Anna Maino Profile
Anna Maino

@drannamaino

1,313
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561
Following
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Consultant Eye Surgeon. Chair of Education, European Board Ophthalmology #strabismus surgery, British cheeses and obscure rock bands IG: squint_queen (she/her)

Manchester, United Kingdom
Joined July 2016
Don't wanna be here? Send us removal request.
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@drannamaino
Anna Maino
4 years
Putting together ophthalmology, ikigai and rock songs #Ophthalmology #COVID19 #resilience My COVID-19 songs
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Anna Maino
3 months
I am a paediatric eye surgeon. My skill set was limited, but I volunteered to work as junior in the Respiratory ward in the mornings and helping turning patients on ventilators in the afternoons. At night I stayed awake, thinking how to protect the babies under my care 1/2
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Anna Maino
3 months
I had to examine them to rule out retinal problems and I had absolutely zero PPE. I created a contraption with a face mask and a CPAP filter. A neighbour lent me elastic bands. I have zero respect for those who lied profiteered while putting lives at risk #BREATHTAKING
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Anna Maino
3 months
While Tories were partying, I feared passing on the virus to my husband, my children and my patients. I would not have forgiven myself if I did. Shame on you, Tories!
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@drannamaino
Anna Maino
2 years
Dear @SirGrahamBrady I'm a Consultant eye surgeon, specialising in children. Current NHS pension taxation rules are unfairly hitting senior doctors like me and unless something changes, I will go part time in 2023. This means the current waiting time would double overnight… 1/2
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Anna Maino
2 years
@scott_mills This happened to me this week. At the gym. Instructor: What do you do? Me: I am an eye surgeon, He is puzzled, but finally gets it: Do you do operations? On people’s eyes? Me: Yes I: sounds cool, Did you have to go to University for that? 🤦🏻‍♀️
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Anna Maino
3 months
@Adnepos_Iacobi It is almost as they want to destroy the NHS…oh wait
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@drannamaino
Anna Maino
2 years
…from 9 to 18 months. No child should wait this long. It is not a popular field, so difficult to attract other high quality consultants to help. This can’t go on. @sirgrahambrady as my MP, please will you attend @TheBMA pensions event on Weds 6 July
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Anna Maino
3 years
Medical specialities as types of pasta: a thread (homage to @drphiliplee1 ). Penne are reliable, trusty and always there when you need them. General practitioners.
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@drannamaino
Anna Maino
1 year
@OGdukeneurosurg The highs are high and the lows are low, and you will learn to deal with both. Listen carefully to the patients, they will guide you to the diagnosis. Learn from everyone. Your most powerful treatment is given by ear (words).
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Anna Maino
6 years
Almost a centenary from the end of WWI, my thoughts are with those who lost their sight in battle and with those who have helped them when they returned home @BlindVeterans
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Anna Maino
2 years
@olsonplanner My first ever ophthalmology ER session as brand new resident. 30-something year old comes in with sudden onset blurred then double vision. As he is talking to us, lids get droopy. I asked him if he had sundried tomatoes in oil for lunch, he nods. Diagnosis: botulism
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@drannamaino
Anna Maino
4 years
@m_p_gibson I am a consultant eye surgeon. If you are in Manchester, come and visit me and I will show your daughter what we do. #1 : in theatre (I am in the middle), #2 how we check for glasses (Insta: squint_queen), #3 : article from Woman magazine, #4 : my helper, Surgeon Ninja bear
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Anna Maino
5 months
@gmcuk I am surprised that @carriemacewen - whom so far I have always found eminently sensible - is not putting a stop to this. As an Ophthalmologist, she knows very well that Optometrists and Orthoptists are registered under separate organisations. @gmcuk do the right thing.
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Anna Maino
5 years
@mancunianmedic Bleeped at 1 am because a patient got a snowflake in the eye and the referrer could not see it (Ophthalmology) #bleepedfornonsense
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Anna Maino
3 months
@AnnaAnnaou @griseldamussett It was a collective effort: police, logistics, drivers, teachers, etc etc And their families. Everyone played a part .
