Jonathan @jabberwock951 Twitter profile

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@destinysfchild

Jonathan

@jabberwock951

3 months

#Breathtaking is scarily accurate. One of my strong memories of Covid is stripping off at the door, wiping down all my belongings, straight in the shower. Trying to protect my family. I still caught it. Because I wasn't given proper PPE.

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Jonathan

@jabberwock951

9 months

I was threatened with GMC referral for tweeting about my trust's parking issues. If management will threaten my career over something like that, what do we think they'd do to someone who went to the police/media about unexplained deaths.

Shaun Lintern

@ShaunLintern

9 months

A lot of people asking why the drs never went outside the trust. Not to the police, media, other agencies. It is a legitimate question....but our report shows the culture of the org didn't really encourage this. How true is this of other NHS trusts? #lucyletby

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Jonathan

@jabberwock951

1 year

Me, referring to neuro: "We scanned their head and..." *cuts me off* "I think you mean you did a *CT scan* of their *brain*". Me: "Well I would have just done the brain but they made me put the rest of the head in too." *crickets*

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Jonathan

@jabberwock951

3 months

Try to set up a study using sterile water injections to manage testicular torsion and see how fast it gets rejected.

Dr Rachel Clarke

@doctor_oxford

3 months

Labour pain is notorious for being one of the worst pains in the world. Does anyone seriously think we'd be offering sterile water as analgesia if men gave birth? Women deserve better than this.

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Jonathan

@jabberwock951

1 year

My F1 left his bag (with his food) in the break room on his night shift. At 2am, the senior nurse refused to give him the code for the room because "a nurse is sleeping in there". So he didn't eat that night. NHS culture can get in the bin. #medtwitter

Emma Runswick 🏳️‍🌈

@ERunswickBMA

1 year

Awful example of what happens to rotating drs when permanent staff don't support them/ are actively cruel. Non-rotating health workers: please challenge toxic behaviour in your departments. Culture is everyone's responsibility. NB OP overwhelmed by response so username removed.

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Jonathan

@jabberwock951

5 months

This doctor was suspended soon after making this post. I've previously been threatened with the GMC for tweeting about car parks being full. Anyone who complains about doctors having anonymous accounts: this is why.

Martin Schranz

@martinpschranz

5 months

The disrespect in @hospital_kerry , you can't even get a cold bottle of water on a 24 hour shift , even if you're parched and you are willing to pay for it. Be kind they tell us.

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Jonathan

@jabberwock951

10 months

£433/year GMC fees is ridiculous. At £36 a month it's more than my water bill, my phone or my internet. I could get my whole family a gym membership for less. It's not a small, unnoticeable cost for doctors.

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Jonathan

@jabberwock951

1 year

Perfect example of how UK politics works. Katy can work for a Tory MP, in central London, on less than 30k a year because her parents are loaded and sent her to a £20k a year fee-paying school. This is how ordinary people are blocked from ever entering politics.

Lee Anderson MP

@LeeAndersonMP_

1 year

Katy works for me. She is single & earns less than 30k, rents a room for £775pcm in Central London, has student debt, £120 a month on travelling to work saves money every month, goes on foreign holidays & does not need to use a foodbank. Katy makes my point really well.

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Jonathan

@jabberwock951

4 months

Blows me away how flippantly some people dismiss the first ten years of a doctor's career. For a lot of people, this is when they start a family. Get married. Have kids. Buy a house. For some it's the only time they get. Being better off in your 40s is such poor consolation.

Clare Gerada

@ClareGerada

4 months

@Dr_BellaR And what about next 20 years.

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Jonathan

@jabberwock951

4 months

Last minute night shift gap at work last week. Literally a few hours to go, no takers. Asked if the normal rate was going to be improved to find cover. Answer, "No, because we can get the other reg to do both jobs. So we have a plan B". sAfEtY cUlTuRe

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Jonathan

@jabberwock951

10 months

Telling doctors "no amount of strikes will change our decision" is like telling the trauma team no amount of blood products is going to improve the BP. Buddy, you ain't seen nothing yet.

