Matthew Bigwood @MJTB1987 Twitter profile

Last Seen Profiles

@WITTYINTELLECTT

@dm_designs___

@KatjustKat_

@doe_sil

@dlowmaori24

@inannaenk

@iasceu

@blogpreston

@NinoChamp

@FemboySissy15

@Trabzonspor

@chru_h

@gar_Left

@WinSPC

@Liamardo1986

@65LTC4ILGE29013

@godsfavoritexox

@litty_louis

@gaditatotal

@wa_a_ao

@Cr0wflare

@hhhelios

@dingdangeeerr

@dnzvanPersie

@offdadribblee

@lordruthven80

@PixelPerfect818

@SebaBordolino

@ri8on_

@LibbyWhitten

@coldstonesavage

@BaileyStewart07

@KejoraLoka

@ibubohay2

@rahimpourazqadi

@SeamlessFi

Matthew Bigwood

@MJTB1987

2 years

Coroner: “I have no hesitation in concluding that the information in the content of the communication from the GMC did contribute to Dr McPhillips’ state of mind and therefore contributed to his death” How many Drs need to die before the hearings are put behind closed doors?

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Matthew Bigwood

@MJTB1987

10 months

Note the date of this FB post…

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Matthew Bigwood

@MJTB1987

11 months

This is someone who is employable as A CONSULTANT getting less than some fresh out of university professionals. Totally unacceptable.

Dr Sandeep Bansal

@iDrSunny

11 months

A post CCT fellow getting £44k a year MAPs getting £50k a year or more. What is going on?

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Matthew Bigwood

@MJTB1987

3 years

The cool sticks arrived today! Time to ditch the ethyl chloride for something cheaper and more sustainable! #sustainable #coolstick

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Matthew Bigwood

@MJTB1987

2 years

If these are the ‘revised rates’ what were they before?? This is what I was getting an an FY1 10 YEARS AGO!!

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Matthew Bigwood

@MJTB1987

2 years

I’m wondering how anyone can dislike Obs anaesthetics? Just had one of my busiest nights, helping 6 amazing babies into the world. But getting to share that with a whole range of mums (and Dads) and seeing sad/pain tears turn to joyous ones is so fulfilling! #obsanaesthesia

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Matthew Bigwood

@MJTB1987

2 years

Night shift selfie! Full support for the junior doctor’s strike! #JuniorDoctorsStrike @TheBMA @Doctors_Vote @TheDA_UK

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Matthew Bigwood

@MJTB1987

7 months

@moribunddr To echo other people commenting I would also say “please do, as then maybe it will alert people to a potential systemic problem”

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Matthew Bigwood

@MJTB1987

1 year

Time to come back to the table @RishiSunak @SteveBarclay #ConsultantsStrike @BMA_Consultants @TheBMA

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Matthew Bigwood

@MJTB1987

10 months

Yes it’s Die Hard time!! My Christmas starts here!!

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Matthew Bigwood

@MJTB1987

2 years

Pretty accurate I’d say! 😜 (not mine originally)

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Matthew Bigwood

@MJTB1987

3 years

So I had an idea to make obstetric anaesthesia safer. The current oxytocin label is too similar to many other labels. Below are some ideas I had to change it. Got printed in @Anaes_News and won letter of the month. Thanks. See below for the link. @RCoANews @OAAinfo #patientsafety

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Matthew Bigwood

@MJTB1987

2 years

Consultant week one done ✅ Mandatory training ✅ Parking permit ✅ ID and access ✅ (mostly) Locker ✅ Meetings attended: 4 People met: too numerous to count. Anaesthetics given: 0 Overall impression: Excellent, excited for week 2. 😀👍

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Matthew Bigwood

@MJTB1987

2 years

Super excited to join the team at @ELHT_NHS as a Consultant Anaesthetist in 6 months time!

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Matthew Bigwood

@MJTB1987

2 years

The money shot!!

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Matthew Bigwood

@MJTB1987

2 years

Training = done! Outcome 6 obtained! Thanks to EMSA and especially @NGHnhstrust for getting me there! Couple of weeks off now till I start my consultant job at @ELHT_NHS Very excited.

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Matthew Bigwood

@MJTB1987

5 months

Oh wow this is absolutely bonkers. What on earth are they doing? I cannot believe this!! How is this even allowed?

