neil orpen @neilorpen Twitter profile

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@Farhan_Akhtar06

neil orpen

@neilorpen

2 years

My daughter went for a routine chiropractor appointment. Now she’s paralysed - 1:20 000 chiropractic neck manipulations result in stroke from vertebral artery dissection

My daughter went for a routine chiropractor appointment. Now she’s paralysed

EXCLUSIVE: A 28-year-old Georgia woman went to a chiropractor in June to relieve neck tightness after studying for her chemistry finals. Her life changed 20 minutes later, her mother tells Sheila...

apple.news

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neil orpen

@neilorpen

2 years

The problem is not all chiropractors - the problem is this obsession by some that everything has to be “corrected” - and those that use extreme force in any manipulation - the neck is a small collection of bones and discs - each vertebrae is about the footprint of a thumb nail

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neil orpen

@neilorpen

2 years

@voteforhani Good to see the payslip format hasn’t changed since 1998 - neither has the pay by the looks of things though

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neil orpen

@neilorpen

9 months

If there is any positive action that is to come out of an inquiry into Lucy Letby and the trust and senior hospital executives involved , it must be that a regulator is required for senior hospital managers #regulation #NHS

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neil orpen

@neilorpen

9 months

Will the police now take on the senior executives that refused to stop Lucy Letby and made the doctors apologise to her - they did the typical side move and retired with nice big pensions

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neil orpen

@neilorpen

2 years

@rentier13 I can’t think of any reason to manipulate a baby - complete nonsense

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neil orpen

@neilorpen

9 months

@trentconsultant Thread I friend of mine died 3 weeks ago from complications after a spinal cord injury He presented to A&E with a numb and weak arm and was triaged as possible stroke He had a normal brain CT and was placed on a thrombolysis pathway 1/

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neil orpen

@neilorpen

1 year

@DHSCgovuk These figures are not going to age well for you - those of us that know , realise this average salaries include overtime and antisocial hour enhancements for nights and weekends. Just state the basic wage so that people can actually compare like with like - I dare you

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neil orpen

@neilorpen

1 year

Saw patient with 6 months of spinal stenosis symptoms today with bilateral tingling and weakness in legs , advised and given cupping by physio - stop this nonsense please

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neil orpen

@neilorpen

2 years

@K_G_Spearpoint @RegMorse Always unfair that you can’t use your mobile in ICU - all the bleeping and stuff and those annoying machines - bet they were gasping to phone in

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neil orpen

@neilorpen

6 months

I am really surprised the public are not more outraged about this - it is your public service and it is being downgraded

Dr Mike

@EmergMedDr

6 months

GMC asks NHS England to reassure doctors there is 'no plan to replace them with PAs' - Pulse Today The replacement is already happening ⁦⁦ @gmcuk ⁩ They are being described as “senior registrars” in some trusts. Platitudes won’t help.

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neil orpen

@neilorpen

1 year

@DrLongissimus Verbal consent achieved before proceeding

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neil orpen

@neilorpen

9 months

@trentconsultant Throughout his diagnostic journey he did not see a doctor and was treated as per a protocol driven by nurses and non doctors Legally liability admitted by the hospital and agreed this could have been avoided had seen a doctor who would likely have diagnosed a disc prolapse 3/

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neil orpen

@neilorpen

9 months

@trentconsultant Now he has died - and this was avoidable We have to decide what sort of level of care we want Downgrade it at all of our peril

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neil orpen

@neilorpen

8 months

Essentially if you are deemed to be unkind to a poor manager you are in breach of good medical practice and can be reported to the @gmcuk

Mike Henley 🤨

@trentconsultant

8 months

After all that’s just happened, new guidelines from GMC; call into question for example a non clinical manager’s decision, attitude, ability & you’re in breach of good medical practice. Does this apply to anyone else in a hospital, lawyer, accountant, business, IT, finance, etc?

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neil orpen

@neilorpen

10 months

The surgeon that will likely perform my hip replacement or spinal decompression one day , is not likely to be a consultant yet - this is why protecting the skills of the U.K. is important now - protect junior doctors pay !

Mamas A. Mamas

@mmamas1973

10 months

Literally every single junior doctor I am the educational / academic supervisor for is making plans to leave. This is not an exaggeration. The general public has no insight into how screwed they are going to be in the next couple of years in relation to their healthcare.

