Josh Wilcox @jdrwilcox Twitter profile

Last Seen Profiles

@MillbrookMed

@Americainvasion

@stwgemoy

@brandonbrown3d

@JacobSirna

@rinafries

@StalkingVi96051

@ek8OVeERw3uXhc2

@hind_aiman

@bartu_ev

@MlunghisiT

@GemStateStacker

@MesopotamianCiv

@Ancheng1121

@TheCousinSal

@cpabiraru

@bokeplokalmalam

@elyas99b

@bokeplokalmalam

@Kain_FPS

@m13130318_m

@makadaw

@gkamikaze_d

@yoshi_kotch

@m13130318_m

@maneshinaide

@TravisBook

@stw46

@jpetfriend

@Pokagh

@jandakembangstw

@Biel1921_

@PerisMusings

@AndyAV8R

@DollsofLondon1

Josh Wilcox

@jdrwilcox

2 years

After school club (aka wrap around care) 7:45am start, 6:00pm finish. £21/child. 3 children. £1200/month. For being late and leaving early. Next time a parent colleague isn’t in the hospital, think about that.

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Josh Wilcox

@jdrwilcox

1 year

Kev, I’m going to address this to you personally. Because you’re at Torbay, and I did my F1 at Torbay. But it bears relevance to so many despondent and scared junior doctors and senior medical students.

Kev

@kevinranamile

1 year

Starting to regret studying medicine and becoming a doctor, feel like I was sold a dream as a sixth former for it to all be a dumpster fire

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Josh Wilcox

@jdrwilcox

1 year

This is a fortnightly payslip. £6978.02 per month. I have family in the UK, but some of them might have to get used to FaceTime if this continues…

Nish Cherian

@NishCherian

1 year

So here’s a payslip from when I worked in 🇦🇺 recently as a registrar (full-time, public). Note this was my FORTNIGHTLY pay. This govt has no idea what good value for money we are in the NHS. This is what our skills are worth elsewhere #PayRestorationNow #JuniorDoctorsStrike

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Josh Wilcox

@jdrwilcox

11 months

I’ve stayed away from comment on the PA thing largely because I don’t feel well enough informed, but this ramps my discomfort up to ridiculous levels. PAs shouldn’t be on foundation programmes. I can’t see any argument that they should. Can anyone?!

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Josh Wilcox

@jdrwilcox

4 years

@JonACB1994 [Puts phone down.] [Picks phone up.] [In Scottish accent]: “Och helloooo there, this is Jonny the SHooooooo, cannae discuss a CT head...”

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Josh Wilcox

@jdrwilcox

1 year

“Good morning. We have five on the list for TAVI today. Mr. Yai is first. He presents with syncope and an echo showing a gradient of…”

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Josh Wilcox

@jdrwilcox

1 year

Truly shocking. Shocking that cardiothoracics trainees think it’s ECHO. Full pay restoration sure, but the real battle of our lives fighting pedantic terminology turf wars.

Dr Tanya

@veggieequallife

1 year

A surgical trainee expenses paid out of their pocket to train and do their jobs ⁉️ This is eye-watering and shocking! Especially with £19/h as a Specialist Trainee 2 🤯 #PayRestoration is needed but only the start! @BMA_JuniorDocs @Doctors_Vote

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Josh Wilcox

@jdrwilcox

3 years

Three years as a cardiology registrar. I’ve never had a cardiology consultant see me perform an echo, let alone teach me. Everything I am echo-wise I owe to cardiac physiologists. All the good bits anyway.

Shirlene Obuobi MD - updates only

@shirleneobuobi

3 years

Shoutout to the #cardiacsonographers who (tried to) teach me their ways for the last week and a half! My left arm is yoked now + my images are…better 😂🥺 #cardiacimaging #echofirst #echo #wic #medtwitter #graphicmedicine

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Josh Wilcox

@jdrwilcox

7 months

@oliverdevine @ShaunLintern The government have disenfranchised a generation by clapping them through the emotional trauma of COVID and slashing their pay. They know it, they’re not happy. I back it, love to see it. We failed to make things better in 2016. I don’t think this cohort will.