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@drannamaino
Anna Maino
4 years
When doing nothing is not in your nature, you go and help out in Intensive Care @SteppingHillMOT @ManchesterREH #StayHomeSaveLives #InThisTogether
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@drannamaino
Anna Maino
2 years
@gnickodonnell @fessdoc @jamabing It can also mean that the patient is not willing to have the procedure under local, due to age, ability to give consent, anxieties around the procedure or just being a coward like in this case
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Anna Maino
3 years
Totally fed up with the GP bashing so sending a message of appreciation to @Mazsangha @nigellorde and the rest of the team at @stjohnsmedical . I, for one, have always received excellent care. #TeamGP
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Anna Maino
1 year
@MikeMay69 @MichaelRosenYes Mike, just to give you another view, my name was changed to Mrs Married name automatically by the NHS, HMRC etc. No opt out clause. However I had already established myself at work as Miss Maino. There are many reasons why names on documents don’t match.
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@drannamaino
Anna Maino
4 years
So someone decided to remove all coat hooks from consulting rooms in order to prevent...wait for it... doctors hanging themselves. No prior warning, no consultations typical diktat from powers that be. #healthandsafety #prioritiesfirst #wellbeing #resilience
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@drannamaino
Anna Maino
8 months
@Darkbreedd @Hardley76 @rootcubed @emilykmay @LyssCreations Yes. It is amazing. One button for front wash, one for back wash, one for gentle air drying, one button to regulate seat temp and also more buttons to regulate water temp and intensity of the water jet. That loo gave me more pleasure that the guy I was with at the time.
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Anna Maino
3 years
@arcl “Why do you bother with exams? With your stammer, you will never become a consultant.” I won best trainee presentation prize four years later so thank you for the motivation, Mr Toxic 😝 #stammer @stammer @thepalincentre @acsstammering
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Anna Maino
4 years
I have been a Consultant Ophthalmologist for over 10 years and I got it wrong for so long
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@drannamaino
Anna Maino
2 years
@OGdukeneurosurg Papilloedema is a very specific diagnosis: bilateral disc swelling due to increased CSF pressure. The picture shows a swollen disc and my diagnosis/management would vary if it is unilateral/bilateral, child or adult etc
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Anna Maino
3 years
@chrispaget1 Don’t let your children spend hours on mobiles and tablets as prolonged near focusing causes myopia. We are seeing an increase in young myopic children due to lockdowns. Let them watch as much TV as they want instead #medtwitter #toptip #myopia
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@drannamaino
Anna Maino
2 years
@angeydoll @SirGrahamBrady You know how much we love our jobs, and how difficult it has been to decline doing extra clinics. Every expedite letter makes me sad for the patient and furious about the state of the NHS
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@drannamaino
Anna Maino
3 years
@RevRichardColes Neither - it will be ok (I am from Puglia, and neither star anise nor caraway belong to our food palette)
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@drannamaino
Anna Maino
1 year
@RichardJMurphy @RichardJMurphy no one does. The figure is an hypothetical raise in my hypothetical pension pot and the way it is calculated baffles even the finest accountants. Public pensions is just a a giant Ponzi scheme
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Anna Maino
3 years
Fusilli. They are good for you, and their curious shape is perfect for mopping up all the sauce. They bounce around a lot. Very bouncy! Physiotherapists.
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@drannamaino
Anna Maino
2 years
@MissBethanEJohn @BellaRoscetti Thank you Bethan. Anger is all we have left. Next stage would be indifference and I hope I never cease to be angry.
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@drannamaino
Anna Maino
4 years
You know your mother is a Paediatric Ophthalmologist because she checks for eye dominance before putting a pirate patch...
