Rattled Doc

Serving Consultant-Up-Near-Triage | The cheek, the nerve, the audacity, the gall, and the gumption

[Rattled Doc @rahttled_doc]

@KShabby16334956 Yes. To every nurse that is involved in your care

[Rattled Doc @rahttled_doc]

I work in a state that has a single electronic medical record across all hospitals. We still ask patients to repeat their history over and over because it has real benefit for making a diagnosis and decision.

[Department of Health and Social Care @DHSCgovuk]

The Single Patient Record will mean NHS staff can securely see their patients’ medical history, no matter where they are treated.

It will mean safer, quicker and more accurate care.

🎥 @jamesmurray_ldn explains on @BBCNews

[Rattled Doc @rahttled_doc]

@KShabby16334956 History is critical for ongoing review and validation of the initial impression not just initial diagnosis

[Rattled Doc @rahttled_doc]

@1661peter Thats the Plan B rather than the Plan A hes proposing

[Rattled Doc @rahttled_doc]

@KShabby16334956 A central record is absolutely a positive outcome but selling it as eliminating history taking or that repeatwd history is negative is a Bad Thing (tm)

[Good Law Project @GoodLawProject]

The EHRC’S new code has been published. We’ll have a detailed analysis out shortly.

The guidance has been toned down from the previous draft – but it still treats trans people like they’re a third sex. This pushes trans people out of public life and violates their human rights.

[Rattled Doc @rahttled_doc]

@LiangRhea I was recently asked by a brown IMG colleague to give a second opinion at a patients request.

The patient finished his interaction with my white IMG self by saying "Sorry to bother you for a second opinion. I just dont trust these internationals".

Just admit youre a racist then

[Rattled Doc @rahttled_doc]

Proud of you Australia.

[Amy Sargeant 🏳️‍⚧️🇵🇸 @amy_sargeant_]

Moments after court adjourned, Sall Grover ran to her dad and started sobbing into his shoulder. The law is very clear: discrimination against trans women is not acceptable. Thanks to all involved for reaffirming this in such a powerful way.

#TickleVGiggle

[Rhea Liang @LiangRhea]

Costs doubled and the original verdict strengthened to DIRECT discrimination rather than indirect discrimination. Exclusion of trans women on Aussie dating sites is ILLEGAL. (As it should be). 🏳️‍🌈🏳️‍⚧️✊️

[Rattled Doc @rahttled_doc]

"I intentionally gave her an ugly scar so she would think twice about self harming again"

There are far FAR too many horrible doctors out there who are proud of their cruelty.

[Rattled Doc @rahttled_doc]

@dymonite69 In any case the framing in the quoted post is heavily one sided and takes no consideration of nuance in a complaint

[Rattled Doc @rahttled_doc]

Consultants have complaints made about them for using 'knowledge based questions' as a bullying weapon.

I've never heard of a complaint purely because knowledge based questions were asked.

[Louella Vaughan @DrLKVaughan]

English medical culture as well, esp in big teaching hospitals.

But I can't remember the last time I saw this.

If anything, the residents are hesitant to show off their knowledge.

Consultants have complaints made about for asking knowledge-based questions.
/

[Rattled Doc @rahttled_doc]

@dymonite69 I disagree with the assumed starting point that the learner hasnt been specific.

I suspect its more likely there is an ego protective framing of what happened and the complaint from the consultants complained about.

[Rattled Doc @rahttled_doc]

@glurcher Bahn mi should be available at every hospital

[Rattled Doc @rahttled_doc]

@glurcher You seem to be debating a separate topic

[Rattled Doc @rahttled_doc]

@DrLKVaughan @DilipNathwani I am not assured

[Rattled Doc @rahttled_doc]

@DrLKVaughan @DilipNathwani Perhaps. Although I think the power gradients at play skew the weighting very heavily towards seniors as perpetrators.

I take a heavily skeptical view of any reports that a complaint was purely due to it being a knowledge based question when I have no access to both sides report

[Rhea Liang @LiangRhea]

NO medical student should ever be publicly humiliated... but nevertheless, Krishna Surapaneni provides a useful cognitive reset to Affirm, Build, And Change after such events.

ABC’s for learners to respond to public humiliation in medical schools
https://t.co/TkkIrWlEDw

[Rattled Doc @rahttled_doc]

@DrLKVaughan On the bright side @DilipNathwani did teach me one important lesson from the experience.

I never want to be like him in my own supervision of juniors

[Rattled Doc @rahttled_doc]

@DrLKVaughan I would love to see both sides of those stories.

I've been a victim of 'knowledge based questions' as a weapon as a student and it nearly broke me to the point of suicidality.