Dr Helgi Johannsson - Anaesthesiologist, Vice-President RCoA, associate med director, human. Tweets as a human. Threading with same username. 🇮🇸🇬🇧🇪🇺🏳️🌈
Remembering today one of my patients. I was discussing the risk of an operation and she simply showed me her tattoo and replied “don’t worry, I understand risk”
#LestWeForget
Absolutely broken-hearted today to say a final goodbye to my son Christian, who died of suicide two weeks ago.
So many emotions that I just can’t voice, but thank you everyone who has already supported us, and especially the amazing friends tagged who came up. ❤️
In April
@ImperialNHS
brought our previously outsourced porters and cleaners onto NHS contracts, and I asked one of our porters how things were going today.
They all feel more valued
Their pay has gone up from £7.50 (!) to about £11 per hour
(The London living wage).
She wanted me to take the photo and use it to remind us how easily we can hate. We must never take peace for granted, we must actively work to keep it, we have to be tolerant of each other.
#LestWeForget
Sneak peek of our video. Protecting ourselves is going to be crucial in the coming weeks. It’s hard, make sure you practise. Don’t take it for granted. (Doffing took several takes to get it right, and still the glove tore). Sports commentary by
@ajwicko
)
#covid19
I’m fed up with the argument that the NHS just needs to be more efficient. Any organisation that has increased its productivity by about 10% without increase in funding should be seen as a success story. It’s now stretched too far.
#NHSCrisis
#BBCR4today
A UK hospital has safely treated more than 30,000 patients allowing unrestricted clear fluid until the time of operation. Improved patient satisfaction, reduction in post op nausea and vomiting.
Let’s top saying “nil by mouth from midnight”, and allow our patients to drink.
As many of you know I have been mentoring a group of want-to-be medical students at an inner city school in Hackney. After the A-level results today some of our absolute star pupils who I know would have done extremely well are struggling to get in. This cannot be fair!
Grief is a weird thing. Been fine for ages, then on this part of my run this morning it hit me really quite hard.
Also, there are so many people whose Christmas hasn’t been what it was supposed to be this year. I hope you’ve had an ok day. 💙
After arriving in the UK in 1984 aged twelve I finally became a citizen today. I’m beyond proud and wish I’d done this years ago, if only for the privilege of being able to vote.
Delighted to hear Dr Bawa-Garba has won her appeal. She was placed in a horrendous position, scapegoated by the hospital, and pursued unfairly by the GMC.
#bawagarba
Embarrassing and wrong.
The evidence *is* strong enough. Vaccination has saved lives, the economy, prevented lockdowns, prevented transmission to our patients.
"The science isn't strong enough".
Watch the moment an unvaccinated hospital consultant challenges Health Secretary Sajid Javid over the government's policy of compulsory COVID jabs for NHS staff.
📺 Sky 501, Virgin 602, Freeview 233 and YouTube
Made it!
Mother delighted to see me, ward staff lovely and giving outstanding care, me really grateful for the exemption to the no visiting rule.
Ward full of patients lonely and really missing their families.
The allergy alert bands are so common in hospital now that the power of their alert is diluted. They should be used only for true, severe reactions. Not for “morphine makes me sick” or “walnuts make me feel sad”.
#Frankland18
I finally made it into the daily mail for lecturing in a loud shirt (Orlebar Brown, bought in their sale last year), barefoot, while at a conference in Portugal, on my annual leave, at no cost to the NHS. CEPD for doctors is compulsory and the conference was organised long
Five years ago, at 3am I got woken by the hospital’s major incident system, looked out and saw west London lit up by the
#Grenfell
fire.
To this day I remember the people we looked after, and how we were ready for so many more, who never made it to us.
May they rest in peace.
So I’ve thought long and hard about this:
When the ballot went out I voted to strike. I’ve been in two minds whether to go through with it, particularly with the disruption it will cause, but I’ve decided to go through with it.
Outsourcing these roles is wrong and penalises the poorest paid members of our teams. They also have families to support, how do we expect them to be able to do so in London on £7.50 per hour?
@ImperialNHS
I’m proud of you. Great decision.
We have some extremely unwell patients who often can’t have their loved ones with them.
