Jonny Martin @jcollm1 Twitter profile

Last Seen Profiles

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@syleecia

Jonny Martin

@jcollm1

2 years

On our bloods request system it says you can't request a BNP unless on advice of cardio. On the cardio referral it says they want a BNP prior to referral for heart failure. I've entered an infinite loop.

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Jonny Martin

@jcollm1

2 years

Consultant on today looked genuinely sad when I said I didn't want to do a medical specialty and spent the rest of the ward round trying to persuade me because I'd "make a very good medic". Gonna ride this high for the rest of FY1, biggest compliment I've had

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Jonny Martin

@jcollm1

6 months

Small things in my new place of work that are slightly blowing my mind: 1. Free (decent) food for doctors 2. If I have to cross cover because of absence or rota issues I’m paid extra 3. Cheap parking with loads of space 4. Specialties here seem to WANT to takeover patients

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Jonny Martin

@jcollm1

2 years

Had quite a stressful period on my nights as the only doctor on a floor where three patients needed pretty urgent attention at once. F1s/SHO/reg covering other parts of the hospital came basically straight away when I asked for help. Made me very much appreciate my colleagues.

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Jonny Martin

@jcollm1

2 years

@mevparekh

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Jonny Martin

@jcollm1

1 year

@archeryjessica It's the way it's so anonymous as well. If I make a decision about care it goes in the notes under my name. I have no idea who makes these decisions about staffing and when I've asked the answer seems to be "someone higher than me" or "I can't tell you".

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Jonny Martin

@jcollm1

1 year

@archeryjessica Maybe if they had to say "John Smith has made the decision that there is adequate staffing today and therefore we won't pay for locums" decisions made might be different?

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Jonny Martin

@jcollm1

2 years

@Faisaali2000 @voteforhani Hits your stomach and kidneys harder for sure

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Jonny Martin

@jcollm1

6 months

First request for cover since arriving in NZ, the NHS could never

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Jonny Martin

@jcollm1

2 years

Consultations with kids are honestly such highlights of my GP rotation. I showed a kid how to listen to his own heart sounds today and I've never seen someone so full of wonder. It's made my week

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Jonny Martin

@jcollm1

2 years

@OncoloJo @DrLindaDykes A locum, ward cover, weekend night at my trust would get me £28. I should try turning up in an elf costume 🎅

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Jonny Martin

@jcollm1

2 years

@RoshanaMN "I'll go find them" Walk out the door for 2 seconds, come back in "here I am"

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Jonny Martin

@jcollm1

2 years

@TharushaGunawa4 PLEASE NOTE THIS DOCTOR IS APPARENTLY NO LONGER COUNTED AS S T A F F AND THEREFORE WILL BE DOING NO MORE DISCHARGE LETTERS UNTIL FURTHER NOTICE MANY THANKS

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Jonny Martin

@jcollm1

3 years

@ShewbridgeMatt @sarah_aslannnn Matt I’m a male medical student. I’m very often mistaken for a doctor, sometimes quite a senior doctor. My female colleagues are regularly mistaken for nurses, HCAs, cleaners... I don’t think it’s anything to do with comportment/authority/mannerisms

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Jonny Martin

@jcollm1

2 years

I’m so grateful to our managers who have found the simple and ingenious solution of quite simply accommodating more patients.

Shaun Lintern

@ShaunLintern

2 years

BREAKING: All hospitals in England told to take "immediate steps" to find extra space for patients so that no ambulance waits longer than 30mins. This must be done despite the extra burden on hospital staff, say NHS chiefs.

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Jonny Martin

@jcollm1

1 year

I think being a foundation doctor stuck in the middle of one of these ferrying the message back and forth is my very least favourite thing.

Amy

@medicperspecti1

1 year

A short story:

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Jonny Martin

@jcollm1

2 years

@Ken13220657 @hayleymagill @uhbtrust Doctors don’t get protected breaks and are often working all day in scrubs. Forcing them to get changed could be the difference between lunch and not. For most of them it’s no different to anyone else’s uniform (should nurses/physios/radiographers etc have to get changed?)

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Jonny Martin

@jcollm1

2 years

If the "urgent cover required" texts/emails asking for today or tomorrow don't also say "enhanced rates" I am not reading any more, I'm sorry.

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Jonny Martin

@jcollm1

2 years

Isn’t that illegal? Like she’s not a medical doctor and she’s dishing out prescription drugs?

