West Indian πΉπΉ| Acute Internal Medicine| Doctor| Help me buy π coffee β: βΏ bc1qgl3qrp899509j7fdtc58hs535pl8w46rcnrlj9 βΏ
Trinidad and Tobago
Joined July 2012
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Why set sights π― on the le world of acute internal medicine #AIM? Was it the right higher specialty training #HST for me since 2020? π A thread π§΅. For those applying shortly, #reflect before deciding whether to @Take__AIM! π€ #LifeWorthLiving π«π©ββοΈπ #MedX
ALT HST 2023.
ALT Ancient Parable. Blind men and an elephant.
π Not sponsored content π
I'm still home πΉπΉ at #Trinidad. It's easy to forget π§ #ICE π§ (#MedEd) here (#Ideas #Concerns #Expectations) but if you're doing MRCP, don't! π₯΅
Tomorrow, I'm leaving my bed ποΈ to teach at le local πΉπΉ #PACES course
Register:
pacessuccess.com/ β at Trinidad and Tobago
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ππ Scientists πΊπΈ revealed a πwearable ultrasound π sensor for 24/7π©ΈBP trackingβno cuffs, no needles! πβ Accurate in clinics, ICUs π₯, daily life πββοΈ & long-term?! π¬π
Game-changer for health monitoring?ππ©Ί Read more: rdcu.be/d0Ruk. Fun for a journal club! β at Trinidad and Tobago
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1/5 π€― This month was wild with #wisdom. ππ‘ Life remains #absurd, but here are some clinically helpful #facts for medics! π Buckle up and prepare for a thread of #GIM chaos you may want to use on the #AMU.π₯π #MedTwitterπ² #RandomReading βοΈ#TooMuchCoffee π§ π₯
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2/5 π§ #MedEd is about more than facts! Itβs about teaching how to think critically while embracing our vulnerabilities as #Teachers. π±πͺ Bearman & Molloy (2017) show exposing #uncertainty builds trust and #resilience in learners. πβ¨ #Vulnerability #IntellectualStreaking Read more at: tandfonline.com/doi/full/10.β¦
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Wished I could attend #SAMBrighton F2F but here is a reminder that if you aren't using #AI in 2024, you're not being #kind to yourself.
Me when @OnlyFans' data dump becomes our generation's #AshleyMadison π¬π»π... It's only a matter of time, right? ππ΅ #DataBreach #Privacy β at Yarm, England
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Celebrating another successful #PACES diet at @SouthTees. Reflecting at lovely evening with inspirational leaders (from @Di_M6 to @mahirhmad all in one room)!
For me, #StickyToffeePudding was the best part. xD
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An evening of mixed emotions π’ Reflecting on the incredible job done by our amazing #AIM #TPD @nadiastock πͺβ¨ over the past few years. π₯π½οΈ. We're deeply #grateful for everything she's done for us πβ€οΈ Sad to see her go, but excited for her next chapter. π #EndOfAnEra #Thankful β at Newcastle Upon Tyne, England
Awkward π’ #CyberSecurity β at Middlesbrough, England
Today was not a security or cyber incident. Our customers remain fully protected.
We understand the gravity of the situation and are deeply sorry for the inconvenience and disruption. We are working with all impacted customers to ensure that systems are back up and they can deliver the services their customers are counting on.
As noted earlier, the issue has been identified and a fix has been deployed. There was an issue with a Falcon content update for Windows Hosts.
For the latest information that we will continuously update, please refer to the CrowdStrike website (crowdstrike.com/blog/statemeβ¦), my posts on LinkedIn, and my posts on X.Β I will continue to provide updates to our community and the industry as they become available.
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"When asked what top three things would improve work satisfaction:
1. Improved IT systems
2. Reduced clinical workload &
3. Increased workforce/fewer gaps
were most commonly cited." -Consultants.
Today, with @rcpsglasgow and @RCPEdin , we are publishing findings from the 2023 UK consultant physician census.
They give key insights into consultantsβ working lives, including the effects of rota gaps, workload, morale and more.
ow.ly/GTpb50SyXXh
#PhysicianCensus
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π Purely anecdotal, but I've encountered more foundation doctors over the last year who don't know who #BawaGarba is than those who do. We must #NeverForget the lessons from her case and fight for a fair and just medical system. π©Ί
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Who knew simple thinking in COPD might be good? #KISS #KeepItSimpleSilly!