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Josh Wilcox

@jdrwilcox

1 year

What was lost, will be put back. And you will love your job right to the end. Promise.

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Josh Wilcox

@jdrwilcox

2 years

Reading the replies to this is disheartening. Lots of accusations of overreaching, territory stamping. It’s important to realise that the NNT for thrombectomy is 2! We’ve known this since 2015, and the avalanche of neurointervention is still awaited…

curzen

@ncurzen

2 years

The formal position statement from BCIS about stroke thrombectomy…. Hugely effective, life-changing treatment. Currently only a tiny minority get access… interventional cardiologists are offering to provide realistic workforce. Time for action nhs? Let’s sort this out? @bcis

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Josh Wilcox

@jdrwilcox

1 year

That is, of course, why pay and conditions have tumbled. Our narcissistic, duplicitous, vindictive, and manipulative employers (government) have taken our love for the job for granted. For 13 straight years. But they only got away with it because the job is great.

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Josh Wilcox

@jdrwilcox

11 months

@DrBenLovell It translates as: “I forgot to measure B12”.

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Josh Wilcox

@jdrwilcox

3 years

Hi. 3 kids. 2 step kids. 2 mortgages. No hair. Can I chase you via email three times for a ridiculous online form filling exercise that explains why I can do that thing you know I can do/rely on me being able to do whilst you’re asleep?

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Josh Wilcox

@jdrwilcox

1 year

@mandeep_mayo

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Josh Wilcox

@jdrwilcox

2 years

@roisinamcc Point counter-point: as an F1 I once suggested CJD as a differential for an octagenarian lady’s reduced conscious level. Turns out: UTI.

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Josh Wilcox

@jdrwilcox

2 years

@RoshanaMN I still think it’s ridiculous orthopods can’t interpret an ECG on simple wrist fractures like this.

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Josh Wilcox

@jdrwilcox

1 year

And we *are* fighting now. This won’t stop until we’ve made it better. @Doctors_Vote and @TheBMA have found their voices, stiffened sinews, and will make your lives back into what we once had.

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Josh Wilcox

@jdrwilcox

4 years

Excited to see my first @Heart_BMJ publication today. Commissioned by the amazing @sarahhudsonuk and with fantastic input from @ShaziaTHussain1 , @MedCrisis , @TharushaGunawa4 , and @ShrillaB . Always grateful to @GuyGribbin for support. Thoughts welcomed.

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Josh Wilcox

@jdrwilcox

1 year

Really interesting case. But I’d say: 1. How many think what was stented corresponded to any actual ischaemic regions? 2. How many think ischaemia was the primary pathology here? 3. How many think stenting this population improves outcomes? 🧵

IMCrit

@IM_Crit_

1 year

ICU stories (sorry for the non-traditional presentation; I will tell you how the case unfolded): A rapid response team (RRT) is called at 2:00 am for an 80 yo pt in the medical floor. 5 min later you are called to assess the pt at the bedside because he looks “bad”. When u enter

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Josh Wilcox

@jdrwilcox

2 years

BIG COUGH SIR! COUGH FOR ME! KEEP COUGHING…JUSTBLOODYCOUGHYESPLEASEATROPINETHANKSYESSTARTCOMPRESSIONS… An extract from my new book: “Atropine and brown trousers: life in the cath lab”. With an introduction from @bobbybalmoral entitled: “Did you want to be in the LV?”

Wayne

@Toaster_Pastry

2 years

On ECG-duty and WOAH!

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Josh Wilcox

@jdrwilcox

1 year

The amazing career that is medicine sustained us through a step-wise degradation in conditions and payment that, were the job worse, would have come to a head much much sooner than now. It’s a wonderful job, you will love it.

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Josh Wilcox

@jdrwilcox

1 year

Just look at the comments. No bots or trolls that I saw - people (lots outside of medicine) agreeing. Encouraging.

