Liz Midwinter
sisterscrappy.bsky.social
Liz Midwinter
@sisterscrappy.bsky.social
Continuous Improvement Clinical Fellow. ED ACP. Uni Lecturer. Retired SJA lead. Resus/Sim/Human Factors/Debriefing/allotmenting
Reposted by Liz Midwinter
“Be an encourager. The world has plenty of critics already.” Dave Willis

🕯️ 🧡

#kindness #support #care

(Picture by joyfulsmolthings)
January 11, 2025 at 3:41 PM
Reposted by Liz Midwinter
Just appeared on 5 News.
I lost all my saliva and was palpitating.
Died inside.
Hate cameras so much.
Never again.
January 9, 2025 at 7:26 PM
Reposted by Liz Midwinter
Truth. Especially now.
January 4, 2025 at 10:47 PM
Reposted by Liz Midwinter
Another interesting @bmj.com piece for us all this morning.

Anita Hannig on the medicalisation of dying and how we would do well to reclaim it as a human event rather than a clinical one.

Link:
www.bmj.com/content/387/...
January 5, 2025 at 10:58 AM
Reposted by Liz Midwinter
While we’re on the subject of End of Life Care, this is a blog I wrote a while back, on looking after people who might be dying.

It was written with junior doctors in mind, to help them navigate waters that I had found tricky.

#EOLC
#MedSky

sharingandlearningonline.wordpress.com/end-of-life-...
End of Life Care
Background: Working as a doctor in Medicine of the Elderly, I’ve looked after a lot of people at the end of their lives. Although it might sound odd, it’s actually one of the best bits …
sharingandlearningonline.wordpress.com
January 4, 2025 at 11:49 AM
Merry Christmas from these two idiots x
December 26, 2024 at 3:41 PM
Reposted by Liz Midwinter
You’re extraordinary because of your individuality - it’s what makes you stand out and shine. 🧡

#kindness #BeYou #authenticity

(Image by Katie Abey)
December 22, 2024 at 8:59 AM
Am in London. Have immediately transformed into some kind of extremely northern nanna type muttering things like “ooooh isn’t everyone in such a rush” and “gosh look at all this traffic at this time of night”
December 11, 2024 at 10:13 PM
Reposted by Liz Midwinter
“Be an encourager. The world has plenty of critics already.” 🧡

#encouragement #kindness #support

(Image by Joyfulsmolthings) 
December 3, 2024 at 7:28 AM
Reposted by Liz Midwinter
Everyone in the team has responsibility for sharing mental models. Help your team leader get everyone on the same page. Wise words from the Resus Rats
December 2, 2024 at 10:07 PM
I’m out already! #whamageddon @whamageddon.bsky.social

Should have seen it coming really doing a wreath making workshop at the hospital!! Worth it though.
December 2, 2024 at 9:51 PM
Reposted by Liz Midwinter
NHS managers at (Agenda for Change) bands 6-8a line manage up to 80% of NHS people. These “frontline” leaders have an outsize influence on NHS performance. See eg: bcg.com/publications... by BCG.
I'm spending tomorrow with 4 NHS systems seeking ways to unleash the potential of frontline managers

.
December 1, 2024 at 6:38 PM
Reposted by Liz Midwinter
This is something that we really can really make a difference in primary care.

Realistically there just isn't the funding for palliative care to look after all terminal patients.

We can't really assume that the patient knows they are dying, we need to tell them.

And use the word "dying"
This is a ubiquitous experience amongst emergency physicians.

Too often we see patients with evidently terminal diagnoses come to us in extremis and it seems we are the first to actually tell them that they are dying and there is nothing we can do to stop that.

It is emotionally exhausting.
I know that lots and lots of you do a lot of really good work, and I know your funding is precarious. I’ve just had so many bad interactions and uncontrolled deaths in people who seem to have never actually been told they’re dying despite seeing palliative care in the community.
December 1, 2024 at 4:22 PM
Reposted by Liz Midwinter
This is a ubiquitous experience amongst emergency physicians.

Too often we see patients with evidently terminal diagnoses come to us in extremis and it seems we are the first to actually tell them that they are dying and there is nothing we can do to stop that.

It is emotionally exhausting.
I know that lots and lots of you do a lot of really good work, and I know your funding is precarious. I’ve just had so many bad interactions and uncontrolled deaths in people who seem to have never actually been told they’re dying despite seeing palliative care in the community.
December 1, 2024 at 11:55 AM
Reposted by Liz Midwinter
#Whamageddon begins. Who’s in?
December 1, 2024 at 6:29 AM
Reposted by Liz Midwinter
Your mission:
November 28, 2024 at 2:22 PM
Reposted by Liz Midwinter
In unexpected breaking news, I’m an elite athlete somehow

#MedSky
November 28, 2024 at 8:31 AM
Reposted by Liz Midwinter
Quote:

“From a practical application standpoint, swearing represents a low-risk, effective, and inexpensive intervention that has the potential to acutely improve physical performance although the taboo nature of swearing may limit its utility in real-world situations.”

#RunSky
#MedSky
#SwearMore
In unexpected breaking news, I’m an elite athlete somehow

#MedSky
November 28, 2024 at 12:37 PM
Reposted by Liz Midwinter
Wicked was really good except for the 1 year intermission I don't need that long to go to the bathroom
November 27, 2024 at 12:54 AM
Happy opening night to all those who celebrate! #wicked
November 22, 2024 at 9:26 PM
Reposted by Liz Midwinter
happy “its finally here day” for people who’ve waited for this silly musical to be a film as well for YEARS
‘Wicked’ is now playing in theaters.
November 22, 2024 at 5:51 AM
Reposted by Liz Midwinter
We’re looking for a doctor in any training programme (ST1-5) to join us as the 1st ever pan-London Foundation School Simulation Fellow!

A 100% non-clinical role for someone interested in driving change+improvement in sim education for all London Foundation docs

Fantastic OOPE!

shorturl.at/jv38U
Current vacancies : University College London Hospitals NHS Foundation Trust
shorturl.at
November 21, 2024 at 9:01 PM
Reposted by Liz Midwinter
Who else is a bit of a mess… a reminder you are doing your best! #kindness

(Image by joyfulsmolthings)
November 21, 2024 at 4:59 PM
Reposted by Liz Midwinter
"Lower turnover rates for nurses and senior doctors at hospital level were associated with better health outcomes for patients with emergency hospital admissions."
The question for me is why we have to keep spelling this out.

www.bmj.com/content/387/...
November 21, 2024 at 10:18 AM