Andrew Baxter

[Andrew Baxter @aabaxter]

Yet another reason to ditch EHL and go for laser @drmwjames! Dr Gavin Johnson giving a great talk on ercP

@shefgastro

[Andrew Baxter @aabaxter]

@dr_shai @TomCrabtree90 @CardiacJoshi I just don't think there are enough patients with large volume pneumothorax requiring drainage, but not sick enough for ED or ICU to have intervened, presenting so that consultants and registrars in general medicine can maintain competency. Acute medicine may be different!

[Andrew Baxter @aabaxter]

@dr_shai @TomCrabtree90 @CardiacJoshi I agree with that, too! I think pleural procedures are important.

Over a 6 year period at a number of DGHs and in the bizarre way one of the local hospital rotas work for one of those for respiratory medicine, also. I can count on one, max 2, hands how often I've done a drain.

[Andrew Baxter @aabaxter]

@dr_shai @TomCrabtree90 @CardiacJoshi The complications are manifold, we agree.

But, the next step should be to ensure actual competence for a risky procedure. Limit it to high volume proceduralists so that they're safe.

People believe they are competent, but actually have not yet had their first complication.

[Andrew Baxter @aabaxter]

@dr_shai @TomCrabtree90 @CardiacJoshi We've all seen the horrific X-rays of chest drain complications.

Competency is not doing 2 procedures under supervision, then doing the procedure every couple of years.

Patients would be horrified if they knew what the RCP are asking.

[Andrew Baxter @aabaxter]

@dr_shai @TomCrabtree90 @CardiacJoshi For competence in Gastroscopy, you need a minimum of 200 procedures and 4 formal assessments... and minimum of 100/year for ongoing competence.

There just aren't enough drains to have anywhere near that level of training for ALL physicians.

[Andrew Baxter @aabaxter]

I'm just wondering how they get the person out?

[Enrique de-Madaria @DeMadaria]

ERCP and choledocholithiasis removal is quite easy with @DHgua method @japariciot2 @Belenmm271

https://t.co/lvTsV2Tk0B via @GIPHY

[Enrique de-Madaria @DeMadaria]

ERCP and choledocholithiasis removal is quite easy with @DHgua method @japariciot2 @Belenmm271

https://t.co/lvTsV2Tk0B via @GIPHY

[Nottingham Endotherapy @NottEndotherapy]

Save the date and join us for a three days endoscopy course which includes our 1st Education & Training day in Upper GI Endoscopy and our 10th Nottingham Barrett's Endotherapy course. Very proud and honoured to have a terrific faculty from USA, Australia,…https://t.co/i0G72oyiq0

[Andrew Baxter @aabaxter]

@conscri_PT doing some fantastic live tweeting of #NottsEndo2019

[Andrew Baxter @aabaxter]

When can patients eat and drink after endoscopic resection of duodenal polyps? #NottsEndo2019

[Andrew Baxter @aabaxter]

Some very powerful messages about minimum unit pricing of alcohol in Scotland. This is something we need to act on now #BASL2019 #alcoholawareness

[Andrew Baxter @aabaxter]

@FrontGastro_BMJ Fantastic podcast this month on acute pancreatitis with @drgavinoz. Good listening while on bear watch going through the Canadian rockies

[Andrew Baxter @aabaxter]

@Mrs_Tosh Any time... Although a couple of years at SMC and the boys will be teaching you. 😉

[Andrew Baxter @aabaxter]

Having Sunday dinner with the family, and a lady started choking! I tried to help, but was unsuccessful... terrifying, she was dying! @EMASNHSTrust arrived in 2 min and saved her life! @LarwoodVocePK comped my meal, I'd like to pay it back to @EMASNHSTrust as you guys deserve it

[Tyler Berzin MD, FASGE @tberzin]

@BritSocGastro featuring nurse endoscopist at #BSGEL2019. First nurse endoscopist I have seen in a live course. Congrats. @ASGEendoscopy members take note.

[Andrew Baxter @aabaxter]

An exciting time for women in endoscopy and gastroenterology
#BSGEL2019 #InternationalWomensDay
@drsethinyc

[Andrew Baxter @aabaxter]

Twenty two year old
Type two Achalasia
Poems for POEM
#BSGEL2019 #haiku

[Andrew Baxter @aabaxter]

@GWebster_endo explaining fantastic points. Balloon sphincteroplasty is a vital tool in difficult stone extraction. #BSGEL2019

[Andrew Baxter @aabaxter]

A privilege to see Dr Williams, a giant in the community
#BSGEL2019