Paul Carroll

@FocusIreland and @BordGaisEnergy need EVERYONE to join the fight against homelessness. That’s why we’re sleeping out against homelessness on Friday 11 October to raise awareness and funds for Shine A Light. Show your support by signing up or donating to our page: joinus.focusireland.ie/fundraisers/th… joinus.focusireland.ie/st/735/t

World Barrett’s Awareness Day is 16th May and @OesophagealCF will be playing our part in raising awareness #OCFByYourSide

It is with some reluctance and no little sadness that I announce my resignation as an Upper GI Cancer Surgeon in Galway University Hospital effective May 17th. After coming home to Ireland from Toronto, with assurances and guarantees, I spent 5years building a Minimally Invasive Oesophageal and Gastric Cancer Programme with the support of Profs. Collins and McAnena. This service also included the only site in Ireland providing Per Oral Endoscopic Myotomy (POEM) and the only surgeon delivered Endoscopic Ultrasound/Endoscopic Submucosal Dissection programme for early Esophageal and Gastric cancers. There will now be no one in the entire west/northwest of Ireland performing these types of cancer surgeries in their minimally invasive forms. I love what I do. It has been a privilege to be invited to care for people with some of the worst types of cancers. I am grateful for the amazing nurses and allied heathcare teams that I have worked with to care for my patients. I will be moving to Sligo to work as a General Surgeon. I will not be permitted to treat the cancers I have spent 15years training towards and 5years practising as a Consultant Surgeon. This is my choice so I can be home with my family. Temporary solutions in Galway have been explored but in reality they kick the can down the road and they don’t solve the systemic issues. I have no answers as to what happens next for Upper GI Cancer Care in the west and this saddens me. Any inquiries need to be directed to hospital management. #HSE #GalwayUniversityHospital

@rbarbosa91 @alexbontemd This is nightmare fuel. A brave and pertinent presentation. All should use this as learning opportunity no matter how one does a cholecystectomy. We only improve with shared learning.

From @alexbontemd at the SAGES meeting. If you do gallbladder surgery then watch the entire 7 minutes of this. Take the time to sign in with a password or whatever. Watch all of it. There are 6-7 different moments of 😱😱😱😱😱 youtu.be/gkajc_Xc-oc?si…

@GalwaySurgery Surgeon are a wasted resource in hopsital. Significantly limited by beds/theatre capacity/staffing and lack of foresight to expand services.

How much time do surgeons spend operating? sciencedirect.com/science/articl…

@itsthatgirlsuzi 2/2 it took serious prolonged harassment to get solution including requesting derogation which has to be approved from central command. It has become harder and harder to deliver services.

@itsthatgirlsuzi We had 1.5 WTE Upper GI cancer nurse vacancy-resignation and carer’s leave. No indication from superiors about replacement or solution to critical post in our delivery of cancer care. People in suits making decisions without a clue how care is compromised. 1/2

@NigelRajaretnam Practice, practice practice. Use left hand, reverse it in easier cases and get comfortable. Always found box trainers rarely replicate suturing in ‘real life’. Ports will never be perfect every time.

Hi #MedTwitter - any suggestions for a box trainer for laparoscopic suturing? Would like to try to improve skills (difficult angles, reverse stitching, putting stitches right next to IVC on hiatus hernia repairs etc). Any suggestions appreciated!

@nnifhoghlu @NigelRajaretnam Ah the robot is cheating and you would rarely have it in an after hours case unless you are in a fancy hospital.

@NigelRajaretnam Get a robot and these issues suddenly disappear 😜

@debbie_kelleher @LauraNally4 @ClaireH26707222 @joemcmanus1 @StephenCoyne13 Onwards and upwards. Thanks for looking after my patients.

End of an era yesterday. We've fully transitioned to our new dept & closed our old #radiotherapy department. Here since 2004 and am proud to say the improvements in #RadiationOncology for #cancer patients is staggering. @LauraNally4 @ClaireH26707222 @joemcmanus1 @StephenCoyne13

@arusmuire @GUH_ICU_Anaesth @saoltagroup @GalwayCMNHS A wonderful piece of craftsmanship.

@jeanniejampots @DonnellyStephen Next question will be whether they will honour the new contract for those wishing to change. A la James Reilly. Plus ça change.

@Carroll_PAC @DonnellyStephen Yep

A freeze on hiring non scheme “Junior doctors/NCHDs” is a catastrophe @DonnellyStephen Clinics will be cancelled everywhere, surgeries cancelled, no on call doctors no ED staff. They are the backbone of the Health service

@pfridgway @TUH_Tallaght @tcddublin Warmest congratulations on your retirement Prof. Conlon. I always hoped he would have called his boat ‘the j-shaped needle’.

A celebration of a great career tinged with the sadness of saying au revoir to @TUH_Tallaght and @tcddublin Prof Kevin Conlon He built thriving Dept that has populated so many other surgical departments in Ireland and beyond Best wishes in the next chapter Kevin

There needs to be a northwest corridor. A lot of Donegal people travel to Galway for medical care. The drive is 4.5hr and challenging in parts. A rail link would make a lot of sense.

Great development. Congrats.

@therealazzawi Love the Mercy boy!

New beginnings

@docdok Quite the indictment. Erosion of a profession by a management system designed to put people into boxes. Very little understanding of the changing dynamics in healthcare.

@RCSI_Irl @ISTGofficial congratulations to all trainees who coordinated and extenuated this international study.

@mccarthymt7 @HSELive @RCPI_news @saoltagroup @hseNCCP Appropriate governance and accountability structures? There is no one at home at an executive level taking responsibility for the significant under resourcing of these healthcare functions. Harder and harder to train when fighting fires all the time.

Core healthcare service functions should be increasingly delivered by permanent staff under appropriate governance and accountability structures. Training should be a separate consideration. Times are changing. @HSELive @RCPI_news @saoltagroup @hseNCCP