Paediatric Consultant Intensivist - CHI
@Temple
Street,Clinical Lead Irish Paediatric Acute Transport Service - nearly full time singer/choral music nut
3rd time getting clamped outside the hospital I work in after being called in to do a critical retrieval and being left with nowhere to park - this gets really really tiring (and expensive) after a while and people wonder why we find the job tough
I’m saying it now... if the gov allow people to fly to cheltenham for the SECOND yr to come back through ROI or Northern island without mandatory hotel quarantine then my lonely, isolated self will be heading out & about & they can shove their 5k up their ...
@MichealMartinTD
125 euro that despite public opinion about how well we are paid, I actually don’t have to hand as I’m on a graded return to work and reduced pay from … guess what…. Burn out 😔
After 2yrs of masking & 3 vaccine doses COVID finally caught me just in time to get to spend xmas alone in isolation - oh the joys. No close contacts & grateful that my vaccines mean I’m barely symptomatic. Got PCR despite negative antigen test - it was + but Ag still neg today!
@jankell21032905
Thanks so much Jimmy - you are very kind but I’m very lucky to work for a wonderful employer who will hopefully help me out through official channels :)
Almost 100 consultants forced to work on onerous and unsafe on call rosters due to chronic staff shortages in a desperate bid to keep services running. Their overtime has made your headline. At some point, when there’s no one left in healthcare you might finally understand…
Almost 100 hospital consultants earned more than €300,000 last year, with one, working in emergency medicine, being paid €974,000, according to a Health Service Executive report
@rtenews
Myself and my colleagues ran the paediatric critical care retrieval service everyday over Christmas - what planet is he on - all our care is consultant led & we’re already working beyond safe working hours. Fix the contract & hire more of us before there’s none of us left
#ImAtWorkLeo
#WeAreWorking
working flat out on PICU for 14hr & counting - now with our Swedish ECMO colleagues caring for a critically ill child - happy to be here making a difference - Leo hope you’re reading this!
@01sth02
@arrivalofspring
Doesn’t matter - we’ve been told by dublin city council that there are no exemptions - the hospital tried to get them to continue to support us after the first wave of COVID but they declined
@FoilArmsAndHog
Lads the only thing that would have made it better is if you were both pretending to speak Irish and basically just ended up exchanging lines of the Hail Mary 🤣
From YouTube screenshot + 32/40 measurements to pattern & first draft - not a bad day☺️ - ❤️ the smile on parents face when they see their tiny baby dressed 4 the first time - this allows full access for staff & no almost no handling needed to dress! :)
#PICU
#NICU
#neoTwitter
@tony_breu
@David_Menzies
Finally physiological evidence of what any intensivist can tell you - premature death from stress related illness is a reality .. a lifetime of adrenaline/night shifts and exhaustion = myocardial nightmare!
We all need a bit of this after the week we’ve had - bravo to the brave, exhausted, fearless front line healthcare workers who’s chain of care from ambulance to ED to ward to ICU and back made this possible 👏🏻👏🏻👏🏻👏🏻
I really wish “this is going to hurt” had a warning for medical professionals before each episode - Christ it’s so so hard to watch - so triggering and brings up some really really bad memories - it’s utterly mesmerizing but needs to be be titrated in small doses
Well this is highly triggering - just back 2 work after “failing” 2 be “resilient” enough
@paulreiddublin
u just keep beating us down“The resilience of health staff after two years of the pandemic is identified as the biggest single challenge”
Sometimes words fail me when people ask me what I do for a living - but it looks something like this… happy Sunday to all my healthcare colleagues with a special shout out to the
#paedsicu
#retrieval
crew!
