Will Ricketts 💙 🕊️
@tb_doc
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Consultant Chest Physician, interests in Lung Cancer and Breathlessness
London
Joined June 2013
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Pinned Tweet
@oncphysio
and I will be doing
#Stride4Gaza
for the next 2 weeks aiming to walk 50km each in that time to raise funds for
@MedicalAidPal
’s vital humanitarian and healthcare work in the Middle East, I’ll also be keeping up the cycling too 🥵
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Just been speaking to a patient at
@RoyalLondonHosp
, she just described her GP as “the most wonderful thing on two legs” I loved that description so much, so looked him up. Dr Ali Hussain at Gough Walk Practice you have a big fan 👏🏻
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Exactly the same experience at
@RoyalLondonHosp
. Nearly every patient on the wards unvaccinated, every patient I’ve referred to ITU unvaccinated. We’re not here to judge (my day job is lung cancer) but please help us to help you please
#GetVaccinatedNow
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448
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Today I have formally asked
@NHSBartsHealth
to reduce my PAs (hours worked) after being hit by an £8,000 tax bill this year and expecting an even bigger one next year. Unfortunately this is the only way to reduce this unfair
#AnnualAllowance
#PensionTax
@goldstone_tony
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Maybe not the worst sequelae of Covid, but really quite annoying 🥶
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We currently have nearly 60 patients on enhanced respiratory support (CPAP/HFNO/NIV) on Respiratory and Acute Medical Wards, compared to ~25 at the peak of the first wave and 3 at baseline.
We have expanded to 20x baseline 😳
Exactly this - medical wards acting as respiratory HDUs (I see you
@Team13F
) and surgical wards becoming medical. Plus porters, domestics, ward hosts, pharmacy, therapists and stores all adapting in untold ways
#ShareTheLove
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Beyond parody, we can’t retain Doctors so we are going to replace them with robot penguins 😂
I want to build on innovative work across the NHS to help improve efficiency, improve patient care and cut waiting times.
This week I visited
@WeMakeAI
to see the potential of their tech like this Helper Bot trialled
@MKHospital
to move medicines, specimens & clinical supplies.
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Five years ago today we moved out of the London Chest, a hospital in the East End of London built to combat a respiratory infection, today we are building another one. Talk about life going full circle!
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Absolutely phenomenal achievement by the whole
@RoyalLondonHosp
13E team who have not seen a single death in 7 days. Rare in normal times, miraculous in
#COVID19
#pandemic
Well done
#PerfectGame
With a little help from our
@teamaccu
friends 🙏🏼
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Literally couldn’t make this up! Generally I’m a rule follower, but things like this make even me lose my faith in the rules.
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Admitted a patient this week with an entirely preventable asthma exacerbation because she couldn’t afford the prescription charge for her preventative inhaler.
Bad for her health, misses work meaning she has even less money and given cost and bed pressures economically bonkers.
My patient is struggling to afford basic formula milk for her baby.
I see her fear and desperation & I’m shaking with anger.
Come on
@BorisJohnson
, come sit in my chair and FACE HER.
Look her in the eye & tell her why you’re doing f*** all about the cost of living crisis.
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There’s been a lot of:
“This team’s busiest”
“These are the unsung heroes”
“... is most outside their comfort zone” on Twitter today.
One of the most impressive features of the first wave was the unity and team spirit.
We are
#OneTeam
of
#NHSHeroes
💙
#MedicineIsATeamGame
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This is not just unfair on me, it’s unfair on our patients. Every week that’s 4 hours less work, 4 hours less patients seen, waiting lists getting longer and longer, potentially for the next 25 years of my career.
@SteveBarclay
@Jeremy_Hunt
what are you going to do about it?
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Quite possibly the best comment a Physiologist has ever put on a
#CPET
.
@ARTP_News
@ARTP_Education
@Breathe_to_win
@guyll
Can you beat this?
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This man probably literally saved a life today. To have the presence of mind to recognise a cardiac arrest and start CPR on one of your colleagues would be amazing in any circumstances, but during a football match with millions watching is incredible.
