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Alex Psirides Profile picture
Alex Psirides
@psirides
Co-director @WellingtonICU. National RRT/MET @HQSCNZ. Aeromedical retrieval @lifeflightnz. Once ventilated a chimpanzee.
Jan 22, 2023 • 33 tweets • 8 min read
@todguest As requested, here's a thread on how consultants are paid in NZ. I'll break it down to allow comparisons with other healthcare systems. The preferred terminology is 'Senior Medical Officer' (SMO) or 'Specialist'. None of this information is secret. It is negotiated nationally by our union (ASMS) & every national contract (MECA) is published online. Current agreement is here: asms.org.nz/wp-content/upl…
Feb 16, 2022 • 32 tweets • 8 min read
30 bad COVID arguments debunked: thelogicofscience.com/2022/01/19/deb…
These are so frequent & so soundly rebuffed, I'm putting them all on here because you can't be trusted to click on link. Skip the next 30 if you're so over this right now.

A thread.
Dec 28, 2021 • 6 tweets • 2 min read
Watching ICUs around the world burn to the ground in 2021 makes it all the more bizarre we have not had a single COVID patient in @WellingtonICU. We have little idea of how 'lucky' we are. But, of course, none of it was down to luck. Geography helped, but this year should end with New Zealanders thanking the public health experts & the contact tracers who stood between us and COVID and the politicians who listened to them.
Oct 2, 2021 • 17 tweets • 5 min read
On long car journeys I relax by browsing medical stock image libraries. Here's what I found... Don't write patient details on the label; write the result of the test. Also, use the red vacutainer.
Feb 4, 2021 • 5 tweets • 2 min read
Coffee Cures Covid. This gloriously cynical French study proves beyond statistical doubt that coffee's active constituent (1,3,6-trimethylxanthine) is the Next Big Thing. mdpi.com/2077-0383/9/11… Confirmed COVID patients were randomised to 65mg morning coffee vs control of those who refused it.

Is this the most French study ever conducted?
Apr 6, 2020 • 5 tweets • 1 min read
I’m just a jobbing intensivist but if there’s one thing I’ve learned from this it’s best expressed as a 10 metre high neon sign saying ‘do what you normally do’ backlit by fireworks. And the more I read stuff on here I’m inclined to wonder whether social media isn’t part of the COVID solution but driving the anthesis of the neon sign.
Dec 14, 2019 • 28 tweets • 8 min read
I've been asked a few times about this slide so here's a thread about where it comes from, what it means, and why we should take it seriously. My argument is that the patients we look after and their families that we talk to approach sudden bad events with expectations informed by what they have seen.
Nov 23, 2019 • 13 tweets • 2 min read
‘‘We Are Strangers Walking Into Their Life-Changing Event’’
This paper on paramedic experience of death is eminently quote-worthy. So I will:
jpsmjournal.com/article/S0885-… 'The importance of understanding a family’s perspective was described in
these words: ‘‘What might be considered routine in
EMS is the worst emergency in the whole world for
the family.’’ '