Ronan @ronansetron Twitter profile

Last Seen Profiles

@TeaStormChaser

@FemLacyLingerie

@glacier_clear

@kimberamerica

@johndoe_o3o

@DonyaeMessiah

@haechaa

@Theoryanddata

@BainsProduction

@LZDCsummers

@NthngMtrs

@CBCSask

@MMandryk

@Farhnn98189

@matt_fletch

@hoseynakbariii

@Punished_Avg

@afnanullahkh

@jukalker

@_MorganModjeski

@Ammarbhattiii

@ItsFlo

@JonLewi88314656

@ehtsham77713538

@jenniferduin_

@TanveerA35574

@ba_adli

@bankssboogie

@reading_dancing

@digitalstratgi

@fbf___

@iertenli

@Grumbholdt

@Marvel

@Adjutt0007

@AMF_Views

Ronan

@ronansetron

4 years

two Spanish doctors who are visiting my dept for a month -were shouted at to “fuck off back to where you came from” yesterday, on the bus -were SPAT on in the street last week when walking and speaking Spanish to each other but sure, yeah, tell me again how “London is open”

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@ronansetron

1 year

lmao option A and hang up, sorryaboutit

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Ronan

@ronansetron

3 years

wow I hate ICU nights. every time a nurse asks me about a problem, they’ve *already thought of and done* the initial steps I would’ve suggested to buy myself time 😩😩😩😩

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Ronan

@ronansetron

4 years

@BlaisinSquad when I was 10, my cat (a tuxedo) went missing for a week, turns out she was hanging out at the local church, and would walk in during mass, and stroll around looking for pets from the congregation. then sit on the pillar by the gate so everyone passing out could pet her. slag!

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@ronansetron

4 years

@BlaisinSquad oh, also, I once brought home a bit of Communion from mass and fed it to her (cos y’know I didn’t want her to go to purgatory or w/e), and my ma went absolutely fuckin SPARE when she found out (“you gave the BODY OF CHRIST to the fuckin CAT!?!?”) Had to go straight to confession!

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Ronan

@ronansetron

5 years

there’s this 100 y/o patient on our list, who I’d only ever seen fast asleep, & who I‘d assumed was a sweet little old dear. I woke her on the morning ward round, “Hi, my name’s Ronan and I’m one of the doctors”. She looked at me, & immediately roared “FUCK OFF!” iconic.

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Ronan

@ronansetron

2 years

the sheer surprise from non-medics that we have to continue taking exams for many years after medical school is so cute, like they think we just learn all of Medicine in those 4-5 years and that’s it

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Ronan

@ronansetron

3 months

the saddest realisation, when sitting down to figure out a non-medical side-hustle +/- exit strategy, is that I’ve put 10 years of my life into this, and all my other skills & passions have fallen by the wayside and atrophied beyond recognition.

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Ronan

@ronansetron

2 years

10 years ago I could say a handful of words in Spanish. Within 6 months of starting Duolingo, I was reading Spanish newspapers and websites, and at 3 years i was able to live and work in Spain, speaking only Spanish the entire time. Thank you, #Duolingo !

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Ronan

@ronansetron

3 years

nurse: yo ronan the urine output’s tailed off me: *about to reel off the usual* nurse: I’ve already flushed the catheter, given a fluid bolus, and given furosemide. me: h— nurse: yes I’ve done a gas just in case, here it is, the bicarb and electrolytes are fine me:

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Ronan

@ronansetron

4 years

oh you like immunology? name every cytokine

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Ronan

@ronansetron

5 years

CONTROVERSIAL OPINION: I actually *like* evening/night shifts, cos I get to do actual medicine and learn stuff/progress, rather than be a discharge summary automaton 🤷🏻‍♀️

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Ronan

@ronansetron

2 years

NHS peeps: tag ur favourite chair

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Ronan

@ronansetron

5 years

Medical school, and its endless vignette tropes, conditions us to associate “gay man” with “HIV/syphilis/PCP”. Being constantly reduced to a set of diseases can get to you, over time. This is why representation—no matter how seemingly insignificant—matters.

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Ronan

@ronansetron

5 months

American medics on UK medicine “third world country” lmaooo did they stutter!!!