@NASCriticalCare
@CHI_Ireland
it’s a been a tough few days in solo isolation this Christmas and I’ve missed singing so much. A little ditty for my phenomenal frontline colleagues in
@AmbulanceNAS
@MICAS_NASCCRS
@Temple_Street
who will give up their Christmas to look after yours 🎄😌
@HughOS
@VanMoof
This is awful
@TempleStreetHos
can we gets security camera installed? This is a locked shed with swipe pass only access which suggests a non-random event - with the total lack of parking - cycle parking must be made safe for staff
A truly beautiful & moving reflection of the art, science and utter raw humanity of our jobs in
#picu
We never forget these children & what a privilege it is to journey with them & their loved ones on their path. Thank you for sharing this
@PedCritCareMed
#SundayWiMIN23
Week 23: Dr Cathy Gibbons, Consultant in Paediatric Intensive Care & Critical Care Retrieval
@TempleStreetHos
, National Clinical Lead IPATS Retrieval service, Associate Clinical Professor Paediatrics
@UCDMedicine
. Trained mezzo-soprano.
➡️
@oconnellhugh
Shocking from HSE - Huge gaps in our rosters - how is this going to be anything but the final nail in the coffin for our trainees who will now choose to move abroad to complete training. Another shortsighted move by the government that will further destabilise our health service
If ever you needed evidence that the
#PICU
community is a special one - enter
@itsthatgirlsuzi
- an incredible colleague and friend who has crossed the city and switched hospital to ensure a colleague gets their first leave since Christmas 😍❤️
@TempleStreetHos
@jobswithCHI
So proud of our PICU team
@TempleStreetHos
- spent day drilling inside-out rounds & med checks & fine tuning PPE plans. Drs, nurses, HCAs, engineers, IT, dietetics, physio, pharmacy, micro pulling out all the stops for our pts -
#COVID2019IRELAND
@bailenaleabhar
@MonaBaker18
The numbers look so bad they look made up... they’re not.... 500 consultant vacancies, 550,000 people on waiting lists - up 83% since 2013 - we are in the middle of a healthcare crisis & the government need to wake up & fix the brain drain!!
@SimonHarrisTD
@Paschald
@LeoVaradkar
The shortage of consultants is pushing up
#WaitingLists
. Over half a million people are currently on an outpatient waiting list to see a consultant.
#CARECANTWAIT
➡️
follow the campaign:
And no
@paulreiddublin
, my resilience had nothing to do with it - we in healthcare are resilience experts but the system eventually breaks u down. You try 80-120hr work weeks doing the work of 3ppl for 16yrs straight & see how “resilient” it feels. Oh & then throw in a pandemic..
@EoinKr
In fairness there is a parking space, the key to which I don’t have since returning to work but it’s a shared space and is often full - today was an emergency so I parked as close as I could get as quickly as I could get to the unit 😖
Thanks to inspiration from the
@AssocEmergMedIE
IPATS
@NASCriticalCare
are proud to launch our national paediatric critical care QR code posters - heading out to all paediatric centres nationally today.
2021 needed a shake up ... it’s been a tough old lonely year! Looking forward to giving Baxter a great life and many treats to help with
#nationallockdown
#cavapoo
@dog_rates
As I enjoy my first consecutive 24/25/26th Dec off since 2007 & get a first Christmas with my nephews, I just want to say a huge thanks to all the
@AmbulanceNAS
@NASCriticalCare
@CHI_Ireland
&
@HSELive
staff who are working and caring for those in need this Christmas 🎄🙏🏻
This applies to all specialities
@DonnellyStephen
@LeoVaradkar
“What should be audited is correspondence to and between members of the Government about under-resourcing of Camhs to see just how “shocked” they can really claim to be via
@IrishTimes
Bravo to the bbc for showing the really really hard side of our job and the compassion and humanity behind the professional façade we present to the world when in reality we’re often breaking inside
#hospital
Todays
@IrishTimes
article on antigen testing vs PCR has only added to the confusion - simple infographic below would have been a better use of the copy space. Symptoms = PCR, asymptomatic check/close contact ? = Antigen - it doesn’t need to be so hard !!
2020 in a nutshell... trying to make the best of a bad situation! T- 15 to our virtual choir concert in aid of
@MSF
happy to say the pre concert nerves are just as aggressive as always but this time we can enjoy the performance with some bubbles!