Catherine Roy

@catherineroyuk

5 months

@FierceMum I got this letter. Thousands of women around the country will have had similar letters*. *Do share your letter if you have one!

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Matthew Bigwood

@MJTB1987

3 years

Oooo an edge piece! Nice! Thanks @standupmaths for the cool memorabilia to add to my collection! #jigsaw

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Matthew Bigwood

@MJTB1987

2 years

3 syringe, 1 needle anaesthetic! Saving money and the environment or being ‘sloppy’ by reusing syringes? Thoughts? #medtwitter

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Matthew Bigwood

@MJTB1987

1 year

How do I stop this waste of paper? (Waste as I won’t read it rather than judging the content per se)

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Matthew Bigwood

@MJTB1987

2 years

@timricketts_ Anaesthetics. 1 to 1 cons teaching almost every day. 1 patient at a time. A chair. Guaranteed breaks. Leaving early way more often than you leave late. Confidence in procedures and managing unwell patients. Job doesn’t change too much (you just get better). In demand. Caffeine.

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Matthew Bigwood

@MJTB1987

2 years

@timricketts_

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Matthew Bigwood

@MJTB1987

4 months

@AndrewJD Great thread…I felt connected (bought only 18 months ago) I would add one counter…professional movers wanted multiple multiple thousands as we were moving 120miles/3 hours away. Rented a van and had a spare pair of hands at both ends saved us the thousands and was not that bad!

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Matthew Bigwood

@MJTB1987

1 year

Happy ODP day. Thank you to you all for having my back!

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Matthew Bigwood

@MJTB1987

1 year

My plate/bowl arrived! Thank you @AProblemSquared Another signature to add to the collection @standupmaths and a first signature and artwork from @bechillcomedian I’m definitely team plate though…

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Matthew Bigwood

@MJTB1987

2 years

@Vapourologist Are you going to reveal who is correct? (The syringes on the left for the avoidance of doubt)

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Matthew Bigwood

@MJTB1987

2 years

Such sad stories in this article. Is it time for a GMC overhaul?

The petty cruelty of the GMC

Doctors make mistakes. We mess up, have lapses in judgment, do stupid or downright wrong things. Some break the law, some violate trust. Patients place their wellbeing, and sometimes their lives, in...

www.spectator.co.uk

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Matthew Bigwood

@MJTB1987

1 year

@passing_gas Yeah I don’t mind this. I often send them away if just standing there. They have notes to write, relatives to phone, other patients on the ward potentially. We don’t have any of that.

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Matthew Bigwood

@MJTB1987

2 years

@mjv__1 I do not understand why SFE take away *more* in loan/grant than the NHS give in bursary! It doesn’t make any sense. I had to owe so many kind friends and family (I was therefore very lucky) a ton of money to get through…!

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Matthew Bigwood

@MJTB1987

2 years

@MrsHRobinson20 I’m sorry this was your experience. I always have the fear I’ll get this wrong (as a HCP) It can be difficult to know exactly (especially in an emergency) the past history. Rest assured 99% of the time it’s genuine error rather than trying to be dismissive or hurtful.

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Matthew Bigwood

@MJTB1987

4 years

Come on England. I’m ready! @felixwhite @gregjames @itsmattchin @jimmy9 #tailendersoftheworlduniteandtakeover

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Matthew Bigwood

@MJTB1987

9 months

As a human I think this is deplorable. But as an anaesthetist I want to know the set up (closed vs open? CO2 absorber?) Also, and this might be controversial, why no volatile anaesthetic? Or is a ‘horrible’ death the intention? Lethal injection has thio…

Kenneth Eugene Smith: Alabama carries out first nitrogen gas execution

The untested method was approved after lethal injection drugs became more difficult to obtain.

www.bbc.co.uk

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Matthew Bigwood

@MJTB1987

2 years

Our stickers have arrived! Thoughts? #obsanaesthesia @OAAinfo @Assoc_Anaes

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Matthew Bigwood

@MJTB1987

2 years

This is a terrible terrible day for the NHS and for whistleblowers! Can’t actually believe it!! So sorry Chris.

