@kidney_boy Hgb is normal (unexpectedly so but not high) I wouldn’t treat at this point but i might if the TSAT dropped below 10 and / or if they had significant fatigue. I also would probably just give oral iron initially if I was treating .
@docprimarycare@hse@roinnslainte The pain goes both ways. Aren’t referrals a form of task transfer in the first place …..
Coherent governance need resourcing but it also requires cooperation .
Who should take care AKI in ICU ? Intensivists are great and Nephrologists aren’t bad either. Cooperation works ! Well done Bairbre @arusmuire @ERAkidney@uniofgalway
@DrTobyGilbert Is it really “all” on you ? Does the patient own any of the responsibility ? Call me paternalistic , call me old fashioned but all we can finish our best !
Noticing lots on #wellbeing mostly focussing on individual factors-You cannot ‘mindset’ or meditate your way out of what constitutes organisational injustice Sort out organisational factors in parallel- Food office locker job security rota reflection time team time etc #maslow
@DoctorAjaySingh Good point Ajay . Important to get that balance right . Although a different scenario the irish cervical check debacle involved an element of this dilemma .
@DrJohnDuddy Agree and the usual response of pulling out all the stops to facilitate the needs of the frail admitted to get them home only incentivises the admission pathway. If resources were provided in community initially ( or even preferentially ) we might actually have less admissions
Increasingly hospital (and acute medicine in particular is where frail older people whose home situations aren’t resourced end up and these are hard to sort TBH I wonder if prioritising resources to get these home reinforces the pathway of admitting them in the first place .
This article is infuriating. “Typically, hospital consultants are not rostered for work at weekends…” Consultants ARE rostered at weekends - most teams already employ a 7-day working week. I’m at work right now!
HAPPY NEW YEAR! 🎉 What a year 2022 has been! For our 9 lads in the mid-Atlantic, 2022 represents the culmination of years of preparation, training, & persistence. Although our teams are now just beyond halfway, to have even gotten this far is a massive achievement & something