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neil orpen

@neilorpen

1 year

@NHS_HealthEdEng How long before comments are removed from this tweet - for fear of showing the PR disaster it is - I hope at the very least someone reflects and rather than dismiss it , tries to improve it

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neil orpen

@neilorpen

1 month

I don’t get this - we need a policy to stop PAs doing something illegal ? If a profession needs a policy to stop illegal behaviour there is a problem - just doing do something you know is illegal - how can we even be having to discuss this issue - health care may be doomed

Dr Mike

@EmergMedDr

1 month

How about hold the PAs who are illegally prescribing to account? Nurses have pens on wards and could use it to prescribe on a drug chart but they don't because it's illegal and outside their scope (not talking NPs). Don't blame the GPs.

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neil orpen

@neilorpen

10 months

@No1wtb @theJeremyVine If they pulled into single file it would still not be safe to overtake - that is the point Sometimes you just have to slow down till it is safe, their speed is not unreasonable for a residential narrow road

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neil orpen

@neilorpen

2 years

@JanHartvigsen Please clarify what part so we can better understand

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neil orpen

@neilorpen

2 years

@KristinCollie20 @kjdelay1 @UMichMedAdmiss Peaceful personal protest is the strongest tool we have and should be encouraged - these students should be applauded for making a stand

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neil orpen

@neilorpen

9 months

@trentconsultant Turns out he had a disc prolapse in his neck - history would have shown he and a disc operation some years before for the same symptoms Thrombolysis resulted in a massive intraspinal haemorrhage and resultant quadriplegia 2/

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neil orpen

@neilorpen

10 months

So I understand - is a consultant practitioner more senior than a general practitioner - they must obviously both be doctors right ? I am just a simple patient so I want to understand this

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neil orpen

@neilorpen

2 years

@JanHartvigsen

Vertebral artery dissection after a chiropractor neck manipulation

The differential diagnosis for ischemic central nervous system infarcts in young patients includes paradoxic emboli through cardiac shunts, vasculitis, and vascular trauma. We report a young woman...

www.ncbi.nlm.nih.gov

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neil orpen

@neilorpen

2 years

@mrnickharvey I know it is fake , but I love it

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neil orpen

@neilorpen

2 years

@JujuliaGrace My private elective operating list is going ahead - my team get paid enhanced rates, those with children that need the day off will get it, and I will order in pizza for the team just to make up for their missed lunch at home - and 5 patients will get their operation they want

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neil orpen

@neilorpen

11 months

@Dr_Done_ @UHLRRCV John doesn’t realise how unprotected he will be of the next one goes wrong - he is placing himself in huge risk - what was the consenting process for this and was the patient fully informed

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neil orpen

@neilorpen

2 years

@timricketts_ Even a multi bedded ward in the middle of the day on the trauma unit with bilateral lower limb fractures and it is possible to be romantic apparently

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neil orpen

@neilorpen

10 months

Never a bad time to remind people of this

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neil orpen

@neilorpen

10 months

@simonharris_mbd Also the sun

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neil orpen

@neilorpen

5 years

Trouble is - 8th on the day feels better

Kara Goucher

@karagoucher

5 years

Just got a call from the @TeamUSA that my placement in the 5000m at the 2008 Beijing Olympics has been officially moved up to 8th. I really appreciate this call. Top 8! 🙌🏼

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neil orpen

@neilorpen

2 years

@NadiaKamil I served Nelson Mandela at his birthday party - he was polite , charming, and after the meal and party we asked his security if we could speak/ meet him - he didn’t answer he just came over to us and chatted - we were in awe and she’ll shocked - he was amazing

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neil orpen

@neilorpen

1 year

@trentconsultant @LeedsHospitals Further confirmation that junior doctors are right to go on strike - it is not just about salaries , employers working practises are a big part of the problem

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neil orpen

@neilorpen

1 year

@SteveBarclay @BMA_JuniorDocs @Telegraph I don’t understand what it means when an employee’s fair pay is described as unaffordable - why should the employee take the hit - if you can’t afford to pay someone , then they can’t afford to work for you - you have the service or you don’t - there is not a middle ground

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neil orpen

@neilorpen

4 years

@TableMountainCa just awesome

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neil orpen

@neilorpen

5 months

@FauzanHashmi @ollieburtonmed Please report to the police - they will do this again to someone else and CCtV on the train station will certainly get lots of footage of them for ID purposes

