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Tom Knowles Profile
Tom Knowles

@Tom_the_Knowles

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Following
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Medical doctor, event Paramedic, visiting lecturer and clinical tutor. SCUBA diver, bi man. He/him. Husband of @brillfish , father. 🐓🐓🐓🐈‍⬛🐈‍⬛🐈🐠🐟🐠🦮

West Midlands, England
Joined April 2020
Don't wanna be here? Send us removal request.
@Tom_the_Knowles
Tom Knowles
1 year
Welcome to the world little one. We’ve got so much cool stuff to show you.
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@Tom_the_Knowles
Tom Knowles
2 years
@juliaisobela @BernieTranders Paramedic lacks the air of weird mystique.
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@Tom_the_Knowles
Tom Knowles
4 years
@MattHancock I'm sorry, this is ridiculous. There is absolutely not a single chance this has been recommended by SAGE, and it certainly hasn't been communicated effectively to clinicians. This is going to kill people. This is a failure of governance. There will be more death on your hands.
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@Tom_the_Knowles
Tom Knowles
2 years
@BernieTranders Gotta say, having professionally entered many toilets, womens toilets seem to have a bimodal distribution from decent to absolutely disgraceful, where mens are more generally grim to a similar extent. The worst I’ve seen have been womens. Will endorse men not washing hands though
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@Tom_the_Knowles
Tom Knowles
1 year
Delighted to say I’ve passed my final medical school exams. Barring some formalities (elective and assistantship) I’m done.
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@Tom_the_Knowles
Tom Knowles
2 years
@juliaisobela @BernieTranders No not pervy, it’s very professional. I said so before.
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@Tom_the_Knowles
Tom Knowles
1 year
To summarise last night’s thread: You won, Junior doctors. Enjoy the money, I hope it makes you happy. Dear lord, what a sad little life, Juniors. You ruined my night completely so you could have the money and I hope now you can spend it on lessons in grace and decorum.
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@Tom_the_Knowles
Tom Knowles
2 months
If you can’t respect young people, fuck off out of teaching. If you can’t respect patients, fuck off out of healthcare. If you can’t respect people generally, crawl back under your rock and disengage from society like a good little troglodyte.
@SkyNews
Sky News
2 months
Teacher sacked for 'refusing to use transgender student's chosen pronouns'
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@Tom_the_Knowles
Tom Knowles
2 years
Farewell placement hospital #1 , it’s been real. I will especially miss this specific sign.
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@Tom_the_Knowles
Tom Knowles
4 years
@MattHancock Please take a look at the @EveryDoctorUK petition raising our concerns around a second peak and sign if you agree <3
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@Tom_the_Knowles
Tom Knowles
4 years
@AbbySwe82208295 @sarah_turnnidge @AlanParkernyc Given that he died in 1791 I doubt they're feeling much of anything.
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@Tom_the_Knowles
Tom Knowles
6 months
Astonishing that I sat in my living room last nightwith my Jewish wife and Jewish child, pretty well alive to the realities of antisemitism and the use of tropes in its depiction, and managed to watch University Challenge without imagining that a fluffy octopus posed a threat.
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@Tom_the_Knowles
Tom Knowles
10 months
Absolutely delighted to be graduating medical school with honours. It’s particularly gratifying after scraping a pass in first year following an episode of serious illness, to be achieving distinctions in practical and theoretical domains.
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@Tom_the_Knowles
Tom Knowles
7 months
I’m increasingly convinced that not using local anaesthetic for an ABG is unjustifiable. I’ve now had more than one person absolutely refuse an ABG until gentle persuasion and LA discussion gets them to agree, who’ve then been quite angry about what they were put through before.
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@Tom_the_Knowles
Tom Knowles
1 year
@voteforhani You have to admire the attempt though
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@Tom_the_Knowles
Tom Knowles
6 months
@caffeinemedic I’m not sure I want this person just… in clinical practice
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@Tom_the_Knowles
Tom Knowles
1 year
Baby’s first act of solidarity #JuniorDoctorsStrike
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@Tom_the_Knowles
Tom Knowles
2 years
One of the F1s on this rotation is genuinely the most engaging, patient, responsive and humble teacher I think I've ever come across. An absolute champion - yes I'm going to reflect this in various feedback methods.
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@Tom_the_Knowles
Tom Knowles
4 months
It is in no way sinister. Empowering young people to have agency over their health while advocating parental engagement epitomises both ethical healthcare standards and the responsible handling of private data.
