Thomas James @SAS_gas_Thomas Twitter profile

Last Seen Profiles

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Thomas James

@SAS_gas_Thomas

3 years

I never knew there were so many households round here made up of six to eight middle aged cycling enthusiasts

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Thomas James

@SAS_gas_Thomas

8 months

Look for delighted all these doctors are to meet Rishi Sunak

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Thomas James

@SAS_gas_Thomas

2 years

Help me settle an argument with my son - is ‘a great sense of humour’ on a school report something to be proud of? I’m not so sure…..

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Thomas James

@SAS_gas_Thomas

2 years

Clearly worked in the NHS too long - tried DATIX for wordle. Apparently it’s not a word?

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Thomas James

@SAS_gas_Thomas

4 years

I don’t think those who have never worked nights ever really get it. Today is not a day off. I’ve already worked 9hrs of it by the time I got home

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Thomas James

@SAS_gas_Thomas

7 months

To be replaced by the cheaper daytime drama ‘Physician Associates’

BBC Press Office

@bbcpress

7 months

The BBC has taken the very difficult decision to bring daytime drama Doctors to an end after 23 years Read more:

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Thomas James

@SAS_gas_Thomas

4 years

As we plan the recovery phase I hope we remember that staff are exhausted - physically, mentally and emotionally. Staff wellbeing, rest and fatigue needs to be integral to any plans

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Thomas James

@SAS_gas_Thomas

2 years

I’ve just learnt today that ‘pie charts’ are known in French as Camembert charts. It has cheered me up

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Thomas James

@SAS_gas_Thomas

3 years

Short cars in hospital car parks give you false hope

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Thomas James

@SAS_gas_Thomas

2 years

I’ll take it as a positive! He’s a bright lad who had a witty, wry observation on life. Quick to pick out the absurd

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Thomas James

@SAS_gas_Thomas

2 years

Anaesthetising for dental extractions in toddlers is really rather depressing

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Thomas James

@SAS_gas_Thomas

4 years

Very lovely surgeon asked me if I could help with the bleeding. Basically I asked what that has to do with me. Breathing. He said breathing. More rocuroniun and an apology. Mortified

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Thomas James

@SAS_gas_Thomas

2 years

I do not merely introduce myself as an anaesthetist. I am The Anaesthetist

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Thomas James

@SAS_gas_Thomas

2 years

Although it does go a bit far sometimes! Like when watching a tedious education video with a family singing he shouted out ‘OMG it’s the Von Trapps again’

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Thomas James

@SAS_gas_Thomas

4 years

It’s not as dramatic as finishing chemo but today I had my last therapy session for depression. It’s not exaggeration to say it’s changed my life. Thanks to everyone who has (unknowingly) helped me

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Thomas James

@SAS_gas_Thomas

2 years

Petition for Matt Hancock’s I’m a Celebrity fee to be paid in claps and pin badges

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Thomas James

@SAS_gas_Thomas

4 years

Spent ages trying to put one of those flimsy aprons on. Couldn’t get the ties open. Reader - it was a bin bag

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Thomas James

@SAS_gas_Thomas

3 years

Really pleased to be working with midwives to humanise c-sections and support breastfeeding. Because we all gave a role in this. So much more to obs anaesthesia than spinals and epidurals

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Thomas James

@SAS_gas_Thomas

3 years

May I just point out this was a lighthearted comment. And in no way meant to be judgemental! I enjoy cycling myself!

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Thomas James

@SAS_gas_Thomas

3 years

Ensuring there are enough scrubs available in the morning would be an easy way of reducing staff stresses. It’s a minor stress but one we can do without

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Thomas James

@SAS_gas_Thomas

2 years

Just relieved by mate for a coffee break. The vent settings are Pressure 17, RR 7 and PEEP 7. This is serious depravity

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Thomas James

@SAS_gas_Thomas

1 year

So today I have heard of a case of a Specialty Doctor working on the same rota as their consultant colleagues, doing the same role, same risks and responsibilities but apparently no money for a Specialist post. Explain to me how that isn’t exploitation?

