Bi, Mian - MBBS PhD

@TheRACP What a tone deaf and absolutely dumb approach to this issue. This shouldn’t be an EOI, it should be a purposed led inquisition into why it’s an absolutely terrible idea to introduce PAs when you have college bottlenecks to ACTUAL doctors who want to do the job.

What role could Physician Assistants/Associates (PA) play in easing workforce shortages in Australia and Aotearoa New Zealand? What challenges might arise? Join the new RACP Binational PA Working Group. EOIs close Mon 23 June 2025 👉 racp.edu.au/expressions-of…

@newscomauHQ Terrible reporting and complete misrepresentation of what the paper says which is: in patients with a specific type of leukaemia, taurine supplementation used to counteract treatment side effects should be used cautiously.

An ingredient in a popular drink sold at supermarkets may elevate the risk of blood cancers, a new study has revealed. Full story: bit.ly/3GUI8Vz

@AlanForseth @JDVance Dude doesn’t understand what communism is. This happens in heaps of countries which are liberal democracies.

@JDVance Ummmm ...what's he's talking about is communism. Government dictating prices that PRIVATE companies can charge? YUP...that's communism

Boss is on fire today

@SLaforest2024 @MattGLilley Nah, GPs are in high demand. It’s just that it’s starting to become unaffordable to see a GP in Australia as many are converting to mixed billing practices.

Perhaps the centrepiece of tonight's Aus budget is a $7.9 bn increase in payments to GPs in an attempt to increase bulk billing and reduce gap fees. More free healthcare might sound great to many, but government spending isn't free, so it's worth examining what this will do.

@MattGLilley The point isn’t to switch those that are mixed billing to go back to bulk billing, this is to stop those that are considering going from bulk billing into mixed billing because of 2 issues. 1: the clinics are going bust 2: GPs are amongst the worst remunerated specialty in Aus

@nick_coatsworth When did you become an economist? The analogy is a terrible one. 2500 times over is utter nonsense and that’s projection across 10 years assuming no further tweaks. It also completely ignores about the recent Stage 3 tax cuts which has already done lots for bracket creep.

‘The government is stealing a $10 note from you and throwing back a $2 coin. Then doing that 2500 times over. Whatever happened to “earn more and keep more of what you earn”?’ afr.com/politics/feder…

@psychwrite So now the IRO states that people cannot resign from their jobs. This is hilarious!

Sorry, 198/260 public sector psychiatrists in NSW have tendered their resignation & it’s not all front page headline? Do people (& the government) understand what a catastrophe this is… if 76% of public cardiologists or surgeons quit, imagine the landscape? Solidarity to NSW 💪

@dale_sperring @psychwrite Even less psychologists in the public sector.

@psychwrite Replace them with psychologists!

More will come! And also it will spill over to other specialties and also junior doctors. It has been bad for years and now it’s just gotten so bad that doctors are being galvanised to action!

@doctorsexabuse @MdBreathe @elonmusk It’s not that rare and they can be done in the outpatient setting.

@MdBreathe @elonmusk Not a doctor here; I never heard of MRI of the heart? It must be rare. Grok is interpreting outpatient tests, not some hospital test. Cardiologists do their testing, no MRI, at their office. MRI gets done at a radiology scan facility, common is tests ordered by neurologists.

Try submitting x-ray, PET, MRI or other medical images to Grok for analysis. This is still early stage, but it is already quite accurate and will become extremely good. Let us know where Grok gets it right or needs work.

@axe_trades @ross_prager @elonmusk Lol, no. Unless Grok can intubate or pop in a drip as you are going into cardiac arrest, I’ll say my job is safe. This is about doctors trying to protect the public from dangerous claims of a poorly trained AI trying to diagnose medical conditions on incomplete dataset.

@elonmusk When is the @US_FDA going to shut this down?

