about inequalities & social justice. I became a feisty GP trainee who wasn't going to take any shit from anyone. So that's how I got to stand up to the racist.πŸ¦Έβ€β™‚οΈ 6/6
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 months
A group calling itself "Clinical Advisory Network on Sex and Gender" is holding a "conference" in the same building as @rcgp headquarters. A group of us at #PrideRCGP πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈ are asking the College to pull the meeting, and here are the reasons why.🧡
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
Passed my PhD viva with only minor amendmentsπŸ˜ƒ I can't quite believe I wrote this monster of a thesis! Went out last night to celebrate 🍾 Thanks to superb supervisors @SoniaKSaxena @DrAlexBottle @profhelenward super team @Imperial_CHU & support @Imperial_PCPH @NIHRcommunity πŸ™
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
5 years
I've become one of the topless gays #PrideRCGP #PrideInLondon #Pride
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
A thread about how I called out a GP trainer for being racist: CW: #racism I was one of the GP registrars in a large training practice. We had a joint breakfast/tutorial one morning a week with registrars from another practice, led by a partner from either on a rota system 1/6
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
Does anyone else get jokes from their patients along with online prescription requests? πŸ€£πŸ˜‚
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
5 years
I hate this mentality. Life is muddled. It's our job to help people make sense of it. One day a clinician will miss something important by insisting on "one problem only". I don't buy the "self preservation" argument either.
@GilmanFamily
Christina Gilman
5 years
Booked an appointment for youngest son. He has multiple issues brewing atm. But we are faced with this. πŸ€¦πŸ»β€β™€οΈ.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
Delighted to accept an #NIHR Academic Clinical Lecturer position based at Centre for Academic Primary Care @capcbristol @BristolUni πŸŽ“. Can't believe it all started 9 years ago with an In-Practice Fellowship at @Imperial_PCPH . Forever grateful πŸ™ Exciting times ahead!πŸ˜ƒ #phdchat
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
In other news, a patient's key worker didn't just ask me how I was, they did one better - they commented on my outfit. They said I looked "fabulous". I'm now #FiftyAndFabulous πŸ’…πŸ’–
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
I am officially a proper doctor now. πŸ˜ƒπŸ§‘πŸ½β€πŸŽ“ #PhD #phdchat #PhDone
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
5 years
When my patients tell me they don't have time for exercise, I tell them this is how to incorporate it into their commutes. πŸ‘
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
Eek! People at work found out! πŸ˜³πŸŽ‚
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
Shared this wisdom from @A_AMilne today with a patient about how we coped like Piglet 🐽🐷during the first few months of lockdown. We were both desperately trying to be useful we forgot to be scared. It made us laugh. πŸ™
@A_AMilne
A.A.Milne
4 years
β€œIt’s hard to be brave,” said Piglet, β€œwhen you’re only a Very Small Animal.” β€œIt is because you are a very small animal that you will be Useful in the adventure before us,” said Rabbit. Piglet was so excited at the idea of being Useful that he forgot to be frightened. ~A.A.Milne
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
5 years
@Mayhew1Mayhew @TheBSCCP Wait. A conference related to women's health can't tolerate a mother and baby in the audience?
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
@alisoncook12 @wesstreeting Having a healthcare professional you can trust with their advice and treatment is important. Reduces a lot of anxiety, unnecessary investigations and referrals. But they can also sense if something is not right and refer earlier. For most people this is their GP.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
Hi @DrHilaryJones , GP living with HIV here πŸ™‹People with #HIV & undetectable viral load are unlikely to infect others. This includes health care workers like surgeons #uequalsu . I wrote about this 10 years ago @bmj_latest free link:
@BritishHIVAssoc
BHIVA
3 years
Healthcare workers living with HIV including surgeons, can and do safely work. Clear guidance is published by @PHE_uk @DrHilaryJones @GMB @ITV
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
10 months
Happy #transpride from Brighton!πŸ³οΈβ€βš§οΈ #TransPrideBrighton πŸ³οΈβ€βš§οΈ #TransRightsAreHumanRights πŸ³οΈβ€βš§οΈ
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
@DavidJCrook @wesstreeting Absolutely. This risks lengthening waiting lists which are already impossible to manage, and delays in treating those who could really benefit from specialist input.