@RefusenikCorrie
RefusenikCorrie
4 months
My 12 year old son received this letter from our GP practice this morning. Is there anyone else out there who’s 12 year old received anything like this before their 13th birthday? I’m shocked. This is so sinister.
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@Tom_the_Knowles
Tom Knowles
2 years
At the risk of sounding like I’m plotting: Registrars (and consultants, SAS and anyone else appropriate). Do you ever get referrals so stunningly incoherent/inept you agree to see out of bafflement?
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@Tom_the_Knowles
Tom Knowles
1 year
@halomancer1 We give medication to cis men (and indeed women) all the time that induces lactation as an undesirable side effect - what on earth makes them think it’s not achievable deliberately with hormone therapies?
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@Tom_the_Knowles
Tom Knowles
4 years
@CRAIG_1664 @Channel4News @tomhfh You seen the video Craig? He was murdered. My mum's abuser was found not guilty, doesn't mean he wasn't an abuser.
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@Tom_the_Knowles
Tom Knowles
2 years
@matthew_sctt Consultant was a woman?
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@Tom_the_Knowles
Tom Knowles
3 years
The right amount of garlic is as much garlic as you have.
@AngryBlackLady
Imani Gandy (Orca’s Version) ⚓️
3 years
y'all i just saw a recipe for beef and pork bolognese that had the goddamn audacity to call for 1 tablespoon of chopped garlic.
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@Tom_the_Knowles
Tom Knowles
2 years
The Church of Lateral Day Saints
@davidlevin123
David Levin
2 years
My mate’s cousin, Matt, is quite laterally a genius. Praise be to his lateral flow church…
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@Tom_the_Knowles
Tom Knowles
2 years
Lots of people being very kind to those who didn’t achieve their desired UKPFO allocations, but I do think a lot of the commentary misses the point. While I’m not there yet, I have a home, roots in my local community and my wife is a specialty trainee in the region where we live.
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@Tom_the_Knowles
Tom Knowles
2 years
@HartlandJoseph You could be really quite camp with it. “Felicitations gentlefolk”
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@Tom_the_Knowles
Tom Knowles
2 years
@zackferguson Won the Nobel in 1903 and still a reg. that state of medical training in the U.K. smh.
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@Tom_the_Knowles
Tom Knowles
2 years
@juliaisobela He’s not even right 🥲
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@Tom_the_Knowles
Tom Knowles
2 years
Just met two young boys (and their very patient mother) in Sainsburys. They spotted I was buying cat food and wanted to talk about our mutual felines. I’m pleased to report that their cat is black and white, 2 1/2, and very nice - but you have to be gentle or he might scratch.
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@Tom_the_Knowles
Tom Knowles
2 years
@BigRedCircle2 @lyzl I'm pro abortion and I'm not sorry about it. You are too if everything you've said there is true, and I don't think it's helpful to be embarrassed about it.
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@Tom_the_Knowles
Tom Knowles
9 months
If you find injured or seriously unwell wild animals and you’re not comfortable humanely euthanising them (or you’re not sure how sick they are), take them to a wildlife rescue. Certainly don’t do CPR with rescue breaths on a wild animal.
@jenniferTVTweet
jennifer cummings
9 months
Two nights ago I gave a wild baby rabbit CPR w breaths after I took it from my Petey (cat). Today, I’m being admitted to the hospital with signs of “bunny fever” (Tularemia). I’m on 8L oxygen, a cocktail of very expensive antibiotics, anti-diuretics. Need light & love, please!
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@Tom_the_Knowles
Tom Knowles
2 years
We’ve been burgled overnight, anyone in the Birmingham/Black Country please keep an eye out for a black Vauxhall Insignia VA14 DFE and contact police urgently if spotted
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@Tom_the_Knowles
Tom Knowles
2 years
I am increasingly finding it unfathomably rude when people simply refuse to interact with people delivering teaching or workshops online. It makes the whole session tedious and difficult for the person presenting and IMO damages the quality of teaching.
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@Tom_the_Knowles
Tom Knowles
2 years
I am pathologically incapable of making the right amount of rice.
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@Tom_the_Knowles
Tom Knowles
5 months
The medical hill I will die on is that “examining from the right” is a pointless anachronism.
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@Tom_the_Knowles
Tom Knowles
2 years
RCUK ALS Instructor ✅ Completed it mate.
