Part time doctor, full time air drummer. Intensive care registrar. Welsh. Views are my own/rubbish.
Joined March 2014
- Tweets 1,782
- Following 663
- Followers 233
- Likes 3,024
98 Photos and videos
What's your favourite medical term that is commonly mispronounced? Mine is definitely "aspirational pneumonia", like it has grand plans to become bilateral consolidation from its meager beginnings of a small patch of opacification in the right base.
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Sorry Rachel, I don't want their shitty cars thank you.
bbc.co.uk/news/articles/c0kx…
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Rhys J retweeted
19 Apr 2025
Slug and Lettuce obviously.
19 Apr 2025
Rumour has it Liz Truss is in talks to join Reform. If she opened a pub with Nigel Farage, what should they call it?
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Rhys J retweeted
It’s a delight to announce that the @echonepean / @BartsEcho collaboration is back for its 3rd iteration
And we have the most amazing special guest- the incredible Andre Denault, for the first time in Europe.
Book here events.humanitix.com/bartshe…
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Really interesting case!
2 Mar 2025
1/ Wild cardiac arrest with #POCUS playing a major role
An elderly male was sent from the nursing home in cardiac arrest. Per the prehospital report that we got, the patient was in vfib and refractory to 5 defib attempts. The patient got amio as well as several doses of epi.
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Rhys J retweeted
25 Feb 2025
A quick #VEXUS thread 🧵-
3 reasons why the portal vein is the most useful single venous doppler waveform 🥇
(if you're only going to do ONE site to look for venous congestion, this is probably the most useful one!)
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Rhys J retweeted
16 Feb 2025
🎬 2nd chapter
...🧵This a thread about 1.3% sodium bicarbonate🧂 (aka isotonic bicarb drip) in critical care.
☝🏻 If you missed the first part about 8.4% bicarb, I would strongly recommend you to read it before moving on 🏃🏻.
x.com/jackdeliuc/status/1888…
9 Feb 2025
...🧵This is a thread about 8.4% sodium bicarbonate (aka bicarb amp) in critical care.
This the first part in a series of three about sodium bicarbonate 🧂in critical care:
🧐I will get in deep to complexities, benefits, risks and clinical implications of this (overused) drug.
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Excellent thread which makes me reflect on the few cases I have managed in the past
23 Nov 2024
(1/x) Here's a potentially fatal flaw in how thyroid storm is taught in medical school & residency —and why sticking to the textbook can be deadly for your sickest thyroid storm patients. ⚡️⚡️⚡️
I've seen this happen several times.
A 🧵
#FOAMed #MedTwitter #endocrine #FOAMcc
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Rhys J retweeted
19 Nov 2024
If you’re getting worked up about the change in inheritance tax for farmers have a listen to this and stop being manipulated into believing this is something it isn’t. Go on I dare you. Or just keep furiously believing Farage, Clarkson, the Tory party and Musk (who hasn’t got a clue about what is actually happening and believes he doesn’t need to do so to compare Stalin to Starmer) meaningless drivel
19 Nov 2024
How many farmers will actually be affected by the changes to inheritance tax?
@DanNeidle does the math...
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I’ve been looking for a way to say this neatly for about 20 years
6 Nov 2024
All over the rich world, people’s lives are getting worse.
It’s harder to afford the basics, keep a roof over your head, and access care when you’re sick.
People will keep voting for whoever they think will bring back prosperity. 1/
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"Hi yeah, is that the ICU reg? Great. Look, I've got this guy down in resus with a likely MI and he's pretty sick. He's 187, but he's a good 187. He has someone do his own shopping, but that's actually not new, and I'm reliably told he can still do 4 uninterrupted yoga pushups"
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Any dermatologists or immunologists out there with an interest in life threatening presentations within their field? I'm looking to organise a regional teaching day for Welsh ICU trainees on these topics and am looking for guest speakers! DM if you can help #MedTwitter #derm
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Definitely up there
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ICU Stories:
While walking around the ICU at the beginning of your night shift, you notice that the respiratory therapist increased the FiO2 from 90 to 100% in a mechanically ventilated patient. Bedside monitor shows O2 sat 90%. You decide to read a bit more about the patient:
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Rhys J retweeted
1 Aug 2024
Slightly confused by something, are we saying all white people are not bad based on actions of a few, but all brown people are bad based on the actions of a few?
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Depressingly on the money
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I will now be referring to proning as rotisserie protocol from here on out. I will be taking no further questions at this time.
youtu.be/o9_vhRCF9Zc?si=njZ2…
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