Andreas Profile
Andreas

@hasyourregtried

1,601
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MBBS BSc MRCP FRCA PgCert (MedEd). Anaesthetic registrar (ST5) in SE London. Interests: airway, regional, major surgery, echo, ultrasound, coffee, research.

Joined March 2020
Don't wanna be here? Send us removal request.
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@hasyourregtried
Andreas
14 days
🚨 Voting for the @Anaes_Trainees Committee is now open! Please check your inbox and junk for an email from Civica elections! Please see my supporting statement below - I'm happy to answer any questions (DM's open). If you like what you read, please consider voting for me!
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@hasyourregtried
Andreas
4 months
I’m striking because I am grossly underpaid for someone who controls your airway, breathing, and circulation when you are having life saving operations. I’m striking because so much of my own money goes towards being able to work.
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@hasyourregtried
Andreas
1 year
To clear things up for the anti-junior doctor brigade: 1. We are not allowed to do private work until we are consultants. 2. We fund our mandatory exams and professional fees/registration ourselves.
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@hasyourregtried
Andreas
4 months
I don’t quite have the words to describe how disgusting this is. Well I do, but they would almost certainly land me in a meeting without coffee. @Edwina_Currie you should be ashamed of yourself. I do not work for smiles. Strike hard.
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@hasyourregtried
Andreas
1 year
- Moving jobs every 6-12 months - Self funding exams/courses - No basics like lockers, or hot food overnight - 26% cut in real terms pay - No bank holiday/Xmas extra pay - No control over job location Tell me again @wesstreeting , how is the NHS run for the benefit of doctors?
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@hasyourregtried
Andreas
2 years
Merry Christmas to all my fellow NHS weekend workers! 🎅🏽
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@hasyourregtried
Andreas
26 days
Me, a doctor, whenever I’m invited to a friend/family event
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@hasyourregtried
Andreas
1 year
Well, Mum’s absolutely fucked it for me tonight
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@hasyourregtried
Andreas
1 year
9. It is a job. It's not a vocation. It's not a calling. We're not heroes. We can be committed and want to be paid appropriately for the job. Wanting better pay does not call into question our commitment. 10. Your ignorance about doctors pay does not mean we are lying about it.
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@hasyourregtried
Andreas
1 year
5. If we all leave in search of better pay and conditions, who will staff the NHS? I am sure those criticising doctors for wanting better pay will be the first to complain when there's nobody left to treat them. 6. We do not get paid extra for working bank hols. inc. Xmas/NY
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@hasyourregtried
Andreas
1 year
11. A healthy population means a health economy. The NHS might not make money directly, but the knock on effects for the country are massive. 12. 'If you're not happy about the pay, do something about it'. We are. We are going to strike.
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@hasyourregtried
Andreas
1 year
For the love of god @Keir_Starmer @wesstreeting please talk to current medics before you make up poorly thought out health policy on the fly. You could walk into government at the next GE, but you are rapidly losing the support of NHS workers.
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@hasyourregtried
Andreas
1 year
7. Potential earnings are NOT an excuse to endure awful working conditions/pay for long periods of time. 8. Most of us actually enjoy our job - we do not want to find other careers, because medicine can be very enjoyable and rewarding. We want to stay and be appreciated.
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@hasyourregtried
Andreas
1 year
3. We have a significant amount of responsibility at ALL stages of post grad work, we deserve appropriate pay for it. 4. Things change over time. We can never know how bad things are from the outside, even whilst applying for or at medical school.
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@hasyourregtried
Andreas
4 months
Something that these strikes have really highlighted for me is how ruthlessly efficient the NHS is at deducting money from our payslips vs trying to claim any kind of expense.
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@hasyourregtried
Andreas
1 year
I cannot wait for the voting to open for #FullPayRestoration . We deserve to feel valued, and we deserve to be paid like the skilled professionals we are.
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@hasyourregtried
Andreas
3 months
Bleeps are down so I’ve been given a replacement phone WITH SNAKE. If anyone tries to contact the anaesthetic reg on call tonight, I may be a bit busy…
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@hasyourregtried
Andreas
1 year
Why should working in healthcare mean poor pay? We have trained for years at university. At a postgraduate level, we work full time AND study for specialty exams, to prepare for senior roles and consultant life. We are responsibly for people's lives throughout.
