𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙 @LawtonTri Twitter profile

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

7 months

It definitely feels like something is changing here this week. Find me as LawtonTri on most networks; for now I'm going to try a focus on reconnecting in clearer skies.

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@TheJonathun

𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Shout out to the first ever computer programmer (of any gender) and lover of "hard maths", Ada Lovelace.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

I'm an ICU doctor and am fully vaccinated and would encourage all to do the same. I also don't run a "breathlessness clinic" at a minimum of £500 a pop, so don't have any untoward interest in there being a load more breathless people...

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

I have half a box of ciprofloxacin and a couple of amoxicillin; anyone fancy trading for some doxycycline? (/s)

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

In conversation with @microlabdoc earlier, I discovered that not everyone knows of the hamster's prodigious capacity for alcohol. They love it so much they prefer to drink 15% ethanol instead of water, and can tolerate relative quantities that would kill a human. 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

On call from home overnight and the SR phoned with a query on a puzzling blood gas. As he described the situation a noise came from my wife under the covers: "Pyroglutamic acidosis" Gentle snoring then recommenced. Thus is the power of a GP in a remote consultation...

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

Junior Doctors' Strike, Day 2 Nature is healing. With their natural predator, the med reg, at bay, pigeons once again are free to roam NHS wards.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Infection control has been subject to political fiddling throughout the pandemic - I guess there's some solace in the fact there's it's no longer hidden: open hostility to efforts to protect the most vulnerable, in the name of efficiency.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Hospital-Acquired COVID-19 - 6th Oct update I have to admit to being surprised at how high the numbers are getting. In the last 28 days, out of 21,809 people admitted to hospital with Covid in England, 7,908 probably or definitely caught it there (36.3%) 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Congratulations to the dashboard team for rolling this out so quickly. #StormEunice @Pouriaaa @statsgeekclare

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

5 months

Christmas babysitter rates are getting to the point that I might just hire a junior doctor instead.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

So my son's school bubble went down and I've had to try to spend the day home schooling whilst desperately trying to catch up on admin and data work... Can anyone help with answers to this?

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

Such a relief. And an impressively quick turnaround given that last month there were a steady 5-600 people in the UK dying from it every week.

Covid global health emergency is over, WHO says

Close to 20 million people are likely to have died during the last three years, says the WHO.

www.bbc.co.uk

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

@andymoz78 @SkyNews @Mike_Fabricant If there was an exception they should have let us know! I could have really done with a drink with the rest of the ICU team after a day spent choking back tears watching grieving families cry over a video call.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

11 months

This. We've forgotten a number of things that Florence Nightingale knew ~150 years ago. Covid is not the only airborne disease, and is unlikely to be the last airborne pandemic. Let's make hospitals safe.

Stephen Griffin

@SGriffin_Lab

11 months

Thinking about the total lack of infection control now wrt #COVID in hospitals as a result of the "living with" policy and guidance for HCW/Trusts etc... TLDR, sorting out this environment will help the #NHS , esp staff, save lives, and prevent exacerbation of (multi) morbidity.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

In a massive change for UK infection control, respiratory PPE is now required for all airborne infections! (not just if they're "wholly" airborne). If you're caring for patients with COVID-19, you *must* wear FFP3 or equivalent. #FreshAirNHS

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

8 months

It's not the final research paper, but pleased to see RCT confirmation that HEPA filters in schools improved absence rates. And proud of the role that the Connected Bradford dataset had in it! Can we roll this out widely to help protect our children's health and education?

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

7 months

The fact that airborne transmission makes it an organisational problem, rather than something where we can blame individuals for having dirty hands, has to be one of the main reasons that #COVIDisAirborne was denied for so long.

Clinically Vulnerable Families 💙💜💗

@cv_cev

7 months

At the #CovidInquiryUK Prof @CathNoakes explains how mitigations for 💥 #CovidIsAirborne 💥 puts the responsibility onto those who manage the indoor environment. 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

11 months

Solidarity with #JuniorDoctorsStrike from Private Eye. Sad how true this is though!

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

A tale of four NHS trusts... One has used airborne precautions (FFP3) since the first wave Two switched before the second wave One followed official guidance and stuck with surgical masks (FRSM) #FreshAirNHS

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

How is this any different to cake at the office?

