🚨 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!
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.
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.
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.
- 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?
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.
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
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.
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.
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.
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.
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.
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.
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…
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.
🚨 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.
@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!
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.
🚨 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:
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 ✨?
'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.'
‘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’
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.
@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?
🚨BREAKING: Tube strikes suspended after progress made in dispute.
@RMTunion
have suspended their planned London Underground strike this week following talks with TfL.
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
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.
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.
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
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.
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.
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
?
@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.
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
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.
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.
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/
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!
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.
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.
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.
🚨 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.
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.
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.🧵
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.
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.
@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.
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!)
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.
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.
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
…
@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.
@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
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
@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!
@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.
@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.
@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!
@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!’
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.