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@ronansetron

2 years

My sister is in hospital with urosepsis, likely with some kind of infected collection/stone. Has been waiting for a CTKUB for 48h. Today sends me this. Wtf Ireland!??

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Ronan

@ronansetron

3 years

saw a patient who I thought was TEXTBOOK hyperthyroid, elicited all the features in the history & exam, ✅✅✅. felt like I was living out an MRCP/Step 2 question stem. added on TFTs to the bloods like Saltbae. an hour later they come back…totally normal. smh fuck medicine

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@ronansetron

4 years

#TipsForNewDocs you know that thing where a patient *completely* changes their story when the consultant comes with you and asks them questions, making you look like an absolute fuckin eejit? That still happens to ST-7 registrars—I witnessed it *twice* yesterday. Get used to it!

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Ronan

@ronansetron

4 years

it says a lot about American medtwitter that I’m genuinely unsure if this is satirical or not

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Ronan

@ronansetron

5 years

NHS medical ward, 2039. you look at a patient. your cybernetic contact lens analyses the infrared emissions and calculates their body temp as 37.7°C. a sepsis alarm goes off in your cochlear implant, blocking out all external sound. you cannot think.

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Ronan

@ronansetron

4 years

being redeployed to “general medicine” next week, i imagine it will look roughly like this

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@ronansetron

4 years

called a random GP today for collateral Hx on an inpatient, apparent from GP’s accent that he was Irish too. this fact hung in the air, unaddressed, while we pored over the history, until right at the end, when I thanked him...”AH SHUR R U GOIN HOME FOR CHRISTMAS OR WHA” 🇮🇪🇮🇪🇮🇪

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Ronan

@ronansetron

1 year

handover starts with a v senior nurse in charge jovially exclaiming “I only shout at doctors, not nurses!” that’s great, really great. proud of u.

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Ronan

@ronansetron

3 years

as I randomly aspirated and choked on my own saliva for the 5th time that day, I couldn’t help but wonder: was *I* the one who should be on a level 3 diet?

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Ronan

@ronansetron

1 year

and we wonder why there’s a burnout problem in healthcare when we inculcate attitudes like these LMAOOO

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@ronansetron

2 years

DON’T APOLOGISE for not being given the infrastructure you need to do your job this was something I tried for a day recently and it was very refreshing. PC taking 15m to boot up so you can’t read the observations/labs to the consultant, or scribe for them? do NOT say “sorry”.

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Ronan

@ronansetron

3 years

ah, the post-nights zero day. the fantasy: laundry, clean, cook, exercise, sort life out, catch up on paperwork and emails, maybe read a book/educate my mind. the reality: lying in bed eating cheese, doomscrolling on the hellsite and regretting every decision I’ve ever made

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Ronan

@ronansetron

8 months

she is the NASTIEST skank bitch I have ever met. do not trust her, she is a fugly slut!!!!

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Ronan

@ronansetron

2 years

tfw you can’t decide if you want a metric shittonne of evidence or absolutely none whatsoever

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Ronan

@ronansetron

4 years

@BlaisinSquad Catholicism is pure mental when you think about it.

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@ronansetron

4 years

no-one: absolutely not a single soul: no—and I cannot stress this enough—body: US medical twitter: I WORKED 96 HOURS WITHOUT EVEN WATER I GOT AN AKI AND DID MY OWN CAPD AND THEN DICTATED MY CLINIC LETTERS FROM ITU WOW THIS #DOCLIFE IS THE BEST #blessed #MD #stockholmsyndrome

Jessica Millar

@Jess_MillarMD

4 years

Me as a Med Student: “How am I going to wake up at 3:30am everyday as a resident?!? 😳 Turns out, when you really love what you do, it’s easy 😁 #internchronicles #medtwitter #medstudenttwitter #surgery #intern #residency

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Ronan

@ronansetron

5 years

I’m an EFF Y ONE. I love DISCHARGE SUMMARIES FOR PATIENTS I’VE NEVER SEEN and PRESCRIBING ENDLESS HARTMANN’S. I eat COLD NHS TOAST. I don’t know how to MAKE THE BLEEPS STOP COMING OH GOD MAKE IT STOP. If you don’t like it, I’LL BE CRYING IN A LINEN CUPBOARD

Dr. Glaucomflecken

@DGlaucomflecken

5 years

I’m an OPHTHALMOLOGIST. I love 3 DAY WEEKENDS. I eat CATERED LUNCHES. I don’t know how to change the OIL in my CAR. If you don’t like it. MOVE.

