Tom Walshaw

Tried to write up my op note after my case. Only 2 PCs on the floor, both taken. Went into the theatre computer room — it used to be for everyone. Got kicked out by a HCA who pointed at a new sign. Make it make sense.

@Kashus27 I’m guessing the A*/As weren’t in English 😉

Your* excuse the typo 😂

@wweisawesome123 Hey, hope all is well.

I've been struggling with my mental health recently. If you see this, please stop and say hello.

@OrthopodReg I asked my Cons (white British man) if he was tempted to stay in Aus after completing his fellowship. To my surprise, he said no, specifically citing, in his words, that ‘Australians are racist, and I’d feel like a second-class citizen.’ Have you experienced any prejudice there?

The requested 🇦🇺 pay update: *Currently* working as a (year 1) ortho surgeon boss in QLD (salary varies by state & “metro centre” vs DGH) I take home £7,250 - £10,500 per month (on-call dependant) work 4 days a week, no private, 1:7 on-call Main issue is a shortage of anaesthetists It is also sometimes quite warm #medtwitter

@OctopusEnergy With solar, batteries, and Octopus’s outgoing Lite tariff, I power two EVs and my house with no electric bills in summer. In winter, I run my house off batteries and charge EVs for just 8p/kWh. My bills dropped from £250+ a month to £0 in summer and £50 in winter.

A UK home can have zero energy bills with a heat pump, solar and some smart automation. We're aiming to build 100,000 Zero Bill Homes by 2030. It's not a far-flung dream: people are living in these homes already. We built that one 👇 in two days.

@DeanEggitt Cauda Equina Syndrome. If a GP sees and examines a patient and the patient meets GIRFT criteria they should be able to send them direct for an urgent MRI. This should then automatically notify the relevant spine service who chase it and act on it.

NHS red tape. As a GP I can't organise imaging of a likely hernia. I have to refer to the surgeons to do. The surgeons won't accept a referral for a hernia unless I fill in a checklist of how much the hernia is causing an issue.

@jeremykauffman 4/5 have confused sensitivity with specificity. They think the test has 95% sensitivity when the sensitivity is not known and it’s actually 95% specificity. The correct answer (PPV) is 1.96%, but that assumes 100% sensitivity. Almost universally taught poorly in medical schools.

4 out of 5 doctors can't answer an introductory statistics question Doctors are midwits maintaining a medieval guild system, not geniuses

@decarpentier_nl Are the CAD files available to purchase?

By popular request, I've now open sourced the exact dimensions of the evolved Carpentopod's linkage system. So feel free to use it for your own projects! decarpentier.nl/carpentopod

@hjwakerley We have a very similar situation. I drive 60 miles each day back and forth for work. No point putting miles like that on a more expensive or desirable car. We charge it up with solar and batteries at home, or cheap night rate if the sun isn’t shinning. Cheap on maintenance too.

Did you know that a BMW i3 is less than 200kg heavier than an Alpine A110? 1,270kg in total. My 2016 car is well over 100,000 miles now and I swear is more efficient than when we bought it at 40,000. It has an impressive 4.7-5 kWh/mile which is better than almost all new EVs. Despite its range of 140 miles, it is by far the most popular car during the working week. If a drive is over 70 miles each way, I take a wagon or the SL and enjoy that. Giving the old cars a regular long run and not feeling guilty about the expense because of how cheap the rest of the week’s drives are. I don’t want a massive, heavy, inefficient battery car with a huge range. Every day I thank my lucky stars that my other half is a car addict too and that we can afford the luxury of this ‘solution’. However, if you would like a silly/old car and a very efficient daily you should consider an i3. Anyway, that’s my two-pence on #WorldEVDay I like EVs because it means I can justify a V8 (or two).

@DeanEggitt My wife has had this several times. For patients who aren’t even housebound 😒

I've just been asked to re-book a home visit for a housebound patient for a different day as they won't be in when we visit.

@BucksHandExpert DJI Avata?

@IncogAssociate @MJA9622 I did an intercalated Biomed BSc for one year during my medical degree, joining the Honours year of Biomed students. Nothing in that degree resembled anything clinical or related to my medical studies. Three years of Biomed is NOT the same as three years of Medicine!

@timoldland What about the 981 GT4 instead of the 718 GT4?

Which £75k Porsche would you choose? I would seriously struggle tbh. The 964 is a classic that’s going to hold its value very well. The GT4 is just epic. The 991.2 GTS is so so pretty, fantastic spec and the best all rounder.

@HusseinTaki @drraja_ Can you be specific about the true salary please? £57k base is less than a ST6-8 base salary, in the most expensive city in the country. If you have a spouse and dependents who live elsewhere you’ll have to pay for your mortgage and rent in London at the same time.

@drraja_ @LynneBarr78 I’ve actually done this fellowship- it was great! That pay is wrong you are on the consultant oncall rota and salary is actually that of a senior SPR. Great supportive unit and you get treated like a consultant colleague in waiting. Can’t recommend it enough!

Post CCT Orthopaedic - Consultant level surgeon Salary of £37,000 - £57,000 You don't need the best brains in the country to tell you why doctors are moving out of UK after training. jobs.nhs.uk/candidate/joba…

@NetworkChuck I’m gonna think outside of the box and say James Hoffman @jimseven , due to your love of coffee?

I just got a chance to talk with one of my YouTube heroes....been watching this guy forever. Any guesses who it is?

@kane90 @DrOKaneAgain @fascinatorfun And their government actually cares about its citizens by providing free university, water included in their council tax, free prescription, better social care etc. It’s not perfect north of the border, but damn better than how we are treated down here.

@kane90 @DrOKaneAgain @fascinatorfun It’s important to realise though that Scotland is still using the old contract. Most Jobs are Band 1A and therefore have 50% top up for on call. Also progression is years service, not grade. A good friend of mine who is experienced but is only ST3, is paid as an ST6.

Who wants to be a doctor? ▪️Graduate with £100k debt after 5+ years of study ▪️no guaranteed job ▪️expected to be grateful for any job anywhere in the country ▪️work for £15 an hour ▪️while your assistant is paid more & takes the training opportunities bbc.co.uk/news/health-68…

This study utilized the python coding skills I developed during my @HypDev (HyperionDev) Data Science Course

This paper explores the use of data from the National Hip Fracture Database (NHFD) to predict rates of other common orthopaedic trauma injuries. The aim is that these predictions will help plan future trauma services to improve patient outcomes and increase efficiency

I’m pleased to say, I’ve managed to get one more ORTHOPOD paper published. 
authors.elsevier.com/a/1ixYx4b3HfWLY #orthotwitter #MedTwitter