[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
Also good to see that the public is aware of the number of teenage girls with Rapid Onset Gender Dysphoria #ROGD and the cultural pressure on young lesbians and gays to ID as trans. And the call for #NHS to publicise organisations with a more critical perspective.
Well done to everyone who pointed out that current #NHS professional training is provided by lobby groups such as GIRES who have no qualifications, and that training should obviously be provided by clinical professionals.
22/ @neil_parish Neil Parish, MP for Tiverton & Honiton
You voted to remove the EU Charter of Fundamental Rights & it's
enshrined constitutional protection for:
1/ Today's devolved #NHS is a complex federation of tens of 000s of orgs employing some 1.7m workers. It's combined annual budget is just shy of £150bn. It handles, overwhelmingly successfully, almost a million patients daily.
With each box maybe 000s of orgs, & England only:
2/ Unresolved public health issues & a fast-expanding multi-morbid elderly population, coupled with chronic underfunding & the blowback from the butchery of social care since 2010 means the #NHS is pressured as never before.
When you voted to trigger A50
you knew that regulatory alignment would be required for
Northern Ireland, as highlighted by the phase 1 report from 2017,
requiring both the SM & CU.
Does it not make sense to stay in the CU & SM?
Tell you what, Nick. When you and various colleagues can interview a politician whose views they might not share without interrupting every few seconds to force their own views in, let’s talk again about impartiality.
When you can at least mention tens of thousands of people demonstrating monthly against brexit, and to save the #NHS, maybe we’ll be able to agree there’s more balance.
When you can actually challenge the ridiculous assertions of some Tory politicians live on air, in full possession of the facts, maybe you’ll be doing the job of reporting as impartially as you can.
The violence in London appalls and terrifies me. A thread by an #NHS Doctor (and #Tottenham resident and father) /Thread
1. I’m a hospital doctor. My wife is a surgeon. We see first hand the raw catastrophic damage this violence is wreaking on these children.
2. Major trauma, whether that’s gun/knife/car, is dealt with at amazing units like the Royal London. The surgery can be brutal: chests are split like clams, abdomens incised within minutes, even whole arteries clamped shut. Anything to stop the bleeding, to save a young life.
1/ Yes there is more to it than GDP. Silver lining of #Brexit is it has woken up all of us Brits who are proEU. Before EURef we did not need to be active or engaged. Now we bloody well do because the future of our country is at stake. #FBPE#WATON#REMAIN#StopBrexitSaveBritain
I am a Romanian PhD student, teaching assistant & researcher. One of @theresa_may's praised "brightest and the best" whose "contributions are welcome".
This #TuesdayThoughts I want to share my story. Until I got to this point, I was in many ways an "undesirable migrant" ⬇️
My first experience in the UK was in 1997. My father got a temporary #NHS contract as there was a skill shortage. I attended the hospital's nursery for 7 months but my family chose to return to Romania. My mum was unemployed and my father had limited rights to work.
Meanwhile my parents got divorced. I attended a free school and skipped many classes in the last college years. Grew up mainly with "working class kids" sometimes doing dangerous things. But I achieved the highest grade in the Romanian Baccalaurate and this opened many doors.
THREAD (1) When the likes of Hannan feel the need to 'brush off' something so critical to the right-wing/neo-con #Brexit wet dream, we find digging a little deeper to be useful. After all, ground breaking 'shadow trade deals' with right-wing US think tanks is no small fish.
(2) In fact, given the growing negativity surrounding the #Brexit negotiations, compounded by the Govts' own damning economic analysis, one would have thought Hannan and Fox et al, would be shouting from the roof tops about their bespoke 'shadow US-UK trade deal.' Wouldn't you?
(3) The problem for our intrepid trade deal making duo, as almost always, is to be found in the detail; just what are, and who is, behind these neo-con US think tanks? Perhaps Daniel would enlighten us?
The Unholy Corruption Behind Brexit: What Do Brexiters want?
Brexiters lie about everything. Johnson, Gove, Davies, Mogg, Baker - they have all been caught lying. And why? Because the truth about their desire for Brexit is too unpalatable for the electorate to swallow. It involves the complete destruction of the post war consensus.
The extreme wings of both @conservatives & @UKLabour want this, for different reasons. I will start with the Tories.
I had another life-threatening heart/lung episode today.
I'm not sure how much of it had to do with my cutting my heart meds back to once a day while appealing the increased price by my health insurance from $120 for 60 pills to $1k for 60 pills.
We had to call 9/11.
I couldn't afford to go to the hospital--when you call 9/11 the city charges you $1,200 for the trip to nearest hospital.
They only accept cash.
The EMTs checked me out, told me to take the heart meds the way they were prescribed, established I wasn't in VFib, just SVT AFib.
So all day, instead of doing work that needs to be done, I have been trying to get my heart rate under 140, which given my lung meds increase my heart rate, has been more work: breathing exercises my PT taught me, single nostril breathing @HillaryClinton taught me (try it).
Like everyone else we’ve been practicing corridor Medicine on a brutal shift today. Moreover,we have two triages: normal triage and resus triage. Our 5-bed has been running with 7-8 patients. Each blue-light ambulance - and there have been MANY...(cont.) #corridorEM#NHSCrisis
...was no longer automatically going straight into resus as they would usually, but handing over in the usual place where we’d decided whether or not they were sick-but-not-as-sick-as-the-ones-already-in-resus. If not, they go into the corridor. If ‘big’ sick, we’d have to...
...decide which one of the pts already in resus was sick-but-not-quite-as-sick-as-the-new-patient, who would then give up their bay and be demoted to the corridor. Tomorrow I think we should just get Estates to take the swing doors off resus, they’re superfluous. This is...
Delia here decided to talk about her #brexit regret first thing Christmas morning. She sets out her reasons for her #leave vote in a number of tweets which I will thread below. All good reasons but now wants to #Remain - reason 1 ⬇️ #FBPE#stopbrexit
The good thing that Delia has done is being brave in coming forward on such a divisive issue. She has joined so many that are coming forward in saying she is a #remainernow - here ⬇️ is reason 2 for her original vote.
As Delia says here ⬇️ as someone who works in & cares about the #nhs she wanted to give it £££ (completely understandable) but like others she wasn’t aware this promise would not be honoured nor was she aware of the complexities like the Irish border!