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neil orpen

@neilorpen

2 months

@ShaunLintern It is because senior figures in colleges represent politicians rather than the clinicians Apart from the obviously undisclosed conflicts of interest in this case too - completely unacceptable

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neil orpen

@neilorpen

1 month

@Dr_Done_ Anyone thinking this is ok is part of the problem and is part of why healthcare in the U.K. is spirally dangerously in the wrong direction

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neil orpen

@neilorpen

6 years

Look at these beauties which arrived today - thank you @Nigelrefowens awesome

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neil orpen

@neilorpen

4 months

@MikelGunners @FHawksworth @jackypetal @idruprofen @AndrewG97440406 Dave, you are very misinformed But you are correct, it is so hard to believe , how can it be legal to be so low But when you are in hospital needed care from these junior doctors, they will continue to work way beyond their pay level

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neil orpen

@neilorpen

9 months

I agree with this - it is seldom just about pay, it is also about work conditions and enjoyment of the job - without enjoyment of the job, the only compensation can be salary

Dr Phil Hammond 💙

@drphilhammond

9 months

If doctors in training were well supported with decent working conditions, some might accept a lower pay rise. But the job is so under resourced, complex & stressful, with high risks to personal health, it demands equivalent remuneration, at least matching the Scottish offer.

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neil orpen

@neilorpen

7 months

@BrennanSurgeon Leading a team effectively needs hierarchy In a storm, everyone needs to know who to call captain

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neil orpen

@neilorpen

9 months

@drjohnhmiller @trentconsultant I don’t agree it is criminal although I do understand why you say that - the negligence was accepted by the trust The lesson learnt though has to be about being careful about downgraded clinical care in chase for targets / protocols and oversimplifying complex medicine

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neil orpen

@neilorpen

2 years

@zackferguson I remember sat ward rounds every week as SHO with my first consultant in the NHS - spinal surgeon- with full English breakfast in the canteen with him and his son after - I thought everyone did it - they didn’t. I am now a spinal surgeon because of that job !

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neil orpen

@neilorpen

2 years

@JanHartvigsen

The potential dangers of neck manipulation & risk for dissection and devastating stroke: An...

Chiropractic cervical manipulation is a common practice utilized around the world. Most patients are never cleared medically for manipulation, which can be devastating for those few who are at...

www.ncbi.nlm.nih.gov

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neil orpen

@neilorpen

9 months

@trentconsultant This is typical - oh we could have used better language and lessons learned Rubbish - they have just been found out and the role is intended to morph into exactly what they described

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neil orpen

@neilorpen

10 months

@DHSCgovuk I think their point is that for the last 15 years it was meant to be this annually too - and for the next 15 years it should be But that is not what you are offering , are you ? You are trying to spin this nonsense

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neil orpen

@neilorpen

3 years

@wussydoc perhaps it also highlights how ridiculous the list of mandatory training has become - less about reality and more about ticking boxes for CQC inspections - start of pandemic I had to do a course in putting on gloves and no touch technique - I have been a surgeon for 20 years !

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neil orpen

@neilorpen

5 months

@emma_icb This is what much of the concern is about Until this is addressed by the whole PA profession, I anticipate this will continue to happen

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neil orpen

@neilorpen

1 year

@ProgressiveRug Farrell noticed the use of arms - never realised those were for tackling

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neil orpen

@neilorpen

2 years

@ladbible Hannibal lector - you don’t have to say the actor - the end

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neil orpen

@neilorpen

1 year

@trentconsultant Why should the NHS employers be consulted about what the rates should be - surely for non contracted work as a clinician you offer a rate , employers can accept it or not - if not they can look elsewhere …… this is why there is a problem in the first place

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neil orpen

@neilorpen

6 months

@dawnashley13 @NTeesHpoolNHSFT @MADEinHEENE Did you just wake up this morning and choose mayhem

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neil orpen

@neilorpen

2 years

@cardioyousaf I am getting the feeling there is a certain amount of entitlement among some students

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neil orpen

@neilorpen

9 months

@phonekills What is worth noting here is that both parties involved behaved as you would want people to behave after a potentially serious accident - no aggression , simple recognition of what happened - check everyone is ok

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neil orpen

@neilorpen

5 months

@adamsonjon @EmergMedDr And removed the rate card It does suggest the rate cards were more effective in all this negotiating than even the strikes

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neil orpen

@neilorpen

10 months

@Doc_IonaCollins Cheap wedding photographer £750 for the day Why is it we value some things so differently

