Type 1 Diabetes & Technology Lead
@NHSEngland
@NHSGIRFT
Consultant Diabetes, Portsmouth
IMG- From Kolkata ๐ฎ๐ณ
Rest? Click link
Motto: Dance lightly with life
Of all the tactical moves in
@NHSEngland
#T1D
role?
Creation of
#ClosedLoop
Pilot was chefs kiss
12 month data of โpilotโ in Children ๐๐ฝ
ALL children will have this now via
@NICEComms
Thank you
@mayng888
et al for work
(Adult data shortly)
Link:
11th January 1922
99 years to the day....
The first dose of
#Insulin
was administered
A 14 year old boy called Leonard Thompson
And life was never the same again for so many many people
What a moment in the history of science ๐งซ
#Insulin
#Diabetes
@LouiseAllard18
I am with my Dad. He is retired.
When he worked in the NHS? He worked >100 hours / week
Did all of those and more
Much more than you.
Told him about the doctors pay issues
He is delighted they are standing up for what they should be valued for
So there is that too.
The struggle has been tough
Yet, finally she is at peace
Thank you to so many for all the love, faith and prayers over the last few months
It has meant a lot to me - and her
Couldnโt quite make it to my 50th birthday but her blessings?
Always with me
Miss you Ma ๐
An emotional dayโฆ
After nearly 14 years of being a Consultantโฆfinally a name plate
After asking the
#NHS
for 14 years, I gave up and got one myself
Blue and white too ๐
#Emosh
Off here for a bit - Apols if no DMs etc replied to.
As that inevitable phone call arrives
About your ageing parents
The pain of being so far away ๐ฅน
And the travel back beginsโฆwith an aching heart
Please keep my Ma in your prayers ๐๐ฝ โค๏ธ
Ok then
I am breaking ranks
As Councillor
@RCPhysicians
Open letter to council
Time for senior leadership to consider their positions
Silence is complicity
And that? Isnโt me
Enough.
#RCPEGM
Here is how it goes in my clinics- and always will be.
If any patient ever says they would NOT see a clinician because of their colour (white, black, brown etc) - they are given 2 choices
1. See the person
2. Leave
Those are the clear lines for the team- and all else
End.
11th January 1922
100 years to the day....
The first dose of
#Insulin
was administered
A 14 year old boy called Leonard Thompson
And life was never the same again for so many many people
What a moment in the history of science ๐งซ
#Insulin
#Diabetes
#100YearsOfInsulin
The prayers from people of all faiths;
The love, the thoughts, the caringโฆ๐ฅน
Recovering from severe infection, off ventilator etc and smilingโฆ โI need some cakeโ
She is a fighter
Much yet to go- yet I fly back with hope
Ma passes her thanks & love
I owe you-all - a lot โค๏ธ
4 years today.
@NHSEngland
A senior leader when I walked into the room..
โAh here comes Mowgli. That hair...red underwear & you could be himโ
โA bit of a tash & you could be Adolfโ -was my response
And it stopped it dead
That feeling of humiliation? Always a good teacher
Ok then...so letโs try a few celebs who may help to break the belief that โnational treasuresโ are only white.
1. Lewis Hamilton
2. Jessica Ennis-Hill
3. Mo Farah
4. Meera Syal
5. Moeen Ali
5 to jog the memory ๐
Every single person who is shocked, surprised or amazed at the general disdain or apathy towards
#LongCOVID
haven't taken into account the general disdain or apathy
#NHS
(system or clinicians) has always had towards Chronic Fatigue Syndrome / ME etc
You just ain't been looking.
The biggest achievement of the
#NHS
isnโt about coming โfirstโ in
#VaccineRace
Itโs about being able to give it to all without financial cost to the individual
And in a pandemic where deprivation is a major factor?
Thatโs something to be proud of
#NHS
How big a fan of
@iamsrk
- you ask?
28 years agoโฆ 1995
College life
Chilling with friends
With a huge poster of the Khan adorning the wall in my room
#Baazigar
Many years later?
