HEMADRI

Blogger Surgeon Improvement Yoga Food
Tweets are purely personal views & Not as an employee & never about my employer

[HEMADRI @H3MADRI]

Three things you can do to get your inguinal hernia repair right in UK:

Choose a high volume hernia surgeon
Choose a surgeon with low return to theatre rate
Choose a surgeon with low readmission rate

Note:
The 3 parameters are available to surgeons in the NHS.
#hernia

[HEMADRI @H3MADRI]

Inguinal hernias are a common problem. The practical results are not often as great as we imagine. https://t.co/L0Bk12se5q

[HEMADRI @H3MADRI]

@jpicnr @Jasonphilip8 Kerala also has a low pay crisis

[Louella Vaughan @DrLKVaughan]

That is required of the doctor in front of (well) everyone else shows what sets them apart.

The current reticence to display this has been to our detriment.

I am NOT calling for a return to ritual humiliation rounds.

But maybe we should not be so worried about being badass.

[Louella Vaughan @DrLKVaughan]

In some ways, the disappearance of the peacocking and ego makes daily life on the wards more pleasant.

But I also wonder whether this is one of the conditions that has allowed workforce substitution to take hold. 🤔

The demonstration of vast complexity and depth of knowledge
/

[HEMADRI @H3MADRI]

🔗 https://t.co/ZanudgUFEc

[HEMADRI @H3MADRI]

The NHS spends less on staff than most comparable systems.

So where does the ~£30-60bn difference go?

Find out
Thread 🧵

#NHS #HealthPolicy

[Dr Joanne Younge @JoanneYounge]

I saw 2 signs I had not seen before this week. One pleased me and the other did not. Only one was an accurate term and description. Please don’t describe #SASDoctors by what they are not #DifferentGradesNotMiddleGrades @theSAScollect #AbilityNotTitle #WorkplaceRespect

[HEMADRI @H3MADRI]

https://t.co/g3FoOrmBym

[HEMADRI @H3MADRI]

Acute/index/emergency cholecystectomy 1.4% mortality
Cholecystectomy at 6 to 8 weeks 0.2% mortality
UK policy pushes first option
Evidence supports second
Thread 🧵

[HEMADRI @H3MADRI]

@doctor_oxford The NHS already spends more on drugs than comparable systems

This will make it worse

[HEMADRI @H3MADRI]

Are UK health care staff paid well? The clear answer is NO

https://t.co/TbclnOfki2

[HEMADRI @H3MADRI]

@doctorcaldwell @WilliamHayesWo1 @wanderingwelch @mattster Absolutely spot on

[HEMADRI @H3MADRI]

@neilorpen @DrETKandi @DrMohitBhagia The GMC registration is at two levels only
The first level is that of a doctor who has FY knowledge and skills
The second level is the specialist register
The PLAB is set at FY level
To expect more than 2 years of UK experience does veer into modern slavery territory

[Sally Miller 💙 @sallyM.bsky.social @SallyMi83941850]

There is money in the NHS but it’s not going to patients….

Years ago when I first worked as a physio there was no private organisation in health, every penny went on clinical care.

Then it started. First with the cleaners. 1/5

[sunitha krishnan @sunita_krishnan]

@emirates @EmiratesSupport I am beyond angry at the way your different wings are functioning. You refused to board the passengers on some grounds of security clearance and now you want to declare it ‘no show’ and deduct the refund. What is the logic? Sick and tired of dealing with your customer care who just repeat some tutored sentences. Sort this out please. It is so frustrating

[HEMADRI @H3MADRI]

This is probably an assured route for IMGs

[Gus Hamilton @gushamilton]

Wow, that Cochrane review on nurse vs doctors is actually REMARKABLY bad. So, it's obviously an interesting question, and I was totally suprised to see there have been 19 RCTs comparing mortality between nurses and doctors (!). And the reported CI is tight RR 1.03 (0.87 to 1.21)+

[Matt @Mat_Forbes]

@HSJEditor @parthaskar Be sure to consider the flaws, limitations, and qualifications identified by the authors, peer reviewers, and professional bodies.

[HEMADRI @H3MADRI]

@ShaunLintern @cochranecollab "We have only moderate to little confidence in the evidence due to differences in the participants, interventions, and measurement of outcomes."

Say the authors in their original article

And yet it makes headlines via Shaun