International Medical Director Stem Cell Development|Academic Cardiologist (ACHD&ICC)|Ex@SCAIelm chair| @CambridgeMBPhD alum|@steelershockey fan|Dad/Husband/Son
Junior doctors Vs Minimum Wage
The break even point unlikely to be 13y (age 31) post if any loans needed for living expenses during medical school, a problem compounded if any of those loans accumulate interest
You'd be a consultant in the US by then
Btw
theguardian.com/society/2023/a…
If you don't work in the NHS doctors training, pay & career progression is a bit confusing
Now the #JuniorDoctorsStrike is on you might reasonably ask what does time served really lead to?
So in this thread I'm going to compare doctors to our dearly beloved 650 MP's
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15 years ago I had to call an emergency plumber out on the Easter Bank holiday to fix a burst pipe.
He charged £100/h
That's about twice the NHS wage bill for fixing a burst blood vessel in a living person.... Today
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I think it's the most important paper I've contributed to date, or may ever do
This🧵is a bit longer for the non-experts, it gets good at the end
It is about how we measure calcium (Ca2+) in ❤️ cells
Open access ⬇️
dx.doi.org/10.1016/j.yjmc…
I have been told many times (from both sides of the debate) that someone with a basic science focus shouldn't have any aspirations to do cardiac interventions, or lead such services
Well, I am sorry to have ignored these words of wisdom
I'll let the pictures speak for me
P.F.O
My 16 year personal ambition to repair the heart with cells got a big step closer today. I'm starting as SANA Executive Director for Cardiac Cell Therapy, Seattle, WA.
Grateful for help from @euanashley@cesterr@JimJohnsonSci@Lab_Nagai (+ others not on twitter) to get here!
This is a first year doctors payslip ⬇️
1) they aren't paid much
2) their tax code is wrong after they had to rotate between hospitals (plus cover whatever costs that involves) so a huge tax deduction is made
This is the lived experience in the modern NHS
It shouldn't happen
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This is unreal
Having failed to get 93% of cancer patients seen by the 2 wk window since 2018 (i.e. it was working up to 2018) we will now have "targets" that ask for a 75% hit rate by 28 days & treatment by 2 months
It's not good, it's not acceptable & it's not 1984
The Govt will announce plans to scrap the 2 week urgent cancer wait time and nine other cancer targets on Thurs in favour of 3 new targets the NHS believes will lead to faster diagnosis and treatment: thetimes.co.uk/article/8b06c8…
A few other differences:
Probity: optional
Gross negligence: not dismissible
Duty of candour: optional
Recruitment training: personal knowledge from school or via financial services support preferred
Public trust: nonexistant
Ethics: can't be trusted, need formal advisor
Students: why do they still teach glycolysis & Krebs cycle?
Doctors: I never use Krebs cycle or glycolysis, dunno why they teach it
Patients: how does FDG-PET find infection, cancer or ❤️?
Students: 🤷
Doctors: 🤷♀️ but in a white coat
Metabolic medicine: hold my beer...
I’m in the minority here but I think the Krebs cycle is not taught enough, or it’s not taught in a way that truly explains why it is the centre of life on earth. I totally disagree it is irrelevant to being a doctor. But I do agree testing rote knowledge of each step is pointless
I was asked to talk about post myocardial infarction VSD for #SCAI2023 recently. In 8 mins I was a bit limited, so here's an expanded thread
Apologies that the movie compression makes things a bit jumpy, & if Twitter messes up the movie cropping I will add again at the end
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