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Thomas James

@SAS_gas_Thomas

5 years

Remember the clocks go back tonight. An extra hour in bed they say. Or an extra hour of CBeebies for parents. Hey Duggie anyone?

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Thomas James

@SAS_gas_Thomas

3 years

Looking at the whole airborne vs aerosol debate - did we overprotect theatres and under protect the wards? Seems odd that we were doing cases under spinals in FFP3 (just in case) whilst red wards didn’t

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Thomas James

@SAS_gas_Thomas

2 years

I do wish ‘that’ anaesthetist didn’t share my surname. I’ve even had my parents ringing to check my views on vaccination

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Thomas James

@SAS_gas_Thomas

2 years

Some of the recent talk about SAS drs has been rather depressing. Training didn’t work out for me and I was going to leave. I’m sure some seem me as ‘failed’. But a wise mentor got me into SAS grade. 15yrs later I’m still giving anaesthetics. I see that as success!

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Thomas James

@SAS_gas_Thomas

2 years

I have bling! Blown away to be presented the Anniversary metal by @Assoc_Anaes Being on the SAS committee has been an absolute pleasure and there’s so many who share this award for all their help and support

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Thomas James

@SAS_gas_Thomas

2 years

I passed! @abrsm grade 4 piano. Loved learning as an adult - never too late to start. Huge thanks to my teacher for her support encouragement and patience!

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Thomas James

@SAS_gas_Thomas

4 years

My son has found a Nintendo game where you run a hospital. So far he’s massively in debt, sacked all the staff and the janitor is chasing the ghosts of dead patients! Sounds like an everyday NHS hospital

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Thomas James

@SAS_gas_Thomas

3 years

Last ever day at @HarrogateNHSFT I joined here as a ‘trainee in difficulty’ and leave here 12yrs later proud to be a #sasdoctor . This place has helped me so much - I will miss everyone

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Thomas James

@SAS_gas_Thomas

1 year

The trainee I’m with has just asked if I’d like to go for a coffee break. I think this means I’m meddling??

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Thomas James

@SAS_gas_Thomas

1 year

With all the seniors stepping up to cover night gaps I hope people realise that there are plenty of #sasdoctors doing this week in, week out. And realise how hard it is and why we need to make it safer. Many of these SAS are in their 40s and 50s. #fightfatigue

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Thomas James

@SAS_gas_Thomas

3 years

These aren’t doctors hoping to get into anaesthetics. They ARE already anaesthetists and their contribution to covid has been both invaluable and awe inspiring. They deserve better

Shaun Lintern

@ShaunLintern

3 years

‘A slap in the face’: Hundreds of frontline Covid doctors told they won’t have jobs from August

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Thomas James

@SAS_gas_Thomas

2 years

This is 75% of the SAS in our dept. All have had national roles, spoken or organised meetings and taken on lead roles in departments. Who says SAS is just a service job? #SASbychoice #SASDoctors

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Thomas James

@SAS_gas_Thomas

2 years

Try a whole shift without using the word ‘Datix’ before telling me it doesn’t exist

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Thomas James

@SAS_gas_Thomas

8 months

Becoming a SAS dr saved my anaesthetic career, my sanity and probably my marriage. There is more than one way to skin a cat - or to become a successful doctor. Great to hear @RobJimFleming discuss this #AC2023

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Thomas James

@SAS_gas_Thomas

3 years

An ODP who cannulates for you is an invaluable resource to be treasured

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Thomas James

@SAS_gas_Thomas

2 years

PCR neg and this arrived. Today is looking up. At least I’ll have something to occupy me during lockdown!

