Matt Thomas @DrMattThomas1 Twitter profile

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Matt Thomas

10 months

I like to count things. Totals for my first two years of anaesthetics training 🙂 Anaesthetics without a supervisor coming into the room: 104 Cannulas: 388 i-gels: 185 LMAs: 99 Arterial lines: 97 CVCs / Vascaths: 37 Inter-hospital transfers: 6 Spinals: 57

Matt Thomas

@DrMattThomas1

2 years

A year since I left. A very different year, I miss North Wales, but training is good🙂 In numbers (I like numbers): 569 anaesthetics 254 cannulas 137 intubations 130 i-gels 51 LMAs 24 arterial lines 13 CVCs 1,016 km cycled/run/swum 13,744 m height climbed (most on leave in Wales)

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Matt Thomas

@DrMattThomas1

2 years

I enjoyed receiving this out-of-office email 🙂 I am on annual leave. If your issue is urgent, please either re-evaluate your idea of urgent, or consider whether email is an appropriate means to contact an anaesthetist in an emergency.

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Matt Thomas

@DrMattThomas1

3 years

1) I attempt to intubate, I can't get a good view. 2) Consultant takes over and intubates. 3) They tell me it was an easy intubation and I need to be better. 4) Next case, return to 1). I know the theory, but no one tells me how to improve my implementation. How do I get better?

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Matt Thomas

@DrMattThomas1

4 years

I remember a time when I could write a to-do list without drawing a small square next to each item. That now seems inconceivable.

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Matt Thomas

@DrMattThomas1

11 months

Last weekend I did ICU days. This weekend I'm doing ICU nights. I don't have any friends here, so I haven't spoken to a single person in between. I love my job, I'm looking forward to work tonight, but there is a high cost to rotational training.

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Matt Thomas

@DrMattThomas1

6 months

The Primary FRCA is the hardest exam I've ever done. I waited until after my night shift to read my result because I 100% expected to see FAIL FAIL. I am completely shocked that I passed. I'm quite scared that I'm going to get a second email telling me they've made a mistake.

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Matt Thomas

@DrMattThomas1

1 year

This ARCP season I’ve decided to plot the size of the cannulas I’ve put in over the past two years (I like to count things, I include all cannulas and their size in my logbook). I wonder whether you could identify someone’s specialty by their cannula size distribution?

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Matt Thomas

@DrMattThomas1

1 month

I'm completely shocked (in the emotional sense). I have been offered my first choice job. It seemed completely inconceivable that I would get it. I'm going back to North Wales!! 🙂

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Matt Thomas

@DrMattThomas1

3 years

When I was a medical student I thought I would be able to offer something of value in FY1. When I was an FY1 I thought I might have value in FY2. When I was an FY2 I thought I might have value in CT1. As a CT1 I wonder if I might have value in CT2. There's a pattern. Does it end?

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Matt Thomas

@DrMattThomas1

2 years

Dear @EastEnglandAmb , How do I provide feedback about a completely brilliant ambulance crew that we’ve just done a transfer with? (No doubt all of your crews are excellent all of the time, but I figure it’s still good to give feedback for a job well done.)

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Matt Thomas

@DrMattThomas1

2 years

First RSI without a supervisor in the room ✅ First CVC without a supervisor in the room ✅ There will obviously still be bad days in training, but it feels like I've made a bit of progress. Not a bad end to 50 hours on-call this week 🙂

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Matt Thomas

@DrMattThomas1

9 months

I was given this mug by one of my amazing colleagues. It is so cool. I absolutely hate obstetrics (which I do not hide in the slightest from my colleagues). The fact that they had this made for me makes me feel incredibly popular 🙂

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Matt Thomas

@DrMattThomas1

3 years

The anaesthetics teaching tomorrow afternoon is on physics. I have a degree in physics and a PhD in biophysics. I am convinced that tomorrow I’m not going to be able to remember what physics is.

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Matt Thomas

@DrMattThomas1

1 year

This morning I met a Foundation doctor who is interested in anaesthetics, but they are concerned about: 1) The change in role with the introduction of anaesthetic associates. 2) The bottleneck at ST4. Should I reassure them, or are they right to be deterred?