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@drannamaino
Anna Maino
3 years
@MiriamDavey @bklvr70 @daveriverz @DGlaucomflecken I wrote Eyes to manage expectations (and yes I am an UK ophthalmologist and I helped out in Respiratory and ICU)
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@drannamaino
Anna Maino
3 years
Thank you @RishiSunak for treating your #NHSheroes to another pay cut. Feeling the❤️Planning to go part time now = losing yet another an highly specialised doctor who will not be easy to replace. Totally unnecessary loss. Please #Scrapthetaper @Vish_Sharm @BMA_Pensions @RCOphth
@goldstone_tony
Dr Tony Goldstone
3 years
DISGRACEFUL: Example doctor👇 This is what @RishiSunak wants to do to your pension on Wednesday by removing indexation to the LTA (which may never return). (Yet another) stealth theft of your pension worth between £187k-£303k. Feeling underavlued? Pls RT if you agree scandalous
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Anna Maino
3 years
I have not felt more alive in weeks. Today I volunteered to administer the #CovidVaccine in #Stockport . It was superbly organised by the Hazel Grove, Marple and High Lane PCN. #vaccinationCovid #StayHomeSaveLives @StockportNHS 1/2
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Anna Maino
5 years
This is so sad. These people are the brightest, most committed ones who jumped through endless hoops to enter medical school. The public should know we are losing our youngest, just as we are losing our senior consultants due to punitive pension taxation.
@bmj_latest
The BMJ
5 years
#BMJInfographic More doctors are taking a break from training after foundation programme @tommoberly @will_s_t
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Anna Maino
3 years
Ridiculously proud of @ManchesterREH trainees who scored an impressive hat trick, winning 3 medals (highest score FRCOphth part 1, 2 and refraction). And while dealing with a pandemic that hit the NW hard. Yee Ling Wong, Jay Richardson and Ahmed Elshahat, I salute you! @RCOphth
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Anna Maino
3 years
@mrnigeldsouza I was invited to apply for a consultant in London/Brighton in 2011 and I worked out that I could not have afforded to live anywhere near the hospital and raise a child singlehandedly. Madness.
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Anna Maino
2 years
@thebonesurge0n It is a classic example of penny-wise and pound-foolishness. Those who resent doctor #PayRestoration “from their taxes” will end paying multiples for private health insurance (assuming they find coverage)
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Anna Maino
3 years
Farfalle. Present in every pantry, they can be eaten cold, hot and everything in between, satisfying albeit starchy. Medicine (some older specimens wear them around the neck)
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@drannamaino
Anna Maino
2 years
@_nicky_prada Aged18, after a few dates we went to the beach and I saw his torso for the 1st time. God, he was so hairy, no skin visible. I dumped him on the spot and ran. Fifteen years later, we were at a party. He asked me why I left him but I could not bring myself to say the truth
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Anna Maino
4 years
@ProdigalHoosier @DGlaucomflecken Age will put an end to that. Large pupils are a sign of youth (and arousal) and in Ancient Rome they used juice from these berries to dilate their pupils. The plant is deadly nightshade but in Latin it’s Atropa belladonna. Atropine drops are still used today.
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Anna Maino
3 years
Happy World Orthoptic Day - Orthoptists are the dedicated professionals who examine, diagnose and manage many eye movement disorders. I am very lucky to have amazing #orthoptist colleagues in the team @FollowBIOS @followIOA @orthoptist1 @orthopticbrain #WorldOrthopticDay2021
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Anna Maino
2 years
@DrJessieAllan If you want pictures of brave teddies who had squint surgery, check my page:
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Anna Maino
2 years
@OGdukeneurosurg Spontaneous subluxation. Watch me popping it back with some Lacrilube and a lot of self belief
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Anna Maino
7 months
Global Ophthalmology committee workshop today at the @RCOphth with @ali_rivett @eveosh and many wise and inspirational ophthalmologists.
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Anna Maino
3 years
When your trainee needs to submit an assessment and you (the Educational Supervisor) volunteer to be at the receiving end (ocular irrigation). #meded #supervision #ES @RCOphth #eyetrainees #training #MedTwitter
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Anna Maino
4 years
Today is #WorldKindnessDay and I dropped a basket of fruit from @AltyMarket to @stjohnsmedical . All medical professions are under immense pressure but #GPs and their teams get so much bad press. So unfair. We are very grateful for all you do. Stay strong #worldkindnessday2020
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Anna Maino
3 years
@RevRichardColes I got a reply from Rev Richard Coles *swoon*
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Anna Maino
3 years
Stelline. Children friendly, nutritious and easy to digest. Remind me of happier times. Paediatrics!