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Thomas James

@SAS_gas_Thomas

10 months

Is waiting for @BBCRadio3 to finish the Rachmaninoff piano concerto a good excuse to sit in my car and be late for work? Will my colleagues be understanding? @PetrocTrelawny

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Thomas James

@SAS_gas_Thomas

8 months

Remember A SAS doctor is for life Not just for industrial action

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Thomas James

@SAS_gas_Thomas

2 years

When I was a struggling trainee a wise senior colleague asked me bluntly but kindly if I still wanted to be an anaesthetist. No one had actually asked me that. Or suggested alternative routes

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Thomas James

@SAS_gas_Thomas

3 years

Great first day @BTHFT and great to meet some of my new colleagues. I have a feeling I’m going to be very happy here

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Thomas James

@SAS_gas_Thomas

1 year

Why are almost-teens both infuriating and hilarious? 12yr son is refusing to do ‘family’ stuff because he self IDs as a cushion and so it’s a hate crime to make him leave the sofa

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Thomas James

@SAS_gas_Thomas

4 years

It was only last week I realised just how exhausted I am. Think I’ve been running on adrenaline and autopilot

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Thomas James

@SAS_gas_Thomas

11 months

Rather shell shocked to be on the other side of bereavement - as a family member not a dr. My wonderful mother died yesterday - she’d been unwell for a few weeks but the sudden deterioration came as a massive shock

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Thomas James

@SAS_gas_Thomas

1 year

Today I am Schrödinger’s SAS dr. Simultaneously senior enough to cover a consultant gap but equally junior enough to still be a Specialty Doctor

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Thomas James

@SAS_gas_Thomas

3 years

Poor boy has not had a good day! Left his phone at school, didn’t get voted class rep and PE was dance. To top it the chicken wrap was tofu! Apparently it’s the worst day of his life. It’s hard being 11!

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Thomas James

@SAS_gas_Thomas

2 years

Today I am really rather angry on behalf of my psychiatry friends and colleagues. If you don’t support votes for SAS you don’t support SAS full stop @RCPsychSASdocs

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Thomas James

@SAS_gas_Thomas

3 years

@WelshGasDoc And when people talk about ‘celebrating Christmas’ I suspect they don’t mean attending midnight mass or reading the nativity story....

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Thomas James

@SAS_gas_Thomas

8 months

I wonder how many SAS drs will suddenly find themselves as autonomous, senior practitioners for this weeks cover? If so ask - “Why not a Specialist?”

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Thomas James

@SAS_gas_Thomas

1 year

One think that seems to be apparent from all the strike discussions is that many people don’t know who SAS doctors are. We’re not junior doctors, we’re not ‘trust registrars’ and we’re not going on strike on the 13th

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Thomas James

@SAS_gas_Thomas

3 years

A well intentioned colleague asked me why I wasn’t doing CESR. Why wouldn’t I want to be a consultant? Couldn’t seem to get that I was very happy in my current job. Life would be dull if we all wanted the same @SASByChoiceUK

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Thomas James

@SAS_gas_Thomas

5 years

Only theatre staff will get this but in my absence I’ve dropped down a scrub size! The thrill of getting the brown tagged scrubs off the shelf was palpable!

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Thomas James

@SAS_gas_Thomas

3 years

Wise viewpoint from my 10yr son. ‘Christmas isn’t cancelled. We still get the good bits - presents and good - without seeing annoying relatives’

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Thomas James

@SAS_gas_Thomas

2 years

Please, please everyone. Get your three vaccines. So we can talk about something else again on here

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Thomas James

@SAS_gas_Thomas

3 years

Supervising someone doing their first epidural is one of the most nerve wracking things I do as an anaesthetist! Even though they did great I was on tenterhooks till the needle was out!

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Thomas James

@SAS_gas_Thomas

3 years

Blown away to be given this from the maternity staff @HarrogateNHSFT as a leaving present. They’re an amazing team and I’ll miss them. They’ve also got my taste spot on!

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Thomas James

@SAS_gas_Thomas

4 years

I’ll admit I was so scared of working through this period. But the last two nights have been amazing. Great team work and I feel proud to be doing my job. We’re all pulling together whatever our role

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Thomas James

@SAS_gas_Thomas

3 years

I’ve never worked in a hospital with a Costa before. More excited about this than I imagined

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Thomas James

@SAS_gas_Thomas

4 years

Huge thanks to @HarrogateNHSFT for providing free parking and food for staff. Every bit helps in these difficult times. Must resist the temptation too often..

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Thomas James

@SAS_gas_Thomas

2 years

There must be a reason why I volunteered for a locum shift. But right now I’m struggling to think of that reason!

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Thomas James

@SAS_gas_Thomas

8 months

Please spare a thought for Team SAS….

