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Peter English #FBPE Profile picture
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20 Nov, 8 tweets, 6 min read
Oh dear, BBC Any Answers is inviting callers to talk about GP access.

Happily not GP-bashing so far...
Oh dear, I spoke too soon. Ignorant non GP medic talking about how few hours GPs work, and about dreadful GPs who work part time.

Pass me the stemetil...

He needs to read @mancunianmedic bmj.com/content/375/bm… in @bmj_latest
@mancunianmedic @bmj_latest "I'm a retired teaching hospital consultant and I worked damn hard… BMA is run by the GPs"

I'm finding it hard not to swear.

@BBCRadio4 #bbcaq #bbcaa
Thank goodness, somebody who knows what he's talking about his putting the first caller right.
#bbcaq
@mancunianmedic @bmj_latest @BBCRadio4 What a…
@mancunianmedic @bmj_latest @BBCRadio4 Now they're criticising GPs for doing some private work alongside being GPs.

Why shouldn't they, if they meet their NHS duties?
@mancunianmedic @bmj_latest @BBCRadio4 And now somebody's saying the NHS should be privatised.

Great idea! At least it is for those who will make a profit from it.

But for the rest of us it will be much more expensive.
@mancunianmedic @bmj_latest @BBCRadio4 Now some woman is saying it's alright because "GPs are very well paid".

OK, you ignorant cow - what is their hourly pay rate? (I bet it's only about 10% what you think it is.)

#bbcaq #bbcaa

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More from @petermbenglish

Peter English #FBPE Profile picture
22 Nov
1/ The guidance on respiratory protection for Covid-19 is very poor; and, in the UK at least, it is extremely poorly enforced.

It is a condition of travel on Transport for London, for example, that passengers must wear a mask; yet I'm told that only a minority do so.
2/ I have seen reports of people being escorted off trains and buses in Germany for failing to do so. Why not here?

It made me wonder if there would be easier ways to enforce this.
3/ I thought about ANPR - automated number plate recognitions - and how this is used to issue fines for speeding, and charges for entering ULEZ and congestion zones.

Why could we not do something similar for face-masks?

Let's say you visit a shop, theatre or night-club.
Read 6 tweets
Peter English #FBPE Profile picture
15 Nov
1/ Thanks for this thread on the paper that came out today, Meg! @kallmemeg
threadreaderapp.com/thread/1460205…
2/ I guess it will take a lot longer - and a different sort of study - to estimate the proportion of asymptomatic infections it will prevent. Until we know how many people are prevented from being infectious, it's hard to know what effect three doses will have on transmission.
3/ BTW, can we please stop calling the third dose a "booster dose"? I'm pretty certain that this will eventually become a three-dose primary course (with subsequent reinforcing doses if necessary, eg if there's waning of immunity or if there are vaccine escape variants.)
Read 25 tweets
Peter English #FBPE Profile picture
13 Nov
1/ I use Endnote (20.2 (Bld 15709), to be precise.

It recently had a minor upgrade.

Now it's behaving oddly.

It's fixed one problem - previously it would revert all changes to a record if I deleted a pdf.
2/ This matters to me because it's often easier, when manually adding a reference, to copy a previous reference from the same author or publication, and then to edit the new reference. You don't have to retype a lot of details that were in the previous reference.
3/ But it's created another problem. Now, when you save a reference, the references shown disappear, and the selected reference is some random reference with a low record number.

This is annoying.
Read 6 tweets
Peter English #FBPE Profile picture
12 Nov
I was just at a Covid testing centre (accompanying somebody for a PCR test prior to a procedure).

I am shocked at the PPE used.

Staff wore gowns, plastic aprons, and magic gloves, as if dealing with a predominantly fomite-spread pathogen.
1/10
I've no real problem with the gowns and aprons - although they are likely a waste of money.

The gloves are worse than useless. They should be washing their hands with soap and water regularly (say, every hour); and using alcohol hand gel between patients.
2/10
Wearing gloves provides a false sense of security, and can reduce adherence to good hand-hygiene practice - you feel protected (although the gloves can spread fomites just as easily as bare hands can, if not gelled between patients).
3/10
Read 12 tweets
Peter English #FBPE Profile picture
9 Nov
1/ Following the Prime Minister's decision to be photographed, in Hexham Hospital, without a mask (despite everybody around him wearing one), I thought I'd look out the current guidance.
2/ (He clearly made a point of being filmed and photographed without a mask, and ensuring that those images were widely circulated…
3/ (…Whether this is a defiant dig at the mask-wearing rules he knows are necessary, but he hates, or another of his "dead cat" distraction ploys to draw attention away from gathering scandals, it was clearly deliberate.)
Read 13 tweets
Peter English #FBPE Profile picture
8 Nov
1/ I just made a complaint to the BBC about the use of visors without masks in clips on Strictly Come Dancing this weekend.

Please add your complaint at bbc.co.uk/contact/compla…

The text of my complaint follows.
2/ "We have known since early 2020 that visors without masks are worse than useless at preventing Covid-19 transmission.

"Despite that, many people believe that they are effective, and wear them in the false belief that they are protecting themselves and/or others.
3/ "As Chair of the BMA Public Health Medicine Committee, I was closely involved with BMA messaging to try to correct this false belief - I can't seem to find the infographic we created on the BMA website any more, but see eg bma.org.uk/news-and-opini… .
Read 9 tweets

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