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Anna Maino
3 years
Spaghetti. Again, present in every pantry but almost invariably out of their depth. They are too slick, and sauce does not stick, so you end with a whole plain mouthful but nothing exciting. Middle managers
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Anna Maino
7 years
Son (3): -Who's that? Me: - A doctor. Son, incredulous : - Can men be doctors, too? #ILookLikeASurgeon @BBCWomansHour @HeForShe
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Anna Maino
5 years
Patient: How long have you lived in the UK? Me: about 20 years Patient: You still have a thick accent - when are you sorting it out? Me: Most people find it charming so I am keeping it *grin* #resilience
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@drannamaino
Anna Maino
2 years
And so it ends. I thoroughly enjoyed my medical educator role for @RCOphth as #newconsultqnts lead but I have to let it go. Like me, many people face difficult choices between personal goals and the well-being of dependants. To the young ones reading: … (continues)
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Anna Maino
3 years
A bit if monocular testing for those so inclined @FollowBIOS @OrthoptResearch @RCOphth #strabismus
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Anna Maino
1 month
@timricketts_ @amateuradam The absolute state of crockery/mugs and total absence of teaspoons and cutlery. Also the fact we need to pay for our own tea and coffee.
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Anna Maino
6 years
If you need to do just one thing to improve your mental and physical performance, choose sleep. Sleeping less than 7 hours a night impairs memory and decision making. Chronic sleep deprivation increases ghrelin and reduces leptin - you crave sugary/fatty foods and pile on weight
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Anna Maino
2 years
Surgeons attitudes range from Impostor syndrome to God Delusion. I ask juniors to aim for “quiet confidence”. I cannot believe that this patient used exactly the same words. #orthoptists being recognised too, they are crucial to success @AlxHospital #MedTwitter #surgery
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Anna Maino
3 years
Pappardelle. Like tagliatelle, but richer, of larger girth and heavier. Pairs well with wild boar and venison. So this has to be...Orthopedics
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@drannamaino
Anna Maino
3 years
You read it here first... Six glasses of wine a week linked to lower cataract risk
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@drannamaino
Anna Maino
3 years
Intrigued by the #vaccination technique chosen by the @thetimes subeditor to illustrate this story. It is remarkably similar to taking blood samples. Sloppy journalism just feeds the no-vax sentiments. #journalism #misinformation
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@drannamaino
Anna Maino
2 years
@OGdukeneurosurg From my n=2 sample, you literally pop it back. Lacrilube on the cornea not to scratch it, then Gelonet or gauze and push. My concern would be the stretch on the optic nerve/vasa nervorum as it could cause irreversible visual loss.
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Anna Maino
1 year
When a 92 year old patient sends you a thank you letter - but it is extra special (see below) @SteveBarclay you are losing the support of your demographic here @trentconsultant @Vish_Sharm @TheBMA @SteppingHillMOT
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Anna Maino
2 years
@Gillian275Gm The same happened to my best friend. She emailed us all saying that, since we were all free on that day, we should all go to hers for a barbecue. We did. It was great fun. We rallied around her and helped her go through the day. Big hugs to you and your boys
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Anna Maino
4 years
You know you need a holiday when you read a clinical letter, admire the eloquence and clarity, agree on the main messages and then realised it is from yourself 🤦🏻‍♀️ #takeabreak #surgeonslife #postcovid #frazzled
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Anna Maino
3 years
Fascinating to watch
@AvrahamCooperMD
Avraham Z. Cooper, MD
3 years
This is what happens when you rub your eyes (something I will never, ever do again) #medtwitter
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Anna Maino
4 years
@MattHancock one day we are celebrated as #heroes , the next we are at fault. You are not as dumb as you pretend to be. You are wicked. #Gaslighting keyworkers instead of apologising for your failure is vile. #PPEforNHS
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@drannamaino
Anna Maino
6 years
Double (vision) trouble! Thank you @paedsophth for inviting me to present at the Assessing a patient with strabismus session at the #RCOphth2018 #TakeRCOver
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@drannamaino
Anna Maino
4 years