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
6 years
Finally a Doctor of Public Health! #DrPH
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
@drmeenalviz I am forever grateful to everyone who got the vaccines out there so quickly all over the world. People forget its contribution in getting all of use safely out of the pandemic. There are countries with low vaccination rates seeing high mortality rates right now. ❀️❀️❀️
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
@MichaelTun1 @mgacsm So sorry to hear about your dad. He did the right thing to highlight the problem what a shame it was too late for him sadly, hope the hospital is now doing three right thing. From a fellow Burmese doctor. RIP πŸ™
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
We're queering RCGP, one conference at a time @BecksFisher @DuncanShrew @drkamillak πŸ™‚πŸ³οΈβ€βš§οΈπŸ³οΈβ€πŸŒˆ #LGBT #LGBTQ #PrideRCGP #pride @RCGPAC #RCGPAC
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
5 years
We did it!! "Outstanding contribution to GP community" #RCGPAC #InspireAwards #PrideRCGP Well done team!!!
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
OMG I have just won NAPCRG/SAPC travel award junior prize for this oral presentation! Thank you so much @sapcacuk ! #SAPCASM
@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
One year after a tentative Twitter poll asking women about access to contraception during the lockdown, we report our findings of an online survey today at #SAPCASM - Session 3D Women's Health (watch the Zoom acrobatics as I am also chairing this session 😬)
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
That Telegraph front page about Prince Andrew and a bathtub ... It suggests sexual assault/rape could only happen in certain places/conditions. Just another level of gas lighting his people would use to defend him. It's just f**king ridiculous & insulting to victims.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
7 years
Delighted to announce I have been awarded National Institute for Health Research ( #NIHR ) Doctoral Research Fellowship! The fun begins! πŸ˜€ #fb
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
To pre-empt vicious abuse from certain followers of some accounts (I have seen the emails), @trishgreenhalgh has been using an app to block people. If you have been caught in the crossfire- let me know, I will compile a list to ask her to unblock. Easier than sending loads of DMs
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
@Ads302 @wesstreeting You know this is what happens already privately but ppl pay Β£200-300 for a scan, get a report which they do not understand and we end up spending ages talking about incidental unimportant findings when the original problem could have been sorted with one appointment!
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Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
@daveberkeleyuk @wesstreeting There is always an agenda isn't there?
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
5 years
@SarahMNeilson @DrJenGunter I just conducted focus groups with 16 to 19 and 20 to 24 year old women talking about contraception. Some wished their parents were more comfortable talking about sex with them. So no, it's not creepy.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
Well I tried @Nigella_Lawson 's clementine cake today. It was sooo easy to make (so easy that I forgot to add the baking powderπŸ™ˆ). It really is moist and delicious πŸ˜‹ No flour or butter needed! The finished bake looked almost like the one on the website!πŸ˜€
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
I don't actually have a GP joke so I'll have to refer you to someone else.
@drphiliplee1
Dr Philip Lee
3 years
I have a defibrillator joke, but frankly it's shocking.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
Is he OK?
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
I have two words: Bawa-Garba I still have questions why a white doctor (Dr Stephen O'Riordan) was allowed to get away (he literally ran away to Ireland to practise after the case) while a black doctor was struck off.
@drcmday
Dr Chris Day
3 years
GMC infected by racism? A ruling from Reading employment tribunal found that the GMC had discriminated against Karim by continuing an investigation into him when it did not investigate the same allegation against a white doctor.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
5 years
Exciting news!! It's official! For the first time ever, @rcgp will be at both @PrideInLondon and @PrideBrighton More details next week! #PrideRCGP πŸ€—πŸ³οΈβ€πŸŒˆ
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
@DrNighatArif I am sure a different Oxford professor @trishgreenhalgh would agree with the points you made about masks especially with airborne transmission.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
Ahem.... Who's been encouraging people to flout rules because of, erm, "freedom"?