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

When the NHS moved to elastic ear-loop surgical masks from tie-behind ones, I asked myself if anything could possibly be worse... My question has been answered with a resounding "yes!" Introducing the Ear-Puller, Mk2.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

A view from a fully-vaccinated ICU doctor.

A frank insight into the battle against Covid in Bradford's ICU

THE DISASTER movies seemingly get it right: a few scientists spot the threat, some move early to recognise it, but it is not until the unfolding…

www.thetelegraphandargus.co.uk

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

@clarewenham

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 month

Four years later, Covid is finally Airborne (yes, with a capital A) Can we start treating it that way in hospitals please? (and flu) #COVIDisAirborne

𝙹𝚘𝚎 𝚅𝚒𝚙𝚘𝚗𝚍 [email protected]

@jvipondmd

1 month

Looks like the @WHO is full on embracing the reality of COVID-19 airborne transmission. I for one, am thrilled. Looking forward to others leaning in on this. @AHS_media @GovCanHealth

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

10 months

Hospital-Acquired Covid in England - 13th July 2023 Today was the first release of the NHS Monthly data since the weekly data was reduced to the point that it was no longer possible to report on hospital-acquired Covid. I promised an update so here it is... 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

If you wanted to trigger flashbacks in the huge number of NHS staff with PTSD, setting up field hospitals in the few parts of the hospital where they might get respite from patients is truly brilliant. Expecting the magic staffing tree to do its thing is the icing on the cake.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

8 months

@AlecStapp These two share an island too...

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

I didn't think I could get angrier... My son's 10th birthday was a couple of days before Johnson's. This is him celebrating it with his friends (and brother!). Because a brand new 10yo is more responsible than our prime minister.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

So the researchers conclude that chocolate milkshakes are the best way to keep your hamster sober (well, at least below the 50 pint line). Though they note that the hamsters gorged themselves on chocolate and liquor, and basically stopped eating... Probably a lesson there. n/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

@leanne_cheyne The state of some of these replies... RIP

Tributes flood in as 'vaccine sceptic' dad who fought battle with Covid-19 dies

www.thetelegraphandargus.co.uk

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Had a chat with the Duke of Cambridge about COVID-19 treatment this morning at Windsor Castle; and also met Covid royalty in the form of @CathNoakes ! #FreshAirNHS

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Well it's finally made it into the house after two years... Child is feeling fine. I'm upset that we've not looked after kids after making them look after us in 2020, and found it galling filling in the T&T paperwork: "Do you have any idea where he might have caught it...?"

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

4 years

There is an urban myth in anaesthesia about August Bier, his assistant Hildebrandt, and the invention of spinal anaesthesia. We were having a giggle about it on Covid ICU this weekend – but it turns out the truth is so much better: (a thread, edited from the paper) (1/n)

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

I studied philosophy and also studied medicine, but I still wouldn't pick this fight. (in fact, *because* I studied those two things)

Brendan May

@bmay

2 years

I also studied philosophy at university but tend not to argue with world renowned clinical experts because I didn’t also study medicine.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Brilliant news that the Daily Mail has solved NHS funding - through the simple processes of not employing enough staff, and turfing patients out into the street.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

11 months

Hospital-acquired Covid-19 in England In the last 365 days, of 290,121 patients in hospital with Covid-19, 83,355 probably or definitely caught it there (28.7%) There isn't a data release today; possibly there won't be a suitable one again. So here's a summary. 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

"Let the member of staff caring for you know if you would like them to wash their hands..."

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

Hospital-Acquired COVID-19 in England, 16th Mar 2023 In the last 28 days, of 26,484 patients in hospital with Covid-19, 8,644 probably or definitely caught it there (32.6%) Looks like >30% is standard now. This isn't great. 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

4 months

Interesting warning on Radio 4 earlier on recruitment scams: "No reputable employer will ask you to pay in order to get a job with them." Hands up if you've ever paid for an NHS DBS check?

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

10 months

@DrSueMoss I've always wondered - how does a peptide toxin keep having its effects for so long, presumably long after the protein has denatured? (memories of treating catfish stings with hot water to help the protein denature quicker)

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Congratulations to the latest additions to the post-vaccine Covid world, now that England has joined the 5-11yo game!