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Matt Thomas

@DrMattThomas1

9 months

What a terrible day. Obstetric anaesthesia makes me want to quit anaesthetics training and try to find a job as a clinical fellow on an ICU somewhere.

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Matt Thomas

@DrMattThomas1

6 months

Drawing up drugs and laying out the syringes in order 🙂

Dr Tanya

@veggieequallife

7 months

A wise soul said to me "If you actually like the most mundane stuff in your line of work/speciality, then you know you actually love what you do." Doctors, what's the seemingly 'boring' thing in your speciality that actually secretly brings you bliss?

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Matt Thomas

@DrMattThomas1

1 year

The consultants I work for are brilliant, they care greatly about their juniors. I always find it entertaining at the end of a night shift when they ask if I’m tired and whether I’m safe to drive home. I’m always unsafe to drive home. I’ve never learnt to drive 🤣(I walk home.)

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Matt Thomas

@DrMattThomas1

1 year

MSF Summary: Comment 1: Very lovely compliment. Comment 2: Very lovely compliment. ... Comment 13: Very lovely compliment. Comment 14: No concerns. Comment 15: Very lovely compliment. -> Immediately focussing on trying to work out what terrible thing I’ve done to Commenter 14.

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Matt Thomas

@DrMattThomas1

2 years

It has taken me four days to summon the enthusiasm to look at my result for the Primary MCQ, but I can start the weekend with a takeaway to celebrate passing 🙂

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Matt Thomas

@DrMattThomas1

3 years

I am fairly sure that no one who says you always need a varied diet has ever worked five ED nights in a row during a pandemic...

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Matt Thomas

@DrMattThomas1

2 years

The @EastEnglandAmb is going to get fed up with me sending feedback, but the student paramedic in theatre with us yesterday was so good! The boss and I discussed leaving her to finish the list, but we thought we should probably stay given that we were getting paid to be there.

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Matt Thomas

@DrMattThomas1

2 months

I've put in 500 cannulas since starting anaesthetics training. Of these, 9.8% were under ultrasound guidance. I wonder how that compares to others? I feel I have a relatively low threshold for using US (to minimise number of attempts), but I may be wrong.

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Matt Thomas

@DrMattThomas1

7 months

Found the place. Haven't vomited. I wonder if I'll be able to say the same things tomorrow...

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Matt Thomas

@DrMattThomas1

5 years

“Hello, sorry, I’m here to see the patient you called me about. Do you know if the ward has a tendon hammer I can use?” “Of course, how many would you like?” “Errr... What sort of hospital is this? Since when is one realistically an option!?!?"

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Matt Thomas

@DrMattThomas1

1 year

Specialty training means continually having to move your entire life to random towns at the whim of the programme. I understand the need for secondments to learn specialist skills, but not this. The deanery gives no weight to the quality of trainees' lives. It's intolerable.

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Matt Thomas

@DrMattThomas1

5 years

From a human factors course: “When you buy a takeaway your order is read back to you. How often is that done when someone asks you to give a drug?” #MedTwitter

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Matt Thomas

@DrMattThomas1

4 years

Four mouthfuls into my first hot food in 48 hours there was a medical emergency call. I went back to the restaurant afterwards expecting to find it closed and my food gone. Instead I found this. How amazing are the Ysbyty Gwynedd catering staff!? :)

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Matt Thomas

@DrMattThomas1

1 year

Sometimes our nights look like this (picture from Google). Rotational training means we then go home and, because we've been allocated to work in a random place, don’t see another person we know for days. It’s minor compared to what our patients go through, but it’s not healthy.

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Matt Thomas

@DrMattThomas1

3 years

I miss being able to spend time with other doctors in the hospital accommodation. It was so reassuring to be able to discuss the challenges we had faced at work, to know they were not unique to us. I feel very sorry for the current F1s that have never been able to do that.

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Matt Thomas

@DrMattThomas1

3 years

Two years. Five jobs. One pandemic. 3,749 km cycled/run/swum. 83,492 m height climbed. One offer for core anaesthetics training. It has been such a privilege to work at Ysbyty Gwynedd. I can't imagine a better place to have spent the last two years! 🙂 Foundation Programme ✔️

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Matt Thomas

@DrMattThomas1

6 years

The best thing I did today! @GiveBloodNHS

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Matt Thomas

@DrMattThomas1

3 years

What a terrible shift. I will never be suitable for EM, maybe medicine in general.

