orla Profile Banner
orla Profile
orla

@orlasaysthings

530
Followers
1,262
Following
78
Media
8,884
Statuses

anaesthetics doctor 🦀

London, UK
Joined May 2011
Don't wanna be here? Send us removal request.
@orlasaysthings
orla
11 months
Yet when those ✨️experienced HCPs✨️ can't cannulate, can't get the NG in, can't answer patient/family's questions, don't know what to do, need a decision made, need advice &&&&& Who do they call for help? No prizes.
6
41
527
@orlasaysthings
orla
8 months
This article uses strong language, but I think it is necessary. I'm a qualified doctor and I've been decieved multiple times recently at work, into thinking a caller is also a doctor when they are not! If i cant tell then our poor patients don't stand a chance.
@LBC
LBC
8 months
Plan to pump 10,000 fake doctors into the NHS is insane and dangerous, writes @JamesPkns
44
248
596
6
59
339
@orlasaysthings
orla
6 months
I think we are calling too many things "consultant". If you need oversight from another consultant to do your consulting, by definition I think you are not a consultant. Think of a different word instead of devaluing this particular word.
@gaslad
Anonymous Anaesthetist
6 months
Lol. And you wonder why there's a lack of Dual Trainees in ICM...May as well shut the medical schools and save even more money...
Tweet media one
34
35
205
5
19
219
@orlasaysthings
orla
4 years
@SimonLo15516665 @AyoCaesar I'm a doctor in London and @AyoCaesar is correct, best PPE being rationed for intubations (the most risky), on ward with covid 19 positive pts we have plastic apron gloves and surgical mask only. Bare arms etc. Aren't I doing something positive too?
6
10
123
@orlasaysthings
orla
10 months
Pretty egregious statement here - all about regulation and supervision, NOTHING about practice of the PA. A clear sign that when PA's mess up & pts die, the supervising doctor will be blamed, even if they are not even told about the pt and PA acts way outside of competency.
@TomStocks1982
Tom Stocks 🦀 #JoinVoteWin
10 months
Here’s the faculty of Physician Assistants @FPARCP (which is part of @RCPhysicians ) response to the death of Emily Chesterton. TL:DR: ReGuLaTiOn will somehow turn a two year crash course into a medical degree, and it was #teamGP ’s fault.
33
25
173
2
13
134
@orlasaysthings
orla
5 months
This would be legit *if it went both ways* In hospital at work - I say I'm a Dr In hospital visiting a relative - I'm not In an event about anaesthesia/medicine - I am In an academic event that relates to pure science, nothing clinical - I am not Happy to be disagreed with
@PainPartnership
Emily (she/her) #ActuallyAutistic 🌈
5 months
If professionals can’t use their PhD “Dr” prefix in clinical settings, should we also be stopping professionals using their medical degree “Dr” prefix in academic settings? 💭
28
4
47
7
6
88
@orlasaysthings
orla
9 years
@twcuddleston Ed's face absolutely lit up when he mentioned #milifandom . You have already started on b) and think a) could be on its way :)
1
16
64
@orlasaysthings
orla
11 months
@HannahJavanmard E x a c t l y I was called in my first FY1 job to put an NG in because the acute care sister of 20 years experience couldnt do it. ??????
0
0
48
@orlasaysthings
orla
6 months
@BBCNews They are not anaesthetists. An anaesthetist is a type of doctor.
0
0
27
@orlasaysthings
orla
9 months
Everyone is out there pretending to be a doctor as if its so cool but the reality of being a UK doctor is I started at a new Trust 5 weeks ago and still have yet to recieve an actual rota. Today is one of the closest days I've ever had to thinking that this job not worth it.
2
1
27
@orlasaysthings
orla
9 years
I know from personal experience that @twcuddleston #Milifandom switched ppl that used to laugh at Ed to loving & supporting him. #ThankyouEd
2
13
22
@orlasaysthings
orla
8 years
Strong message from Londoners that we reject racism, divisiveness, Islamophobia & fear. Proud to have Sadiq as our Mayor. #LondonElects
0
7
18
@orlasaysthings
orla
9 years
"Haven for human rights and beacon for conflict resolution and peace" - Leanne Wood's vision of future UK. I agree. #BBCDebate #Trident
0
39
20
@orlasaysthings
orla
9 months
"Only peripherally involved in the care of patients" ... "physiotherapist, occupational therapist, NURSE" Is this author smoking crack? That is so incredibly rude
1
3
23
@orlasaysthings
orla
4 years
@Aleexxies Genuine Q: how many lates, weekends, nights have you actually done yet? Don't write them off before you've even begun to start! Some of the most intense learning, and the most good you can do for someone happens OOH when very jr like us
1
1
16
@orlasaysthings
orla
9 years
This really puts it in perspective. It's far too few. We must take our fair share #refugeeswelcome
@twcuddleston
Abby Tomlinson
9 years
If you think the 20,000 refugees Cameron is accepting will "take over Britain"- that's 22.2% of capacity of Wembley stadium. Over 5 years.
