Ben Harris @docbenh Twitter profile | Pikagi

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Ben Harris

@docbenh

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Doctor. Anaesthetic registrar. Cycling. Coffee. Music. Technology. Founder of @A_line_CC

Leeds, England

https://t.co/gL3Y05Y0PA

Joined August 2018

Don't wanna be here? Send us removal request.

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@docbenh

Ben Harris

1 year

A thread on IV cannulation. I’m obviously biased as an anaesthetist but to me it is a core skill that many allied health professionals and doctors alike should be proficient at, and I think I were doing patients a dis-service by not trying to get better

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@docbenh

Ben Harris

1 year

And that’s about it for my slightly ranty thread on cannulation. If trusts spent a bit more time training people on these points instead of whining on about ANTT over and over, I believe we’d make the experience much better for patients. Any more tips - please add below 👇

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Ben Harris

2 months

So here’s a little story of my recent #physicianassociate experience as a patient. On a professional level, I’ve not worked with many but the few I have were……ok….lets leave that there. @Xeon4f145d96s1 and @parthaskar might find it interesting

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Ben Harris

1 year

7) another thing NOT to do: offer me a 100ml cup of water saying I’m dehydrated and this will help my veins pop up. Even if I am dehydrated - a small cup or water will do f**k all to my circulating volume, let alone my venous pressure.

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Ben Harris

1 year

1) firstly vein choice is crucial. Take your time looking at all possible sites. Start with the back of the hands, looking for nice straight veins. Do NOT default to the ACF. It’s uncomfortable for patients and ruins good veins handy for venepuncture. They can also be tortuous…

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Ben Harris

2 months

This is also a story of how broken primary care is. They are under so much strain. It’s probably quite easy to allow PA’s to reel off a load of quick consults and get the numbers under control. But it’s not safe and needs addressing urgently.

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Ben Harris

2 months

I think PA’s have a place in the NHS somewhere, but their rapid expansion is worrying. The autonomy they are given is terrifying. Straight after qualification, they seem to just be given the freedom to act like they have a wealth of experience

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Ben Harris

1 year

5) do NOT say ‘sharp scratch’. This goes for a lot of procedures - it just serves to increase the anxiety. You need to warn them obviously, but you don’t need them to be anticipating pain. I say ‘just popping the cannula in now’ or words to ther affect.

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Ben Harris

2 years

When you’re on your way back from a transfer way past the end of your shift, but the stars align and it’s the paramedics break time 👌 (Turns out they also get a hefty discount at Maccy D’s)

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Ben Harris

1 year

…learn to advance the cannula and withdraw the needle using a one hand technique with your dominant hand, so you can keep the skin tethered. This video demonstrates these two points well

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Cannulation- How to insert a cannula. One Minute Edition. Medicine in...

Hints and tips on successful IV cannulation. This one minute guide takes you through the essential skill of gaining IV access. This is useful for ward based ...

www.youtube.com

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Ben Harris

2 months

The should also absolutely NOT be allowed to be gateways to specialty referrals. I’m a doctor so know he was wrong and had the onus to follow it up. But many patients would have taken this dismissal of symptoms as meaning it’s all fine.

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Ben Harris

1 year

Every trip into a hospital as a patient is anxiety provoking and unpleasant. Having to be stabbed multiple times adds to this greatly. It also wastes a lot of time. It happened to me again today! So: here are some top tips from your friendly anaesthetist….

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Ben Harris

2 months

…equivalent to that of a doctor. But medicine isn’t like that. You can’t just treat every patient like your textbooks describe and just rattle through consultations. You need to understand the patients history and background.

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Ben Harris

1 year

6) on the theme of what to say or not - do not look and say “ooh I think is going to be hard’ or ‘I’m not confident I’m going to get this’. Wording is important and patients are tuned in to a lot of your feelings and language. Phrases above are not reassuring.

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Ben Harris

1 year

During my chemotherapy 4 years ago, and more recently while having some other treatments and contrast based scans, I’ve had many people struggle to cannulate me. I’m a slim, fairly athletic build with good veins - and people should not be struggling.