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Jonathan

@jabberwock951

4 months

@SVPhillimore @RefusenikCorrie The letter does not presume capacity for anything other than speaking to a GP, which does not require assessment. Any other decision would be assessed as needed because capacity is decision-specific. So yeah, no laws being broken here.

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Jonathan

@jabberwock951

1 year

Consultants being given special free food deliveries makes me very angry. Says everything about how Trusts funnel perks and budget towards employees with perceived 'status' rather than the ones actually in need. #JuniorDoctorsStrike

Rebecca Gibbs

@Verytallbecca

1 year

Night two. Remembering my hate hate relationship with this antique bit of plastic. Grateful for the sandwich delivery but struggling with the idea that consultants get fed and watered whilst ‘juniors’ don’t. #PayRestoration first. Working conditions next. #DoctorsStrike #bma

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Jonathan

@jabberwock951

4 months

People seriously underestimate the impact of working a 48 hour week. It's an extra whole working day, on average, EVERY week. Would you give up your Saturdays every week for ten years for a bit extra pay? Imagine how much less you could do with hobbies, kids, life admin.

LexxDiggler

@Lexx_Diggler

4 months

@DrEilidhMaria @dannyc_lh Woops, you forgot your 37% enhancement for working nights, a weekend allowance for any work at the weekend, availability allowance if you are required to be available on-call, other specific uplifts, your gold plated career average pension and 20% employer pension contribution

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Jonathan

@jabberwock951

4 months

@Taj_Ali1 The worst part is it seems like the children were being *targeted* by abuse from outside the school, and the school's response has been to punish the children.

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Jonathan

@jabberwock951

1 year

So consultants are popping up to say how unreasonable it is to expect them to handle junior-level jobs they don't do often/navigate hospital systems they aren't families with. Erm... how the hell do you think foundation doctors do it every four months then?

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Jonathan

@jabberwock951

10 months

Your GMC fees are the equivalent of paying for Netflix, Disney Plus, Spotify AND Amazon Prime all together. Indemnity adds a cheap gym membership. Every exam is the cost of a holiday. This is meant to be OUR disposable income. This is not fair.

Jonathan

@jabberwock951

10 months

£433/year GMC fees is ridiculous. At £36 a month it's more than my water bill, my phone or my internet. I could get my whole family a gym membership for less. It's not a small, unnoticeable cost for doctors.

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Jonathan

@jabberwock951

1 year

@jh_swanson Nothing is more aggravating than a chatbot saying things like "I'm sorry". No, it isn't.

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Jonathan

@jabberwock951

1 year

@garwboy The "undercover" work seems to boil down to 'I went to a doctor, lied and told them I was suffering from all the symptoms of a chest infection. And they diagnosed me with a CHEST INFECTION. SCANDAL!'

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Jonathan

@jabberwock951

3 months

The Covid denial sparked by #Breathtaking is very interesting from a psychological perspective. Lots of people seem genuinely angry at healthcare workers. What's making people buy these conspiracy theories?

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Jonathan

@jabberwock951

10 months

Describing public sector workers as "paid by the taxpayer" is so 🤮🤮 We are taxpayers too. We are paid by the government, not by you. Working for the NHS doesn't mean you own us or have any more right to talk down to us than we do you.

Kay Burley

@KayBurley

10 months

I am not paid by the taxpayer and I am not on strike. Also, my salary is absolutely none of your business, Lady Mary

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Jonathan

@jabberwock951

4 months

"All doctors are frauds except the ones who personally saved my life" is an excellent summation of the conservative mindset. Nothing is of value unless or until it helps me. Nobody else, only me.

Roger Dodger

@rogtd1703

4 months

@Doctor_Land @IronGeek100 @gasmandh @DrEilidhMaria @Iromg ITU doctors were fantastic. So were the surgeons when I needed them. All other doctors are frauds.