Simon Kjaer. What a man. What a leader. What an act of heroism. 🇩🇰🙏
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Guess which of these is:
A. Sitting with no mask
B. Sitting with a mask
C. Having run up 7 flights of stairs with a mask?
D. Who cares, they’re all the same?!
Declaration - I am an unfit, middle aged man with asthma.
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I hope this actually honours FRONTLINE workers rather than “frontline workers” who talked a lot about being frontline workers, but didn’t actually go anywhere near the frontline.
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On my commute to work this morning I passed 11 people not wearing masks. This is a public health risk, will I get reported to the GMC for mentioning or in doing so am I actually carrying out The Duties of a Doctor by flagging it?
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First ward round back on the
#Covid19
ward today. Every patient I saw was unvaccinated, so depressing because it just feels so avoidable
#GetVaccinatedNow
#WearAMask
#WashYourHands
#GetBoosted
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It was an absolute honour to represent
@NHSBartsHealth
at
@citylordmayor
’s Service of Reflection and Hope at
@StPaulsLondon
yesterday and to say a few words about my experiences of the pandemic.
Thank you
@mdstbarts
for asking me and
@glacdao
for the photos.
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The hospitals of Barts Health have a long history of advocating for the people of East London.
We don’t see these strikes as abandoning them, we are fighting for their future. The NHS is haemorrhaging staff and without staff, who will care for the most vulnerable in society?
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This week has been hard, but the thing that has impressed me so much has been my brilliant colleagues. Almost every 5 minutes someone new goes above and beyond and becomes my “new favourite colleague”.
@NHSBartsHealth
@BartsHospital
@RoyalLondonHosp
#UnsungHeroes
#NHSCovidHeroes
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I would suggest that all
#Covid19
deniers should be invited to volunteer in their local ICU, I’m sure we could all use the help and they should be happy to volunteer as by their own reckoning they will have a quiet shift and for the full on deniers won’t need PPE either.
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This is ridiculous, Radiology has amongst the biggest staffing gaps at Consultant level, we have trainees keen to work in the specialty, so why are there so few training numbers?
It’s 11:1 ratio for Radiology applications this year. Which just makes everything seem a little pointless
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So it continues, every new respiratory admission with Covid since Friday has been unvaccinated.
Exactly the same experience at
@RoyalLondonHosp
. Nearly every patient on the wards unvaccinated, every patient I’ve referred to ITU unvaccinated. We’re not here to judge (my day job is lung cancer) but please help us to help you please
#GetVaccinatedNow
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Obviously I know how amazing
@Team13F
at
@RoyalLondonHosp
are, but hearing the comments from so many patients this last fortnight about how well they feel they have been looked after at such a difficult time has made me really rather emotional.
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Don’t know why I have only just seen this, but so proud of
@RoyalLondonHosp
@teamaccu
for this 🇵🇸
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Proud of my brilliant colleague Nanak Singh for so eloquently representing Respiratory Medicine
#RespIsBest
Barts Health is a group of hospitals all working together to care for east London.
In tonight’s
@BBCLondonNews
,
@karlmercer
and his team capture how our hospitals and staff work as one to respond to the
#pandemic
.
🎥Watch it here:
#TeamBartsHealth
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I worry that there is a disconnect between management and junior doctors at the best of times and the current situation risks bringing that into sharper focus, but if anyone thinks our mangers don’t get it, be reassured, they do. Very touched to receive this email yesterday.
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It’s always darkest before the dawn feels very appropriate today, but the sun rises in the East.
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Amazed that the
@IFSD_IFPD
&
@resfoundation
don’t think
@Jeremy_Hunt
’s budget won’t aid retention of senior doctors. It’s reversed my plan to cut hours and judging by the replies to
@goldstone_tony
it’s had the same impact on many others.
@wesstreeting
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Yesterday was one of the toughest days yet, but I wanted to thank one of the people in the hospital who does one of the hardest jobs probably for the least thanks. How our Capacity Manager magicked up 7 more Respiratory High Dependency beds I will never know.
Same again today!