Dr Chris Day

@drcmday

2 years

So even when you rock up to the Employment Tribunal with the former Health Secretary (now Chancellor) on your side as your witness and your opponent destroys a load of evidence mid-hearing, then admits to it - you still lose; Judgment and my comment

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Matthew Bigwood

@MJTB1987

2 years

@TheDA_UK

Top psychiatrist took own life after official complaint was made about his work

Dr Mike McPhillips helped a number of celebrities, including The Saturdays singer Frankie Bridge

www.mylondon.news

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Matthew Bigwood

@MJTB1987

2 years

@omerdays @nickopotamus @uhbtrust They don’t get it. Scrubs are no cleaner or dirtier (unless obviously soiled then they will clearly be changed out of) than any other clothes/uniforms. They are used so our OWN clothes don’t get soiled!

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Matthew Bigwood

@MJTB1987

2 years

Reminder to all about anaesthesia and breastfeeding!

@[email protected]

@Chakladar_A

2 years

@liambarker

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Matthew Bigwood

@MJTB1987

2 years

Strong words...probably true though; "It will not be doctors who suffer when the NHS collapses, we will make more cash. It will be you."

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Matthew Bigwood

@MJTB1987

2 years

Apparently not handing over all the relevant information, then hurriedly deleting it all is still conducive to a fair trial...who knew... 🤯 @TheDA_UK @drcmday

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Matthew Bigwood

@MJTB1987

2 years

7 years ago today! (I was on call not a scab) Did I have enough stickers tho?

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Matthew Bigwood

@MJTB1987

2 years

Consultant Day 1! Corporate induction. Any tips for all the new consultants today?

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Matthew Bigwood

@MJTB1987

11 months

@DrEilidhMaria Just do Anaesthetics…no contest. Hospital, practical, confidence with sick/emergency patients, no ward rounds, teaching/learning almost every day, breaks a plenty, job anywhere!

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Matthew Bigwood

@MJTB1987

3 years

Today is #overseasnhsworkersday Join @TheDA_UK to celebrate all the contributions from our amazing colleagues everyday! #homeforheros #ILR_4_NHS

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Matthew Bigwood

@MJTB1987

2 years

@Dr_BellaR Abhorrent and hope everyone calls it out as such. A lot of old ladies seem to get away with “if only I was a few years younger…” type comments though.

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Matthew Bigwood

@MJTB1987

2 years

@AbbieTutt Apply to the strike fund! A lot of consultants have contributed especially if they got paid extra to cover…

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Matthew Bigwood

@MJTB1987

2 years

Hello #medtwitter If someone wanted to stop burying their head in the sand about their NHS pension as they are about to start their consultant job...what would they need to ask for and from who? TIA @gdcuk @goldstone_tony @nhs_pensions @KayePriceWealth @hall_nhs

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Matthew Bigwood

@MJTB1987

10 months

@GongGasGirl It’s really good work by them. Well done. And I am excited to hear about every single logistical detail. BUT they had 4 anaesthetists, 6 surgeons and 18 ‘nurses’ more than triple what I had on my capacity list the other day. It’s all about staff and therefore all about money…

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Matthew Bigwood

@MJTB1987

6 months

@gmcuk (most) Law breaking should trigger a tribunal but at said tribunal ALL the facts should be taken into account (including the act; in this case peaceful protest) to determine if they are competent and safe to see patients. Not to double punish as she already served her sentence!

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Matthew Bigwood

@MJTB1987

10 months

@tb_doc I think this is a poor take. By striking they are not compelled to be on a picket line nor standing around doing nothing. They are not being paid so are free to do as they please. JD’s lives are very busy so extra time to do admin is probably a relief!

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Matthew Bigwood

@MJTB1987

2 years

This is so short sighted and unsafe. This will encourage people to come to work who are unwell which could cause a bigger staffing crisis and put patients at risk. @TheDA_UK #nhsengland

BBC News (UK)

@BBCNews

2 years

Special Covid leave scrapped for NHS England staff

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Matthew Bigwood

@MJTB1987

2 years

Today is a good day! 😀👍

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Matthew Bigwood

@MJTB1987

2 years

D2 take homes #OAA2022 POC coag testing is a must now. Fibrinogen falls faster than other clotting factors; cryo > FFP. Human factors is making it hard to do the wrong thing. Good design > education. 1:6000 risk of high block. 4 hours of entenox = round trip to Glasgow! @OAAinfo

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Matthew Bigwood

@MJTB1987

4 months

@thomaswoodcock @TheBMA They are not being paid, partaking in lawful industrial action, they can be wherever they want doing whatever they want!! Government’s fault for not paying them fairly.