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Ben Harris

1 year

2) put the tourniquet on tight. The tighter the better (within reason obviously). It can be a bit uncomfortable for the pt but it’s brief and if it avoids another attempt at cannulation, they’ll appreciate it. The fuller the vein, the easier it will be to cannulate.

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Ben Harris

1 year

With an unpredictable course. On that note - work out the direction the vein travels in so you can stay in line with it. Choose veins that have a good bounce on palpation. Avoid tortuous veins and those which are really mobile when you palpate.

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Ben Harris

1 year

3) tether the vein - use your non-dominant hand to put traction on the skin distal to the cannulation site to tether the vein and stop it moving. This is easier on hand veins - another reason to choose these veins first. Do not release the tether until the cannula is fully in…

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Ben Harris

1 year

The warm glove technique and other warming methods can help to vasodilate. However, cannulate ASAP after doing this. When I was having chemo, my they’d make me bathe my hands in warm water. But then spend >5mins preparing stuff by which point I’d cooler down again.

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Ben Harris

2 months

Two weeks pass and predictably, the lesion hasn’t gone so I make an appointment and finally get to see an actual doctor. They seem a little flabbergasted at my management so far and agree without any debate that a dermatology referral is warranted.

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Ben Harris

3 years

Some trainees have publications, some present at conferences or are on national committees. But I’ll happily take this - Yorkshire Anaesthetic Trainee Awards Cyclist of the Year!

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Ben Harris

1 year

8) Release the tourniquet before fully removing the needle (unless taking bloods from the cannula). This will minimise mess. (This is also important during venepuncture - remove the tourniquet before removing the needle to reduce the bleeding/bruising).

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Ben Harris

1 year

The patient knows it will hurt, but the pain is (usually) brief and you don’t need to make them more tense. If they’re especially needle-phobic, have a discussion with them and ask if they want a warning or not.

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Ben Harris

2 months

It’s only when she finally got to see an obstetrician they were appalled and after discussions with micro and respiratory, finally got sorted.

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Ben Harris

2 months

It’s not just me. My wife - she had a constant chest infection and asthma flare up between weeks 12 and 29 of pregnancy. She attended the GP multiple times including the aforementioned PA on several occasions and was constantly dismissed.

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Ben Harris

1 year

4) look at the structure of a cannula. You’ll notice at the end, there is a gap between the needle point and the start of the plastic cannula. You need to ensure the plastic cannula is actually in the vein before you start advancing and withdrawing the needle…

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Ben Harris

1 year

When you get flash back, advance the whole cannula another 2mm into the vein. Then using the 1-hand technique in the video above, simultaneously advance the cannula and withdraw the needle.

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Ben Harris

2 months

Every time they would just take a generic history, and offer generic advice and treatment. No consideration of the wider picture. It was just medicine by numbers. I kept seeing the same PA and getting no further.

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Ben Harris

2 months

They clearly hadn’t read my notes, read the letters or considered anything beyond the presenting complaint in front of them. They’d discuss with their supervisor but I’d get a standard course of antibiotics. So for this (and other)reasons, I moved practise.

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Ben Harris

2 years

Only gone and passed haven’t I?!

@docbenh

Ben Harris

2 years

Final FRCA written results tomorrow. Time to see what the examiners think of some of my ‘educated guesses’…

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Ben Harris

2 months

Fast forward to January 2024, I’ve got a new skin lesion on my forehead. I request an appointment at my new practise. My name is called in the waiting area, and it is the same PA. He’s moved practise around the same time I did!

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Ben Harris

2 months

Rewind two years when my immunodeficiency was beginning to present. Severe tonsil/sinus infections every couple of weeks. Every doctors appt I’d request- I’d get a PA. Each time I’d emphasise my background but would be treated like any other.

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Ben Harris

2 months

He takes another generic history. Clearly hasn’t read my notes/PMHx. Examines and dismissed it as nothing. Takes some photos and says they’ll get reviewed. I politely request a dermatology referral given my history. Again, I’m dismissed. No referral.

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Ben Harris

2 months

Further down the line, immunology had things a bit more under control but would emphasise the need for prolonged courses of antibiotics. But still - I’d get an appointment with the PA and a generic history and treatment.

