NHS worker, ED consultant love PoCUS and PEM
London, England
Joined July 2023
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Analise Harrison retweeted
Sometimes I advise a 9 day course of antibiotics just to see people's reaction
Analise Harrison retweeted
Two thing can be true
1) it’s reprehensible to be a medical voyeur and we need to protect patients from the unscrupulous people who do this
2) restrictions or barriers to prevent clinicians from accessing notes will stifle many aspects of training / professional development
I don’t have a good solution except to try to employ ‘professionals’ with scruples
Who even are these people that do this?
Analise Harrison retweeted
BYE BYE CHAVAN!
Handled it like an absolute baddie jasmine, queennnnnn ♥️
#loveisland #loveislanduk
Analise Harrison retweeted
How can you be given the monicker ‘sepsis specialist’ when you are not even trained in bacteriology, virology & mycology & therefore not able to prescribe agents to treat those organisms? So a ‘specialist’ that has to chase FY1s around while being paid more than them per pt seen.
Analise Harrison retweeted
Kids who grew up "academically gifted" are now socially anxious adults who have thousands of abandoned hobbies, struggling to make minor decisions on their own and develop a highly unfunny trait or they are doctors
Analise Harrison retweeted
I bet it’s a triple-blinded study: the patient doesn’t know who’s seeing them, the ACP doesn’t know what they’re doing, and the regulators are looking the other way.
Analise Harrison retweeted
Remember the controversy over D dimers years ago?It's exactly the same problem. STOP ORDERING D DIMERS ON LOW PRE TEST PROB PATIENTS! D dimers are like the C diff PCR. They are highly sensitive and highly non specific. Same issue. So yeah, only order test for mod-to-high prob.
Analise Harrison retweeted
Today was really bleak in A&E.
A department built for around 50-70 patients at once trying to manage 180+. Loads of unnecessary presentations but loads of sick people too.
Huge waits to be seen, huge waits for a ward bed, not enough nurses/drs.
Emergency care is overwhelmed.
Analise Harrison retweeted
The solution is simple. Read the email, laugh quietly to yourself, press delete and carry on with your day.
Analise Harrison retweeted
Here I am in 2020 in the flimsiest, most pitful PPE - like so many other NHS staff, some of whom died from the Covid they caught in their hospitals.
Tory peer @MichelleMone - who today rightly (& wonderfully) lost her legal case - dares to claim she’s been ‘scapegoated’.
What, Michelle?
For the £122 million you pocketed from taxpayers for delivering unusable PPE – at least £65 million of which went straight into your venal husband’s offshore accounts in the Isle of Man?
For being one of a small minority of corrupt grifters who saw a global pandemic as nothing more than a chance to get rich quick?
For caring more about lining your own pockets than the deaths of NHS staff & patients?
For being disgustingly cynical & avaracious - unlike all those millions of ordinary, decent Britons across the country who stepped up with such courage & decency?
I was given masks whose ear loops fell off & aprons so flimsy they ripped apart when you tried to put them on, Michelle.
Nurses and porters in our hospital died from the Covid they caught there, Michelle.
How dare you try to bleat victimisation now, Michelle?
You are the polar opposite of the values that should govern public life.
Repay what you owe & get your dishonourable form as far away from the House of Lords as possible.
Analise Harrison retweeted
ABG sampling is a discrete skillset.
Assessing, diagnosing, managing a patient isn't. That is the core function of being a doctor.
You can't taskify it. & we all know it, which is why the doctor is expected to be the supervisor.
But then that's not advanced practice, is it?
Analise Harrison retweeted
The NHS either needs a complete reset or doctors need to walk out en masse. For anyone who knows anything about surgical training, the hours put in, exams passed, etc, this is horrible to watch.
Analise Harrison retweeted
Hey Siri, define ladder pullers.
DBEs, CBEs, OBEs, Profs, a former RCGP president.
They all benefited from the golden age of the profession and want you to accept the dregs.
Vote YES to strike.
A thread.
1/n
Analise Harrison retweeted
and make no mistake
a lot of the warped thinking in the 10 year NHS plan around de-professionalisation, taskification, training on the cheap, magical faith in digital "solutions", league tables, illusory "choice" etc is straight out of the consultancy playbook
Analise Harrison retweeted
Dr Dash left the public sector for years to work for McKinsey who, along with other major consultancies have fleeced the NHS for £billions of low value advice which is responsible for a lot of our problems. Deeply hypocritical
thetimes.com/uk/politics/art…