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Very excited that our life saving work on
#PreHab
in
#LungCancer
has been published today in
@PeriOpMedJ
@KristiHutton2
@emma_streets
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My
#GP
has been absolutely brilliant during the pandemic. I’ve needed 2
#LongCovid
reviews and 1 Asthma review.
Same day tele appt every time saved 20 mins on tube & 10 mins in waiting room each time. Better infection control & more convenient. Brilliant.
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Just completed our first ever
@RoyalLondonHosp
Respiratory Pre-Op MDT Clinic. Very exciting to be helping facilitate life saving surgery for patients who would historically have been deemed too unfit.
#teamworkmakesthedreamwork
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Still such a great feeling when
@ThoraxBMJ
drops through your letterbox, you open it to find your work in it 😃
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“Respiratory teams carried the highest burden of acute COVID-19 care and remain desperately understaffed and under-resourced”
No great surprise on either front there.
@thelimbicrespUK
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Walked part way home from work at
@RoyalLondonHosp
today and saw these.
Thank you
#ArtfulDodger01
🌈
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This is complete cultural vandalism by
@QMUL
.
@BartsHospital
in the oldest hospital in Western Europe,
@RoyalLondonHosp
is the oldest Med School in the UK. You can’t buy that history, yet QMUL want to give it away. Please sign if you agree 👇🏻
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People need to be very mindful of this, as overall numbers drop those of us at the sharp end are likely to remain so for a long time to come (for us Covid never went away between waves) and many of these staff are exhausted already.
The pressure on the NHS remains extremely high and will be for months to come. This by
@Zudin_P
and
@stevemathieu75
for
@ICS_updates
describing the vast effort needed to create extra Intensive Care beds across the UK. We still have more ICU patients than the first wave. 3/8
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I have decided to
#RidePalestine
(240km) every month until there is a
#CeaseFire
to raise much needed humanitarian funds for
@MedicalAidPal
Between 19/2-8/3 I will also
#StrideForGaza
(95km) too.
Please consider sponsoring me for these dual challenges.
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If my human’s going to work on a Sunday, the least I can do is keep him company 🐢🥰
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@natprocyshyn
Being professional is using whatever language is right for that patient at that moment.
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Not a bad week, shortlisted for a
@bmj_latest
#BMJAward
with my brilliant Anaesthetic, Cardiac and
@t_popsbarts
colleagues and had 4 abstracts accepted for
@EuroRespSoc
#ERSCongress
including spoken sessions with
@nikkismallcombe
and
@AcademicResp
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Just received this month’s
@ThoraxBMJ
with this front cover perhaps they should give these out at
@TfL
stations instead of
@MetroUK
@EveningStandard
Please wear masks they save lives.
@BTPLondon
please enforce the law, by not doing so you are putting lives at risk
#COVIDIOTS
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I feel there must be something not quite right in the world at the moment, I keep finding myself agreeing with Piers Morgan and Jeremy Hunt 😳
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I literally am Philip Lee if flagging the lack of mask wearing on
@TfL
is reportable to the GMC!
Walk passed 17 people between DLR and Central Line platforms not wearing masks. The third wave is coming
@tfl
@BTPLondon
what are you doing to prevent it?
#WearAMask
#Covidiots
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First day working from home for a month, someone’s pleased 😃🐢
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Clear message from yesterday’s rally
Hospitals are Not a Target
Schools are Not a Target
Healthcare Workers are Not a Target
Teachers Not a Target
Doctors Not a Target
Nurses Not a Target
Physios Not a Target
Children Not a Target
Very sad that this needs to be said.
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St Peter’s Square overflowing with people supporting Doctors and other Healthcare Professionals at the
@TheBMA
bma rally please listen
@SteveBarclay
and negotiate.
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Every year since I graduated 20 years ago, the government have given Drs a below inflation pay rise, over time that adds up to this 👇🏻
#PayRestoration
#JuniorDoctorsStrikes
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I am not sure which of the big London buildings this is, but the sentiment is very much appreciated, thank you 🙏🏼
#COVID
ー19
#NHSheroes
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Thousands of healthcare workers taking part in a silent vigil in London today asking for peace in the Middle East and reminding us all that Healthcare Workers are not a target.