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Ben Harris

2 months

Not to divulge too much but I’ve got a primary immunodeficiency, a history of Hodgkin’s lymphoma and a previous basal cell carcinoma. So I’m a fairly high risk patient in many ways.

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Ben Harris

2 months

Later that, my GP record is updated. I’m prescribed a steroid cream and the GP writes “poor quality photos, but given history of previous BCC, come back in two weeks if steroid cream doesn’t work”.

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Ben Harris

7 months

As someone that naively assumed I wouldn’t need income/life insurance, then had lymphoma and now subsequently cannot get it (despite being in remission) - I strongly advise all my medic colleagues to look into this. The fear of recurrence and financial insecurity is very real.

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Ben Harris

4 months

My most embarrassing moment of medicine? Texting this to my consultant when on my first solo transfer…..

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@morefluids

Dr Sethina Watson

4 months

Your most embarrassing moment in medicine? I have several that I’m not sure I could share 😳 Whispering 69 to the dean of the medical school in front of the entire year is one. I meant to say 99. He replied ‘only on Saturdays’ TBH I’ve blanked the details of this

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Ben Harris

2 years

Final FRCA? Completed it mate 👌

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Ben Harris

2 years

Twitter anaesthetists: it’s well known that recent big guidelines/important topical subjects come up in the final FRCA (NAP etc). I’m looking to collate a list/thread to help those revising for the upcoming exams. Hit me up with your suggestions 👇

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Ben Harris

2 years

Final FRCA written exam done. No idea how it went, and just a casual 5 and a half weeks to wait for results…

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Ben Harris

10 months

Got prescribed these today. Do any twitter medics or pharmacists know why lymecycline has such a random dose? Couldn’t they have just rounded down to 400mg? It doesn’t play well with my anaesthetist penchant for round numbers….

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Ben Harris

2 years

Still can’t quite believe I passed the final FRCA - after a very difficult few months struggling with health issues, I didn’t know if I had it in me. Now for some family time and celebrations. First up - beers and a bit of @tezilyas tonight in Bradford 👌

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Ben Harris

2 years

Kudos to @bigjimble for the pre-exam hotel recommendation. This is the way to prepare for the biggest exam of your life! And it’s only a stones throw from @RCoANews

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Ben Harris

2 years

@TurtonsOther “Using POCUS to identify the back-bone of the specialty”

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Ben Harris

1 year

Well this proved to be a bit more popular than expected! Welcome to my several hundred new followers. I’m afraid you may be disappointed though - I don’t actually tweet very much and am usually quite boring! But thanks for reading and engaging with the thread 👍

@docbenh

Ben Harris

1 year

A thread on IV cannulation. I’m obviously biased as an anaesthetist but to me it is a core skill that many allied health professionals and doctors alike should be proficient at, and I think I were doing patients a dis-service by not trying to get better

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Ben Harris

3 years

Twitter anaesthetic folks: Final FRCA written prep. Any top tips? Is OnExamination worth paying for? Any other tips for resources/books to use? All advice gratefully received!

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Ben Harris

2 years

A whole question on hyperoxia?

@EffinBirds

Effin' Birds

2 years

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Ben Harris

3 years

Although with a 4 month old baby, shift work and other life stuff - I’m not getting on the bike much at all at the moment. Next up is tackling the final FRCA so it will be time to confine my bike to the turbo for some @GoZwift over the winter

@docbenh

Ben Harris

3 years

Some trainees have publications, some present at conferences or are on national committees. But I’ll happily take this - Yorkshire Anaesthetic Trainee Awards Cyclist of the Year!

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Ben Harris

3 years

New bike ordered 😍 Hoping for a better experience with this one!