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Jonathan

@jabberwock951

1 month

If you're too unwell to attend work, making people phone the sickness line, AND email the rota coordinator, AND notify the day consultant is just poor. Stuff like this is what makes an unpleasant working environment. It should be one phone call.

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Jonathan

@jabberwock951

11 months

@GHCardiology That consultant structural interventionist should've been training a cardiology trainee. Doctors are sent to your hospital to learn, they get no choice in the matter, and you're ignoring them so you can favour permanent staff.

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Jonathan

@jabberwock951

1 year

@splash2magic @kattenbarge It's not "swatting" if you actually did a crime. It's just called getting arrested.

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Jonathan

@jabberwock951

5 months

As I predicted, the focus is on the consultant while nothing is done about the NIC who actually *kept* the shoes or the other staff who watched it happen. Bullies don't operate in a vacuum.

Dr Done

@Dr_Done_

5 months

The atrocious behaviour from a bully leaked to us last week was true, of course. Docs, you are not children- say NO. @ConstableNicko the only mistake in your article is referring to FY1 doctors as students. They are not - please amend. Full article:

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Jonathan

@jabberwock951

7 months

@davideastUK @WhatEvil A giant TV is the most fragile thing imaginable too. This isn't "compare it to the colosseum" territory, this is "I'll be amazed if this isn't e-waste in ten years".

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Jonathan

@jabberwock951

4 months

People need to understand about derogations that hospitals have been abusing the word "emergency" to force doctors to work for years. Rota gaps known about months in advance and unfilled because of poor rates are declared "emergencies" rather than offering more money. 1/2

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Jonathan

@jabberwock951

3 months

@pash22 @NICEComms @BlottMaggie @susan_bewley @jimgthornton @catherineroyuk @drruthannharpur NICE should not be endorsing treatments with no scientific basis whatsoever. Placebos are long established to go against medical ethics whatever the evidence for their effect. Using this for birth, and NO OTHER area of medicine reeks of misogyny.

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Jonathan

@jabberwock951

2 months

Annoying to see the line "it would be inappropriate to take money away from patient care to fund free staff parking" today. What is patient care, if not staffing your hospital? I resent the implication that staff and patients are on opposite sides of some zero-sum game.

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Jonathan

@jabberwock951

4 months

Seeing a lot of "Doctors aren't special!" in response to posts about pay. A) Yes we are. B) So are you, demand better from your employers instead of dragging everyone else down.

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Jonathan

@jabberwock951

10 months

At my trust an F1 left his bag containing his food in the ward staff room. Later in the night the ward sister REFUSED HIM ENTRY to the room because a nurse was sleeping in there. So he went without food overnight. This kind of shit needs to be stopped.

Dr Tanya

@veggieequallife

10 months

This whole issue about doctors being excluded from staff areas is TOO COMMON. It's gone on for too long. It's accepted by too many people. Look at this. It is UNACCEPTABLE.

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Jonathan

@jabberwock951

2 months

This is the NHS at the moment, leadership teams that wander round with funny mascots pretending to listen to you, then the roof leaks on your head and you get into a lift and it plummets several stories and breaks your leg.

Barts Health

@NHSBartsHealth

2 months

We are hosting a series of conversations to hear from teams about the big things that matter to them 👋 Our leadership team are visiting our hospitals and offices, answering questions from staff. Thank you to the 200 staff who joined, we’re looking forward to the next one!🏥

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Jonathan

@jabberwock951

1 month

There's something very dodgy about using paramedic credentials to prescribe sedation so you can complete endoscopy training and then carry out procedures as a PA. Even if it's legal, it's clearly not how these training pathways were intended to work.

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Jonathan

@jabberwock951

1 month

@damnitmadeline @JortsTheCat My daughter has been read this since she was a baby

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Jonathan

@jabberwock951

9 months

@kirethk @Dexerto How do you compensate someone for literally selling their prototype to a potential competitor, and trashing their company into the bargain? Gonna buy them a whole new company?

