Rhys J

Part time doctor, full time air drummer. Intensive care registrar. Welsh. Views are my own/rubbish.

[Rhys J @rhys_jon]

What's your favourite medical term that is commonly mispronounced? Mine is definitely "aspirational pneumonia", like it has grand plans to become bilateral consolidation from its meager beginnings of a small patch of opacification in the right base.

[Rhys J @rhys_jon]

Sorry Rachel, I don't want their shitty cars thank you.
https://t.co/822ODPBXkM

[Jim Cornelius @Jim_Cornelius]

Slug and Lettuce obviously.

[Segun Olusanya (He/Him) [email protected] @iceman_ex]

It’s a delight to announce that the @echonepean / @BartsEcho collaboration is back for its 3rd iteration

And we have the most amazing special guest- the incredible Andre Denault, for the first time in Europe.

Book here https://t.co/wVGh7abWCx

[Rhys J @rhys_jon]

*if a little dubious as to whether ALS should have been started/continued in the first place

[Rhys J @rhys_jon]

Really interesting case!

[Josh Guttman @drjgutt]

1/ Wild cardiac arrest with #POCUS playing a major role

An elderly male was sent from the nursing home in cardiac arrest. Per the prehospital report that we got, the patient was in vfib and refractory to 5 defib attempts. The patient got amio as well as several doses of epi.

[Katie Wiskar @katiewiskar]

A quick #VEXUS thread 🧵-

3 reasons why the portal vein is the most useful single venous doppler waveform 🥇

(if you're only going to do ONE site to look for venous congestion, this is probably the most useful one!)

[Giacomo De Luca @jackdeliuc]

🎬 2nd chapter

...🧵This a thread about 1.3% sodium bicarbonate🧂 (aka isotonic bicarb drip) in critical care.

☝🏻 If you missed the first part about 8.4% bicarb, I would strongly recommend you to read it before moving on 🏃🏻.
https://t.co/pInsTgPXjg

[Rhys J @rhys_jon]

@ProfMarkTaubert They would make the choice to live. However, I still feel quite strongly that a lack of a properly resourced health system is in principle still not a reason to give others the choice. Call me idealistic, but that's my conviction.

[Rhys J @rhys_jon]

@ProfMarkTaubert You see way more of this than I, and I totally appreciate this argument. I also understand the point of view that regardless of safeguards there may still be people who are overtly or covertly influenced into making the decision perhaps unnecessarily, and that with better support

[Rhys J @rhys_jon]

@ProfMarkTaubert I would totally agree it's essential, but also appreciate how difficult it must be to run a robust RCT in this area.

[Rhys J @rhys_jon]

@ProfMarkTaubert I agree that the evidence isn't necessarily there, but how much high quality evidence is there around the experience in dying in general?

[Rhys J @rhys_jon]

@ProfMarkTaubert Agree that an emphasis on high quality and equitable palliative care should be at the forefront of this debate and process, but I still don't feel that should prevent those of sound mind the choice of choosing assisted dying if they want to. The two things should run in parallel

[Rhys J @rhys_jon]

Excellent thread which makes me reflect on the few cases I have managed in the past

[Ross Prager @ross_prager]

(1/x) Here's a potentially fatal flaw in how thyroid storm is taught in medical school & residency —and why sticking to the textbook can be deadly for your sickest thyroid storm patients. ⚡️⚡️⚡️

I've seen this happen several times.

A 🧵

#FOAMed #MedTwitter #endocrine #FOAMcc

[Luke Edwards @LukeEdwardsTele]

If you’re getting worked up about the change in inheritance tax for farmers have a listen to this and stop being manipulated into believing this is something it isn’t. Go on I dare you. Or just keep furiously believing Farage, Clarkson, the Tory party and Musk (who hasn’t got a clue about what is actually happening and believes he doesn’t need to do so to compare Stalin to Starmer) meaningless drivel

[Rhys J @rhys_jon]

@ChefReactions "Melt" or "Plum" are also excellent substitutes

[Rhys J @rhys_jon]

@Gruff_boi Depends what your definition of great is

[Rhys J @rhys_jon]

I’ve been looking for a way to say this neatly for about 20 years

[Grace Blakeley @graceblakeley]

All over the rich world, people’s lives are getting worse.

It’s harder to afford the basics, keep a roof over your head, and access care when you’re sick.

People will keep voting for whoever they think will bring back prosperity. 1/

[Rhys J @rhys_jon]

@isitsleepytime

[Rhys J @rhys_jon]

@AlexNevard I will die on this hill

[Rhys J @rhys_jon]

@docib The driving to work pre-first-night has eased as I've gotten more senior however