Doc Em🕷🇪🇺

Remember that ‘emotional dysregulation’ is banded about way too much, and a PD diagnosis just slaps a load of stigma on. Don’t fall into the trap of mislabelling and ask yourself - if this was a physical pain causing the behaviour/symptoms, would you tell them they’re dysregulated? Human emotion is valid and an expression of something. Be curious about what the ‘something’ is.

My first FY2 doc job is in psych (community eating disorders specifically, with on calls in inpatient psych) V excited to start as psych is a specialty I’m strongly considering Would love to hear any advice on how to best prepare from any current psychiatrists/MH professionals!

@AnushtaS Thank you. I need to work - psychologically. When life gets out of control, work becomes so important. It’s somewhere I am effective and useful, rather than a drain on time & resources. Wouldn’t do it if there was any chance of being a risk to patients though.

@DocEmUK You cannot provide care if you don't care for yourself. So please take time to recover. Hope you feel better soon

Being a medic and a patient is really hard, especially when you’re surrounded by sick people. My job is to make people better - the sense of duty to those I see. My role is to put them first. Taking resource myself is very uncomfortable, and actively upsetting. This isn’t where I fit.

@Jennife10651535 Hope you’re OK. X

Just had to ring my wrist alarm to get me out of the bath. Managed to do it myself eventually! What a hullablaloo

@LiamHug30729272 Trauma isn’t about fault. It’s about the person’s experience.

@DocEmUK Are you suggesting that criminality is mainly the parent/guardian’s fault.

How about addressing childhood trauma? I think that would probably be more protective than simultaneous equations.

@Mary_Tom11 Not currently but hopefully soon, one way or another.

@DocEmUK Hope you are ok.

@DrNeilStone It’s feeling less fun now.

Never abolish the 3rd 4th World Cup playoff Its always a fun game to watch

@Syrupie Yes it was. I rarely flinch but on this occasion I did react.

@DocEmUK Thank goodness he's ok. Scary stuff.

“Mum, I think my drink has been spiked.” said in slurred words. He’s not drunk, he’s drugged. Why do people do this?

@HeldinEU I’m so sorry to hear this. I’m glad you can be there. X

Dad is very drowsy and does not know where he is. He thinks he is going to die today.

@ocyours Hmm. They’re the experts I guess but personally I’d continue the ECT if it was me. Everything takes so long & my approach is to throw everything at it ASAP! (Personally, not necessarily professionally!)

@DocEmUK They feel my « symptoms » (they all call it psychosis but it feels pretty bloody real to me) are due to low cloz and that by lowering/stopping carbamazepine, the cloz will start working again without need for ECT…

So now the thought is to stop ECT and do a full meds review. Drs have MDT on Monday. I just want to scream « This is my life you’re playing with! I can’t just keep going round and round with this med then that one. I need to live!!!! »

@DoctorAngry Is it from more than a week ago? He can submit an econsultation asking them to resend it and provide your email address. Alternatively if he had online access via the NHS App you can access it via the documents section.

@DocEmUK Thanks Em For some reason he can't email it to anyone when I click on the link that comes through I just get a blank screen saying it has expired

My son has ASD and learning disability despite which he works.He injured his foot and needs a "fit note" the surgery emailed it to him on his phone but when he forwarded it to me for printing I just get the message "session closed " I am struggling with this What can we do ?

@DrSdeG @valhumphreys51 That’s why it’s so important to only ever release to the patient.

@valhumphreys51 I don’t think they understand what they are consenting to.

I’ve been following the discussion on accessing patient records with some interest. I understand that access to records is necessary for some clinicians, for purposes related to my h/c, but nothing disturbs me quite so much as the suggestion that private information about my 1/2

@DoctorAngry (Download & save the attachment first)

@DoctorAngry He could email it to his work like he did to you? Might be easiest.

@parthaskar @trentconsultant @rheumipainmask Most waits around here are 9-15 months for a first OPA.

@DocEmUK @trentconsultant @rheumipainmask that’s the length of a patient journey nowadays?

Want to answer a complaint? Well now you can’t look at the records to do so? Who makes up this nonsense without consultation? While I agree we should protect privacy much of this is over reaching & seemingly doesn’t apply to Palantir digital.nhs.uk/data-and-infor…

@ocyours Hope they fix it fast. X

@DocEmUK They seem convinced that it is due to an interaction between clozapine and carbamazepine. My cloz levels are through the floor so they think that explains why « I am in psychosis » and I have no bloody clue what’s going on.

Right, time for ward round. Not looking forward to this.