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@hasyourregtried
Andreas
2 years
@mevparekh Sometimes the rota helps me get out of events I don’t want to go to
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@hasyourregtried
Andreas
6 months
🚨 New NHSE dating guidance for Doctors and Dentists in Training: - All dates MUST be approved by your ES AT LEAST 6 weeks in advance. - You are permitted a yearly budget of £50, this DOES NOT INCLUDE ALCOHOL. - Evidence of consensual sex MUST be uploaded to your eportfolio.
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@hasyourregtried
Andreas
5 months
@LouiseAllard18 My eyes rolled so far back in my head I’m actually afraid they won’t go back to normal.
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@hasyourregtried
Andreas
1 year
@ClaaareKirwan Things I have paid for recently: 1. Electrician to do a 10 minute job: £125 2. Plumber for a 10 minute job: £100 3. Gardener at £30 an hour All more than even the most senior doctors wage. Expertise costs!
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@hasyourregtried
Andreas
10 months
Anaesthesia do be like this HR 41 HR 39 HR 41
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@hasyourregtried
Andreas
7 months
Your reminder that this is happening on non-strike days, when staffing is theoretically at it's peak. Yet we hear nothing from Barclay or Sunak, no talk of minimum staffing legislation, no will to fix these issues through retention, and improved pay and conditions.
@ShaunLintern
Shaun Lintern
7 months
🚨 BREAKING: Plymouth Hospitals Trust has declared a critical incident today. It saw 389 patients in A&E at Derriford yesterday and had 22 ambulances waiting outside at 9am this morning. In recent weeks there have been times when there were 30 ambulances waiting:
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@hasyourregtried
Andreas
9 months
So for my first day here, I’ve been given a locker, a parking permit, IT logins, ID badge that works, and a Trust branded fleece. Is this ✨well-being ✨?
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@hasyourregtried
Andreas
5 months
🚨 New DAS guidelines just dropped!
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Andreas
1 year
People are going to start self referring to anaesthetists for insomnia aren't they
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Andreas
10 months
'I'm again disappointed that the junior doctors have announced more strikes. My door is open, all we ask is that they drop the 35% demand, make it past the crocodile moat, slay the Basilisk, solve these riddles three, and dodge the giant boulder. But my door IS technically open.'
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6 months
American ED doctors trying to ventilate someone
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@hasyourregtried
Andreas
5 months
‘It was at that point that I noticed the FY1s shoes were quite dirty and I asked for them so that I could clean them in time to look presentable for the picket line. I’m all for Full Pay Resurrection and all that’
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@hasyourregtried
Andreas
1 year
When ‘clap for carers’ was happening, I asked my family not to take part. I told them at the time that it was just empty rhetoric, that talk is cheap. I am now being proved correct. When it comes down to it, they will demonise us instead of rewarding us properly.
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@hasyourregtried
Andreas
4 months
@OhSoGamer ding ding ding! We have our first winner of the 'tired cliches round'. I signed up for medicine in 2009, started medical school in 2010. What 17 year old do you know who has an intimate knowledge of NHS structure and the wider economy and can predict sub-inflationary rises?
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@hasyourregtried
Andreas
4 months
So I guess it IS possible to negotiate with strikes on the table hint hint nudge nudge Rishi and Victoria hint hint
@Taj_Ali1
Taj Ali
4 months
🚨BREAKING: Tube strikes suspended after progress made in dispute. @RMTunion have suspended their planned London Underground strike this week following talks with TfL.
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@hasyourregtried
Andreas
11 months
@timricketts_ Can you come to *unspecified event* in 6 months time?
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@hasyourregtried
Andreas
7 months
@SteveBarclay Fixed it for you, Steve.
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2 months
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Andreas
4 months
I’m striking because I may never see the pension I am promised. I’m striking because without us, there is no NHS. We deserve to be paid like the highly educated and qualified professionals we are. #JuniorDoctorStrikes
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Andreas
7 months
Living alone as a doctor is tough isn't it?
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Andreas
5 months
Truly miserable following today’s announcement by the BMA. It should not be so difficult to be paid appropriately to our skill level. This country is so backwards.
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@hasyourregtried
Andreas
27 days
The last place most doctors would turn to for serious mental health input is their own place of work. Doctors need an objective, independent clinician in times of need.