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Jonathan

@jabberwock951

1 year

Doctors from the days of yore: If you're going to accuse us of not caring about patient safety, probably don't brag about how you used to work 80 hours without sleep. It's because we care about patients that we don't do that crap any more.

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Jonathan

@jabberwock951

2 years

@noodles_nood Pump failure, or arrhythmia?

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Jonathan

@jabberwock951

11 months

I said I was tired of legitimising it. It was a tick-box exercise with no intent of helping. A bad-faith distraction we should withdraw parcipation from. In short, if you don't know the problems - it's not because we haven't been telling you. Stop asking us to start over. 3/3

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Jonathan

@jabberwock951

10 months

The GMC need to stop with this idea that a doctor being the tiniest bit dishonest, about ANYTHING, merits a full-on 18th-century witch-hunt followed by tarring & feathering. Yes, if I try to cover up a mistake, or lie about my qualifications, come at me! 1/2

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Jonathan

@jabberwock951

1 year

Great BBC article at the moment describing an FY1s salary as "in the top half of earners" (it isn't) and consultants as earning "well more than £100k" (it doesn't hit £100k until 5 years after CCT).

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Jonathan

@jabberwock951

10 months

@ZainKhanMed "You are responsible for arranging your own learning". Silly me, I thought I joined a training programme.

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Jonathan

@jabberwock951

3 months

@krishgm As doctors are on our third strike ballot trying to tell the country MAYBE we don't deserve to lose a third of our pay, I don't think it's too soon. People forget fast.

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Jonathan

@jabberwock951

10 months

When you hand over the patient that's been EWS 10 for the last three nights.

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Jonathan

@jabberwock951

10 months

The real message for MPs here is that while it might be fun (and profitable) to run the NHS into the ground, eventually you or your loved ones will need it. You may think you're too important, or too wealthy, to suffer poor care. But there are no private A&E departments.

Andrea Jenkyns MP 🇬🇧

@andreajenkyns

10 months

My Mum died of Sepsis, a horrible way to die. She had appalling care in the NHS, many times was left laid in her own urine and covered in food. My late Dad had equally poor care. Compassion must be at the heart of every NHS interaction. Time for reform.

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Jonathan

@jabberwock951

4 months

I couldn't get funding to go on a chest drain course but hospital management gets £58k to go to Vegas. Nice.

Dr Done

@Dr_Done_

4 months

The NHS.

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Jonathan

@jabberwock951

2 years

@timricketts_ Did they at least leave you with some exercises to continue on your own?

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Jonathan

@jabberwock951

1 month

@NotAdoctor0000 @theRCN This is awful behavior from a union. If they weren't happy with their offer they had no business advising members to accept it. Now they're making consultants out to be villains for getting more? Get in the bin.

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Jonathan

@jabberwock951

10 days

@SwearySister A better question might be why do other staff groups get provided offices/rest spaces while doctors have to pay for the privilege of using the mess.

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Jonathan

@jabberwock951

4 months

Doctors, how many times have you been humiliated/chastised/etc. for being late to work? Unpopular opinion, but people being late is an unavoidable consequence of rotational training causing long commutes, poor public transport and abysmal on-site parking.

Naomi Fisher

@naomicfisher

4 months

This morning I made a mistake. As a result I was 20 minutes late for a meeting. No one gave me a behaviour point. I apologised and we moved on. I’m not in detention now. That’s because I’m an adult and I live in the real world. Why should our teenagers be treated so differently?

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@jabberwock951

4 months

@SVPhillimore @RefusenikCorrie Think this through for a second. A GP is normally the one who assesses for Gillick competency. How do you propose they do this if you need an assessment before speaking to them?