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Ben Harris

2 years

Twitter can you do your thing - Are there any anaesthetists or respiratory doctors from Papworth on here at all that can help me with a query? In particular about the sleep clinic based there. Any help would be appreciated. Thanks 👍

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Ben Harris

1 year

I mean, I do enjoy the therapy dog that comes to our ICU, but I think it’s time for an upgrade. Make it happen @WilkoAnaesICM @bi0marker @hornerdeborah1

@BBCGlos

BBC Gloucestershire

1 year

So cute! 😍❤️ Penguins visited these patients in hospital for Christmas 🐧🎄

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Ben Harris

3 months

Got some anaesthetic textbooks for sale. Drop me a message if you’re interested! Retweets appreciated 👍

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Ben Harris

2 years

“Ben, how are you feeling about the upcoming final FRCA written exam?”

@EffinBirds

Effin' Birds

2 years

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Ben Harris

3 years

If you’re at the @Assoc_Anaes Trainee conference this week - check out my poster all about @A_line_CC - the cycling club I started last year. It’s something I’m super proud of and hope it will continue to grow. @Anaes_Trainees #TCintheToon #TC2021

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Ben Harris

2 years

Except this time, rather than knowing what might happen, we know exactly what’s to come having been through two devastating waves already. And it’s going to be proper shit. Genuinely dreading being on-call on ICU next week and over Christmas.

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Ben Harris

2 years

62 days until the final FRCA written and I’m very cunctacious right now….

@HaggardHawks

Haggard Hawks 🦅📚 Words | Language | Etymology

2 years

If you’re CUNCTACIOUS then you’re procrastinating or delaying, or doing something slowly or reluctantly.

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Ben Harris

10 months

@SAS_gas_Thomas Aye think you’re on the right track actually

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Ben Harris

2 years

6 days until the final FRCA viva and trying to re-learn some of the primary basic science….

@EffinBirds

Effin' Birds

2 years

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Ben Harris

2 years

24 hours until the final viva and panic mode is setting in….

@EffinBirds

Effin' Birds

2 years

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Ben Harris

2 years

Final FRCA written results tomorrow. Time to see what the examiners think of some of my ‘educated guesses’…

@EffinBirds

Effin' Birds

2 years

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Ben Harris

2 years

After 2.5 years of avoiding it (4 months of shielding helped), I can 100% confirm COVID makes you feel properly shit. Not the ideal end to a week of annual leave

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Ben Harris

10 months

Fantastic first day at @Anaes_Trainees conference in Leeds as part of the new @WYMO23 Bring on day two tomorrow 👌 #TC2023

@WYMO23

West Yorkshire Mentoring Organisation

10 months

Fantastic day today at #TC2023 running our first mentoring sessions alongside @Assoc_Anaes and their established group of mentors from across the country. Plenty of spaces available tomorrow - sign up at the main desk on arrival

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Ben Harris

10 months

@RichBayli55 Should have read it shouldn’t I?!

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Ben Harris

2 years

Completely agree with this. Relations between cyclists and motorists feel at an all time low at the moment, and this ‘trespass’ is hardly going to help our cause. Whether the reasons for the closure are solid or not, rules do apply to all road users.

@tjakestewart

Jake

2 years

Please, if you're a cyclist considering attending this mass trespass this weekend, consider again. Take a thought to how we as cyclists are currently viewed in a number of peoples eyes and ask yourself how this will be conducive to finding harmony with motorists in the future...

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Ben Harris

2 years

So it turns out having 2 months of relative inactivity due to illness/commuting/working/revising has quite a dramatic effect on your fitness 😓 Also - a ramp test as your first ride back in a while probably isn’t the best idea….

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Ben Harris

2 years

Don’t just ignore the symptoms like I did….

@LymphomaAction

LymphomaAction

@LymphomaAction

2 years

This World Lymphoma Awareness Day #WLAD2022 we're joining the global #lymphoma community to share the message of symptom recognition 💜 ❗ We Can’t Wait to learn about the signs of lymphoma - it's the 5th most common cancer so be #LymphomaAware Please share to spread the word 📣

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Ben Harris

2 years

Got to have a go at CPET today and generate my very own 9 panel plot. I’m very unfit at the moment for various reasons but still reassured by the results. VO2peak 31.1ml/min/kg, AT 21.8. Estimated max power and HR achieved. Peak tidal volumes of 2.7 litres!