Politics Hub with Sophy Ridge

@SkyPoliticsHub

1 year

"If you asked the average person on the street if they would be happy to pay a doctor £19-an-hour I think you get a resounding yes" @RobLaurensonD4P told Sophy that Steve Barclay was "pinching pennies" in the dispute over the 35% pay rise demand #Ridge

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Josh Wilcox

@jdrwilcox

1 year

Such a great idea. CESR training is great, but is hard, expensive, puts the onus of administration almost always on the trainee, and runs the risk of being poorly perceived when taken out of region. These posts revive academic training and circumvent all of the above.

Prof Darrel Francis ☺ Mk CardioFellows Great Again

@ProfDFrancis

1 year

Imperial's new Clinical/Academic Cardiology Fellowship Motto: "We never forget, you have a choice" Open to budding cardiologists, and also to existing cardiology SpRs.

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Josh Wilcox

@jdrwilcox

1 year

@NursingTimes No hang on, this isn’t quite right. Nurses at Bart’s are getting radial access. They’re not, AFAIK, doing the angiogram. And certainly not the PCI. Both of those latter things would probably count as taking training procedures away from a registrar who would otherwise be keen.

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Josh Wilcox

@jdrwilcox

2 years

@RoshanaMN Such an interesting thread. I had an Egyptian housemate at Med school. His mannerisms and speech came across as distinctly “confrontational”. It was purely cultural I’m sure. He used to ask if I wanted a cup of tea, loudly, close up, with a pointed finger. He meant only kindness.

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Josh Wilcox

@jdrwilcox

2 years

Anaesthetists and surgeons (and cardiologists) have a very different role and skill set to medical consultants. You do a thing to a person to cure them or support them. You are better at that thing than your registrar, so you come in.

Roshana 🦴

@RoshanaMN

2 years

Anaesthetist made a point to me the other day - she said she thinks that now MEDICINE has a worse culture than SURGERY Her reasoning being that we now routinely call consultants & back up is the expectation but not so in medicine Thoughts?

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Josh Wilcox

@jdrwilcox

5 years

@tony_breu All Xa inhibitors have ‘xa’ in their names: Rivaroxaban, Apixaban, Edoxaban. Love the threads BTW, fantastic teaching!

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Josh Wilcox

@jdrwilcox

2 years

@mevparekh Really great point. 6 years as a Med reg and this is basically all I did. So few resus dramas compared to the weight of palliation I got through.

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Josh Wilcox

@jdrwilcox

8 months

How about a registrar who did their first med reg shift in 2014, who’s been a cardiology registrar since 2018? Can that person politely suggest alternative diagnoses and dispositions? A story…

Rob Perry

@docrobperry

8 months

@jim_crawfurd @DrLindaDykes @COSMakin @MStott88 @MFTnhs @NorthMcrGH_NHS The original ‘rules for referrals were: 1. The default response to a referral should be ‘Yes’. (Very few are really inappropriate and an SHO should not be refusing either way).

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Josh Wilcox

@jdrwilcox

1 year

I’m Jewish. Barmitzvah’d and everything. I don’t believe in god. I haven’t been to synagogue in years. But I’m reasonably confident antisemites would be coming for me. I have never, not once, felt discriminated against by my profession or by my union @Doctors_Vote @TheBMA

Jessica Rudnay

@GerisRegJessica

1 year

@DrLindaDykes @BMA_JuniorDocs It is interesting that you find it bizarre. As a Jewish doctor I was depressingly not that shocked. In fact I was more surprised by the decisive action taken. But having seen the content of the tweets, there could have been no other measure taken.

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Josh Wilcox

@jdrwilcox

1 year

Amazing case. There’s a lot of “why is a 92yo on ECMO?!?!??” Tweets flying around. This was a TAVI case gone very wrong. Avulsed coronary leaflet. Patient was decannulated, extubated and made it to the ICU. Without the ECMO surely dead on the table. Is that the preferred outcome?

V.L.Sorrell, MD (@CASEfromASE EIC)

@VLSorrellImages

1 year

Just in CASE you've never seen this before: What do YOU see in the LA? A. catheter B. leaflet C. clot D. contrast E. other (tell us) 92W had an unusual complication during TAVI: @ASE360 @CASEfromASE

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Josh Wilcox

@jdrwilcox

1 year

@Parody_RCGP It really is simple. I don’t know how hospital docs don’t get it sometimes. Just do this: using the first 8 minutes of the history you just took, your stethoscope, and the obs, are you happy sending this patient home? If not…

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Josh Wilcox

@jdrwilcox

1 year

Train drivers don’t, I hope I’m not presuming, get the same fulfilment from their jobs. So when pay is squeezed, they push back hard and early. We left it so long because we feel privileged to do our jobs - and that’s amazing.