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neil orpen

@neilorpen

1 year

@ProgressiveRug @FranceRugby @Jamesonrugby @cdpierce4 He correctly stood his ground - this is what we want to see

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neil orpen

@neilorpen

1 year

How much happiness as a parent comes from knowing your kids are happy

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neil orpen

@neilorpen

10 months

@DanielJaeWebb Patsy is trying to make everything in life about her - it seems we can see where the problem is - it doesn’t seem to be the police in this instance

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neil orpen

@neilorpen

10 months

If anyone wants to see nonsense medicine being practised , this is a good example

Ergasia PT

@ergasiaPT

10 months

Improving biomechanical range of motion on a pitcher, concentrating not only on the range of motion of the spine but also shoulder and shoulder blade with some emphasis on D1 D2 patterns @DrDunning @DrEscaloniPT #AAMT #Fellowship #AAMTFELLOWSHIP #Osteopractic #Biotensegrity

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neil orpen

@neilorpen

9 days

@AlderHey So all this is performed by someone with a 2 year general course and a few weeks of paediatric training - are you absolutely certain this is safe and do parents get told the training of those performing these assessments

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neil orpen

@neilorpen

5 years

@thelittleleftie Recognising and making an apology for a mistake shows huge maturity - I would expect everyone to recognise that and therefor consider the matter closed - and be grateful someone is happy to engage in controversial discussion with an open mind

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neil orpen

@neilorpen

9 days

@MarcherMedia1 Why does a magazine exist for women to buy that is mostly about slagging off other women

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neil orpen

@neilorpen

2 months

These clots were taken from a previously healthy woman ( at the shop) fully vaccinated Why is nobody talking about it #covidnonsense #bollocks

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neil orpen

@neilorpen

2 years

While the U.K. goes crazy , the Stellenbosch wine lands are firmly open for business ⁦ @StellWineRoute ⁩ - and they should be - this is easy covid protocols made simple with social distancing and protocols all in place

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neil orpen

@neilorpen

10 months

@theJeremyVine But police have said no crime has been committed based on what they have - so this is just an invasion into his private life The BBC can decide if he is morally appropriate to keep on air , but everyone should be entitled to privacy

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neil orpen

@neilorpen

5 days

@danny__kruger Regardless of how perfect palliative care is, there is unavoidable suffering to some - there are many medical conditions where death is slow , psychologically traumatising and painful - well regulated assisted dying can be dignified and caring to these

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neil orpen

@neilorpen

2 years

@JanHartvigsen What figure would you suggest

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neil orpen

@neilorpen

1 year

@malinga_r How on earth did this reach tribunal stage - it should have been thrown out on first review

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neil orpen

@neilorpen

10 months

@No1wtb @theJeremyVine These are indicators of residential - entrances and pedestrians I think this is showing you aren’t really appreciating why speeds are low with these hazards around

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neil orpen

@neilorpen

7 months

@theveindoc John has been waiting his whole life to say this - I expect he uses this phrase regularly and very few find it that funny

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neil orpen

@neilorpen

1 year

@jonathanstea @patriciagofish I am trying to think of another word to complete “ bollocks “ so I can write a professional reply to this

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neil orpen

@neilorpen

3 years

@NHSMillion there seems to be an inherent dislike to success in the U.K. even when the successful person is doing amazing things for everyone else - get a grip and shame on trashy reporting

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neil orpen

@neilorpen

2 years

@ZS_Chaudhry Can the BMA demand a process where a penalty is applied to the trust ( paid to the doctor ) for failure to pay correctly - £250 would be big enough to make a difference to the doctor. And big enough to make the trust improve

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neil orpen

@neilorpen

5 months

@HealthRegLawyer I hope they have someone to receive and acknowledge that correspondence on that day ( in the middle of 4 non working days ) Or is this a typical computer says no scenario - no afterthought given to it

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neil orpen

@neilorpen

7 months

@DrFavell @Parody_RCGP @ShaunLintern @DHSCgovuk A very British argument - you can’t improve your own situation because my situation is also bad and I don’t feel like improving mine If mine is bad , yours should also be bad otherwise it isn’t fair Uniquely odd

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neil orpen

@neilorpen

2 years

@jaredwright17 Enough South Africans to have a braai

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neil orpen

@neilorpen

6 months

@RobForbesDJ Has spent so much time in SA , the trophy qualifies for citizenship

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neil orpen

@neilorpen

22 days

@benonwine You are absolutely right Or I tell you what , I will give you 50p / day for a year , at the end of the year , you give me £1000 and you can keep the rest

