Rachel Tricks

@northernassist is the train to Manchester Piccadilly leaving Sheffield or is it cancelled?

@Halfords_uk this suggests that escooters are an alternative form of transport! Only on the price label does it state it is illegal to use in public places! This is poor advertising and the reason we are seeing increasing number of escooter injuries in our A&E’s! @ObserverUK

@lucnahabedian @MartinBunn4 I am so jealous of your artichokes! I cannot get mine to grow properly!

Nothing like a few hours in the garden to admire what nature brings and to zone out Now to find out the best way to have the artichokes - any tips anyone ?

@bbc5live @NickyAACampbell Managers are needed otherwise the work just falls on senior clinicians/nurses/other Alloed Health professionals who end up spending their own professional development time and even their own personal time sorting out issues to support and improve how clinical services run.

What do you want to tell the next government about your experience of the NHS? If you work in it or you’ve recently been a patient, what’s going well? What needs to change? @NickyAACampbell asks: Your voice, your vote: your NHS?

@KateBurkeNHS All useful tasks which ideally we shouldn’t have to do anyway but end up being our job as clinicians because everyone is run off their feet!!

@KateBurkeNHS During some of the busiest periods we faced in the winter of 22/23 with the group A strep outbreak members of our exec team came to support with general troubleshooting- ie contacting IT when the printer broke for the nth time, supporting patients and parents, grabbing drinks etc

@DrHJStewart I’m assuming you’ve seen this!

@jayjayaah @nottmhospitals Congrats JJ

I got my substantive consultant job today at @nottmhospitals this morning. I started medical school 22 years ago and it’s been a hell of a journey, and I’m minded to think of all the people that helped me, thank you so much - my success is your success. Now the hard work begins.

@DrRJWebb @pepemac27 @NJBanbury Newcastle - it was a long wait for the transport team when you needed them acutely!

@racheltricks @pepemac27 @NJBanbury Where do they go? It’s pretty much equally far from Glasgow, Alder Hey, and Newcastle!

In Sheffield for a course and so far 2/2 buses I've got drivers have ushered me on and told me not to pay. I do not know why. What is this? London bus drivers could/would NEVER.* *I've literally seen London drivers refuse to drive and kick off children unable to pay, at night.

@DrRJWebb @pepemac27 @NJBanbury Back when they were last pushing for a big change in the number of paediatric cardiac centres I remember people complaining how far they were now going to have travel- and thinking that’s less than my current Whitehaven patients have to travel currently!

@racheltricks @pepemac27 @NJBanbury I bet! It is sadly I think maybe the least accessible place to a PICU in the country… 😂

@DrRJWebb @pepemac27 @NJBanbury Cumbria was right up there - lovely days during foundation years in Carlisle.

@pepemac27 @NJBanbury Because Yorkshire and Derbyshire are the finest places in England to live. And I suspect Cumbria, but sadly I’ve not yet lived there.

@drruthannharpur @theodoraclarke For no2 was moved but more due to the fear of not being ready at home ( I’d finished work 2 days before). Again it’s knowing it’s the right thing to do! We need to support and educate women about all possibilities better!

@drruthannharpur @theodoraclarke to remove the stigma! I was lucky- my team were great. I had a failed induction with no1 with poor CTG but having the understanding that the right things were happening to protect the baby I was ok. But that was only due to my paediatric background. I was upset when my section(3)