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@Tom_the_Knowles
Tom Knowles
1 year
Or, and hear me out here, we could plant some fucking trees.
@yupthtexists
Yup That Exists
1 year
Scientists create Liquid Trees; a tank full of water and micro-algae that could be an alternative to trees in urban areas.
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@Tom_the_Knowles
Tom Knowles
2 years
@freshblooddr “Like Beyoncé”.
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@Tom_the_Knowles
Tom Knowles
1 year
One and all, this is why the Human Tissue Act exists.
@kukla_reaper
GrimReaper Barbie
1 year
@kennedytcooper if you can't get the proper permissions, you could probably just ask your dad to buy corpses in the future :)
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@Tom_the_Knowles
Tom Knowles
2 years
@Dr_BellaR If you put it in a blender you get gender fluid broccoli.
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@Tom_the_Knowles
Tom Knowles
2 years
🧵🪡With the recent announcement of @TheBMA balloting junior doctors for IA, I thought I’d jot down my thoughts on the factors you might consider as a medical student when it comes to deciding whether to cross a picket on strike days. (Spoilers: don’t.)
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@Tom_the_Knowles
Tom Knowles
2 years
@MoonieMenace @Stryc9Fuego @Scrobby @alex_abads Shinigami eyes - a browser extension which has user-led flagging of usernames etc. as pro-trans (green) or phobic (red).
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@Tom_the_Knowles
Tom Knowles
1 year
If you tell me you have an itchy arsehole I’ll believe you. I’m not sure it makes me a bad clinician to assume you’re not lying to me.
@BBCNews
BBC News (UK)
1 year
I don't have ADHD, but three private clinics say I do
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@Tom_the_Knowles
Tom Knowles
4 years
I posted yesterday about imprecise comms. 1) Stay at home if you feel like it 2) Go to work if your boss asks 3) Don't see *too* many other people 4) Stay apart unless you don't want to #StayAlert and take back control of the narrative. #BorisHasFailed to #protectNHSworkers
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@Tom_the_Knowles
Tom Knowles
1 year
If you’re using proper ANTT and have intact skin, gloves are redundant for vascular access.
@blackbritNurse
AnonBlackNurse
1 year
Unpopular opinion. NHS edition. Go.
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@Tom_the_Knowles
Tom Knowles
11 months
Baby’s and doggy’s first trip to the seaside. The people of Bournemouth seemed to most appreciate that he took it upon himself to sleep in the bottom of the pushchair to nap the walk back up the promenade away.
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@Tom_the_Knowles
Tom Knowles
4 years
@NWJK @AlanParkernyc @SkyNews Bronze is actually a good, eco-friendly material to use for underwater sculpture like Christ of the Abyss.
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@Tom_the_Knowles
Tom Knowles
1 year
Because you have all the grace of a reversing dump truck without any tyres on. So Junior doctors take your money and get off my ward.
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@Tom_the_Knowles
Tom Knowles
2 years
@BettyJa08291909 @AllisonPearson Most universities ‘red flag’ people who demonstrate discriminatory behaviours for health programme selections. Is it possible she was rejected because she learned bigotry from her grandmother and conceals it as thinly?
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@Tom_the_Knowles
Tom Knowles
6 months
I had a medical student ask if there were any ABGs that needed doing, which at the time there weren’t, and then 45 mins later I couldn’t find her 😭 I am sorry eager med student. I have failed you.
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@Tom_the_Knowles
Tom Knowles
2 years
@speakoutsister I’ve personally supported the delivery of two children of devout Muslim women. This is yet another attempt to infantilise women under the guise of protecting their freedoms.
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@Tom_the_Knowles
Tom Knowles
9 months
Picket hound
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@Tom_the_Knowles
Tom Knowles
2 years
@TwisterFilm @KatyMontgomerie Unless you’re trying to argue that any outward expression of feminity is sexualised by default, that’s your mind at work Malcolm. Looking at that picture in isolation I saw a neutral image of a boy child and girl child. That’s literally what gender expression is.
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@Tom_the_Knowles
Tom Knowles
2 years
Turns out she had realised. Child numero uno en route for the Knowles-Brill household.
@brillfish
Katie Brill
2 years
Cletus the fetus is 15 weeks and I guess FB launch was only half a job
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@Tom_the_Knowles
Tom Knowles
2 years
I personally think Twitter is the perfect platform for nuanced discussion.