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Josh Wilcox

@jdrwilcox

2 years

@Naomimiii @JonnyGucks What they usually say is some form of “if it was this way when you applied, then nothing’s changed and you can’t switch”. Yet another example of inflexible training that, because mothers usually shoulder the largest chunk of childcare, perpetuates gender discrepancies. So sorry.

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Josh Wilcox

@jdrwilcox

8 months

Smashing a patient through to surgery or cardiology because “no take backs” is wrong on all counts.

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Josh Wilcox

@jdrwilcox

1 year

@VirtueOfNothing If it is true, this is not a “professional body” issue. Not even slightly. This is a crime, and the police should be involved. It’s uncontroversially assault, and should be punished with conviction in a court. The very *minimum* should be professional removal and job loss. God.

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Josh Wilcox

@jdrwilcox

3 years

@jtjbooth “Oh god Sheila that’s so funny, that’s really…oh wait, hang on - you’ve been doing it for how long? Oh right, ok - well I know what I’m doing on the admin session tomorrow.” Somewhere, for no reason they can explain, a consultant in a 2 week wait lung cancer clinic shivers.

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Josh Wilcox

@jdrwilcox

3 years

Thanks. I’ll be with my kids, but you knock yourself out.

BSEcho

@BSEcho

3 years

Take some time this weekend to delve deep into our new guidelines over a cup of coffee ☕ 📑 Minimum dataset: 📑 Cardio-oncology guideline: 📑 Tricuspid and pulmonary valve guideline:

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Josh Wilcox

@jdrwilcox

1 year

You will love it. All the good bits will shine through the crap. Making people better, and feel better - there’s nothing more uplifting, more satisfying. It’s intellectually and emotionally amazing.

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Josh Wilcox

@jdrwilcox

2 years

Walk a mile in our shoes - you may appreciate why the call to boss ratio is the way it is in medicine. It’s not, in my experience, toxicity.

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Josh Wilcox

@jdrwilcox

2 years

Ok sure this is terrible and I hope you’re ok, but the “lovely consultant” wasn’t lovely at all right? They took the echo - that they SURELY know how to put back - and made you WAIT FOR AN HOUR AND A HALF AFTER YOUR SHIFT FINISHED TO BE YOUR ECHO CHAUFFEUR?!

Dr Hannah Lunch 🦀🇵🇸

@DrHannahLunch

2 years

🧵What pushed me over the edge in the NHS today: A v unwell pt needed an urgent echo today. I chased the report at 4pm and realised it hadn’t been done. A colleague asked the cardiology consultant if he wouldn’t mind doing it and he said he would if I got the machine from CCU

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Josh Wilcox

@jdrwilcox

1 year

I have never, ever understood why nobody advocated for the paper drug chart. It was simple yet flexible. Quick to use and read. It was logical and honed over decades of generations of doctors. And it was utterly ignored by every electronic prescribing system I’ve worked with.

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Josh Wilcox

@jdrwilcox

5 years

I think if you’ve just died, been brought back to life and found £50k of ungrounded science in your armpit, you’re entitled to bacon.

Danielle Belardo, MD

@DBelardoMD

5 years

Regardless where you fall on the dietary spectrum, I think all physicians can agree that if you’ve just had a massive STEMI, VF arrest and have an axillary impella in place, your 1st meal post extubation should not be pancakes, bacon, and toast with butter.

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Josh Wilcox

@jdrwilcox

5 years

@MattHancock Cool. I just got my trust PC replaced because it wouldn’t turn on. I got a windows 10 PC - great. Not so great: the X-ray viewing software won’t work on it. Fix that first yeah?

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Josh Wilcox

@jdrwilcox

2 years

@rosieICM @TharushaGunawa4 @DrAsifOfficial Fantastic messages you two. Couldn’t agree more. Trying to raise girls who know they can stand alone if they want to, and a boy who knows he doesn’t have to.

