agirltheycallBrian

ICM/AIM SpR. like diagnostic mystery, livers, obesity, health inequality, sustainability. love History&reading& Davy Doodles (she/her/Brian)

[agirltheycallBrian @Davemademedoit]

I have a diagnosis of #hEDS. Hypermobility impairs my life every day, but i do not let it disable me. I have pain every day, but I am not in #ChronicPain. I rage against it. I do not embrace it.

[agirltheycallBrian @Davemademedoit]

@nuwandiss Also he knows it will be published and read so it’s his way of telling people how electable he is for leadership.
Grandstanding at its very worst

[agirltheycallBrian @Davemademedoit]

@catherineroyuk @PutneyFleur @wesstreeting Most women who chose HB have already been offered the options you suggest before HB agreed.
That’s before you even get to the complex issue of consent in Labour. many women’s planned birth plan + idealised ‘natural’ labour don’t fit reality.. and MW/NHS have to pick up pieces

[agirltheycallBrian @Davemademedoit]

@catherineroyuk @PutneyFleur @wesstreeting JC had risks discussed antenatally. I’m sure both sides felt it was adequate�� until it wasn’t. That’s before you even get to the resources required to invest in hours and hours of informed consent and ‘adequate’ preparation for the comps of AMA home births.

[trauma doc @docborderless]

@AliJaneMoore No one that really has managed a complication of labour/ delivery can support the idea of homebirths. Unsafe, unpredictable, really dangerous if goes wrong. Most complications ocurr in women without risk factors and normal pregnancy its like playing russian rulet very bad idea.

[agirltheycallBrian @Davemademedoit]

@jabberwock951 @catherineroyuk @PutneyFleur @wesstreeting I don’t think they are condoned as such as women are told they can have the birth they want and are should expect guaranteed safety

[agirltheycallBrian @Davemademedoit]

@catherineroyuk @PutneyFleur @wesstreeting Support or resources they should to support a complex birth then who will be blamed/take responsibility..
‘Robust consent’ doesn’t prevent the reality of a dangerous and stressful clinical situation. When something goes wrong will that consent be considered ‘robust enough’ ?

[agirltheycallBrian @Davemademedoit]

@catherineroyuk @PutneyFleur @wesstreeting It’s easy to say ‘right to decline’ but the midwives are oncall and the birth not scheduled. Do they leave a women to labour alone or go assist against their better judgement of the safety?
When someone chooses to birth AMA and something goes wrong and the Mw don’t have the ..

[Dr Annie Hickox, Clinical Psychologist/Neuropsych @DrAnnieHickox]

@ProfRobHoward The constant public shaming of those suffering severe mental illness not only discourages support for mental health funding, but also demonises the most vulnerable patients.
The mentally ill are not monsters, they are too often vulnerable people let down by the system.

[agirltheycallBrian @Davemademedoit]

@dru_jlh Not a believer in the rainbow bridge so I will say the wisdom of Winnie there Pooh ‘how lucky I am to have something that makes saying goodbye so hard’
Thinking of Angus ❤️

[agirltheycallBrian @Davemademedoit]

@dru_jlh That’s so brave several times over.
I’m worried I will never be brave enough to say goodbye to my darling boy despite being a strong advocate for quality over quantity in humans. I hope I can make that count when it matters most but I’m dreading it.
Some people give chocolate 2!

[agirltheycallBrian @Davemademedoit]

@DrRobgalloway And we need to ask people more ro think more about end of life wishes and planning and thinking ahead about escalation decisions and be frank about outcomes from CPR/invasive ventilation in extreme age. It’s mad that people have funeral plans but not actual life plans.

[agirltheycallBrian @Davemademedoit]

@DrRobgalloway We are also flogging our elderly prioritising longevity over quality and expectations of what can be done to achieve this from public are increasing. Ten years ago if I told an 85+ year old they had cancer that had spread most would understand its unsurvivable. That’s changed

[agirltheycallBrian @Davemademedoit]

@recover2renew I think this article completely misses the point… that we over medicalise. I think there is research into why some people may be at risk of functional disorders- but then do we label different types of brain and start pathologising ‘Types of brain’ and response.

[agirltheycallBrian @Davemademedoit]

@ProfRobHoward I recommend Suzanne O’Sullivans book ‘It’s all in your head’ at pretty every teaching session I do - and I’m an intensivist!

[agirltheycallBrian @Davemademedoit]

@dru_jlh A bottle of champagne a deep hot bath and a good book. Maybe a takeaway. Sounds dreamy! Enjoying low key special days the older I get 🥳

[Bert’s Books @bertsbooks]

Giveaway!

I’m giving one lucky person the chance to pick one shelf of books from our Bertvent bookcase.

Follow and repost by midday on Saturday 27th and I’ll pick someone at random! Which shelf will you choose?

(UK only)

[agirltheycallBrian @Davemademedoit]

@bertsbooks 2nd shelf please and thank you Bert. Merry Christmas!

[agirltheycallBrian @Davemademedoit]

@goodreads 😬

[agirltheycallBrian @Davemademedoit]

@trentconsultant I do sort of have a low grade resentment of the people who have seen that they are living older than their parents and done little thinking/planning about their futures if they’re ill. But mostly the governments who have done sod all to prepare the infrastructure for it

[agirltheycallBrian @Davemademedoit]

@BrennanSurgeon @RoyalFamily My dad died 6m before I graduated from medical school- his anniversary was just last week. He wouldn’t recognise my life now and that’s hard to understand sometimes.
mum says he saw me as the dr I’d be when I picked holes in the med regs plan for him as a Yr5 student 😂
Congrats!