This week’s #10ThingstoKnow on Burnout is by Simon McCormick @DrSimonMc an EM Consultant at Rotherham. Simon spends most of his time teaching as he is in his 2nd spell of ‘burnout sabbatical’ but is slowly working his way back to clinical medicine
There is no specific agreed definition so this can make it difficult to diagnose. It isn’t about having the occasional bad day, or even bad week, at work but instead usually involves a sustained negative change physically, emotionally, behaviourally.
1/Children & young people with autism and learning disabilities who could be living in the community with specialist support are languishing for years in Assessment & Treatment Units, some of them locked up 24/7 in isolation rooms, bec of severe financial pressure on Local Auths
2/ At the same time, private providers running these ATUs are raking in profits, being paid £452m per yr in what has become a market driven provision where autistic and LD people are little more than commodities
3/ This in spite of the fact that caring for them in the community would be far less expensive not to mention far better for the individuals concerned, their quality of life, their security and safety and their wellbeing
I am a doctor in the #NHS.
Every scrap of evidence I’ve seen points to total disaster if #NoDealBrexit comes to pass. We must #StopBrexit - here is why. /thread
Thus far I’ve tried to focus solely on the facts, and the facts alone. Informed consent is the bedrock of medicine- I don’t believe anyone knew the consequences of leaving EURATOM or the EMA for example when they voted. Feel free to prove otherwise. /1
It’s not my job to tell people what to do. And I am not. If you still think Leaving with No Deal will be good for the NHS after absorbing all of the above, then that is your decision. You are wrong, but it’s your right to be wrong. /2
It is sad that the positive case for the EU has not been made more loudly. But equally dumb that few understand quite how brilliantly we have exploited the EU - we truly have rolled over Jonny Foreigner & stitched him up like a kipper.
We secured opt outs from the most toxic crap like “Ever Closer Union” & the Social Charter. We are not in Schengen and we will never join the Euro. We maintained the most flexible labour market in Europe. We did ALL this whilst ALSO having unfettered access to the Single Market
As a result, two truly great things happened.
1. We totally dominated EU capital markets. Today, governments and companies all over Europe are totally reliant on the City. We make an absolute mint out of this, it props our economy up. Pierre & Fritz HATE this, but there is
"#OrganDonation is an altruistic act that should be celebrated..." (p6)
So why not do that, and devote more resources to making donation easier - an approach that has delivered measurable results - instead of a regressive move to #OrganHarvesting? gov.uk/government/con…
Describing a *significantly narrowing* shortfall (cf. graph, also p6) in available organs is not a justification for a change to #OrganHarvesting; nor are emotive appeals. This reads like #PolicyBasedEvidenceMaking.
"We want... to change the culture around organ donation in this country in the longer term." (p7)
Stopping it being a gift, freely given, and instead the State 'deeming' you to have given permission will certainly change that! Presumption ain't 'donation' and will erode trust.
Now I've listened to this Podcast. My favourite bit is where @christopherhope suggests NHS staff have been "holding back" more British nurses and doctors to protect their wages and their interests. I kid you not. Here is the transcript: /2
Random #Brexit thread by middle-aged, white, Northern, working-class guy...
1. Before #EURef I knew little about EU. Decades of negative UK media had made me a bit sceptical. But I was not really “political”.
2. Got a Polish partner. Been together 18 years. Long before #EURef she’d started getting snarky comments from folks about being “over here” & “going home” etc. This got steadily worse & was kinda shocking.
Around 20 #NHS staff in a letter told - Theresa May of their “great sorrow and shame” that “hostile environment” immigration policies which she initiated are leading to needless suffering and early death.
[THREAD] Over the weekend, I ran a poll on initiatives aimed at improving access to #NHS#primarycare. While respondents probably aren’t representative of the wider population, I think the results are striking: what people want most is convenience. (1/5)
When discussing the #NHS in terms of privatisation I always think it's useful to equate what neoliberals and the private sector are doing to it as akin to a parasite infecting its host. The goal of a parasite isn't to kill its host but to extract energy to allow it to grow. 1/11
Ultimately the parasite seeks to reproduce and spread, much the same as private providers offering and supplying public services has spread and increased over the years. So what is the "energy" these parasites are extracting, and how do they know they won't kill their host? 2/11
The energy source in the case of the NHS is the Treasury, the "energy" itself is the national currency. These parasites know that the currency issuer (government) has an unlimited ability to create the currency, and provided the public doesn't learn this fact, they can 3/11
Dr Murphy downloaded the @babylonhealth App & tried the #Chatbot with a few simple clinical presentations. It quickly became apparent that the #Chatbot had flaws, raising the question if the App had been validated as a triage tool?
The UK has access to technetium-99m because it's a member of an international treaty facilitating its trade & movement. Without it, treatment & detection of certain cancers is much harder, waiting lists will grow and people will die.
Dad = 3 heart attacks, mystery neurological condition & recent brush with non malignant skin cancer. Over last 30 years, he’s had quadruple bypass, 4 x stents, life-saving therapies, drugs & consistent, 1st class care. Cost to him? A small % in taxes. I ❤️ the #NHS. @NHSVoices
Mum = Atrial fibrillation for 20+ years, many 999 calls for the times it got out of hand, followed by catheter ablation and regular follow ups by a super-skilled cardiac team. Again, no worrying bills sent, just a small % deducted from her wages during every year she worked.
Me and sibling = yearly checks to ensure we’ve not inherited any of the above. A few blips here and there, but so far, so good. ❤️
1/ Vitally need foreign investment has come to the UK because it has been the "gateway to Europe". What happens when the UK becomes a "gateway to nowhere"? The answer is we'll have to slash taxes on business & the rich, and scrap many regulations & workplace rights. #Brexit
2/ This is why the Tory Brextremists crave the hardest Brexit possible, because the harder the #Brexit the more Britain will be pushed towards becoming a #BrexitTaxHaven, the low tax, low regulation, low workplace rights, low welfare state Brextremists have been dreaming of.
3/ Here's Daniel Hannan revealing his dream of the UK as a "buccaneering, offshore, low-tax nation", and Brexiters Dominic Raab, Liz Truss and Priti Patel calling for Asian style low-taxes (for the rich) and an Asian Style work ethic to kick lazy British workers into line.
Despite(/because) her ME diagnosis they interpreted her low weight as anorexia. The gut/digestive issues as a result of ME go ignored. She isn’t the only #pwme to have experienced this. It is particularly tricky as an advocacy issue if people are sectioned for ‘anorexia’ not ME
It is a high priority for Dr education and I wonder if for new #NICEguidelines we need gut issues included as core to ME, rather than the current wording of IBS as a comorbidity issue?
Locking people in psych wards for this has to stop! @exceedhergrasp1@jenbrea@keithgeraghty