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Ben Harris

2 years

👏👏👏

@theRCN

The RCN

2 years

Our General Secretary and Chief Executive @patcullen9 has written to @Mike_Fabricant over his comments today on nurses drinking in staff rooms during #COVID19 .

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Ben Harris

1 year

Bring it on…

@DrStephenFM

Stephen McAleer

1 year

Junior doctors in England have voted overwhelmingly for strike action 🪧 77% turnout 🗳️ 98% YES ✅ A momentous ballot result that will shape the future of the profession #EnoughIsEnough See you on the pickets 🪧✊ #BMADoctorsVoteYes #PayRestoration #SupportNHSStrikes 1/6

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Ben Harris

3 years

Fairly sure there’s a significant proportion of junior doctors who do this for many years. My current commute is 22 miles each way, in a years time it will be 35 miles. I’d love to bike but too far. Trains don’t run early enough. No other option

@awjre

Adam Reynolds

3 years

Watching @BBCNews . Who lives 40 miles from work and drives this daily? That's just not sustainable.

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Ben Harris

2 years

It should not be this hard to get a GP appointment. The system is completely broken

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Ben Harris

1 year

@otorhinosaurus Priest 17

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Ben Harris

1 year

Please consider donating. I’m one of those fortunate enough to be benefitting from immunoglobulin therapy for treatment of secondary immunodeficiency following my chemo a few years back. It’s life changing for many others like me!

@immunologydoc

Adrian Shields

1 year

It's the first ever Plasma Donation Week and NHS Blood and Transplant needs more than 1,000 new plasma donors at Birmingham plasma donor centre. Donating plasma is safe and easy - and it feels great to save lives. Register at #PlasmaDonationWeek

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Ben Harris

2 years

Also struggling with this decision. Being given one day to decide is really not helpful and starting to revise for the SOE not knowing if you’ve passed the written is going to be difficult!

@DrLouMur

Louise

2 years

Been reflecting on exams, work/life balance etc. After written results next month we have *1 day* to book #FinalFRCA SOE end of June. If I pass, not sure whether to push through or delay until Dec, after missing out on past 2 summers due to Covid etc. Any thoughts/tips/advice?

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Ben Harris

1 year

@gabyadkins Totally feeling this right now - still suffering affects from my chemo 4 years ago, and recently had to have scans to rule out recurrence. Your life is never the same again and it follows you around like an omnipotent threat.

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Ben Harris

2 years

@jondearden Is hyperoxia a treatment for TURP syndrome?

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Ben Harris

2 years

One week until the final FRCA written 😬 FRCA daily #11 ✅✅✅✅✅ I scored 100% today [All time score: 100% of 5 questions] Fantastic website from ⁦ @jplomas ⁩ 👌👌

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Ben Harris

1 year

Thanks for a fantastic sessions guys. Great working with my old pal @jameschanuk again 👌

@bi0marker

Omar Jundi

1 year

Great multidisciplinary in situ sim this morning, loads of insights on how we can work together in a slick and cohesive manner, under loads of pressure! Props to @SmallzAlex and @MishtiO for putting a huge amount of leg work in. @BTHFTsimtech @BTHFT @criticalcarebri @aedbthft

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Ben Harris

4 months

@Sir_SR You do indeed - Dr Eyre at Jimmy’s. I was mortified!

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Ben Harris

2 years

3 days until the exam….

@EffinBirds

Effin' Birds

2 years

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Ben Harris

4 months

I will vehemently defend the NHS as much as I can, but good god - my recent experiences of the health service, particularly primary care and physician associates has been absolutely horrendous. The scope and independence of PA’s is worryingly high

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Ben Harris

2 years

Gutted I couldn’t make this yesterday. Instead, I spent my day firefighting on ICU and whizzing up and down the M62 in the back of an ambulance! Hoping to get a lot more rides with @A_line_CC sorted next year 👌

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Ben Harris

3 years

Hero 👇

@Andywebster

Andywebster

3 years

Just completed the Ilkley Half Marathon. Disappointed in the time but I guess that is the effect of working in @MyiED and having to stay in until 3 AM on Saturday morning due to long waits. Anyway off to bed shortly as have volunteered for a night shift to help colleagues

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Ben Harris

2 years

@drsas27 @chrisbrowell @ncl_medic I will 100% be coming next year - so will keep an ear out for next years date. Sadly health issues and exams have kept me off the bike most of this year so not up to riding very far at the moment.