@LoriKees @DGlaucomflecken Third or fourth, even. Stay safe @DGlaucomflecken and @LGlaucomflecken we love you 😘
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@drannamaino
Anna Maino
4 years
@DrPess 1) Anna, ambivert Strabismologist at @ManchesterREH with a passion for British cheese and rock music. 2) Perfecting my hammer ons and pull ups during Oncall shifts #MedTwitter 3) @SpencerFiona @HornbyStella @MariyaMoosajee @MPOrthoptics @eye_polly @EyeChandra #MedEd
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Anna Maino
3 years
@SnoozleH @drdanmagnus If it is of any consolation, when parents become emotional, I well up as well, so now I wait on the other side of the door (scrubbed up to minimise anaesthetic time) and I fling myself to the parents as soon as op is over (I write the notes later). Paediatric eye surgeon
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Anna Maino
1 year
@drphiliplee1 What happens to the ones that dropped down? Where did they go? The suspence is unbearable
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Anna Maino
3 years
I could not attend my gym’s fundraiser this year as I was working so on the spur of the moment I offered to teach a group of medical mums for donations towards @EmmelinesPantry . Honoured to give the first @PMGUK1 Christmas Lecture #Deedsnotwords #Christmas2020
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Anna Maino
3 years
Big shout out to @firstdirect bank for their new debit card design, lots of #accessible features for visually impaired users @RNIB @guidedogs #vision #sight #visuallyimpaired
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Anna Maino
2 years
Dear first-on-call colleagues, please stop saying “Sorry to bother you” when you call the oncall consultant. I am here to give advice. It is literally my job and you are not bothering me in the least. You are doing your job too. #Ophthotwitter #MedTwitter #JubileeWeekend #HM70
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Anna Maino
3 years
Thank you all for this incredible documentary on #stammering #ICantSayMyName . To all young people, I would like to say it’s #oktostutter . I dread having to introduce myself at board meetings, but it has not stopped me from giving talks and even podcasts. Reach out, I am here.
@sophieraworth
sophieraworth
3 years
Thank you for all the amazing messages about #icantsaymyname Five of us made it in under 6 weeks - a lot of it on our days off. It has been a labour of love @Felicity_Baker @MsCarolynRice @emilyEBbrooks and Raeph Ballantyne
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Anna Maino
5 years
@DeeeDoc @BBCHughPym Same here. We receive complaints from patients who have been waiting too long for their appointments but I can not do extra clinics as I would be taxed more than I would be paid. It demoralises me.
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Anna Maino
3 years
@DoctorMayJay @mancunianmedic Torta millefoglie con crema diplomatica (mille feuille with diplomat cream, ie creme patissiere and whipped cream together). If I have to splurge, I will max the calorie, none of these healthy puddings for me. Unfortunately not available outside Italy 🇮🇹
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@drannamaino
Anna Maino
1 year
@ryan_senne I am amazed no one has said Mog yet. As is MOG antibodies and Mog as colloquial English for cat.
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Anna Maino
3 years
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@drannamaino
Anna Maino
5 years
Representing the UK at the European Board of Ophthalmology Annual General Meeting. Proud to contribute to setting the Strabismus, Paediatric Ophthalmology and Neuro-ophthalmology examination questions and raise the standard throughout Europe
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@drannamaino
Anna Maino
4 years
Presbyopia comes with age. Presbyopia causes problems with near vision (hence the need for reading glasses). DVLA is interested in distance vision you numpty @BorisJohnson But please don’t let the science get in your way...
@ladyhaja
Hannah Jane Parkinson
4 years
the time and cause of my death
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Anna Maino
3 years
@mevparekh It is not weird. The gap between what you have learned and what you need in your first year is very real. The Royal College of Ophthalmologists has a New Consultants course, you are very welcome to join - it is not speciality specific. Nov 15 and 16 2021 @RCOphth #wegotyourback
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@drannamaino
Anna Maino
1 year
@cpeedell I totally agree with you Clive, and I will not vote #Labour as long as @wesstreeting is Shadow Secretary. He is a Tory in disguise
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@drannamaino
Anna Maino
5 months
@djnicholl @HelenRSalisbury @wesstreeting Singapore government statutory health fund does not pay for GP visits, most outpatient services and prescriptions- just think about it!!