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Matthew Bigwood

@MJTB1987

4 months

@DrNeilStone Gotta be hunt for me. Rees-Mogg is an honourable mention and dream land is Sunak!

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Matthew Bigwood

@MJTB1987

2 years

Mandatory poster pics…! Thanks to everyone who helped me! #OAA2022

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Matthew Bigwood

@MJTB1987

2 years

Homeowners at last. Been a busy 2 days. 730 miles driven. 3 luton van loads loaded and unloaded. Excited to make it all homely now. Huge thanks to the amazing @Cather1neHuds0n for doing 99% of the packing and unpacking so far!

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Matthew Bigwood

@MJTB1987

1 year

Eventful day in theatre today… #IYKYK

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Matthew Bigwood

@MJTB1987

9 months

My propofol vial exploded…that’s a new fear to have literally EVERYDAY now…thanks!

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Matthew Bigwood

@MJTB1987

3 years

@noodles_nood A ‘pharmacist’ once told me I couldn’t take Ibuprofen, paracetamol and codeine together. I held to together and calmly disagreed…they called for back up (the actual pharmacist) who agreed with me…

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Matthew Bigwood

@MJTB1987

2 years

Very conflicted this morning. I hope the removal of the mandatory mask wearing (in most areas) in hospital is the right decision and doesn’t lead to preventable harm but quite anxious it might not and what are we gaining exactly? Also what about our CEV patients? #maskup

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Matthew Bigwood

@MJTB1987

2 years

@Doc_Brenton If EVERYONE thought like this tho the world would already be on fire. I try to challenge all behaviour I see that seems wasteful.

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Matthew Bigwood

@MJTB1987

9 months

Oh my…I just found this in my suit jacket pocket…that means the last time I wore my suit was for Final FRCA…in 2019… 😱

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Matthew Bigwood

@MJTB1987

2 years

@julian_donovan If you refer to the ITU consultant and they accept the patient and you want to intubate, line up and transfer to ITU then I think most anaesthetic/ITU juniors would be more than happy for you to do this.

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Matthew Bigwood

@MJTB1987

2 years

@DrJack_Whiting I hope to not be that consultant…wear my poker face throughout before explaining “that is one way to do it; I do it slightly differently and here are my reasons”

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Matthew Bigwood

@MJTB1987

2 months

I know this is (probably) quite tongue in cheek but this thing is real and bugs me. We should not be basing clinical decisions on familiarity or habit if the correct RR is 13 or the PEEP 7 then that’s what it should be. Should be justification for every decision we make! (1/2)

Briony Lumpkin

@brionytheliony

2 months

#TipsForNewAnaesthetists

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Matthew Bigwood

@MJTB1987

2 years

Back in 2018 when I found out my CCT date had “2023” in it, it felt VERY far away! Can’t believe it’s now almost here! Super looking forward to the next stage of my career and thank you to everyone who has helped me get there!

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Matthew Bigwood

@MJTB1987

2 years

@SAS_gas_Thomas Yes it is (as long as grades are also up to scratch) it takes more than grades to be a good colleague!

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Matthew Bigwood

@MJTB1987

2 years

@DrTADM Sorry you are being treated that way. There is some light ahead if you want to see if it’s there. If a Datix was put in then make sure some learning from this happens…i.e. medical emergencies are more important that DC summaries!

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Matthew Bigwood

@MJTB1987

10 months

@DrEilidhMaria The answer is surely a grad tax for EVERYONE. Pay students to live and every grad (including those who would currently opt out of student finance) pays it back as higher tax on graduation. (Which is in effect what happens now but only to less well off)

Matthew Bigwood

@MJTB1987

2 years

@thegradmedic @drcarolinej I think it should be renamed a grad tax and then tuition should be ‘free’ and a ‘wage’ paid to students to live off during their time at uni. No big ‘debt’ numbers just an extra tax to pay but in return fair living costs throughout uni.

