1. Medicine is rapidly becoming an expensive hobby- working class people can no longer afford to become doctors given the poor salaries and huge debts on graduation.
I am the son of immigrants - I couldn't speak English until i was 5-i was born/ brought up in longsight, Manchester- in the top 3% of the most deprived areas in England.
2. My father had to work two jobs to support us. I went to a state school. My friend ended up in prison for holding up an off-licence with a gun.
I am the first person / only person in my family that has received an education over the age of 16 and to get into university (oxford)- the only reason I was able to do this was that I received a grant of around 2-3000£ from my council every year.
3. When I studied medicine we didn't have to pay fees, received financial grants if you were underprivileged, and had free accommodation in the hospitals. The salaries 23 yrs ago. When I qualified weren't too bad- I saved enough for a house. In contrast....
4. Doctors today do not receive such grants, pay tuition fees and leave university with debts > £100,000. they no longer get free accommodation and less comparatively than I did 23 years ago ➡️
5. If I was an 18-year-old lad now, with the same family background, I couldn't afford to do medicine- particularly when the job prospects at the end are so bleak.
The reason this is important is that people who do medicine should represent a broad section of society, not just the financially fortunate few
6. If we want to have a diverse workforce that represents the population they serve, we have to make medicine attractive again, to young people from underprivileged backgrounds like mine. This means paying them- so that medicine doesnt become an expensive hobby for the privileged few
7. Medicine is more than just science, it's about interpersonal skills and being able to identify with the experiences of your patients. I think it will be a sad loss for medicine if a whole stratum of society can no longer afford to go into this beautiful profession, and more importantly a whole stratum of society can no longer afford healthcare for them or their families.
8. Doctors are not being greedy to ask for a fair wage, paying some of our brightest people that have responsibilities of life and death, £14 /hr isn't right. The NHS can no longer go on like this.
Penultimately it will be for the general public to decide what they want for them and their families , and who they want delivering their healthcare.
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1. #ConsultantStrikes #NHS
➡️Today the press will be full of stories about fat cats, private practice, made up salaries, gold-plated pensions etc.
➡️ it will say that waiting lists are up and patients are being put at risk.
Please read this 🧵 and make your own minds up.
2. It is true that waiting lists are the highest they have ever been, there are excess deaths.
➡️ waiting lists have been climbing for 13 years - 12 yrs before any NHS strikes were in place
➡️ the increase in waiting lists is a political choice of the conservative government -… https://t.co/0om58ILijktwitter.com/i/web/status/1…
3. Politicians will say that they support the NHS.
➡️ Many of our politicians work for private healthy companies as consultants or are shareholders. Is that supporting the NHS?
➡️ look at the expansion of private healthcare services delivering"NHS services" (red dots) and MPs… https://t.co/jP9gSeY6cYtwitter.com/i/web/status/1…
1. Tomorrow i will be supporting the NHS #ConsultantsStrike
About Me:
➡️ I am a cardiology consultant / professor @UHNM_NHS
➡️ i was from a working class background, i went to a state comprehensive. My dad left school at 16, mum at 12. I am the first / only member of my family… twitter.com/i/web/status/1…
2. When I qualified (2000) we had no debt, stayed in hospital accommodation for free
➡️ junior drs leave with 100k of debt
➡️ earn less that i did 20 yrs ago
➡️ have had a real term pay cut of 20% over the past 13 yrs
3. Many will say that Drs have great pensions, earn money doing private practice etc
➡️ future pensions when you're 67 wont help you buy a house, pay your rent, feed your kids
➡️ most of don't do private practice
➡️ most of us will work for free- I have covered many on calls… twitter.com/i/web/status/1…
2. This was accompanied by a ⬇️in hospital HF deaths, but ⬆️⬆️ in community and residential home deaths. we estimate 280 excess deaths from heart failure, and an excess of 2,165 heart failure related deaths (HF anywhere on death certificate) @doc_ccc@onco_cardiology@ncurzen
3. Despite restructuring of services during #COVID19, standard of care appears maintained for ps hospitalised with heart failure with similar adjusted in-hospital mortality rates, but higher 30-day mortality rates compared to the Pre-COVID-19 period. @mirvatalasnag@ShrillaB
Walking up towards the summit of wales 2nd highest mountain Carnedd Llewelyn- didn't make it to top, got to 900m. If you go to Wales come here and don't bother with the Snowden. I literally saw one other couple, rather than hundreds of ppl in snowden @DrRajivsankar@VijayKunadian
3. #WorldCancerDay The greatest incidence of AMI in cancer pts is within 30d of Ca diagnosis, many treatments can ⬆️risk aswell as shared risk factors. We sought to study whether STEMI pts with cancer are less likley to get PPCI & whether they benefit academic.oup.com/ehjacc/advance…