Anna Batchelor
@AnnaBatchelor
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Past Dean Faculty Intensive Care Medicine. intensivist and anaesthetist. wife, mother, dog, cat and chicken lover. Also @Anna_Batchelor @critcare .social
Newcastle UK
Joined June 2011
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My mum died last night. A relief in ways, she had had enough at 98. But I’ll miss her. You only get one mum 😢
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So yesterday was my last day (and night🙄) of doctoring. 41 years, about 30
@NewcastleHosps
@newcastle_icu
It’s been a blast. How lucky to have done a job I enjoy with great colleagues.
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This gorgeous cuddly bunch of mischief is coming to live with us in 3 weeks. What should we call him?
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So,3rd time lucky, today was my last day of doctoring. I have been so fortunate to do a job I love with fantastic colleagues. It truly has been a blast.
@NewcastleHosps
@newcastle_icu
@FICMNews
@ICS_updates
@RCoANews
@NHSGIRFT
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Funeral done. Mum wanted a requiem mass at the church she attended before it became too much effort to go. It was absolutely lovely. Wish she could have enjoyed it too, I want to tell her about it 😢
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Sad day. Funeral for Professor Steve Bonner, intensivist in South Tees, husband and father
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This reads as a sensible, honest, insightful and supportive email. I applaud its author. It’s only concerning because of the reality of where we are. Anyone trying to make hay out of this needs to have another think
Very concerning email sent out to staff at the Royal London Hospital this evening, detailing the extreme pressure the NHS is under.
It warns “we are now in disaster medicine mode. We are no longer providing high standard critical care, because we cannot.”
Via
@JujuliaGrace
.
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Rotational training was great when we had the doctors mess, hospital accommodation and removal expenses. Without those how is it possible?? Ts&Cs eroded +++
Maybe it's time to end rotational training.
Yes it's good to experience different hospitals.
But it's not good for people's lives to have to move every 6 months or one year.
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Our oldest dog died today. Tassie 2010-2023. He was a very good boy 😢
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So today I did it. I took my voting slip and put a X next to someone other than the
@UKLabour
candidate. It hurt. But it had to be done. First time ever. Whilst
@jeremycorbyn
is leader it won’t be the last.
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As a past President of The Intensive Care Society
@ICS_updates
and past Dean Faculty of Intensive Care Medicine
@FICMNews
I agree with Nicki
I am Chair of the British Association of Critical Care Nurses
@BACCNUK
My family and I have all been vaccinated. I *know* it is the single most important thing I can do to avoid being admitted to ICU or dying from COVID. And because it will protect those I care about most. 💙
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Dear
@jlvincen
are there really no women available to take part in these sessions? Or did you just not think about them?
@WomenICM
#WomenInMedicine
Discover
#eISICEM2020
!
We’re really thrilled to announce that for our virtual meeting we have 5 round tables, covering subjects from
#COVID19
to
#sepsis
, cardiac arrest, and
#echography
- check them out at
@jlvincen
#ISICEMelearning
#wecareintensively
#ICU
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Listen. This is a shut down for a contagious disease not a fucking bank holiday ....ok. Just. Stay. Home. Please. 🙏 (and that’s the 1st time I’ve actually sworn on twitter)
I despair. These selfish [insert expletive] have surely just taken away any hope of heading off the worst of the
#COVID19
outbreak in NW Wales - and with it, probably our last chance of demand staying within the capacity of already-strained NHS services here 😢😡
#GoHomeNow
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Failing my “end of the bed” test. He’s working hard
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On my last ever anaesthetic list every cannula, tube, spinal, wise crack went in 1st time. Def quit on a high 😉👍
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@ClareGerada
Critical care has been banging on about this for years. Have a stroke and there is a funded rehab pathway. Spend time in
#ICU
emerge weak, depressed, PTSD, consequences of delirium. You are on your own
@FICMNews
@ICS_updates
@BACCNUK
@NHSGIRFT
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The
@CMO_England
telling it as it is and definitely not mincing words 👏👏
"This is sometimes said by people who have no understanding of health at all... and when they say it, it's usually because they want to make a political point."
Prof. Chris Whitty responds to concerns that the NHS is prioritising Covid other serious health issues such as cancer.
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Just heard Prof Kate Gould microbiologist, infection control tyrant and all round fount of amazing bug expertise died last week. End of an era. RIP.
@NewcastleHosps
@newcastle_icu
@dralirobb
@ParejaCebrian
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Coming from a working class family I never thought I’d end up studying medicine at university.
University cost me nothing. I graduated with my only debt a mortgage.
That opportunity is not really available to those coming after me £100K debt very scary and off putting
Coming from a working class home, I never thought I'd end up studying law at university.
Moving away was hard, but my time at Leeds led to my career as a lawyer and heading up the Crown Prosecution Service.
It was a pleasure to visit and meet those studying there now.