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Josh Wilcox

@jdrwilcox

1 year

Here’s the thing. When you as a manager create an award to reflect someone’s good work, you unintentionally offend everyone who does the same or more good and isn’t recognised.

Joanne Passmore

@jopassmoreRN

1 year

Feeling deflated today 😢; colleagues & spouse being recognised for 25 years or above #NHS service. I’ve done 35 years full time continuous service across 4 Trusts including 20 years @TorbaySDevonNHS & am still here caring for patients #littlethings #recognition

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Josh Wilcox

@jdrwilcox

1 year

What’s most interesting to me in the UK is our absolute phobia of a pair of rate limiting calcium channel and beta blockers. Try prescribing diltiazem and metoprolol over here, and a pharmacist will actually find where you live… Yet in the states they’re close to first line…?!

IMCrit

@IM_Crit_

1 year

ICU stories: These were two of the most recent admissions in the ICU. Their stories are self-explanatory. Patient #1 :

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Josh Wilcox

@jdrwilcox

3 years

@matthew_sctt @mevparekh Medicine for people who remember the first two series of The Crown IRL.

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Josh Wilcox

@jdrwilcox

2 years

@MedCrisis I loved this article and @VPrasadMDMPH ’s excellent book “Ending Medical Reversal”. Sure you’ve read it, but 396 answers to your question is a good start…

Meta-Research: A comprehensive review of randomized clinical trials in three medical journals...

An analysis of more than 3000 randomized controlled trials published in JAMA, the Lancet and NEJM has identified 396 medical reversals.

elifesciences.org

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Josh Wilcox

@jdrwilcox

1 year

I went to Peninsula Medical School in 2006. I worked hard, but not relentlessly. I had so much fun, made friends with my best man, would do it all the same again. Devon & Cornwall are amazing, beautiful, fun, fulfilling. You’ve got an incredible location there.

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Josh Wilcox

@jdrwilcox

1 year

I wouldn’t change any of it. It was important, it was fun, it introduced me to wonderful people (patients and colleagues alike). I changed immeasurably and grew into someone I think I can respect.

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Josh Wilcox

@jdrwilcox

3 months

@jfnephlolz @ShivaniM_KC 👋👋👋. We’re on our wards. We’re on your wards. We’re in ED and SDEC and AMU. We’re up at 3 and 4am with STEMIs. We’re in at the weekend pacing. We perform our own CTs and MRIs and TOEs. We are secondary and tertiary and quaternary. And yes, we always have our stethoscopes. ❤️🫀

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Josh Wilcox

@jdrwilcox

7 months

@rbarbosa91 True. It’s a verb too. “Bleep the med reg” = “someone page the IM (chief?) resident”.

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Josh Wilcox

@jdrwilcox

2 years

@thegradmedic I agree most uniform policies make no sense. But the big coat thing is key - members of the public genuinely worry that you’re trailing blood/Ebola round Lidl. Explaining that you’re before your shift, that you wear clothes straight from the ward doesn’t allay fears.

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Josh Wilcox

@jdrwilcox

1 year

@noodles_nood Or just occasionally it’ll be a useful piece of work that advances both your careers. Poster still on my CV from F2.

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Josh Wilcox

@jdrwilcox

3 years

@mevparekh An oncology consultant who taught me trained his toddler son to answer the phone with “8mg Dex”. Valid, I thought.

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Josh Wilcox

@jdrwilcox

1 year

I came out of F1 to Torbay. Is John Bowgen house still there?! Either way, the hospital was perfect for an F1 - well run, big enough for experience, small enough to not get swallowed into anonymity or out-matched by pathology.

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Josh Wilcox

@jdrwilcox

1 year

@dr_benoy_n_shah I yearn for the details in these cases, simply put. And yet when I see them it’s terrifying. Chris Day, David Sellu, Hadiza Bawa-Garba - good people trying their best. There but for the grace… hope he’s ok.

