liangrhea.bsky.social
General + breast surgeon, MedEd, DiversityAndInclusion, #KnittingLady (IT'S CROCHET). @BondUniversity Clinical Sub Dean. Bloots own opinion.
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He recorded a webcast about it- such generosity of time and teaching when he knew his time was short.
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So very sudden- just months after his diagnosis 💔
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He was so generous with his time and advice- genuinely wanted everyone to succeed. He leaves a big hole in the surgical world.
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Love the imagery 🤣🦈🦈
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That’s frightening!
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🤣👍 perfection. Locals always know!
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exactly! And if you go down the steep section of the hill with the overtaking lanes, you've gone too far and you'll need to go all the way down and come back up and turn off to the left at the stainless steel mailbox...
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I do like the way GPS steers me around traffic jams and roadworks if it's going to be faster. But a detour for no good reason? No thanks 👎.
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My sibling, who ignores people
in favour of his GPS, ignored Mom seated right beside him
and followed the much longer circuitous GPS route. We were not impressed!
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🤣👍 love the reference to something that 'used to be'! It's exactly like that. Ditto directions like 'go, like, to Uncle Declan's except you turn *left* at the big tree'.
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Go left where the Stop and Shop used to be, and after three Dunkin's, it's right there.
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It's seriously not hard. Much more effort to get outraged and do mental gymnastics trying to prove why it's 'wrong' and live in a state of hypervigilance trying to second-guess everyone's appearance.
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It's a very rapidly emerging field for sure- lots of different platforms, of variable quality. The pace of improvement is breathtakingly fast though, so I don't personally think it'll be long before market leaders will emerge that are sufficiently accurate.
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My long covid doc is using AI software for consults. I was asked to sign a consent for him to use it 15 months ago. I had a phone call after my last appointment to say the software had missed parts of my consultation & to ask if I needed any referrals 😆 I’ve previously spotted errors on letters too.
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I've become more and more aware of the importance of empowering patients as I've gotten more senior. A care plan can get so complex that it's really important pts feel able to alert their teams to things that may have been missed or mistaken.
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I’m not comfortable with AI notes with regard to how the data will be used.
However accuracy wise it would be hard to be worse than what I see in my and my family’s letters from appointments. Nearly every single letter has some kind of error. Some have many errors, omissions or serious issues.
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One of the specialists I see (as a patient) does too, and it's been very interesting to see how much it frees him up to interact with me rather than the computer. But obviously the issues of privacy, accuracy, idemnity have to be addressed first.
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I agree! Scribing during a busy ward round can be difficult (sometimes there are multiple convos or complex subtexts going on) so I assumed maybe 10% might get missed? But one-third is wild. 🤯
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Yep, and it's hard to 'unsee'... but there are still a lot who don't 'see' it to begin with. Or perhaps they do see it, but have reasons not to challenge it. 🤔
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You are the Cat Oracle! ❤️
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It's definitely a fragile gain- a we've seen in the US. 😖
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I've noticed a distinct change even in the past few years. But I worry the intolerance is being displaced rather than being addressed- less against LGB and more against other groups such as gender diverse or Indigenous.
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One of my favourite inclusion videos. Every detail is so well thought out to bust stereotypes. ❤️
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So important 🏳️🌈 reminded of this youtu.be/UVepoXddTW4?...
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It's good to hear you've had good experiences since. Especially as there's literature to suggest that experiences like that sometimes cause patients to disengage from medical services altogether. I've seen patients turn up in very dire straits after long periods of doctor avoidance.💔
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For those wondering these birds are Cockatoos. Known for being noisy. Flocks can be about 200 birds. They come, eat the food & go away in about a week
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Weirdos unite! Glad to be in this space with you Ipse.
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Gosh- I hope the medical students we train nowadays would be more empathic. Patients may not always make the 'medical' decision, but medicine is only part of our beautifully complex lives. And as doctors we may not agree, but we can always, always support.
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On a personal level, having looked after plenty of cancer patients, and even with kids, I reckon that would be my decision too. You can't delay their inevitable pain forever, and I'd rather they didn't see me suffering awfully.
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As a #qual researcher I'd really like to see more 'behind the numbers' too though. I'm sure patients (including yourself) would have plenty more to say about the thinking and process that informs these difficult decisions, and how clinicians could better support it.
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This is the first time this indicator has been reported for QLD. The report is excellent- sensible, balanced, patient-centred. I strongly support the first recommendation of the working group that this indicator should be more regularly reported.
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Having had chemo, SCT (and subsequent MOF as a result), now immunotherapy with multiple side effects… Rx to the bitter end seems both cruel and, of course, futile! #Sézary
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Any excuse for more kisses, obvs 🤣❤️
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We have a similar expression that roughly translates as 'kiss buns' or 'kiss storers'. Which means, if they look like they're losing plumpness, it must be an excuse to kiss them back into their proper shape 🥰🥰🥰
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Ooomph, those gorgeous pēpi cheeks! 🥰🥰🥰
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I agree. Quality and quantity are two separate considerations. Sometimes people will tolerate anything just for quantity, say for a special event or anniversary. But others prioritise quality, and others a mix of both. It's a very individual decision.
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I absolutely hear you. And I don't think anyone has the right to cast judgement. Doctors must provide the information required to make an informed decision, but the decision itself is the patient's, and often involves non-medical considerations. ❤️
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More: cancerallianceqld.health.qld.gov.au/reports/STRe...