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@Tom_the_Knowles
Tom Knowles
1 month
FWIW I really strongly disapprove of this notion of using your credentials from one role which can prescribe while acting in another which can’t - it’s a subversion of the intent of the regulations and of Parliament
@drkeithsiau
Keith Siau
1 month
@ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote As the training lead for @RCHTWeCare , and having signed off this PA, let me respond. Non medical endoscopists provide a significant and important contribution to endoscopy procedures in the UK whether we like it or not. They all have to go through a robust certification process…
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@Tom_the_Knowles
Tom Knowles
6 months
Just admit you want an excuse to attack a visibly Muslim woman you fucking freaks, because that’s what it is.
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@Tom_the_Knowles
Tom Knowles
11 months
@timricketts_ Bold of you to assume she’d have the wherewithal to notice somebody was sick.
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@Tom_the_Knowles
Tom Knowles
1 year
@Chican3ry Christ, imagine Dan Wooton thinking you’re being too reactionary
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@Tom_the_Knowles
Tom Knowles
2 years
@lifeoftazza Insist upon emergency payroll - you have worked and are entitled to be paid regardless of their error. Be explicit that will pursue any costs you incur (overdrafts, necessary loan interest, non-payment penalties etc) as a result of non-payment.
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@Tom_the_Knowles
Tom Knowles
3 years
Phew, passed 🥳
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@Tom_the_Knowles
Tom Knowles
7 months
It adds basically no time. There are few circumstances where ABG > VBG where you genuinely have no time for LA where they’re not unresponsive. While I’m on it, why is topical cream not used more routinely in adults? Why are we making people suffer?
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@Tom_the_Knowles
Tom Knowles
2 years
BUT LOOK AT HOW POLITE ITS LITTLE PAWS ARE!
@rachelofmars
Rachel Mars
2 years
My partner has spent the pandemic becoming some kind of fucking doctor doolittle and now look at the bullshit I have to put up with at the kitchen window
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@Tom_the_Knowles
Tom Knowles
1 year
Major takeaway from the first week of baby - this would be fucking dogshit alone.
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@Tom_the_Knowles
Tom Knowles
2 years
@Xe4f145d16s2 My Paramedic Science degree says St George’s Medical School too. Shockingly I’ve never heard the identical claim from my professional peers.
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@Tom_the_Knowles
Tom Knowles
4 years
@CRAIG_1664 @Channel4News @tomhfh Well actually he was tried summarily by a district judge, but well done you for identifying the flaw in your own argument.
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@Tom_the_Knowles
Tom Knowles
9 months
@DrMichaelSagner @DHidlayVIR @MedCrisis @dieworkwear In what world does enforcing an arbitrary standard of how scrubs are worn directly reflect patient care.
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@Tom_the_Knowles
Tom Knowles
2 years
@Jenny_Pewsey Have they tried not writing shitty emails? Here ends my root cause analysis.
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@Tom_the_Knowles
Tom Knowles
1 year
It was the fuck around of times, it was the find out of times.
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@Tom_the_Knowles
Tom Knowles
2 years
It would have a knock on effect on my entry to training, my wife’s ongoing training, our housing security and our relationship. At the *very* least an allocation somewhere I didn’t want can be planned for. A late allocation would make everything much harder.
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@Tom_the_Knowles
Tom Knowles
2 years
@scaryclery123 @ParisahHussain Do you always interpret things in the worst possible faith?
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@Tom_the_Knowles
Tom Knowles
2 years
Oh, btw, as of today I'm formally a final year medical student. Thank fuck for that.
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@Tom_the_Knowles
Tom Knowles
3 years
I’m old enough to remember when the Guardian censored the Judith Butler interview in which they correctly identified that Trans exclusionary reactionaries are not meaningful allies in the fight against racism.
@stephenpaton134
Steph Paton
3 years
Not content to just have fascist enabler Andy Ngo at their conference, the LGB Alliance have moved on to actively praising his work...
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@Tom_the_Knowles
Tom Knowles
2 years
First birthday surprise has arrived. I wonder what it could be 🙃
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@Tom_the_Knowles
Tom Knowles
1 year
What would be the worst possible replacement for ‘junior doctor’? I vote ‘early years’.
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@Tom_the_Knowles
Tom Knowles
2 years
@andrewmeyerson People who aren't nominated union reps stop speaking on IA challenge!