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neil orpen

@neilorpen

1 year

@Dr_DeanS If you had a job promotion at Google and your partner had a job promotion at Microsoft , what would you do ? - this problem you point out is real but everyone has this problem - when you get your consultant job, the same will happen and one of you will make a bigger sacrifice

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neil orpen

@neilorpen

2 years

@EmmaWebsdale In fairness, I would have stopped my children playing in it before filming them

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neil orpen

@neilorpen

4 months

@AVintenAuthor It is now regulation before performing an XRay to ask this question of all people of child bearing age regardless of previous history Men and women

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neil orpen

@neilorpen

9 months

@mongoosecat200 @trentconsultant I am not sure how strokes being a common misdiagnosis is relevant to this He was treated for a condition that was not present which has led to paralysis and death It would not have been incorrectly diagnosed had he seen a doctor 1/

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neil orpen

@neilorpen

10 months

@XrayProblems Possible acute Humerus fracture- clinical correlation required

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neil orpen

@neilorpen

2 years

@23nsg They are 7 - here is a chance for you to spend time with your own child and even kick about with them if you could be bothered yourself - lockdown ended a while ago , it can’t be the excuse for all things you don’t feel like doing yourself

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neil orpen

@neilorpen

1 year

Great that @BBCSport and @GabbyLogan trump Scottish rugby on recognising the importance of today in respecting players and families who have given so much to the game

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neil orpen

@neilorpen

2 years

I have recently seen a significant increase in cases of Parsonage Turner syndrome / brachial neuritis - patients all male, recent covid infection - fully vaccinated - curious if anyone is also seeing this

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neil orpen

@neilorpen

2 years

@ALP_Annie @DrLaraibKhan Disagree - stop her in her tracks the moment she shouts - the second she is taken aside to a quiet area she will complain you bullied her - stop the behaviour instantly and in front of witnesses

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neil orpen

@neilorpen

1 month

Mental healthcare in the U.K. is one of the worst of all specialties in terms of patient delivered care - not because of poor consultants but because of lack of consultants and highly trained clinical staff - this is such a distinctly dangerous direction of travel

Dr Done

@Dr_Done_

1 month

What the fuck is this?

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neil orpen

@neilorpen

28 days

Leading doctor died from a condition he was an expert in as he lay on understaffed hospital ward - what a tragedy. - Manchester never out of the news when it comes to poor medical stories at the moment

One of UK's best doctors died from a condition he was an expert in as he lay on understaffed...

The nationally leading doctor was staying on wards so understaffed that his own GP wife had to take his observations

apple.news

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neil orpen

@neilorpen

10 months

@simonharris_mbd If there was a rule, that if the machine is out of order and there are no staff, then no ticket is required for travel Would incentivise a lot of problems being fixed - Simple photo of the out of order machine reported on an app would solve the evidence problem

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neil orpen

@neilorpen

3 months

@jimhamilton4 Is this perhaps just an indication that the state schooling system has lost interest in providing sport as a part of education The problem is not that private schools do - the problem is state school don’t anymore - change that

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neil orpen

@neilorpen

11 months

@Unexplainvideo Definitely real, otherwise how do you explain the alien music

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neil orpen

@neilorpen

5 years

@petefirman I suppose this shows he has the same emotions as humans regarding humour, I wonder if he feels the same emotions as humans about being caged

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neil orpen

@neilorpen

1 year

@WelshGasDoc @gmcuk In a situation where a trust has multiple referrals which lead to nothing, will @gmcuk consider actions toward the trust to see if this is a leadership problem, rather than doctor problem -

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neil orpen

@neilorpen

5 months

@ClaaareKirwan Good luck with the exam but let them know you always have to have a few drinks after the exam to make sure you are mentally prepared and rested

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neil orpen

@neilorpen

1 year

@ShaunLintern This will not be the first time foreign staff on visas will be abused because of the fear of loosing ability to stay in the U.K. - this will happen again

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neil orpen

@neilorpen

1 year

@rocktapeuk @SusannahMoney So apart from turning the horse into a zebra, this is of absolutely no value other than to milk some cash out of an unsuspecting horse owner

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neil orpen

@neilorpen

6 months

@stephenjones9 It’s where the sun doesn’t shine , not when You had one job !

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