Wayne Fradley

Dad, NHS Doctor, Surgical trainee, Educator, Geek, Athlete, Coffee addict, Concordian, Ermysted's Old Boy #FOAMed

[Wayne Fradley @DrFrads]

This is magnificent and terrifying! #Science

[Louella Vaughan @DrLKVaughan]

This piece of 'guidance' attacks the very foundation of Modern Medicine. Which is why I am SO incensed by it.

Let me explain why. A historical 🧵.
1/

[Gus Hamilton @gushamilton]

Wow, that Cochrane review on nurse vs doctors is actually REMARKABLY bad. So, it's obviously an interesting question, and I was totally suprised to see there have been 19 RCTs comparing mortality between nurses and doctors (!). And the reported CI is tight RR 1.03 (0.87 to 1.21)+

[@ACPGBI @ACPGBI]

British Society of Gastroenterology and Association of Coloproctology of Great Britain and Ireland position on tranexamic acid in upper and lower gastrointestinal bleeding - Trudgill - 2026 - Colorectal Disease - Wiley Online Library https://t.co/VC7japCMtM

[Wayne Fradley @DrFrads]

@russellcrowe What a day!! Test cricket... ain't nothing like it. I think it is our year 😏 #BarmyArmy

[Wayne Fradley @DrFrads]

@drkeithsiau Helpful diagnostic imaging considerations in the latest general surgical emergencies in pregnancy guideline. Certainly not a never event if justified and mother informed of risks https://t.co/liejvD1orY

[Wayne Fradley @DrFrads]

@currys Nachos

[Wayne Fradley @DrFrads]

@currys Matthew McConnaughey

[Wayne Fradley @DrFrads]

@currys Die Hard

[Wayne Fradley @DrFrads]

@currys Breaking Bad

[Wayne Fradley @DrFrads]

@currys Interstellar

[Wayne Fradley @DrFrads]

@BBCSport spot the error...

[Wayne Fradley @DrFrads]

@mstotty88 @DrPastry I turned 40 a couple of days ago

[Caroline MacDonald @cari_smith1]

Great @NHSGIRFT webinar proposing pathways for timely care in #torsion. Great to have data driven recommendations with priority for #healtheducation in CYP supporting @Savetheball_uk @BAPUSurgeons @BAPS1953 @BURSTurology @BAUSurology @asgbi
👇🏻
https://t.co/ZOxFcpdflJ

[Ron Barbosa MD FACS @rbarbosa91]

Die Hard is a Christmas trauma movie:
#OTD in 1988, the attack at Nakatomi Plaza occurred.
Det. John McClane killed 10 members of the Gruber Gang.

I estimate that 5 of 10 had the potential to be salvaged with modern trauma care. One would have needed BLE tourniquets...
(1/2)

[Wayne Fradley @DrFrads]

@tarisai03 @AliJaneMoore It is a preventable death due to an awful failure in recognition of a life threatening pathology. It is not a never event.

[Ron Barbosa MD FACS @rbarbosa91]

🧵of 🧵(2nd edition):

To commemorate my promotion to the PGY-25 year, and before I go back to 'new' material, here is another compilation of 10 🧵regarding techniques of different kinds.

Like the last one, I'll leave this 'pinned' for a while. List is shown below.
(1/)

[Wayne Fradley @DrFrads]

@drkeithsiau

[Wayne Fradley @DrFrads]

@thegradmedic Are any NHS trusts footing the bill? 🤔

[Wayne Fradley @DrFrads]

@thegradmedic No DBS, no work sadly. I've always been responsible for the cost, even before I went into GEM/NHS. There is no legal requirement for employers to pay. Make sure you sign up for the update service to keep costs down to £13 per year. Claim the tax back too.

https://t.co/3ZdsDX9g18

[Luke McMenamin @medicluke]

I remember some radiologists asking for my GMC number and asking me to type on the request “I take responsibility if contrast causes AKI” as a F2, to get a contrast CT scan done.
It’s taken a long time despite the evidence being there for years.