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Matt Thomas

@DrMattThomas1

3 years

I am so lucky, I have been offered one of my top choices for core anaesthetics training for next year :) :) :)

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Matt Thomas

@DrMattThomas1

6 years

@silv24 A patient went into asystole on the Bodyguard. The cardiac arrest team were in the room within five seconds, all wearing plastic aprons. I would love to know their technique because I've never seen anyone extricate one of those aprons from the roll in under two minutes...

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Matt Thomas

@DrMattThomas1

2 months

Is there a greater compliment than a colleague telling you that they would trust you to anaesthetise them?

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Matt Thomas

@DrMattThomas1

5 years

F1 life: You are here to learn, there is no excuse for being late to teaching or working outside the hours on your rota. Also: Being left with a ward full of patients, never having more than 10 minutes for lunch, and often leaving over two hours late. (There are positives too.)

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Matt Thomas

@DrMattThomas1

10 months

A very minor milestone, but a milestone nonetheless 🙂

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Matt Thomas

@DrMattThomas1

2 years

Further aligning with the anaesthetics stereotype, I have signed up for my first triathlon. Thinking about a training plan I have decided, based on how long it usually takes me, all available time should be dedicated to practising taking off my wetsuit.

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Matt Thomas

@DrMattThomas1

2 years

A year since I left. A very different year, I miss North Wales, but training is good🙂 In numbers (I like numbers): 569 anaesthetics 254 cannulas 137 intubations 130 i-gels 51 LMAs 24 arterial lines 13 CVCs 1,016 km cycled/run/swum 13,744 m height climbed (most on leave in Wales)

Matt Thomas

@DrMattThomas1

3 years

Two years. Five jobs. One pandemic. 3,749 km cycled/run/swum. 83,492 m height climbed. One offer for core anaesthetics training. It has been such a privilege to work at Ysbyty Gwynedd. I can't imagine a better place to have spent the last two years! 🙂 Foundation Programme ✔️

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Matt Thomas

@DrMattThomas1

2 years

I feel that getting a positive PCR at some point is almost inevitable. The question for me, and probably lots of others, is: will I get to Friday without catching CoViD? I’ll be able to spend Christmas with my family for the first time in three years if I do. Four shifts…

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Matt Thomas

@DrMattThomas1

3 years

I am scheduled to take the MSRA tomorrow. Thinking negatively: I’ve only completed 40.5% of a bank of practise questions, while some people will have done the whole thing twice. Thinking positively: I’ve done 1752 practise questions while working the ED rota.

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Matt Thomas

@DrMattThomas1

7 months

One minute you are calling a colleague to 'be around’ while you give a simple anaesthetic out of hours. What feels like one minute (but is actually a couple of years) later you are the person being called to be nearby and you are comfortable with that. I guess that’s progress.

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Matt Thomas

@DrMattThomas1

2 years

Asymptomatic ✅ Negative lateral flow test ✅ => Christmas with my parents for the first time in three years 🙂 I hope everyone has as good a Christmas as possible!🙂

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Matt Thomas

@DrMattThomas1

10 months

Pulling the emergency alarm feels like failing, but there is no substitute for 10 of your amazing colleagues joining you in seconds to know everything is going to be fine.

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Matt Thomas

@DrMattThomas1

1 year

I was incredibly impressed by a team from @BHECCS today. Their knowledge, skills, and situational awareness was incredible. I guess if you are familiar with managing sick patients under cars in ditches hospital medicine feels easy. There is so much to learn from their approach.

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Matt Thomas

@DrMattThomas1

2 months

Four hours until my ICM interview. Disastrous annual leave means I haven't spoken to another person for ten days. Suboptimal.

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Matt Thomas

@DrMattThomas1

3 years

After nine trips, 458 km run/walked/cycled, and 13,306 m height climbed, my pandemic project to do the Welsh 3000s under my own power from the hospital accommodation is complete :)

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Matt Thomas

@DrMattThomas1

2 years

If someone says curly wurly, what do you think of?

