Pooja Sachdev

@ShivaniM_KC Exactly my experience.. PS Happy New Year!

The blatant lies it tells me every single day

@parthaskar @JemiRodrigues @13richaghosh @ImHarmanpreet @BCCIWomen @Rezaidi @docwas @purvi_chawla @Jazzsethi95 @sasbanerjee @JyotsanaRangee3 @drmohanv @drpratikc @PaedED @ShrillaB Just fantastic..what a chase!

In India 🇮🇳 And just watched one of the best chases in a cricket match 🏏 Take a bow @JemiRodrigues What an innings And you star @13richaghosh And well deserved @ImHarmanpreet 🥰 And beating the Invincible Aussies 🇦🇺 #CWC25 @BCCIWomen

@Oakymoron What a great idea..

So if the public finances are bad then let’s put a stop to subsidised meals in the House of Commons. Let’s also stop the subsidised heating allowances for MPs. We cannot allow a continuation of this gravy train

@Kirk_Nutrition @NHSDiabetesProg @NHSEngland @DiabetesUK @CYPDiabNetwork @SaimeFulya @DrDita @Mars_Skae @DrClaireClinPsy @ChizoAgwu @Tim_Barrett2 @FainiaK You made it happen, Verity! Thank you.

@NHSDiabetesProg @NHSEngland @DiabetesUK @CYPDiabNetwork Thank you to @SaimeFulya @DrDita @Poojasachdev_dr Evelein Gevers @Mars_Skae Kate Brennan @DrClaireClinPsy @ChizoAgwu @Tim_Barrett2 @FainiaK for all your hard work developing this!

A new e-Learning programme about managing #type2diabetes in children and young people has been developed for healthcare staff. Check it out for free on the NHS Learning Hub. e-lfh.org.uk/programmes/man… @NHSEngland @DiabetesUK @CYPDiabNetwork

@katielambartist @ACDC_UK @mayng888 Thank you for your honesty… we learnt so much.

What a joy to join @ACDC_UK to discuss creativity in diabetes care from a lived experience perspective, thank you so much for the invitation to speak and thank you @mayng888 for your continued support and inspiration!

@_PeterSpencer Thoughts and prayers for Adam and his family.

Nottingham Panthers player badly hurt after a collision in mid-ice. Paramedics are now on the ice, players are forming a ring around him and now screens are up around him. Awful scenes here at Sheffield Arena. The period is ended.

@DrRobgalloway Great post..

Thoughts on the NHS….. Einstein said the definition of insanity is doing the same thing over and over again and expecting different results. But this is what is happening in the NHS right now; hoping things will improve when just giving the same failing medicine. As an A&E doctor, I am proud of what I do and would not want any other job But I am getting increasingly demoralised that despite best efforts, it can seem like we are moving deckchairs on the NHS titanic and just applying a sticky plaster to ever expanding gaping wounds of deep routed societal problems. The relentless pressures are getting worse and we are insane if we think the same solutions will solve the problems we have – even with more money and slightly different politics. We need to have a different approach if we are to have a functioning NHS in the future We need to look at the issues and potential solutions 1) A large amount of the problems we see are preventable - problems from poor diet, lack of exercise, smoking, drugs and crucially poverty and people’s lack of opportunity and optimism about the future. Efforts should be made to prevent the problems not react to them 2) We must ask ourselves are we doing too much for people and extending their length of life but not addressing if it gives them a quality of life that they would want. Just because we can do so much for patients, doesn’t mean we should. 3) On the whole, the clinician treating you now, are feeling less happy with taking on risk than those ten years ago – hence why there is often over investigation instead of simple reassurance. The risk of being complained about and being sued is one reason. But how to take risk is not taught explicitly and we are losing significant numbers of highly experienced senior decision makers such as GPs who have learnt these skills through years of practice and are replacing them with much more junior staff who are good at working within their defined skills and protocols but who do not have the training and experience to be good “riskaticians”. This is also true of algorhythm based triage systems where the default position is often 999 ambulance and A&E without consideration of this decisions on other patients whose care is delayed because there are only finite resources. 4) We are providing care in the wrong place. I see so many people who could have been cared for by out of hours senior decision makers who can make a judgment call to treat at home, rather than coming to hospital. Instead, paramedics have to bring these complex elderly patients into hospital where they are then seen by junior staff who often can over investigate and admit which leads to deconditioning and deterioration. 5) Medical services are designed around 9-5 Monday to Friday working. This needs complete overhaul so that the same quality of care is provided 24/7 6) The private sector is not the solution. Where profit becomes before patients there is often a hidden bias to overinvesting and over-treating. The money spent on private sector investment run diagnostic centres may well be used in a better way. 7) Mental health care needs to be prioritised as much as medical care. Both are under resourced but the lack of beds and community care for mental health patients creates enormous pressures on emergency services and crucially leads to unacceptable care for the most vulnerable of patients. 8) Any remodelling of the NHS has to be a phased approach – stabilise the current crisis with investment in community as well as hospital care and then longer term transformation so that we truly become a health service rather than a reaction to illness service, 9) Key to a needed NHS transformation is keeping experienced staff and the only way to do this is empowerment of their decision making, flexible working and appropriate renumeration and recognition. The biggest risk to the NHS is that staff will soon stop caring and just go into self-preservation mode. So worry when people like me stop writing messages like this, rather than when we do! My biggest worry is that politicians won’t want to face up to these incredibly difficult problems and will try and kid themselves and us that a bit more money and tinkering will solve the issue. It wont. We need radical new thinking now and the politicians to realise this. Without this, the NHS will wither away to be replaced by privatised medicine and the care which will all deserve, will only be available to the richest in society. Please feel free to share these thoughts so that politicians of all shades can see the reality and thoughts of someone on the front line rather than just the sanitised version of the NHS they are shown. Thank you for reading my post weekend literary catharsis Rob Galloway , a tired but still optimistic (just) A&E Doctor. 📷

