Anaesthetics & Critical care Consultant. Mum of two. Wife of a Rugby enthusiast. Interested in making ICM accessible to all.

Uk
Joined November 2011
1/ Anaesthetic challenge. Patient turns up at a district general hospital for urgent (cancer) surgery. 2 months earlier TTE showed this pericardial effusion considered to be neoplastic in origin. Colchicine and steroids had been prescribed. A repeat echo the day before surgery was missed. You look at the scan 👀🫀”
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The GMC wanted to redact who they were seeking support off to influence the Leng review Unfortunately they didn't redact it all "Potential KF support" Now what organisation would have the resources for such a task, the appearance of independence, and have the letters KF… 🙃
Another email from Charlie Massey (@gmcuk chief executive) to Prof Leng, where the GMC said they would suggest which NHS orgs the review team should visit. "...provide some suggestions on locations you might visit to see how PAs and AAs are deployed and working in practice"
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Gigi is the most beautiful, precious little girl. Her death was entirely preventable, due to unsafe sleeping arrangements at nursery. Her wonderful Mum & friend of mine, Katie, is campaigning for safer nursery environments. Please share #campaignforgigi campaignforgigi.com/our-camp…
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The Intensive Care Society is deeply concerned by the Supreme Court’s recent decision regarding the naming of doctors involved in court of protection proceedings. Read our full statement below👇 bit.ly/supremecourtrulingsta…
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📣 Apply for the TRIC National Trainee Project Competition - open for ICM interested resident doctors📣 Share your work at SOA25 with the winner becoming their next national project for 2025/2026. Apply before April 30th and find out more below👇 bit.ly/TRIC2025
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Totally outrageous attitude in this day and age. Sad that ICM has lost someone talented. ICM consultant with two children here, happy to chat to anyone who might have come across these attitudes and be having second thoughts about perusing a career.
🔥Have been incensed about something all day…. Women are the majority of medical students in the UK, yet there are still pockets of the medical profession where dinosaurs are alive, well & roam the earth. Turns out my own clinical specialty (ICM) is sadly one such place…. 1/8
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ditto.fm/deny-this Hungover Tuesday EP out today. Band of doctors, available for events!
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PAs being enabled to become senior clinical decision makers after their (2-6 week) placement as a student For comparison, Drs become Snr clinical decision makers after: ✅ 4-6yrs med school ✅ 2yrs foundation training ✅ 4yrs specialty training ✅ RCEM specialist exams
Looks like PAs are seen as THE senior decision makers at @sashnhs EM department ‘You will be supported to as a senior clinical decision maker within the department’ Heads should roll for this death . @parthaskar @DrAsifQasim @Mike88881221 @DrLukeCraddock @doctor_oxford
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I have honestly no idea what it would take to make it up to candidates affected by this scandal (and it is a scandal). Paying for a resit isn’t enough. What about the candidates who were mistakenly told they had failed, who then may have left training? Awful
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I agree, I am fortunate enough to have breastfeed both babies, but not without additional formula in the early days because as you say, breast feeding is hard and both babies became jaundiced and would have been admitted without us giving formula. The formula was our intervention
'The watchdog said parents often chose... formula...when they were vulnerable, often in hospital immediately after birth, when they did not have “clear, accurate and impartial information needed to make informed decisions”' Let's unpack this, shall we!🧵 theguardian.com/business/202…
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This chart is a scandal. Teachers, doctors and others earning fairly ordinary salaries can face marginal tax rates of more than 60%, and sometimes approaching 80%. Rachel Reeves should reform income tax. Thread:
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📣 Only few places left! 🥼Clarification: The event is open to any trainee interested in ICM - core/foundation/LED etc - use the FICM trainee rate in person. Also any MDT can attend online for the lecture portion. 📝 Abstract submission will be extended till 18th September
🔔One month until @FICMNews first Intensivist in Training Conference! 👩‍🏫 Hear world-leading experts discuss the latest breakthroughs in ICM research (@charlot_summers), mechanical ventilation (@Luigi_ICM), peri-op care (@rmoonesinghe), and much more. 🎫: tinyurl.com/3ras2t99
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Giving a human factors talk next month at a critical care conference Hmm... BMJ study found ICU trainees urine was x2 as concentrated as their patients Even a 1-2Kg loss of body water can reduce analysis/decision making by 15-20% Drinking regularly helps maintain performance
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🇬🇧 ICU Echo Provision 👩‍⚕️ Median 4+ focused accredited scanners/unit ⚙️ 98% ICUs echo capable machine, median 2/unit 🚅 Focused echo quicker> comprehensive 🏥 Better infrastructure now, final push with echo routinely delivered in @FICMNews training? journals.sagepub.com/doi/10.…
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I am really so sick of the extent to which the HCPC @The_HCPC does not care EVEN REMOTELY about those it regulates. I have a #FitnessToPractise case going on since September 2020 - nearly 4 years hanging over the registrant & putting them at significantly increased risk of death by suicide. Got invited to a short hearing on the case this week. I say "Is this an error, I'm not aware of any upcoming hearing?". Response - "Oh the HCPC decided to discontinue the case against your client, it's just that nobody bothered to tell him. Or you. The hearing is for the HCPC's discontinuance application". There are multiple stages to deciding to discontinue, making that application & arranging a hearing. The registrant is of so little importance to the HCPC that nobody, at any point in the process, thought to inform the registrant himself that his ordeal would be coming to an end. This says EVERYTHING about the HCPC's toxic attitude to registrants, which runs right through the FtP process.
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This is an incredible piece of work by @JonathanPieNews. From the research, to the sequencing, to the performance. You want to know why so many people are turning away from vapid MSM and looking to political comedy & alternative news? Look no further. 👇
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My interview with the Immigration Minister where I try to get my head around Rwanda: “We’ve seen lots of people arriving on small boats - over 13,000 this year alone. Every one of these people, as far as I can tell, joins the queue to go to Rwanda. So how many people are in the queue now to be deported to Rwanda?” Immigration minister Tom Pursglove: “Rwanda is an uncapped scheme. The last set of figures that I saw, there were 85,000 asylum claims that are still not decided”   “So that means 85,000 people are effectively in the queue to go to Rwanda?”   Pursglove: “A considerable number of those people will be eligible for relocation to Rwanda. Now I would argue you need a deterrent.”   “I just want to get my head around this. Tens of thousands of people - none of them can have their asylum claim processed until they get to Rwanda. So they're just sitting in taxpayer funded accommodation until that happens?The Public Accounts Committee reckons Rwanda will cost half a billion pounds - the average cost of a new hospital, by the way. But that's not to send 85,000 people to Rwanda. That's to send a maximum of what, 5700 people? I just can't get my head around this. It feels ridiculous.” Watch video here:
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This is not a “specialist” @NHSEngland It is a physicians’ assistant. A specialist takes 15+ years of training & competitive postgraduate exams. Stop scamming the public & putting patients at risk. @ASA_UK 1/2
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Rishi Sunak's Big D-Day Snub - A Definitive Thread... Rishi Sunak skipped out on the main D-Day commemorations yesterday to rush home and record an ITN interview that won't even air until Wednesday next week. 1/8
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