BCivil

EM Consultant

[BCivil @BCivil222445]

@DrLKVaughan @iDrSunny @parthaskar @Chonkubine @medicalmodelbri @Anisocyte @DocEmUK @mattster @2manypeople4me @Burnt2020 @Molly2323232323 @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK …and others on this important topic.

For me, and I acknowledge everyone is different, the way these conversations are toned is important.

Some of this feels useful, but much delivered in an unprofessional manner.

So I’ll hang up for now and maybe pop in again one day 2/2

[BCivil @BCivil222445]

@DrLKVaughan @iDrSunny @parthaskar @Chonkubine @medicalmodelbri @Anisocyte @DocEmUK @mattster @2manypeople4me @Burnt2020 @Molly2323232323 @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK I don’t want to get into a quiz about who I am as a person, rather than professional.

What I will say-is that I’ve never interacted or met any of you before (in any way that I ca remember).

But there are people like me who are keen to discuss and challenge both ourselves 1/

[BCivil @BCivil222445]

@iDrSunny @DrLKVaughan @Chonkubine @medicalmodelbri @Anisocyte @DocEmUK @mattster @2manypeople4me @Burnt2020 @Molly2323232323 @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK That’s more of the same again to me Sandeep.

Have a good day, and maybe speak again soon.

[BCivil @BCivil222445]

@clifford0584 @iDrSunny @DrLKVaughan @Chonkubine @medicalmodelbri @Anisocyte @DocEmUK @mattster @2manypeople4me @Burnt2020 @Molly2323232323 @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK That’s fair, I’m sorry you feel that way Thomas.

[BCivil @BCivil222445]

@DrLKVaughan @iDrSunny @Chonkubine @medicalmodelbri @Anisocyte @DocEmUK @mattster @2manypeople4me @Burnt2020 @Molly2323232323 @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK That may also be used as a convenient excuse to validate a certain style of communication.

As you will be an expert in Louella-you can deliver similar information in a different style; subtlety can either promote engagement or barriers.

[BCivil @BCivil222445]

@iDrSunny @DrLKVaughan @Chonkubine @medicalmodelbri @Anisocyte @DocEmUK @mattster @2manypeople4me @Burnt2020 @Molly2323232323 @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK I don’t think that is being kind, and to me I think that loses the validity in the discussion, which you appear to be trying to start.

That’s the line that I think stops others engaging in it.

[BCivil @BCivil222445]

@DrLKVaughan @Chonkubine @medicalmodelbri @Anisocyte @DocEmUK @mattster @2manypeople4me @Burnt2020 @Molly2323232323 @iDrSunny @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK Some do, but that’s not the case for all.

USA uses the fire service, others use nurses, some EMTs, some doctors etc.

[BCivil @BCivil222445]

@iDrSunny @DrLKVaughan @Chonkubine @medicalmodelbri @Anisocyte @DocEmUK @mattster @2manypeople4me @Burnt2020 @Molly2323232323 @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK That is a great question.

To me, in my specialty, with respect to advanced practice-I don’t think so.

[BCivil @BCivil222445]

@DrLKVaughan @Chonkubine @medicalmodelbri @Anisocyte @DocEmUK @mattster @2manypeople4me @Burnt2020 @Molly2323232323 @iDrSunny @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK It may have done historically, but multiple disciplines have evolved to meet current healthcare needs. Without some evolutions, I believe, healthcare would catastrophically worse. E.g the brilliant evolution of paramedicine

[BCivil @BCivil222445]

@DrLKVaughan @Chonkubine @medicalmodelbri @Anisocyte @DocEmUK @mattster @2manypeople4me @Burnt2020 @Molly2323232323 @iDrSunny @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK I didn’t accuse you of being such, but said that some may interpret the comment that way. As I believe you’re saying, style and content of such is important.

This platform can be an echo chamber with unchallenged staments, I’m only challenging how that sentence may read.

