Joseph Cosgrove
@JosephCosgrove7
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Anaesthesia & ex ICM Consultant, NHS advocate, sports fan. Mission: remove *Withdrawal of care* & DNAR from med vocabulary. It's DNACPR & we care!
Joined July 2015
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Pinned Tweet
Latest info sheet from
@ICUsteps
about patients who may be dying on ICU. Uncertainty features heavily & it's important to understand that Care should be permanent, even though treatments may change or become inappropriate for the dying.
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I'm a Consultant in Anaesthesia & Intensive Care Medicine. I'm vaccinated, so are my family & friends. It's is the single most important thing we can do to avoid being admitted to ICU or dying from COVID. It will protect others & enable work outwith COVID areas 💙
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1990s. ICU trainee phones boss. Son (primary school age) answers land-line phone
*Dad's in the bath.*
Trainee *OK can you tell him I'm from the hospital & it's quite important*
Son *What's the CO2?*
@RCoANews
@FICMNews
@AnnaBatchelor
@rupert_pearse
@montymythen
@AlisonPittard
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Wonderful moment at Elland Road today when, despite the ferocity of the game & passion of both sets of fans, the entire stadium spent close to five minutes chanting Gary Speed's name.
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Just in case you thought that it was industrial action by nurses & doctors that created waiting lists for hospital treatments, here's something from
@FinancialTimes
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A little thread in memoriam of someone ✨️ who oozed humanity.
Today many of us have lost a true friend and colleague. I've known Katie since she first began working
@NewcastleHosps
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Let's get this straight? Last wk approx 3k/11.5k jnr docs gained an exam score that enabled them to apply for GP/Hospital Specialty PG training. Today on
@r4today
it's announced that there's to be an increase in PA numbers from ~3k to ~11k?
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Members of the public, when you go to see the *doctor* please ask if they have a medical degree (MB BS or MB ChB) & postgraduate medical qualifications e.g. FRCA, MRCGP/FRCGP, FRCA, MRCP/FRCP etc.
👇
The GMC
@gmcuk
has learned absolutely nothing from the terrible events leading up to the Mid-Staffs Inquiry.
The next huge UK healthcare scandal is coming.
It involves the rollout of PAs and AAs with no regulation and no limits on scope.
Sadly, patients will die 1/3
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On duty at
#SJP
last night & talked about Cliffy Ahmed; used to sit behind Crowd Docs in
#LeazesEnd
. He died (behind Strawberry Pub) after 3-3 draw with
#MUFC
. Monday was his anniversary RIP Cliffy
@David_J_Waters
@nufcfoodbank
@BillCorcoran5
@NUFC
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@NickBuckleyMBE
Ridiculous attention seeking statement on a morning such as this. There have always been LGBT soldiers, sailors & airmen. And in this day & age they can be open & respected. Some are friends & colleagues who have served & serve with distinction in military & non-military roles
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I've shed a few tears today that I'd never thought I'd shed. RIP maam. Your life has ended, but your legacy of energy, humour, and (most importantly) humanity lives on. Reverend Captain: Slàinte Maith!
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30 yrs on. 1st rule of an ICU admission is "to let the nurses do their job and keep out of the way, until they tell you." Discuss
@AnnaBatchelor
@AlisonPittard
@FICMNews
@ICS_updates
@newcastle_icu
@iccueducation
@DannytheBaker
@LawrenceMcCros3
@GrossJamie
@Ganesh_ICM
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North-East folk, please be on the look out for Katie. For many of us
@NewcastleHosps
she was our rock during the worst parts of the COVID Pandemic
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Perfectly put by
@doctor_oxford
#DNACPR
is instituted as a protection. It is not neglect, rather it is a marker of respect & comes from a desire not to inflict harm on a fellow human
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@Otto_English
On 10/12/20 my mother died (in Barnard Castle of all places.) Before that my ex-wife, children & partner had made (reluctant) plans that none of us would see her on Christmas Day. My colleagues were in full PPE as a funeral was organised. That's all.