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

10 months

Is protocol still to hammer the buttons randomly until the noise stops? #JuniorDoctorStrike

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Outside our bedroom this morning from the isolating one. They really are the best of us. Can we please do the right things for them all too? #Vaccines #AirQuality

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

10 months

Now that the padlock is off the fridge... #MedTwitter

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

11 months

It feels like every time more #PartyGate rule-breaking comes out, I have to go through another round of painful flashbacks. I can't think what it must be like for those families I was video-calling from the bedside on ICU. I'm sorry.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Hospital-acquired Covid is a big, and now frequently unmeasured problem. I've heard of clinicians pushing to test and finding almost entire wards infected. Covid increases risks of clots, heart attacks, and is not something our patients should have to worry about. #FreshAirNHS

Adele Groyer

@AdeleGroyer

2 years

Update on likely hospital acquired admissions i.e. cases testing +ve more than 7 days post admission. Likely hospital acquired cases accounted for 19% of Covid admissions and grew at 29% over the past week vs 8% growth for other admissions. 1/2

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Given the choice, they will consume up to 20g/kg ethanol a day - equivalent to a "standard man" drinking 21 bottles of wine each day. They are so keen on the stuff that real research has been done into getting hamsters off the sauce (I'm not sure if Ig Nobel got involved). 2/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

The junior doctors have only been on strike for a few hours and already the signs of pressure are showing... #IStandWithJuniorDoctors

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

9 months

Disappointed that the message coming out for triathletes seems to be (yet again) "wash your hands" rather than "we shouldn't put sewage in swimming water". Individual vs organisational responsibility, again.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

Hospital-acquired COVID-19 in England, 22nd December 2022 In the last 28 days, of 20,706 patients in hospital with Covid-19, 7,467 probably or definitely caught it there (36.1%) I'm running out of things to say if I'm honest. This needs fixing. 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

Statement from AZ about the clots - 15 DVTs and 22 PEs in 17 million people. Which is below the normal rate without a vaccine! Also, I've seen more thrombotic events than that in the (only hundreds) of COVID-19 patients I've seen... #VaccinesAreSafe

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

“We don't believe that the pressures that are currently faced by the NHS are unsustainable.” - S.Javid #NHS

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

In 1994 researchers took 6 female hamsters and tried to find ways to stop them drinking. Initially they were offered a choice of water and booze. They went for the booze with great gusto, and were happily chugging along at an equivalent of 90 pints of beer a day. 3/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

Hospital-Acquired COVID-19 in England, 9th Mar 2023 In the last 28 days, of 24,906 patients in hospital with Covid-19, 8,361 probably or definitely caught it there (33.6%) This feels worryingly like a "new normal" level for nosocomial infections. 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 months

Presented without comment #Breathtaking

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

4 years

1,900 comments in an hour... Who dares me to read them?

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

If anyone wants to know why I keep banging on about airborne - it's largely survivor's guilt. On ICU we were well protected (locally with reusable elastomerics) and staff infections were rare. Others were sent into "the zone" with splash protection against an airborne threat.

Josiah Mortimer

@josiahmortimer

1 year

🔴NEW: NHS leaders and ministers face allegations of a “cover up”, as @BylineTimes reveals that almost two thirds of NHS employers did not make a single, legally-required report of Covid being caught by staff working during the first 18 months of the pandemic

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

We're in the control group in the Pandemic RCT again, aren't we?

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

5 months

Whilst I might grumble about covering night shifts, there's no fracturing here and I hope the junior doctors feel 100% supported as they seek a start on reversing over a decade of pay cuts.

Andrew Hartle🏳️‍🌈😷

@startle65

5 months

Junior doctors’ strikes have ‘fractured’ relationship with consultants, say NHS trusts - I don’t agree, not in my department

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

@DRTomlinsonEP @DoctorDoolittl6 @microlabdoc @hughes_eilir @ThePalpitations @BarryMcAree @Linzofm87 @mjb302 @huwwaters @isfrackingsafe @EvonneTCurran @TalkJennie @lisabutcher9 @JacquiSReilly @Lisaritchie111 This one hurts - "we can't correct the mistake because it will mean admitting that we made one". People died.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

COVID-19 and CPAP - a thread attempting to explain to non-medics After a request from @fascinatorfun Please excuse the fact I will inevitably fail and use jargon; I've been living this for 18 months now and I'm not sure my brain works good any more. Please ask questions! 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

