Dr Dominic Pimenta MD Profile picture
Apr 3, 2018 23 tweets 7 min read Twitter logo Read on Twitter
The violence in London appalls and terrifies me. A thread by an #NHS Doctor (and #Tottenham resident and father) /Thread
1. I’m a hospital doctor. My wife is a surgeon. We see first hand the raw catastrophic damage this violence is wreaking on these children.
2. Major trauma, whether that’s gun/knife/car, is dealt with at amazing units like the Royal London. The surgery can be brutal: chests are split like clams, abdomens incised within minutes, even whole arteries clamped shut. Anything to stop the bleeding, to save a young life.
3. Often it isn’t enough. Sewing these children back up for their families to say goodbye is one of the hardest jobs any of my colleagues have to do.
4. And I stress the word children. Watch this devastating account from the lead trauma surgeon at the Royal London, Martin Griffiths, then come back here. I’ll wait. channel4.com/news/trauma-su…
5. The latest victims, 16 and 17, were also children. They were mown down less than a mile from my own front door. bbc.co.uk/news/uk-englan…
6. As a doctor I find the worsening violence appalling, as a Tottenham resident deeply disturbing, and as a father terrifying. But misinformation and prejudiced debate won't help any of these victims.
7. This story last week hit headlines: the murder rate in London for the past few months actually rose above New York, a city of a similar size and population. uk.businessinsider.com/london-murder-…
8. New York: the city of the Godfather & the Sopranos, in a country of guns and gun violence, is doing better than London is. But mostly this isn't about a London crime spree, it's about New York's historic crime reduction.
9. New York actually saw an precipitous decline in homicides over the past twenty years, to half a century lows. They did this by massively boosting policing resources and focusing on community engagement. nytimes.com/2017/12/27/nyr…
10. London meanwhile was also enjoying a near historic low in the murder rate, until 2010. At the same time as the Met Police budget was cut. The Met is funded ~70-80% by the Home Office and general taxation, and the rest by City Hall and local taxation, mostly council tax.
11. Since 2010 the £3b budget has been cut by nearly a THIRD, resulting in a similar fall in police officer numbers to a historic low. This despite a continuing expanding population and continued threat of terrorism.
12. So while New York was headed in one direction, Theresa May’s Home Office sent London on in the opposite direction. fullfact.org/crime/happened…
13. Here are the results: a rise in the London murder rate with a corresponding fall in police officer numbers, and by extension, police resources.
14. For those blaming Sadiq Khan: he has already shouldered Met Police funding from 18 to 23% of the budget, through further London taxation.
15. For those blaming immigrants: a decade of immigration only saw the homicide rate fall, not rise, while the vast majority of the perpetrators are U.K. citizens.
16. The real culprits are the harder things to actually address: a lack of resources and poverty in our communities. Crime is closely linked to poverty in nearly every study ever performed on the subject. criminallawandjustice.co.uk/features/Link-…
17. I see the parallels with the NHS crisis and the outcomes are exactly the same: cut resources, a government blaming anything else, and innocent men and women and children dying. independent.co.uk/news/health/to…
18. These are children. "They never even got to live their lives." If we really want to help then something has to change.
19. If you feel inclined, you can donate to help reduce street violence here: benkinsella.org.uk/support/donate. Better yet you can vote until we get a government that actually cares about funding public services. Because until then this will only get worse.
20. I am begging you, as a doctor, a father, a Londoner, educate yourselves and take positive action. On every level, this HAS to stop. /END
Addendum: Twitterati to follow if you are interested:
Mr Martin Griffiths: @martinpgriff
Royal London Hospital: @RoyalLondonHosp
@traumagasdoc
Add to that @StGilesTrust , another cause worthy of donation if you wish.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Dr Dominic Pimenta MD

Dr Dominic Pimenta MD Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @DrDomPimenta

Sep 13, 2018
I am a doctor in the #NHS.
Every scrap of evidence I’ve seen points to total disaster if #NoDealBrexit comes to pass. We must #StopBrexit - here is why. /thread
Thus far I’ve tried to focus solely on the facts, and the facts alone. Informed consent is the bedrock of medicine- I don’t believe anyone knew the consequences of leaving EURATOM or the EMA for example when they voted. Feel free to prove otherwise. /1
It’s not my job to tell people what to do. And I am not. If you still think Leaving with No Deal will be good for the NHS after absorbing all of the above, then that is your decision. You are wrong, but it’s your right to be wrong. /2
Read 18 tweets
Sep 6, 2018
Another tragic and unnecessary death. I think every junior doctor in today’s NHS can empathise. We’ve all been there, to some degree. Myself included. This is what it’s like. /thread

birminghammail.co.uk/news/midlands-…
I’m a “junior” doctor. I’ve been a doctor for six years, in training for twelve years. There are four levels, from newest to most senior: F1 (first year). Senior House officer (1-3 years), Registrar (1-5 years). I am a Registrar. /1
The hardest parts of our jobs are not usually the textbook bits: it’s all of the other bits that keep me up at night. /2
Read 28 tweets
Aug 27, 2018
#Jacksonville happens and it’s time to re-hash the same gun facts to counter the same arguments and expect the same absence of action. Here they are anyway. /thread
“Criminals don’t pay attention to gun laws”. Except where do they get guns from in the first place? >300,000 guns are stolen every year. Reducing the availability of guns, especially assault rifles, protects everyone. /2
“We need guns for self-protection”.
You are far more likely as a gun owner to be killed by your own gun than to kill an attacker in self-defence.
Every year >1000 children are injured accidentally by guns, many fatally. /3
Read 10 tweets
Aug 18, 2018
Nigel Farage is “back” with this piece in the Telegraph. He’s taken the time to really hone his art of total twaddle to a whole new level. /1
“The political class in Westminster.” ...is literally you - you’ve been in frontline politics for 25 years and an MEP for 19 yrs, with one of the worst voting records in the European Parliament.
google.com/amp/s/www.dail…
“Their media allies”- this is you. You do more media than politics, even though you’re supposed to be an MEP. you have your own @LBC radio show, Fox News, Question Time (!). Not to mention Bannon, Breitbart, Fox News. You’re writing IN the Telegraph. google.com/amp/s/uk.news.…
Read 12 tweets
Aug 17, 2018
Now we are down to name-calling, and still no safe or sensible plan. Is it a #disgrace NHS doctors like me are terrified of the impact of a No Deal #Brexit on our patients? 🤔 /thread
Is it a disgrace a No Deal Brexit means we will, even temporarily, be unable to import vital medicine? Like insulin? google.com/amp/s/amp.theg…
Perhaps it’s a disgrace that we only make enough insulin in the U.K. for 1-2000 patients, when 400,000 patients need it every year. Is it a disgrace we are having to stockpile medicine like this? channel4.com/news/factcheck…
Read 16 tweets
Aug 15, 2018
This is hard watching, but this honestly could’ve been any of us. #IAmHadiza

bbc.co.uk/iplayer/episod…
Watching this I remember a nearly identical case I was peripherally involved in. A young boy, misdiagnosis, Group A streptococcus sepsis, which lead to his death.
The hospital was overrun, in special measures, with multiple failures in communication. Just like Leicester.
Read 10 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(