Max Sayers

@RacksSound @GarySpedding Examples of these false antisemitism claims?

@GarySpedding I'd bet they had pretty good cover. Maybe the arson is just some antisemitic fuckwits but I know our government has a record of labelling things as antisemtic when they aren't. If they're trying to make the term meaningless they're doing well.

I'm tired of the nasty antisemitic conspiracy theories and nonsense claims regarding the Hatzola ambulance services in the United Kingdom. The service is not massively different to the St. John's Ambulance service in many respects. Both serve the entire community irrespective of ethnicity, culture or religious background. Both are charities/non-profits. Both organisations subscribe to virtually the same principles, codes of ethics and philosophy. Both services provided emergency medical response to those needing assistance or transportation to hospital. St. John's Ambulance service is of course way bigger and has the capability of being nation-wide. It is absolutely amazing that our Jewish community contribute to their country in such ways. Stop spreading these nonsense claims that Jews have their own special ambulances that refuse services to non-Jews. It is a pathetic and antisemitic claim that has no basis in reality.

@GordonDimmack BBC News - Two men charged with allegedly spying on London Jewish community for Iran bbc.co.uk/news/articles/…

The Idea that Iran, a country that hasn't bombed a single ambulance or hospital in any country it has targeted during this war, despite their hospitals and schools (120+) being routinely hit, are somehow behind the arson of 4 Jewish ambulances in London, is frankly preposterous.

@DrMohitBhagia You can’t be failed by a system that has no duty towards you

Rank 4 in Radiology. No offer. When rank 4 isn’t enough, the problem isn’t the applicant. IMGs are being failed by this system.

@LiamHug30729272 @DrBoofle @anaesthetic_spr Yet all have atleast 5 years of general medicine postgrad experience and, since last few years, all will dual accredit in GIM. This whole argument that you can function as a consultant cardiologist without being a physician first and foremost is absurd.

@DrBoofle @anaesthetic_spr It’s not a single procedure and cardiac labs do a very wide range of both elective and emergencies . Lots of metabolic complications.However few cardiologists are now both plumbers and electricians and many are neither.

If a nurse consultant in cardiology attends medical school and qualifies as a doctor, would they start as an F1 on graduation or work as a consultant cardiologist? Discuss.

@adamboxer1 If referring clinician needs the imaging then the patient should not have to facilitate this. Even if medical private sector, most can request digitally. Unsure re dentists as smaller practices and more variability.

@DrMaxSayers I also wanted it for my dentist who referred me. And, important to note, the hospital has still not sent it over to the dentist despite saying they would, so on pretty much any count the request was justified

@adamboxer1 Not really. You dont have the skillset to analyse the imaging so the platform is a moot point. Transfers between UK hospitals is done digitally. For overseas patients taking imaging back to home countries CDs work fine.

@DrMaxSayers I dont really mind that the lady couldn't give it to me then, its the CD that I find silly

@adamboxer1 Obviously patients can be talked through images as part of consultation but my job is to diagnose and treat the patient in front of me, not facilitate consumerism. This is v different to your first case of professionalism/politeness imo

@adamboxer1 Disagree with you here. Given time constraints and data protection restrictions, as well as various file types based on reading vs analysing images, it's not appropriate for me as a clinician to be dealing with this and should be done by dedicated admin.

@bealelab Longer appointments

Often seeing 15 patients in a session. Often they don't speak English as first language. Mostly we see at 10 minute intervals. What do you expect?

@RoshanaMN @ObamaWellington Where in the above example were the clinicians blamed?

@ObamaWellington Oh I don’t disagree at all, it’s an awful system that doesn’t allow the appropriate amount of time, but I promise you clinicians would love to change it if they could. We can’t, so we’re just refusing to be blamed and bad mouthed for it anymore.