π¨High oxygen levels in normocapnoic COPD patients can be dangerous! π‘οΈ
Recent study finds O2 saturations >92% in COPD exacerbations raise mortality risk. π Aim for 88%-92% for ALL COPD patients to save lives! π₯π #COPD #O2 #8892 π₯β¨:
Echevarria C, Steer J, Wason J, et al. Emerg Med J 2021;38:170β177. emj.bmj.com/content/38/3/170β¦ β at Darlington, England
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π The debate over the role of Physician Associates (#PA) continues to affect the lives of both patients and doctors. π’
The RCP TC has laid out a clear message: We NEED clarity on the role of PAs! Without defined roles, practice scopes, and legal responsibilities, both patients and medical trainees are at risk. π¨
Here are the key points from the latest position statement:
Defining Roles: PAs are NOT doctors and should not replace them on medical rotas or in senior decision-making roles. The roles and responsibilities must be nationally defined on a specialty-by-specialty basis. π₯
Accountability: There's a pressing need for clear guidance on the legal responsibilities of PAs, especially around prescribing medication and ordering tests. It's unacceptable for doctors in training to bear this burden. π
Evaluation and Training: The impact of PAs on medical training needs thorough evaluation. Training opportunities for doctors must be protected and prioritized. π
Respect and Decency: The discourse around PAs has often been damaging. The RCP TC denounces any form of abuse directed at PAs, doctors, or leaders. Respectful discussions are crucial. β€οΈ
Slow Down the Roll-Out: Until the issues of regulation, standards, and scope of practice are addressed, the expansion of the PA workforce should be limited. β οΈ
#KeepItSimple #KISS β at Middlesbrough, England
We have published our position statement on #PhysicianAssociates (#PAs) calling for:
- nationally defined advanced scope of practice
- guidance on supervision
- evaluation of impact of PAs
- review of postgraduate medical education.
Read more: ow.ly/Hyup50Sfcr0
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Patient "was diagnosed with a chest infection and was prescribed clarithomycin." She had a PMH of AF (on digoxin).
It "was recorded by a hospital pharmacist in her medical notes that the use of these two drugs" (Digoxin and Clarithromycin) "can cause digoxin toxicity and an alternative drug or monitoring is advised."
Patient "suffered a cardiac arrest on the morning of x and died".
See concerns from coroner at:
judiciary.uk/prevention-of-fβ¦
#Coroner #PreventionOfFutureDeaths β at Middlesbrough, England
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Remember when le @Conservatives' @sajidjavid #woke upπ€π΄ and merged Health Education England (@NHSE_WTE) with NHS England (@NHSEngland)? π¬π§π€―π£
Well, you would be forgiven for #ignoring this as it happened the same time as the dissolution of @Dominic2306's #NHSx. π΅ππͺ¦ But, in 2022, the NHS had the "biggest shake-up in health and social care leadership in a generation". #Reform π²
gov.uk/government/news/biggeβ¦ β at Stockton-on-Tees, England
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π¨β¨π©ββοΈπ¨ββοΈ Remember when our northern neighbors at North Tees and Hartlepool NHS Trust set a new πͺβοΈ standard in patient care with #Scan4Safety!π ππ¬π§π
β°@GS1's report notes >20k hours of clinical time has been released, π allowing healthcare professionals to focus on what truly matters β **patient care**π₯. From reducing adverse drug effects π₯΅π₯and streamlining incident reporting. πβ€οΈ **#Scan4Safety by @gs1** π©πΏβπ» report improved outcomes link available ππΏ healthcare.gs1uk.org/scan4saβ¦ ππ
π°π¦π² >Β£1 million saved?! π«°πΏπͺπ€ This massive saving means more resources for patient #care and life-saving equipment. π°π Every penny counts in our mission to save lives and provide top-notch care. π₯π #NHS #Productivity
π¦Ύ Precision in orthopaedics! π¦΄β οΈ Barcodes ensure the correct patient, procedure, and implant, preventing #neverevents. This is a monumental leap in patient safety and #trust. π #SurgicalSafety π·
π Knowing exactly where every ventilator π¬οΈπ¨ is can make the difference between life and death ππ΅π₯ in critical moments. π« This innovation is life-changing, ensuring timely π°οΈ and safe care. ππ #Covid19 #LifeSaver
π¨βπ¬π©βπ¬ @NTeesHpoolNHSFT leads their dedication to safety and efficiency. #Innovation #ClinicalInformatics #CI β at Hartlepool, England
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Qilin (ιΊιΊ; Chinese Unicorn; π¨π³π¦), a Russian group π·πΊ allowed their #ransomware to create a #critcalincident in London π¬π§ earlier this week & attacked π@Synnovis. π #cybersecurityπ©πΏββοΈπ±οΈπͺ€ #ThinkBeforeYouLink
Remember in 2017 when thousands of #NHS devices π», MRI scanners π§², blood-storage π©Έ& theatre equipment π, were victims of #WannaCry? π¦ π The #ransomware demanded payment in #BITCOIN but even if you paid, your PC remained locked π. The policy is clear: NO payments! π«πͺ (1/4)
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Looking forward to this event in a few weeks!
Link at events.rcpe.ac.uk/rcpe-coursβ¦ β at Newcastle Upon Tyne, England
A bit about our excellent @RCPEdin online course "Acute Medicine for the Generalist" on 27-28 June.
A brilliant speaker line-up from the UK & US covering a huge range of topics - a great way to update your GIM and AIM CPD!
More at events.rcpe.ac.uk/rcpe-coursβ¦
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