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Jonathan

@jabberwock951

4 months

@theipaper Get this, perhaps if government's taxed the rich a bit more the state school provision for your son with ADHD wouldn't utterly suck. But no, better that he goes to private school and everyone else with ADHD just gets screwed over.

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Jonathan

@jabberwock951

1 year

A colleague of mine just posted the suggested rates in a locum WhatsApp group and was instantly kicked out by a rota coordinator. Are they now blacklisted from locum shifts? Perhaps? Appalling, possibly illegal behavior.

DoctorsVote 🦀 #TellThemAgain

@Doctors_Vote

1 year

🚨🚨🚨 BREAKING NEWS: JUNIOR DOCTORS RATE CARD PUBLISHED 🚨🚨🚨 Here are the full rates for each nodal point per hour.

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Jonathan

@jabberwock951

11 months

I went to our (compulsory) "Junior Doctor's Forum" every month for six months. The last time, when the Medical Director asked what issues we were having, I got up and walked out. They broke off to ask me where I was going. 1/n

Dame Jane Dacre

@DacreJane

11 months

@PBeri @scserendipity1 I think it should all be articulated, so those who have the power can think of some stuff to fix

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Jonathan

@jabberwock951

4 months

@SVPhillimore @RefusenikCorrie This letter is exactly that, they can make an appointment and see a doctor who will then assess their competency if needed. You don't need an assessment prior to making an appointment, that would be impossible.

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Jonathan

@jabberwock951

5 months

@armyemdoc If both methods are equally safe, why go for one that causes significant withdrawal symptoms for the patient and risks to staff from a suddenly very agitated and distressed person? 🤔 Could it be trying to punish people for their addiction? Because that's very not OK.

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@jabberwock951

4 months

@realsnoopbailey @MikeOkuda *deep breath* Some of those conditions like ADHD and CFS were not recognised until recently, some are conditions associated with age line Alzheimers that will obviously increase in an elderly population and some are strongly linked to changing lifestyles and diet like T2DM.

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Jonathan

@jabberwock951

1 year

@aitchrobertson The people who rule us have been trained since birth to view our lives as expendable in the service of their careers or whims.

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Jonathan

@jabberwock951

2 months

@Dr_Done_ "Dr I... stated that given the seriousness of meningitis it would not be unusual for a doctor to prescribe and PERSONALLY ADMINISTER antibiotics." I have never seen a doctor reconstitute, draw up and administer IV ceftriaxone. I would have no idea how to. Thrown under a bus.

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@jabberwock951

2 months

Remember, saying you were promised a work laptop when you weren't is a probity issue worthy of suspension by the GMC. Presenting a false picture of statistics to try and influence the future of healthcare provision in this country apparently isn't.

Shaun Lintern

@ShaunLintern

2 months

So senior figures within the Royal College of Physicians presented a false picture of what its survey found. What a mess. One resignation so far...

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Jonathan

@jabberwock951

1 month

I'm pushing so many people today

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Jonathan

@jabberwock951

9 months

This whole discussion on leadership reminded me of experience I had at a couple of arrests as an IMT3. Still very nervous about everything as a new reg. Got called to an arrest one night, starting leading. Established the algorithm - so far, so good. 1/n

Escoffier’s love child 🦀 (🗑️ 🔥)

@mouseter_chef

9 months

@jabberwock951 Most anaesthetists I know have been humbled enough over the years to prefer a bruised ego than a trip to coroner’s Saying you need help in my neck of the woods genuinely isn’t seem as a sign of weakness either (assuming you’re not asking for help putting an LMA in)

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@jabberwock951

4 months

Why is there always an obsession with making trainee doctors work as porters, nurses, ward clerks etc.? Do we invite any of those professions to come be doctors for the day? The whole thing seems so smug and condescending.

