Anthony Lewis
@antlewis.bsky.social
Dad, husband, dogs, anaesthetist, techy nerd, medical education disruptor.
🧍🏽♂️❤️🦮🐕🦺😷💻🎓
Northern Beaches, Sydney.
🏝️🇦🇺
Proud supporter of my hometown football club - Merthyr Town FC ⚫️⚪️⚽️🏴
🧍🏽♂️❤️🦮🐕🦺😷💻🎓
Northern Beaches, Sydney.
🏝️🇦🇺
Proud supporter of my hometown football club - Merthyr Town FC ⚫️⚪️⚽️🏴
Impressive tweet from 5 years before he was born.
When twitter didn’t exist.
When twitter didn’t exist.
June 29, 2025 at 8:24 AM
Impressive tweet from 5 years before he was born.
When twitter didn’t exist.
When twitter didn’t exist.
If able to, I try and give patients the option - bed or walk in.
Surprising number want to walk.
Surprising number want to walk.
June 19, 2025 at 10:20 PM
If able to, I try and give patients the option - bed or walk in.
Surprising number want to walk.
Surprising number want to walk.
Going to throw in the ‘personal experience’ card here (not me but close).
It does change your life.
The anxiety associated with it is palpable and going into hospital for a procedure is fraught with a heightened level of ‘what if?’
It does change your life.
The anxiety associated with it is palpable and going into hospital for a procedure is fraught with a heightened level of ‘what if?’
May 24, 2025 at 8:42 AM
Going to throw in the ‘personal experience’ card here (not me but close).
It does change your life.
The anxiety associated with it is palpable and going into hospital for a procedure is fraught with a heightened level of ‘what if?’
It does change your life.
The anxiety associated with it is palpable and going into hospital for a procedure is fraught with a heightened level of ‘what if?’
Anyway, to completely derail you @chrimesy.com
….I’ve been spruiking your Narrative Description of Categorial Incidence.
Found that patients respond very positively to it.
….however I still include anaphylaxis as I believe it is a life changing event. 👀
….I’ve been spruiking your Narrative Description of Categorial Incidence.
Found that patients respond very positively to it.
….however I still include anaphylaxis as I believe it is a life changing event. 👀
May 24, 2025 at 7:48 AM
Anyway, to completely derail you @chrimesy.com
….I’ve been spruiking your Narrative Description of Categorial Incidence.
Found that patients respond very positively to it.
….however I still include anaphylaxis as I believe it is a life changing event. 👀
….I’ve been spruiking your Narrative Description of Categorial Incidence.
Found that patients respond very positively to it.
….however I still include anaphylaxis as I believe it is a life changing event. 👀
But if you look at it from a best care for patients, I think the uk based (and I believe this is only applicable to uk and similar), is that even though all anaesthetists are trained in obs (and neonates, eyes, cabg), due to organisational circumstances it has become a subspeciality.
May 24, 2025 at 7:40 AM
But if you look at it from a best care for patients, I think the uk based (and I believe this is only applicable to uk and similar), is that even though all anaesthetists are trained in obs (and neonates, eyes, cabg), due to organisational circumstances it has become a subspeciality.
Maybe worth asking a few UK anaesthetists who haven’t done obstetrics for 15 years how they feel about that!
May 24, 2025 at 6:59 AM
Maybe worth asking a few UK anaesthetists who haven’t done obstetrics for 15 years how they feel about that!
Agree. But many take up a consultant position in the uk which specifically has a general or an obstetric on call commitment.
Once you do general, you no longer do any obs at all - nothing. Not elective or emergency.
Hence why those doing general on call are more than happy for obs to be separate.
Once you do general, you no longer do any obs at all - nothing. Not elective or emergency.
Hence why those doing general on call are more than happy for obs to be separate.
May 24, 2025 at 4:43 AM
Agree. But many take up a consultant position in the uk which specifically has a general or an obstetric on call commitment.
Once you do general, you no longer do any obs at all - nothing. Not elective or emergency.
Hence why those doing general on call are more than happy for obs to be separate.
Once you do general, you no longer do any obs at all - nothing. Not elective or emergency.
Hence why those doing general on call are more than happy for obs to be separate.
It can be on the UK and in most hospitals it is.
There are separate rosters for anaesthetists - as in some anaesthetists solely do obs on call and other anaesthetists only do general on call.
So in many ways it’s as separate as ICU and anaesthesia.
Different in Aus of course
There are separate rosters for anaesthetists - as in some anaesthetists solely do obs on call and other anaesthetists only do general on call.
So in many ways it’s as separate as ICU and anaesthesia.
Different in Aus of course
May 17, 2025 at 12:18 PM
It can be on the UK and in most hospitals it is.
There are separate rosters for anaesthetists - as in some anaesthetists solely do obs on call and other anaesthetists only do general on call.
So in many ways it’s as separate as ICU and anaesthesia.
Different in Aus of course
There are separate rosters for anaesthetists - as in some anaesthetists solely do obs on call and other anaesthetists only do general on call.
So in many ways it’s as separate as ICU and anaesthesia.
Different in Aus of course
Good points.
I do a Duty Anaesthetist day twice a month and the best part of the day is walking from theatre to theatre and having a chat with each anaesthetist.
So important for moral, wellbeing and sharing concerns or issues.
It’s definitely the yin to the rest of the DA duties yang!
I do a Duty Anaesthetist day twice a month and the best part of the day is walking from theatre to theatre and having a chat with each anaesthetist.
So important for moral, wellbeing and sharing concerns or issues.
It’s definitely the yin to the rest of the DA duties yang!
May 5, 2025 at 10:44 AM
Good points.