Please know that we have grown to love them too. They are important to us, and when they have a bad day it upsets us. When they have a good day it delights us.
An all-male surgical team would never be worthy of a tweet, but today we have the three generations of women in surgery with an entirely female surgical team: consultant, trainee, and student.
And they’re awesome.
#womeninsurgery
#ILookLikeASurgeon
@MoniekVerstegen
I expressed an interest in a bottle of whisky that a colleague got given recently, so he handed me a sample bottle in the operating theatre today which apparently has some in, I’m not sure whether to believe him...
I’m absolutely thrilled to have been elected Vice President of the Royal College of Anaesthetists!
I hope I do a good job. I have some very big shoes to fill (
@WHarropG
’s).
And I promise I’ll stay human and tweet Eurovision related things.
Twenty years ago today a terrorist blew up the Admiral Duncan pub in Soho causing death and serious injuries.
I think the guy in the blue t shirt is a young me feeling underskilled and out of my depth. It was one of the pivotal reasons I chose anaesthesia as my specialty.
After a day on labour ward it’s heartbreaking to hear how many pregnant women have not had their covid vaccine, thinking they’re protecting their baby, when the absolute reverse is true.
There’s a lot of covid around, the vaccine saves lives.
A patient today delayed seeking help for a very serious illness because he believed hospitals weren’t able to treat non-covid conditions.
These are going to be our secondary victims. If you’re unwell, seek help, we’re here for you.
Fifteen years since we got married on a very hot day in Hastings. Fun was had, the dance floor broke, and *some* people even skinny dipped in the night. (Not us before you ask).
The eagle eyed of you might notice the date (10/6/6) is a good one for a Hastings wedding…
I can’t help thinking if we as a country actually invested in our health service so it had the spare capacity to respond to peaks in demand, we’d be in a different place right now.
Tonight on the covid ICU, our recovering patient enjoys the sunset.
Being on the 9th floor has its advantages. Things are getting better.
(Posted with permission)
Our porters and cleaners are core members of our teams, they risked their lives with us during the covid surge, and they deserve to be treated fairly. They now have decent terms and conditions, a pension, and support if they get sick.
Conversation with an elderly patient in the hospital lift today, she is in two minds about having her second dose, scared by all the reports in the papers.
Her: “Should I have it?”
Me: “YES! I can’t emphasise enough how important it is!”
These headlines WILL cost lives.
Many of our patients who have been so sick over the last six weeks or so are improving. Some we never thought would survive, yet are now sitting in a chair or even being taken outside to enjoy the sun.
It’s a fantastic feeling hearing them speak for the first time.
If you told my just-about-to-come-out-completely-terrified self twentysomething years ago that there would be a same-sex couple on a massively popular TV show I would never have believed you!
And they were so, So, SO good!
#strictly
I’m actually finding it difficult to watch
#hospital
this evening. One of the really upsetting things about
#COVID19
infection has been how our patients start improving and then with no warning deteriorate again. Devastating.
Yesterday we lost our mother, quite suddenly, but on the background of long term slow deterioration. She was kind, fun, sometimes over-shary (she may have passed that down), and hated the idea of losing her independence.
She will be sorely missed ♥️
Did you know that graduated compression stockings have never been shown to work, and increase the rate of skin problems.
…and we still spend £63m per year on stockings.
#WinterSymposium22
If everyone is getting their Christmas trees up early, does that mean I can play Christmas songs for our neurosurgeons in the operating theatre on Monday? 🎄
We’ve had Harrods make us some scrubs recently: light, airy, great pockets, and a lovely red. And a fab message from the scrub maker. Thanks
@Harrods
, really appreciated.
20,000 ish
#covid19
cases per day in the UK for the last few days, with a steady increase. Same number of cases as mid-December last year, when we had over 500 deaths per day.
Now it’s 20 deaths per day. The vaccination programme is saving 500 lives per day right now,
Listening to
#bbcr4today
’s NHS coverage. Please remember the NHS is treating many many more patients than previously with essentially the same money. You can’t use the “NHS has never been better funded” argument.
#NHSWinterCrisis
So pleased to be inaugurated as Vice President of
@RCoANews
today.