Ben Lovell

@DrBenLovell

2 years

Jan 2019, the UK governmt published its vision for antibiotic resistance to be contained by 2040, including urgent need to -reduce unnecessary antibiotics -reduce UK antibiotics use in humans by 15% by 2024 to prevent catastrophic antibiotic failure for future generations Today:

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Jonny Martin

@jcollm1

2 years

@richardcobbett @MisterABK The solution is to employ only a single doctor and a single nurse and get them to do all of the work. So much money would be saved!

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Jonny Martin

@jcollm1

2 years

A thing that would be easy to fix and would actually impact on patient care: legibility of handwriting I haven’t got a clue what the plan from the ward round was last week because I cannot read it. Neither can anyone else.

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Jonny Martin

@jcollm1

1 year

I started datixing every time there was completely inadequate effort put in to finding cover and in a surprise to nobody the responses were equally inadequate. Offering £18/hour for an understaffed OOH ward cover shift is not effort. There needs to be a consequence to hospitals

Sanchit Turaga

@srturaga

1 year

Patient safety is out the window here. There needs to be a protocol that mandates a trust to be responsible for minimum staffing. Too often there isn’t even an effort to find a locum/fill a gap.

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Jonny Martin

@jcollm1

9 months

@Xeon4f145d96s1 When I wear the F2 lanyard nobody listens to me, when I put the consulant lanyard on everyone starts paying attention

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Jonny Martin

@jcollm1

2 years

@caffeinemedic @timricketts_ “I took their cannula out because it hit 72 hours but they still need fluids so you need to put another one in now” for the patient it took the ED reg 5 tries to cannulate on admission

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Jonny Martin

@jcollm1

2 years

@BellaRoscetti If I can pass your exams by doing passmed rather than listening to someone talk about their own publications for 45 minutes then that's what I'll do. If you're upset that that doesn't make good doctors then maybe fix your exam.

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Jonny Martin

@jcollm1

1 year

@SteveBarclay

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Jonny Martin

@jcollm1

2 years

@timricketts_ Best mate from school is a trainee actuary and thinks I’m mad for complaining about pay because we earn the same p/a. He works 37.5 hours a week, no nights, no weekends, WFH, health insurance, all exams/study materials paid for, 50 study days a year, PC is off at 5pm on the dot.

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Jonny Martin

@jcollm1

1 year

@zackferguson I hate that I thought this was legit until I got about half way through

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Jonny Martin

@jcollm1

2 years

@doctorrah @CatrionaRennis1 My office is a sturdy orange bin and a laptop on 3 out of 5 wheels that turns off every 15 minutes with a mouse that doesn’t work

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Jonny Martin

@jcollm1

2 years

Same energy

Jeremy Hunt

@Jeremy_Hunt

2 years

If you don't train enough doctors and nurses, this is the price you pay 👇 One in four NHS doctors tired to the point of impairment, survey finds

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Jonny Martin

@jcollm1

2 years

In peak NHS fashion I turned up to the ward I was rotad to work on today to find it completely empty of all patients and all furniture. Thought I was being pranked

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Jonny Martin

@jcollm1

2 years

🥲

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Jonny Martin

@jcollm1

2 years

@mdstbarts @Han_Crane @NHSBartsHealth @ERowland_Barts @BartsHospital @BartsCSM Why on Earth did you think a pay cut at this point was the right thing to do? It shouldn’t take social media to prompt a rethink.

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@jcollm1

1 year

@huddartaj Hahahhahaha chances of that learning getting done after a message like that are about zero

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Jonny Martin

@jcollm1

1 year

@archeryjessica Basically accountability for allowing substandard care

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Jonny Martin

@jcollm1

2 years

@thegradmedic @noodles_nood With four years postgrad experience two of which in a urology programme 🤨

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Jonny Martin

@jcollm1

2 years

@Manchesterderm @bjemec I think being that passive aggressive is far more rude than what’s probably an honest mistake about what you want to be called. The chances the medical student is being purposefully disrespectful is very low, but you absolutely are. Just tell them.

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Jonny Martin

@jcollm1

2 years

@Ken13220657 @hayleymagill @uhbtrust Many of these rules have zero evidence base at all and are just someone on a power trip with a laminator (in my experience)

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Jonny Martin

@jcollm1

1 year

Watch and then think hard about whether just anyone should be doing interviews when it comes time for doctors. You need people who know how to handle stuff like this and for the vast majority of us without media training or experience that's not us. Redirect to BMA.