Much in life later?
He is still whose movies I look out for โฆ
Itโs nearlyโฆ
#Jawan
time ๐ฅ
Been absolutely flooded today with some beautiful messages
Yet this?
Think absolutely has done me today
One email- which makes all the hard times- melt away
I am genuinely humbled
Thank you to
#gbdoc
๐ฅฒ
Every single time the phone goes...
The heart skips a beat
The price of having elderly parents far away in the middle of a raging pandemic
Itโs not easy ..you know? ๐
#COVID19
50.
Thatโs always a landmark.
A bitter sweet one this year as the first birthday without the one who gave me birth- yet I know how much she would want me to enjoy this day.
20th December
50 it is.
To my comment on the word "P*ki" being unacceptable and not banter, here are some responses on Linked In.
People with their job titles clearly in the public domain and zero issues with defending the use of the term
Good morning to you all.
Resilience training is mostly a bunch of absolute cobblers
Holidays, breaks from work- and oh yeah- reducing workload is the best way to reducing burnout
All else is just an industry
3 weeks ago? I took a flight- into the unknown
Ventilator, sepsis, multi organ failure
Today? Ma is mobilising.
And smiling.
The world is ok.
I am ok.
And you all?
With your love, blessings & kindness - made it so x
Off here for a bit - Apols if no DMs etc replied to.
As that inevitable phone call arrives
About your ageing parents
The pain of being so far away ๐ฅน
And the travel back beginsโฆwith an aching heart
Please keep my Ma in your prayers ๐๐ฝ โค๏ธ
I love animals
But let's get this absolutely straight
We have horses, penguins, dogs, alpacas on the wards & it's supposed to be "cute"
Yet we have infection control policies about watches, rings & scrubs
It's one or the other
A little less hypocrisy will serve us-all-better
Trained as an orthopaedic surgeon
Practiced as General Practitioner
One of the key men involved in discovery of
#Insulin
Won
#NobelPrize
1923
Sold patent for
#Insulin
to University of Toronto for 1$
Sir Frederick Banting
Saviour of many
Born 14 Nov 1891
#WorldDiabetesDay
๐
โThey will come for youโ
โThey will use bye-laws against youโ
โThey will take your Fellowship awayโ
Yes,I know
I know what being a nonwhite person with a loud voice brings
& thatโs fine
Happy to stay a mere โMRCPโ(gave an exam for that ๐)
Yet?
I spoke up
And that?
Is โMeโ
The point of social media?
Not only to post holiday snaps - but also counter ill informed views from journalists in relation to national policy
Itโs important the community is aware & raises issues where all can too
We keep working together
#t1d
@GillianKeegan
@SteveBarclay
Filipino nurses:
20 years since recruitment began in
#NHS
Amazing colleagues- & huge debt of UK towards them
Fancy some stats?
Total in
#NHS
? 36000
Total in Band 9? 1
Total in Band 8D? 2
Good to see MoU- but important we treat all as equals- not just for lower bands
Yup?
Can I just say that the whole Physician Associate programme is a total unmitigated mess now?
Losing trust fast amongst swaths of doctors
Organisations trying to force through- & then making even more mistakes; conflicts of interest popping up everywhere
What are you all doing
Ma is...home ๐ฅฐ
And I thank you all for being so kind to help me through this emotional roller coaster.
Sometimes it feels the world is nothing but on fire...yet.. what a beautiful example of restoring faith in humanity
Much love
Partha x
Walking through the Green Channel in Heathrow
A long trip back
โPartha Kar, right?โ
Customs officer
Raises his sleeve and yup, itโs there.
Smiles all around.
Itโs good to be back ๐
#Libre
#T1d
#NHS
If you are a doctor?
You should be proud of that
Donโt let anyone make you believe itโs elitist to say you are one
Itโs not.
Itโs a profession- you have fought hard to become one.
With unique training and skills
Be proud to be a doctor.