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The success of appropriate use of CPR after sudden collapse. Bystander CPR, early defibrillation
Among the fans at the
@NUFC
game were doctors - who raced to help save the life of the supporter who’d collapsed with a heart attack
But Emergency Medicine Consultant
@JosephCosgrove7
praises actions of a nurse from
@QEGateshead
who played a crucial role
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Please
@Channel4News
IT IS NOT DNR, IT IS DNACPR. CPR is one treatment in many. DNR conveys a perception of neglect & raises anxiety & moral distress amongst all. That's not what we're about. Thank you
@doctor_oxford
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Honoured to receive a commendation from
@FICMNews
along with
@drnatpat
&
@ICUdecisions
for our work with
#EoLC
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To die at home surrounded by loved ones is certainly part of a good death
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@NixJPayne
As someone who worked front & centre thru' worst days of the Pandemic between March 2020 & March 2021 I can assure you that he fell short of the mark on a number of occasions, beginning with his relationship with Dido Harding & horse racing & continuing thru multiple PPE issues
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Intensive Care. It's not all about ventilators
@newcastle_icu
@NewcastleHosps
@ICS_updates
@FICMNews
@ICUsteps
@RobinHanburyT
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69.4% of ICU admissions with COVID-19 are <60yo. Thankfully in-hospital mortality is lower than previous. Survival is a long haul & majority will have been in (likely low income) employment. The impact of COVID lasts longer than hospital
@ICUsteps
It takes a long time to recover from severe COVID. Patients stay in hospital for some time. The NHS workload is best reflected in the number of patients in hospital, which remains high. Even if this turned round soon, many patients would still be in hospital in December. 3/10
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Those who do not learn from history are doomed to repeat it. TWO METRES PLEASE
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Obituary to former friend & colleague in today's Times Newspaper. A great support at work during those sleep-deprived days & weekends of 1990s Anaesthesia
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End of an era beckons. The start of my last Saturday on-call
@FreemanHospital
@NewcastleHosps
The Tyneside weather sets the morning leitmotif
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For the record; King Charles III is LIVING with cancer. It's not a *battle* or a *fight against.* It's a pathophysiological process for which there may/probably be treatments available. And regardlessof the effectivenessof treatment, empathy, compassion & care should reign.
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Coronavirus: Doctors urge 'difficult conversations' about death - BBC News
Can't RT enough If any good comes out of
#COVID19
I hope it's more of this & how well
#ICM
&
#PalliativeMed
work together
@NewcastleHosps
@FICMNews
@ICS_updates
@drkathrynmannix
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After just over 2yrs it's finally happened. Impact? Headache & sniffle for me & an already depleted dept. scrabbling around to find snr staff to cover operating lists for patients whose op may have already neen delayed. The Pandemic isn't over. It's merely in a different phase
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Today, as on many Tues I've spent much time acting as a Medical Examiner scrutinising deaths
@NewcastleHosps
Not everything is perfect re EoLC but what has shone thru' from documentation & relatives' comments is unerring humanity from the staff. No smalch, no PR, just great care
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@rcantelo
@Soupelina
@EliotKate
@montie
And as an examiner for the FRCA I can concur that such subjects feature heavily in the postgraduate curriculum
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Stumbled on this whilst walking along Newcastle Quayside this afternoon. How Northern Ireland could do with someone of her abilities in the last week
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World was a better place. Had an unexpected privilege of the Cusack Stand for this
@brianmoore666
sums its up after
#AarambhnaFein
Years of conflict with an eye on something better
@irishelt
@Tyneside_Irish
@teesdalemag
@OxfordDiplomat
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Yesterday
@nufc
majority of the mascots wore shirts based on haptic technology i.e. sensors in the shirts vibrate to sound waves within the stadium. Skipper Dan Burn celebrated a in British Sign Language. Kids reciprocated. Imagine how they'll feel at school tomorrow?
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@Otto_English
@JamesMelville
As ever a binary narrative
. Mr. Melville fails to see that a hospital full of patients with respiratory infections & staff ill/isolating stops being a hospital for cancer screening & treatment Spread infection by a *me,me,me* approach halts cancer treatment. But what do I know?
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Unprecedented times. In addition to Consultants IA, it's the middle of July & I'm wearing orange. 😏
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Three years ago: Project Fear?
