Doctor, scuba diver, photographer and natural sceptic. Views I express are mine alone and do not represent any organisation that I am associated with.
Oct 19, 2020 • 19 tweets • 8 min read
@FraserNelson Let’s analyse this piece in some detail shall we? Clatterbridge and St. Helens are cold sites, not suitable for acute patients.
The Clatterbridge cancer Centre has moved to Liverpool. It already treats cancer patients and will continue to do so.
@FraserNelson There are a number of other acute hospitals around Liverpool, but they too are struggling with demand. They don’t have capacity to take extra patients from Liverpool. Non-urgent elective surgery has already been stopped or reduced in many of these hospitals.
Sep 27, 2020 • 15 tweets • 3 min read
Coronavirus: No, “the cure” is not “worse than the disease”. Anyone telling you this either doesn’t know what they are talking about or is peddling their own agenda.
This is not a trivial illness. For the majority of people it might be mild or even asymptotic,
But for a significant minority, it is a severe, life threatening illness. This is more likely the case if you are older (mortality increases above the age of 50), if you are significantly overweight,
Apr 13, 2020 • 5 tweets • 2 min read
This is interesting (if you are into that sort of thing). It contains some conjecture, but also a lot of facts in terms of actions & dates. What is clear is that opportunities were missed. The UK and other countries could have acted more decisively sooner. nationalpost.com/pmn/health-pmn…
In the ICU community (as well as infectious diseases and respiratory medicine), we have known something like this was coming at some point. It was a question of when, not if. We planned for this level of spread and mortality back in mid-2000s. Swine flu in 2009 was a “near miss”.
Apr 9, 2020 • 4 tweets • 2 min read
Enjoy Easter weekend with your family, in person with the ones you live with, by Skype or FaceTime with the ones you don’t live with. Go outside for a walk, run or cycle. Sit in your garden if you can, with the family you live with. #stayhomesavelifes
Have a BBQ in your garden with the family you live with. Watch some movies, relax, enjoy yourselves.
But: don’t invite friends or family that you don’t live with round. Don’t go to their houses. Don’t meet up with people in parks, or on beaches, or anywhere else. #StayHome
Apr 6, 2020 • 4 tweets • 3 min read
When #UKGovernment, @CMO_England and @CNOEngland
etc say “stay home, protect the nhs, save lives” what they mean is: if too many people get #COVID19 at the same time healthcare services and particularly intensive care facilities will be overwhelmed.
If those services are overwhelmed then sick people who need the #NHS will not be able to access those critical services. That would mean that people who might otherwise have survived with hospital admission and intensive care support might die.
Mar 14, 2020 • 7 tweets • 2 min read
Dow Jones jumps 10% after Trump declares a national emergency. What does this show? That the stock market crash resulted from worries that governments weren’t taking coronavirus seriously and weren’t taking decisive action. Now they get a sense that maybe this is changing.
Activity on the stock exchanges is often about confidence. Governments have been reluctant to take bold social measures largely for fear of the potential economic impact. If anything, the rally today shows exactly the opposite.
Jan 11, 2018 • 5 tweets • 2 min read
BBC Headline News - Patients 'dying in hospital corridors' bbc.co.uk/news/health-42…
But here is what people are interested in reading:
Mar 9, 2016 • 4 tweets • 2 min read
I'm attending an @NHSLeadership award ceremony today. I should feel very positive and excited, but actually I feel rather disillusioned.
I can't see any sign of the central leadership of the #NHS demonstrating good leadership values and principles, just "command and control"
Nov 19, 2015 • 4 tweets • 1 min read
Sensible Guardian Editorial gu.com/p/4ecdv/stw
Of course the real problem is the government wants to meet the costs of rising healthcare demands from the pockets of healthcare workers