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Josh Wilcox

@jdrwilcox

3 months

@PulmCrit Two things: 1. Why has someone watched that rhythm for 10seconds? 2. Does that patient have a pulse? You only defibrillate artefact once in your career.

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Josh Wilcox

@jdrwilcox

1 year

Thanks to @MedCrisis and @LynnGreigMiller for using their clout here. The people who run our national societies @BritishCardioSo @TheBJCA are really wonderful. They care deeply about issues affecting gender disparities ( @BCSWIC ) and flexible training ( @BJCA_LTFT ) amongst others.

Medlife Crisis (Rohin)

@MedCrisis

1 year

There was a bit of a furore around the Women in Cardiology session at the British Cardiovascular Society’s annual conference (where I am). I think the dust’s settled a bit so I’ll chip in my 2c. I was not at the session, but everyone who was – male and female – praised it

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Josh Wilcox

@jdrwilcox

2 years

ORBITA-CTO is born. But gods, the placebo procedure. Standing pretending to fiddle with a wire for four hours, then pop in a pericardial drain for added realism.

David J. Cohen, MD, MSc

@djc795

2 years

@cardiofrizz @ShariqShamimMD @mmamas1973 @GreggWStone @RinfretStephane @esbrilakis That's why it needs to be a short-term trial (6 wks would be fine) with guaranteed x-over at the end. In lots of countries, pts wait months for a CTO PCI, so if the study accelerated their time to initial PCI/sham by at least 6 wks, they would actually get treated more quickly.

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Josh Wilcox

@jdrwilcox

3 years

I love #WIC - our specialty would be better with more women cardiologists - but don’t we also need men to start acknowledging their role? Fatherhood - and going part time - made me a better doctor. We need more women in cardiology, and we need more men at home.

Sarah Birkhoelzer @sarah.theheartdoc

@BirkhoelzerS

3 years

#ilooklikeacardiologist 👶Motherhood made me a better doctor. 👶 Join me on Wednesday when I share my experience of cardiology with @blcardio 👉🏽register here:

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Josh Wilcox

@jdrwilcox

2 years

@Jenny_Pewsey Any/all of: 1. Specialty culture encourages it - boss does it, I endured, I give it now. 2. Personality. Usually partially suppressed in training to aid advancement. Can rebound out once CCT’d. 3. Stress. Enormous, life threatening stress. Clinical stress. Managerial stress.

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Josh Wilcox

@jdrwilcox

3 years

@SarahFairley7 @kidney_boy Couldn’t agree more. I came in on weekends and evenings, stayed hours after my shift. Then I had children and it was a physical impossibility. Not least for my poor wife’s sanity. That then was my choice, but I’d be furious now if people assumed I didn’t want to stay.

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Josh Wilcox

@jdrwilcox

10 months

We love people staying to watch procedures - the control room is usually an easy and comfortable place to watch, though if you can put leads on and come in even better. A primary PCI can be one of the most satisfying things we do in medicine. Just ask us!

Cliff Reid

@cliffreid

10 months

1/3 Here’s today’s dose of awesome Saturday evening visit to the ED by the interventional cardiologist with printouts of before & after angios from the two patients we sent him today so we can relate the pathology to the ECGs and find out how our patients are doing now

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Josh Wilcox

@jdrwilcox

3 months

@mmamas1973 Just did the same for the same reason!

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Josh Wilcox

@jdrwilcox

1 year

@doctor_oxford This wall is outside my hospital. I’ve walked down it with the people who had their entire hospital turned into a covid unit, who stopped their research to help ventilated patients being managed in what was a angio day unit. That post is repulsive - to relatives and staff both.

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Josh Wilcox

@jdrwilcox

11 months

Hope everyone is having a lovely day, all those in Amsterdam. Thought I’d post something to ruin it. ENJOY.