[BCivil @BCivil222445]

@DrLKVaughan @Chonkubine @medicalmodelbri @Anisocyte @DocEmUK @mattster @2manypeople4me @Burnt2020 @Molly2323232323 @iDrSunny @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK I understand the part about attitudes and interaction, which I think are learnt through training in multiple disciplines.

I think when talking about things like-a way of being in and interpreting the world-that it could start to sound narcissistic.

[BCivil @BCivil222445]

@human_frozen_ @SecretPhysician @iDrSunny @ConsUltaNT_ACP @timricketts_ @Molly2323232323 @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @2manypeople4me @rheumipainmask @XelenX1 @mancunianmedic @DrLKVaughan @Chonkubine @medicalmodelbri @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @Burnt2020 @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK And to me, your reply @human_frozen completely validates my point. Sorry

[BCivil @BCivil222445]

@Molly2323232323 @Megsenmumdr @SecretPhysician @iDrSunny @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @2manypeople4me @rheumipainmask @XelenX1 @mancunianmedic @DrLKVaughan @Chonkubine @medicalmodelbri @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @Burnt2020 @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK With respect-I was spending time with family.

To me you lose an ability to have a constructive conversation with tone like your message, the way that I’ve read it

It’s a really easy question to answer, but maybe let’s pick it up another time.

[BCivil @BCivil222445]

@2manypeople4me @Megsenmumdr @SecretPhysician @iDrSunny @ConsUltaNT_ACP @timricketts_ @Molly2323232323 @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @DrLKVaughan @Chonkubine @medicalmodelbri @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @Burnt2020 @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK They aren’t, in my experience

[BCivil @BCivil222445]

@Burnt2020 @2manypeople4me @Molly2323232323 @iDrSunny @medicalmodelbri @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @DrLKVaughan @Chonkubine @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK It’s voluntary in some departments, not all.

And this is semantics, but just as junior turned to resident, I think it’s important not to say they are working as a doctor but as ACPS

[BCivil @BCivil222445]

@Megsenmumdr @SecretPhysician @iDrSunny @ConsUltaNT_ACP @timricketts_ @Molly2323232323 @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @2manypeople4me @rheumipainmask @XelenX1 @mancunianmedic @DrLKVaughan @Chonkubine @medicalmodelbri @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @Burnt2020 @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK I’d imagine it can be confusing if outside of EM. It makes sense to me now after some time, but can see how it could be difficult for people to get a good appreciation of it from outside

[BCivil @BCivil222445]

@Burnt2020 @2manypeople4me @Molly2323232323 @iDrSunny @medicalmodelbri @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @DrLKVaughan @Chonkubine @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK I see benefit in both. But it’s okay to disagree

[BCivil @BCivil222445]

@Megsenmumdr @SecretPhysician @iDrSunny @ConsUltaNT_ACP @timricketts_ @Molly2323232323 @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @2manypeople4me @rheumipainmask @XelenX1 @mancunianmedic @DrLKVaughan @Chonkubine @medicalmodelbri @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @Burnt2020 @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK I don��t perceive Advanced practice a risk the same way that some others on here do, I see collaborative benefit based on my experience & specialty

I’m not worried about discussing nomenclature or the risk/benefit in EM, it could be very positive

I really value both Medicne & AP

[BCivil @BCivil222445]

@2manypeople4me @Burnt2020 @Molly2323232323 @iDrSunny @medicalmodelbri @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @DrLKVaughan @Chonkubine @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK I do know.

This isn’t the sort of conversation that I find useful now, it feels like it’s turning to getting angry. Good to chat though 👍🏻

[BCivil @BCivil222445]

@Megsenmumdr @2manypeople4me @ConsUltaNT_ACP @SecretPhysician @iDrSunny @timricketts_ @Molly2323232323 @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @DrLKVaughan @Chonkubine @medicalmodelbri @alisonleary1 @Mary_Tom11 @jacqui_lewis18 @parthaskar @Burnt2020 @cannula_service @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK Thanks