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When you’re about to give an online lecture and your tortoise tries to get under the door to join in 😳
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My not particularly well informed tweets on
#AnnualAllowance
#PensionTax
seem to have got me quite a few new followers. Imagine their disappointment when they discover I mostly tweet about Doris trying to work out which presents are hers under the Christmas tree 🐢 🎄
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If only exercise was a drug 🤔
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Having previously taken part in
@BTSrespiratory
&
@BTOGORG
conferences, Doris is thoroughly enjoying her first international conference
@EuroRespSoc
#ERS2021
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This article perfectly describes so much of what we have been going through. The last two paragraphs especially resonate. Thank you to
@guardian
@GdnHealthcare
for sharing this story.
#Covid19UK
#NHSCovidHeroes
#RespIsBest
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It’s Doris’ first birthday with us (we think she’s 5) and like all youngsters she partied hard the night before and crashed out not in her bed and is now gorging herself on birthday cake 🎂 🐢
#TortoisesOfTwitter
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Light at the end of the
#COVID19
tunnel or a false dawn?
The view from the
@RoyalLondonHosp
@Team13F
window 🌅
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I would go one step further and say exercise saves lives. As a result of our
@ThoraxCentre
#PreHab
programme we have operated on patients who would otherwise have received palliative treatment.
@GrangerCL
New expert review:
#Exercise
training as part of
#lungcancer
therapy
@vincavalheri
@GrangerCL
now online in
#Respirology
Free full text and download!
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I came across this article via
@BartsWellbeing
and it really struck a chord. My accent is not regional, but at State School it was too posh, at Med School it was too common. I adapted both times. Then a role model showed me it was ok to be my whole self.
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My human is so slow at reading these
@ThoraxBMJ
journals I reckon I can read them faster than him 🐢
#TortoisesOfTwitter
#RespIsBest
#CPD
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@DoctorPonglenis
As a Medical Consultant I have absolutely no issue with Physio, Nurse and other AHP Consultants, as long as they introduce themselves to their patients accordingly and work with their competence and scope of practice, just like a Dr should.
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I say this to students and AHP’s all the time “never say ‘just’”. I also hope if I say it enough then enough Drs will take it onboard so that one day the students/AHPs don’t feel they need to say it.
#MedicineIsATeamGame
#TeamNHS
Big thank you to the doctor who told me off for excusing myself (as I wasn't who he was looking for) as just the physio.
Telling me the importance of Physiotherapy and that we should never say we are 'just' because we're an integral part of the team 🤗
#MadeMyDay
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And then she was 6! After a bleary eyed start she seems to have really got into the birthday spirit and be loving her present! Happy Birthday Doris!
#TortoisesOfTwitter
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Exciting news! Signed up our first patient for our
@LivingWithapp
#LungCancer
App today. Really hoping it helps them with their cancer & pre-hab journey, making the App has certainly been a journey for us!
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66
@D_Rodders
My wife! Although she likes to think she’s <35 still! They tend to get promoted, just like Drs and do more senior roles so you won’t see them on the wards, try outpatients or offices.
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Happy Christmas everyone and an even bigger thank you than normal to all my colleagues working this year
#CovidChristmas
💙
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Lovely to see this outside
@RoyalLondonHosp
thank you to whoever did it, but is it
#Banksy
?! And why are there so many cars on the road?!
#StayHomeSaveLives
#NHSCovidHeroes
1
7
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Seeing colleagues like
@atabraham
&
@Prof_Schilling
not just do this once, but come back and do this shift after shift is inspirational. This is what good leadership looks like 💙
Truly inspired by the many
@NHSBartsHealth
consultants (senior doctors) who have stepped up to work as ICU nurses with
@teamaccu
this weekend. To say I am proud to be your colleague just doesn't come close. You are absolute stars.
@atabraham
just one of the many.💙💙💙
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This resonates in so many ways. I’ve been the next of kin (at a much younger age than I’d like to have been) and one day I will be the childless person with an unusual NOK myself. I hope this helps me treat my patients as I would like to be treated.
