Doc Em🕷🇪🇺

@DrGoblin3 Completely agree. It facilitates an entitled society. Be rude, threaten a complaint, get your way. Completely back to front.

I cannot get past this mindset of pandering to people just because it’s easier than dealing with a complaint.

We manage continuity of care with total online triage and uncapped same-day access. How? We have a solution that is bespoke, flexible and adaptable. @proForms are a fantastic company who allow us to manage demand and streamline healthcare requests in a way that the big players don't. Friendly and helpful, we are hanging on in there because of them.

@Syrupie How are you doing?

@DocEmUK Thank you.

Can my body just give me a break?

@Syrupie 5% increase. Unbelievable.

I really can’t be bothered and the enormous council tax bill that just landed isn’t helping.

@Parody_RCGP @UKGastroDr @Microbedoc2 If there’s an actual opportunity to eat, I’m going to take it.

Asking the questions someone should.... Question for Gastro colleagues, Microbiologists and everyone else. @UKGastroDr @Microbedoc2 If you do a PR at 1215pm in your consulting room, would you eat lunch in the same room at 1220?

@DrSdeG May the force be with you.

Right, here we go again. Let’s hope it’s better than Tuesday.

Have you received unsolicited mail from Reform UK? Send it back to: Freepost Plus RUHS-YGAJ-TKBL Reform UK Millbank Tower 21- 24 Millbank LONDON SW1P 4QP

@DrSdeG Hopefully there’s learning from this outbreak that can be useful in both understanding and prevention of similar.

@DocEmUK That’s not what I am saying and I do understand And it doesn’t in any way make this less serious or minimise it. But we know there are changes, that’s proven. And people are “mystified” that it’s different in this outbreak to previous ones. So to ignore it seems foolhardy

Is anyone going to discuss what happened to our T and B cells thanks to Covid? Will this be what makes the medical profession wake up? This is not weird niche conspiracy theory stuff BTW.

@ispy62872081 Because they’re doctors…..

@DocEmUK While you want professional titles to be standardised and refined you might ponder why those who graduate from medical school should be able to call themselves “doctor” when they don’t have a PhD? Didn’t think of that did you!

Professional titles really do need to be refined and standardised. You should understand the qualifications and training of the person you're seeing. Having a PhD in Folklore Studies shouldn't entitle you to use the title 'Dr' in the healthcare setting. The term 'consultant' is unhelpful. Qualification seniority, and related uniform, must be clarified.

But we’ve seen outbreaks like this before - decades ago. You undoubtedly know way more than me though. Guess my worry is that linking lots of things to Covid, without a high degree of certainty, risks discrediting it as an explanation. If too many things are blamed on Covid it becomes dismissed in a ‘it’s just Covid’ way. Hard to explain what I mean - I’m just concerned that important things won’t be heard due to over-familiarity of association.

@DocEmUK The science would disagree re t and b cells

Return your unwanted Reform UK flyers to this address and it costs them £2.50 a pop. Pop this address on an envelope with the flyer in, and pop it in a post box! The more we return, the less they will send!

Most don't do that. We know that cholesterol is important in the context of other risk factors. We consider it as part of QRISK3. If that's high, then a statin is shown to reduce risk. We don't treat cholesterol per so - we treat a person who has a high risk - and cholesterol is part of that. There's no big pharma or ulterior motive in it. Take it or leave it - it's no skin off my nose - but I know what I'd do and what I'd recommend to the people I love.

Doctor: "Your cholesterol is high. I'd like to put you on a statin." Patient: "What does high cholesterol actually mean for my risk?" Doctor: "It increases your risk of a cardiac event." Patient: "By how much?" Doctor: "Significantly." Patient: "But how much, specifically?" Doctor: "Your LDL is elevated." Patient: "The absolute risk. What is it." Doctor: "Statins are very well studied." Patient: "I'd like the number." Doctor: "Some patients experience muscle pain, memory issues, and elevated blood sugar..." Patient: "That sounds like the treatment." Doctor: "These are rare." Patient: "What's the absolute risk reduction?" Doctor: "I have a leaflet." The leaflet is provided by the pharmaceutical company. The leaflet does not contain the absolute risk reduction.

That is a profound over-simplification, and that is not a smiling baby, in the context of a baby that is able to smile as an indicator of emotion. Maternal health has to come first. If a woman is going to die/likely to die/at significant risk of dying - or suffering severe adverse events - as a result of continuing with a pregnancy, then termination should be a viable treatment option. There are lots of caveats to this, and also other reasons when it is a legitimate option. Presenting it as aborting a person with emotion, feeling, independence and self-efficacy is misplaced. It's way more complex than that, and should be considered as such.

Only a few hours until the UK House of Lords votes on whether to legalise ABORTION UP TO BIRTH. We have all seen premature babies. We know that they need protection, not to be murdered at the last minute. The Lords must vote against this!

@medicalmodelbri @LittlePersonDoc @sunshine222blue @anaesthetic_spr @lascapigliata8 It should be a requirement to use the term 'doctor' when specifying your role/grade - and only in the context of a medical doctor.

@DocEmUK @LittlePersonDoc @sunshine222blue @anaesthetic_spr @lascapigliata8 I don’t agree with any healthcare Professional having the title of Consultant apart from medical cons but … we are there already. They should at least say nurse consultant or radiographer consultant etc

“Dr Clinical Lead for Physical Health Consultant Practitioner Senior Clinical Leadership NIHR” Basically a NURSE.

@medicalmodelbri @LittlePersonDoc @sunshine222blue @anaesthetic_spr @lascapigliata8 As long as it doesn't include the term 'consultant' outside of being a doctor.

@LittlePersonDoc @sunshine222blue @anaesthetic_spr @lascapigliata8 Every time I interact with a new patient I say ‘ Hi I’m Brioche I’m a X (seniority ) Y ( profession) . Every healthcare professional should do this .

@amiautoimmunex Don't be scared. This is minimally different from the usual meningitis outbreaks that affect uni students. If you have no connection to uni students, then there's nil to fear.

Fellow chronically ill people in the UK (ME, MCAS, POTS) are u going to get the MenB vaccine? I’m incredibly scared tbh. But I’m also scared of how my body might react to it.

@mikegallacher1 Not even apostrophes?

Physiotherapist’s don’t let you get away with anything!

Honestly - I'm dreading it. I've heard nothing but negative feedback. The eLearning was barely pertinent to primary care. I am strongly in favour of appropriate teaching to learn key lessons, but what I have witnessed and heard back is that it is a political soundbite with associated PR. I honestly think it's a disservice to the founding aim.

@DocEmUK Ours was a complete GP bashing session. Even though the issues were largely secondary care.

@CoastingGP That's interesting. I thought the whole lot was mandatory. A whole day of FTF, which is widely reported to be repetitive from online and not geared to general practice, is implied to be a requirement for CQC.

@DocEmUK We just did part 1 online training - it was enough for CQC