@JuliaHB1
Julia Hartley-Brewer
3 years
How on earth are all those people still catching Covid when we're all still mandated to wear masks which protect us from catching Covid? It's a mystery, it really is... πŸ™„
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
One positive thing from Ashraf the bigoted orthopaedic surgeon's tweet is the outpouring of allyship and support the medical community has for their #LGBTQ peers. Look at the replies and QTs! Thank you everyone πŸ™πŸ½πŸ˜€πŸ₯² πŸ–€πŸ€ŽπŸ€β€οΈπŸ§‘πŸ’›πŸ’šπŸ’™πŸ’œπŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈ #Pride #PrideRCGP
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
It's the Whittington VTS GP Trainers away day at Cumberland Lodge and I taught them #Jerusalema dance challenge during the break. I think they were pretty good considering they only had 10-15 minute tutorial! πŸ˜ƒ
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
It is not easy to retaliate when you belong to a group that is often oppressed, made worse by power imbalance (eg trainer vs trainee). I didn't feel brave, I almost had a panic attack standing up to a senior! It highlights importance of allyship as some feel powerless to act. 4/6
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
@FishMcFace @wesstreeting We have in fact a self-referral system for minor illnesses to see a pharmacist for advice, physiotherapy, podiatry, dietician, psychological therapies and antenatal services. If inappropriate, they send back to GP. This system works for low risk and less complex problems.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
I've heard that a cancer specialist and an Olympic medallist have been misinformed about how death certification works.
@sharrond62
Sharron Davies MBE
4 years
I’ve been told of a doctor who was encouraged to sign off as covid on 2 heart attacks & one person sadly dying from a stroke in just one day. The total opposite of Germany where underlying cause of death is recorded on death certificate. Fascinating how figures are correlated?
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
Got my booster πŸ˜ƒπŸ’ͺand a little treat. ☺ shush 🀫! I got the most auspicious batch number for a Chinese person. I'm going to "prosper, easily prosper" 🧧 πŸ˜†
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
Later, the other registrars and I had a debrief. "You were very brave standing up to [the trainer]" one remarked. Why did *I* have to be "brave"? Why didn't anyone say anything? Why was it up to me? Also, why did that trainer think they could get away with being a prick? 3/6
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
Today is a good day to show solidarity and support for all #LGBTQ patients and peers. You are safe and welcome in the NHS. Thank you @RainbowNHSBadge πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈ #PrideRCGP
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
Crazy day duty doc- sat here for almost 12 hours! 😭😭😭 MSK, child health, dermatology, psychosexual counselling, home visit, trauma care (x3!), depression, trans care, joint injection, neurology, ENT (Epley manoeuvre!) Also managed to give 3 flu jabs opportunisticallyπŸ˜ƒ #TeamGP
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
@Medic_Russell 42 West Street
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
Erm hello. I have been a part time GP for 20 years in the same practice. I am the only GP in this practice who has offered continuity to the same patients and their families for 20 years.
@pulsetoday
PulseToday
4 years
NHS CEO Simon Stevens has said that continuity of care has decreased in the past few years, largely due to GPs 'choosing to work less time full time' in practices
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
Decided to wear scrubs to work. Last time I wore them was as an SHO and I feel like I'm in my 20s again!πŸ™ˆ Does it stop me from bringing bugs home? No idea! But I feel like an extra from Casualty πŸ€·β€β™‚οΈπŸ˜€
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
My latest dance is dedicated to those retired/ tired old health care professionals who need to write to national newspapers to manufacture outrage against other health care professionals just to get attentionπŸ˜πŸ™„ #STFU Sound on πŸ”Š
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
After two years of thinking I was safe from getting it, it's finally happening to me. . . . . . . I'm going to have AN APPRAISAL πŸ˜”
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
It's hell. We have slots at 10min intervals starting at 8:30 for any econsult/tel triage appts. The list is now at 23:40 - ie 90 people to call back/contact. It's only midday.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
I have no problems with increasing capacity in general practice in whatever form but if you want to increase the medical workforce surely you need to stop them from leaving in the first place? You don't treat a haemorrhage with more IV fluids or blood transfusions as far I know.
