Rish

CT2, pursuing a career in orthopaedics, technology, innovation and informatics. Techie, foodie, dad

[Rish @rishvjain]

@sainsburys Beautiful mango but the habanero waved from a distance and went home. HOT + 3 chillies is doing a lot of heavy lifting. Ever tried Trader Joe's Habanero Hot Sauce? That's the benchmark. A mango version of that would be extraordinary. Try again? 🌶️ #TasteTheDifference

[Rish @rishvjain]

@OrthoInterview is your email/contact form not working? Despite contact attempts, I have not yet received any information or replies about a weekend course I’ve paid for that is due to commence tomorrow.

[Rish @rishvjain]

@DrHuw Looks like enhanced or advanced PAs will still be allowed - have a read of the traffic light table again to the bits highlighted in yellow

[Rish @rishvjain]

@QM2fan @AlexJDeighton How much are emergency plumber call outs per hour? How about boiler repairs? What about solicitor fees ph? Even cleaner fees (>£20ph)? Docs start out on £18.62/hr, which is a pay cut despite last yr rise. Docs striking to reverse pay cut and restore back to £22/hr. Thats fair no?

[Rish @rishvjain]

@QM2fan @AlexJDeighton Not sure if you’re aware, but progression to reg and consultant *not* guaranteed. The number of reg/cons jobs far fewer than FY/SHO. So saying someone can earn more later isn’t fair if majority struggle to progress at some point in career which they do. 2/3

[Women in Surgery @WomenSurgeonsUK]

We are clear: encouraging women into the medical profession allows patients to be treated by the brightest and best doctors available.

We support a diverse, flexible and inclusive medical profession where everyone can thrive, regardless of background.
https://t.co/v43FHFvHeu

[Women in Surgery @WomenSurgeonsUK]

🧵 Retired surgeon Prof Meirion Thomas' claims that patients struggle to see GPs because “too many women are doctors” are insulting and unfounded. Workforce challenges stem from underfunding and rising demand, not gender.

[Rish @rishvjain]

@valhumphreys51 @deeleyc6 @NHSGIRFT @ProfTimBriggs @BritOrthopaedic IMO GIRFT philsophy and impact for T&O in UK has been pivotal, with initial realised benefits tremendous/largely routine practice now. Current perceptions and execution esp rollout to other areas likly square in circle/less clearcut than elective T&O from which GIRFT borne 5/3

[Rish @rishvjain]

@valhumphreys51 @deeleyc6 @NHSGIRFT @ProfTimBriggs @BritOrthopaedic GIRFT thn rolled out nationally+other spclties following spectacular success in ortho. Wider litrture on exct GIRFT efficacy mixd, but some +ve impacts undeniable. FWIW in my own clinical exp, GIRFT directly enabled time critical scans ➡️ prompt emergency spinal surg for pts! 4/3

[Rish @rishvjain]

@valhumphreys51 @DevanSinha @RobLaurensonD4P @FraserSteen @gmcuk But thank you for advocating and reminding about the importance of consideration, and the involvement of patients with decision making in any aspect of healthcare that involves them :-)

[Rish @rishvjain]

@valhumphreys51 @DevanSinha @RobLaurensonD4P @FraserSteen @gmcuk In clinical practice, that's not always appropriate. I will not DRE w/o chap, ergo no point asking if they want one. If critical exam (often is) i'll explain importance + assist needed to help/chap. If pt unhappy with exam or chap, will explore & discuss to inform their decision

[Rish @rishvjain]

@valhumphreys51 @DevanSinha @RobLaurensonD4P @FraserSteen @gmcuk I hear what you're saying Val, hence mentioning nuance to each situation to decide when to ask, when not needed to offer (where appropriate), and when chaperone is necessary for protection for everyone. Certain specialities will ask more eg urology, others chap mandatory eg O&G

[Rish @rishvjain]

@valhumphreys51 @DevanSinha @RobLaurensonD4P @FraserSteen @gmcuk *reduction of trust for something that doesn't clearly need it

[Rish @rishvjain]

@valhumphreys51 @DevanSinha @RobLaurensonD4P @FraserSteen @gmcuk (cont.) bringing or offering chaperone may cause discomfort/alarm if unnecessary, and may result in a reduction of that very trust for something that doesn't clearly doesn't need it. Overall, nuance req'd + if situation may require a chaperone, best to just get one skip offering!

[Rish @rishvjain]

@ollieburtonmed @NIHRresearch Congrats pal! Wishing you all the best