Colorectal and IF surgeon. @UHSFT. Twitter novice

Joined November 2013
Ollie, Georgia and Henry completed their practice round today at the National School’s Team Golf competition. Big day tomorrow! Good luck guys. ⛳️
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Carl Richardson retweeted
Still 10 Dukes’ places with a 30% discount. Superb international faculty for this CME course - 24th-25th May. @Dukes_Club
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Identifying and managing malnutrition - assessment is key! Here @ColetteKirk17 outlining the role of anthropometry & demonstrating calculation of triceps skin fold thickness and delegates measuring mid arm circumference. #NUTCNC 2019 @BAPENUK @BSGTrainees
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The next #MalnutritionMonday takes place on 27th May! We'll be steering the conversation next month so stay tuned for what key messages on #malnutrition we'll be sharing. In the meantime start following @UniofHerts @HertsIndLiving @GMNandH @BAPENUK @NACCCaterCare
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Carl Richardson retweeted
If an older person becomes #malnourished, this will make them more susceptible to #disease, which in turn worsens their nutritional state again. The #malnutrition carousel describes this downward vicious spiral.
Carl Richardson retweeted
Excellent debate last night with some great contributions @FrontGastro_BMJ. @GastroDrSmith @Carl105 Search the hashtag #FGDebate to look back.
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Carl Richardson retweeted
*** ACPGBI Wessex Chapter Meeting. Thursday 20th June. Winchester. Topics include locally advanced and recurrent rectal cancer, surgical management of intestinal failure, mesh and the pelvis and the role of TEMS *** @ACPGBI @BattersbyNick @DeenaHarji @PVaughanShaw
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Almost set for our 5th Newcastle upon Tyne Clinical Nutrition Course #NUTCNC. Looking forward to welcoming delegates from across the UK. A busy 3 days of learning and discussion with our expert local and national faculty. #clinicalnutrition #MDT #malnutrition #IntestinalFailure
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Thanks to everyone who contributed tonight. Happy to respond to any questions not covered in the very quick last hour! Goodnight Carl
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Thanks to everyone who contributed tonight. Happy to respond to any questions not covered in the very quick last hour! Goodnight Carl
SEPSIS SEPSIS SEPSIS Look for it, think of it, treat it.
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Problem is with all the coffee emporiums in hospitals these days it is easy for patients to get huge drinks
Tell them to find the sepsis and treat it. Low albumen is a risk for poor surgical outcome. #FGDebate
Replying to @Carl105
Tell them to treat the patient not the number #FGDebate
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It is a marker of poor surgical outcome and reflects sepsis - look for it and treat it #FGDebate
Replying to @Carl105
Albumin is NOT a marker of nutrition #FGDebate
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Question - your surgeon says the patient is malnurished as they have a low albumen and will only operate when it is above 30 - Have you come across this? What do you do? #FGDebate
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are people doing remote discharge for palliative PN?#FGDebate
Should we be offering patients with terminal cancer home parental nutrition #fgdebate @GastroDrSmith @Carl105
We have a CRS meeting on Wednesday afternoons where cases are reviewed. This collects data on line infections. #FGDebate
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A BIFA statement should be out soon that should help all with the cyclizine issue #FGDebate
So many patients are readily addicted to Cyclizine. It is like the Krispy Kremes of anti-emetics #FGDebate
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Great question. #FGDebate
is the common psychopathology mainly secondary to chronic institutionalisation, or is there a pathogenic link (or even microbiome related??) in IF? #FGdebate @bhmullish @FrontGastro_BMJ
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