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@ronansetron

2 years

whyyyyyyyyy are people like this??? it’s not secondary school ffs 😒

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@ronansetron

2 years

can’t believe I arranged THIS WEEK to do a taster week in interventional radiology, I am in 20°C of air-conditioned HEAVEN 😎☺️

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Ronan

@ronansetron

10 months

I’m just finishing up 2 years out of training (F3-F4), and it was honestly the best thing I could’ve done. 2 years with no rotating, other than through different ICUs. People knew my name. A dept that *encouraged* me to take study leave and paid for courses without objection.

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Ronan

@ronansetron

1 year

ohhh I see, so the “correct” answer ranking involves gaslighting the minority doctor that *they* must be the problem 👌😎

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Ronan

@ronansetron

2 years

for real, we need more qualitative research on the absolute HEADACHE of being the only doctor in a family of people with v poor medical knowledge and/or engagement w/ healthcare…🤯🤯🤯

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Ronan

@ronansetron

3 years

after weeks of watching patients die one by one on 100% O2 on ventilators...this week got to see loads of my patients extubated, then to come back for a chat when their voices had recovered 😭😭😭

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Ronan

@ronansetron

3 years

arrived home to find that, after my last set of ICU nights, I’d ordered a huge box of mangoes from some straight-to-customer workers’ co-op farm in Spain??? my credit card should automatically block all purchases when I’m post-nights tbh

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Ronan

@ronansetron

2 years

@marietcasey @mister_struggle this happened to me when I was still a medical student 💀💀💀

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Ronan

@ronansetron

1 year

me before I hang up and switch off my phone ✨

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Ronan

@ronansetron

4 years

it really doesn’t sit well with me that they’re using “taking a knee” to protest *inadequate PPE*, ESPECIALLY not this week (I mean the OPTICS!?)??? it’s really not on a par with systemic racism and police brutality-related deaths 🤷🏻‍♀️🤷🏻‍♀️🤷🏻‍♀️

Ben Smoke

@bencsmoke

4 years

as 8pm clap happened across the country, these doctors silently took a knee outside downing street and displayed a sign stating “doctors not martyrs”. it’s reported that over 200 nhs staff have died from coronavirus so far.

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@ronansetron

1 year

the BMA’s newfound “fuck around and find out” energy is giving me LIFE today!!!!

The BMA

@TheBMA

1 year

We have revoked the derogation granted to Weston General Hospital. It has become apparent that both the BMA and NHS England were misled over the level of staffing cover. Either local management were unaware they had sufficient senior cover, or they deliberately misled us.

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Ronan

@ronansetron

2 years

d’ya ever look at a blood gas and just think “oh, Jesus, gross”

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@ronansetron

3 years

just finished my last shift at King’s after 5 years (!!) here—medical student/part-time ED technician, FY1, FY2. feels like the end of an era! Foundation Programme: ✅

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@ronansetron

2 years

ppl chat a lot of shit about USA medical training, and I’m not saying it’s perfect, but imagine this: 1)the hospital employs you for all of ur residency. they *need* to train you: no training as a PGY1 means that you won’t be able to meet the demands of being the senior resident

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@ronansetron

3 years

I slept for 16 (sixteen) hours today, first day off after 6 in a row. Got up, thought “fuck it, there’s nothing to do” and went back to bed.

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@ronansetron

1 month

Facebook (I open it now and again to keep tabs on/cringeread what my boomer relatives are posting) reminded me that 5y ago today, I finished my elective/subinternship in critical care medicine, at Pennsylvania Hospital! The experience was as painful as it was formative. (1/n)

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Ronan

@ronansetron

9 months

bet that dude front and centre with the 6 fingers is amazing at bagging little finger behind the angle of the jaw 2 on the mandible 1 on the chin Thumb and first finger in C shape That’s how you make a good seal 😎

Anaesthetists United

@AnaesUnited

9 months

We are a group of anaesthetists, concerned about the planned expansion of Anaesthetic Associates. This will impact the quality of delivered anaesthesia, and the training of our future colleagues. Read our mission statement below ⬇️

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@ronansetron

2 years

*preparing for a procedure at bedside* me: can you flatten him thanks nurse: *reaches towards propofol infusion pump to bolus* me: nonono I mean flatten THE BED!!

