Andrew Marchetti

Consultant Anaesthetist & Intensive Care Physician - Prehab, Diet & Exercise interventions for surgery. Medical hypnosis. RT=interesting not 'I agree'

[AS Roma English @ASRomaEN]

YES! ZIOLKOWSKI SCORES THE EQUALISER!
1-1

#ASRoma #UEL #PAOFCRoma

[Liverpool FC @LFC]

Taking a moment to soak it all in ❤️

[Mohamed Salah @MoSalah]

😉

[Liverpool FC @LFC]

Returning the favour 🎶❤️

[Dr sthanu subramanian @drsthanus]

5 Pearls on Hyponatremia Diagnostics

https://t.co/lj7HQS8p02

[Dr Tony Goldstone @goldstone_tony]

This is not sustainable @wesstreeting. It’s also a gross waste of taxpayers money to be training people in the UK for them to have no job. So much for doubling medical student numbers - our brightest 16-18 year olds know to look at a graph like 👇and look elsewhere

[IMCrit @IM_Crit_]

ICU Mechanical Ventilation (MV):

There are many books & articles on the topic but this 8 years' old review has nice graphs/tables & a good discussion of the specific ventilatory approaches in ARDS and COPD:

[Paul Wischmeyer MD @Paul_Wischmeyer]

Distribution of IV fluids after infusion 💧💡 #4KMedEd #MedEd #MedTwitter

(Courtesy of @bmj_latest)

[Dr Tony Goldstone @goldstone_tony]

NEW: Appalling performance from @NHSBSA 👇

60,000 NHS RPSS statements still outstanding. NHSBSA said they were meant to start coming out in April 2024, the *statutory* deadline was Oct 2024

Thank you again @drlukeevans for highlighting the mess around pensions admin and AA tax

[IMCrit @IM_Crit_]

Refresher on the use of iv albumin:

[Mike Henley 🤨 @trentconsultant]

Cognitive dissonance; ’please work harder and more efficiently to reduce the backlog’ vs ‘we accept your pay has been hugely eroded, including against comparators but regardless that you need 14% each year to return to trend you can have 2.8%’. Cloud cuckoo land.

[Dr Tony Goldstone @goldstone_tony]

(6) in my view it’s past time @DHSCgovuk @HMRCgovuk to put out urgent guidance that due to the administration failures of @nhs_pensions (and to be fair other pensions agencies affecting doctors) that deadlines need to be formally relaxed around RPSS and SA for 23/24

RT if agree

[Dr Shivam Sharma @DocShivSharma]

Both my parents are consultant doctors.

Growing up, I watched them constantly work overtime and not get paid a single penny.

Not once was their overtime work properly acknowledged.

Now when a minority of doctors are getting paid their overtime worth, the vicious attacks begin.

[Andrew Marchetti @ARMarchetti]

Slightly bad faith headline which seems to try and equate the crimes of Harold Shipman with any arguments there may be in favour of assisted dying.

"GP in Shipman Inquiry is now pro-assisted dying" https://t.co/4oLePtwoe3

[Ross Prager @ross_prager]

Cognitive errors and distortions are common in the ICU

Here are the 6 most cognitive errors I see in the ICU (and how to avoid them)

A 🧵

#medtwitter #FOAMed #cognitivebias

[Dr Tony Goldstone @goldstone_tony]

BREAKING: @BMA_Pensions write to @hmtreasury about delays in RPSS / PSS 23/24 👇cc @wesstreeting

Press release: https://t.co/ZWbAsExNqy

[Dr Tony Goldstone @goldstone_tony]

Has your brown envelope arrived? Confused?

This one is DIFFERENT. If you paid AA 2015-22 watch 👇almost certainly means YOU are in for a REFUND.
https://t.co/qfXaMrLTdO

Need help (with your costs covered *). Ive partnered leading accountants to help👇
https://t.co/c171OlAJRP

[Andrew Hartle🏳️‍🌈😷 @startle65]

A day I thought would never come
- a 🧵/1

36 years between photos at RAF College Cranwell
L- after graduating with 226 SERE
R- today at my @RoyalAirForce Restorative Action Ceremony

In between, the pain and shame of dismissal for being gay

(I’ve barely aged 🙄)

[Andrew Marchetti @ARMarchetti]

@briwbri @MerseyICM @RCoANews @FICMNews Congratulations to you all. Hope you had a great day out!

[Andrew Marchetti @ARMarchetti]

@KeriWarbis https://t.co/iYhdrC6Vge this is the song you were after.