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Ben Harris

1 year

Remarkably accurate. Especially when remembering the time the Dumbledore-like ex-head of school in my region who, when I was deciding whether to switch from A+E to anaesthetics, advised me - “Have patience - the wand chooses the wizard”. And he was right!

@Vapourologist

Tom Lawson

1 year

Hogwarts department of Anaesthesia: Dr Potter CT1 - From the moment he picked up a laryngoscope, he’s been told “Yer a gasser Harry”

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Ben Harris

2 years

@LawtonTri Hollins hill? That will be my commute in February when I come to BRI - can’t wait 👌

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Ben Harris

2 years

Very disappointed with the service from Tri Sport Resort - the @Wiggle_Sport eBay outlet. Misleading listing with poor quality photos supposedly demonstrating details. Received a seat post with half the clamp missing. Very unhelpful response -

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Ben Harris

2 years

@EdanStarforth Afraid not - I will be knee deep in final FRCA revision that weekend. Plus I don’t have a gravel bike (yet….) If you were doing the Ilkley one, I might have been tempted as that’s just up the road from me. Keen to join for future events though 👍

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@docbenh

Ben Harris

2 years

@Andywebster @GaslingSarah An award is an award 🤷‍♂️ Coffee making was a domain included within the cyclist category

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@docbenh

Ben Harris

2 years

This is horrendous. When I had lymphoma, I was lucky enough to have generous sick pay the NHS offers. I can’t imagine how it feels for people in these positions now. The government simply do not care at all. Utter bastards.

@shaunwkeaveny

Shaun Keaveny 💙

2 years

This is your crisis. You made it. Your deliberate neglect of all but the richest in society has made life hell for millions @trussliz @KwasiKwarteng :

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@docbenh

Ben Harris

10 months

Anaesthetists rejoice! This should make enough for the consultant, trainee and ODP in one press 🙌

@AeroPress

AeroPress

10 months

IT'S FINALLY HERE ⁠ Say hello to the AeroPress XL! Now featuring 2X the brew volume, plus a crystal-clear 20oz carafe made of shatterproof Tritan™ to make your next cup of Joe smooth and rich! ⁠ Get it now at take your coffee game to the next level! 👀

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@docbenh

Ben Harris

2 years

So I’ve been sent a rather large tax bill, which it seems is due to different trusts ‘duplicating my allowances’ when rotating between jobs. Any tax experts on here who can advise and give an idea of what repayment plans are like. Any help much appreciated

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@docbenh

Ben Harris

2 years

Last but not least. Still pretty chuffed with my inclusion here!

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@docbenh

Ben Harris

1 year

@BrimfulSriracha No likey, we’ll strikey?!

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@docbenh

Ben Harris

5 months

This is getting a bit silly now isn’t it? What are we really achieving? Really not sure how I feel about this level of disruption

@BMA_JuniorDocs

Junior Doctors

@BMA_JuniorDocs

5 months

📢 STRIKE DATES ANNOUNCEMENT📢 Junior doctors in England to take further #PayRestoration industrial action. The first strike action will take place from 7am on 20 December to 7am on 23 December. The second will take place from 7am on 3 January until 7am on 9 January.

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@docbenh

Ben Harris

3 years

@rchirvasuta @WeatherWolds @CycleTheWolds This looks amazing mate. You really need to take me on a ride round there at some point in the future 👌

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@docbenh

Ben Harris

1 year

Well @YardActBand did not disappoint last night. Absolutely superb home coming gig to end what’s been a bit of crappy week on a massive high👍 “Gimme some of that good stuff, that human spirit. Cut it with a 100% endurance”

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@docbenh

Ben Harris

2 years

@RichBayli55 @medicluke I’m on AL this week but considering coming in to obs theatres to cool off for a bit

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@docbenh

Ben Harris

3 years

@harmsy @resophonick That’s a lovely bike 👌

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