@ChrisHopsonNHS
Chris Hopson
27 days
Lots of comment on @NHSPracHealth support service. For clarity. @NHS England is committed to ensuring all NHS staff receive the mental health support they need. The vast majority of this provision is, and always has been, via their employer’s health and wellbeing schemes... 1/x
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@hasyourregtried
Andreas
10 months
Anatomy of a basic general anaesthetic: a thread 🧵 Lots of people get understandably nervous about going to hospital to have an anaesthetic/operation, so I thought I'd go through the patient journey and what we do in theatre for a common, uncomplicated anaesthetic.
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@hasyourregtried
Andreas
8 months
Just let the night team go home Rishi, you have a day team to post take with.
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@hasyourregtried
Andreas
9 months
The GMC when new guidance drops:
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@hasyourregtried
Andreas
10 months
Omeprazole, paracetamol, ondansetron. Welcome to drinking in your 30’s. Off to the wedding 💒 🇬🇷
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@hasyourregtried
Andreas
4 months
Just putting this here for when we overwhelmingly vote for strike action again and everyone forgets we’ve gone weeks without strikes but the government haven’t come back to the table.
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@hasyourregtried
Andreas
1 year
Only did two epidurals lads, this is a bit much but thanks
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@hasyourregtried
Andreas
7 months
Med students - aside from being interested and wanting to watch, do you gain much from watching surgeons operate? I would have thought the most useful teaching in the theatre environment comes from anaesthetists, yet we barely get students. Thoughts #MedTwitter ?
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@hasyourregtried
Andreas
10 months
Little update to the postnomials - I’ve passed the final FRCA viva am officially exam free! Absolutely over the moon! #FullFRCA #FRCApositive
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Andreas
4 months
@NurulAbedin2 Or they could tax the million/billlionaires/corporations that funnel money out of the country? I don't believe for a second there isn't enough money to go around.
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Andreas
1 year
If anyone would like an insight into NHS inefficiency, I present a preview of an upcoming short film: ‘Logging into a trust computer: the extended cut’ Total running time 14 mins and 19 seconds
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@hasyourregtried
Andreas
2 years
I am not worth 30% less than my colleagues in 2008. I will be voting for industrial action if the government does not commit to full #PayRestoration . The news from @BMA_JuniorDocs today is very welcome indeed.
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Andreas
9 months
Where is the accountability. Those who dismissed concerns and threatened the doctors speaking up need to be brought to justice. You don’t get to change jobs and wash your hands of this.
@SangitaMyska
Sangita Myska
9 months
The hospital managers who protected Lucy Letby have left the Hospital Trust. None of them have yet commented. Lucy Letby is Britain’s most prolific serial killer of babies. God rest their little souls. I hope their parents gain some solace from knowing she is behind bars 4/
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@hasyourregtried
Andreas
2 months
Would you look at that - 98% vote in favour of strike action again. Your move @VictoriaAtkins . We’re not giving up!
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@hasyourregtried
Andreas
4 months
Tweeting about the #JuniorDoctorStrike ? Here's a flowchart of what to expect and how things will progress when interacting with right-wing bots on your thread. Why don't you play along, and see how many of these are in YOUR mentions? We wish you all the best with your tweets!
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Andreas
1 year
I don’t know who within the NHS needs to hear this, but I am still at work on my last day of the rotation and would quite like to still have IT access.
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@hasyourregtried
Andreas
9 months
This is what happens when you actually negotiate with doctors, Steve/Rishi. Pay deal reached without a single day of industrial action. Strikes are entirely and unequivocally the fault of the Tory government.
@Taj_Ali1
Taj Ali
9 months
BREAKING: Junior doctors in Scotland have voted to accept an improved pay offer from @scotgov . 81.6% in favour 71% turnout Pay deal is 17.5% over 2 years, a guaranteed minimum uplift of inflation over the next 3 years and further annual pay rises above inflation to restore pay.
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@hasyourregtried
Andreas
9 months
What do we adopt as the NHS universally acceptable email sign off? I'll start: 'Thank you and may all your trops be negative, Dr Andreas'
@Anna_L_Mitchell
Dr Dr Anna Mitchell
9 months
@ShivaniM_KC Petition to ban “kind regards”, “regards” and “BW” as email sign offs
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@hasyourregtried
Andreas
4 months
So who wants to help write the ITV Drama about Junior Doctors’ Pay?