Dr Asif Qasim 💙

@DrAsifQasim

4 months

The concept of apprenticeship training for doctors is fine, but we worried about the implementation… …and we were right: catastrophic Job roles the apprentices will perform include porter, ward clerk and clinical coder It would be laughable were it not frankly dangerous…

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Jonathan

@jabberwock951

4 months

Whoever wrote a two-line discharge summary for a THREE MONTH complex neurology admission where the patient's baseline apparently changed dramatically, thanks for ruining my morning.

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Jonathan

@jabberwock951

4 months

@grantshapps @alexwickham Western countries would rather go to war than stop assisting a genocide.

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Jonathan

@jabberwock951

5 months

A big part of me wonders what a trust would actually DO if a doctor said "I am on holiday this week, I have given you plenty of notice, I will not be at work even if you rota me on." Disciplinary? GMC referral? What would the GMC do? Stuff like this needs clarifying.

Charlotte Smith

@cml_smith

5 months

Booked a family holiday for Mar 24 in Jul 23. Spent months trying to contact the rota coord at the Trust I start at in Feb to organise leave. Told I needed to find swaps but not given contact details of other drs. It’s all become so stressful that we’ve cancelled the holiday.

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Jonathan

@jabberwock951

5 months

This is what a combination of media training and belief in what you're saying looks like. Flawless, no notes.

Saul Staniforth

@SaulStaniforth

5 months

Junior doctors @_VivekTrivedi explaining why junior doctors are on strike today. Solidarity #JuniorDoctorsStrike

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Jonathan

@jabberwock951

10 months

"You will be expected to direct your own learning". Man I'm tired of this phrase. It follows doctors all the way from med school to specialty training. Are pilots are expected to direct their own learning? Or are they taught specific, measurable skills in effective ways?

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Jonathan

@jabberwock951

9 months

Unbelievably, the former CEO is STILL trying to blame the paediatric consultants who were threatened with "consequences" if they didn't drop their accusations against Lucy Letby.

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Jonathan

@jabberwock951

7 months

I like going to medical conferences because I like to stay in a hotel and eat at the restaurant and pretend I'm a businessman putting it all on expenses, even though actually I'm paying for it all. Is that weird?

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@jabberwock951

4 months

So much misunderstanding of Gillick competence in this thread. Newsflash: you do not need to be Gillick competent to speak to a GP, even in confidence. Gillick competency relates to consent to treatment. And stop treating kids like property.

RefusenikCorrie

@RefusenikCorrie

4 months

My 12 year old son received this letter from our GP practice this morning. Is there anyone else out there who’s 12 year old received anything like this before their 13th birthday? I’m shocked. This is so sinister.

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@jabberwock951

9 months

Everyone: this department is terrible. GMC: don't worry, we'll place it under enhanced monitoring. Everyone: but you know it has severe problems, what are you monitoring it for? GMC: see if it gets even worse I guess lol, lmao

Emily Townsend

@emilyltownsend

9 months

NEW: Staff ‘crying every day’ in ‘chaotic’ department — University Hospitals Birmingham service described as “chaotic” — Report reveals some Heartlands Hospital haematology trainees “crying every day” — Department placed under GMC “enhanced monitoring”

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Jonathan

@jabberwock951

11 months

Very tired of consultants/doctors in leadership positions posting that they're aware of training problems but could people try and be nicer and not blame anyone? This atmosphere is a consequence of your inaction. Stop telling people to chill out and DO something.

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@jabberwock951

3 months

"It is your responsibility to ensure you have a stable internet connection for your interview". Thanks, Oriel. I'll let my ISP know but I'm not sure how much influence I really have over their infrastructure.

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Jonathan

@jabberwock951

11 months

@SaulStaniforth Everyone knows if you want to attract great CEOs, bankers, or after-dinner speakers you need to pay them lots and lots of money. But if you want nurses, or cleaners, or teachers you need to slash their pay and try and stop them getting jobs anywhere else.

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@jabberwock951

1 year

Doctors, if you're offering to cover gaps at BMA rates and being turned down - TELL your colleagues on that shift. Their exception report should mention that cover was available at X cost but rejected. Then if a safety issue occurs, there's documented evidence why.

