Dr Crumples
@ProctoBott
1) The universities of the U.K 2) @NHSEmployers 3) @DHSCgovuk 4) all of the Royal colleges 5) @GOVUK 6) PA leadership Have all lied to physician assistants regarding the level of their training. PAs are brainwashed to believe that they’ve studied medicine.
How did I get through the entirety of undergraduate and postgraduate medical training without hearing about ‘the medical model’? It’s just a word salad used to excuse poorly trained & expensive pseudo-doctors replacements doing work that should be done by doctors.
🧵 10 Rheumatology Diagnoses You Can Make Without a Single Positive Lab Yes — zero lab positivity. Because in rheumatology, clinical pattern is king. #RheumTwitter #MedTwitter #Autoimmune @IhabFathiSulima @Janetbirdope
Diagnosis? What kind of fluid do you see? Source: Brown Hospital Medicine
A young man has tea-colored urine, periorbital puffiness, and a history of sore throat 2 weeks ago. Diagnosis? A) IgA nephropathy B) Diabetic nephropathy C) PSGN D) Minimal change disease
Spotted under the microscope in a urine sample. What do you see?
🧵 Heel pain in a young adult? Think it’s just plantar fasciitis? Here’s a case where enthesitis was the red flag—leading to a diagnosis of spondyloarthritis (SpA). #RheumTwitter #SpA #Enthesitis #MSK #MedTwitter @IhabFathiSulima @Janetbirdope @RheumNow
This 97 year old diner still serves coke the old fashioned way
'I thought I was seeing a @rcgp GP not a physician associate: a week later I was in A&E'. #DanielHarris said he was given just 20 minutes to live when he arrived at an @NHSEngland A&E after being misdiagnosed twice by physician associates inews.co.uk/news/thought-s… via…
Many years ago they tried to teach a bunch of nurses to do cataract surgery after rejecting almost all who couldn’t see well enough, didn’t have the manual skills or just couldnt do the booklearnin’ when they heard about the litigation when it goes wrong … none were left
‼️ PATIENTS OF THE U.K. ‼️ Do not allow yourself to be diagnosed by a physician assistant Do not allow your GP surgery to assign one to you In A&E do not allow a PA to take a history , do a physical examination and diagnose you ASK FOR A MEDICALLY QUALIFIED DOCTOR INSTEAD
Nursing associates should not be using the term “nurse” in their role. This will soon be a protected title Can we please have name changed for NAs too @wesstreeting ? Change to “Nursing assistants”- same with PAs - make it clear to the public & to protect patient safety! 👍🏻
55 nursing associate jobs 2 nurse associate /nurse jobs - actively conflating the 2 jobs.nhs.uk/candidate/joba…
If a patient came to harm at my Trust l had to report it on Datix (or some similar schitty program) thing is - l had to input a contact email for the patient or it wouldn’t go through email address for a 75yo Bangladeshi eh? apparently our stats were ‘good’…
This is a T1-weighted post-contrast MRI. Likely diagnosis: meningioma. Here’s why: 1.Dural tail, marked by my red arrow. This represents reactive dural thickening and enhancement adjacent to the tumor. 2.A hypointense rim separates the mass from the brain parenchyma—the classic…
The proponents of the Workforce Substitution project have pushed back on the Leng Review. Well, it's all just 'progress' innit. Happened before - History! Inevitable wif AI. Sit down. This has roused The Historian. Let's take a look at the FACTS here. 🧵 1/