Tweet

Dr Kate Miller

7 Aug, 9 tweets, 3 min read

I know there are people curious about TikTok but see it as inacessible for a variety of reasons: unfamiliarity, what's the point, their own self-view as being non-tech, security concerns...but are still curious. The content is really good for the soul imo. Quick guide:

1. Download the app and make an account. Enter as minimal information about yourself as possible. I keep a separate email account for online shopping (to reduce spam) and use that. Don't use real birth date. Then...

2. Down the bottom of the screen, you'll see a magnifying glass or the 'discover' tab. Go into it and type in a topic that interests you with a hash in front of it. Suggestions: #melbourne, #sydney, #medicine #dancechallenge, #indigenous

3. The goal is to make the algorithm work for you. Tiktok tries to show you what it thinks you want and tries to force people of colour off the platform. The more you follow or like content that is left field to the main stream, the more it shows you it...

4. ...and outside the main stream content isn't actually antivaxxer conspiracy stuff. It's older people. It's disabled people. It's POC, indigenous people. It's science and history and medicine. It's everyone around you in real life that don't appear in the media.

5. And they all make completely awesome content. I have learned so much about the world and myself by watching what everyone has to say.

6. When you see a video you like, make sure you press like (the heart button), and subscribe. I also like to save some to my favourites. This makes the algorithm show you more.

7. I don't make content and I don't have a profile photo on there because you don't have to, you can just enjoy. I highly recommend just watching, and listening to people.

8. So when you're done adding some hashtags, click the home button at the bottom of the screen and start watching. If you don't like something, just swipe up and onto the next thing. Enjoy (and I'm not affiliated!)

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More from @DrKate_Miller

Dr Kate Miller

@DrKate_Miller

8 Aug

At the risk of getting eviscerated like last time I talked about the AZ vaccine, my suggestion for NSW is this. If you are eligible, get it. It is a good vaccine for a large outbreak. I wont insult your intelligence with comparisons made to risk of other things. 1/

What about deadly blood clots? People are calling it a "clot shot" right?
First of all, major props to everyone who has rolled up their sleeves, taken a deep breath, and gotten it. Major bravery on display there, major.

I want you to think about the way this is reported. Every time someone lands in hospital or dies with a blood clot, it gets reported in the news. Someone asked me if not reporting it was 'suppression' aka censorship...

Read 16 tweets

Dr Kate Miller

@DrKate_Miller

26 Jul

Here's a little thread on crappy public responses to pandemics of the past. Whenever you feel angry about the behaviour of your fellow man, remember, all this has happened before, and all this will happen again - history offers comfort. None of this is new. Enjoy.

1918 Influenza pandemic.

Read 10 tweets

Dr Kate Miller

@DrKate_Miller

11 Jul

My turn for a social media break friends. I thought I had last year packed up in a box but the covid ad is circulating, and keeps knocking that box off the shelf without my permission. But first, a rant. Content warning: avoid if you’re HCW or have lost someone to covid.

The ad you saw does not represent young people (in a functioning health system, which we have). They would never be left like that. For older people, it is a different story.

Ventilation, ICU, things drugs ending in ••mab, these all help us wait out diseases in well bodies. In unwell, ageing bodies, these things make the underlying problems worse, they accelerate the complications of ageing. Older bodies can’t tolerate the drugs used for ventilation

Read 14 tweets

Dr Kate Miller

@DrKate_Miller

9 Jul

Someone posted the other day asking the question - what is the word for the pandemic induced sheer exhaustion that everyone is feeling right now? I thought a lot about it, and can't find the original post to answer, but I think the answer is...

Grief.

Grief is sneaky. It's exhaustion, it's mood swings, it's wondering what life is all for, it's random tears and even more random laughs. It's a bit like diarrhoea in the way it comes and goes. One minute you're okay, the next you're really not.

And we all have so. much. to. grieve. Our jobs, our working relationships, the dreams we had for the future, if we have a future, our kids lives. Grief makes you wonder if everything is ever going to be okay again. You feel like you're in a dinghy in a tusnami.

Read 7 tweets

Dr Kate Miller

@DrKate_Miller

8 Jul

Data duplication in medicine, a rant. So much time is taken up in our job of re-entering the same data, for each patient across different medical services. Medications. Medical histories. Mostly static information (in geriatrics anyway).

Then, there’s the time wasted finding information (such as blood test results). No centralised access to any of this information. So for every patient, I will re-enter their medical history and what medications they’re on.

The level of error that gets introduced by duplication is concerning. Especially for residential aged care residents whose histories are long. I have residents on up to 45 drugs at a time. Databases all have slightly different formats and nomenclature for this stuff.

Read 9 tweets

Dr Kate Miller

@DrKate_Miller

11 Jun

I know everyone is focusing on the new changes to medicare but I want to point out something more insidious. The freeze on the medicare rebates for GPs. This is the single biggest erosion of Medicare there is.

What does this mean? The amount Medicare rebates for your visit to the GP is about $37. Usually this price is indexed (rises a small amount in line with wage levels) every year. Until it was 'temporarily' frozen in 2013.

Other specialties item numbers have continued to be indexed (please remember that GP is now a specialty too with it's own training program, I'm aware it didn't use to be) but not GPs. So they are running practices on 2021 costs but being 2013/14 wages.

Read 13 tweets

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