James

Junior Doctor. CT3 in Psychiatry. 🏳️‍🌈 30 He/him

[Kendall Rowan @kendallrowanx]

Booing the hydration break, booing American celebs on screen, refusing Americans trying a Mexican wave, genuinely makes you proud to be English

[Mayor of London, Sadiq Khan @MayorofLondon]

Complaining about nightlife when you *checks notes* choose to live in Soho is like living in South Kensington and complaining about the museums.

Or moving to Hackney and grumbling about creatives. Living in Richmond and hating green space. 

It's all getting a bit silly, isn't it?

[Sam Dumitriu @Sam_Dumitriu]

Southwark’s Planning Chair opposed a 860+ home development because locals couldn’t afford the new homes.

It’s a common misconception. So I’ve decided to explain the evidence showing how luxury flats can make housing more affordable on the Old Kent Road.

[James @Jrsn95]

@BadreNicolas And I can say this confidently as it’s exactly what I did last week oncall. 😆

[James @Jrsn95]

@BadreNicolas Very odd, because even as a resident psychiatrist (UK) I’d immediately stop the stimulants and consider starting treatment - though would want to weigh up if may resolve without.
What’s the reason in the US for the poor efficiency? Not something I’d usually associate with US

[James @Jrsn95]

@DrLKVaughan Perhaps I’m being very stupid but what does this entail for DNAR decisions for patients that lack capacity?

[James @Jrsn95]

@nuwandiss @SarahJH7777 @hundredfamilies True, usually only for a few weeks. But it’s embedded within the Old Age community team so that patients move between the two very seamlessly accessing more “assertive” care when it’s needed - without a rigid referral process.

[James @Jrsn95]

@nuwandiss @SarahJH7777 @hundredfamilies In West Sussex (Chichester specifically) we have an Intensive Support service for patients 65+ that covers both groups 😇 thought it was one of the best services I’ve ever worked in.

[Nuwan Dissanayaka @nuwandiss]

@autisticwitter @LizPeecock @MrsEmmaWebber @hundredfamilies Why did they scrap CPA?

Why did the focus move away from violence risk management?

Why did they cut beds?

Why did they try to abolish CTOs?

Why did stigma override public safety?

Why has supported accommodation declined?

Why has long term care been lost? >

[Nuwan Dissanayaka @nuwandiss]

@autisticwitter @LizPeecock @MrsEmmaWebber @hundredfamilies The #NottinghamInquiry will hear from so many people

It’s right that the focus should be on the clinical care

But it’s also important to understand the systemic issues

Who were the architects of the systems nationally?

Why did they scrap Assertive Outreach? >

[James @Jrsn95]

@BadreNicolas I feel the high use of Gabapentin can probably be linked to relatively limited options for Neuropathic pain.

[James @Jrsn95]

@BadreNicolas Pregabalin is definitely less “fashionable” in the UK now compared with a few years ago - with effort to deprescribe/avoid it especially in primary care. Though it still remain as 3rd line for anxiety in NICE guidelines I believe.

[matt bernstein @mattxiv]

doing an anti-trans hail mary while your career is in free fall because you outed yourself as a pedophile apologist

[scary lawyerguy @scarylawyerguy]

The media industrial complex would have collapsed on itself like a dying star if a Democratic president held a Roaring 20s themed party at a private golf club while millions of working poor in America were about to lose access to food aid but w/Trump it's fucking crickets.

[James @Jrsn95]

@puddlegrump Congratulations!

[Robert Howard @ProfRobHoward]

This has nothing to do with the NHS’s unpreparedness. If the drugs did something meaningful, we’d have all moved heaven and earth to deliver them to our patients. The reality is that they just don’t do enough to justify risks, cost and what we’d have to give up to fund them.

[Ian Birrell @ianbirrell]

Important letter in The Times from a doctor involved in mental healthcare 👇

[Plazzy Wazzy @Plasma_NYC]

“drag queens are dangerous” and it’s me reciting shakespeare on the @thekellymantle show (now streaming)

[James @Jrsn95]

@lewis_goodall Yeah I have approaching 90k debt now. I wouldn’t really mind except the interest is so high I’m basically trapped paying it off until it’s written off. My earnings are reasonable - but I don’t even pay off all the interest each year.