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@ronansetron

4 years

surgical SHO and registrar fending off referrals in the ED

Chris 🏳️‍🌈

@chrispaget1

4 years

Who are they? Wrong answers only

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@ronansetron

3 years

every year I get gayer and gayer, and if it continues apace, in 10 years’ time I will no longer be human, I will simply be a giant, floating, sentient disco ball

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Ronan

@ronansetron

3 years

*chef’s kiss* medtwitter, never change.

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@ronansetron

2 months

lowkey my fav part of being an anaesthetist is when shit’s going down and we need to call for quiet in theatre, so I clap my hands and shout “SILENCE!” like I’m RuPaul 💅🏻

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@ronansetron

6 months

if you haven’t done at least one accidental arterial line, you probably haven’t done enough cannulas 😌👌

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@ronansetron

2 years

Doctors: what teaching (formal or informal) have you had, if any, on how to break bad news, or manage difficult discussions (eg around resus status)? Any recommendations of resources you encountered / used?

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Ronan

@ronansetron

2 years

clocked an anaesthetics reg staring, absolutely agog, at my very prominent EJV at an arrest call last night. men only want one thing and it’s disgusting!!

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@ronansetron

7 months

Spain is having their own debate about AAs/CRNAs, and their equivalent of the RCoA has come out with a strong statement against it: “Anaesthesia can kill and should be administered and controlled by an anaesthesiologist.” Imagine a Royal College with a backbone? Must be nice!

Metges de Catalunya

@metgescatalunya

11 months

SEDAR : “La anestesia puede matar y por eso debe ser administrada y controlada por un anestesiólogo” via @Consalud_es

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@ronansetron

2 years

@mevparekh “getting tea for a patient is not bEnEaTh yOu!!11” WHERE are people getting this “beneath you” idea, mate I would MUCH rather get tea for my patients than write another fucking discharge summary but that’s not really how it works is it tho

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@ronansetron

3 years

the more relevant question is: do I care? Patients are not customers and the customer is not always right. I am a private individual, and a citizen, and I am entitled to a personal life. This notion of “professionalism” is a relic from the days of identikit white male doctors.

Clinical Medicine (ClinMed)

@Clin_Med

3 years

Are doctors aware of how their tweets are viewed by the public and their patients? Should it matter? What do the regulators suggest we do? Read @DrYakupKilic1 @Jonathansegal85 et al's article on how patients perceive doctors' Twitter activity.

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@ronansetron

3 years

@_SJPeace_ reminds me of this, from the LGBT marriage equality referendum in Ireland, 2015

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@ronansetron

4 years

have learned more basic doctoring skills in 2 weeks of my current ITU placement than in the last 6 months of FY1 combined. Only have 5 weeks left and will have to be dragged kicking and screaming out of there 😭😭😭

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@ronansetron

4 years

Passed my ARCP! is this the bit where I’m supposed to wax lyrical about what an amazing, thrilling, joyous year FY1 was? cos if you ask me, this is a perfect summary of my feelings on being a foundation doctor:

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@ronansetron

3 years

the time where as an FY1 I got threatened with a Datix cos I stayed with a sick patient (NEWS 10) waiting for ITU to arrive rather than doing a discharge summary

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@ronansetron

4 years

first ever cannula on a patient (in A&E) I forgot to occlude the vein when removing the stylet, AND didn’t have the extension set ready, so this 90 year old man just bled *everywhere* while his family members looked on aghast. To top it off, I then slipped and fell in said blood.

Doctor May Jay

@DoctorMayJay

4 years

Met an A&E nurse I worked with as a junior dr He reminded me of the time I glued my glove to a policeman's head, whilst sealing a scalp laceration I trimmed it down to the tip of the finger,but he was stuck with it for a week 😳 What have you done at work that made you cringe?

