Donna Egbeare

Consultant breast surgeon at Torbay, traveller, feminist, runner, 5k your way ambassador, Exeter Chiefs fan, wine and food lover.

[Cancer Exercise & Physiotherapy Lab @CEPL_UBC]

Seeking reliable information on bone metastases and exercise?

Bridge communication between your healthcare and exercise professionals for safe and effective exercise?

Searching for an exercise professional specialized in bone metastases care?

https://t.co/tIW8IYDFTF

[Donna Egbeare @HappyScalpel]

#proud - well done team! Great to be recognised @TorbaySDevonNHS and thank you to all the patients who inspire us everyday to ensure people are thriving not just surviving after breast cancer treatment. Thank you for nominating us.

[Donna Egbeare @HappyScalpel]

Very proud to be the clinical lead of this amazing team!!! Well done everyone!

[Torbay and South Devon NHS Foundation Trust @TorbaySDevonNHS]

🙌 | And finally, our People’s Choice team award goes to the breast care unit. Well done team and congratulations to all of our winners and nominees this year 🏆

#OurPeopleCelebration

[carolyn garritt @carolyngarritt]

My latest post on Substack is about love, heat, cancer and menopause...
Oxytocin: ‘losing your Moxy is down to oxy’ https://t.co/p8kqtO2eCY

[carolyn garritt @carolyngarritt]

I am celebrating 10 years as a cancer exercise specialist. Here’s what I’ve been up to. #getyouroomphback #cancerrehab #bigstronglasses ⁦@MaggiesCentres⁩ ⁦@cancer5kYourWay⁩ ⁦@MOVEcharity⁩ ⁦@BreastCancerNow⁩ ⁦@silverfitorg⁩

[Truthoverdishonesty @Nigelj08223326]

We need to talk money to RETAIN our NHS https://t.co/vz4imrpTGY

We can’t afford to let the NHS fail

We must fix the leaky pipeline so that doctors can afford to get through their postgraduate years and keep the nation HEALTHY

@scammell66 @DacreJane @dr_ianjackson @joeurol

[Donna Egbeare @HappyScalpel]

@MedicsMoney Quick query - if a higher rate tax earner and get more than £8000 in relocation, even if over 2 tax years would I pay 40% tax on any amount over the £8000?

[Torbay 5k Your Way @Torbay5kyw]

What could be a better end to 2023 for @Torbay5kyw than having the best turnout ever 🤩

If you or anyone you know has been affected by a cancer diagnosis and you want to start 2024 with a SMILE 😃 come and join the chatty lot by the blue flag

Sat Jan 27th 2024 💙

[Torbay 5k Your Way @Torbay5kyw]

Only 🥉weeks to our next @Torbay5kyw 🤩 30th Dec 8.45am meet by the 🔵 flag! What better way to start 2️⃣0️⃣2️⃣4️⃣ than joining us each month to raise awareness about the benefits of exercise for anyone recovering from, living with or affected by cancer 💙 💙

[Dr Tony Goldstone @goldstone_tony]

Please do NOT leave this is any longer

If you haven't already, do it now. It takes 1 minto fill in the ballot👇, & please post ASAP

Government will trample all over us without a renewed mandate - its *ESSENTIAL* we cross the line.

Please ask your colleagues too & share/RT

[Dr Tony Goldstone @goldstone_tony]

This is quite literally, ridiculous 👇

[MOVE AGAINST CANCER Charity @MOVEcharity]

💙 Whether you’ve just been diagnosed with cancer, or are currently undergoing treatment or recovering from cancer, we’re here for you to help you live a better and healthier lifestyle.
🌟 One + One = Two
🤩 One + MOVE = A Family
➡ Find out more here: https://t.co/e46aVxEgyC

[Dr Tony Goldstone @goldstone_tony]

The Prime Minister @10DowningStreet said today "We were making very good progress before industrial action"

Waiting lists are a #PoliticalCHOICE

RT if you think this 👇was NOT "good progress" before IA & govmnt needs to change course #PayRestoration

https://t.co/sw7skshnwS

[Donna Egbeare @HappyScalpel]

So true….

[Rob Galloway @DrRobgalloway]

Thoughts on the NHS…..

Einstein said the definition of insanity is doing the same thing over and over again and expecting different results.

But this is what is happening in the NHS right now; hoping things will improve when just giving the same failing medicine.

As an A&E doctor, I am proud of what I do and would not want any other job

But I am getting increasingly demoralised that despite best efforts, it can seem like we are moving deckchairs on the NHS titanic and just applying a sticky plaster to ever expanding gaping wounds of deep routed societal problems.

The relentless pressures are getting worse and we are insane if we think the same solutions will solve the problems we have – even with more money and slightly different politics.

We need to have a different approach if we are to have a functioning NHS in the future

We need to look at the issues and potential solutions

1) A large amount of the problems we see are preventable - problems from poor diet, lack of exercise, smoking, drugs and crucially poverty and people’s lack of opportunity and optimism about the future. Efforts should be made to prevent the problems not react to them

2) We must ask ourselves are we doing too much for people and extending their length of life but not addressing if it gives them a quality of life that they would want. Just because we can do so much for patients, doesn’t mean we should.