18
851
664
3
14
12
@hannahmillana To be honest probably yes since the cons has ultimate charge for care and we use many meds off license for things. Not being happy to explain why and especially threatening to report u would raise my suspicions tho and make me a lot more reluctant. Hope u have some support.
0
1
20
@orlasaysthings
orla
3 years
First day of official vaccine rollout @uclh ! So lucky to have Grace (lovely, amazing nurse vaccinator) give me my first dose. Can't say anything except pure gratefulness. Thank you #HadMyJab 🌈🎁🏥💕 !!!!
Tweet media one
Tweet media two
0
3
16
@orlasaysthings
orla
9 years
Last month I was not a big fan of @Ed_Miliband /Labour. I am now convinced. Ed for PM! #VoteLabour #HellYesEd #Milifandom #Milibrand #GE2015
1
11
13
@orlasaysthings
orla
4 years
@SimonLo15516665 @AyoCaesar Thank you for saying that. I am very glad LAS have equipped him so well and I also hope you are right the rest of us will recieve supplies soon. All of us are one team, now more than ever. I hope you both stay well and safe.
0
0
11
@mancunianmedic The 77 yo was the cyclist who died
0
0
16
@orlasaysthings
orla
8 years
#IAmThePatientWho was saved by the NHS at birth after being delivered with acute resp distress. & I know I'll need the NHS again.
0
14
13
@orlasaysthings
orla
9 months
Another non physician cosplaying with a "doctorate" from a pay for degree online course. Carefully straddling the line between what is legal and illegal to say. Why spend so much effort pretending to be something you're not? You should be ashamed to mislead patients this way.
2
3
14
@orlasaysthings
orla
10 years
#thankyounhs for still being arguably the best &most efficient health service in the world despite being badmouthed and starved of resources
0
22
10
@orlasaysthings
orla
3 years
@banktoyer @ladyhaja What is "it"??? Being told you are arrested by a police officer who has ID, handcuffed and placed into a car? How in the name of God are we supposed to tell an arrest by a lone cop from a kidnapping because they are literally indistinguishable. He WAS a "real lone officer" FFS.
1
1
13
@orlasaysthings
orla
9 years
#WhyImVotingUkip Thinking critically is hard, so I'm happy to hear everything is foreigners' fault & I am a beautiful snowflake.
1
2
10
@orlasaysthings
orla
8 years
#rashdecision truly incredible... as med students, we know we're not Drs & do NOT give medical advice. @Jeremy_Hunt maybe follow our lead?
0
11
10
@orlasaysthings
orla
2 years
@BandRLibDems @BBCNewsnight Sorry mate skint from paying off my 9k loans x
3
0
11
@orlasaysthings
orla
9 years
#SNPbecause is trending top in LONDON. The English public cares about Scotland. #GE2015
3
17
8
@orlasaysthings
orla
9 years
Finally if someone goes through their life making adult colleagues cry all the time sounds like THEY are the problem. #distractinglysexy
2
0
10
@o_ilir @hayleymagill My friend we are #oneteam and the discharge summaries are for patient care, which is all of our responsibility 😇😇
2
0
10
@orlasaysthings
orla
2 years
@ConnorDibblin @feleciadsouza The Homerton is absolutely fantastic for FY1 - extremely supportive, very well run, learning opportunities, great patient pop
2
0
10
@bondgirl105 @DrProudman "Don't pass judgement" after somebody murders their wife and child
0
0
11
@orlasaysthings
orla
9 years
Tory 'feminist' defends media tracking down 17yo child who did not post her name or location. #Milifandom #GE2015
7
24
8
@orlasaysthings
orla
3 years
@DrBenLovell Back when I was med SHO, cons decision whether to d/c home often hinged on CRP trend - So if not avail, err on side of caution and keep PT. Probably worse than just doing the CRP again and we can d/c? Basically the need for daily XYZ is often cons led not FY blood requester led
2
0
8
@orlasaysthings
orla
6 months
@JoshuaSoane @manLikeTool A 2:2 is top of the class now
0
1
9
@orlasaysthings
orla
9 years
#ThankyouEd for your bravery. You would have made a conscientious and just leader. #Milifandom #Milifandomforever
0
5
7
@orlasaysthings
orla
9 years
Britain, where an MEP on £78k can announce they are having the summer off to do very little politics. #FarageResigns
0
10
6
@orlasaysthings
orla
6 years
@farbandish The most essential I guess is for diagnostic reasons - eg approach to a UTI or acute abdo pain is different based on patient's sex. & Many illnesses present more frequently in men Vs women so it changes the relative likelihood of diagnoses I'm considering. Appreciate ur reply :)
1
0
5
@orlasaysthings
orla
2 years
@dr_jepson @elsalwilliams But then how would psych refuse to see a patient until they have been "medically cleared" by some random FY2?
