#TotalTriage is failing patients w/ skin cancers which are often picked up by chance, when examining someone’s back, abdomen, limbs.
The normalisation of management without examination will lead to many more skin cancer diagnoses being delayed or missed.

thetimes.co.uk/article/0bb2c1…
#TotalTriage is a “non-holistic” form of medicine, which bares no resemblance to the job I trained to do when I did my vocational training.

@NHSEngland @DHSCgovuk & @MattHancock need to listen to what so many experienced GPs are saying before “embedding” this model further.

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Keep Current with Dr Ali G #NHSBlueHeart💙 #FBNHS #PleaseWearAMask😷

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More from @AlisonGeorge10

8 May
Good afternoon #PrimeMinister,
Reading the @Telegraph article below has caused me significant angst. As a healthcare professional who has seen just what #COVID19 can do, I am struggling to understand the rationale behind this decision.
🧵
@BorisJohnson
telegraph.co.uk/politics/2021/…
Just as we are unlocking cautiously you want to risk the lives of more individuals by removing one of the few mitigations in secondary schools?
We know that #COVIDisAirborne & that we have several #VariantsOfConcern here already.
Have you seen this chart #PrimeMinister?
V few <40s will be vaccinated by May 17th & while their individual risk of serious disease or dying is low, their risk of #LongCovid is MODERATE!
Many parents & teaching staff are <40.
The numbers of #NHS & teaching staff w/ it already are horrendous. Why put more ppl at risk?
Read 11 tweets
1 Apr
1) Morning @GavinWilliamson, just reading the update from @PHE_uk @GOVUK below ⬇️.
gov.uk/government/pub…
2) Wondering how this particular bit of advice ⬇️ will play out in schools & early years settings after #Easter?

Crowded poorly ventilated classrooms w/ up to 30 kids from different households are the very essence of HIGH RISK spaces. Dining rooms/PE halls could even be worse!
3) If I’ve understood it correctly anywhere in the RED AREAS needs extra attention?

INDOORS ✅
HIGH OCCUPANCY ✅
SILENT, SPEAKING, SHOUTING, SINGING, PHYSICAL EXERTION ✅
POORLY VENTILATED ✅
& NO FACE COVERINGS ⬆️ THE RISK
Read 13 tweets
30 Mar
1) Y’day I saw a patient who wanted this story told.

The 40+ yr old X was diagnosed w/ #Covid19 on 24th Dec.
X’s teenage daughter was sent home from school to isolate during the last week of term after a friend developed #Covid.
X was previously fit & well, on no medication.
2) X spent 2 weeks in January in hospital, followed by a month in bed at home.
By March X started to improve a bit but due to overwhelming symptoms of breathlessness on exertion, fatigue & “brain fog” was able to do very little.
3) X could not work & a referral to the #LongCovid clinic followed.

Over recent days X became more breathless & incapacitated which eventually resulted in hospital admission.
Read 19 tweets
28 Mar
1) I read w/ interest the 24/3 @hartgroup_org #Covid19 bulletin.

”..there is no evidence that masks significantly ⬇️ transmission when worn routinely in REAL-WORLD SETTINGS.”

A RCT of 😷wearing during a pandemic of an #airborne 🦠would surely be completely unethical? ImageImage
2)”...face coverings are fuelling widespread, irrational fear when the current viral threat is very low & the vulnerable have been vaccinated.”

The ⬇️in cases has completely flattened & the majority of vulnerable ppl have had 1 vaccine dose.
Fear of an #airborne 🦠IS RATIONAL.
3) “Hart believes the Government should now lift the *mask* mandate & allow ppl to decide for themselves whether to wear one.”

A group of scientists, healthcare professionals & psychologists etc believe THIS is the right moment to ditch the wearing of 😷s?
Staggering!
Read 8 tweets
28 Mar
1) Cases in schools have ⬆️ since schools fully opened on 8th Mar.
Everyone knew they would.
#SAGE predicted it.
UK schools remain NON #CovidSecure & 1000s of kids are isolating AGAIN.
Some clinicians are turning a blind eye & have joined the #antimask campaign.
#COVIDisAirborne - #MasksSaveLives & #VentilationMatters.
Smaller classes sizes & using #blendedlearning would protect individuals AND ⬇️disruption.
Advice on how to #MakeSchoolsSafe is abundant & accessible.
Why is it being consistently ignored by @educationgovuk? ImageImageImage
The Easter holidays give us some time & space to act, but while funding & political will are lacking, the school community remains very exposed to an #airborne🦠 that can cause severe illness, death & long term morbidity.

IT IS NOT TOO LATE TO IMPROVE MITIGATIONS & SAVE LIVES!
Read 4 tweets
19 Mar
1)Sally, w/ respect, why aren’t British children able to tolerate what children around the world are doing during a pandemic, WITHOUT COMPLAINT?
This virus can kill & cause long term debilitating illness.
It has caused devastation across the globe physically & economically.
2) Why wouldn’t we say -
“This is a difficult situation for us all.
We all want to come out of lockdown w/out causing more illness, death & effects on the economy.
To do this safely EVERYONE MUST HELP REDUCE TRANSMISSION.
We hope you want to be part of this.”
3) This is what I’d say to my children if they were still at school...

“Just for a few hrs a day, to let you all be in school together, PLEASE JUST #WearAMask & accept it’s not 100% comfortable but #MasksSaveLives & YOU can be part of the solution.”
Read 5 tweets

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