Carl Richardson

Colorectal and IF surgeon. @UHSFT. Twitter novice

[Thornden PE and Sport @PEThornden]

Ollie, Georgia and Henry completed their practice round today at the National School’s Team Golf competition. Big day tomorrow! Good luck guys. ⛳️

[Carl Richardson @Carl105]

@FrancisPrimary thanks to all who are caring for the children of key workers. Bug house made this week awaiting its first tenants...

[Nick Battersby @BattersbyNick]

Still 10 Dukes’ places with a 30% discount. Superb international faculty for this CME course - 24th-25th May. @Dukes_Club

[Chris Mountford @ChrisGastroDoc]

Identifying and managing malnutrition - assessment is key! Here @ColetteKirk17 outlining the role of anthropometry & demonstrating calculation of triceps skin fold thickness and delegates measuring mid arm circumference. #NUTCNC 2019 @BAPENUK @BSGTrainees

[Eat Well Age Well @EatWellScot]

The next #MalnutritionMonday takes place on 27th May! We'll be steering the conversation next month so stay tuned for what key messages on #malnutrition we'll be sharing.

In the meantime start following @UniofHerts @HertsIndLiving @GMNandH @BAPENUK @NACCCaterCare

[BAPEN UK @BAPENUK]

If an older person becomes #malnourished, this will make them more susceptible to #disease, which in turn worsens their nutritional state again. The #malnutrition carousel describes this downward vicious spiral.

[BAPEN UK @BAPENUK]

Excellent debate last night with some great contributions @FrontGastro_BMJ. @GastroDrSmith @Carl105 Search the hashtag #FGDebate to look back.

[The Dukes' Club @Dukes_Club]

*** ACPGBI Wessex Chapter Meeting. Thursday 20th June. Winchester. Topics include locally advanced and recurrent rectal cancer, surgical management of intestinal failure, mesh and the pelvis and the role of TEMS *** @ACPGBI @BattersbyNick @DeenaHarji @PVaughanShaw

[Chris Mountford @ChrisGastroDoc]

Almost set for our 5th Newcastle upon Tyne Clinical Nutrition Course #NUTCNC. Looking forward to welcoming delegates from across the UK. A busy 3 days of learning and discussion with our expert local and national faculty. #clinicalnutrition #MDT #malnutrition #IntestinalFailure

[Carl Richardson @Carl105]

#FGDebate

[Carl Richardson @Carl105]

Thanks to everyone who contributed tonight. Happy to respond to any questions not covered in the very quick last hour! Goodnight Carl

[Carl Richardson @Carl105]

Thanks to everyone who contributed tonight. Happy to respond to any questions not covered in the very quick last hour! Goodnight Carl

[Carl Richardson @Carl105]

SEPSIS
SEPSIS
SEPSIS
Look for it, think of it, treat it.

[Frontline Gastro @FrontGastro_BMJ]

Brilliant summary #fgdebate

[Carl Richardson @Carl105]

Problem is with all the coffee emporiums in hospitals these days it is easy for patients to get huge drinks

[James B Maurice @jamesbmaurice]

get some trendy espresso mugs! #fgdebate

[Carl Richardson @Carl105]

Tell them to find the sepsis and treat it. Low albumen is a risk for poor surgical outcome. #FGDebate

[𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 @UKGastroDr]

@Carl105 Tell them to treat the patient not the number #FGDebate

[Carl Richardson @Carl105]

It is a marker of poor surgical outcome and reflects sepsis - look for it and treat it #FGDebate

[Trevor Smith @GastroDrSmith]

@Carl105 Albumin is NOT a marker of nutrition
#FGDebate

[Carl Richardson @Carl105]

Question - your surgeon says the patient is malnurished as they have a low albumen and will only operate when it is above 30 - Have you come across this? What do you do? #FGDebate

[Carl Richardson @Carl105]

are people doing remote discharge for palliative PN?#FGDebate

[Frontline Gastro @FrontGastro_BMJ]

Should we be offering patients with terminal cancer home parental nutrition #fgdebate @GastroDrSmith @Carl105

[Carl Richardson @Carl105]

We have a CRS meeting on Wednesday afternoons where cases are reviewed. This collects data on line infections. #FGDebate

[𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 @UKGastroDr]

@FrontGastro_BMJ @GastroDrSmith @Carl105 @NNNGUK DATIX is a reporting system - not a way of apportioning blame #FGDebate

[Carl Richardson @Carl105]

A BIFA statement should be out soon that should help all with the cyclizine issue #FGDebate

[𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 @UKGastroDr]

@FrontGastro_BMJ @GastroDrSmith @Carl105 So many patients are readily addicted to Cyclizine. It is like the Krispy Kremes of anti-emetics #FGDebate

[Carl Richardson @Carl105]

Great question. #FGDebate

[James B Maurice @jamesbmaurice]

is the common psychopathology mainly secondary to chronic institutionalisation, or is there a pathogenic link (or even microbiome related??) in IF? #FGdebate @bhmullish @FrontGastro_BMJ