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@vidyapdermody
Acknowledged his statement, examined him & after blood tests, asked clinic nurse to get my boss (from Pakistan) to review my care & treatment. I informed him that said *boss* was an expert & knew more than me
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"De mammy" was laid to rest today. Whilst the real wake will have to wait (post-vaccination) there was a sense of closure & the completing of a good life
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@JujuliaGrace
And what HMG also fail to state is that a wage increase will also result in more returned to them in tax, plus an ability to spend more within local economies, particularly in areas of higher social deprivation such as N. East, South Wales & NI to name but a few
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Routine ODP endoscopy
@NewcastleHosps
Touching moment when nurse said *you were the ICU consultant who kept us smiling & calm on nights when I was seconded to ICU last winter.* It's the little things 🥲 Reassured her that I was also capable of grump
@NChaplaincy
@NUTHPsychology
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It's official. From Pope Frank/Papa Francesco:
*You don't mess around with Anaesthesia!*
@RCoANews
@LearnatAAGBI
@ANZCA
@nsaicm
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St. Pancras Station. Everyone remembers the statue of the couple in a farewell embrace, but equally as poignant are the statues at the base.
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Honoured as a member of
@NCLalumni
to have received a commendation in
#alumniachievementawards
for my contribution to the management of
#COVID19
@newcastle_icu
@NewcastleHosps
@UniofNewcastle
@FICMNews
@RCoANews
@ICS_updates
@CarmelRCCollege
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Clear signs of poor spelling outside Freeman Hospital, Newcastle. Just what staff arriving for a night shift/leaving from day shift wanted to see.
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Quote of the day:
*This isn't a b*llo**ing but I've made an observation that I think you need to reflect upon.*
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@tonypatt2000
There's a 1970s US medical novel called *The House of God* that has an acronym FUBAR BUNDY
F**ck€* Up Beyond All Recognition, But Unfortunately Not Dead Yet. I fear we may be heading that way
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When you discover that one of the ICU nurses you work with was at school with your children.
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COVID musings on behalf of
@Tyneside_Irish
We've experienced understandable anger & at times blatant abuse, but more humbling has been the (majority) sad & reluctant acceptance of relatives that 'It is what it is'
@FICMNews
@ICS_updates
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The ageing process. Spent yesterday in Eye Casualty
@NewcastleHosps
after I developed severe blurred vision in left eye on Saturday whilst walking in Co. Durham. Irony of ironies; it happened at Barnard Castle
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Is this parody? It's almost like *The Revolution will be Televised.*
@JolyonRubs
your art is now being mimicked in life
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Whilst parts of the world tear apart through division between religions or 'variation on a theme' of the same religion, her example and work showed (even to atheists like me) that there is a positive in religious thought that oozes and humanity and doesn't judge
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@Lamboozler
Hello Simon. As a former PG Examiner for a Medical Royal College can I politely suggest that it's you who are lacking insight
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Pic from autumn 78. On right, my mother who died peacfully, yesterday
@home
. Man in middle "me da" a vet in
#Teesdae
just before retirement.
@TvYorkshire
@BBCLookEast
lady on left is Hannah Hauxwell
#BarnardCastle
In 2020 terms this was a good death
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Some light heartedness from the late Brendan Beehan.
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Best yet
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Absolutely stunning sunset in the Toon this afternoon
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@CatharineHoey
@BBCNewsnight
@CatharineHoey
you were once a serious politician talking about inner city lads being levelled up because they found themselves in George Graham's Arsenal team. You're now a wailing eejit worshiping false prophets of Brexit. What happened? Have you confused prophet with profit?
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@doctor_oxford
does not hold back on outlining the hubris & pure arrogance of someone with no prior training or experience wanting to dicate end-of-life care, although I suspect in the SoS's world the *care* aspect would be minimal
'Offensive levels of arrogance and ignorance.'
@Doctor_Oxford
reacts to Matt Hancock wanting to 'decide who died and lived' during Covid. Palliative care doctor Rachel Clarke tells
@NickFerrariLBC
that it's 'repulsive'.
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@Britquixote
@LBC
@mrjamesob
Plenty didn't break the law & were deprived of all sorts of final moments while the Tesco/Sainsbury's wine flowed at No. 10. Others exhausted themselves caring for 1000s of sick & dying. No feigned moral outrage, just lots of moral distress & complicated grief
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Thought before bedtime. Always say hello & thanks. Your eyes can smile, even behind a mask & visor
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*Richest club* *Entitled fans* *Glory Hunters* Blah, blah, blah! Look beyond headlines; this is Newcastle..United.