@Dr_BellaR That’s awful to hear.. we do a card and present every rotation plus Christmas vouchers each year. Hope your team learn to value you.

@kamleshkhunti @ShivaniM_KC @AskDrShashank Recently had the same problem in Japan! They don’t get vegetarian.

Just got to Bangkok for a meeting. Went for a walk & noticed some incredible street food. Not much for us vegetarians @ShivaniM_KC @AskDrShashank et al The mongoes looked good tho😜

@NPDA_RCPCH @DigiBeteUK @FionaMCampbell3 Congratulations Fiona.. so well deserved!

Congratulations @FionaMCampbell3!!! So well deserved. Your leadership and ceaseless advocacy for families with diabetes are constant sources of inspiration and motivation to us on the NPDA team 🩷

@ezpearson @kamleshkhunti @dundeeuni @UoDMedicine Heartiest congratulations..

Delighted that @kamleshkhunti has been awarded the Doctor of Laws today at the @dundeeuni @UoDMedicine

@CYPDN_Midlands @CYPDiabNetwork Great day.. thanks for organising Heather.

These enthusiastic discussions have been much missed... it's wonderful to have members of both East and West Midlands CYP Diabetes Networks together in person after such a long time. Thank you all. @CYPDiabNetwork

@nottsdietitians @RachBrandreth @NottsHealthcare Good to see you Rebecca.. looks great.

Our Diabetes Specialist Dietitian Rebecca enjoying playing with the lego to prepare for her next DESMOND diabetes patient education session. #WeAreDietetics @NottsHealthcare #DW2023

@DrNeenaJha Absolutely me.. that quiet time that is yours alone.

Anyone else just randomly sit in the car for a while when they pull up at home after work?! Like your brain just needs a moment before you start a new round of chaos….

@hwganendodoc @NyeAbigail Me too.. neoflons are the best!

Am I the only Paeds reg who actually prefers Neoflons? I find Jelcos so awkward to hold and advance.

@mayng888 Lovely photos.. May.

#throwback 9-10 years ago from my FB feed ❤️ #halfterm breaks were always filled with a lot of #familytime #makingmemories #BuildingBonds for us, especially as an #autismfamily . Always make time for your family ❤️

@CSteele_endo Really useful.. thanks for sharing.

Great talk from Eric van den Akker on medication for children living with obesity #ECO2023

@ABCDiab @WilmotEmma @DTN_UK Looks great.... ACDC are planning something similar for children and young people.

We are pleased to share our ABCD-@DTN_UK best practice guide, which covers commercially available hybrid closed-loop systems in type 1 diabetes. It provides practical guidance on the key elements of hybrid closed-loop system implementation 📄ow.ly/120y50NQ75w

@mayng888 @elinor_crawley @ACDC_UK So eloquent, so powerful.. thank you for your honesty.

"You can't take a break from a condition that needs constant surveillance" says inspiring actress with @elinor_crawley "#T1D looks like Me" at @ACDC_UK #acdcaston Thank you for opening the eyes of #HCPs as we ask "what happened last Wednesday, what did you eat for lunch"..

@hwganendodoc Completely agree with you.. and why are they allowed ridiculously lucrative second jobs? They should not have time to do those if they do the first one properly!