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Josh Wilcox

@jdrwilcox

4 years

@techpriest @StuMaitland Ward microwaves are lethal. I once followed the instructions on a ready meal. First bite and the outside wasn’t so hot. Swallowed. Agony and two weeks of dysphagia. Worst experience of foundation. If you’re scanking a ward microwave, reduce the time by half. #tipsfornewdocs

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Josh Wilcox

@jdrwilcox

1 year

@TharushaGunawa4

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Josh Wilcox

@jdrwilcox

2 years

@timricketts_ “No I’m sorry; that goes to the valve team, we’re the intervention team…No, the tricuspid team…No that’s the septal leaflet fellow’s number…” Does have its advantages…

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Josh Wilcox

@jdrwilcox

1 year

Have a look at our review of the evidence around cardiac arrest centres and their role in out of hospital cardiac arrest. Very grateful to my supervisors @drtpatterson and Prof Simon Redwood, as well as @ResusJournal for the invitation.

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Josh Wilcox

@jdrwilcox

2 years

@RoshanaMN Yeah no I did the same yesterday. Human factors are so easy when you remember to just #bekind .

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Josh Wilcox

@jdrwilcox

1 year

“COACT, TOMAHAWK, see my article. Laters.” [Turns to go, gets ABG syringe in back] Ps - humble brag self reference alert:

Tharusha Gunawardena (he/him)

@TharushaGunawa4

1 year

turning up to ED for a pre alerted out of hospital arrest and theyre all wearing named gowns and youre trying to explain why the patient isnt going “straight to the lab” for the fifth time

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Josh Wilcox

@jdrwilcox

5 months

@alex_ulrich1 I so feel for you guys. In the course of my 12 year professional life I’ve gone from advocating trust in institutions, to helping friends and relatives push back against similar situations to yours.

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Josh Wilcox

@jdrwilcox

2 years

@BirkhoelzerS @danmckenzie73 @sado_dan @hannahcvimaging @BCSWIC @pajhaworth @SineadHughes19 @LynnGreigMiller @KhanKheil88 @JonathanWHinton @BritishCardioSo Five. Undefeated champion. Also, out of money, time, and career prospects.

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Josh Wilcox

@jdrwilcox

1 year

Being a doctor is mixed into the good of me, and training in Devon & Cornwall made me a good doctor.

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Josh Wilcox

@jdrwilcox

2 years

@bobbybalmoral @SkyScottBeasley 27 on 1 Romans was definitely the kind of hot and steamy thing these guys would be against.

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Josh Wilcox

@jdrwilcox

8 months

The absolute definition of a “be careful what you wish for” statement…

Martyn C Stott

@mstotty88

8 months

My dream is to one day develop a test, like troponin, that is done in ED with RIF pain and says if it’s appendicitis or not - hopefully even determining severity I don’t want to do EGS but conversations like yesterday get me riled and someone needs to sort it. Watch this space!

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Josh Wilcox

@jdrwilcox

2 years

What I have never liked is the enormous and occasionally bullying pressure that is put on medical registrars to “call your boss in” because of pressures on take.

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Josh Wilcox

@jdrwilcox

4 months

@mstotty88 Luckily as a cardiologist you’d have likely caused the GI bleed with 4kg of ticagrelor, so the feelings of guilt may overwhelm any anger at job scope.

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Josh Wilcox

@jdrwilcox

2 years

IVC non dilated with normal inspiratory variation.

Israa Al-gburi, MD

@dr_algburi

2 years

What is the thickest septum you’ve seen? This is 4.1 cm. #Echo #echofirst #HCM #MedTwitter #MedEd #FOAMed

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Josh Wilcox

@jdrwilcox

4 years

Unlike in Monopoly, I'd go for gas and electricity.

Alok Shah MBBS DNB MRCP DM DrNB

@dralokshah

4 years

40/F with ℅ palpitations and chest pain. BP 100/70. Severe pallor. Thoughts? #EPeeps

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Josh Wilcox

@jdrwilcox

1 year

@malinga_r @mariopetrou1964 “The junior doctors have gone on strike and i can’t do my surgery.” Perhaps because the junior doctors are an essential part of the surgery. Consenting the patients, assisting - sometimes performing. And yet their absences due to rota gaps - no Guardian piece then. Not great.

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Josh Wilcox

@jdrwilcox

1 year

F2 was Derriford. Bigger, harder, busier, an important step up - challenging at times, just as fun though.

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Josh Wilcox

@jdrwilcox

2 years

@pepemac27 @rosskeat @TfL If my children got a less flustered, less stressed, less tired registrar because of something that would seem easily in my power to give (eg space on a largely empty bus) I’d damn well give it.

