Dr. Sam Hey

ST4 Doctor Infectious Diseases/General Internal Medicine.
Clinical research advocate.
Climber and cricket fan.

[Dr. Sam Hey @HeySamuelHey]

Nasty flu season eh lads.

[Dr. Sam Hey @HeySamuelHey]

@ProfEllenO @VirtueOfNothing @dasairway @dastrainees @WAMM2025 @doctimcook @altgm @elboghdadly Nice work @DavidUrwin94 !

[Dr. Sam Hey @HeySamuelHey]

@Hairyloon @thatginamiller @TheBMA @ERunswickBMA There are guidelines that suggest a specific training and certain governance to be able to request radiating scans (IR:MER). This is due to the risk of radiation from unnecessary scans, typically a doctor but can order but certain allied health professionals if trained. Not PAs.

[Dr Nat 💙🌞 @sugarplumNat]

I have looked into having this done privately. I have a small amount of money put away towards a deposit for a house that I could use but can not cover the whole amount of the operation - it seems that health is now a privilege in the UK and this is terribly disappointing... 12/

[Raja Adnan Ahmed @drraja_]

Many resident doctors from across the country complain that they struggle to do workplace-based assessments.

Senior doctors may give them the impression that they are too busy & don't give them time.

Or in some cases, they agree to fill WPBAs, but don't do it.

This leaves resident doctors in a strange powerless position where they feel they can't repeatedly approach the seniors as it will annoy them & can't even complain about this as it will affect their working relationship.

I don't know what the solution is other than repeatedly reminding the senior doctors to be mindful of portfolio requirements & be kind to their resident doctors.

[platinumpizza™ @Xeon4f145d96s1]

There are no shortcuts to becoming a doctor.

[Ben Lovell @DrBenLovell]

‘Many patients have a rising creatinine during diuresis. This is NOT a sign of worsening renal function.

Creatinine is measured as a concentration in serum… a creatinine rise *associated with a haematocrit rise* is a sign of reduction in volume & effective decongestion’

👍🏻

[RCP museum @RCPmuseum]

This #Halloween sparked a conversation in our team about our favourite #skeleton images in our collections - so we thought we’d share!

& as a medical museum we have some great ones 😉

Which is your favourite in the thread below?

@rcphysicians #histmed #anatomy

[National AIDS Trust @NAT_AIDS_Trust]

To stamp out HIV stigma, we contact journalists to correct misleading/inaccurate reports on HIV.

You'd be surprised how many times we've had to say HIV cannot be transmitted through spitting...

Our reporting guide is now available through @IpsoNews🔻

https://t.co/2dw4AXfYIC

[The BMA @TheBMA]

It's been shown that doctors were unsafely replaced on medical rotas by PAs on 109 occasions, across 11 trusts over 3 months.

This appalling patient safety scandal must end.

Read our letter to @NHSEngland. And our response to @Channel4News revelations: https://t.co/DIEWTpmIAn

[Dr. Sam Hey @HeySamuelHey]

@RupertLowe10 If you had any experience - literally any experience - of treating people you would recognise that people should be able to hear information in the language they understand best.

Dog whistle stuff.

[Dr. Sam Hey @HeySamuelHey]

@oli_m_sims Congratulations!

[Dr. Sam Hey @HeySamuelHey]

@RoyalFamily @dieworkwear I assume you agree, absolutely no notes for either of these excellent outfits

[Dr. Sam Hey @HeySamuelHey]

@chaseomgbbq33 @TheBarmyArmy And it's the commonwealth games, where a lot of the members play cricket

[Dr. Sam Hey @HeySamuelHey]

@danfurmedge @RCPhysicians just finished a set of med reg nights. Look at my phone and see this.
Great.
Absolutely terrible representative and I think if Dr Furmedge should not have the position he holds in the RCP.

[Dr. Sam Hey @HeySamuelHey]

@jazzbluecat @MHLondon22 @THTorguk If someone is actively bleeding you'd probably wear visors to prevent splashes, which would be something worth knowing before attending.

I thought you meant universal precautions were discriminatory but I may have misunderstood

[Dr. Sam Hey @HeySamuelHey]

@jazzbluecat @MHLondon22 @THTorguk Can I ask why?
Gloves (universal precaution for ALL patients during procedures) reduce risk of bloodborne virus transmission in a needlestick injury.

I agree we shouldn't "warn" that someone is living w/ HIV. But I don't see how protecting oneself is discriminatory

[Dr. Sam Hey @HeySamuelHey]

@MHLondon22 @THTorguk But agree generally it gave the impression of "HIV = scary". Which we know shouldn't be the assumed case.

Stigma unfortunately persists in those not experienced with healthcare and it's worthwhile challenging it.

[Dr. Sam Hey @HeySamuelHey]

@MHLondon22 @THTorguk All HCSW should take standard precautions for blood exposures as if there is a risk of transmission.

I understand why they gave additional warning as there was active vomiting of blood (if I remember) as they may wear splash guards for eyes/mouth, which wouldn't be standard.