A sad reminder again that just because an older person does not have children, it does not mean they are not equally as loved or valued as someone that does
Next of Kin’s who aren’t “blood relatives” should not be devalued as part of our care process & communication. Ever. 1/3
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Unfortunately not at
#BTSWinter2021
this year, my turn on the wards at
@RoyalLondonHosp
. I’m sure Doris will fill me in later
#RespIsBest
🫁
#BTSPets
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33 years ago, almost to the day, I first visited Plough Lane and instantly fell in love with Wimbledon FC, I feel so privileged to be at our first home game for nearly 30 years, what this club have been through to get to this point is unbelievable 💙💛💙
@AFCWimbledon
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I am speechless. Having led 1,000’s of cardiac arrests I struggle to go back to work afterwards, I really hope this decision was freely made and they weren’t coerced or pressurised.
Following the request made by players of both teams, UEFA has agreed to restart the match between Denmark and Finland tonight at 20:30 CET (TBC).
The last four minutes of the first half will be played, there will then be a 5-minute half-time break followed by the second half.
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@sportswithjohn
I have a foot in both camps, which would you like me to prioritise? 😂
@ChristophLange
@onnmin
@TBnet_EU
@ivor27
@dannymacca81
2
0
63
#RespIsBest
Christmas Quiz was a great release from the very stressful time
@RoyalLondonHosp
and
@BartsHospital
respiratory team are having. Thanks to Dr Castle for organising.
#IRiskedMyLifeForCovidAndAllIGotWasThisShittyMug
1
5
63
It’s like deja vu all over again, just randomised
@NHSBartsHealth
’s first
@recovery_rs
patient at
@RoyalLondonHosp
of the third wave 😢
Successfully recruited another 4
@RoyalLondonHosp
patients to
@recovery_rs
today. Still find “success” in recruiting to this trial a difficult concept as it just highlights how many sick patients we still have with
#COVID19
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Drs often ask for “aggressive chest physio” for patients with
#pneumonia
, what do our
@TheACPRC
Physio colleagues actually do?
Great overview by Pearlene Antoine-Pitterson at
#BTSSummer2024
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17
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Wow! Never been called an Influencer before!
Top Influencers of
#ers2021
:
@EuroRespSoc
@RespiFIL
@ASundaralingam
@tb_doc
@carlvanloey
@BTSrespiratory
More 📊
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@sportswithjohn
My favourite Voltaire quote, used regularly including yesterday in advising one of my trainees.
0
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Desperate for wine or already had too much?! A genuine conundrum!
Thanks to
@oncphysio
for the photo of Doris’ exploits today.
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Took Doris to the beach for the first time today, she wasn’t impressed that it was too wet to build sandcastles! 🐢 🏖 🌧
#StayCation
10
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Great to see our piece on improving the safety of chest drains in
#COVID__19
has been published in
@Clin_Med
well done
@xraysurgeon
& Tim Fotheringham for your vision and ingenuity, always a joy to work with
@Barts_IR
colleagues.
#PPE
😷
#RespIsBest
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Patient today, opening gambit 😡 “Why wasn’t my scan result on the App when I checked this morning?”
Me “Thankfully your CT didn’t show cancer, but would you really have wanted to find out that way if it had?”
Pt 😳 “I hadn’t thought of that”.
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7
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Wow! Repeatedly said how supportive I am of all the work
@EveryDoctorUK
and Julia do, but that the Daily Fail leak was misjudged and a risk to our staff and patients, but never rude 🤷🏼♂️
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Exciting to wake up and find that this has been published.
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Absolutely love
@NHSLeader
introducing Jonathan van Tam as “that guy from the tele” at
#BTSWinter2022
Really looking forward to his talk and hoping for some sporting metaphors and
@burtonalbionfc
references.
#RespIsBest
🫁
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Thrilled to receive the news that
@NHSBartsHealth
has opened today for the
#SUMMIT
Study. Great news for our patients,
#LungCancer
#Screening
will save lives across
#East
#London
@lungsforliving
@LungConsultant
@BartsHospital
@RoyalLondonHosp
@NewhamHospital
@WhippsCrossHosp
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