#SundayMorning
๐
One thing we did well in the pandemic was the vaccine roll out
Delivered in the main by organisations led by GP
Incredibly frustrating to see the public being told a story of โGPs hiding awayโ
And shame on every single clinical leader & NHS body who have enabled this
Shame
As things stand?
Physician Associates are NOT regulated
Till that happens?
Any expansion of roles & scope should be paused
Its a matter of safety.
Donโt @ me with โsenior medics are supervisingโ
We canโt even supervise our own trainees- let alone anyone else
2004.
A trainee- on a ward roundโฆthe team met a Punjabi woman
My consultant turned to me and said.. "Can you speak Indian?"
Indian isnโt a language - I replied
โDoes it matter?โ
I sent him this map next day ๐
He still mentions it. Through gritted teeth
Education ๐
Thank you to so many for the lovely words
Twitter can be toxic
Yet itโs the same place which showers love and good wishes on someone they donโt even know
And thatโs lovely too
Anushka says thank you ๐
Itโs a shame we donโt have politicians in place who can take time to remember this day
7th July 2005
And the clinicians who did so much to help on that fateful day
Thank you and never hopefully ever again x
Thank you for all the messages, kind words and love from so many I donโt even know or would perhaps never ever meet.
Today? Itโs meant a lot
Grief scorches everything- yet?
โWhat is Griefโฆbut love persevering?โ
Sleep well you magical woman โค๏ธ
The struggle has been tough
Yet, finally she is at peace
Thank you to so many for all the love, faith and prayers over the last few months
It has meant a lot to me - and her
Couldnโt quite make it to my 50th birthday but her blessings?
Always with me
Miss you Ma ๐
3 months or so ago?
My Ma was on a ventilator with multi-organ failure
And I did THAT flight
Powered by the love of many?
And the skills of an amazing local physiotherapy team in
#Kolkata
?
Today- she is doing stairs
And that?
Is pure joy beyond all else ๐ฅน
I am a Hindu.
And grew up educated in a Catholic school in Kolkata, ๐ฎ๐ณ-based in the Muslim dominated suburb of Park Circus
And life was great enjoying the nuances, culture and food of other religions.
You donโt need to hate other religions to make yours โbetterโ
Honest x
Calling yourself a doctor in a clinical setting when you havenโt been to medical school is literally falsifying your credentials to patients
(Those who have done PhD; you are awesome & with amazing credentials. You know itโs not aimed at you)
Stop. Misrepresenting.
Thanks
"Why is it so tricky to raise concerns in the
#NHS
?"
Let me give you an example
Post the heartbreaking suicide of a
#Diabetes
trainee?
I asked a simple question-publicly
It resulted in an email threat from a senior manager- with HR to discuss "next steps"
So yeah.
That.
Arrived ๐ฌ๐ง 1998 from ๐ฎ๐ณ
Endocrine training number Wessex 2003
Consultant 2008
Clinical Director 2009
National Lead
#Diabetes
2016
National lead tackling race issues in medicine 2021
49 years old- in a month
International Medical Graduate.
And part of the NHS.
To put in on record
The
@gmcuk
plan to hand out registration numbers to PA/AA which has no distinction with doctors is a mistake
False equivalence.
And will create more friction
And with all my hats?
I will raise it
Whether it be
@gmcuk
@RCPhysicians
@DHSCgovuk
@NHSEngland
16th April 1999
My first day in the
#NHS
๐ฅฐ
โClinical Observerโ
Wordsley Hospital
Stourbridge ๐ฌ๐ง
A long way away from Kolkata ๐ฎ๐ณ
A 25 year old nervously walk into the NHS
Time flies
The rest is history
A proud International Medical Graduate ๐
Itโs been a journey.
#ManjulaArora
case gets overturned by
@gmcuk
To every single person who agitated, raised the alarm, fought this- and those in GMC etc who understood the angst etc?
THANK YOU
Now? We need to look at the referral itself- and the reason behind too
@WRES_team
@NHSEngland
Most โamazingโ to see
@BBCNews
doing this
This is all of the toxic culture of
#BeKind
and the rest of that junk that stops challenging poor care
โPretty sure a child killer canโt look like thisโ
For sure. For sure.