@DrJaneMunro @ShaunLintern NSW, ACT & NT should join the Public Hospitals Pharmaceutical Reform Agreement so patients can get a 30 day PBS script for their medications rather than 5 day supply from the hospital which nearly always run out before they manage to get into their GP. #stupidshitinhealthcare

For anyone in Australia interested in healthcare reform or perhaps even just our old favourite #stupidshitinhealthcare have a read of this epic *ideas thread* for the NHS’s new boss Wes Streeting (Secretary of State for Health and Social Care) Thanks @ShaunLintern

@ketopete2023 @EricTopol @NatRevCardiol Humans only started living long enough for this stuff to matter in the last two centuries or so. In the 1800’s life expectancy was less than 40. Evolution has not caught up with the advances in modern living, excess of nutrition and medicine.

So more importantly, what is the cause of this LDL-C health problem? Humans have been designed to use cholesterol to transport vitamins & hormones around our bodies since time began, and now you're saying it's harmful? What are the factors that are now making it harmful? Has anyone mentioned sugar, or are we all reaching straight for the medications? Who is to benefit from these graphs? I can't see anywhere that shows how lifestyle choices can alter the curve. Sorry, but I do get tired of stories of cholesterol being the bad guy.

The cumulative exposure to elevated LDL cholesterol over time and its magnitude drives atherosclerosis and is preventable with early intervention nature.com/articles/s4156… @NatRevCardiol

@DGlaucomflecken You mean one of the three power switches? Why are there so many anyway.

I just always assume the ED slit lamp doesn’t work. Then it’s a pleasant little surprise when it does work. Also you’d be amazed how many slit lamps I’ve fixed by turning on the power switch

@Xeon4f145d96s1 Honestly an electronic handover guide for each department with all the tips and tricks is all you need to get up to speed on most things. Knowledge of when and where meetings are held is hardly considered clinical competency

I love seeing PA propaganda like this. It gives us an insight into their hubris. Every doctor that graduates is competent for safe service provision. Knowing how to print something doesn’t make you safe, not prescribing propranolol to the “anxiety” patient makes you safe.

@EdgarMoose43433 @AMHoste @Dr_Done_ Nah, PA’s don’t exist in Australia.

Doctors are fed up. PA in theatre doing the doctor’s job, then bossing the doctor about via a nurse. Despicable. Our roles and achievements have been hijacked, and we need to start claiming them back. ☠️ ☠️ ☠️

@Trading_Sunset @YouAreLobbyLud I don’t think you even understand what you just wrote. And it’s CO2 not C02.

@YouAreLobbyLud A masker who hates C02 Figures. Estimated mRNA shots for Berger: FIVE

Just boarded a Dash 8 on the first of a series of flights to remote Australia for locum work. Why would I NOT safeguard myself and instead risk losing that income and leaving a remote community without a doctor? Makes no sense to me.

@DoverMarian @norevanephrine @RuralDoctorsAus Not rurally. The competition to get into medical school is so tough that students will agree to anything to get a spot. Look at the University of New England’s medical school and how many of their students actually went rural post specialisation…

@norevanephrine @RuralDoctorsAus The Department has been trying to fund greater numbers of rural clinical school placements, and they seem to be over subscribed in many universities. But where do they all go after graduating??

The misconceptions about rural medicine are so deeply entrenched that here we are in 2023 still trying to get past them. I’m rural by choice. It’s the badass medicine that has challenged and fulfilled me more than any other. #MedTwitter #DestinationRural @RuralDoctorsAus

@THTpodcast The view that one needs to live rurally to service rurally needs an overhaul. The funding models and support structures to get the specialties including GPs out into the rural areas just doesn’t exist. Funds such as RHOF help, but their scope and funds are limited.

@THTpodcast It’s all about service provision and portability of those services. The heart attack example is clear in that the best outcomes are achieved with angiograms and stenting. However that requires a cath lab and the people to run it 24/7. This isn’t available rurally.

There is an urgent need to close the healthcare gap between city and rural areas in Australia. 'If you live in the bush, you're 44% more likely to die from a heart attack.' 🫀 How can technology help level the playing field? 📲 #healthtech #digitalhealth #healthequity