John Karampelas

[John Karampelas @JJkhellas]

@RepMichael2 Holy fecking gaslighting... lol

[John Karampelas @JJkhellas]

@thetopshelfmen Dom... hands down...

[John Karampelas @JJkhellas]

@setbysets The sad thing is though, he's not wrong. It is the worst thing you can do to yourself. And I am speaking from personal experience. Once you get to this level, it's next to impossible to u-turn. So much admiration for this guy for putting in the effort!

[ray @styledinred]

I think it's safe to say that Benson Boone is the hottest male performer we have right now and it's not even close.

[John Karampelas @JJkhellas]

@miraghini That marriage is gonna last a really long time... 🤣🤣🤣

[tiffany fong (retarded) @TiffanyxFong]

Look at this fucking retard

[John Karampelas @JJkhellas]

@miraghini That's a girlfriend? Jeebus.

[John Karampelas @JJkhellas]

@w23752946 Where's the rest!!?? 🤣😁

[Dr Haseena Wazir @DrHWazir]

Nine year old Dylan Cope died from sepsis. His GP had suspected appendicitis and sent him to hospital.

A paediatric nurse practitioner assessed him in A&E without reading the GP’s referral. His abdominal pain was attributed to flu and he was discharged without a documented examination by a doctor.

The coroner concluded that his death could have been avoided.

Dylan’s family have suffered an unimaginable loss. As a doctor working in general practice, what stands out to me is that his GP had recognised the possibility of appendicitis and referred him for further assessment. That concern needed to be heard and acted on.

When we refer a patient with a suspected serious illness, we need to know that the concern prompting that referral will be properly assessed. A different diagnosis may emerge, but the referral’s findings must be considered before a patient is sent home.

Dylan’s father told the inquest that he believed the practitioner assessing his son was a doctor. He also repeatedly raised concerns about appendicitis. Families deserve clarity about who is treating their child and to have their concerns heard.

This case raises serious questions about how referrals are handled and when an examination by a doctor must take place. Employers must ensure that supervision arrangements translate into the assessment a patient actually needs.

There is also a wider discussion about advanced practitioner roles. The BMA recognises their valuable contribution within healthcare teams. It calls for nationally agreed limits of practice and clear supervision requirements, with advanced practitioners supporting medical teams rather than replacing doctors on clinical rotas. Its position is that they should not independently diagnose or manage patients whose underlying condition has not yet been established.

I support those safeguards. Clear responsibilities protect patients and support staff to practise safely.

Dylan’s parents are asking for children referred to A&E by a GP with suspected serious illness to receive a documented, face to face examination by a senior doctor before discharge.

That is a call we should take seriously. They should not have had to lose their son to ask for it.

https://t.co/HTqzeDNBF4

[Simon Harris @SimonHarrisMBD]

Would you believe that some utter berk has just managed to get Catherine’s response removed by TripAdvisor. I’m buggered if I am taking this down though - it’s an eternal monument to this legendary customer service exchange.

[John Karampelas @JJkhellas]

Crafting Apps: seven open-source creative apps from ArtCraft https://t.co/lMniJMCSdc

[John Karampelas @JJkhellas]

@HankDesmondPhD What are you a doctor of? Stupidity? 🙄

[Common Sense 🇺🇸💙 @commons96055467]

This dude is good. He doesn’t talk like a politician. He says it like is. Abdul, you got this.

[John Karampelas @JJkhellas]

@bigea88 @TheApexDaily When any cop - regardless of race or colour - performs an illegal detention or arrest, yes, fuck them.

[John Karampelas @JJkhellas]

@KJINTHELAB @TheApexDaily oh THAT'S what the problem is. The white boy was committing a crime. And the PoC officer was doing his job... Properly? Obviously not since there was a settlement. People are defending the white boy because the officers abused their authority and didn't follow the law either.

[John Karampelas @JJkhellas]

@AmandaAchtman Another 'religious freedom' advocate, so long as it falls in line with your religious beliefs...

MAID is not a treatment - it is assistance to those who have competently chosen to end THEIR journey - not yours.

The oath of Do No Harm has many interpretations.

[John Karampelas @JJkhellas]

Attitudes like this are the reason there are so many people with body dysmorphic disorder, bulimia, and anorexia.

[Dimson @Dimson001789]

I think men being a little overweight like actor Theo James is attractive.

[John Karampelas @JJkhellas]

@BraddrofliT Ironic that she was sentenced to death for exactly the same thing they are doing to her.

[John Karampelas @JJkhellas]

@onorma_ It's common sense and common courtesy -- both of which deserve a revival.

[John Karampelas @JJkhellas]

@feelgoodtale LMAO. I needed that.🤣🤣🤣