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@ronansetron

4 years

“can you come review this patient after a complication of a procedure at the ANP-led clinic” how can I be expected to be a Real Dr & deal with the complications, when I don’t even know how to do the procedure in the first place, cos I’m the one always stuck doing the ward work?

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@ronansetron

4 years

has anyone done a “Hogwarts houses as London medical schools” thread yet and why are Imperial always gonna be Slytherin

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@ronansetron

4 years

@BlaisinSquad it became the altar boy/girl’s duty to sit with her in their lap to stop her wandering around and miaowing for attention and interrupting the mass.

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@ronansetron

1 year

ok maybe I did spit some facts after all 🥹

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@ronansetron

6 months

Thank you Prof Leary for gaslighting junior doctors everywhere😌😌😌 It’s so great to see such high-quality DARVO from nursing leadership on this issue 😎

Prof Alison Leary 💙#ProtectNurse

@alisonleary1

6 months

@ronansetron @iDrSunny Medicine has benefitted from patriarchy and I suspect nurses are less willing to play the "doctor-nurse" game anymore. I suspect some see that as aggression.

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@ronansetron

1 year

alright healthcare people, now that it’s truly winter and the dry chapped hands season is upon us, what are your HAND CREAM recs???? I swear by Handy Gurugu by Lush—put it on overnight, it sinks in quickly, works REALLY fast for dry/chapped skin.

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@ronansetron

5 years

the lady in the bay next to her: “oh don’t pay her no mind, she’s always like that when she wakes up.” honestly: m o o d

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@ronansetron

2 years

“HS I + II + low-pitched rumble, grade VI, heard throughout the cardiac cycle, augmented by pets and chin scratches”

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@ronansetron

3 years

did my first referapatient today (whatever, I did my FY1/2 in a huge tertiary centre that had neurosurgery on-site) and I was NOT expecting Aida to blow up my phone like that!?

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@ronansetron

9 months

after 2 weeks of being a cackhanded mess at airway management in general, today I was tasked with doing a central line. “finally!”, I thought, “something I can actually do competently!” all was going well until my glasses FELL OFF MY FACE AND INTO MY FUCKIN STERILE FIELD 😵‍💫

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@ronansetron

2 years

we need to end rotational training. we need to shorten the duration of postgrad medical training, & overhaul it completely. we need accountability for “training” programmes that exploit trainees. we need to dismantle/abolish IMT & the Foundation Programme. but first we need FPR

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@ronansetron

3 years

pharmacists all the way. absolute fountains of knowledge. wish they were all allowed prescribe tbh, prescribing pharmacists are like +100 morale points for your shift: Ph: hi so about <all the ways you fucked up> Me: yes I agree, ha— Ph: I’ve made all the changes already. Me: 😍

Tim Ricketts

@timricketts_

3 years

What’s the most underrated healthcare profession and why is it pharmacy?

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@ronansetron

1 year

the post-nights disinhibition is REAL…did I really say “it will take a lot of BDE to decannulate this patient” to the entire MDT at handover? why yes, yes I did.

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@ronansetron

2 years

update: lots of wrangling and waiver-signing later and it’s done. FFS though. what happens when you can’t advocate for yourself in the way my family does??

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@ronansetron

4 years

as an FY2 am no longer the most junior doctor on the team so now everyone expects me to know stuff and quickly *make decisions* and shit and I’m over here like

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@ronansetron

2 years

@Medic_Russell “A CAS officer presents with a 5 day history of fevers, reduced urine output, abdominal pain, nausea and a noticeable yellowing of sclerae after falling arse over tit into the canal while jogging.”

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@ronansetron

1 year

@StuMaitland nurses just getting bare harassed to do more and more (patient diaries, family meetings, food charts) with zero resources or time to do so. don’t even know how they manage it on the regular wards.

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@ronansetron

1 year

“malted milk biscuits are typically the first item on the milk ladder for children with milk protein allergy” thank u MSRA, learning this has pushed at least 3 other, more useful medical facts permanently out of my brain to make space 😤😤😤

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@ronansetron

1 year

when we talk about “human factors in healthcare” we don’t talk about this stuff enough. interrupting and grabbing focus from clinical documentation, prescribing, or procedures is a potential disaster and we need to stamp it out.