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Matt Thomas

@DrMattThomas1

2 years

I don’t know how many sensible people go on holiday with an ice axe and a wet suit in the same bag, but I am excited! (FFP3 mask, lateral flow test, three doses of vaccine, and an Airbnb to myself all in place.)

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Matt Thomas

@DrMattThomas1

2 months

ICM interview ✅ After ten days of annual leave without any human interaction I don't know whether it was just the novelty of speaking to other people or pretending I was at work, but I quite enjoyed it. (Obviously it remains to be seen whether the interviewers felt similarly...)

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Matt Thomas

@DrMattThomas1

3 years

First set of nights in anaesthetics ✅ No doubt there will be good times and bad times, but this week has been very satisfying, the best set of nights I’ve done. The team I get to work with are amazing 🙂

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Matt Thomas

@DrMattThomas1

10 months

I have had to phone @RoyalPapworth quite a few times recently. Every time I have been struck by how great the switchboard operators are. They have been universally brilliant, incredibly knowledgeable and helpful.

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Matt Thomas

@DrMattThomas1

4 years

@disgruntled_med It's great! ;)

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Matt Thomas

@DrMattThomas1

4 months

When I work on ICU I feel like part of the team. Rotational training means I don't have any friends in this town so feeling like I belong at work is even more valuable. I think part of the reason I don't like obstetrics is because I miss the ICU team.

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Matt Thomas

@DrMattThomas1

3 years

Disadvantages of new hospital: 1) No friends. 2) No mountains. 3) No anaesthetics/ICU team swimming. Advantages of new hospital: 1) Nearer my family. 2) My dream training programme. 3) The East of England is as flat as a pancake, which is going to do wonders for my PBs on Strava

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Matt Thomas

@DrMattThomas1

2 years

How do staff in small DGHs fund publication fees? I’ve now been trying to find a solution for longer than it took to write the paper.

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Matt Thomas

@DrMattThomas1

7 months

If there’s no such thing as a difficult airway, only an insufficiently strong left arm, then building a home bouldering wall must count as CPD. (All constructed while listening to Dr Podcast.)

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Matt Thomas

@DrMattThomas1

19 days

Knitting seems to be very labour intensive. Has anyone tried just taking a ball of wool to a CT scanner and bringing it back to ICU? I don’t know what would be knitted, but something would definitely have been knitted.

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Matt Thomas

@DrMattThomas1

2 months

Apparently it’s been three years since I walked around Bangor trying to achieve some level of calm before my interview for core training. Today it’s Bedford and an ST4 interview. I don’t understand why talking about medicine is so much more stressful than actually doing it.

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Matt Thomas

@DrMattThomas1

3 years

My first time not selecting Immediate. Stressful, but very satisfying 🙂

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Matt Thomas

@DrMattThomas1

2 years

Our jobs can be very strange. We sometimes meet a person after a catastrophic event; we look after them, we get to know their bodies well. Sadly, some die without ever regaining consciousness. We know so much about them in some ways, but so little in others. 1/2

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Matt Thomas

@DrMattThomas1

3 years

Obviously I am incredibly glad that doctors choose to do emergency medicine, it is vital, but, unless it is for entirely altruistic reasons, I don’t understand it. Where, in reality, is the fulfilment? This is probably a hot take, but I hate it.

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Matt Thomas

@DrMattThomas1

2 years

Today I moved out of the hospital accommodation into my first house! 😲 I'm now convinced that overnight it is either going to be burgled, burn down, or both. (I've installed two extra bolts on the door and three smoke alarms, so hopefully it will actually be ok.)

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Matt Thomas

@DrMattThomas1

1 year

The irony of an email about wellbeing workshops 23 hours after the deanery refused a swap that would have improved the wellbeing of two trainees (and facilitated better education and saved the deanery money). It was an exact swap. I can only think they actively want us to suffer.

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Matt Thomas

@DrMattThomas1

4 years

@MathAndCobb

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Matt Thomas

@DrMattThomas1

3 years

Not a successful weekend - I haven't spoken to another person since I left work on Friday and have spent most of the time dreading going back to work; but I have received so many brilliant suggestions for things to try 🙂 I have five days to find motivation for next weekend!