@pulsetoday
PulseToday
1 year
Exclusive: NHS England are set to run pilots of staff and associate specialist doctors in general practice, in a move that the BMA’s GP Committee England has β€˜significant concerns’ around
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
1 year
@DrWillMurdoch @carolinegee13 @wesstreeting Luckily we have a minor surgery service. No need to be referred to secondary care! Fund general practices and the primary care services properly!
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
I have heard enough disparaging remarks from journalists to a pharmacist from Warwickshire about what GPs have been up to during this pandemic. I don't need their opinion or validation. Our patients appreciate our efforts during this time and that's enough for me. πŸ™
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
So many things to unpick here ...
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
Context: I almost didn't complete GP training due to my immigration status at the time. BMA: useless, course director: lost, the GP Dean: "meh". I left the VTS, involved my MP ( @HackneyAbbott πŸ™) & immigration lawyers. The process cost me emotionally, personally & financially 5/6
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
11 months
Cleared my desk at @Imperial_PCPH today. End of an era! 😭😭 I'm very grateful to @Azeem_Majeed @SoniaKSaxena and team for their support throughout two NIHR fellowships. Sad to leave a great team @Imperial_CHU but excited to start my new job next week in @capcbristol πŸ˜€
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
10 months
Am I the only person obsessively getting rid of frivolous things from the "Problems" list from new patients' notes? Why do people feel they need to clutter the list? What value do they add to the clinical content?
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
@d1_david @imnotnorse @Telegraph Dear David. As a GP Partner I've unblocked toilets, mopped floors, moved furniture, done blood tests, cleaned the patio, fixed IT problems, but I'd really rather other people did them to let me get on with my own job because apparently people are having difficulties seeing GPs
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 months
Friends and allies, please support us to ask this meeting to be moved from the RCGP headquarters. You can use the feedback form here: #TransRightsAreHumanRights /ends
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
@TheRealIJM Benedict Cumberbatch omg i am good😱
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
Shout out to a humble country girl born during the war in a remote village in Burma, who travelled to Rangoon to train to be a nurse/ midwife, met my dad, emigrated to Hong Kong not speaking a word of Cantonese, & brought up 3 kids. #Tigermum #InternationalWomensDay #MothersDay πŸ₯°
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
Most of the FY2s we've had had never really taken a history, used their clinical skills to come to a set of working diagnoses and managed a patient from the beginning to the end of an episode until they set foot in general practice. That cannot be how you train tomorrow's doctors
@doctorcaldwell
Dr Gordon Caldwell
4 years
Sadly yesterday that FY1 didn’t see any patients clinically. Why? Doing Discharge Summaries and β€˜chasing’ results Bad IT is dangerous to #PatientSafety because it slows Clinical Care when diseases are only slowed by treatment Bad IT also destroys training opportunities
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
Guess what I did today. Didn't have to wait too long. Speedy and efficient. Thank you everyone. #vaccination #CovidVaccine #AstraZeneca
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
@tariqjenner For crying out loud. As if medical staff don't have enough to worry about and deal with. You have people like this who do not believe covid exists and wants to discharge their relative home to receive VitAMiNS instead. 🀷Disinformation costs lives!
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
As if being a single handed GP in a deprived part of London wasn't hard enough, @fhussain73 tries to reduce knife crime in her area! Absolute respect πŸ‘ #RCGPAC #woncaeurope2022
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
@KirstySedgman Or a Chinese paper lantern?