Jesus H Christ
An anon account while debating PA issues decide it was ok to mock my recent bereavement of Ma
I didnโt quite realise how much I have been wrong about time being a healer
Things aimed at me? I can take
But donโt do that
That has hurt a lot.
Am tough but yet..
I miss her x
Yesterday, I was told that I was sharing data showing racial discrimination forโฆ โsocial media likesโ
I am the Director of Equality, medical workforce,NHSE
This is today
Itโs all around you-IF you choose to look
More determined to change this? Yup
If as a Consultant you are NOT striking?
That is your choice
What however is not needed is an opinion around the lines of "we are ok jack".
YOU maybe ok- well done!
It's for many more who come after you.
And won't have any of the lovely stuff you have enjoyed.
Hope that helps
I was once a trainee doctor
Working nights
And absolutely hated it when the canteen was closed and no hot food available
The key as a senior is to help make lives better for those who face that now
Not try & make them go through the sh*%e we had
Level up, not down
Ta
Doctors need to be less apologetic in making sure that medical trainees are prioritised for training.
Donโt de-prioritise their training needs under the hashtag of
#OneTeam
Cos that team includes the trainees.
To me?
They come first
And thereโs nothing wrong in saying that
End February they came for a โshort breakโ to celebrate their 50th anniversary โญ๏ธ
Things changed due to
#COVID19
..19 weeks later...with mixed feelings I dropped them off for their return to ๐ฎ๐ณ
I am 46.
Generally very relaxed.
But my heart now aches so so much tonight ๐
And finally?
The last day as National Specialty Advisor
@NHSEngland
2016- 2024
The mission?
To improve
#T1diabetes
care; Give a voice to those with
#T1D
Think we did ok ๐ฅน
And a nice touch from
@NHSDiabetesProg
Been an honour to serve
I know Ma was proud ๐ฅฒ x
#gbdoc
๐
Mentioned this before-but will repeat again
@NHSEngland
meeting
Certain senior as I enter:
"Ah here he is. A red underwear & you could be Mowgli"
Smiles all around
Me: "A little tash & you could be Adolf"
Never ever has anyone stepped out of line
Its not "Banter"
Its racism
Since being vocal on
#Racism
?
I have taken some choice abuse
This mornings? Has annoyed me
โ you wig wearing gay Muslimโ
Gay and Muslim I could comfortably be in another universe - thatโs NOT an insult
A wig??! Not in any universe!
This mane is all mine
Shiny & gorge
Itโs a beautiful sunny morning....and above everything?
Itโs my mums birthday
And for the first time in over 20 years? She is here with me to celebrate
And I am unbelievably happy ๐
A promise made?
Is a promise kept
Announced today by
@NICEComms
Much work ahead
Yet?
This opens a whole new world to many thousands living with
#T1Diabetes
With much love & gratitude to the
#T1D
community ๐
Link:
#ClosedLoops
#T1Diabetes
An email received today
I wonโt put name in public domain -yet- but this is not cool. At all.
This is not how we tackle racism or inequalities
This is not cool at all.
Disappointed and annoyed at this level of siloed thinking
I need a lie down ๐ก
Emails from folks being asked to "tone down tweets which highlights race issues"
To EVERY single one of you who are being asked to do so (& worried about career etc)?-send your tweet to me.
I will do it for you
No problem
Anyone who fancies asking me to "tone it down"?
Try ๐
Itโs been some day
BBC; Sky; ITV; C5; Multiple radio channels ..
Talking about
#ClosedLoops
#T1Diabetes
With pride
And I know who would have liked it so much todayโฆ
Talked about it with so much love & pride
Today?
One feels her loss a bit more ๐ฅ
Miss you Ma x
โThe NHS is equal to everyoneโ
โI treat everyone equallyโ
โProud of the NHS being same for everyoneโ
Not so- says the data
Donโt like it?
Change it
Do better
(Data courtesy
@NHS_RHO
)
Early 2023โฆ.