BMA Consultants

@BMA_Consultants

8 months

We can now announce that for the first time, junior doctors and consultants will be taking joint strike action in England. Here are the dates for September and October #DoctorsStrike

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Thomas James

@SAS_gas_Thomas

2 years

Without a doubt the educational highlight of this week has been explaining to someone that dogging and dog walking are two very different activities

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Thomas James

@SAS_gas_Thomas

7 months

The other bonus is that an episode can now be produced in a fraction of the time

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Thomas James

@SAS_gas_Thomas

2 years

It’s a no from me I’m afraid!

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Thomas James

@SAS_gas_Thomas

2 years

As of today my time on the @Anaes_SAS committee comes to end. Thanks to all the staff and members @Assoc_Anaes for your help. It’s been a blast. I’ve loved every minute. Hopefully I’ve made some small difference

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Thomas James

@SAS_gas_Thomas

2 years

Pretty sure she didn’t have a Christmas party.

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Thomas James

@SAS_gas_Thomas

4 years

I’ve been off here a bit to destress but wanted to give a huge shoutout and support to all the SAS doctors, especially those working in new ways. #sasdoctors

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Thomas James

@SAS_gas_Thomas

6 months

Already received, completed and returned Make sure you have your say

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Thomas James

@SAS_gas_Thomas

1 year

@YavorRM @OBsleepmerchant @HofkampMichael @LimGrapes Why are we as a group so anti GA we tolerate failed regional in a way that wouldn’t be acceptable in any other surgery. We wouldnt mess with fentanyl, nitrous or ketamine in a hip replacement….

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Thomas James

@SAS_gas_Thomas

4 years

Mixed emotions today. Very happy to be starting a new challenge @BTHFT but also sad to have handed in my notice @HarrogateNHSFT I will miss the place hugely

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Thomas James

@SAS_gas_Thomas

2 years

I particularly enjoy my lists where it’s me working with a SAS surgeon. Team SAS doing the job for the patient @SASByChoiceUK

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Thomas James

@SAS_gas_Thomas

4 years

Thing is night working is of course an essential part of acute specialties. The issue is how we do it safely for us and our patients

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Thomas James

@SAS_gas_Thomas

4 years

Sometimes even the rain makes it even more stunning #LakeDistrict

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Thomas James

@SAS_gas_Thomas

4 months

I am not doing dry January whilst the juniors are on strike and I have to cover labour ward

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Thomas James

@SAS_gas_Thomas

3 years

Literally about to leave the car when @PetrocTrelawny @BBCRadio3 played Zadok the Priest. Wonderful. Thanks for reminding me of MrsJ walking down the aisle 13yrs ago. And for almost making me late for work!

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Thomas James

@SAS_gas_Thomas

2 years

After all the flight chaos this year - one flight cancellation we can celebrate

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Thomas James

@SAS_gas_Thomas

9 months

One of my favourite bits of being an anaesthetist is working with the novices in Aug. Such a pleasure to see how they learn - can’t believe they’ve only been with us for three weeks

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Thomas James

@SAS_gas_Thomas

4 years

@RowanLGossedge @HannahPopsy @AskJeevesWij @DrSarahHal @DrAdamCol @MattRoycroft @jopo899 @GasDocRP @RCPLondon @AAGBI @OrthopodReg Accepting the simple fact that 2am is not 2pm and that you can’t fight physiology would be a good start. Acknowledge that nights are hard and not the same as days

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Thomas James

@SAS_gas_Thomas

2 years

Had a flyer for yet another SAS development course that dedicates half the program to CESR. Yet most of us aren’t planning to do CSER and are proud to be @SASByChoiceUK

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Thomas James

@SAS_gas_Thomas

2 years

@MedicWeary Cancellation is the only language they understand. Just don’t work without a break. It’s unsafe and against regulations. If that means cancelling in the short term then so be it

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Thomas James

@SAS_gas_Thomas

3 years

I sometimes think adulthood is pretty much permanent orange with brief happy moments of yellow. And dodging the red. Or am I being unduly cynical?