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Jonathan

@jabberwock951

5 months

I feel like you can (and do) learn to be an F1/F2 on the job. But the more I advance the more half-remembered stuff from med school seems to pop into my head when searching for a diagnosis/making a plan. I think we underestimate the value of learning about the rare stuff too.

Dr Richard Pile

@DrRichardPile

5 months

I’m putting it out there: I don’t believe it takes 5 years to get a medical degree. And I do believe that you can learn on the job if you already have a clinical role. Doctors should be honest with themselves. Was every minute of your degree spent in learning/working? Was…

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@jabberwock951

1 year

"I'll only start negotiating with you if you reduce what you're asking for." "Isn't that literally the purpose of the negotiation?" "I also won't negotiate in public." "But you want me to say publicly that I'll accept a lot less than what I initially asked for? "Yes."

Shaun Lintern

@ShaunLintern

1 year

📢 @DHSCgovuk responds to @BMA_JuniorDocs saying 35% pay rise ask is unreasonable - Negotiations will only happen if BMA is "prepared to move significantly from this ask" and if it suspends strikes and agrees to talks in private. #JuniorDoctorsStrike

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Jonathan

@jabberwock951

3 months

@ShaunLintern @adam_r21 @Rebeccasmt As a doctor it's a source of real moral injury when you get asked to assess a patient in pain, only for it to keep being bumped down the list due to more unwell, deteriorating patients. Only thing that can solve it is better staffing, and that costs money.

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@jabberwock951

2 years

@DrRitaIssa @Dr_BellaR The ecologist Facebooking the most popular talk of his career to put on his CV

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Jonathan

@jabberwock951

2 months

@DrEilidhMaria @MunchkinDr 42,000 cancer doctors, 30,000 gemini, 25,000 sagittarius...

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Jonathan

@jabberwock951

1 year

Question: Can a viral AI chatbot generate "NHS improvement lessons" indistinguishable from the real thing? Answer: No, the AI's are way better.

Helen Bevan

@HelenBevan

1 year

There's a buzz within the NHS improvement community about these "6 improvement lessons to apply as winter pressures bite". It's about applying systems thinking & improvement to big challenges, not short term fixes: TY @PennyPereira1 @DrAmarShah #QITwitter

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Jonathan

@jabberwock951

11 months

@AyoCaesar If you feel fear seeing a child of a different ethnicity to you, you're a racist. No real way around it.

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Jonathan

@jabberwock951

1 year

In the middle of a lecture from a manager, regarding winter pressures: "It's not about waiting for the storm to pass, it's about learning to dance in the rain". Fuck. Right. Off.

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@jabberwock951

1 month

Senior consultants be like

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Jonathan

@jabberwock951

2 months

In my experience staff avoid looking at patients on ED trolleys for the same reasons people avoid eye contact with homeless people - because we know it isn't acceptable and feel terrible for them, but we can't help. It's not because we're just rude dicks who should smile more.

The BMJ

@bmj_latest

2 months

"It would take little effort for each person in the NHS to cultivate a routine of looking directly at every patient we pass and at least nodding politely to acknowledge their existence, if not actually saying hello." #sayhellotopatients says @johnlauner

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Jonathan

@jabberwock951

1 year

Offered to cover a night shift starting in five hours if the rate was escalated closer to the BMA rate. Declined by management, so that shift will remain uncovered. 🤷‍♂️ Don't sell yourself short.

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Jonathan

@jabberwock951

2 months

The problem here is there aren't enough consequences for managers who leave shifts unfilled. Make employment unattractive, slash locum pay, you'll be praised for saving money. Patients will suffer and die, but the link between rota gaps and deaths remains just ambiguous enough.