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Josh Wilcox

@jdrwilcox

6 months

🇬🇧 docs… your thoughts? 🇺🇸 thinks we’re mostly tragic. In terms of our training? I’d probably agree… PGY-12 here, probably got 5 more to go.

Allison Fitzgerald, MD, PhD

@allisonoconn

6 months

Tragic

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Josh Wilcox

@jdrwilcox

2 years

So this is… problematic…

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Josh Wilcox

@jdrwilcox

2 years

@mancunianmedic @GazSquire @RCPhysicians This is a wonderful, balanced and empathetic opinion. Thanks for this - your local junior staff are lucky to have you.

David Oliver: No wonder training grade doctors are unhappy

Being a junior doctor has never been an easy gig during my career. When I started I worked for nine years in 10 hospitals in seven towns, never staying in one place longer than a year. We did brutal...

www.bmj.com

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Josh Wilcox

@jdrwilcox

3 years

Ok, so head above the parapet. I think the number of repeated jokes here is crossing a line. You’re massive personalities on #MedTwitter . Gentle teasing to bring someone away from extremes is one thing. Hammering on them whilst they stay silent? And from a position of influence?

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Josh Wilcox

@jdrwilcox

3 years

@nvdavies @Neuro_Matt Really? All I got was fatigue, missed career opportunities, and the faint whiff of something that suggests I might have shat myself.

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Josh Wilcox

@jdrwilcox

11 months

When I was an F1 I was supremely stressed at times - not knowing what to do felt really uncomfortable. I had a similar feeling stepping up to an “SHO” rota as F2. My reaction was to become snappy, short, generally unpleasant. I’m so sorry now for that…

Dr Samyar

@drsamyar

11 months

FY1s at my hospital have created a survey about their experiences during the first three weeks. The results are fucking horrific. I did my best to support them. I feel I have failed them. There’s a question in the survey about how often they’ve cried at work. See for yourself:

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Josh Wilcox

@jdrwilcox

3 months

@dr_lungs The morale boost of having all your friends and peers around you - particularly when a large chunk of medical school comes to your first job with you - can’t be understated. Shoulders to cry on, sofas to lounge on, exams to revise for together. A real loss if it goes…

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Josh Wilcox

@jdrwilcox

2 years

@bjcohenmd @djc795 @BElbarouni @mmamas1973 @DavidLBrownMD @drandrewsharp @MinnowWalsh @evandrofilhobr @tristonsmithmd @MBalghith @VijayKunadian @MarcVorpahl @serioustaurean @Steph_Achenbach @GreggWStone @MohanedEgred @drsonyaburgess @DrSarahjZaman @SVRaoMD @aymanka @Dralkutshan @RodrigoBagur @BaoGTran Love this study to illustrate just how difficult NSTEMI can be:

Identifying the Infarct-Related Artery in Patients With Non–ST-Segment–Elevation Myocardial...

Background: Determining the infarct-related artery (IRA) in non–ST-segment–elevation myocardial infarction (MI) can be challenging. Delayed-enhancement cardiac magnetic resonance (DE-CMR) can...

www.ahajournals.org

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Josh Wilcox

@jdrwilcox

2 years

I worked a full shift in hospital today. It took me three hours to get home because of the rail strikes. Good on them - I hope they get everything they want.

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Josh Wilcox

@jdrwilcox

2 years

@alexsfelixecho @echo_stepbystep @NMerke @ovidiogarciav @mariovar55 @EchoSoliman @schaefers_hans @KardiologieHH @dr_benoy_n_shah @iceman_ex @fiore_corrado @KemalogluOz @ArturEvangelis1 @JaeKOh2 @AJamilTajik @robertomlang @argulian @mswami001 @SLittleMD @mmamas1973 @SABOURETCardio @purviparwani My thoughts are: ohmygodwheresthesurgeonwhyisntthispatientintheatrewhyamistillstandingheredoinganecho. My words are: “Ok. Well I think probably we should get the cardiothoracics team and an anaesthetist here as soon as poss…”

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