@TomHCalver Core training from CT1 to consultant takes minimum 7 years for most specialties.
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Joe Gavin
367 posts
Finally: the idea that individual resident docs have experienced pay stagnation is daft.
Resident docs have the best pay progression around. A trainee in 2017 on £27k base could be on £50k core training by 2021, then £110k consultant by 2025!
Column: thetimes.com/article/895fa5…
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Are resident doctors still underpaid?
The BMA’s case for ongoing industrial action is undermined by how the union uses data.
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I had patient in cardiac arrest who was receiving CPR and was mouthing "stop" only to have us stop and find he was asystolic but then wake up when we re-started compressions.
Has anyone else encountered this?
(We gave him sedation)
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@RDLaing99 @DrEilidhMaria Clinical context.
Check albumin (usually negative acute phase in sepsis)
TTE/BNP, renal function/Fluid balance
FUSIC scan very helpful - I use it a lot!
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@joegavin92 @DrEilidhMaria So how do you know which it is? Just check the albumin?
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Update - L radicular leg pain & foot drop almost resolved
Unfortunately symptoms evolved to become bilateral gluteal, pelvic & groin - 2 weeks ago
When the pain got to 9-10/10 & I couldn't sleep / walk, I decided to forego watching the Hungarian Grand Prix & head to Urgent Care at PGH instead - raised CRP & neutrophilia
MRI on Sunday at Fortius (amazing service) - raging bacterial disciitis & epidural abscess
Don't tell anyone but it's affecting the psoas so I can't SLR 😆
So now in hospital awaiting PICC line and 2-3 months antibiotics 😕❎
James Noake@DrJN_SportsMed
Update for those interested! 16 days post discectomy Minimal pain - low grade 2/10 neural ache buttock and fibula head / shin Worse at night and morning but variable Numbness is more annoying! Tib ant power recovering Doing simple upper body weights typically seated or cable Iso rehab for quad, hamstrings and tib ant Stationary bike & elliptical trainer - easy steady state I’m behaving and listening to my brilliant physio Chris Whittle @puresportsmed
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Looking to find a new home for these (quite old) medical textbooks rather than throw them away. Giving them away for free (but you'll need to cover postage). Please message me if you're interested. Also happy to donate them somewhere (feel free to give suggestions)!
Hitchin, England 🇬🇧 English
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@SIDCJONES @waterman_harry @narindertweets Within my first two hours of being a doctor I’d diagnosed a patient with bowel obstruction, initiated initial management and liaised with surgeons with no support. I was covering close to 200 patients without direct support or input, including the acute stroke and cardiac units.
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I fully support junior doctors striking, they work so hard, so many hours and need paying adequately for looking after US.
Consultatants cover when they strike, no need for the scare mongering.
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@Neal94G @Anisocyte @medicalmodelbri @Mike88881221 @iDrSunny @TomStocks1982 @DrLukeCraddock @RobLaurensonD4P @respirologist Because lungs
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@Anisocyte @medicalmodelbri @Mike88881221 @iDrSunny @TomStocks1982 @DrLukeCraddock @RobLaurensonD4P @respirologist Also very unclear why bilateral effusions have been sent directly to respiratory medicine, when there is a broad differential, seldom of a primary respiratory nature.
NT-pro BNP/ TTE and renal function would be far more appropriate.
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More dodgy PA shenanigans at Northampton .
Respiratory PA referring to Haem PA and not a Dr in sight .
How many more patients have come to harm ?
@Mike88881221 @iDrSunny @Anisocyte @TomStocks1982 @DrLukeCraddock @RobLaurensonD4P @respirologist @Anisocyte
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@sue_beachcover @NHSEngland Make sure to let the Managing Director of SouthEastern rail know that he once forgot to thank all the non-railway staff working the BH in 2023, and how personally insulting that is to you.
Or don’t, because that would be utterly bizarre.
Steve White@SteveWhiteRail
My thanks to everyone on duty today for @Se_Railway and @NetworkRailSE working to ensure our customers can enjoy their Bank Holiday. First 400 trains delivered 👇
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Thank you to everyone working across the NHS this bank holiday weekend. 💙
If you need medical help, please use 111, or for a serious or life-threatening emergency, call 999.
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@Neal94G @jabberwock951 @ponteepon Anyone can publish on that site, I think the pubmed index publication rate is extremely small
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@jabberwock951 @ponteepon This seems like such a red-flag for publications.
“Choose your mates for peer-review so you can all definitely properly critically appraise each other and not just scratch each other’s backs 🤙👌🏻👍🏻”
Of course it’s a medical education society endorsing this…
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“Physician Associate graduates have comparable knowledge to medical graduates” mededpublish.org/articles/15-20
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@Flattliner @ShaunLintern Why not go back further? Bring back ether and non sterile surgery!! Safety is for snowflakes!
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@ShaunLintern Hmmm... Longest continuous resident on-call when I was a junior (we didn't mind that title) doctor in the eighties?
96 hours, followed immediately by a normal day's work.
Of course, people tire much more easily these days...
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NHS staff fatigue is a factor in patient harm and deserves urgent attention, warns safety watchdog independent.co.uk/news/uk/home-n…
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@joegavin92 @doctor_dru_ “Hi, I’m the med reg, can I refer…”
“So you’ll need to talk to so&so to get the number to talk to this other person to find the form to fill in to get the other form you need to get the final boss to finally reply to you once they’re back from annual leave”
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@joegavin92 @FICMNews Have emailed them. Hopefully resolves quickly.
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Mars probably had liquid oceans a long time ago, before it cooled. Now, there are vast fields of ice covered by red dust.
If we warm up the planet, the oceans will return and the atmosphere will densify, making it possible to extend life to Mars.
Mario Nawfal@MarioNawfal
🚨 MARS HAD AN OCEAN? CHINESE ROVER DIGS UP NEW EVIDENCE Turns out, Mars might have been beachfront property billions of years ago. China’s Zhurong rover has uncovered 10-35 meter-thick sloping deposits beneath Utopia Planitia, a vast plain in Mars’ northern lowlands, resembling coastal sediments on Earth—strong evidence that a massive ocean once covered a third of the planet. For years, scientists debated the idea because Mars’ ancient shorelines didn’t quite add up. Thanks to Zhurong’s subsurface radar, researchers from China and the U.S. now say the planet likely had a long-lasting ocean, not just a short-lived puddle. Source: Xinhua
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@Neuro_Matt I also find this frustrating but also think that in some situations the specialty review needs to be taken into consideration against the overall context of the patients best interests which are sometimes best understood by the team looking after them. I.e. geriatrics, ICM etc
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One thing I will never understand in medicine, is the need to ask for a specialty reviews, then if it suggests something you don’t want to do, just ignoring it.
Like if you feel you know better how to manage the patient…just do it? Rather than wasting everyone’s time.
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Joe Gavin retweetledi
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Time for another #POCUS pitfalls thread 🧵: the infamous IVC 🤩
I have MANY thoughts on the IVC 💭
When I first started teaching POCUS, I actually disliked the IVC because it was often poorly done or incorrectly interpreted ❌
I have now come to love the IVC, BUT you have to do it right!
#tweetorial
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