Good Morning Britain

@GMB

1 year

'Will you answer the question Mr Lynch, I won't let you get away with nonsense' @richardm56 grills the General Secretary of the RMT, Mick Lynch over striking over the Christmas period

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Jonny Martin

@jcollm1

2 years

My run today ended at the local chippie and this feels like similar vibes to the classic IV fluids/furosemide combo

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Jonny Martin

@jcollm1

2 years

Waited at handover for the night F1 and nobody showed. Since found out (from other F1s) that the rota person has known this week’s nights were not covered for MONTHS but made no effort to cover them and didn’t tell any of today’s day or night team. Great.

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Jonny Martin

@jcollm1

2 years

@pkonline84 If a GP wrote me some positive feedback about a discharge letter I’d written it would immediately be framed and put up on the ward

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Jonny Martin

@jcollm1

3 years

@msmyth7 @LiMing6859 @bicknaker The fine is not meant to be a transaction for parking like a knob. It's meant to act as a deterrent ideally, and otherwise a punishment. If you earn a million a year a £100 fine is equivalent to about £2 for an average earner.

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@jcollm1

3 years

@Expat_Asia @PaulBrandITV @JujuliaGrace That’s not the most critical bit of info because the denominator has been massively expanded over the recent months. Ventilators and physical beds can be found, but the staff cannot be trained overnight. The 1:3 nursing ratio is the critical and terrifying statistic

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Jonny Martin

@jcollm1

6 months

@DrKidneyAsh Pretty much as far away from the UK as you can get 🇳🇿

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Jonny Martin

@jcollm1

2 years

I’ve changed my commute this week from a 45 minute drive to a 1 hour 15 min walk/train/walk and while it takes longer I think it’s been great for my well-being. 30 mins fresh air and 45 minutes to read a book rather than sitting in traffic.

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Jonny Martin

@jcollm1

2 years

@heiltsuk_paleo @AyushKumarMS3 @Patricia_Ann_E You don’t need to be doing 24 hour shifts for there to be 24h medical cover

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Jonny Martin

@jcollm1

2 years

@Bradiographer @drphiliplee1 I feel like this has been said time and again but here goes. Nobody has said the vaccines are 100% protective against anything. They do, however, very significantly REDUCE (not eliminate) cases, morbidity, mortality, and transmission.

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Jonny Martin

@jcollm1

2 years

I went into town just for a coffee and have come back with 3 plants, 2 scented candles, and a dehumidifier. Is this adult life?

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Jonny Martin

@jcollm1

2 years

There was a gap in the rota for the sho I was supposed to be escalating to as well, so special shout out to the guy who was rotad on medical receiving but spent 4 hours on my floor helping with these patients and gave phone advice for the rest of the shift. GREATIX submitted 👍

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Jonny Martin

@jcollm1

1 year

You know that if something went wrong because of a delay or a rushed review this "budgeting department" would not have any liability at all, but they should

Dr Jess

@DrJessa

1 year

A ward in my hospital had no doctors on it today because of an annual leave mix up. A doctor who was meant to be off work offered to do it as a locum and consultant agreed, then the budgeting department said no so it was left to the on-call doctor…

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Jonny Martin

@jcollm1

6 months

My team has more doctors from the UK/Ireland than it does from New Zealand

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Jonny Martin

@jcollm1

2 years

@Almost_Dr_Ann1e @MedReddit “Oh I wonder why we can’t get anyone to work here?”

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Jonny Martin

@jcollm1

2 years

@RestIsPolitics @campbellclaret @RoryStewartUK How would you fix the NHS if you were health secretary? I’m a doctor in Glasgow, staffing in my hospital is dire and only getting worse. How would you fix that?

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Jonny Martin

@jcollm1

2 years

Ah yes, moving further into the “blame the doctors” stage of the fall of the NHS.

Hundreds of England’s NHS consultants have shares in private clinics

Exclusive: more than £1bn in revenue generated since 2015 from ‘often opaque’ arrangements, says thinktank

www.theguardian.com

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Jonny Martin

@jcollm1

6 months

And 5. They have extra doctors employed specifically to cover gaps

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Jonny Martin

@jcollm1

2 years

@RobinD100 This is just rearranging deck chairs though isn’t it?

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Jonny Martin

@jcollm1

2 years

@iceman_ex I wonder whether the cost of housing, fuel, food, or anything else has stayed the same over that time 🤔

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Jonny Martin

@jcollm1

2 years

@TharushaGunawa4 HEE can staff the arrest teams themselves then I guess

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Jonny Martin

@jcollm1

1 year

Who decided that the order of results in the form we have to copy results to would be different to the order the results appear in the software we use. Inexcusable behaviour.

