Reddical Medge

Following @Shr_Nottingham's shocking revelations yesterday, I think the time is right for @DoctorsVoteUK to step out of the shadows and initiate the UK-wide coup d'état that @UMAPsUK tried so hard to warn everyone about.

Do we think this one will prove himself to be any less of a useless spanner than the last 3?

@medicalmodelbri AI has so many better uses than OpenEvidence.

@kcisc @NotDerek666 @DrBeckyl @DoctorsVoteUK @BMAResidents @ExplosiveEnema2 @medicalmodelbri @MedRegoncall1 @AssociateMag @Burnt2020 @Mary_Tom11 @DrNotAProxy @Xeon4f145d96s1 @DocShivSharma

@NotDerek666 @DrBeckyl @DoctorsVoteUK @BMAResidents @ExplosiveEnema2 @medicalmodelbri @MedRegoncall1 @AssociateMag @Burnt2020 @Mary_Tom11 @DrNotAProxy @Xeon4f145d96s1 @ReddicalMedge @DocShivSharma I see you're keen on F1. I assume you'd be happy with the pit crew mechanic googling the problem.

No more delays. Sign to call for strikes. @DoctorsVoteUK @BMAResidents @ExplosiveEnema2 @medicalmodelbri @MedRegoncall1 @AssociateMag @Burnt2020 @kcisc @Mary_Tom11 @DrNotAProxy @Xeon4f145d96s1 @ReddicalMedge @DocShivSharma

A more specific demand: Announce strikes, or step down in favour of a chair who will put doctors before their political party loyalty and do so.

@drokane 60% of time, the organ works every time.

I like to draw parallels between restrictive lung disease and HFPEF. The SV/LVEDV and FEV/FVC ratios look good but hide the fact that physiologically you are living on a lung or heart that does half of what it should.

@DrLKVaughan @jim_crawfurd Knowing the NHS and its fetishes, they probably want a quorate MDT and outcome for every cardiac arrest before stopping CPR.

@jim_crawfurd 🤯 Which guidance is that from?

NICE guideline 😂😂😂

And not even just consultants. 'This registrar is a bully because they asked questions and expected us to know things'. This isn't about 'pimping' (which can be recognised as a different activity to humiliate to facilitate the senior's ego), but about any attempts to produce knowledgeable and self-educating trainees who don't just work a jobs list without thinking. The problem is that we've become too performatively #BeKind and don't just say 'no, that's not bullying' and this gives many the false impression that they shouldn't have to meet a standard and it's unreasonable to be held to one. We do need to look inwards as a profession as well being outwardly angry and blaming government and systems when trying to understand why we have been so open to replacement with every type of noctor. Unless we insist on applying standards to ourselves, then we don't really have a leg to stand on.

@rahttled_doc I have direct experience of this! As do many of my colleagues. Some of whom are exceptionally mild.

Musing on The Pitt, one of the most striking things was the depiction of Competitive Knowing amongst the doctors. Who knows the most. Who has read the latest/biggest/most obscure journal article. Who has done something totally badass before. This used to be a feature of /

@beccajiggens @Cartermill65675 @DailyMail @DrSteveTaylor COPD is also a disease that cannot be diagnosed with an X-ray irrespective of symptoms...

@Cartermill65675 @DailyMail @DrSteveTaylor Yes. On zero symptoms, because he saw "shadows" on an x-ray and misread it.

NHS doctors say hospital patients are put at risk when they are treated by advanced practitioners instead of qualified medics trib.al/TAD16VV

Of course, if you're not actually a trained doctor who has studied medicine, you don't have any of the foundational knowledge and understanding that tells you that you can't just apply a severity criterion from one breathing-y illness to another breathing-y-illness, because on a superficial level doing so 'makes sense'.

@Anisocyte @ExplosiveEnema2 @Mary_Tom11 It's in the asthma severity grading of sorts, not relevant to most presentations.

The triage nurse INTENTIONALLY gave her a disconnected oxygen mask What? WHAT!?

@Lucyclizine It buzzes, you rock back and forth on it, and it leaves you satisfied. There's a dirty joke in here somewhere if we try hard enough.