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Matt Thomas

@DrMattThomas1

2 years

"Loneliness kills. It’s as powerful as smoking or alcoholism." Specialty training: moving hospital, to somewhere you know no one, at least every two years, if not every few months.

Sahil Bloom

@SahilBloom

2 years

The study observed the negative impacts of alcohol and smoking on the long-term health of the participants, but found that loneliness was just as negatively impactful. Study director Robert Waldinger: "Loneliness kills. It’s as powerful as smoking or alcoholism."

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Matt Thomas

@DrMattThomas1

2 years

I don’t know what anyone else does before a night shift, but I have standards 🙂

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Matt Thomas

@DrMattThomas1

1 year

It's true that medicine is a job, but training in a specialty means years moving around the country to places where you know no one, your job readily becomes your life.

Rob Fleming

@RobJimFleming

2 years

Never forget that medicine is your job, and you are so much more than that. Talk to your colleagues. Talk to your friends. Talk to your family. Hell, my DMs are open, talk to me. Talk. You are never alone, even if it feels like it.

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Matt Thomas

@DrMattThomas1

2 years

I love my current rota. All of my on-calls are in emergency theatre, all of my normal days are on ICU. It couldn’t be better 🙂

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Matt Thomas

@DrMattThomas1

2 years

I am very excited to have booked a holiday to Llanberis for mid-January! I’ll cancel it if it’s not reasonable to travel in the context of the pandemic at the time, but I need something to look forward to for now 🙂

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Matt Thomas

@DrMattThomas1

3 years

Next weekend I'm going to see my friends for the first time since the pandemic started (will be socially distanced). I haven't eaten with anyone except doctors and nurses for 18 months. I think I need to revise what topics of conversation are acceptable while eating / in general.

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Matt Thomas

@DrMattThomas1

4 months

Conditions aren't looking great, but on the basis that being in the mountains is better than being in a town whatever the conditions, I'm on my way to the Cairngorms 🙂 Hopefully in 12 hours I'll be in Aviemore...

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Matt Thomas

@DrMattThomas1

2 years

I find this unreasonably satisfying🙂

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Matt Thomas

@DrMattThomas1

2 years

Four days of annual leave ✅ Five more to go until I'll get to speak to another person again. The anaesthetic department here is brilliant, the rest of the place is incredibly lonely. Rotational training is miserable.

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Matt Thomas

@DrMattThomas1

2 years

These new monitors are trying to make me have a stroke at least twice a day.

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Matt Thomas

@DrMattThomas1

11 months

Managing a cardiac arrest is genuinely less stressful than completing the forms required for an ARCP. I think it’s because at an arrest we are working together as one team, while an ARCP is an exercise in being judged.

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Matt Thomas

@DrMattThomas1

2 years

What a brilliant weekend! Marathon Eryri was spectacular and seeing friends was wonderful! 🙂 I'll never forget the feed station at mile 24. I thought they were joking when they said there would be tea and cake. They were not 🤣 A bourbon biscuit has never been more appreciated!

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Matt Thomas

@DrMattThomas1

2 years

Work is good, but no friends and no mountains mean there is nothing fun to do. I have exams to prepare for, but I need to think about something other than anaesthetics too. I was thinking of building a Faraday cage in my garage and trying to record my EEG. Is that reasonable?

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Matt Thomas

@DrMattThomas1

3 years

In the past 16 months I haven't spent a night anywhere other than the hospital or the hospital accommodation, been to a shop other than Tesco or Halfords, or eaten a meal (inside) anywhere other than my room or the hospital cafe. I'm quite nervous about moving next month.

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Matt Thomas

@DrMattThomas1

7 months

Are there any hotels near Red Lion Square anyone would recommend? I’m not looking for somewhere fancy where they put a chocolate on the pillow, I’m looking for somewhere practical where they put a dose of propranolol on the pillow.

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Matt Thomas

@DrMattThomas1

2 years

@Vapourologist @morefluids This is nice. The pedant in me would like to suggest the addition of a sigmoid:

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Matt Thomas

@DrMattThomas1

2 years

Does anyone else do this with syringes? I think it's organised and allows me to see everything in the order I plan to use it. My colleagues think it's strange - they don't have a problem with it, they just always comment on it. (It's stable, they don't fall off.)