My imposter syndrome is going crazy, and mainly I’m just thinking how much I mustn’t mess it up.
But seriously, I’m proud as punch, and grateful to my colleagues for giving me a chance.
Yesterday I saw one of our porters running to the trauma operating theatre with blood products, knowing how urgently they were needed and how he is an integral part of the trauma response.
I still don’t understand why intubating someone (who isn’t breathing) is an aerosol generating procedure, whereas someone with covid pneumonia sneezing on you isn’t...
Lesson of the evening’s on-call:
If you’re getting into a stand-off disagreement with someone on the phone just go and speak to them face to face. You’ll realise you both have a valid viewpoint, neither of you are evil tyrants, and you both want the right thing to happen.
Did you know you can reduce your complication rate by 50% if you stop smoking more than 4 weeks before your operation? And 30-80% with daily exercise for the same period.
Don’t just wait on a waiting list, use the time to make your surgery more successful.
#Anaesthesia2022
Just realised I started work as a doctor 25 years ago this week (Whipps Cross hospital, vascular surgery house officer).
I can now use the phrase “in all my twenty-five years as a doctor I have never….”
@nytimes
Someone I was squashed up against on the Bakerloo line during the morning rush hour once started talking to me.
Reported it to the transport police who did nothing!
Talking to a junior doc friend this evening.
His FY1 rota is made for 21 doctors, and currently has 13 in post.
How on earth are we supposed to deal with demand surges and sickness if we don’t have fully established staffing at the best of times?
Still find it extraordinary that we can have a male singer singing “Mad About the Boy” with two male dancers on prime time national TV.
What a great dance by Carlos and Nikita. And singing by Adam Lambert. I went all a little emotional.
#strictly
Super-excited to be taking up a new role as associate medical director for medical education for
@ImperialNHS
.
Big job, but I promise normal service (including trashy Eurovision based opinions) will continue.
Dear
@BBCr4today
, Dr
#bawagarba
was not the “doctor in charge”. She was an overloaded trainee inadequately supported and supervised. IT failure, sickness, absence of consultants, no resilience in the system.
The situation in India brings back awful memories - this could have been us. We may have locked down late, but we locked down. The coordinated NHS response saved lives, and no one organised massive political rallies as cases were climbing.
My heart breaks for the Indian nation.
Highlight of the emergency list today:
When one of my patients regained consciousness in recovery he suddenly sat up and shouted “THAT WAS AMAZING!!” At the top of his voice.
My week on has finished.
Absolutely bowled over by how our non-ICU colleagues have pulled out all the stops to help at the bedside.
Not just nurses, ODPs etc, also some amazing senior doctors, right there at the frontline, helping our nurses provide excellent care. Thank you!
Passport finally arrived. Signed ✅.
After 36 years here I suppose this means I’m here to stay.
I’ll always be an Icelander, but I’m proud to be British. Never take for granted living in a (generally) safe, tolerant, and progressive country.
I’m so disappointed - with the silence I genuinely thought we were reaching an agreement.
After 15 years of real term pay cuts a 5% increase - another pay cut - simply feels wrong. I feel for our patients, both now and in years to come.
We need a properly staffed NHS.
Today, we announce a 3rd round of industrial action from 14 – 17 June.
The Government’s 5% pay increase offer is an insult to junior doctors in England.
Last time I was in this operating theatre it was an overflow ICU, with three critically ill COVID patients.
Now we’re back to doing surgery in here. Long may it continue! Thank you NHS, thank you vaccine, thank you science.
(Cameo appearance by
@grashiahn15
)
The man running at the flames and dragging Grosjean to safety is consultant anaesthetist/ICU Dr Ian Roberts.
Respect.
#F1BAHRAIN
(Thanks to my friend Will R for the heads up)
Today is the first time the
@theRCN
has ever gone on strike.
I know many nurses who will be on the picket lines this morning, I know they took the decision with a heavy heart.
After a decade of austerity we’ve reached the point where we just cannot recruit the staff we need.
Fit test for my mask completed. 7 minutes in this thing has given me even more respect for the poor doctors of Wuhan who have to wear this sort of equipment all the time, for extended shifts. Sweaty and uncomfortable.