Hm… No other industry would expect an expert to: Greet a client Assess their history Examine them Manage their expectations & emotions Formulate a high risk action plan Communicate that plan to the client verbally Write a letter to a colleague & client In 10-20 minutes

@RoshanaMN Disagree. We have a responsibility as clinicians to challenge management within our own deprtments to ensure that patient care can be delivered safely and effectively. If theatres wasn't equipped with appropriate surgical instruments you would challenge this. This is no different

And to be clear … I don’t apologise for being late, instead, I thank people for waiting. The fact the NHS massively under-times our clinics is not my fault. It is a fault of the system & political & managerial whimsy. Whilst I have great sympathy for patients time, I am not responsible for the poor appointment timing system. I will do my job at the speed it is safe and right to do so. And I suspect that’s more important to patients too.

@RoshanaMN Agree. Therefore, 1) appointment times should be lengthened and timetabled accordingly and 2) methods to improve efficiency should be explored. Either way, this is an organisational failure, not an error in patient expectation

@rollocs @thomasdolphin they do get medals tho 🤣

@thomasdolphin You want a medal? Soldiers, police doing exactly the same. Having worked as a soldier on Christmas several times including on ops, I understand the sacrifice and I’m grateful that people like you work on this holiday. Most aren’t narcissistic enough to post about it though

This year, like every year, I’m working clinically on Christmas Day. Thousands of doctors and other NHS staff are working, like other frontline public service providers, to keep the country safe and ticking over while most people enjoy the day with family and friends 🎄

@theveindoc @denovo1973 Wasnt trying to reassure you

@DrMaxSayers @denovo1973 Well we are being told don’t worry about patient safety during strikes as the consultants are covering their duties! So your comment doesn’t reassure me.

We are all in trouble if we rely on F1 doctors to save our lives in middle of the night.

@LordLucasCD @FullFact @TheBMA @RoyalStatSoc What increase in employer cont? Employer cont not ringfenced. Both employer and employee conts fund current recipients. Scheme is in surplus and pays back to treasury.

@FullFact @TheBMA @RoyalStatSoc And then you can add in the increase in employer’s pension contributions and see that the docs have actually had a small increase since 2008

.@TheBMA claims resident doctors’ pay is worth 21% less than in 2008/9. But this is based on some questionable assumptions. Our independently verified analysis, using a different inflation measure backed by @RoyalStatSoc, suggests the fall’s more like 6-7%. fullfact.org/health/bma-res…

@SarahLouisaColl @TheRealJamieKay Junior doctors are highly capable, intelligent young people who could have gone into any profession in the private sector and earn significantly more money. Stop weaponising vocation. If you want a highly skilled medical workforce you need to renumerate them appropriately.

@TheRealJamieKay No I do not. I would say like most of the services in this country it is not a career where money should be at the forefront of your decision to enter it; just so the police and firemen, here I think of the brave souls of the RNLI and volunteer fire service etc.

Do you support the resident doctors’ strike?

@theveindoc @denovo1973 I would expect any qualified doctor to be able to manage these. What else did they go to medical school for? In fact, on surgical wards, the juniors will likely be more comfortable managing these things than their surgical consultants.

@denovo1973 Well I sincerely hope someone a tad more experienced than an F1

@theveindoc @RobLaurensonD4P Out of hours ward cover is often overstretched and understaffed. This is an argument for greater staffing via increased recruitment and retention, not less.

@RobLaurensonD4P It amazes me that a F1 is expected and allowed to take responsibility for all that on a ward but ime in A+E an SHO has to have everything checked by a more senior Dr.

@Connor973245 @Taj_Ali1 What do you think I went to med school for? To be an astronaut? I've disproved your original point. You've moved the goalposts to suit your agenda. 🤷‍♂️

Imagine someone nicks £40 from your £100. They give you £20 back, then call you greedy for asking for the rest. That’s what doctors are facing. They are being paid 20% less in real terms than they were in 2008. Full pay restoration is not an unreasonable demand.

@djalexgraham @Taj_Ali1 I've never said that. I'm actually not striking. I've only said facts re length of junior doctor training...

@DrMaxSayers @Taj_Ali1 Post your last p60 and just show him how tough you have it Dr Sayers!