@sleepy__doc

Professional account. Geris Consultant with an interest in delirium, acute/critical care, MedEd and a good sauvignon blanc. Kindness is our biggest strength

 London, England
Joined December 2020
  • Tweets306
  • Following145
  • Followers1.5K
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As a northerner in a southern hospital I had absolutely no idea when to prescribe this medication
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I’m having a wave of patients atm with either challenging-to-treat or even refractory postural hypotension and I’m ngl I do find it a heart sink condition to manage
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Has anyone else noticed the BMJ is becoming increasingly critical of trans people and trans healthcare?
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For the first time ever in my career, the hospital has authorised doctors wearing shorts 😮
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I’m 5th in the queue but my call is very important to them
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New profile
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Me asking for an MSF at work
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I see your gallop rhythm and I raise you
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A patient with GI bleeding can be in shock despite having a normal blood pressure (Class 1 and 2 shock). A low blood pressure indicates Class 3+ shock, equating to at least 1500ml of intravascular volume deficit.
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5 shifts to go 😮‍💨
Tom@sleepy__doc11 Jul 2024
It’s so insane to me that in rotational training, you can end up at a faraway hospital that will make your life shit for a year. Do you understand how long a year of your life is?? A year of long commutes, sleep deprivation, cancelled social events, scrambling to get home
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Worked the weekend. Fri-Sun 8.30-21.30. No tube or trains so up at 6.15, home at 10.15. Med Reg for the entire hospital except Acute. And today? Three emergency emails and phone calls re events at the weekend. LEAVE ME ALONE
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New ‘worst blood test you’ve ever seen’ today- lactate 27
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I’m angry that some of my patients haven’t had bloods but who is it that forgot to put them out yesterday??
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Why is there so much Mycoplasma going around atm?????
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Pharmacist…tissue viability…physiotherapist…dietitian…this guy is the entire MDT 😭😭 #HouseOfTheDragon
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Managed a week on AAU without having to do an LP
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‘Lambl’s Excrescences’ is an absolute foul eponymous term. We need to rename that immediately
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*NEW* @TheBMA guidance for doctors who are pregnant or breastfeeding, and their employers: Full guidance here: bma.org.uk/pay-and-contracts…
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It’s so insane to me that in rotational training, you can end up at a faraway hospital that will make your life shit for a year. Do you understand how long a year of your life is?? A year of long commutes, sleep deprivation, cancelled social events, scrambling to get home
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And then you get to the end and realise over 500 hours of that last year have been spent commuting and I’ll never get that back. 12 months of stress and exhaustion just gone in a flash. And we sit back and just accept it bc we have to
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One thing I find weird is when med students are taught to do ICE right at the start of a history. Patients rehearse their histories in the waiting room, immediately asking them what they’re concerned about completely derails their narrative and imo affects rapport
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