0
0
9
@orlasaysthings
orla
3 years
@Alexandra_nidd Honestly I have min interest in obstetrics/paeds but I found my experience of being a med student with a new mum&dad thru the 2nd and 3rd stages of labour, (inc epidural, foetal decels, PPH...) a seriously profound experience & one that informed my education, growth& outlook ☺️
0
0
7
@orlasaysthings
orla
2 years
@TheWisdomHub @pkonline84 But why do you think paying £275 would alter the amount of unconscious bias?
1
0
7
@orlasaysthings
orla
7 years
Funny that when young ppl are offered free stuff that's a bribe, but when older ppl are offered free stuff that's a sound policy. 🤔
0
2
4
@orlasaysthings
orla
4 years
@TYoungstein @DrMcWeb (Anecdotally,) junior morale is NOT ok... Its crashing through the floor. I feel hopeless.
1
0
6
@orlasaysthings
orla
9 years
Nothing constructive to say about the soulless homicidal piece of excrement IDS except I wouldn't piss on him if he was burning #IDSMUSTGO
2
9
6
@orlasaysthings
orla
9 months
1. Recieve a rota on time 2. Rest facilities overnight 3. Use of a computer that works and software that is fit for purpose
@MarkGaze
Mark Gaze
9 months
Calling core and specialty trainees: pay aside, what three things would improve your working life?
43
7
32
0
0
8
@orlasaysthings
orla
8 years
Great atmosphere already, @Jeremy_Hunt plan to exhaust Drs doesn't seem to be working very well #juniorcontract #westandtogether
0
8
6
@orlasaysthings
orla
6 years
@josh_salisbury Exactly, why on earth would a mental health service disclose confidential information about a 20 year old ADULT? It's absolutely basic
0
0
5
@orlasaysthings
orla
3 years
@chriscraigCCC @ClareGerada It might be because we just rotated through 4 other jobs where we kept being told "write for the GP to refer to my clinic/repeat UEs in 36 hours/adjust steroid dose/refer for 2ww/order an OP CT/etc" - we frequently aren't empowered to org any f/u except the above ....
1
0
6
@orlasaysthings
orla
6 years
@farbandish @zacisfound @BrimHolmes @CharlieAutumn_ @gendereveal New doctor here, can you explain this further please? Phenotypic sex is a basic identifier we record for multiple reasons
1
0
5
@orlasaysthings
orla
8 years
@ImAnitaSharma @MockLabour Dr Sharma, thank you for telling the truth & explaining the situation. Dont be disheartened, people are listening
0
1
4
@orlasaysthings
orla
9 years
Thanks @KingsCollegeNHS for caring so well for my grandma, she's pain-free & much better mobility! Says you have been amazing #NHS @butNHS
1
3
5
@orlasaysthings
orla
9 months
It's giving Dr Gillian McKeith 🥴
@DrGoblin3
Dr Goblin
9 months
I suspect most people looking at this would still assume Raj is a medically qualified doctor. He should not use the title in a workplace setting. @drammarahughes this isn’t going to go away.
Tweet media one
80
65
495
1
0
6
@orlasaysthings
orla
5 months
@willmeurig I guess the difference is that in the hospital when both at work, my role *is* doctor, theirs isn't.
0
0
7
@orlasaysthings
orla
5 months
Good points raised here. I remember being a medical student and horrified even being called "student doctor" bc I was worried it was misleading Felt like I clarified that I am not a doctor with every waking breath. My pals who had PhDs as clinical students did the same.
@DrPastry
Aysha
5 months
Questions: Should med students with a PhD introduce themselves as “Dr” on placement? Should qualified dentists at med school call themselves “Dr” on placements? Should doctors studying dentistry introduce themselves as “Dr” when seeing pts as a dental student? If not, why?
46
27
255
0
0
6
@orlasaysthings
orla
3 years
Wave 1 - ward FY2 😭 Wave 2 - ITU FY3 😷🧠 Wave 3 - anaesthetic CT1 🤓💪 Levelling up!??
