partywmecrypto

[partywmecrypto @partywcrypto]

@NUCLRGOLF A knifed sand wedge, centre strike 9 iron, heel strike 8 iron, a fat 7 iron, a topped driver

[partywmecrypto @partywcrypto]

@Doc_IonaCollins It’s an unwritten rule unless there’s some major off the scale emergency you should avoid contacting the consultant “on call”

[partywmecrypto @partywcrypto]

@spraggy Not interested in winning the ticket but - nutsinho (RIP rich lyndaker)

[partywmecrypto @partywcrypto]

@PharmWise Staying praying

[partywmecrypto @partywcrypto]

@overstretcc93 The ironic thing about this is AI is already miles more efficient than most GP’s when it comes to reading blood results and planning the necessary investigations for undifferentiated presentations

[partywmecrypto @partywcrypto]

@HeldinEU @Neal94G Reassuring to hear that there is some secondary care specialists who are willing to refer directly to the relevant team (usually this gets bounced back to GP to make the necessary referral)

[partywmecrypto @partywcrypto]

@Neal94G @HeldinEU My point is that secondary care doctors need to take some responsibility for the patient as well. Simply adding “Gp to kindly….” on a discharge letter for onward referrals, prescriptions or investigations is not good enough

[partywmecrypto @partywcrypto]

@LostDazes @First_Neptunian HF nurses are not trained to assess a patient holistically, it’s all flow chart driven that does not take into account frailty / risk of falls.
Medicating someone with an ARB who is high risk of falling and has low BP will cause earlier mortality regardless of the HF status

[partywmecrypto @partywcrypto]

@Mike_kim714 @jamierkennedy I don’t see anyone beating this email… I can claim a rejection email for the “I’ve lost count how many years on the bounce” year.
Maybe one day.

[partywmecrypto @partywcrypto]

@DocEmUK Absolutely shocking what the governments are doing to general practice. They have set primary care up to fail for the final time this time around.

[partywmecrypto @partywcrypto]

@DrTweXet One of the patients letters I read last week - signed by “paediatric fellow” for an ophthalmology letter… needless to say the patient wasn’t filled with confidence at the management plan

[partywmecrypto @partywcrypto]

@ConsUltaNT_ACP Which one?

[partywmecrypto @partywcrypto]

@ConsUltaNT_ACP

[Adam Calthrop @TheEMboardround]

It is a sign of poor supervision/senior support, when an F1 Doctor gives >5L of IV fluids to an elderly patient with sepsis, rather than having a ceiling of care discussion or speaking to ITU. (Loosely based off a case a friend was involved with at a different hospital).

[partywmecrypto @partywcrypto]

@2manypeople4me @corneliusorj89 @ConsUltaNT_ACP Same answer as before - as long as the scope of practice is defined and followed
Of course medical qualifications are important (for now).
In 10 yrs time AI will be far better at diagnosing medical conditions than any human can.

[partywmecrypto @partywcrypto]

@2manypeople4me @corneliusorj89 @ConsUltaNT_ACP We’ve finally landed on something we can agree on

[partywmecrypto @partywcrypto]

@2manypeople4me @corneliusorj89 @ConsUltaNT_ACP Physios, pharmacists, nurses, paramedics are the roles best utilised in primary care (within their defined scope of practice)
Scope of practices vary a lot depending on background, experience, training etc.

[partywmecrypto @partywcrypto]

@2manypeople4me @corneliusorj89 @ConsUltaNT_ACP None of these provide any evidence of physios being asked to see unrelated MSK symptoms that are completely out of their scope of practice. I’ve been aware of some trusts pushing their luck but not to this extent

[partywmecrypto @partywcrypto]

@2manypeople4me @ConsUltaNT_ACP @corneliusorj89 “But I am pretty sure” - *face palm*
Have you made it out of medical school yet? Perhaps try talking to the patients and you might learn a thing or two.