Tom McEnery 🇺🇦

Phlegm enthusiast, MD. Runner, once won a Parkrun, still talks about it

[Tom McEnery 🇺🇦 @mcenery_tom]

@JazzNeurotic @brady_h Holy shit, a reasonable discussion on Twitter 🤯

[michaeltmccarthy @mccarthymt7]

Recently, I was asked by @NewstalkFM to comment on this article: https://t.co/KbEd6YP2M7

I am surprised that it is only a 30% reduction.

In medical oncology in Ireland, in general, there has never been a ‘waiting list’ to access a consultant opinion, public or private.

Since I started my training, every new referral was pretty much automatically booked to the next OPD clinic, i.e. within a week of receiving the referral. That is still the case.

15 years ago, this meant that routinely, a consultant and 2-3 NCHDs would have a 3 hour clinic with 60-70 patients booked in. A patient with a “3pm appointment” would still be waiting to be seen at 8pm. There was little time to discuss the proposed cancer treatment and potential side-effects. The system was clearly understaffed for the volume of patients.

I have said before that one of the @HSELive s positive achievements over the past 10 years is the increase in consultant numbers. This has allowed more meaningful outpatient clinic interactions.

However:

If the HSE hires a new consultant with the aim of improving patient care in this way, it should obviously be the case that secretarial support, clinical nurse specialist support, office space, outpatient space, dayward space supported by qualified staff nurses, HSCP support, (theatre space for surgeons), diagnostic and interventional radiology access, etc is also required, to enable improved patient care.

In other areas of medicine or surgery, access to a consultant opinion might well be a constraint, in Oncology, the bottleneck is access to the service.

[Morten Morland @mortenmorland]

A reminder from the archive:

[Tom McEnery 🇺🇦 @mcenery_tom]

@itvcycling What a legend

[Anton Gerashchenko @Gerashchenko_en]

A Russian woman explains to her fellow Russians who they really are - in no uncertain terms - invaders, terrorists and murderers.

[Lukáš Ronald Lukács @lucxsronald]

THREAD

The best photos from this year’s classics season part 1.

1. Tadej Pogačar entering the Piazza del Campo in Siena, Italy. (📸: ashleygruber)

[Tom McEnery 🇺🇦 @mcenery_tom]

@sama @hse #nchd rotas

[Swim Ireland @swimireland]

𝗪𝗢𝗥𝗟𝗗 𝗥𝗘𝗖𝗢𝗥𝗗

He’s done it! Daniel Wiffen has set a new World Record in the 800m Freestyle of 7:20.46.

Incredible swim, he’s smashed the oldest world swimming record on the books, 2008 Grant Hackett 7:23.42 🤯

#LENOtopeni2023 #TeamIreland

[Nautilus Magazine @NautilusMag]

"To be a part of the universe that gets to spin for a time, and to create a unique pocket of meaning: That is indeed something to be grateful for..."

Just as @philipcball uncovered a new way to understand life, he received some news about his own:

https://t.co/xD7hjzidMg

[World Athletics @WorldAthletics]

Female Athlete of the Year nominee ✨

Retweet to vote for Faith Kipyegon 🇰🇪 in the #AthleticsAwards.

[Elle Cordova @ellerhymes]

Alexa, Siri and the other bots hanging out in the server break room again

[Tom McEnery 🇺🇦 @mcenery_tom]

@telswood @NicoGagelmann Agreed, I can vouch that many respiratory consultants are hazy on CT lobar segmental anatomy (if they don't scope). Not important general medical trainee knowledge (but nice clip!)

[Tom McEnery 🇺🇦 @mcenery_tom]

@nihardesai7 @BrownJHM @NicoGagelmann @HaemBytes @DoctorBhavsar @AdityaBurje @anujtiwari11 @drasmedicine @Dishaar88241487 @adiv2711 @chandrachud_n Severe meropenem deficiency, needs correction asap, always correct co-trimox deficiency first

[Tom McEnery 🇺🇦 @mcenery_tom]

@danennis100 Wish I could have been there to see you wield the bronchoscope Dan. Like watching Michelangelo with his chisel back in the day no doubt

[Tom McEnery 🇺🇦 @mcenery_tom]

@ProfJaneWalsh @EugeneFeely I find these videos distressing Prof, missing Galway. In Cambridge, haven't seen a sea in months, just rain, fields and Britishers here

[Tom McEnery 🇺🇦 @mcenery_tom]

@spannawalker This has made me a lifelong MVDP fan, just incredible!

[Kyle Sockwell @kylesockwell]

@WiffenDaniel This 14:34.91 is a massive swim, but shouldn't be all that shocking after the SCM season this guy had.

He's been the real deal for a minute.

This summer is going to be one for the books.

[Tom McEnery 🇺🇦 @mcenery_tom]

@MaryannThai Amazing! Hope you're keeping well

[Irish Times Sport @IrishTimesSport]

Marathon man Pat Hooper will be missed but not forgotten https://t.co/zkFikMj6Aw

[Tom McEnery 🇺🇦 @mcenery_tom]

@DAaronovitch @whippletom @j_amesmarriott @philipcball Your atoms only think they've decided but their (your?) response was actually a result of the inherent quantum randomness of their quarks. (Actually this is also very nicely debunked in the aforementioned book)