Emily (she/her) #ActuallyAutistic 🌈

Leng review PA summary: ✅ Name change ✅Uniform ❌No undifferentiated patients *except minor ailments*?! ❌Scope for expanded role as “advanced physician assistants” with prescribing & IRMER rights 683 patient safety issues reported ALL ignored It’s an utter whitewash

Fathers don't usually die during childbirth

i’m not saying i’m not ok but i just cried for an hour and 20 minutes becos a cartoon where a baby snail cried becos he was so slow and always missed seeing his friends having fun. he had set off the day before the party and still wasn’t going to make it on time how are you?

watching back to the future part 2, and its proper crazy how they thought we’d have flying cars in 2015 when in reality we have to wait 3 months to see a dentist and 17 years for a mental health diagnosis in 2025

when steve died i was crushed, heartbroken. i had to take a week off of school i was so sad. i never met him but was touched by his love of all animals and the world felt like it was missing something since then @RobertIrwin growing up and doing this has healed me and the world

Me: i don’t want you to stay out all night, i get scared on my own Also me: watches #GhostAdventures on my own on @discoveryplus in the dark whilst alone 😶 @Zak_Bagans

🧵/ This heartbreaking case highlights why so many doctors like me have begged @NHSEngland & @DHSCgovuk to stop endangering NHS patients by substituting doctors with non-medically trained PAs We've been dismissed & smeared as "toxic bullies". Please read this thread & decide.

Mother helping her son through a tough level in Super Mario Land on Gameboy from 1989.

This case is utterly tragic. A patient experiencing abdominal pain and vomiting was seen by a physician associate and diagnosed with a nosebleed, and was discharged from hospital that same day. She died two days later after having a catastrophic bowel obstruction. The coroner concluded that the ‘physician associate’ title is misleading to the public and that ‘no steps’ had been taken by NHS staff to correct the family of the false impression that the PA was a doctor. The coroner also dismissed the hospital’s idea that PAs are equivalent to doctors on the medical rotas, and that ‘blurring roles’ puts lives at risk. Meanwhile the expansion of the role of PAs within the NHS continues, with the green light also being given to recruit PAs from WHO red list countries. Patient safety is paramount. @wesstreeting must act now to prevent further cases like this happening.

Where's the lie 🤥🤷🏾‍♂️

This has radicalised me and I think I'm going to kill someone

💔

What if I tell you from what I know about CSA & grooming, I do not believe this was an accident.

@PhilipSteart see i don’t believe it should be removed without discussion first, it can cause a lot of stress and confusion especially for vulnerable patients. if it’s not being used much that’s a valid reason to have it acute use, but warrants a convo first

@PainPartnership It was on repeat having been prescribed by my Rheumatology consultant for use as required. It was just removed without any contact merely because I wasn't using it much

Just an FYI to GPs Please don’t take off a patients long-term repeat prescription without even talking to them about it, especially when it’s a medication they rely heavily on for a reasonable pain level and tolerable life It causes a lot of undue stress and upset

@tonihazellgp definitely. BUT before removing it i would still try to investigate the reason they’ve disengaged and perhaps refer to an appropriate service such as mental health if that can be done safely. this pt had a review in October 2024

@PainPartnership How would you respond when you haven't reviewed the medication for maybe 2 years because despite multiple calls/letters/texts, the patient refuses to come in, and the prescribing is therefore now unsafe? that's the only circumstance I would move to acute, to prompt a review.

@PhilipSteart i think if it’s discussed with you prior that’s fine, but even if it’s PRN if you’re still requesting it each month it should stay on repeats imo otherwise you need an appointment to discuss the med each time you request it

@PainPartnership It's was the surgery pharmacist that took me off mine because I only use it as needed

@Cray_tweets1 it’s still being investigated so idk, but it’s not the first time i’ve heard of this happening when it comes to CD’s especially. It can be really frightening for patients

@PainPartnership Omg why on earth would they do this??? 😭

@Laracapybara it’s so frustrating, unprofessional and at worst dangerous

@PainPartnership Hard agree.