1
0
6
@orlasaysthings
orla
6 years
@farbandish If I wanted to know what pronouns to use/how to record their gender I'd ask, what is your gender identity/pronouns/etc. If I was considering diagnoses I'd want their phenotypic sex which obviously can be something other than M or F but I'd still want to know :)
1
0
5
@thegradmedic That you shouldn't go to it - they'll have to reschedule sessions
0
0
6
@orlasaysthings
orla
6 months
@emma_icb Does anything excuse/explain "we work exactly like doctors do" ?!
0
0
7
@orlasaysthings
orla
3 years
Can we stop giving L******* F** attention?
0
0
4
@orlasaysthings
orla
8 months
@jfdwolff Makes sense, but these were cannula requests (lol). "I am an X trainee" for example.
0
0
4
@orlasaysthings
orla
9 years
#WhyImVotingUkip because nothing says anti-establishment like a rich smug city banker boy and his band of ex-Tories.
0
2
5
@orlasaysthings
orla
8 years
Seems the free market is for bankers and non-doms only, not for us
@burnikov
Janis
8 years
@NHSE_Danny @nhsemployers @Jeremy_Hunt not really down with you dictating where I work in my own free time 😡
Tweet media one
23
103
74
0
5
5
@orlasaysthings
orla
6 years
@josh_salisbury That's fair, just think it's a really irresponsible article 'University failed' for keeping confidentiality - really trivialises adult students as if they're children
1
0
5
@orlasaysthings
orla
8 years
Man arguing with a cons. neurosurgeon about HER OWN RESEARCH - perfect example of the post-facts UK we now live in.
0
1
4
@orlasaysthings
orla
3 years
@brandontillson2 @danny_mercer I swapped "how can I help today" for "what would you like to talk about today" when I realised I couldn't ACTUALLY help for the maj of a&e attendances lol. Or the best "why did you come to the hospital today?"
1
0
4
@orlasaysthings
orla
6 months
A lot of money is being wasted by these strikes. It is deeply unfortunate that similar sums will again likely be wasted before doctors are offered a fair settlement. All of this could stop today if only our pay cuts could start to be reversed. The government has the money.
@julianhartley1
Julian Hartley
6 months
Strikes have cost the NHS around £2bn so far, according to an update from NHS England today. This is through lost income from delayed operations, scans and procedures, as well as through direct costs of providing cover for striking staff. This is a cost the NHS can ill afford.
107
21
85
0
0
5
@orlasaysthings
orla
9 years
It's very lazy of The Establishment to bother to rig the Thanet GE result but not the council result. #ThanetRigged
0
1
3
@orlasaysthings
orla
5 years
@EmmaKennedy Just like they insisted on blocking tuition fee hike in exchange for whatever they got from Cameron? 🤔
0
0
2
@orlasaysthings
orla
3 years
@pkonline84 @DrLindaDykes With respect I feel quite sorry for the pt in that. I remember as surg FY1 being instructed by senior: tell the pt they can self certify for up to 7 days and see GP if still needing sick note after that. I had no idea if / how long people needed sick notes after what op...
3
0
4
@orlasaysthings
orla
2 years
@ParisahHussain @MHA_92_ You're doing nothing wrong. Sorry about all the bollocks replies. My only bit of advice is when documenting discussions always document u introduced your role, to safeguard against later "the doctors never spoke to me" 🙄 you are surely doing a great job x
0
2
4
@orlasaysthings
orla
9 years
#WhyImVotingUkip blaming minorities for an economic downturn has literally never worked out badly.
0
1
3
@orlasaysthings
orla
3 years
@LukeHurrenpfc @HarleyShah Yeah and when all our wards are full of covid patients and there are no nurses left to look after you after your cancer surgery what do we do? Or road traffic accident? Or burst aneurism?
1
0
4
@orlasaysthings
orla
9 years
Tired doctors make mistakes. #juniorcontract removes safeguards to protect doctors from working excessive hours, and will cost lives.
0
9
3
@orlasaysthings
orla
8 years
Anthony Nolan is a great cause and you can help by only spitting in a cup! #match4lara
@drhamedkhan
Dr Hamed Khan
8 years
MOST IMPORTANT TWEET OF THE DAY: Please sign up+help find a bone marrow donor for Lara
Tweet media one
3
263
59
0
2
5
@orlasaysthings
orla
8 years
Cornwall decisively votes to leave EU, shafting London; immediately demands subsidies from London. Are you joking m8. #WriteAPoemAboutBrexit
0
1
2
@orlasaysthings
orla
3 years
@DrZeshanQureshi Thank you for apologising
0
0
4
@orlasaysthings
orla
9 years
#Milibrand was intelligent, genuine interview about serious issues. Tory/media response: frame grab of Ed looking silly. Desperation #GE2015
0
2
3
@orlasaysthings
orla
11 years
if you keep resenting someone's success because you don't think they deserve it, consider the possibility you may be a cunt.