Moiz Shakeel

@momoshakeel

2 months

So overnight a slash of 30% in locum rates (over 50% when compared to 2016) occurred in @UHNNHSGroup . Now I’m asking @KettGeneral , @NGHnhstrust @KGH_CEO are we all of a sudden worth less? So much for #oneteam #MedTwitter #bma

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@jabberwock951

1 year

Them: You can't just give the same handover every day. Me:

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@jabberwock951

4 months

@DrEilidhMaria Can confirm as a registrar. People don't seem to realise that a great reg/consultant team won't save you if the F1 who actually SEES you out of hours doesn't recognise an impending problem or doesn't know the limit of their own skills. It's a very independent job.

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@jabberwock951

1 year

Not gonna lie, sometimes patients overestimate how much them declining treatment or self-discharging bothers me personally.

Simon Fleming 🛠

@OrthopodReg

1 year

Well, seeing as how we are approx 50% of the entire medical workforce and if you come into my hospital, I’m often the only surgeon there… …good luck to you sir I am, of course happy to treat you, regardless of your views #JuniorDoctors #JuniorDoctorsStrike #MedTwitter #NHS

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@jabberwock951

11 months

I said we'd been over the issues we had every month for at least the last five, and they were always the same. No solutions had been proposed. Nothing had been done. Management "listened", went away, then next month asked us to explain it again. Over and over. 2/n

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Jonathan

@jabberwock951

1 year

Message from my trust: "Due to an IT failure, no blood requests have printed this morning. All blood requests must therefore be printed manually." Why should this job go to the on-call doctor, other than being a convenient dumping ground?

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Jonathan

@jabberwock951

3 months

If senior management are repeatedly warned services are unsafe, they don't fix it and people die, at what point do they take any responsibility?

Shaun Lintern

@ShaunLintern

3 months

The @nottmhospitals board was warned last month that shortages of nurses and doctors in A&E was a key risk meaning the hospital was struggling to “safely respond to increased demand".

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Jonathan

@jabberwock951

2 months

@breakingbaht @JoshuaPHilll People who are renting pay for all that stuff. If they weren't renting they could also just pay someone to do it for them with the money they saved from not renting.

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Jonathan

@jabberwock951

3 months

First hand demonstration of how broken the NHS is overnight. Called 111 for my daughter, was promised a GP call back 'within the hour'. It took NINE hours and they phoned at 4.30am.

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Jonathan

@jabberwock951

4 months

@SVPhillimore @RefusenikCorrie If you believe in Gillick competence and the Fraser guidelines (I.E the law) then children need to talk to a GP in confidence FIRST so those things can be assessed. I think the problem here is a lot of people still don't accept the outcome of that case 40 years on.

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@jabberwock951

3 months

A good thread. I wish "sterile cockpit rules" could be widely adopted in medicine. We do so many potentially dangerous tasks but there's very little understanding of the need for concentration, silence and focus at critical periods.

Nose Coloured Glasses - Stavros Prineas

@nosecglasses

3 months

1/11 My good deed for the week. A 🧵 Halfway through my endo list yesterday the DSU nurse came in. “The last patient's arrived with his mother. He’s autistic and says he gets seizures when he is overstimulated.” She handed me his file. “There’s a letter from the neurologist”.

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Jonathan

@jabberwock951

10 months

I think this is why the "you'll lose public support!" argument isn't working on doctors this time. If someone claps and calls you a hero when you're killing yourself for them, but starts hurling insults when you put your own needs first, they never actually supported you.

Adil Ray OBE

@adilray

10 months

Surprised the Junior Doctors pay cut isn’t a bigger story. They are our lifesavers, our future. Not long ago we stood on our doorsteps and made them heroes. Today, they face huge debts, forced pay deals and no right to protest. With millions squandered in the UK, it’s a travesty.

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@jabberwock951

1 year

@timricketts_ @malinga_r Yep. The man was expected to say "I am too unsafe to drive" and was sent to prison for not doing so. But if he'd have said "I am too unsafe to work" how do we think that would've been received? Not well, I think.

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