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Matthew Bigwood

@MJTB1987

2 years

Hopefully the last ‘new starter pack’ I ever have to fill in. 😀👍 @ELHT_NHS

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Matthew Bigwood

@MJTB1987

2 years

Why are we as a country making it so hard for IMGs…we are so short staffed and these IMGs are helping to keep our wounded NHS alive we should be making it easy!!

Raja Adnan Ahmed

@drraja_

2 years

This is one struggle IMG doctors face. Visa delays which are out of their hands & threats from the HEE to withdraw their training job offer. Basically threatening deportation & unemployment. (Shared with consent to highlight IMG issues)

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Matthew Bigwood

@MJTB1987

2 years

The solution to protect doctors better is to have MPTS hearings behind closed doors. Then when they have concluded any details that are in the public interest can be released if necessary!

Doctors’ Association UK 💙

@TheDA_UK

2 years

“Doctors under investigation by the GMC often feel they are treated as guilty until proven innocent” - DAUK’s #LearnNotBlame co-lead @DrJennyVaughan in the @bmj_latest “Psychiatrist died by suicide four days after learning of GMC investigation” #NHS

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Matthew Bigwood

@MJTB1987

1 year

I was today years old when I realised I should be taking height/size of hands etc into consideration when training others! Thanks.

Sethina Watson

@morefluids

1 year

@GaslingSarah Similar when learning procedures & ergonomics. Sought out females of similar height who adapted standing etc to accommodate shorter arms etc. Often not appreciated by taller men that actually getting into the position you use may not be comfortable.

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Matthew Bigwood

@MJTB1987

2 years

@RobJimFleming That will be me tomorrow night…

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Matthew Bigwood

@MJTB1987

1 year

@127J_H This is Woakes’ Home vs Away record…

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Matthew Bigwood

@MJTB1987

2 years

@thegradmedic I know it feels far far away. But just wanted to offer some light at the end of the tunnel. I have my consultant anaesthetist job ready and waiting and I’m so excited/happy. I know things are shitter now and I’m sorry about that. You will make the right choices for you I’m sure!

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Matthew Bigwood

@MJTB1987

2 years

What I’ve been saying for a long time now!

★ metajournal

@themetajournal

2 years

For routine anaesthesia in ASA 1 & 2 patients a 6.0-7.0 mm ETT is probably the best balance between ventilation needs and airway trauma. - Karmali 2020 Anaesthesia #SysRev → (summary)

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Matthew Bigwood

@MJTB1987

2 years

Another example from the labour ward…Adrenaline and atropine!! @Fionafionakel @OAAinfo @OAATrainee #OAA2022 #humanfactors

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Matthew Bigwood

@MJTB1987

2 years

@RobJimFleming I know this was not your point…but I don’t even know what half those acronyms mean…patients will have no chance!!

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Matthew Bigwood

@MJTB1987

9 months

A airline analogy that still hits hard form 2018… (unknown original credit)

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Matthew Bigwood

@MJTB1987

6 months

So I went rogue and did a thing last year. (Glaring mg/ml vs IU/ml error aside…it’s going to be fixed) I think it combines ISO standards with appropriate highlights to its danger. No incidents since it’s introduction. @drtimmeek @peterjyoung101 @Anaes_News

Matthew Bigwood

@MJTB1987

3 years

So I had an idea to make obstetric anaesthesia safer. The current oxytocin label is too similar to many other labels. Below are some ideas I had to change it. Got printed in @Anaes_News and won letter of the month. Thanks. See below for the link. @RCoANews @OAAinfo #patientsafety

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Matthew Bigwood

@MJTB1987

2 years

It’s like 2020 all over again. Except this time it’s adults helping paeds! #NHS #RSV

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Matthew Bigwood

@MJTB1987

2 years

@Ret_DrAliSmith Credentialed with RCEM as an ACP only desirable not essential???

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Matthew Bigwood

@MJTB1987

2 years

@SateeshVermaMD @AirwayMxAcademy @NicholasChrimes If tube is going posterior then inflate cuff to move it anterior. Rest tip on the arytenoids then deflate cuff to advance fully. It’s the most satisfying thing in the world!

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Matthew Bigwood

@MJTB1987

2 years

@DrLKVaughan @gmcuk As you mentioned it too; is there anything wrong with having “safe” as the primary duty?