A gentleman we looked after has written an account of his experiences and asked that it be shared. I found this difficult to read; I know he found it more difficult to write - but this is the reality for over 1000 people on ICU with COVID-19 today. 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

4 years

Nice image doing the rounds this morning. #WashYourHands #StayHome

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

In case you've missed it, a UK study is planned comparing filtering masks with non-filtering ones to prevent respiratory infections in healthcare workers. People have compared the ethics of this to steel-capped boots vs slippers on a building site, but I have other concerns. 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

Hospital-Acquired COVID-19 in England, 25th May 2023 In the last 28 days, of 11,734 patients in hospital with Covid-19, 3,488 probably or definitely caught it there (29.7%) This *may* be the last update - a lot of data is going away on 1st June; I will see what remains. 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

@Kit_Yates_Maths Hospitals really should be exemplars of infection control - with ventilation/filtration, masking, testing and cohorting all at the best they can be. But the politics around admitting and mitigating against airborne disease transmission seem to have never left us.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

When I interviewed for anaesthesia some years ago I was asked "Why Yorkshire?" "Because I live here" apparently wasn't the answer they were expecting. I'm still not sure why UK doctors in training are treated as fungible commodities to be transported around wherever is needed.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

It'll be a little surreal today working without junior colleagues; and it's important to understand why - particularly with the Government and some news agencies almost deliberately confusing things. As usual, the @FT seems to have the charts and analysis:

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

Guess the medical specialty of the people I'm away with... #MedTwitter

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

Hospital-acquired COVID-19 in England, 8th December 2022 In the last 28 days, of 15,121 patients in hospital with Covid-19, 4,680 probably or definitely caught it there (31.0%) This is definitely getting worse again. 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

@katebevan "Ask your doctor if a cloaca is right for you..."

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

Hospital-Acquired COVID-19 in England, 1st June 2023 In the last 28 days, of 10,472 patients in hospital with Covid-19, 3,174 probably or definitely caught it there (30.3%) All the data were still released today; it may be that *after* today it goes - but let's see. 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

The logical consequence of "letting it rip" through schools - back into the parents. At least it explains why I've had a mild headache and turbo-training in the garage has felt a bit tougher the last few days! ( #VaccinesWork )

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Being called "Prof" at med school or as a junior usually means you're the kind of knowitall who adds "...and Kent" to a colleague's answer on electrophysiology. Hopefully I can be proud of this one, and look forward to more good cross-disciplinary work in healthcare data and AI!

Bradford Teaching Hospitals NHS FT

@BTHFT

2 years

Dr Tom Lawton, Head of Clinical AI @BTHFT becomes new Honorary Visiting Professor @UniOfYork 's Department of Computer Science. Great collaboration. Well done, Prof Lawton! @LawtonTri #TeamBradford @ActAsOneBDC

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

11 months

@zackferguson Irony is that all of these probably charge more than £14.09/hr

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

Hospital-Acquired COVID-19 in England, 2nd Mar 2023 In the last 28 days, of 23,592 patients in hospital with Covid-19, 8,235 probably or definitely caught it there (34.9%) Signs of a dip starting? We're no longer quite at "record high" 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

It's like listening to a small child who only wants to talk about dinosaurs, except it's energy bills, and not why there is purple crayon all over the wall.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 months

New workplace food policy just dropped c/o @v1sharma #NHSSigns #Parody

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

Brilliant points, well made. We've been using the same masks since March 2020 - and they're still going strong. ✅ Beat FFP3 filtration standard ✅ Better for the environment ✅ Reusable = no supply issues ✅ Rapidly become cheaper than disposables!

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

A quick and dirty graph, but this is what's happening with hospital-acquired COVID-19 by region over the last 10 weeks. Omicron appears to transmit rapidly in hospitals - see London in grey. Airborne mitigations likely a key part of good IPC practice - #OmicronIsAirborne

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

@theAliceRoberts @andrew_lilico I'd like to speak up for the many, many people I've had to witness dying from Covid - as unfortunately they're not available on Twitter themselves to combat this egocentric nonsense.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

6 months

Sometimes the NHS really is bloody good. Just under an hour from standing in the house to being back again with an X-rayed and treated child, and followup arranged. And without any need to mortgage a kidney. Thanks @Wharfedale_Hosp @LeedsHospitals