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@drannamaino
Anna Maino
1 year
@JaredMichaels17 @chrost_hugo @BrownHospMed CRVO is a very bloody picture. Haemorrhages everywhere.
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@drannamaino
Anna Maino
4 years
@surgeonshall
Surgeons' Hall Museums
4 years
The Surgeons' Hall Riot happened #OTD in 1870. The Edinburgh 7 arrived at Surgeons' Hall to sit their anatomy exam & were met by a crowd of male students & several hundred onlookers who opposed of women studying medicine. Not to be deterred the women went on to sit their exam.
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@drannamaino
Anna Maino
3 years
@ShaunLintern …but with a wife. I wrote to the Director of medical education and I had no response. NONE. Not even some prepackaged rubbish. So I am stepping back from all the unpaid roles I have done for years. I will be damned if the NHS gets another minute of my time for free. @WEP_UK
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@drannamaino
Anna Maino
3 years
@Drjoelpittaway @pjsouthall You ungrateful b @stard . You have a weekly Well-being Newsletter and, if your hospital is well posh, even a staff raffle.
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@drannamaino
Anna Maino
2 years
@BellaRoscetti If in a hypothetical scenario you decide to give notice, it would be very very childish and not at all the right thing to do to let them know the Friday before you are due to start. At 17:00
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@drannamaino
Anna Maino
2 years
@sh_abbers Agree. And it validates impostor syndrome (“I will do XYZ so that people like me”). New docs: you have achieved so much just being where you are now. Chin up and walk proud. Look after each other and ask ALL the questions. #TipsForNewDocs
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@drannamaino
Anna Maino
4 years
In this bag there are about 700 contact lenses/cases, collected over 12 months. Let’s not ignore planet #Earth . #recycle #recycling #zerowaste #ecofriendly #sustainability #environment #waste #savetheplanet #climatechange
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@drannamaino
Anna Maino
4 years
For the first time in 20 years, there is a shortage of phenylephrine (PE) drops until April 2020. PE drops dilate the pupil (the black bit of the eye) so that eye docs can see the retina/optic nerve. People with dark eyes need PE so I am worried about BAME/children #NHSCrisis
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@drannamaino
Anna Maino
2 years
@mroutled @SirGrahamBrady And most people did not have A*, a first class medical degree and the ability to keep calm under pressure and suture tiny stitches like I do. Your point is, Martin?
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@drannamaino
Anna Maino
4 years
There is something about this ad that makes my Spielmann occluder twitch #strabismus #orthtoptics @FollowBIOS
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@drannamaino
Anna Maino
6 months
@ShaunLintern Never mind Twitter feed, you should try being a fly on the wall of many WhatsApp Consultant groups. SPA is the big big 🙅🏻‍♀️
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@drannamaino
Anna Maino
2 years
If a patient recalls a previous bad encounter with a colleague, and you read pain all over their faces, the decent thing to do is to let them speak. They are replaying the scene and they need to process it. Don’t interrupt, don’t explain, just be there and listen.
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@drannamaino
Anna Maino
1 year
@Vish_Sharm @Jeremy_Hunt @TheBMA @BMA_Pensions @BMA_Consultants We shall see how generous is the £60k when the higher CPI bites but, as you say, it is a step in the right direction. Well done @Vish_Sharm @goldstone_tony and @BMA_Pensions for working relentless on this. I will wait a bit before taking on extra work though
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@drannamaino
Anna Maino
1 year
A stellar programmer put together by Miss Naz Raoof and Mr AJ Ghauri for the Paediatric Ophthalmology Subspecialty day at the #RCOphthCongress23 . @OphthoReg @JollyEyeSurgeon @LondonEyeDoc @RCOphth
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