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@Tom_the_Knowles
Tom Knowles
6 months
I think if today has taught me anything, it’s that my level of patience is as nothing compared to the forbearance @Dr_BellaR has shown in not calling every third person that’s responded to her a mewling little turd.
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@Tom_the_Knowles
Tom Knowles
4 years
@KLAnon888 @ddknyt This but unironically.
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@Tom_the_Knowles
Tom Knowles
5 months
I take the resus trolley on ward rounds because you never know how sick everyone is until the end.
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@Tom_the_Knowles
Tom Knowles
10 months
@Luiseach They have been explicitly biphobic on multiple occasions, in fact.
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@Tom_the_Knowles
Tom Knowles
2 years
Lol, had to pay to get my stolen NHS ID replaced. Love that for me.
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@Tom_the_Knowles
Tom Knowles
2 years
@J34JEAN @drphiliplee1 Act 2: in which Jean fails to comprehend the meaning of words.
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@Tom_the_Knowles
Tom Knowles
1 year
On the eve of the strike ballot, a shout out to @Dr_R_Acres , whose work for the 2022 AGM laid very substantial groundwork and built momentum for the FPR movement that got the BMA to this point. She wasn't the only person, but she is someone who deserves a great deal of credit.
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@Tom_the_Knowles
Tom Knowles
1 year
@KatyMontgomerie TIL neo-Nazis are *checks notes* bad vibes.
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@Tom_the_Knowles
Tom Knowles
2 years
All those on the reserve list having jobs in the end means less than nothing to me - I can work in my prior profession if I need to - but an allocation somewhere random at short notice would potentially be untenable and at minimum be fundamentally disruptive.
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@Tom_the_Knowles
Tom Knowles
5 months
Top tip: when practicing medicine try not to be a bastard for no good reason.
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@Tom_the_Knowles
Tom Knowles
2 years
There is no place in regulatory proceedings for violent abuse conducted as an adult, much less as a trusted healthcare professional to be excused. This is not a man whose presence should be welcomed. Sanction short of erasure is absurd @gmcuk @the_mpts
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@Tom_the_Knowles
Tom Knowles
8 months
I’m at a loss as to why we seem to be losing focus on FPR when if you sacked all PAs tomorrow (not that you should) it wouldn’t fix really any of the problems with rotational training. I’d like my money please, first and foremost.
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@Tom_the_Knowles
Tom Knowles
4 years
@lulabel06146178 @AyoCaesar Enjoying the summer?
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@Tom_the_Knowles
Tom Knowles
2 years
A friend has recently taken to writing for the Daily Mail. I have to disown them don’t I?
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@Tom_the_Knowles
Tom Knowles
2 years
Following recent observations from @abi_carey , I do find it interesting how readily people leap to the ‘medical student’ in my bio while skipping over ‘Paramedic’ when attempting to suggest I lack understanding, experience or perspective in healthcare.
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@Tom_the_Knowles
Tom Knowles
8 months
@AntAdefolaju The nurse in charge is neither your boss nor a person to whom routine acquiescence is expected. They’re a colleague who should know better.
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@Tom_the_Knowles
Tom Knowles
2 years
@David_T_Evans @ParisahHussain I'm struggling to identify how this could possibly be a more patronising response.
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@Tom_the_Knowles
Tom Knowles
8 months
I’m really, really enjoying FY1 so far and it’s absolutely partly to do with how excellently supportive my department is. It’s genuinely been pretty top notch on their end.
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@Tom_the_Knowles
Tom Knowles
1 year
I quite like it when the little human won’t settle straight away really. I get to walk around the house with her breath in my ear and feel it change as she sleep into sleep and becomes a different sort of weight. It’s lovely.
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@Tom_the_Knowles
Tom Knowles
2 years
I am *begging* people to understand the origins of ‘Rest In Power’ and why its use for a British monarch is stunningly discordant.
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@Tom_the_Knowles
Tom Knowles
2 years
The peaceful death of an old lady is a bad reason to disrupt the entire sport and leisure sector’s activity, and the work of public bodies. If you’re cancelling football matches “out of respect” but not immigration raids then I don’t even know what the hell we’re talking about.
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@Tom_the_Knowles
Tom Knowles
2 years
@lifeoftazza The expectation is that employers should make payment at the first opportunity after a material error is identified - no large organisation is limited to the standard pay dates in reality. They may try to fob you off - do not accept it.
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@Tom_the_Knowles
Tom Knowles
4 years
@NickWiltonNS Rent free.
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