Harish Medagedara

GP, appraiser & educator

[Harish Medagedara @hmedagedara]

You know it's a Bank Holiday weekend.

[Harish Medagedara @hmedagedara]

Just had another Saturday giving #COVID19Vaccine @plasmeddygsurgery Excellent organisation by the practice manager and staff achieving a massive put through of 630 patients by 3 o'clock. Thanks @Tesco Ruthin for providing us lunch.

[Harish Medagedara @hmedagedara]

One of the most difficult things with palliative care these days is having a DNA CPR discussion with a mask, apron and gloves on myself and patient and family members all wearing masks and maintaining a reasonable physical distance. Loss of closeness is tangible.

[Harish Medagedara @hmedagedara]

@DrDylanParry @ParcEirias @PublicHealthW @bcuhb Health secretary would have paid a million pounds to someone he knew and still wouldn’t have achieved anything anywhere close to it!

[Harish Medagedara @hmedagedara]

I've just given to Odara's page. https://t.co/Kp3NgcC7pq

[Dalai Lama @DalaiLama]

Honest concern for others is the key factor in improving our day to day lives. When you’re warm-hearted, there is no room for anger, jealousy or insecurity. A calm mind and self-confidence are the basis for happy and peaceful relations with each other.

[Harish Medagedara @hmedagedara]

@NWISupdates How about mobile App WCP access to GPs?

[Harish Medagedara @hmedagedara]

Just waiting in the carpark of the local supermarket. Great to see that small but a significant minority have adopted the use of masks in their normal daily routines. #MaskUp #COVID19

[Harish Medagedara @hmedagedara]

@NWISupdates I've registered my interest as a GP but can't get on this using my usual way I use to access WCP on the PC. It will be useful for GPs as well to do home visits.

[Harish Medagedara @hmedagedara]

@chatterjee_in @adhiyamanv Not sure if we have had any legal challenges here, my guess is it's not the case in the UK. But agree, I suppose it will have to be targeted at individuals rather than general public in the future. I hope doctors will not have to play a big role on individual decision making.

[Harish Medagedara @hmedagedara]

Had fit testing done today - never thought it would be such a fulfilling experience - look forward to some normality on 17 Aug after months of shielding and #workingfromhome during #COVID__19

[Harish Medagedara @hmedagedara]

@KathrinJThomas I guess it's an attempt to bring back the general physician in hospital to complement general practice out in the community.

[Harish Medagedara @hmedagedara]

@chatterjee_in Agree. It's down to correct choice. I'm sure there's a lot we can achieve remotely, but it's not a substitute for F2F. I hope the usual target culture won't apply here in the future. I like the concept of digital first in primary care. It helps identify & manage workload better.

[Harish Medagedara @hmedagedara]

@DrDylanParry And they respond within 2vdays as they promise!

[Harish Medagedara @hmedagedara]

@chatterjee_in @RCPLondon @GlesniDavies1 @adhiyamanv @BetsiResearch @BetsiCadwaladr Thank you for writing this article, as you say assessing the intensity of the work of those who are working contributing maximally, albeit remotely, to support frontline clinical work would be an interesting study across different specialisms.

[Harish Medagedara @hmedagedara]

I have been shielding for 6 w in full-time work with remote consulting. It feels so hollow and have lost my sense of satisfaction and achievement to an extent I have never experienced before. Feel guilty bringing in occ patient for a physical examination by my colleagues.

[Francis Balmer @frab73]

Virtual consultations are merely an adjunct to our bread and butter of f2f. So many things eg HBP/BCC’s picked up as incidentals during proper consults. Would be disastrous to try to alter f2f as primary delivery model

[Harish Medagedara @hmedagedara]

"Having to take a nap during the day" (unusually for the individual) is quite a common symptom I hear doing my telephone triaging during #COVID19: anyone else have noticed that?

[Harish Medagedara @hmedagedara]

It would be great if we had @MicrosoftTeams on NHS GP computers @NWISupdates for us to virtually collaborate among primary care teams during #COVID19. Currently we use @vattsap and @googledrive for sharing info for #covidhothub in C&S Denbighshire cluster @BetsiCadwaladr

[Harish Medagedara @hmedagedara]

Dear @NWISupdates please turn on @MicrosoftTeams for us to help with virtual collaborations within primary care teams during #COVID19 @BetsiCadwaladr @NWDoctors @nwprimcare

[Harish Medagedara @hmedagedara]

@ArtfulDoctor @accuRx @TeamGP @TPP_SystmOne I hope employers will accept it with no signature