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

"Contact tracing does not seem to be working for school children" is a lovely way of putting it. Pleased that our school is doing what it can (and they've been brilliant on #ventilation ) but it feels increasingly that mass infection in kids is an entirely deliberate strategy.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Then the researchers tried to offer them alternatives to cut down on their dipsomania. It proved a challenge. Chocolate Ensures were the best, though even with unlimited access to chocolate the beasts still took on 8g/kg ethanol each day (that's 40 pints...) 4/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

7 months

Intensive care is: Ignoring tens of screaming alarms and wandering to make a coffee, but still treating a quiet "𝒊𝒔 𝒕𝒉𝒆𝒓𝒆 𝒂𝒏𝒚 𝒄𝒉𝒂𝒏𝒄𝒆 𝑰 𝒄𝒂𝒏 𝒉𝒂𝒗𝒆 𝒂 𝒉𝒂𝒏𝒅 𝒊𝒏 𝒉𝒆𝒓𝒆?" as the serious emergency it undoubtedly is.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

@chrischirp I'm confused as to how exactly I'm supposed to be using my genitals for this. Clearly I'm doing something wrong.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

@Boldshaves1 @BootstrapCook

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Attempts with tomato juce (Hunt's No Salt Added), sugar water, peach and mango also failed to fully sate these little boozehounds. Unsurprisingly, giving them a second water spout made no difference whatsoever - they were straight back on the hooch. 5/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

Updated chart of probable hospital-acquired COVID-19 (diagnosed over 7 days after hospital admission) English Acute Trusts with over 300 total cases since August 2020 Can we share learning points from the Trusts near the bottom?

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 months

NHS England is asking all London Marathon runners to break two hours, or next year they will have to run without shoes.

Lawrence Dunhill

@LawrenceDunhill

2 months

EXCL: Desperation now from NHS Eng to hit 76% on A&E target in March - telling local CEOs to sign a declaration of commitment to delivering Warned that failure would damage confidence in the NHS and risk funding cuts from Govt 1/🧵

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

@GidMK

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

Be careful, it's icy out there. Nearly slipped and set up an offshore fund worth millions.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

@JosephCosgrove7 @RCoANews @FICMNews @AnnaBatchelor @rupert_pearse @montymythen @AlisonPittard When my eldest was ~16 months I had to take him on an ATLS course as our childminder was ill. He spent most of the day in the corner enjoying his new word "Airway" before persuading an orthopaedic consultant to read him stories. #NormaliseMedicalParenting

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

Despite the fact we could all point to areas of potential improvement, the NHS is an incredibly efficient system on the international scale. The present crisis is sadly due to chronic under-resourcing as our government has prioritised other things.

Jennifer Dixon

@JenniferTHF

1 year

This is well worth repeating ..👇

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

@arianna_kaye @DrNeilStone This has been one of the saddest parts for me - watching it rip through families, particularly multiple generations living together, whilst being told that it's a conspiracy to control people by commentators who are completely untouched by hurt.

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

When "following the science", Prof Noakes is one of the people who generate it. Are these things really so terrible in the face of a disease that is still killing hundreds a day?

Prof Cath Noakes #Ventilate 😷 💙

@CathNoakes

2 years

Right, okay…erm not sure we’re following the science… it’s still around, still at 1 in 20 people, still seriously infectious, still pretty unpleasant to catch. I’d keep ventilating and wearing masks folks

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

11 months

Over 83,000 people with hospital-acquired Covid-19 in a year (and likely an underestimate!). Many of these will have died. For reference, c.diff reports are about 5,000 a year. MRSA bacteraemia about 1,000. These are infections that we (rightly) are working hard to prevent. 2/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

13% of primary-age kids simultaneously having a single, vaccinable, infectious disease, with a variety of even rare at an individual level consequences, is quite difficult to comprehend in modern society.

John Roberts

@john_actuary

2 years

Up to school year 6 (yes, that's the unvaccinated cohort) the rate has increased to over 13%, or 1 in 8, with Yr 7 to 11 increasing sharply too. Adult infectivity is more stable however. 2/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

2 years

Hospital-acquired COVID-19 in England Last 28 days - 6398 cases of 28001 (22.8%) This is heading back up, and is as high as it's ever been measured. Immunity may be reducing severity, but not for all - and no patient will have their health improved by catching COVID-19. 1/

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𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

3 years

I haven't been in to a Waitrose for several years, but this is really tempting me back...

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