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@hasyourregtried
Andreas
6 months
🚨 Full guidance available here:
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@hasyourregtried
Andreas
6 months
🚨 New NHSE dating guidance for Doctors and Dentists in Training: - All dates MUST be approved by your ES AT LEAST 6 weeks in advance. - You are permitted a yearly budget of £50, this DOES NOT INCLUDE ALCOHOL. - Evidence of consensual sex MUST be uploaded to your eportfolio.
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@hasyourregtried
Andreas
7 months
The membership has spoken - that was an absolutely thumping result for @AnaesUnited . I hope this signals a change in direction from the College, and for anaesthesia in the UK. Something has to give - we've let things slip for too long.
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Andreas
7 months
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@hasyourregtried
Andreas
5 months
It's been a while since I did one of these, but here we go again with the 'Anatomy of an Epidural!' Epidural analgesia is a common technique in anaesthesia, useful for a variety of surgical procedures. It is probably associated most with labour, so that's what I'll focus on.🧵
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@hasyourregtried
Andreas
9 months
@drcarolinej Imagine being one of Dr Johnson's juniors.
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@hasyourregtried
Andreas
1 month
SHO is trying to piss me off.
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@hasyourregtried
Andreas
3 months
Imagine how bad we’ll all be at threading the vygon over the guidewire at 71.
@guardiannews
Guardian news
3 months
UK state pension age will soon need to rise to 71, say experts
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@hasyourregtried
Andreas
3 months
Can't believe that we are on the eve of a TENTH #JuniorDoctorsStrike . This is after the government said they had an offer to make, and would return to the table 'within 20 minutes' of strikes ending. They've had ample opportunity to talk. These strikes are entirely on them.
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@hasyourregtried
Andreas
1 year
Early start on the picket at @GSTTnhs , we are fighting for #FullPayRestoration after a 26% pay cut since 2008! Fighting the post nights exhaustion for a while! @BMA_JuniorDocs #FullPayRestoration #JuniorDoctorStrike
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@hasyourregtried
Andreas
4 months
I got two positive patient feedback emails from PALS this week so as per GMC guidance, I have begun the ceremonial self-flagellation process whilst Benedictine Monks recite Good Medical Practice on repeat until I have endured no less than 10,000 lashes for feeling happy about it.
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@hasyourregtried
Andreas
6 months
@armyemdoc @WilkoAnaesICM But it certainly won’t make your intubation attempts any better when their airway is full of blood. HFNO, video laryngoscopy, and SGA as a bailout. This is superfluous at best, and dangerous at worst.
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@hasyourregtried
Andreas
10 months
@dr_doddle @Anaes_Trainees You’d be livid if you got all the way up there and the gas machine was calibrating.
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Andreas
4 months
Sedation! An area of anaesthesia with many misconceptions surrounding its delivery/purpose. As the clear winner in my poll, here’s a run through of the what, why, and how of procedural sedation. 🧵 (I won’t give any recipes as practice is so varied - just the gist!)
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@hasyourregtried
Andreas
1 year
Great support from the public at the @GSTTnhs picket, amazing to see so many junior doctors out fighting for #FullPayRestoration Not so much as a sniff from the BBC or ITV. @SteveBarclay not too busy to talk to them it seems. @BMA_JuniorDocs #juniordoctorstrike
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@hasyourregtried
Andreas
1 year
Guess the blood pressure
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@hasyourregtried
Andreas
5 months
When the AAPAO passes on Wednesday, it will all but solidify my decision to leave the UK. I am thoroughly demoralised by this week’s events, and I am no longer willing to work in a system that not only doesn’t appreciate my role, but actively seeks to undermine it.
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@hasyourregtried
Andreas
5 months
My superstitious behaviour is assessing my patient properly and mitigating a predicted difficult airway with the use of VL, HFNO, and SGAs so that I don't have to carry a scalpel everywhere I go because my intubation technique is trash. It wards off the difficult airway spirits.
@armyemdoc
armyemdoc
5 months
Are you a big believer in evidence-based medicine but also engage in superstitious behavior? My superstitious behavior is keeping a #10 blade in my pocket during every emergency intubation. It wards off the difficult airway spirits. #emergency #emergencymedicine #foam #foamed
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Andreas
4 months
@RussellWaterho5 @andycorneys @Edwina_Currie This is not just about her, this is the attitude her entire party has towards us, but she is the one saying it out loud. They would all rather we worked for claps and smiles and got on with things without a peep.