Am I alone in skepticism and a general sense of frustration at the #BirthTraumaInquiry? A very long 🧵 I get where @Theodoraclarke is coming from. She, like so many others, have had terrible experiences in maternity care including experiences of life threatening medical complications, medical negligence, cruelty from staff. Who doesn’t want to do better than this? Who doesn’t want to ensure that babies enter the world safely, causing the least possible injury to their mothers on the way out as possible? While a survey of women’s experiences inviting women who identify as having had a traumatic birth can tell us important information about current bad experiences of maternity care, it cannot be used to conclude that bad care is the norm rather than the exception as this survey will not include women who don’t consider their experiences of maternity care to be poor. It also doesn’t tell us why maternity care is so poor or why there are so many preventable deaths and a slew of bereaved families every year who will live with the consequences of medical negligence for the rest of their lives. WHAT is responsible (not just WHO) for the cruelty with which women are treated and the casual disregard of women who ask for, and sometimes end up pleading for, medical care and to be taken seriously. This inquiry hasn't come close to examining what is happening to begin to answer these questions much less work out how to turn things around. And yet.. once again, we see the usual faces, the NCT CEO seizing the opportunity for a photo op and everyone jumping on with their pet recommendation that they are sure, so sure, will make big difference to mums. (And yes, I hate it when they call us mums too) -an extra appointment for mums as well as babies at the 6 week cheek -birth reflections services -a new maternity minister -more antenatal education But here’s the rub. We have one way to facilitate safe medical care and it has a wonderful tendency to substantially reduce life threatening complications and deaths in maternity care. And that is, quite simply, the implementation of science based medicine. Do we have evidence as to what the specific purpose of an additional 6 week check would be and that it would improve outcomes for women? Can grown women not decide for themselves if and when they need a GP appointment or are we going to fill GP’s surgeries with healthy women who do not need additional medical care over and above what is currently offered? Or do we risk women taking additional time, transport costs and effort to make 2 trips to a GP surgery instead of one? Do we have evidence that birth reflections service produce favourable outcomes? Or do we risk potentially doing more harm than good with non mental health professionals attempting to provide an ill-defined and not evidenced psychological intervention without any comprehensive mental health assessment? Do we give services the opportunity to divert women away from a formal complaints process if they are unhappy with the care they have received? What would a maternity minister actually do? Politics in health care does not always lead to sound healthcare policy or practice. Will we get what pleases the current zeitgeist of the electorate, something inevitably created and informed by the many businesses (including charities, because charities are also businesses) vying for influence and market share. Informed by scientific evidence about what would actually make maternity care safer and more effective… I very much doubt it. And antenatal education’s dark history of seeing to de-medicalise birth, promote “normality” and eschew pain relief leaves my blood running cold at the suggestion of more of it. Why do women need anyone other than the qualified health care professionals who are responsible for their care to influence their medical care?

@beckylt09 My GDM in pregnancy 1 ended up being T1DM. diagnosed when i failed my GTT early in second pregnancy and didn’t fit into the standard progression. Diagnosed very early in disease process and now just a very long honeymoon period/ slow destruction of my pancreas.

So if GDM=early diagnosis type 2 diabetes why are we not messaging as such? Why are we placing so much emphasis on it being temporary? Or we could at least place as much emphasis as prediabetes? 7/

Let’s talk Gestational diabetes (GDM) These are personal thoughts from me having GDM on child number 2. They have come from a couple of conversations lately that have made me think….. Thread 1/

Salma Hashim talking about the challenge of sepsis screening tools for CYP So difficult to find a tool that works Next step working on interplay with national #PEWS NICE tool used but another from Academy of Medical Royal Colleges - what’s best? #APEM #RCPCH24

Did you know? #T1Diabetes can present at ANY age Approximately 2/3 are diagnosed by age 30- and 1/3 thereafter Don't presume #Type Be aware of symptoms, treat with #Insulin (Pic courtesy @DiabetesAudit @DiabetesUK) Thank you 🙏🏽

@AdamRutherford I’m gonna blame my poor translation skills but rather than buy 6 baguettes I bought 6 lots of 6 on the French skiing holiday click and collect shop- my mum and dad picked it up and were rather surprised! 🥖🥖🥖🥖🥖

I accidentally bought a single banana in the weekly shop. What are your comical accidental size or number errors in online shopping?

@HeadSmartFellow @DrNickTwit My entire feed is split between the RCPEGM and RF conspiracies. One I understand the other I have no idea about!😂

@DrNickTwit I’m not gonna lie. I’m down the RF rabbit hole & I’m not sure why or how I’ve got here but I cannot currently get out. Expect to hear the full list of conspiracies when I see you next week! #sorrynotsorry

I've not been on here much, have I missed anything?