Consultant Eye Surgeon. Chair of Education, European Board Ophthalmology
#strabismus
surgery, British cheeses and obscure rock bands IG: squint_queen (she/her)
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
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
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!
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
@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?
🤦🏻♀️
…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
Medical specialities as types of pasta: a thread (homage to
@drphiliplee1
). Penne are reliable, trusty and always there when you need them. General practitioners.
@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).
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
@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
@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
@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.
@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
@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.
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
@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.
@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
@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
@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
@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
@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
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.
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
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.
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
@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.
@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)
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)
@_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
@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.
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
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
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)
@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.
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
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
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
@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.
@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
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
@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
@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
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
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
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.
@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.
@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 🇮🇹
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
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...
@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
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.
@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
@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
@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
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
@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?
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.