@IrishDrsChoir
Sitting in the garden in my little 18degree sun trap watching the flowers finally peek their heads above the parapet is a lovely way to start the weekend after a LONG week :) lots of work still to be done dans le jardin but I’ll get to it after coffee
To the Brazilian who saved lives, my fearless
@HSELive
colleagues who ran out of hospitals & joined the
@DubFireBrigade
on scene & our overseas HCW who braved a vicious world to get into/out of work last night & my those who helped them get there safely -
#thisisdublin
As a
#PICU
intensivist who prescribes life saving blood products daily, it’s so brilliant to play a small part in keeping the stocks up! Thanks to Marta and Carmel for a painless and fun experience at the
@Giveblood_ie
clinic. Call 1850731137 to book an appt!
#donationfriday
Decided to tackle my wilderness of a back garden over the last week - needless to say 30 blacksacks and many many sore muscles later it’s starting to look tidier. Next stop reseeding the lawn + planting some flowers 🤞🏼🤞🏼
#TogetherAtHome
Fantastic experience with the wonderful Alva
@Giveblood_ie
in D’olier street today! Well worth 45min of your time to give something so precious to someone in need. Virtually painless & easy to book by phone- you never know when you or a beloved child/family member may need this
Sitting in
@CiaraMcCiara
house in a little bubble in 2020 making a decision to splurge on a once in a lifetime trip to the World Cup feels a lifetime ago. Promise to bring all my voice and energy to cheering the team next weekend with my friend & bubble buddy ❤️❤️❤️❤️
@angela_dorgan
You’re so kind Angela - we work very unusual hours and I’m generally called in when things are urgent so I need to park close to the hospital but you’re so generous to offer !
Proud of these - aiming to make resources for the care of critically ill children as streamlined and easy to access has possible - hopefully do the trick! Each guide also include a pre-departure checklist for teams to ensure care en route to
@CHI_Ireland
is smooth and steady 😃
Delighted to be launching the first four
#IPATS
time-critical transport guidelines aimed at providing clinicians with a one page reference for the recognition, stabilisation & transfer of children with life threatening conditions. All free to access via
Incredible ad - lucky I’m not wearing mascara. Massive shout out to our incredible physios in
@TempleStreetHos
& my personal hero Mairead
@SVUHTrauma
who got me from fractured elbow to full use in 7wks this year!
#physioheros
This Christmas, remind a loved one that it's never too late to get stronger.
Share our film and visit for strengthening exercises and guidance from physiotherapists.
#NeverTooLate
Something special is happening in Barcelona. It started last month when some parents organized a bike ride to school for just five kids. Now entire neighborhoods are joining. They call it Bicibús – or Bike Bus.
Had the absolute pleasure of teaching the future Paediatricians of Ireland
@RCPI_Trainees
@RCPI_news
today with my PICU colleagues and
@MijkBoyle
and boy the future is bright 😃😃
Watching the
#kindnessdiaries
- reminded that even in this dark time we are surrounded by kindness - from our incredible
@TempleStreetHos
&
@CHIatCrumlin
PICU nurses volunteering to help our adult ICU colleagues, businesses who have fed & watered us when they were struggling 1/2
Very exciting day for
#IPATS
@NASCriticalCare
with posts advertised for our new nurse-led
#repatriation
team. This will make a huge difference to patient flow in
@CHI_Ireland
and will help bring children back closer to home at the right time!
As always
@orlatinsley
speaks the truth about our broken healthcare system. We are fractured, understaffed & overworked. The knock on effect is that patients are left floundering in a system they cannot navigate hoping against hope they win the medical lottery on each admission.