I do a Duty Anaesthetist day twice a month and the best part of the day is walking from theatre to theatre and having a chat with each anaesthetist.
So important for moral, wellbeing and sharing concerns or issues.
It’s definitely the yin to the rest of the DA duties yang!
I do a Duty Anaesthetist day twice a month and the best part of the day is walking from theatre to theatre and having a chat with each anaesthetist.
So important for moral, wellbeing and sharing concerns or issues.
It’s definitely the yin to the rest of the DA duties yang!
…want to make it better. Whether that is making sure their acute or chronic health conditions are addressed to minimising the risk of anaesthesia and surgery.
And ensuring that the patients feel confident in how we are looking after them.
That’s it - we just want the best for patients.
And ensuring that the patients feel confident in how we are looking after them.
That’s it - we just want the best for patients.
May 5, 2025 at 2:20 AM
…want to make it better. Whether that is making sure their acute or chronic health conditions are addressed to minimising the risk of anaesthesia and surgery.
And ensuring that the patients feel confident in how we are looking after them.
That’s it - we just want the best for patients.
And ensuring that the patients feel confident in how we are looking after them.
That’s it - we just want the best for patients.
I’ve now moved past email management.
I’ve got over 25000 unread emails - but so what…I don’t care.
I find the new categories in Apple email - Primary, Updates, Transactions and Promotions works for me.
Anything important I Flag.
Oh and I removed the unread email number from the email app icon.
I’ve got over 25000 unread emails - but so what…I don’t care.
I find the new categories in Apple email - Primary, Updates, Transactions and Promotions works for me.
Anything important I Flag.
Oh and I removed the unread email number from the email app icon.
April 23, 2025 at 9:04 AM
I’ve now moved past email management.
I’ve got over 25000 unread emails - but so what…I don’t care.
I find the new categories in Apple email - Primary, Updates, Transactions and Promotions works for me.
Anything important I Flag.
Oh and I removed the unread email number from the email app icon.
I’ve got over 25000 unread emails - but so what…I don’t care.
I find the new categories in Apple email - Primary, Updates, Transactions and Promotions works for me.
Anything important I Flag.
Oh and I removed the unread email number from the email app icon.
That’s good to know.
Once I’ve done the workshop, I guess the issue will be the supervision.
Not sure how I will be able to achieve that.
Once I’ve done the workshop, I guess the issue will be the supervision.
Not sure how I will be able to achieve that.
April 6, 2025 at 5:34 AM
That’s good to know.
Once I’ve done the workshop, I guess the issue will be the supervision.
Not sure how I will be able to achieve that.
Once I’ve done the workshop, I guess the issue will be the supervision.
Not sure how I will be able to achieve that.
I’m going to do a Gastric US workshop at the next ANZCA conference in May.
Once I’ve done that, how many GUS do I need to do to become competent in making a reliable assessment?
Once I’ve done that, how many GUS do I need to do to become competent in making a reliable assessment?
April 6, 2025 at 12:46 AM
I’m going to do a Gastric US workshop at the next ANZCA conference in May.
Once I’ve done that, how many GUS do I need to do to become competent in making a reliable assessment?
Once I’ve done that, how many GUS do I need to do to become competent in making a reliable assessment?
True. But what to do in the meantime?
Guidance has changed - can’t stop the medications for weeks.
Guidance has changed - can’t stop the medications for weeks.
April 5, 2025 at 9:10 PM
True. But what to do in the meantime?
Guidance has changed - can’t stop the medications for weeks.
Guidance has changed - can’t stop the medications for weeks.
I guess because not everyone is trained in gastric US?
April 5, 2025 at 8:39 PM
I guess because not everyone is trained in gastric US?
Well, you could have it earlier, but then the effect of the vaccine would wear off after about eight years. So the timing is gonna be interesting and I wonder if they’re gonna offer a booster at some point as well?
April 3, 2025 at 5:11 AM
Well, you could have it earlier, but then the effect of the vaccine would wear off after about eight years. So the timing is gonna be interesting and I wonder if they’re gonna offer a booster at some point as well?
Seven breaths prevent death.
A few months ago I did a grade 1, POGO 100% intubation with a VL.
But on ventilation it didn’t feel right.
Inflated the cuff a bit more. Still not right.
Looked at ETCO2 trace, not right - low peaks.
Tube out, reintubated. All good.
7 breaths prevent death.
A few months ago I did a grade 1, POGO 100% intubation with a VL.
But on ventilation it didn’t feel right.
Inflated the cuff a bit more. Still not right.
Looked at ETCO2 trace, not right - low peaks.
Tube out, reintubated. All good.
7 breaths prevent death.
April 3, 2025 at 3:07 AM
Seven breaths prevent death.
A few months ago I did a grade 1, POGO 100% intubation with a VL.
But on ventilation it didn’t feel right.
Inflated the cuff a bit more. Still not right.
Looked at ETCO2 trace, not right - low peaks.
Tube out, reintubated. All good.
7 breaths prevent death.
A few months ago I did a grade 1, POGO 100% intubation with a VL.
But on ventilation it didn’t feel right.
Inflated the cuff a bit more. Still not right.
Looked at ETCO2 trace, not right - low peaks.
Tube out, reintubated. All good.
7 breaths prevent death.
💯 % agree.
You don’t always need an A line for induction.
And if you don’t - asleep so much better
You don’t always need an A line for induction.
And if you don’t - asleep so much better
January 31, 2025 at 3:28 AM
💯 % agree.
You don’t always need an A line for induction.
And if you don’t - asleep so much better
You don’t always need an A line for induction.
And if you don’t - asleep so much better
That’s a massive renal stone.
January 23, 2025 at 12:42 AM
That’s a massive renal stone.