Amy Bowden

@sianwilliams100 Worth a fortune now if it’s gone up with inflation 😂

Having a clear-out. This was inside a ‘congrats on the birth of your son’ card. He’s now 32.

@GppPos1 He is an absolute cutie, congratulations. Just a quick observation though about the car seat. It’s not a great fit for him as it’s forcing his chin into his chest which can restrict breathing. Please no bad vibes, only stating out of concern ❤️

@DrRajeshG1 Apical HCM

LV angio of a 55 yr old male with one episode of syncope and effort angina.ECG showed LVH.His echo window was not good.Contrast echo is too costly for us.Cath can be done free under govt scheme.CAG turned out to be normal.What might have compelled me to insist for an LV angio.

@BrianElliottMD1 @NephroP Looks like a degree of AS with dilated proximal ascending aorta and possible vegetation’s on AV. Also looks like an echogenic circular structure noted within the LA ? Thrombus? Myxoma. Would need more views to fully comment

👴🏻 with dyspnea. #POCUS shows the following. What abnormalities do you see? #echofirst #meded #FOAMed (hint: this is an intentionally off-axis parasternal long axis)

@Dunkirk_1940 @Dunibear If you have any old red arrows flying suits to fit a 4 year old I would be happy to pay x

Jacob has asked me if I could help him write a children’s book of short stories about his fav aircraft & their adventures for charity. Bedtime stories see us give them names like Lincoln the Lancaster, Terry the terrible Typhoon (@Dunibear knows), Red the Arrow & Sally Spitfire.

@Dunkirk_1940 @Dunibear We have a little red arrows fan here who would certainly read them ❤️

@Dr_DeanS Make it about you, strip it back, don’t get carried away. You don’t need wedding favours, you might not need cars if you choose a hotel. Keep decorations to a minimum as no one will remember it. We opted for a tea party, very relaxed but meant we could have everyone there

How on earth do you get married without spending tens of thousands of pounds but still have everyone there? Everywhere we look is just astronomical prices. Then I just think of all the other things I could get with the money, even though we don't have it.

@The_echo_lady Severely dilated aortic root with proximal ascending aorta involvement resulting in severe AR due to annular dilatation. Suggest CT scan of aorta to see extent of dilatation and refer for root replacement

What is this?😐💬 #Pocus #Echocardiogram #Echocardiography #Echofirst

@NatashaMDay Plastic one that arrived in a party bag this weekend had a one way ticket to the bin! I don’t need that in my life x

@BrownJHM Trench foot!

A 35year old male industrial worker whose feet are always in wet safety boots presented for evaluation of foul odor and itchiness at the soles of his feet. What's the likely diagnosis? #MedEd

@InnovationMatt The NHS needs to think long and hard about this!!

@EpiEllie I have 4 kids 3 take after their dad with a massive head, 1 takes after me with a normal size head. On discussion of this she screamed for 30 mins that she wants a massive head too not a tiny head. In the end I just lied and said I got it wrong, she has a massive head too 😂

Some of you have never spent any time around a toddler and it shows. For the rest of you, what’s the most memorable reason you’ve seen a toddler cry over? Here’s one from me: wanted a “lottle bit” of pasta & absolutely horrified by the choice of a “little bit” or “a lot”

@charliersmith1 Wow, what an amazing way to describe what is happening to you. It’s really made me appreciate and understand what you are going through. Get well soon Charlie x

Whilst on the psych ward, I’ve started writing poetry. It feels really scary sharing it, but here’s a piece I wrote called ‘voices’…

@nat_echo @DrWillWatson @dr_benoy_n_shah Scanned patient in Resus ? Large effusion causing SOB wanted focused scan. Turned out no one had thought about the massive PE he had with dilated and impaired right heart. Suggested PE and CTPA turns out large bilateral PE which was probably also cause of effusion 🤷🏼‍♀️

@DrWillWatson @dr_benoy_n_shah I’ve also been around long enough and done enough echoes to have scanned too many people where the Q was ?is there problem xyz? But the findings would’ve been missed if I’d only imaged the necessary to rule in/out that problem. The problem is inappropriate referrals

1: not sure what is wrong with this patient, can I have a full body CT please Radiology: get out 2: I just need the ejection fraction Echo: we’d better give you the lateral S prime and Doppler the descending aorta just in case But really why is there a echo minimum dataset?

@obbsie If these are one of your kids you should be ashamed of them and yourselves right now!

Madness 100s running amok in Regent Street.

@anyajoness Congratulations. She will be one proud momma right now. With you always in your heart 😩

Dr. Anya Amanda Jones MBBCh Bsc(Hons) Loosing my mother suddenly and tragically aged 7, I wanted no one else to endure the grief I felt. Fast forward 20 years later. Mam, your girl’s a bloody doctor! Even in the darkness, she found light 🤍🩺👩🏼‍⚕️ Currently on cloud 9!!☁️

@BrownJHM Poor LVFx globally. LV appears dilated. Thickened MV leaflet tips with reduced opening, provable degree of MS. Something independently mobile on posterior leaflet ? Part of stenosis process or IE. Could be IE caused infarct ? Blood cultures and clinical correlation needed

37yo m from Dominican Republic presented with right eye blurry vision & aphasia. MRI showed acute infarct in left temporal parietal junction. ECHO was done as part of the workup. What finding is noted in the ECHO? Possible diagnosis? #Medtwitter

@TLHM_MD @wordfinga @DrPrasadJain @AvrahamCooperMD @Sthanu5 @IhabFathiSulima @grepmeded Wow, that is a very large effusion. Would give a great ECG that’s for sure

@NephroP Now I like this…..going to use it in my ITU teaching ❤️

@AimsBowden Indeed. 5Es should always be considered in the emergency setting #POCUS

🚨All good? #POCUS #MedEd #IMPOCUS #Nephpearls Img. courtesy PMID 34855015