Ryan

nhs doctor,ED frailty interface consultant, passionate about Acute frailty, pragmatic prescribing in the elderly and end of life care.

[Ryan @RyanMasonBHSc]

@PaulaMc007 @MWLNHS @CNOEngland It was my genuine pleasure, thank you for your kind comments.

[Ryan @RyanMasonBHSc]

@GeriatricDr Combination of thoughtless, protocol driven medicine and an obsession with risk that is stultifying the care of the most vulnerable in our society. Just putting it out there.

[Ryan @RyanMasonBHSc]

@drewhill79 @dan26wales https://t.co/vrmcVtfsEu

[Ryan @RyanMasonBHSc]

@dan26wales Nope.

[Ryan @RyanMasonBHSc]

@KiriWest2 @3PM There's something funny about you be admitted in an insulin pump or a syringe driver with little fuss, but everyone loses their minds the minute they come across an apo pump!

[Ryan @RyanMasonBHSc]

@dan26wales The repercussions for dropping the c, f or t bomb are much more severe. Even if only done mentally.

[Ryan @RyanMasonBHSc]

@bigbaddoctor Aliens? The terminator?

[Ryan @RyanMasonBHSc]

@KiriWest2 Mine was the polite version for me.

[Ryan @RyanMasonBHSc]

@misstroll I think I can smell those shoes from here.

[Ryan @RyanMasonBHSc]

@KiriWest2 When I hear rotigotine patch

[Ryan @RyanMasonBHSc]

@DrSandyThomson

[Ryan @RyanMasonBHSc]

@DrSandyThomson The patients and their relatives look at me like I'm weird when I ask to see the patients shoes.

[Ryan @RyanMasonBHSc]

@dan26wales Corporate flunkies.

[Ryan @RyanMasonBHSc]

@dan26wales That show is purely a joyless cash grab, as they made the toys first then the cartoon to sell them.

[Ryan @RyanMasonBHSc]

@dan26wales Old people = wear and tear across multiple systems but can also suffer catastrophic component failure at any time as a natural part of the vehicles disintegrating trajectory.

[Ryan @RyanMasonBHSc]

@dan26wales Prof Robin Taylor has some really excellent talks on this, the phenomenon being known as discontinuity of care, focusing on a single issue, ignoring the over all trajectory of the patients illness e.g. pneumonia in end stage dementia.

[Ryan @RyanMasonBHSc]

@dan26wales If you don't get 2 mins of stunned silence, your jokes aren't dark enough.

[Ryan @RyanMasonBHSc]

@liambarker I'm northern as fuck and proud of it, never had it used as an excuse like that.Appalling. But its that attitude that when taking referrals I no longer ask for diagnosis etc, I ask how I can help. Get loads more info, context and actual clinical concern rather than just a referral

[Ryan @RyanMasonBHSc]

@lindzOT @Trisha_the_doc @RoyalFreeNHS @rachelnandy @RFTherapyTeam @Glacksie @patwizzbut1 @RachelAnticoni @_JoeMiddleton Found the problem, especially in ED, was not the ability to do it, but the willingness to do it and use it to direct appropriate management.