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Matthew Bigwood

@MJTB1987

2 years

#whereissteve

Dr Robert Laurenson

@RobLaurensonD4P

2 years

Today we went on strike. I heard @SteveBarclay wanted to urgently negotiate on sky news. Weird cause I didn’t get an email inviting me. So I went to DHSC and the Cabinet office but unfortunately Steve was out 😔 Steve says one thing but wants another. He wants these strikes.

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Matthew Bigwood

@MJTB1987

5 months

@WelshGasDoc Not side issue…the issue…if contrast used first time then no sedation would have been needed for the second scan…

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Matthew Bigwood

@MJTB1987

2 years

@GoodishIntent All I see here is the aftermath of “patient is awake…shit where is the ODP with the syringe…oh fuck it…!

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Matthew Bigwood

@MJTB1987

2 years

@girldoconline This annoys me so much! We need a better PR person. Others have suggested we use Anaesthetic Doctor which is not a bad shout…

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Matthew Bigwood

@MJTB1987

3 years

Come on England. Scoring again because I enjoyed it so much last time! @gregjames @felixwhite @itsmattchin #tailendersoftheworlduniteandtakeover

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Matthew Bigwood

@MJTB1987

2 years

I have a very similar thread half written in my drafts! Don’t need to do it now! Amazing! I would add: 1) reduce mess by compressing vein PROXIMAL to end of the cannula as the cannula is relatively incompressible. 2) Don’t be afraid to stab the skin NOT directly over a vein…1/2

Ben Harris

@docbenh

2 years

A thread on IV cannulation. I’m obviously biased as an anaesthetist but to me it is a core skill that many allied health professionals and doctors alike should be proficient at, and I think I were doing patients a dis-service by not trying to get better

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Matthew Bigwood

@MJTB1987

2 years

Question for all Obs anaesthetists on #medtwitter Do you have a “PPH trolley” if so what exactly does it have on it? Thank you. @OAAinfo @OAATrainee @OBsleepmerchant @DrNickB_ObAnaes @bobfunn @Eltonchris @fi_pea @drsas27 @RobJimFleming @noolslucas

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Matthew Bigwood

@MJTB1987

2 years

@juniordoctors_ Discharge summaries no fucking way!! I can ‘understand’ cannula, emergencies any maybe drugs. But no way discharge summaries!

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Matthew Bigwood

@MJTB1987

3 years

@RobPPalin That’s nothing… 😳

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Matthew Bigwood

@MJTB1987

10 months

@tb_doc You are of course allowed your opinion. I would be careful using the word harass though. I find it hard to believe emailing you about mundane admin (even if multiple) would qualify.

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Matthew Bigwood

@MJTB1987

3 years

D1 take homes; 2 ppl ETCO2 check I want a ProVu Delayed extubation may prevent need for a trache. As a future adv airway trainee I need to give back as much as I gain. DAD is the future I need to try AVL and hybrid intubation ASAP. #vDAS2021 @DAS_2021 @dastrainees @DASDatabase

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Matthew Bigwood

@MJTB1987

3 months

@RoshanaMN @Jeremy_Hunt He also said something along the lines off… “I hope the new government brings reform to the NHS that conservative governments sometimes find difficult to do” Very interesting comment I thought.

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Matthew Bigwood

@MJTB1987

5 months

@Paul_Wischmeyer Wow let’s play how many errors we can spot in the AI image? (No hate)

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Matthew Bigwood

@MJTB1987

7 months

Umm…this is battery no?

George Reid

@dieracg

7 months

@quackophage I am afraid it gets worse. Looking on their instagram account, they appear to be preparing infusions in a Hygitech bag of saline for irrigation. These are SPECIFICALLY LABELLED by the manufacturer as “NON INJECTABLE”.

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Matthew Bigwood

@MJTB1987

2 years

So #coolstick update. In the 3 months since their introduction @NGHnhstrust , the use of Ethyl Chloride spray is down 62%. That means the saving (of thousands) is ALREADY more than the cost of the cool sticks! Think of the reduced waste and pollution too!

Matthew Bigwood

@MJTB1987

3 years

The cool sticks arrived today! Time to ditch the ethyl chloride for something cheaper and more sustainable! #sustainable #coolstick

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