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@OwenSmith_MP
This needs HM Opposition to have a strong visionary leader. Sadly we have a fool looking for party political advantage in chaos. I find that scary
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What could possibly go wrong…….😳😳. Handing out her “own supplies” 😱. Isn’t the health secretary supposed to have a clue….?
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Critical care occupancy is a pointless number. Unless you know what the funded base is, the number of available staff, turnover, census time, elective and emergency workload etc etc etc. All “so easily” reduced to a clickbait graph 🙄
New chart: How full are NHS critical care beds? From The Spectator's live data hub: (Red=latest, blue= 5yr average.)
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Well I finally went to ED. Ribs 2-7 fractured on R also medial end R clavicle 🙄🐕🦺
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So after 6 months I went back to work
@NewcastleHosps
@newcastle_icu
thx for the welcome and support. Great to be able to do the job I love again. Damn
#COVID19
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@muddy_gas_doc
Congratulations. But remember the wisdom of
@doctorwibble
No is a full sentence
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@thomaswoodcock
@TheBMA
Sorry Tom but this is totally out of order. Trainees deserve a pay rise. And have a right to strike and to be educated.
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So today is the day I get my state pension and the wind hasn’t smashed my delphiniums yet (or slugs eaten the). So all good so far
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@NewcastleHosps
@NENC_NHS
@NHSProviders
@CollabNewcastle
I’m very disappointed you chose to use “walkout”…as if they are petulant children rather than highly skilled under appreciated professionals reluctantly going on strike because they have reached the end of their tether.
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@drkeithsiau
My MIL used to say when your 1st child swallows a coin you rush them to hospital. For the 2nd you wait for it to reappear. The 3rd you dock it from their pocket money
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I’m on call tonight. Lovely to see our donning and doffing area has gone. No
#COVID
in my patch 😀
@newcastle_icu
@NewcastleHosps
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The myth the
#NHS
is slow and lumbering should be completely dispelled by
#COVID19
. Agile and responsive despite inadequate resource. I hate the lying
@Telegraph
plying the same drivel as usual
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The puppy chews one of my boring black laces. My son put new ones in for me. I think they are rather splendid
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My son passed his driving test today. Entirely taught by his parents because driving instructors have massive waiting lists. Feeling pleased……and terrified as he has gone to a friends …alone 😳😬
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If you see an immigrant in a hospital they are far more likely to be treating you than before you in the queue
Richard Tice blames immigration for NHS waiting lists
Cathy Newman slaps him down, repeatedly
#C4News
Thanks for challenging his populist drivel
@cathynewman
👏
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Probably good there was minimal data collection in 90s so couldn’t draw graphs ….but it was really awful then too. The
@UKLabour
government 97-2010 transformed our
#NHS
into one of the best in the world. 13 years of
@Conservatives
have almost broken it
The NHS collapse - it has taken just 13 years - take a look at this from Channel 4 News
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I failed at retirement. Doing a locum. Went in yesterday….yippee no PPE trolley. By the time I left it was back 🙄
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And it’s done. 200M double row native hedging. I hope it grows and I hope the birds, the insects and the planet like it. Now for 🍷
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Tonight I’m on dementing mum duty. She is ok in the daytime but boy do the gremlins come out at night. Wish me luck
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Why did it take a pandemic for the problems patients face after
#icu
to get attention? Better late than never
@FICMNews
@ICS_updates
@BBCr4today
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And when even a medical degree or work as a criminal barrister looks unattractive financially …as a country we are in trouble. Worth reading the whole excellent thread 👇
Oh, and a bonus chart that I think will fry a lot of people’s brains and break a lot of narratives:
For all the talk of six figure costs of college in the States, here’s how much debt graduates leave university with in the UK and US vs other countries
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I guess there is another place in twitter desperately sad, but just now my timeline is the most joyous happy place to scroll
#BidenHarris2020
🍾🥂😎
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Excellent news
@isccmsociety
have elected their first female President elect
@SheilaMyatra
congratulations
@FICMNews
@ICS_updates
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Today would have been my mums 100th birthday. She missed it by 21 months. Dying was a relief to her and milestones just words. But I shall celebrate the memory of a good mother today. Happy birthday Flo 🥳🥂
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If you’ve been for a run you can eat a huge piece of chocolate cake....right 🤞
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Watch 👇. Doesn’t matter you can’t understand the words. It’s beautiful
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Being able to see nature, trees, skies, greenery, cut painkiller and analgesics use by 49%. Considering the risks and complications by opioid overdoses there is a potential to save tens of thousands of lives needlessly cut short, every single year, in the US alone.
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I don’t normally struggle for words. All the ones that spring to mind would get me banned ………. I’ll just say nurses aren’t just numbers they are amazing skill sets…..when you lose them…….😱🤬
Nurses can leave ‘if they want to’ – they have already had a pay rise, says Thérèse Coffey.
