Doc Em 🇪🇺

Family first. Care about what I do. Views entirely own.

[Doc Em 🇪🇺 @DocEmUK]

@JoeBangles11 This is genius.

[Doc Em 🇪🇺 @DocEmUK]

@valhumphreys51 Opposite. They reduce the risk.

[Doc Em 🇪🇺 @DocEmUK]

Memory problems are awful. It makes you look stupid, incompetent or that you’re not paying attention. Saying ‘you remember’ doesn’t help at all - just makes me feel worse.
I’m lucky this isn’t dementia, but there are so many phrases that people use when you don’t remember stuff that make you feel utterly useless.
Don’t question - just repeat or remind. Forgetting is not a choice or effort issue.

[Doc Em 🇪🇺 @DocEmUK]

Bluntly, this is crap. It’s not extra money, it’s just extra work. Ask a GP who their patients at risk are & we can tell you - we don’t need searches. We know family circumstances, individual preferences etc. They won’t come up in Ardens. We’ll spend more time ticking the boxes to try to maintain our funding than we will delivering clinical care.
This is a stupid idea and thick with spin. Shameful.

[Karin Smyth @karinsmyth]

This winter, we’re backing GPs with £40m to help identify people at greatest risk of becoming seriously unwell and needing hospital care.

I visited a GP practice to see how better, more joined-up support can help patients with complex health needs get the right care earlier.

[Doc Em 🇪🇺 @DocEmUK]

@Ella_M_Whelan @BBCr4today The rhetoric around breastfeeding is so very harmful. We need to support infant feeding. That’s really all that matters.

[Doc Em 🇪🇺 @DocEmUK]

@DrAnnieHickox Therapists may over-estimate trauma, but I think medics (at least non-psychs) underestimate it - especially in behavioural problems in kids.

[Doc Em 🇪🇺 @DocEmUK]

@DrGrumpy Only at the expense of something else, and badly. Not enough funding to do it well, and the money not new - just pinched from elsewhere in the pot. Likely to be net negative effect on general practice care.

[Doc Em 🇪🇺 @DocEmUK]

Most of the time people need admitting because they need treatments not available at home, can’t safely be left at home, or are at risk of deterioration so need regular observation.
We cannot achieve this unless you fund us to provide a bank of nurses to be physically present 24/7, a team on standby for sudden deterioration and immediate access to any investigation or drug we want. That’ll be a hospital.
By all means, give GPs the budgets for hospitals too and watch the NHS change.
Stop giving us headline amounts, which at patient level are tiny, and equate to a fraction of what’s needed to achieve what you want - and what others see currently getting big bucks for. It’s existing money anyway - so if we don’t do it we’ll be worse off - and it just brings extra work to tick the boxes.
Minimal benefit to our patients, more effort chasing dwindling money and less time for direct patient care.

[Coasting GP @CoastingGP]

I used to care about avoiding hospitals - but now I don’t

If a patient needs admitting, they need admitting

Sticky plaster approach doesn’t work

[Doc Em 🇪🇺 @DocEmUK]

@Parody_RCGP Make it a little one!

[Doc Em 🇪🇺 @DocEmUK]

@sophiebip1982 That’s one of the worst things about bipolar - dealing with the consequences of your actions, even if they’re completely out of your control. I once bit a policeman which I’m absolutely horrified about and would never ever do in real life.
Hope you have a good afternoon. X

[Doc Em 🇪🇺 @DocEmUK]

Today my son told me I was a crap parent (I removed the batteries from his Xbox controller as I felt he’d had enough screen time). Maybe he’s the only one who has spoken the truth.

[Doc Em 🇪🇺 @DocEmUK]

@TsarevnaTatiana @RacistReplyGuy6 @SteelyDanMxmlst Exactly this. Or even that you don’t want to die but feel you have no choice as your presence is damaging. You love so strongly that you sacrifice yourself because you truly believe it’s in their best interests.

[Doc Em 🇪🇺 @DocEmUK]

The reality between want to be fine, think I’m faking, and reality is incredibly confusing.

[Doc Em 🇪🇺 @DocEmUK]

@sophiebip1982 It absolutely is.

[Doc Em 🇪🇺 @DocEmUK]

@dave_dlt Ugh. Sympathies ++

[Doc Em 🇪🇺 @DocEmUK]

@sophiebip1982 It sounds awful, I’m so sorry. I hope you’re safe though. X

[Doc Em 🇪🇺 @DocEmUK]

@Northernlady678 Originally it was to do with the carbon footprint. Now national guidance on best clinical practice has it’s changed so blue inhalers are not recommended - they should be combined with steroid - they’re called MART and AIR therapy - worth a google.

[Doc Em 🇪🇺 @DocEmUK]

@czbikerchick They shape me & humble me. The thing that destroys me is moral injury and unfair expectations/criticism.

[Doc Em 🇪🇺 @DocEmUK]

These things never leave you. Families may have no idea what has been etched on our minds, but we really do care. 24y as a doctor, and more as a medical student, I have numerous cases that I carry with me. I think of each from time to time, even though it’s decades later. What the 16yo on his bike might be doing now; questioning whether I should have challenged my registrar in the management of the VT arrest; how the grandchildren remember their grandmother; what would have become of the stillborn child.
We care - deeply - and carry some of it all with us always. That is part of the privilege.

[Dr. Rafi @DrRafi_]

One thing medical school doesn’t prepare you for:

The patient you couldn’t save.

You go home. You eat dinner. You try to sleep.

The world continues as if nothing happened.

But somewhere, a family is learning how to live without someone they love.

And tomorrow morning, you’re expected to walk into the hospital and do it all again.