In this day & age it shouldn't be but it's necessary & we contribute. Civilised, humane, empathic folk live between the Tees & Tweed
@BillCorcoran5
@nufcfoodbank
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@mickhsmith
@DavidOlusoga
No mate, I'm afraid that's incorrect. I've witnessed enough bullying & narcissism by those in authority positions to know that plenty of good people are crushed by the greedy. Chauvinism, racism, sectarianism, homophobia & petty dislikes and insecurities all play their part
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Today is the first time since late October 2020 that I've spent three consecutive days in an operating theatre & not an ICU.
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This is Graham who until recently was head of exams
@RCoANews
@FICMNews
@FacultyPainMed
He retired in Dec. 19 & is a legend to all
@35
Red Lion Square. He also served with distinction as CPO in
@RoyalNavy
most notably on HMS Newcastle. Thank you Graham
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@CRT_meeting
Are you for real? That man, as PM was more than happy to hang healthcare professionals out to die. Unless you're truly a parody account you are a disgrace to Medicine in the UK
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Another 90s minutes of my life wasted in a vain attempt to complete Mandatory Training
@NewcastleHosps
@NHSEngland
is further sucking out the vestiges of our morale with this ridiculous, arcane system
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Whenever I hear this guy explain things there always seems to be an unerring sense of clarity
Dr Mike Ryan on why pursuing herd immunity (without a vaccine) is unacceptable in any civilised society.
#HerdImmunity
#groepsimmuniteit
#COVID19
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@deanoburns
@r4Today
O tend to agree. Put us (or more importantly my younger colleagues) in our/their place. Increase profit-margins with the aim of privatisation & to heck with patient safety, espec for the plebicite
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And there it is. Brexit, the biggest act of self-harm to the UK economy in the 21st Century.
Tonight on
@TimesRadio
with
@ayeshahazarika
I took on Bill Cash and Brexit.
8 years since the vote, Bill Cash thinks Brexit has gone really well. In his predictable macroeconomic gerrymandering, he blamed all disruption on Covid & Ukraine…
I felt the need to set him straight
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Recently a large NHS Trust in NE of England had informed its staff that during this Financial Yr (2023-24) they hoped to achieve levels of elective work akin to 109% of 2019-20 levels (I’m informed it’s minuted.) The Trust in question currently functions at 85% of 2019-20 levels.
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During the COVID Pandemic, her unerring support was one of the most important features of my professional, especially during the uncertainty of early 2020
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A doubling of ICU admissions in a week. Mortality rare just short of 50%, 70/30 male:female distribution continues. There's other info in the report but this will do for now
#KeepYourDistance
please RT espec for non-medical folk
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The desk is set for on-line Final FRCA. Good luck to all, candidates & examiners alike. And a big thank you to the Examinations Department
@RCoANews
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I didn't realise you had to be a doctor to become an anaesthetist!
Why do you want to be an anaesthetist? It must be so boring. You just sit there while everyone else works & does the operation, don't you?
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Today I seem to have sent a subject matter viral...kids answering the phone for their medical parents. This is niche but one of the best replies. Non-British & non-Irish Colleagues, do you have your own tales to tell?
@DrMCecconi
@miceal_laoire
@psirides
@GavinPrestonMD
@JosephCosgrove7
@RCoANews
@FICMNews
@AnnaBatchelor
@rupert_pearse
@montymythen
@AlisonPittard
Daughter answers my phone to retrieval coordinator aged 4. ‘DCD or DBD? Are cardiac involved?’
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@dudleylad1066
Some of who left?
Celtic invaders?
Roman invaders?
Angle, Saxon & Jute invaders?
Viking invaders?
Dutch or German Royals with a bit of Romanov/Hapsburg haemophilia thrown in?
I'm with
@tonypatt2000
on this one.
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@vicky00rhodes
@CNN
Are you a nurse or paediatrician who knows where oxygen was being delivered from, the length of oxygen tubing & how that impacted on how child had to be nursed in non-ward setting? Plus, how long could mum nurse on lap in that environment?
Useful info whether pro or anti Johnson
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Lots of talk on
@r4Today
about Hospital Consultants earning £128k per year on average. I've no idea of breakdown of seniority in our ranks but 1st pic is of current payscales. There are additional awards that can add £30k onto annual salaries but award holders are a minority.
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Friday & Sunday on-call. 36/48 hrs in work. Others (drs, nurses, physios) were mostly women, aged between 22-40ish & a lot wearing PPE. Countries: UK, Ireland, Poland, Germany, Egypt, Pakistan, Spain, India, Nigeria, Zimbabwe, S. Africa, China, Singapore, Philippines
#NHS
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