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Matt Thomas

@DrMattThomas1

3 years

We have an in-person training day in a few weeks time, which is excellent. Unfortunately it's in a hospital 93 miles away. The train that leaves at 05:47 doesn't arrive, at a station 5.7 miles from the hospital, until 09:25. There are advantages to video conferencing...

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Matt Thomas

@DrMattThomas1

19 days

After one of the busiest weeks of nights I can remember I’m happy with (just) sub 25 minutes @bedfordparkrun this morning 🙂

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Matt Thomas

@DrMattThomas1

2 years

Arrived in Llanberis at 6pm. Just enough time to eat, unpack, and go for a stroll up Snowdon 🙂 (With all appropriate equipment and precautions – I don’t want to end up as a patient in any hospital, let alone the one I used to work at.)

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Matt Thomas

@DrMattThomas1

2 years

I love my job, but I am so fed up with not knowing anyone in this town. I am literally sitting at home waiting for tomorrow evening so I can go back to work ☹️

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Matt Thomas

@DrMattThomas1

2 years

Beautiful evening on Snowdon 🙂 (I've spent a lot of time in the mountains. A solo trip at night wouldn't be a good way to start out.)

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Matt Thomas

@DrMattThomas1

1 year

I can’t imagine a better job than this! If I was eligible, I would apply today!

Jason Walker

@jasondwalker

1 year

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Matt Thomas

@DrMattThomas1

3 years

Potentially controversial opinion: a 1 l bag of saline is not inferior to a 1 l bag of Hartmanns (when used to support the wrist while inserting an arterial line).

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Matt Thomas

@DrMattThomas1

2 years

No doubt there will be bad days (and I may regret expressing this view when I have to get up on Monday morning) but after a week of annual leave, I am looking forward to going back to work. I think this is a sign of being in the right specialty for me🙂

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Matt Thomas

@DrMattThomas1

1 year

Facebook has just reminded me what life was like in Wales three years ago – we had a huge lunch in a busy cafe and then went up a mountain as a group! It feels quite strange to think we had no idea what was about to happen.

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Matt Thomas

@DrMattThomas1

1 year

I feel that end of life care is one of the most important things we do. Sometimes circumstances conspire so it isn’t what the patient or family had hoped for, but we need to do our best nonetheless. I recently called a chaplain to come to resus in the middle of the night. 1/3

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Matt Thomas

@DrMattThomas1

3 months

Are there any resources anyone would recommend for ST4 interview preparation? I am very pessimistic about my chances, but I might as well give it my best shot.

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Matt Thomas

@DrMattThomas1

3 years

Tonight at 20:00 could be an excellent time for a cycle... 🙂

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Matt Thomas

@DrMattThomas1

3 years

One step closer... 🙂

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Matt Thomas

@DrMattThomas1

3 years

Last weekend I didn’t speak to a single person between leaving the hospital on Friday and going back the following Monday. I don’t have any friends here, there are no mountains to run up, and no lakes to swim in. I would be very grateful for any suggestions for something to do.

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Matt Thomas

@DrMattThomas1

2 years

@MallinsonT @IanDKinsey @abi_carey @DrLindaDykes Some of the reusable respirators only filter inhaled gas, but not exhaled. They protect the wearer, but don't protect others. I have seen staff here wearing a surgical mask over a reusable respirator during AGPs so there is filtering in both directions.

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Matt Thomas

@DrMattThomas1

1 year

I was interested in how many English words contain every vowel. I wrote a script to look at a list of 82098 words. There were 734 words that included every vowel and 320 words containing every vowel exactly once. The 1st word: abstemious, was nice because the vowels are in order.

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Matt Thomas

@DrMattThomas1

2 years

Three Ridges. Starting and finishing in Llanberis, linking three of the more popular grade 1 ridge scrambles in Snowdonia: The North Ridge of Tryfan, Bristly Ridge, and Crib Goch. A wonderful day 🙂 The only thing that would have made it better would have been some company.

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