Emergentista/ Emergentologist | NHS Escapee | @TraumaMasters 2021 | Planting, eating, walking, cooking & skiing enthusiast |Answers to Elsa the Spaniel |
Melbourne, Victoria
Joined October 2015
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I hadn’t anticipated the overwhelming response & engagement to my tweet as @ASTC108 left the NHS. I’m trying to reply to everyone but I’m sure there’s some I’m missing so here are 🧵’s answering the two main themes:
1. Why are we leaving?
2.Aussie system v NHS
Lucie Cocker retweeted
🆕 Hypertension Classification
New AHA 2024 guidelines have omitted
❌Hypertensive urgency
❌Hypertensive crisis
Lucie Cocker retweeted
*SEXUAL HARASSMENT IN SURGERY*
One of these brave doctors is a friend. I know some of the turmoil they have been through
Please read this and sign the open letter to insist on greater sanctions for surgeon James Gilbert @wesstreeting @gmcuk
➡️ forms.gle/bvWrjeJA82HFPR548
FY2 Gen Med, reg didn’t show one am. Consultant said I should take arrest bleep for the hospital. Concerned I was too junior for that I asked could he take it -he said ‘no’, put bleep on the floor & walked off saying ‘up to you if you leave it there & let people die or not’ 1/3
At the time I was shocked and surprised by the lack of care for patients and colleagues relying on a senior to arrive in case of emergencies who if he had his way would get a new FY2, 12 months post graduation instead. 2/3
Very kind of Melbourne to pull out all the stops for @DrMattTuck visit.
One step closer to convincing him to emigrate…
Lucie Cocker retweeted
UK ED regs! I'm not here to convince you to move down under, as said before to each their own. But if you are interested - there's a lot of recruitment open at the moment.
I grabbed a list from the @acemonline bulletin & stuck it on a notion page here:
docdave.notion.site/Antipode…
Congratulations @DrMattTuck and also to the RCOA council for a wise and forward thinking choice. – at Melbourne, Victoria
We are pleased to announce that Dr Matthew Tuck has been elected to our Board of Trustees.
Our Board of Trustees is the College’s governing body and five members are elected from within Council.
Congratulations @DrMattTuck
ow.ly/lMiX50RgRtx
After years fighting for change it became apparent that whilst change was happening around us and to us it was only in directions detrimental to patients and staff.
In the ‘open prison’ I’m paid and valued better and patients get higher quality and more timely care. – at Victoria, Australia
'It's rats leaving a sinking ship, I wouldn't go to Australia if you paid me £1 million... it is like an open prison.'
As tens of thousands of doctors threaten to move abroad, caller Donna tells @TomSwarbrick1 'if you want better conditions you have to fight for change.'
Without a doubt the sickest medical resus I have encountered in years
@dianagoubrial your input here highlighted the essential role of specialist pharmacists in ED
I continue to be inspired and excited to be a part of the ED team @AlfredHealth we will miss you @DocSBroderick – at Melbourne, Victoria
Shout out to @DocSBroderick for his great #leadership during a recent #ED case and all those involved including @Lucie_Cocker & #nurses. Working and learning from such amazing colleagues is why I love coming to the @AlfredHealth #ED everyday! @EmergEdu @the_shpa #EDpharm
Lucie Cocker retweeted
If a PA took a prescription pad and hand-wrote and signed a prescription, that they know full well they cannot legally do, with a biro would it be a 'Pen and Paper blunder'? No, then this is not an 'IT blunder'... @Telegraph
I said I would send out an FOI to find out more information and would share when I heard back. (As apparently it’s my job to chase illegal prescriptions and not the CQC’s). Thank you @JanetEastham for investing this properly and thoroughly.
A short🧵.
telegraph.co.uk/news/2024/02…
Lucie Cocker retweeted
This is not good advice.
There are no dentists in the ED there is also no dental equipment. The ED staff are already so busy dealing with a huge number of other issues. If NHS dentistry is so broken that this is the only option we need to start thinking a lot harder – at Renfrew, Scotland
ITV News has spoken to a patient who was in so much pain she pulled out 12 of her own teeth with pliers because she couldn't get an NHS dentist.
'Somebody in that amount of pain must always remember that if they need to they can go to their local A&E,' the health secretary says
Readers added context they thought people might want to know
The NHS Accident & Emergency service does not treat dental patients unless there is a severe infection that could be life threatening by affecting breathing, swallowing or speech.
nhs.uk/conditions/too…
Lucie Cocker retweeted
The Royal Colleges need to decide whether the things we require of doctors are required for higher levels of practice.
If they are, then "equivalence" cannot be achieved.
If they aren't, then we need to stop forcing junior doctors to do them.
3/4
For anyone playing along at home/ also doing @RCollEM FRCEM Applications, turns out you actually do need to logic puzzle the selection… 🧵
1/5 – at Melbourne, Victoria
Turns out the options list re-orders on each selection and gives you the option that is now in the list position of your original choice.
I think I’ve been listening to too much @EscThisPodcast as this is starting to feel like a puzzle Dani might set.
BUT if you sequentially select 13th option in each alphabetised list from the bottom to the top until list containing ENT in 13th position (list starting Addiction Medicine) has reordered to first list and then select ENT it will finally select as Emergency Medicine.
4/5 – at Melbourne, Victoria
I must admit it’s the most interesting and unique selection process I’ve seen a college utilise to date.
Kudos to whoever @RCollEM designed this one. Perhaps @RCEMpresident is making use of his enforced bed rest?
@GCHQ will likely be in touch shortly.
5/5
#MedTwitter – at Melbourne, Victoria