3) On the whole, the clinician treating you now, are feeling less happy with taking on risk than those ten years ago – hence why there is often over investigation instead of simple reassurance. The risk of being complained about and being sued is one reason. But how to take risk is not taught explicitly and we are losing significant numbers of highly experienced senior decision makers such as GPs who have learnt these skills through years of practice and are replacing them with much more junior staff who are good at working within their defined skills and protocols but who do not have the training and experience to be good “riskaticians”. This is also true of algorhythm based triage systems where the default position is often 999 ambulance and A&E without consideration of this decisions on other patients whose care is delayed because there are only finite resources.

4) We are providing care in the wrong place. I see so many people who could have been cared for by out of hours senior decision makers who can make a judgment call to treat at home, rather than coming to hospital. Instead, paramedics have to bring these complex elderly patients into hospital where they are then seen by junior staff who often can over investigate and admit which leads to deconditioning and deterioration.

5) Medical services are designed around 9-5 Monday to Friday working. This needs complete overhaul so that the same quality of care is provided 24/7

6) The private sector is not the solution. Where profit becomes before patients there is often a hidden bias to overinvesting and over-treating. The money spent on private sector investment run diagnostic centres may well be used in a better way.

7) Mental health care needs to be prioritised as much as medical care. Both are under resourced but the lack of beds and community care for mental health patients creates enormous pressures on emergency services and crucially leads to unacceptable care for the most vulnerable of patients.

8) Any remodelling of the NHS has to be a phased approach – stabilise the current crisis with investment in community as well as hospital care and then longer term transformation so that we truly become a health service rather than a reaction to illness service,

9) Key to a needed NHS transformation is keeping experienced staff and the only way to do this is empowerment of their decision making, flexible working and appropriate renumeration and recognition. The biggest risk to the NHS is that staff will soon stop caring and just go into self-preservation mode. So worry when people like me stop writing messages like this, rather than when we do!

My biggest worry is that politicians won’t want to face up to these incredibly difficult problems and will try and kid themselves and us that a bit more money and tinkering will solve the issue.

It wont. We need radical new thinking now and the politicians to realise this. Without this, the NHS will wither away to be replaced by privatised medicine and the care which will all deserve, will only be available to the richest in society.

Please feel free to share these thoughts so that politicians of all shades can see the reality and thoughts of someone on the front line rather than just the sanitised version of the NHS they are shown.

Thank you for reading my post weekend literary catharsis

Rob Galloway , a tired but still optimistic (just) A&E Doctor.

📷

[Dr Tony Goldstone @goldstone_tony]

1/ V IMPORTANT & BREAKING:

McCloud part 2 consultation is out covering lots of crucially important aspects i.e. contingent decisions.

Extensive involvement from @bma_pensions in the response

https://t.co/XiREXKL3K0

[NAoMe @NAoMe_news]

📧 Have you read the summer @NAoMe_News newsletter?

Download it to read our FAQs - including how patient data are being collected #BreastCancer #audit

https://t.co/S91Hkq835e

@ABSGBI @RCSNews @TheMammaryFold1 @HQIP @WalesCancerNet @NHSEngland @NATCAN_news

[lucy gossage @lucygoss]

This blog resonated with lots of health care professionals during the last consultant strikes. It tells a different story to the one that will be told in most of the papers today and tomorrow about #consultantstrikes .

[MOVE AGAINST CANCER Charity @MOVEcharity]

💙 Nobody who is affected by cancer should face it alone and together we can ensure no-one will.
💪🏽 Let's show the world what we are capable of!
🌟 We're here for you, every step of the way.
🤩 Only one week to go until our next meet up! Are you ready?

[Rob Galloway @DrRobgalloway]

You only have to look at the current state of our health service, to realise that modern medicine, so good at treating acute illness but without as much attention on prevention and long-term illness, is failing our patients.

There is an inextricable rise in demand for medical care which is unsustainable. Unless things change, this situation will only get worse. And more and more patients will suffer.

As an A&E Dr, in many ways, I provide a sticky plaster to societal problems. We need to move our mindset from treatment to prevention of illness.

Only lifestyle changes can truly reduce demand and in the medium to long term preserve a healthy service for all and not just those lucky enough to afford private care.

Doing regular exercise is the single most important thing that anyone can do for their health and thus reduce demand on health care systems.

Two new studies have shown that even small amounts of exercise both for adults and kids can make a massive difference to both physical and mental wellbeing. In this week’s mail health article, these scientific papers are reviewed and the importance of exercise examined.

In summary, get out there, walk or jog; even small amounts are so good for you - you don’t have to do a 10K or a marathon. But if you want that as a goal, as the medical director of the @BrightonMarathn I can thoroughly recommend our races!

[Breast Centre Appeal @theBreastCentre]

**PLS RT - We have 1 charity space available for the @CardiffHalf - 1st October 2023.
If you're up to a challenge & can commit to raising £300 to support our @theBreastCentre please get in touch!
Entries close at midnight on 10/9/23 - email: [email protected]