nhs doc

NHS Consultant forever in-search of “work-life” balance…

[nhs doc @IR_warrior_]

@OrthopodReg Could you do a post to help post surgical trainees about SIMG pathway? Do you think its identical for surgical subspecialties or varies aka general vs ortho vs ent? And the costs. Thanks.

[nhs doc @IR_warrior_]

@farkomd Axillary cut down for access; Sma covered stent after POBA&IVL prep; would also then try non covered celiac trunk stent since we are already there. if surgical candidate, for bypass. If endo, for experienced visceral artery specialists only

[nhs doc @IR_warrior_]

@DrLindaDykes Meanwhile UK f1s get random allocation&treated like shit.

[nhs doc @IR_warrior_]

@DrRajeshG1 Love the clinical exam wisdom. May i ask…with a detailed clinical hx, no examination or investigations…can one diagnose this?

[nhs doc @IR_warrior_]

@hanansuhail99 @DrRajeshG1 When a prof of cardiology puts up an x-ray…its NEVER normal

[nhs doc @IR_warrior_]

@timricketts_ Base pay £100k minimum. Uncapped bonus based on performance - should be atleast hitting £200k.

[nhs doc @IR_warrior_]

@karananandpara @SIRRFS @SIR_ECS @SIRspecialists @keithppereira @KprasMD @kmadass @vascularIR @LessneVIR @SriniTummala @t_intheleadcoat @_backtable @IVISymposium @Vascular_India @iRadRock @TheRealDoctorOs @monteromiguel @IRadPatwary @iRadBIR_Chennai Can see entry and exit site on Lt IVJ.Then coursing down posterior mediastinum. If in the oesophagus would expect some free gas. Puncture might have been through&through - then everything via wire, US guidance. If this was done with fluro guidance then I dont know what to say…

[nhs doc @IR_warrior_]

@timricketts_ By being determined.

[nhs doc @IR_warrior_]

@Vish_Sharm Reject. This contract is for the streets…

[nhs doc @IR_warrior_]

@MStott88 ED do use CT to triage. I dont blame them…either its a normal 5mins CT to report or a 5mins abnormal one. If patient’s lucky a T1 tumour is incidenly found and investigated - this may lead to “over diagnosis/treatment” or genuine increase in “life expectancy/QoL”

[nhs doc @IR_warrior_]

@mmamas1973 Specilaists doctors need to form consortiums&offer services to the NHS/PP. This UK monopoly employer model dosent work.

[nhs doc @IR_warrior_]

@DrRajeshG1 @mmamas1973 Because the Govt wants to cut costs. It is government policy. The royal colleges adhere to government policy. So ultimately patient care is not priority. Bringing costs down is. And also controlling& managing PAs is easier than controlling doctors.

[nhs doc @IR_warrior_]

Well thats why hes the CEO of a broke ass CQC “requires improvement” nhs trust and not a FTSE 100 company lmao @HullHospitals

[Knifey McKnifeface @drjadouglas]

Best bit of induction?

Chief exec welcoming 200 doctors by saying he fundamentally disagrees with striking and they are harmful to patients so we shouldn't do it

#oneteam

[nhs doc @IR_warrior_]

@theveindoc The NHS just needs to collapse

[nhs doc @IR_warrior_]

@Xeon4f145d96s1 Because that would mean we prove how fucking useless PAs are lol

[nhs doc @IR_warrior_]

@DannyHartwell58 @SkyNews Nobody cares what you think danny boi. In the nhs soon Noctors will exclusively be treating you.

[nhs doc @IR_warrior_]

@theveindoc Hopefully groups of specialty consultants can get together, form a group and provide their services as a private entity to local GP, NHS&PP hospital groups. I hope the UK goes to that model. Soon. Very soon.

[nhs doc @IR_warrior_]

@theveindoc Because dentists have freedom of choice. UK is a monopoly employer. There is no competitive private sector. You have to risk it all and create your own. Until then at the mercy of trainjng program for ARCP&CCT. A lot of GPs and “aesthetic” Drs do full private.

[nhs doc @IR_warrior_]

@clifford0584 Family, friends and support network.

In any other country, you are just an IMG; Aus protects its own trainees and specialists (unlike UK) very well (aka getting into training; 10yr memorandum, needing residency etc). IMGs get the non training jobs local trainees dont want.