ITU admission; Ventilation; Multi-organ failure; Stroke
6 months laterโฆ
Making me coffee and breakfast
An inner strength of steel I have not seen ever
If you ever wanted to know where my determination comes from?
This is it.
Onwards Ma โค๏ธ
What a week.
What. A. Week.
Artificial Pancreas to the NHS.
A few steps away from widespread use- and changing everything in
#T1Diabetes
in the
#NHS
What a week.
To you all with
#T1D
?To all the parents & carers?
It has been an honour to serve
Much love
Partha x
Today is International Day of Women and Girls in Science
H/T Dorothy Mary Crowfoot Hodgkin- the amazing woman who discovered the structure of
#Insulin
In addition to discovering structure of Penicillin, Vit. B12 and steroids
Legend ๐
#WomenInScience
#IDWGS
#gbdoc
What did we learn then, ladies & gents?
My name is Partha Kar
Get it right.
Don't blame it on autocorrect
Double check before sending
Use Cut & Paste
Whatever is needed
It's MY name.
A name my parents gave to me.
It's not trivial to me.
I don't shrug it off
Get it right.
Dear
#Twitter
people
Your kindness, wishes and prayers have been overwhelming and emotional ๐ฅน
I donโt know most of you- yet the love is humbling โค๏ธ
I fly with hope- and all your prayers
The old girl has always been a fighter- your wishes mean a lot to us
Thank you โค๏ธ
Off here for a bit - Apols if no DMs etc replied to.
As that inevitable phone call arrives
About your ageing parents
The pain of being so far away ๐ฅน
And the travel back beginsโฆwith an aching heart
Please keep my Ma in your prayers ๐๐ฝ โค๏ธ
A story in 4 tweets
1.
#Racist
behaviour raised by local clinician
2. Flagged simultaneously by
@NHSEngland
3. Trust concerned responds
4. Chair responds & confirms action taken
Swift & decisive
And THAT is how you shut racism down
#NHS
With accountability
Kudos
@UHSFT
Born 1941
Dr. Manju Kar
Consultant Anaesthetist
Head of the Kar clan
My inspiration and heart
Happy 80th birthday Ma ๐ฅฐ
A modern day celebration....
The heart sings as she is healthy & well
The heart aches I am not there with her โค๏ธ
A long chat.
Contents to stay between us.
In the end?
We shook hands and he stays under my care.
Hope this turns out to be a moment of change in his life.
Onwards and upwards.
In the
#NHS
, Every single woman with
#T1Diabetes
who is pregnant can now have a Continuous Glucose Monitor to help ensure better outcomes for her baby
Huge progress in this area.
Onwards ๐
Emphatic
In spite of data shenanigans (which may have influenced some votes)
Itโs time for a pause
Itโs time for scope
Itโs time to look at rotas
Much kudos to many who have kept raising the issue at personal risk and battling national orgs
You know who you are
#RCPEGM
A reminder as to why a pause is needed in the roll out of
#PhysicianAssociates
In contrary to view of
@NHSEngland
@NHSE_WTE
&
@RCPhysicians
senior leadership
In a democracy? There has to be differing views
What will Fellows agree with?
We shall see
Can I take this opportunity to reiterate to diet evangelists that...
YOU CANNOT REVERSE TYPE 1 DIABETES
Please stop trying to reach out to those with
#T1D
with promises of reversal with your diet plans
Please stop being a quack
You absolute bunch of uneducated hob goblins
Ta
I am scheduled to go to India in May
Mum has asked me for a list of what I want for lunch, dinner and breakfast โฆfor each day I am there
ItโsโฆFebruary now
All the feels
All. The. Feels. ๐ฅฐ
Did you know?
11th Jan 1922: 1st
#Insulin
dose was given.
BUT it didnโt work & Leonard Thompson nearly died
Canadian biochemist James Collip then purified insulin & the 2nd injection given on 23 Jan 1922.
100 years to the day.
It saved his life - and the rest?
Is history.