In an interview, Dr Coffey suggested she would rather recruit overseas nurses than increase pay for those already in the NHS.
Read more ↘️
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No. Just no
Dr Alex George cheers up COVID-19 patients by wearing his Love Island head shot on his scrubs
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So came out more orange than fuchsia pink, hairdresser rather bemused. Not sure if I look like a carrot or a house brick 🤣. But it’s better than boring grey and I quite like it. The quest for bright pink hair continues
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@DrDMcGregor
Hope you recover quickly. We are told vaccines are great and I believe they are ……but you aren’t the first I’ve heard of. Sticking with hands face space and outside for now
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Read the thread. Then see who wrote it ....and wonder.....😳
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@EddCarlton
DNR means don’t try and reverse death. GCS10 isn’t dead. I’d look after patient until I knew more about current situation and long term wishes
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This reminds me in 40 years of medicine I’ve never actually done an audit. Done lots of stuff and changed lots of stuff ….but zero audits. Quite proud of that
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And thank you to the lovely trainees and ACCPs with whom I spent the last week. The future of our specialty is bright. This was the point when I burst into tears though
@NewcastleHosps
@newcastle_icu
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Never underestimate the joy of a clean house. And the misery of getting there
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I don’t see much about it but the people who are sick enough for
#ICU
won’t be getting vaccinated until summer. We are going to be full for months. Scary thought.
@FICMNews
@ICS_updates
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And when you wonder why you pay taxes look at the public servants who toiled in Manchester and London and be glad.
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Hubby and I off for champagne dinner date night. Son taking and collecting us 🤩
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Not really a fan of funeral flowers so searched the garden for stuff. Ok yes
@waitrose
supplied the roses but the rest is from the garden. Quite pleased with these
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This is exactly why I became an anaesthetist 👇🤩
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The end of the bed test beats NEWS. That feeling when nothing other than seen it before kicks in
A lesson in life.
Call from a colleague today…
“Keith, I’ve got a 80 year old man with jaundice and fever from a large 2cm gallstone wedged in the bile duct. He’s on anticoagulation for PE. I just have a bad feeling about him and I think he needs an ERCP today.”
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Absolutely this. Critical care pharmacists reduce errors and save money
@FICMNews
@ICS_updates
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Thanks everyone….I really do understand your concerns. It’s Sunday night, I’m getting over Covid…….the good news is I can taste the Chablis in the glass I’ve just been brought 😎. Night night.
#ACCPs
are ace
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Important message is people do not bounce out from
#ICU
back to how they went in. They need understanding of the problems and support to be the best they can be after a huge physiological and psychological assault
@FICMNews
@ICS_updates
@BACCNUK
@TheACPRC
@NHSGIRFT
@ClareGerada
@AnnaBatchelor
@ClareGerada
@FICMNews
@ICS_updates
@BACCNUK
@NHSGIRFT
PICS and post Intensive care life need specific 'tools' for the job. I was extremely fortunate that I had
@InSPIREICU
but its not standard and we could do so much more. Specialist recovery centers would make recovery quicker having people who are experts in aiding recovery 1/
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Social worker has managed to find a respite place for mum. Now I feel like a complete heel and quite teary 🥲 😢
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This thread 👇😍 Why when we can build the most amazing interactive video games can’t we reproduce electronically the wonder that was the
#ICU
chart? Swift glance at paper & at patient told a big story. Now after several screens, forget what you were hoping to cross reference 🙄
The massive obs charts that ICU nurses filled out at the end of the bed were amazing. They made understanding the patient effortless. I cannot express how much I miss them. I want a massive monitor at the end of the bed that replicates that from an EHR.
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The power of having well trained Speech and Languge therapists integral to the
#ICU
team. Far too few units have this
@NHSGIRFT
@FICMNews
@ICS_updates
@newcastle_icu
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Covid has rather messed up the 18th birthday celebrations we planned. But it’s raining anyway 🙄
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Beautiful still, not yet midgie evening at Kielder water
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I’ve booked a ski holiday. I’m beyond excited. If everyone could stop making variants for the next 2 weeks I’ll be a happy bunny ⛷
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@jessphillips
@MailOnline
It’s almost like the problem is men irrespective of colour and race…….
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Home grown peaches. Took them to the garden party today
@HdonPontLabour
Just several more kilos and loads of nectarines to pick
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I’m on a train going to speak at a real conference to real people. It feels rather novel
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RIP Kato. You used to savage ankles and never went in for cuddles. But you liked your people home and wanted to be near us. You had a long and I hope happy life. No more white fur in your favourite spots. And no dripping tap in the bathroom because you preferred running water 😢
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FFS. If they taught them anaesthesia surgery and ODP skills that might be useful. But otherwise why not ask folk who do it? 🤷♀️🤬
NHSE to spend up to £42m on management consultants for elective recovery
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@SamGoodhand
Not just the filters. The magic of hospital care is nursing…without that it’s just a shed
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