Duncan McGregor
Doctor in Manchester. Huge nerd. LGBTQ+ activist and advocate 🏳️🌈🏳️⚧️ Puts tubes in tubes for a living. Like machines that go beep and grey/black/white pictures - occasionally with red and blue. He/him.
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- Porting over a debate from the other place started by @aclong111.bsky.social : Referring a patient with abdo pain to Gastroenterology: Gastro: not a gastro problem. Nothing to offer. Refer surgery Team: ok Refer a patient to ICU: ICU: nothing to offer. Suggest palliation. Team: we refute this 1/2
-
View full threadOn Segun’s point re refuting the decision - I find, again it’s about the challenging nature of a conversation where you have to admit therapeutic failure. Is it the role of the deciding clinician to speak to the family?
- Would I expect the oncologist to say there are no chemo options? Or is it the preserve of the referring respiratory doc post MDT? Should the cardiologist tell the family that the patient’s MIRACLE2 score is 7 therefore no PCI right now? Or should ICU in person communicate the ceilings of care?
- [Not loaded yet]
- One aspect of this is the referring team being uncomfortable in the role of breaking bad news. Saying to a patient that further therapies and escalation are futile is often shied away from. Far “easier” to have another clinician say this.
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- "If it was an ordinary business we'd call it insider trading - but it's a government, and so it actually starts to look more akin to treason." Was Mandelson "working against the best interests of his country" as leaked gov secrets come to light? @maitlis.bsky.social | @lewisgoodall.com
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- Well that’s an experience! Awake surgery. Anaesthetist was 😊 one of my old regs but been a boss for a while. But I know is high cognitive load when you have awake colleague! A thread…
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- "Here to help"
- [Not loaded yet]
- Jesus, a hangover from alcohol on top of that must have been OBSCENE
- [Not loaded yet]
- High, tachycardic and briefly paralysed would certainly add something
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- The Epstein Files reveal that the world's most wealthy and powerful men are either raping girls OR have absolutely no problem with other perverted men raping and trafficking girls as long as it helps their bottom line. I can only hope this infuriates the majority against the elite.
- [Not loaded yet]
- It should not take a court order to get a toddler out of a prison.
- WEEKEND NEWSAGENTS: want to do some eps which think a bit more deeply about the systemic problems now embeded in British politics. One of them seems to me that though recent PMs have power, they all seem to lack authority. Why? Listen now podcasts.apple.com/gb/podcast/t...
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- [Not loaded yet]
- I like being an anaesthetist on days like this. Both @assocanaes.bsky.social and @rcoanews.bsky.social are well established on a lot of platforms. The more folks realise that as users, WE get to decide which platforms should succeed, the better.
- Well done @rcoanews.bsky.social and @assocanaes.bsky.social for taking action and stepping away from activity on Twitter/X It seems that every day reputable organisations are waking up to the fact that they do not need to remain there.
- I do think this is a positive move from both these organisations Quietly confident other Royal Colleges and prof societies will follow
- Well done @rcoanews.bsky.social and @assocanaes.bsky.social for taking action and stepping away from activity on Twitter/X It seems that every day reputable organisations are waking up to the fact that they do not need to remain there.