Referring this onto Twitter - what do you guys call these machines where you put a quid in for it to rock about? I only know what it is in Canto and it’s been bugging me

“More than 1,500 NHS staff have invoked Martha’s Rule within its first 18 months, flagging concerns about patients on their wards, according to newly released figures” Or calling Outreach, as it has been known for years outside of sensationalist journalistic slop

@cannula_service @wendyburn @medicalmodelbri @mancunianmedic @lengreview Blind idealism was always naive but we have societally been so spoilt for so long that it was a luxury item it seemed to many that we could afford the cost of...

@wendyburn @medicalmodelbri @mancunianmedic @lengreview Colleges don't care about membership. Look at how your college disrespected SAS drs. It may be well meaning to get assistants but it's blindingly naive to not realise politicians will use them as replacements in the broken NHS. Blind idealism is naive in today's age.

Sadly, if Prof Chamberlain was doing his pioneering work with pre-hospital cardiac care and upskilling/equipping paramedics now, there would be a section of social media (half of them anons) shouting "Ladder pulling, traitor, boomer, gong chaser, selling out medicine" bollocks

@KonokYaroslav @kbalian90 That perhaps both of those takes are extreme and unrealistic interpretations of what is presented as a 'gotcha'. In Israel there are some nasty characters, but that also most people are normal and the police respond as they should.

@ReddicalMedge @kbalian90 Why without comment? Is this some gotcha, that the Nun "had it coming to her"? Or, it's peachy keen since the Cops are investigating?

BREAKING: Israeli Police have released footage of the French nun who was violently assaulted by a 36-year-old Jewish extremist in front of the cenacle on Mount Zion.

@DrGoblin3 @TomPMarshall 🤣 tbf it's not all just a 'private = bad' thing, it's a more general 'this is my area and my personal service provision niche in the NHS trust' thing, too... Still, RIP orthobro...

@TomPMarshall One has to wonder how the private boys are taking this news...

Another cherished surgical procedure turns out to do more harm than good. Who would have guessed? It shows the value of placebo-controlled trials of surgery. (ie: sham surgery v surgery) medicalxpress.com/news/2026-04-w…

@DrHuw @ZackPolanski Rare police W. Finishes weak with the need to 'show compassion', though. No, what is needed is to show more intolerance - of terrorists and deluded people who are more sympathetic to the purported 'rights' of terrorists than the people they are terrorising...

It is rare Rowley & the Met are the subject of +ve PR these days, mostly the architects of their own shortcomings Rowley should be commended for this letter More & more people are starting to see what type of person @ZackPolanski is - certainly not a respected man or leader

I disagree with the premise of avoiding describing things by what they are not. Language is limited way to transmit meaning (especially concisely/quickly) and a lot of what is implicit to us as doctors is not to everyone else. There is, correspondingly, a need to use both positive and negative descriptors to help patients and non-medical staff understand a role that is not self-evident to those outside of the medical profession. In that sense I think it is important that they understand that this is a senior doctor but who is explicitly not a consultant - this is really important context for a patient medicolegally and in genera - but I do agree phrasing it like this is unnecessarily diminutive. 'They are senior doctors with extensive clinical experience but are not consultants' would be more reasonable without having to use terminology like 'have not achieved' which sounds pre-loaded with judgement, as if this job role is due to a failure or inadequacy.

I saw 2 signs I had not seen before this week. One pleased me and the other did not. Only one was an accurate term and description. Please don’t describe #SASDoctors by what they are not #DifferentGradesNotMiddleGrades @theSAScollect #AbilityNotTitle #WorkplaceRespect

@Anisocyte @AmandaHensman Just look at that corporate word salad nonsense bio...

@AmandaHensman Interesting response to being challenged.

There have been some conversations around how ACPs are supposedly safer than PAs, and are better trained, and so can work at ST3 level even if PAs are <F1 level as per Leng. I thought it’d be useful to compare the ACP courses to the PA courses 1/

Counterpoint: Being skilled at a task that only requires practised e.g. manual skill or a procedural understanding of a very limited set of variables with predictable outcomes, you don't necessarily require intelligence to be skilled. Medicine is neither of those things. It is a safety-critical, intrinsically intellectual endeavour. Intelligence is required to be skilled at medicine.