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Jonny Martin

@jcollm1

2 years

@ronansetron I would like to raise you a gas from a night shift of mine some months ago. I wasn’t quite sure which number to tell the med reg first. And don’t get me started on Glasgow not showing pH, that’s 6.8

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Jonny Martin

@jcollm1

1 year

1) I think a state funded free at the point of access healthcare system is (when adequately resourced) probably the best for outcomes and equality 2) I can’t see pay and conditions for staff improving meaningfully under a monopoly employer

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Jonny Martin

@jcollm1

6 months

6. My friend works in ED here and only 50% of their beds were in use at the weekend. Nobody in the waiting room. 🤯

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Jonny Martin

@jcollm1

3 years

@GoRamsGo @AOC Coming from Scotland (where university is free for undergraduates), it baffles me that you have this race to the bottom where you feel you have to compete to have had the hardest experience. Why can’t you say it was horrible for me so I want to make it better for future students?

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@jcollm1

2 years

@aim_m6 @trentconsultant @Dubai_allergy As a junior doctor and very recent med student please leave your whataboutery behind. Being expected to spend your own money on your day job is a slippery slope that we’re already quite a long way down

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@jcollm1

2 years

@DrBenLovell Our diabetes team made an FAQ for junior doctors which I think is pretty much the single most useful document I’ve seen for F1. I dont know about consensus though

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Jonny Martin

@jcollm1

2 years

I don't think I've ever seen anyone happier than the reg on yesterday who'd just done his last ever med reg shift before starting as a consultant

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Jonny Martin

@jcollm1

2 years

I know it's small but having this type of stuff put into an email to trainees is really nice. A clear expectation, a route of escalation if it's not met.

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Jonny Martin

@jcollm1

3 years

@lifeoftazza @DrSelvarajah Couldn’t agree more! My gen med consultant last year would introduce me by name to every single patient on every ward round. He would also text his whole team at 5pm and make sure they went home on time. Both are such small things but made such a difference to the general vibe

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Jonny Martin

@jcollm1

2 years

@RadhikaThakrar My first interaction with a nurse on my first day of F1 was being shouted at by the charge nurse for taking blank paper out of the printer (to write handover notes) because doctors always break the printers. I hadn’t even tried to print anything. I felt so welcomed.

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Jonny Martin

@jcollm1

2 years

@_RobinBrown Maybe we should make rules for the F1s You can't call me to prescribe fluids unless they have a cannula You can't call me to put in a cannula unless they have fluids prescribed

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@jcollm1

2 years

@mrthomasjacques I really think there’s some middle ground here between “juniors should not be doing this” and “juniors should do hundreds/thousands of these a year”. I think I should learn to be good at cannulas, I think I should not be used as a phlebotomist. These can both be true.

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Jonny Martin

@jcollm1

2 years

@septicstepic @ctoliver @ChrisWBlackwell I think many schoolboys have grown out of this already tbh

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@jcollm1

2 years

Can’t wait for what this will mean for how junior doctors are treated on weekend ward cover 😶 if you want seven days normal service you’ll have to staff it like that

Shaun Lintern

@ShaunLintern

2 years

. @SteveBarclay says one area of focus is lower weekend discharge rates from hospitals and says a fifth of delayed discharges are due to hospitals themselves

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Jonny Martin

@jcollm1

2 years

5 months to write “NA” Great

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Jonny Martin

@jcollm1

2 years

@MallinsonT @DrMQureshi @ClareGerada @drmeenalviz @DrLindaDykes Elrond takes a 5% annual cut and charges £1500 for each exam

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Jonny Martin

@jcollm1

1 year

@techpriest Go ahead, tell my TPD. They probably negotiate their rates for extracontractual work too.

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Jonny Martin

@jcollm1

3 years

@credland_nicki @HARAMEDIC It’s disappointing to see someone as senior as yourself make excuses for behaviour like this.

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Jonny Martin

@jcollm1

1 year

Hosting mulled wine and mince pies tomorrow and I am READY

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Jonny Martin

@jcollm1

2 years

@RoshanaMN

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Jonny Martin

@jcollm1

2 years

@DurrantNiall @GaslingSarah I will continue to copy out the bloods results that are clearly visible on the computer but your man on the street can give an anaesthetic

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Jonny Martin

@jcollm1

2 years

@timricketts_

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@jcollm1

2 years

@abooni @jbjs @douglasj_weaver @pride_ortho You should get in the sea. This is my opinion

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Jonny Martin

@jcollm1

11 months

@timricketts_ Here was me trying to work out how you get someone’s sats to 150%

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Jonny Martin

@jcollm1

2 years

The real solution is EPR.