“I recently met with a consultant for whom I left four messages after I went into renal failure, and who I was told would phone me back. But he never did…A nurse phoned back to ask why exactly I wanted the consultant to phone me,”
@orlatinsley
Donation 29 flying along thanks to the fab staff at the
@Giveblood_ie
clinic - still a potential 100 to go before I hang up my donation boots - let’s hope my 1 vein can get me through the next 25 years! If u can donate please do it’s a great feeling & means so much to so many
Walking around
@Aldi_Ireland
today. Far too many people inside, no one keeping social distance and a family of four with a five year coughing incessantly not covering her mouth and touching as many of the toys as she could - parents did nothing. Left feeling 🤢🤢 won’t be back
Children are waiting years for appointments & procedures because we haven’t the consultants to run the paediatric health service. Write to your TDs your local councilors and fight for your children’s right to healthcare
@SimonHarrisTD
@Paschald
@LeoVaradkar
@IHCA_IE
@CiaraMcCiara
@drkeithsiau
We HAVE to change the narrative of this rash - it is a sign of septicaemia NOT meningitis & NOT just meningococcal sepsis - GAS/Strep pneumonia etc etc . Healthcare professionals need to be more accurate so that other HCPs and parents get properly informed & educated.
#sepsis
I wonder how many children’s lives will be saved through Laura Brennan’s actions through her life, her advocacy, her spirit and her memory. Bravo RTÉ and
#ThankYouLaura
When you go for a gorgeous tasting menu evening at the flying duck dundrum with music provided by your best friend
@SopranoKatyK
and you get pulled on stage for the impromptu finale!
#justanotherfridaynight
😂 thanks to the
@TheParkSingers
for the gorgeous SSA arrangement!
Puppies are like children - you surround them with bespoke puppy toys and instead they choose the random bird feeder that dropped off the window in the garden 🤦🏽♀️🤦🏽♀️
#puppylife
For anyone (like me) who’s had their musical soul ripped away for the last 18months - this powerful beautiful moment of people finally letting their voices soar free is so thrilling - I can’t wait to get my chance soon I hope!
@RTEPhilChoir
@IrishDrsChoir
@TheParkSingers
Watching the
@HSELive
update on
@RTENewsNow
so proud & impressed: calm & thorough approach in comparison to the shenanigans on either side of our isle. Huge thanks to the army of people making this happen many of whom not frontline HCWs but are playing a blinder 💪🏼thank you!
Me, my
#bees
and my little birds on a busy main road in D12 - a quiet & perfect start to a beautiful day. Anywhere can be a safe haven for wildlife with a bit of ❤️ and care
@the_beeguy
@The_BeeGirl
@GWandShows
Every now and then, with my little robin, some buzzy bees, some new butterflies and a bit of sun, I can almost see the light at the end of this lonely bubble 😎
#GetVaccinated
A nice pint of Gibbons 🅰️🩸making its way across the country today! Thanks to the
@Giveblood_ie
for the wonderful text notifications - a really good feeling knowing I’ve a small difference to someone in need today - if you haven’t already - become a
#blooddonor
today!
@IrishDrsChoir
@drjaneholland
@UCC
A little snifter from our concert this afternoon in aid of the Cork Mercy hospital foundation - the beautiful middle section from the Polivtsian dances by Borodin
From our friends in Italy - we need to wake up, wash our hands and stay away from crowded areas. I can’t imagine having to use >60 or any comorbidity as a contraindication to receiving Icu care - that’s both my parents and most of my extended family...
1/ I may be repeating myself, but I want to fight this sense of security that I see outside of the epicenters, as if nothing was going to happen "here". The media in Europe are reassuring, politicians are reassuring, while there's little to be reassured of.
#COVID19
#coronavirus
As expected & just like the help to buy scheme - garages everywhere have increased their fuel prices by 15c/L ahead of the 15c/l price drop tomorrow. Absolute typical and I presume they’ll get away with it as usual -
#gougers
@stephanamayer
@SapnaKmd
@WesElyMD
@CuringComa
Got a urgent call to a bedside of teen yesterday understandably freaking out on sedation wean - after a calm chat & no drugs she was soon texting her friends and FaceTiming while intubated 💪🏼💪🏼
#picuwin
@ThomasByrneTD
24hr shifts for most doctors ... nightmare not being able to get home quickly. very real risk of falling asleep at the wheel - should be a lane for healthcare and front line service providers