The #NHScrisis as it unfolds on twitter:
Doctors and nurses go against the masters and take a sneaky shot of a corridor. Comms team go nuts because you can see a quarter of someone’s face and you can’t tell if it’s a patient or Julie from corporate.
Meanwhile the ambulance service are snowed under whilst finding time to tweet a story in just enough detail as to make sure that if a 94 year old was on twitter, they’d know it was them they’re talking about.
Cue hundreds of tweets to ambulance service HQ, who are still trying to temper the storm outside by saying “please don’t call an ambulance if you’ve chipped a nail”
Cue person who is treasurer of the Hoogen-Doogan-Spagoogan syndrome society, who angrily tweets “I HACE HOOGEN DOOGAN SPAGOOGAN SYNDROME, A CHIPPED NAIL WILL KILL ME”
Ambulance service then point out that they weren’t specifically referring to them. Meanwhile ambulance control stop answering 999 calls to take on the deluge of tweets.
Meanwhile back in ED, an ED reg is tweeting how busy it is. Med Reg (or more likely crit Care reg) makes joking remark that if ED stopped referring things we wouldn’t be in this mess.
ED reg doesn’t see the joke and copies in the RCEM to show their disdain. Fight escalates. At some point a debate about single CCT ICM will break out.
American Emergency-ologist steps in to remind us that, even in winter, the airway is really important. Cue FOAMed sceptics to step in an sort it.
Anaesthetists and ED continue to fight. Med consultant steps in to remind us we’ve all got to work together. Unless you’re a GP.
GP with unquestionable power steps in to say “if only there were more generalists around, this whole mess could be sorted”. Later apologises.
Sub-spec common bile duct surgeon reminds us all that without him, everyone would still have a common bile duct. No one replies.
Meanwhile a non-acute speciality Doctor is racking their brain trying to link recent current affairs (North Korea, Trump, you get the idea) to the NHS crisis, for 300 words in the Guardian. A flurry of DMs ensues but no one points out the flawed argument
At some point we all blame the health secretary, quite rightly.

We then ruin it for ourselves by calling him Jeremy C@&t., and demand he dies or urosepsis, thus weakening our argument.
A corporate comms person with no name thanks us all for their hard work.

We all ignore it. Someone from Momentum tells them to shove it.
Ultra far Right wing paper finds one doctor who says “it’s not all bad”

We all lose our shit, demand their execution, and a man who does veins in the private sector retweets it.
Meanwhile, the guy from Two Pints has booked studio 2 at Television Centre to debate Hunt.

Thousands of junior doctors demand that they too get to sit on the stage. Same 3 get picked.

Hunt doesn’t show.
Finally it’s June. The whole thing settles down a bit, a cabinet reshuffle ensues and everyone thinks hunt will be sacked and then act all surprised when he’s made permanent Health sec forever.
It’s November. Let’s do it all again.
It’s December. A physician associate asks “what am I even doing here?” and a medical SHO with two weeks tries to put them in their place.
It’s January. A failed stand up comedian who was once described as “moderately amusing” uses his parody character act to tweet something in an attempt to lighten the mood. Fails and ends up deleting it all in 3 hours time.
Failed comedian tries to remind us that we’ve been having the same circular arguments for years and it hasn’t really got us anywhere.
Other people remind failed comedian that he is indeed a failed comedian, who’s just jealous that his hashtag campaign for 4 years earlier didn’t get enough momentum for him to a get a spot on I’m a Celebrity. Failed comedian rolls a solitary tear down his face.
The NHA nearly win a town council by-election off be back of the crisis, funded by the 43 #iminworkjeremy mugs they made without my permission.
At some point a man who’s “proud of his country and comncerned its going to the dogs” in his bio will blame “them immigrants” for the crisis. Blocks us when pointed out “those” immigrants is the correct English, and that he should know better.
6 hours later, a biomedical scientist will claim we’ve forgotten what they think of the crisis. We did, hence why it’s so far down the thread. Soz.
From nowhere a healthcare commentator will fly in by helicopter to declare it’s all #FAB and wouldn’t it be easier if we just ran the NHS like Pizza Express.
At some point a poorly made comparison between the queue in the A&E and the airline industry will be made, but only one plucky SHO will have the balls to point out it doesn’t work.
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More from @TurtonsOther

Aug 8, 2018
Long thread coming up but I want to put my thoughts about #TheatreCapChallenge down in one last long rambling thread before I block everyone connected to it and move on
1) the logic from certain people is:

People die in theatre

Those deaths stem from errors

Those errors happen because of poor communication.

poor communication occurs through not knowing names

THEREFORE....
If we knew the names of the staff....

Communication will improve

Errors will reduce

Lives will be saved.

IF...

A hat with a name on is an example of knowing someone’s name

THEREFORE

WEARING A HAT WILL SAVE LIVES

and also...

WEARING A HAT WILL SAVE MILLIONS OF LIVES
Read 24 tweets
Mar 3, 2018
Like a collection of deleted tweets before a politically sensitive royal college election, no ones going to read this either, it’s #NHSthisweek!

In the news this week:
Horror at awards ceremony as privately funded conference gives award to man who sits on organising committee for his services to patient safety and we all lose our shit about it.
It’s as if no one looked at the programme and saw Jeremy’s name on the list of speakers and thought, “gee there’s a safety prize, do you think theyll give it to the #iminworkjeremy guy instead?”
Read 20 tweets
Feb 24, 2018
Like a prescription written on a poorly functioning and not very user friendly e-prescribing system, it’s #NHSthisweek !

This week, how the Dr/first name debate will probably rage on twitter
First off, Mr Hunt says we need to start calling Doctors by their first name rather than by their title.
Sorry I’ll do that again, in the spirit of it.

Jeremy will say we need to start calling Doctors by their first name rather than title.
Read 26 tweets
Feb 17, 2018
Like a monopoly board with no good spaces for anything good to come through, it’s #NHSthisweek!

This week, a special how-to guide.
Say you’ve had a great idea, perhaps you think we should make Medical professionals with several degrees and a wealth of experience conduct ward rounds in baseball hats to stop interruptions, neatly ignoring the tenacity of most ICU nurses?
Or perhaps you think the way to promote the genuinely good idea of getting elderly patient out of bed and dressed is to fill your kardex with ideas for prescribed exercises, so that there’s no space for actual drugs?
Read 20 tweets
Feb 3, 2018
Like a blog you’ve thrown together at the last minute to maintain you’re public profile, it’s #NHSthisweek :
Protests against the GMC continue, including one suggestion to rip up GMC registration certificates outside their London offices. On a Saturday.
Which leads to the philosophical question, if a man rips up a certificate and no ones there to see it (cos it’s a Saturday) does it make or sound, or even an impact?
Read 14 tweets
Jan 20, 2018
It’s Saturday, it’s poorly written, it’s #NHSthisweek:
The health secretary hailed Microsoft Excel with the cells shaded in a threatening red colour as “great technology”
Meanwhile, here at BAM! we too devised a new way of using technology to see the state of the health service in your region
Read 19 tweets

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