If I hear any medical student ever describe the work of HCAs as menial, rest assured I would not want your assistance, paid or not, on our wards.

In fact you can go home, stay there, and never come back to the hospital.
Whilst I sympathize completely with having upcoming exams, needing time to study, and I will make the utmost effort to continue teaching you despite everything else, the most important lesson is that there is no task that is beneath anyone in healthcare if it helps the patient.
Also, here's a bit of training for free. If you ever find yourself writing a letter like this, write it, leave it for 12-24 hours, read it again (ideally get someone else to read it too) and think about how it comes off, then send it.
As I understand it, the medical students on our wards are being paid, as these are not formal clinical attachments. We absolutely should be paying AND ensure they have as much opportunity for education as possible.

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More from @drphiliplee1

17 Jan
Meet Lily, she is a cat who lives in Sum Shui Po, Hong Kong, in a grocery store with her owner Meher

Prepare for a while ride ImageImage
Twenty hours ago, Lily was outside the shop where she lived, she was well known in the neighbourhood.

Suddenly a middle aged woman picked her up, and ran off. The was captured on the dash cam of a nearby vehicle. ImageImage
Passers-by and store owners tried to stop the women, telling her that the cat has an owner, to no avail.

Distraught, Meher called the police.
Read 13 tweets
10 Jan
Under normal circumstances, most NHS acute hospitals will have several types of inpatient areas

1. Assessment unit
2. Specialty wards
3. Intensive care

As well as outpatients, emergency department, day case surgery etc.
Patients admitted from A&E would go to 1, then move to 2. Some might go directly to 2, sickest ones to 3.

In many hospitals, the assessment unit is vital to flow of patients out of Emergency Department.
Read 12 tweets
9 Jan
Forgive my naivete and general lack of understanding of fiscal matters, but it seems that the HMRC system of making the seller abroad pay VAT when selling to UK individuals either weirdly overcomplicated, or deliberately so to deter companies from selling into the UK.
Surely a more reasonable system would be:

1) seller takes payment without vat
2) seller goes to HMRC site, declares value, customs label and unique reference number generated
3) URN emailed to UK customer, who pays the tax and vat direct to HMRC
4) on arrival in UK, parcel is scanned, if VAT and tax paid, consignment sent straight to customer.
5) if not, consignment held until uk customer pays, or returned to sender.
Read 4 tweets
1 Jan
Common nonsense I hear about covid, a thread
"PCR has a lot of false positives"

PCR picks up genetic material, it doesn't tell you whether the virus is active or inactive. It does tell you the virus is there.

We use to same technology to convict criminals based on DNA evidence, is that good enough for you?
"well if covid is so deadly how can some people have no symptoms?"

Well idk both of these are car accidents how come people can walk away from the first one?
Read 8 tweets
31 Dec 20
All of our junior doctors. Every last one of them.
It's been a long year. It's been a tough tear.

You've fought bravely, proudly for your patients, your friends, your colleagues.

You're a special group. You've found in one another a bond that exists only in adversity, among brothers.
You've shared tears, comforted each other in dire moments.

You've seen death and suffered together.

I'm proud to have worked with each and every one of you.

You all deserve long and happy lives in peace.
Read 4 tweets
22 Oct 20
Periodic reminder that conservativism fundamentally object to the state being a provider, that assistance from the state breeds laziness in the worker.

And that unfortunately, much of Britain remains very conservative.

Therefore no one should be surprised by what's going on.
This is one reason BUI, despite *gestures at everything* will never catch on in the UK or at least England, because of the fear that it will discourage contribution to the economy.

Untrue, of course, but since when has politics been about truth.
Another major reason is the fear that someone, somewhere, may be taking advantages, and therefore the system must become a Kafkaesque Draconian labyrinth, in order to prevent this. No matter the cost.

See "benefit cheats" and "health tourists"
Read 5 tweets

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