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
PEOPLE WHO TELL MY PATIENTS : "GET A NOTE/LETTER FROM YOUR GP" MAY I HAVE A WORD WITH YOU, IN PERSON, IN MY ROOM PLEASE - NOW! 😑🀬
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 years
I've spent a week studying a piece of choreography to Ed Sheeran's Give Me Love. Today I think I've done the best I could. Need yoga to get more supple. Can't quite manage the graceful & purposeful movements as the original though. My toes hurt πŸ˜” #lyricaljazz #dancingdr #lyrical
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 years
How do you politely ask a retired surgeon who makes uninformed and stupid comments about part time/female doctors and GPs to STFU?
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
5 years
Our #PrideRCGP πŸ³οΈβ€πŸŒˆ programme aims to challenge attitudes, homo/bi/transphobia. We recognise this has to start with our own peers & institutions. Having more #LGBTQ healthcare professionals being visible is a good start. β€πŸ§‘πŸ’›πŸ’šπŸ’™πŸ’œ
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
7 years
Guess who's featured in #GPFrontline this month? Just in time for #RCGPAC πŸ˜‰ #LGBT
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
9 months
@dr_irfan_malik Not even the coroner but the local panel which is supposed to investigate any child death.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
Why πŸ‘can'tπŸ‘peopleπŸ‘withπŸ‘covidπŸ‘ symptomsπŸ‘ getπŸ‘ aπŸ‘ test πŸ‘fromπŸ‘ their πŸ‘GPπŸ‘ and πŸ‘record πŸ‘that πŸ‘onπŸ‘ the πŸ‘covid πŸ‘appπŸ‘ if πŸ‘they πŸ‘testπŸ‘ positive? πŸ€·β€β™‚οΈ
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 months
While we believe we need honest & respectful discussions to improve care of gender-questioning young people, we should not have to share a platform with people who invalidate or dehumanise lived experiences of trans/non-binary peers/patients. Our community does not feel safe.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
2 months
That is why trans people are voting with their feet and flocking to our practice as the only hope in North London. We now have nearly 100 pts we are caring for. Reminds me of the days when clinics used to have a list of "HIV friendly GPs". You say unfunded, I say discrimination.
@Parody_RCGP
🐼 Parody RCGP (not a doctor)
2 months
So GPs should simply get on and do it?
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 months
You will see other speakers who are known for their gender critical views, oppose gender affirming care, and have a history of transphobia. Some also have questionable views on trans people in general. The RCGP are clear the conference DO NOT share their values. #PrideRCGP πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈ
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
I have a sexual health joke and I expect a clap from you after hearing it.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
10 years ago it was just PCTs. Now the number of organisations that need GPs to engage and have meetings with have trebled: PCNs, GP Federations, CCGs. More GPs are needed just for meetings it seems, but not sure if the person hours spent are effective.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 months
The list of speakers might seem respectable, including a well-known obstetrician, a high-profile GP, and until yesterday, the immediate past chair of the RCGP [the reasons for withdrawal not known]. But look under the veneer of "safeguarding" and "evidence based policy"....
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 months
This event would worsen the already little trust the LGBTQ community has with general practice. It is also hurtful to know this would undo years of work #PrideRCGP πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈ have done to build relationships between LGBTQ community and general practice and improve their care.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
8 years
Some #brexit folks are terrified of migrants like me taking over GP jobs in deprived inner city areas and generally keeping #NHS running
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
3 months
This meeting might give an air of credibility and face validity, but it is the accidental endorsement by the RCGP, which will do the most damage. LGBTQ+πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈ patients already feel unsafe and have difficult relationships with NHS when accessing care due to perceived discrimination.
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@Richard_GP
Richard Ma PhD ι¦¬ε―Œζ–‡ πŸ‰πŸ³οΈβ€πŸŒˆπŸ³οΈβ€βš§οΈπŸ‡ͺπŸ‡Ί πŸ‰
4 years
A patient I see regularly had been feeling hopeless for years and mentioned their pet as their only reason to keep on living. I bought their pet a small present for its birthday. It wasn't expected and their mood lifted. It was better than any painkiller or antidepressant.
@suey2y
Sue Marsh
4 years
OK, by popular demand, will you share the kindest thing you did in 2019? Not for personal glory, but to show society is strong and kind and never, ever loses its way completely?
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