Dr. Sam Hey

Nasty flu season eh lads.

@ProfEllenO @VirtueOfNothing @dasairway @dastrainees @WAMM2025 @doctimcook @altgm @elboghdadly Nice work @DavidUrwin94 !

Winner of the Dr Ralph Vaughan for best oral presentations @dasairway , Dr Benjamin Dally with runner up Dr David Urwin.@dastrainees Get your abstracts in for next Das @WAMM2025 in Florence Nov 5 ,2025 @doctimcook @altgm @elboghdadly

@Hairyloon @thatginamiller @TheBMA @ERunswickBMA There are guidelines that suggest a specific training and certain governance to be able to request radiating scans (IR:MER). This is due to the risk of radiation from unnecessary scans, typically a doctor but can order but certain allied health professionals if trained. Not PAs.

@thatginamiller @TheBMA @ERunswickBMA Is there some hidden risk from a scan which makes the lack of qualification important? Or is this just about wasting money on scans that aren't helpful? That is still a valid concern, I'm just trying to clarify.

Wes Streeting is right to call a review into #NHS physician associates, but should their roll out also be paused as @TheBMA are calling for? BMA's @ERunswickBMA: “We’re seeing PAs doing things, such as ordering scans they're not qualified to order and prescribing drugs they're not qualified to prescribe" bbc.co.uk/news/articles/… @BBCNews

I have looked into having this done privately. I have a small amount of money put away towards a deposit for a house that I could use but can not cover the whole amount of the operation - it seems that health is now a privilege in the UK and this is terribly disappointing... 12/

Many resident doctors from across the country complain that they struggle to do workplace-based assessments. Senior doctors may give them the impression that they are too busy & don't give them time. Or in some cases, they agree to fill WPBAs, but don't do it. This leaves resident doctors in a strange powerless position where they feel they can't repeatedly approach the seniors as it will annoy them & can't even complain about this as it will affect their working relationship. I don't know what the solution is other than repeatedly reminding the senior doctors to be mindful of portfolio requirements & be kind to their resident doctors.

There are no shortcuts to becoming a doctor.

‘Many patients have a rising creatinine during diuresis. This is NOT a sign of worsening renal function. Creatinine is measured as a concentration in serum… a creatinine rise *associated with a haematocrit rise* is a sign of reduction in volume & effective decongestion’ 👍🏻

This #Halloween sparked a conversation in our team about our favourite #skeleton images in our collections - so we thought we’d share! & as a medical museum we have some great ones 😉 Which is your favourite in the thread below? @rcphysicians #histmed #anatomy

To stamp out HIV stigma, we contact journalists to correct misleading/inaccurate reports on HIV. You'd be surprised how many times we've had to say HIV cannot be transmitted through spitting... Our reporting guide is now available through @IpsoNews🔻 ipso.co.uk/resources-and-…

It's been shown that doctors were unsafely replaced on medical rotas by PAs on 109 occasions, across 11 trusts over 3 months. This appalling patient safety scandal must end. Read our letter to @NHSEngland. And our response to @Channel4News revelations: bma.org.uk/bma-media-cent…

@RupertLowe10 If you had any experience - literally any experience - of treating people you would recognise that people should be able to hear information in the language they understand best. Dog whistle stuff.

It's estimated that the NHS spends £100 million a year on translation/interpretation costs. If you are receiving treatment in a British hospital, then English is the language that must be expected. This is not an unreasonable demand.

@oli_m_sims Congratulations!

Ever think how bloody wild it is that you can go from an absolutely terrible place to pure elation with one ping of an iPhone? Absolutely overjoyed to say that barring any badness I will be taking up the job I’ve been dying for in February.

@RoyalFamily @dieworkwear I assume you agree, absolutely no notes for either of these excellent outfits

🤝 The King has met the Head of State of the Independent State of Samoa, Le Afioga ia Tuimaleali ifano Va aleto'a Sualauvi II during a visit to the Moata'a Village.

@chaseomgbbq33 @TheBarmyArmy And it's the commonwealth games, where a lot of the members play cricket

@HeySamuelHey @TheBarmyArmy Ye but this is Scotland

Cricket has been cut from the schedule ❌

@danfurmedge @RCPhysicians just finished a set of med reg nights. Look at my phone and see this. Great. Absolutely terrible representative and I think if Dr Furmedge should not have the position he holds in the RCP.

@jazzbluecat @MHLondon22 @THTorguk If someone is actively bleeding you'd probably wear visors to prevent splashes, which would be something worth knowing before attending. I thought you meant universal precautions were discriminatory but I may have misunderstood

@HeySamuelHey @MHLondon22 @THTorguk What would you do differently if you knew someone had HIV? I have the assumption (I work in a laboratory) that every sample is treated as equally as infectious as the next one.

Genuine question … is this warning to an ambulance crew about an HIV+ patient nessecary? “Please just be careful.” If there is a patient and blood is concerned, surely all trained ambulance crews always take precautions as standard? 🤷🏻‍♂️ @THTorguk

@jazzbluecat @MHLondon22 @THTorguk Can I ask why? Gloves (universal precaution for ALL patients during procedures) reduce risk of bloodborne virus transmission in a needlestick injury. I agree we shouldn't "warn" that someone is living w/ HIV. But I don't see how protecting oneself is discriminatory

@MHLondon22 @THTorguk Totally unnecessary universal precautions for many years now. Discriminatory is what I think

@MHLondon22 @THTorguk But agree generally it gave the impression of "HIV = scary". Which we know shouldn't be the assumed case. Stigma unfortunately persists in those not experienced with healthcare and it's worthwhile challenging it.

@MHLondon22 @THTorguk All HCSW should take standard precautions for blood exposures as if there is a risk of transmission. I understand why they gave additional warning as there was active vomiting of blood (if I remember) as they may wear splash guards for eyes/mouth, which wouldn't be standard.