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Jonny Martin

@jcollm1

2 years

@Bossy_nurse1 @KatPaton13 It’s not the HCAs fault it wasn’t done. It is very much the HCAs fault how they responded that it wasn’t done. The pressure on beds/A+E etc etc is also not the F1s fault so don’t put that on them either and tell them they should be working for free to sort it out.

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Jonny Martin

@jcollm1

3 years

@Jopo_dr I wish employees could charge employers interest on unpaid wages (as you might if you owed a company money). I reckon they’d sort it out pretty fast if that was the case

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Jonny Martin

@jcollm1

1 year

This is exactly the issue as seen from my perspective too. The times I've got to handover at the end of a long day and the night gap has not been filled. Manager has long gone home. It's me staying late and telling the night reg they've got no juniors. Make it make sense.

Tim Ricketts

@timricketts_

1 year

@juniordrtruths Obviously I’m not fully informed on the subject, but from where I’m standing it does seem like there are no repercussions for management failing to fill a gap. The staff on the ground adapt to the (often unsafe) situation, and management carry on as normal

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@jcollm1

1 year

@thegradmedic If all we’re doing is training then try running this thing without us and see what happens

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@jcollm1

2 years

@BellaRoscetti It’s worth flagging this up to your ES/CS. It would be one thing doing this if it was your second block after a medical rotation but it’s ridiculous to expect you to manage your first ever medical ward cover shift on a weekend without an SHO having never worked in medicine before

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Jonny Martin

@jcollm1

3 years

@Angryyorkshire2 @Katynurse27 @EmergMedDr I would like to draw your attention to my payslip

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Jonny Martin

@jcollm1

1 year

I had the perfect storm this weekend: 1. Just changed jobs from GP on Wednesday 2. Never done an ortho job 3. Never taken a referral before 4. On for ortho referrals for Saturday/Sunday 5. Scotland is very icy right now My reg/consultant were extremely helpful and supportive!

Simon Fleming 🛠

@OrthopodReg

1 year

Morning again #London I’ll be your orthopaedic surgeon today If possible, stay home If you have to go out - pick a safe route - dress appropriately (suitable shoes/coat etc) - short steps & shuffle (“walk like a penguin!) - no hands in pockets #londonsnow #orthotwitter

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Jonny Martin

@jcollm1

2 years

Glasgow Modified Alcohol Withdrawal Scale Glasgow-Imrie Score Glasgow-Blatchford Score Glasgow Coma Scale Glasgow Alcoholic Hepatitis Score Sticking to our strengths here in Glasgow🍻

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Jonny Martin

@jcollm1

2 years

@GabrielThigah @AyushKumarMS3 This isn’t safe

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Jonny Martin

@jcollm1

2 years

F2 teaching and PMQs are both at midday today. Which to watch?

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Jonny Martin

@jcollm1

1 year

@NotoriousB_E_G On my third rotation last year the doctors room was converted to an office for specialist nurses and working on the ward I was constantly having questions shouted at me or worse NEWS/insulin charts just shoved in my face. Everything took longer because I couldn’t focus

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@jcollm1

2 years

@iceman_ex Funny, that’s almost exactly what I got paid last month as an F1 on a rota with 48hr week average, working ~1 in 2 weekends and a few runs of nights.

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Jonny Martin

@jcollm1

2 years

The stages of being a Tory: 1. The crime never happened 2. The crime happened but it wasn’t a crime 3. The crime happened but I didn’t know about it 4. I knew about it but nobody told me it was a crime 5. We commit so many crimes it would be too much effort to investigate any

Michael Fabricant 🇬🇧🇮🇱🇺🇦

@Mike_Fabricant

2 years

If I reported every time I had been threatened by a Whip or if a Whip reported every time I had threatened them, the police wouldn’t have any time to conduct any other police work! What nonsense from WW.

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Jonny Martin

@jcollm1

2 years

If I’m going to the effort of writing a DATIX it’s something I feel is important to raise. Even if the reviewer doesn’t I’d be keen for some feedback on why. I know lots of doctors don’t do them because they think they are a waste of time, which it seems they probably are.

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Jonny Martin

@jcollm1

3 years

@HealthRegLawyer @molly_mollecule I get paid a salary based on working up to 48 hours a week. I’ve been rotad to work an average of 47 hours and 58 minutes a week. If they want me to work more they can bump me up a band and I’ll crack on.

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