Prebashan Moodley

[Phil Smith @PhilSmithIsBack]

Brief thread 🧵A few years ago now I spoke out passionately about the major risk for the NW region of having one unit only being allowed to perform intestinal failure surgery. I also explained how it would devastate the Liverpool unit and staff would be lost 1/

[Prebashan Moodley @PrebashanMoodl1]

@DrStefan33 @veggieequallife I don't think you have any idea what you're talking. Being forced to rotate doesn't equal geographical flexibility. Pay progression depends on competitive entry at various points. Locum/private work are variable and certainly not constant. Our weekly average is 48hrs (?3 days)

[Escoffier’s love child 🦀 (🗑️ 🔥) @mouseter_chef]

I see membership of @TheBMA as essential & don’t resent these subs

I also think the 190,000 members won’t resent £2 of their annual fee being donated to @AnaesUnited legal case against @gmcuk attempting to ensure proper, safe regulation of associates’ scope

RT if you agree🙏

[Phil Smith @PhilSmithIsBack]

We have a crazy situation whereby in the future we *could* have GI consultants in AE seeing the COPD pts, whilst the GI bleed pt is being scoped by a PA who when the going gets tough defers to the GI cons whose training received less priority than the PA... #makeitmakesense

[Prebashan Moodley @PrebashanMoodl1]

@thatsnotmine125 @D__Melb @pa_StephenNash Shit evidence is worse than no evidence.

[Prebashan Moodley @PrebashanMoodl1]

@thatsnotmine125 @D__Melb @pa_StephenNash This is poor evidence. The methodology is poor and barely models clinical reasoning. Also I wonder whether the funding/role of the lead author has any role on how the studies conclusions are drawn. Please try better.

[Ross Prager @ross_prager]

(1/x) A cardiac arrest patient is the most unstable patient in your hospital - they just died (temporarily)!

They are at very high risk of dying (again) until you know what exactly is going on.

Here are my 10 top tips to preventing your temporarily deceased patient from becoming permanently deceased.

A 🧵

#medtwitter #foamed #foamcc #echofirst #CPR

[Prebashan Moodley @PrebashanMoodl1]

@thatsnotmine125 @tonihazellgp @theveindoc @davethegp @Shr_Nottingham We are not talking about your contract. And isn't mandatory obligations under terms and conditions of employmeny contracts covered under contract law.

[Prebashan Moodley @PrebashanMoodl1]

@thatsnotmine125 @tonihazellgp @theveindoc @davethegp @Shr_Nottingham You're wrong. Our contract states that employers must allow leave for life changing events if requested 6 weeks before the date. A simple Google search would show that to you. In the above case, the rota team were being obstructive, and you could just involve the bma.

[Prebashan Moodley @PrebashanMoodl1]

@thatsnotmine125 @tonihazellgp @theveindoc @davethegp @Shr_Nottingham The solution would be involving the bma. It's contractual to be offered leave for life events.

[Prebashan Moodley @PrebashanMoodl1]

@thatsnotmine125 @RobLaurensonD4P @tomhfh @wesstreeting How do you know they've successfully filled the roles? Did you work over the strikes, before or after? A body in a role does not make it successful.

[Prebashan Moodley @PrebashanMoodl1]

@xxsnzz @stephenrhughes That's not really answering the question. 10 members of the acute medicine team displaced for a matron. Both deal with confidential information, but I'd argue not having adequate space for the medical take team really impacts flow and patient safety.

[Prebashan Moodley @PrebashanMoodl1]

@surfdoctor @UKGastroDr Fair enough. Then definitely should not be doing the procedure. It seemed it was the dead brained variety I mentioned earlier.

[Prebashan Moodley @PrebashanMoodl1]

@rhys_elgumati @UKGastroDr No doubt. But if for example the patient died of hypovolaemia post op because nobody checked obs/pain/general condition post op and it was not escalated to anybody. Is that a system fault or surgeon fault. I'm not defending, but this is what I think.

[Prebashan Moodley @PrebashanMoodl1]

@JonnyBlackwell @FarhadPeerally2 @UKGastroDr Sometimes it's a systems cock up that causes ascitic drains to be left in longer than they should. Wards unfamiliar with these have staff that don't manage them well. I would only ever put drains in hepatology, mau or ambulatory wards where I am certain they can be cared for.

[Prebashan Moodley @PrebashanMoodl1]

@thatsnotmine125 @DrInsurgent Why? I don't have figures, but due to the rotational nature of doctors training, most doctors would be traveling from further afield to the hospital.

[Prebashan Moodley @PrebashanMoodl1]

@thesalariedGP So sad that that they've run with this click baity bs. It looks like she's been failed by the system but had a gp that worked incredibly hard to advocate for her.

[Ashwin Dhanda (follow me on Bluesky) @DrADhanda]

It was great talking to @TrishaGoddard
@TalkTV yesterday about #AlcoholAwarenessWeek @AlcoholChangeUK
@UHP_NHS @PlymUniMedicine
Watch from 2:23:45 👇🏾
https://t.co/EVqjIVejrd

[Prebashan Moodley @PrebashanMoodl1]

@thatsnotmine125 I assume it was kept open and vacant till they got a PA into that practice? If they reach that stage, they should be thinking about ways to make it attractive to get the right person (GP) to the right job. Are they using social deprivation markers to sent pas across the country?