0
0
1
@orlasaysthings
orla
4 years
@Lizreally10 @dan26wales Hi Liz, sadly theres no curative tx for covid, only supportive care while pt fights off virus themselves or doesn't. Ceilings of care are made and reviewed regularly by experienced clinicians. Pall care (rightly) gets involved if pt looking like they may not survive. 1/2
1
1
4
@bykatewomersley She's not on the GMC register so claiming to be a psychiatrist of any type is demonstrably false...
0
0
4
@orlasaysthings
orla
8 years
#JuniorDoctorsStrike well done to everyone esp. the picket organisers. We are one profession, we stand together.
Tweet media one
0
2
4
@orlasaysthings
orla
6 years
@farbandish Yes absolutely useful info! I think we agree. I was just confused about your point that sex gives doctors no info,which isn't the case in my practice. Its one piece of the puzzle similar to age/ethnicity - may not matter but needs to be considered as part of the whole patient
1
0
3
@orlasaysthings
orla
9 years
Again: we will never get equality by simply becoming more masculine. As if masculine=good and feminine=bad. #distractinglysexy
0
1
5
@orlasaysthings
orla
2 years
@FrankCoffey26 @rosieICM That's super Frank until the complaints start rolling in "I never spoke to a doctor" etc
0
0
3
@orlasaysthings
orla
9 years
Your best is good enough #TheLiesWeTellKids
0
0
3
@orlasaysthings
orla
4 years
@HeyNewDoc @admit_medics This is so rude, I'm finishing F2 and I'm pleased when F1s ask for how to do something that I can show them!! The maj of people aren't like this. & u will ultimately have to get used to saying "nope lol I don't know how, show me first pls!"
0
0
4
@hannahmillana I would definitely NOT email her or head of nursing. Write your own thoughts down in an email draft and wait to see if you hear anything - likely you won't - but threatening a jr Dr for resting head on desk for a moment is bullying & it may escalate so need to keep a record
0
0
3
@orlasaysthings
orla
8 years
While we're at it lets also have Able Bodied Awareness, Men's Liberation Week and Middle Class Safe Spaces. #HeterosexualPrideDay
0
1
3
@orlasaysthings
orla
9 years
Not the worst idea ever but hopefully won't overshadow huge workload & financial problems affecting #NHS workers
@GdnHealthcare
Guardian Healthcare
9 years
NHS workers to be offered health checks and yoga classes http://t.co/1OiUOjXzHj What do you think? Will it help?
8
8
5
1
4
3
@orlasaysthings
orla
8 years
Hey @theresa_may , #shuffleHunt and make 54,000 new friends quickly! #juniorcontract
1
2
2
@orlasaysthings
orla
8 years
Not content with crippling us in debt, baby boomers irreversibly shaft us once again. :) #WriteAPoemAboutBrexit
0
0
4
@orlasaysthings
orla
3 years
@kittynouveau Not that this woman isn't absolutely awful but I read that they told MIL it's OP's engagement party and MIL wore a white dress based on that
0
0
3
@orlasaysthings
orla
4 years
Can I join in? Back when electives were a thing #MedBikini
Tweet media one
1
0
3
@orlasaysthings
orla
4 years
@KatyS_RN @daniellejade198 I just wanted to say thank you for coming back and whoever you work with will be lucky to have you!
0
0
3
@orlasaysthings
orla
9 years
#WhyImVotingUkip I don't know any immigrants but I hear they're taking our jobs AND our benefits!
0
0
3
@orlasaysthings
orla
9 years
Considering whether to #JoinTheLabourParty ... if I do it will be bc @Ed_Miliband made me believe in them again #milifandom #ThankyouEd
1
0
1
@orlasaysthings
orla
3 years
Thanks @leonrestaurants for sending us a steady stream of healthy, varied lunches as we head towards a truly dreadful weekend (and beyond) in the #NHS ...
Tweet media one
0
0
2
@orlasaysthings
orla
2 years
@adamfare1996 Your post made me realise I've never actually seen a nice healthy healed stoma, only formation/reversal/ problems with them. If I had a stoma I would want it to look that great! Thank you for sharing.
0
0
4