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Thomas James

@SAS_gas_Thomas

8 months

@RevRichardColes It’s perhaps not a great surprise given how much musicians and the creative arts have struggled with the Brexit arrangements

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Thomas James

@SAS_gas_Thomas

1 year

@doctorhelgi @YavorRM @OBsleepmerchant @HofkampMichael @LimGrapes And test, test, test the block. Believe the woman. If she says she can feel something then she is. If it’s not working perfectly don’t ‘wing it’

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Thomas James

@SAS_gas_Thomas

1 year

@ncl_medic You need to be clear who’s leading on this case. Are they doing it and leading - with you supervising? Or are you leading and teaching them your plan. Errors occur when neither is sure which is the case!

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Thomas James

@SAS_gas_Thomas

4 years

And SAS Anaesthetists. Who as ever have quietly carried on providing amazing care for maternity. Often working harder as they cover ill or redeployed colleagues #sasdoctors

carolyn johnston

@DrCJohn

4 years

Maternity services have seen restrictions in home births, pool births etc, but obstetric anaesthetists have kept the show on the road, despite the huge pressures on anaesthetic services. Often delivered by resident consultants @OAAinfo @birthrightsorg @noolslucas

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Thomas James

@SAS_gas_Thomas

2 years

Why does the NHS make me feel guilty for not covering a gap on another rota when I have plans for the weekend? And I already work 11.5PAs. I feel so bad knowing someone else will have to do it if I don’t

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Thomas James

@SAS_gas_Thomas

2 years

Late to the party as ever - just watched #ThisIsGoingToHurt not what I expected. Shell shocked. Non-medical MrsJ doesn’t get why it’s affected me so much

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Thomas James

@SAS_gas_Thomas

8 months

Another meaning to SAS anaesthetists! Although how well this lot would cope under attack remains to be seen! @Anaes_SAS @RobJimFleming @maykirstin @ecewain @sas_sobauk

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Thomas James

@SAS_gas_Thomas

4 years

Being a SAS doctor can feel lonely and isolating. There is strength in numbers. Get involved in SAS forum or LNC locally. Meet up with your colleagues. Join your college or association

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Thomas James

@SAS_gas_Thomas

2 years

Too often messages of support for SAS have a faintly patronising tone to them. And too make SAS don’t have a voice - locally, regionally or nationally. That’s why I got involved in SAS issues years ago

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Thomas James

@SAS_gas_Thomas

2 years

Turns out my son had an ulterior motive for offering to serve us a romantic valentines meal!

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Thomas James

@SAS_gas_Thomas

11 months

What a lovely spot to just sit with my thoughts

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Thomas James

@SAS_gas_Thomas

1 year

Good Lord. I didn’t realise anyone had read it! Don’t think I’ve come first in anything before!!

Association of Anaesthetists

@Assoc_Anaes

1 year

‘What is a SAS doctor? - demystifying the terminology’ by @robjimfleming and @SAS_gas_Thomas was the most read online article in Anaesthesia News 2021-22!🏆👏 Read it here:

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Thomas James

@SAS_gas_Thomas

1 year

About to introduce my son to the absolute classic that is the Father Ted Christmas Special

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Thomas James

@SAS_gas_Thomas

2 years

Just finished a book on the kindle and it has offered me the chance to sign up for updates and new releases from the author. I think it’s unlikely Jane Austen will write any more books….

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Thomas James

@SAS_gas_Thomas

2 years

Our community midwives clearly drive an eclectic range of vehicles. Part of their commitment to reach ever part of the region

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Thomas James

@SAS_gas_Thomas

2 years

@noodles_nood It is the same entry criteria as the SAS grade (except the MRCS) yet on a rubbish pay scale and local T&Cs. They want an experienced SAS dr but won’t pay for it. Exploitation at its worst

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Thomas James

@SAS_gas_Thomas

1 year

Having convinced myself I screwed up it turns out I passed my @ABRSM grade 5 piano - with merit!! Can’t quite believe it

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Thomas James

@SAS_gas_Thomas

4 years

@Jopo_dr I had a specialty training interview in a hotel. There were so many of us they were using the bedrooms. I shook the panel’s hands then walked out. Into the bathroom

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