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@hasyourregtried
Andreas
3 years
Making sure the consultant isn’t on the corridor before I break out the suggamadex
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3 months
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3 months
@VictoriaAtkins Actually turning up and negotiating might be a sensible first step then, eh?
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Andreas
4 months
@Rich98345230676 @OhSoGamer Yes, and I will be for at least another 2 years.
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4 months
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5 months
@hasyourregtried
Andreas
6 months
American ED doctors trying to ventilate someone
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@hasyourregtried
Andreas
2 months
‘Over to the Royal College of Physicians, where there’s been another resignation! Chris?’
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Andreas
4 months
@coollyndz Hi Lyndsey, thanks for getting in touch. We will shortly be bringing out a bingo card, as well as a Junior Doctor Monopoly where instead of collecting £200 when you pass GO, your income is actually cut by 5-8% each time you go round! Best wishes, DoH Board Game Dept
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@hasyourregtried
Andreas
9 months
Doing an anaesthetic SHO bank shift today.
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@hasyourregtried
Andreas
1 year
Name a worse combination in anaesthesia than a bad cannula day + a new consultant.
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@hasyourregtried
Andreas
16 days
Had one of those cases where I wish it was appropriate to write ‘FAAAAAAAAAAAAAAACK!’ all over the anaesthetic chart.
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@hasyourregtried
Andreas
4 months
@brionytheliony Oh you’ve done it now. Dave3737290🏴󠁧󠁢󠁥󠁮󠁧󠁿 and his mates will be on this soon!
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@hasyourregtried
Andreas
3 months
Please see my supporting statement for the upcoming @Anaes_Trainees Committee election - have a read, and happy to answer any questions (DM's open). If you like what you see, please consider voting for me when the voting opens. Andreas
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@hasyourregtried
Andreas
3 months
Friends fear he’s gone ‘full anaesthetist’. Happy new rotation day to those who celebrate!
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@hasyourregtried
Andreas
26 days
Today, in a victory for anaesthetists nationwide, *I* found something that was in front of the ODPs eyes instead of the other way round.
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@hasyourregtried
Andreas
5 months
@armyemdoc Calling all my European anaesthetist colleagues in their Ivory Towers continent-wide!
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@hasyourregtried
Andreas
4 months
@FayeCastellano We are all concerned, but it didn't ever need to come to this - the fault lies entirely with the government! Your support means everything!
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@hasyourregtried
Andreas
1 month
RCoA survey released today. Results are extremely telling.
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@hasyourregtried
Andreas
5 months
Passed the FRCA Ran a (very slow) 10k Kickstarted some academic bits Completed God of War: Ragnarok
@Khanstillday
Khan 🧢 🌟
5 months
EVERYONE INCLUDED; Please brag to me about a thing you did in 2023 that you’re proud of?
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@hasyourregtried
Andreas
7 months
@hines_stephen @CCWearmouth Utter nonsense, ALS provides a common language and approach to deteriorating patients that all doctors can use, especially FYs who will often be the first responders.
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@hasyourregtried
Andreas
4 months
@OhSoGamer If what you are saying is true, and I knew the pay and conditions back then, then those are what I should have now right? Not the pay and conditions that are a result of yearly deterioration.
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@hasyourregtried
Andreas
1 year
@Keir_Starmer Not going to work. - Self referrals will lead to patients going round in circles and important diagnoses missed. - How are all these extra doctors going to progress once they’ve graduated? Increase specialty training posts! - Pay us properly so we don’t move abroad!
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@hasyourregtried
Andreas
3 months
Nothing gets your step count up better than being on call at a new hospital and trying to find your way between two actually quite close areas.
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@hasyourregtried
Andreas
5 months
@timricketts_ ‘Hi, just calling for some advice - mum thinks she’s put a bit much salt on the roasties and the turkey isn’t cooked all the way through. We’ve tried to find the guidelines on the intranet but we’re struggling!’
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@hasyourregtried
Andreas
1 year
Ready for patients to start arguing about whether they refer their pancreatitis to medics or surgeons
@DrBenLovell
Ben Lovell
1 year
So which specialty should someone refer themselves to if they have - breathlessness/fatigue? - a painful swollen knee? - abdominal bloating/decreased appetite? - eye pain/vision changes? Not straightforward 🤷‍♂️ Not fair to make pts make a best guess then end up in wrong clinic.
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