Ronan

@ronansetron

1 year

@DrSabziPolow @grainneisbusy you joke but this has LITERALLY HAPPENED!!! I’ve literally had a HUGE FUCKOFF NEEDLE STUCK IN SOMEONE’S NECK MERE MILLIMETRES FROM THEIR CAROTID ARTERY and someone has walked up to my line of sight to ask me about discharge summaries.

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@ronansetron

2 years

doctors need: -a working computer, to read notes, labs, view imaging, & document (all the notes) -a phone, to call other specialties, make referrals, discuss cases, & yes—bleep/page (in 2022, but that’s another discussion) -somewhere quiet to sit, think, & do all this

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@ronansetron

2 years

my one regret about medical school is keeping so much of my natural sass hidden when dealing with dopes. not today, Satan! wigs would fly.

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@ronansetron

2 years

@8lelly8 @Naomimiii @KatPaton13 Why should doctors have to bring food for the nurses and HCAs? That’s a frankly ridiculous statement.

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@ronansetron

2 years

“suboptimal” really is one of the most dangerously understated physicianly terms in existence, like the hospital could be attacked by those guard dogs that shoot bees out their mouths when they bark and the medical consultant would be all “well, this is suboptimal.”

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@ronansetron

2 years

to all the Australian clinical fellows working in London ICUs: Y THO!? you had: -great weather -a fantastic and functioning health system -some of the best critical care in the world and you left it all behind for *gestures helplessly* THIS!?

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@ronansetron

5 years

No. No, I am emphatically *not* with you. Miss me with that shit. Leave work behind. There are people just as competent and compassionate as you—if not moreso!—who are just as well-placed to do this, while you rest and engage in measures that are *protective to your wellbeing*

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@ronansetron

3 years

accurate depiction of my mental health during a run of ICU nights, 13 months into a pandemic

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@ronansetron

7 months

@DrGoblin3 @DrLindaDykes sooooooo many big Medtwitter names who tone policed and gaslit any juniors who spoke out about this, and tried to paint us as angry incels or whatever. Some of them have now changed their tunes or at least, blessedly, fallen silent on the issue. But I haven’t forgotten.

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@ronansetron

2 years

doctors should shadow nurses & AHPs for an entire year of medical school so they learn to help out with jobs like these.

Hassan Ali Beg

@NotoriousB_E_G

2 years

Sent to me by a friend. Imagine turning up to a night shift to be greeted by this inspirational quote. #oneteam #BeKind

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Ronan

@ronansetron

2 years

@NotoriousB_E_G Really inappropriate, perpetuates the antiquated notion that doctors are chilling in the mess, rather than running from pillar to post trying to tackle the forest fire that is acute medical care atm

1

0

186

Ronan

@ronansetron

3 years

getting a bad case of covid & dropping the ball on my academic rotation, then shattering my leg & needing extension to FY2 wasn’t exactly what I had in mind when I signed up for Academic Foundation Programme…but I got asked for ID buying wine in LIDL so let’s just focus on that

9

0

184

Ronan

@ronansetron

4 years

a moment of silence for all the foundation doctors who are now stuck in rotations they were literally *counting down the days* until they could leave 😭

18

8

184

Ronan

@ronansetron

3 years

when the zombie apocalypse comes, the last people standing will be the Tissue Viability Nurses. NOTHING grosses them out, mfs hard as nails

7

9

181

Ronan

@ronansetron

7 months

healthcare provider: *gets punched in the face by patient* PALS: dear patient, we are SO SORRY that our staff member bruised your fist with their face!!we will seek a fulsome apology and you can be assured that we will investigate this fully.

5

1

179

Ronan

@ronansetron

6 months

@iDrSunny it’s definitely a thing, i had it so much easier than some of my female colleagues, and if you’re IMG +\- POC it’s worse again. Of course certain people (cough Leanne cough) like to pretend that doctors are always the aggressors, but it doesn’t work like that.

4

3

178

Ronan

@ronansetron

2 years

I had a day where I could’ve said “sorry” upwards of a hundred times, all for things that were outside my control and actively impeded me from doing my job. but I didn’t, and it felt good. I will no longer apologise when I am not given the basic resources needed to do my job.

2

7

174