𝕋 𝔸𝕞𝕒𝕝𝕖𝕤𝕙 (@dramalesh) 's Twitter Profile
𝕋 𝔸𝕞𝕒𝕝𝕖𝕤𝕙

@dramalesh

Consultant Upper GI surgeon. Director -Surgery, Anaes, CritCar
Chair -Surgical Optimisation Group
ᴀʟʟ ᴛʜɪɴɢꜱ #ᴇʟᴇᴄᴛɪᴠᴇ #ʟᴇᴀᴅᴇʀꜱʜɪᴘ #ʙᴀᴍᴇ #ꜱᴜʀɢᴇʀʏ
Views my own.

ID: 875943921477713920

calendar_today17-06-2017 05:11:19

6,6K Tweet

1,1K Followers

1,1K Following

Louella Vaughan (@drlkvaughan) 's Twitter Profile Photo

I absolutely get the frustration many pts feel about having to repeat their 'story'. What initiatives like this ignore is that The Story is THE cornerstone of any clinical encounter. Before I see any pt I have formed a preliminary opinion based on the EPR 1/

I absolutely get the frustration many pts feel about having to repeat their 'story'.

What initiatives like this ignore is that The Story is THE cornerstone of any clinical encounter.

Before I see any pt I have formed a preliminary opinion based on the EPR
1/
Shaun Lintern (@shaunlintern) 's Twitter Profile Photo

My family had a recent experience of hospital care & we saw effect of this type of taskification of care. Pointless delays, miscommunication, unnecessary referrals etc. No one had the patient at the core of their thinking as they did their bit of the job - result was real anguish

Louella Vaughan (@drlkvaughan) 's Twitter Profile Photo

I can't begin to wrap my head around the implications of this statement. Fundamentally misunderstands: - intimate connection between clinical decision making and task - how professionals are trained - what professionals DO - what regulators do (regulate professionals!)

I can't begin to wrap my head around the implications of this statement.

Fundamentally misunderstands:
- intimate connection between clinical decision making and task
- how professionals are trained
- what professionals DO
- what regulators do (regulate professionals!)
Sophia Edwards 💙 (@sophia_edw28123) 's Twitter Profile Photo

.Wes Streeting pledged just 1,000 extra specialty training posts over three years; while 20,000 doctors risk missing out this year alone, and demand has surged from 1.9 to 4.7 application per post since 2019. This crisis needs urgent, year‑zero action, not delay!

Nigel Edwards (@nedwards_1) 's Twitter Profile Photo

Woring at the top of the licence' is a classic bit of misguided Taylorism - who does this? Respite from less demanding work is vital

Louella Vaughan (@drlkvaughan) 's Twitter Profile Photo

The National Formulary included in the 10YP has been met enthusiastically by some. Basing inclusion of drugs on clinical and cost effectiveness sounds terrific! This, however, is deeply problematic. Firstly, lots of drugs are quite old. There were very few large RCTs 1/

The National Formulary included in the 10YP has been met enthusiastically by some.

Basing inclusion of drugs on clinical and cost effectiveness sounds terrific!

This, however, is deeply problematic.

Firstly, lots of drugs are quite old. There were very few large RCTs
1/
Drew Moghanaki (@drewmoghanaki) 's Twitter Profile Photo

Why is World Radiotherapy Day happening on September 7th? It’s because 9/7/1953 is the day the first patient was ever treated with a modern linear accelerator at Hammersmith Hospital in London. #WorldRTDay #WRAD #OneVoiceForRadiotherapy Ref: jpneylon.github.io/ABR/PDFs/Artic…

Why is World Radiotherapy Day happening on September 7th? It’s because 9/7/1953 is the day the first patient was ever treated with a modern linear accelerator at Hammersmith Hospital in London. 

#WorldRTDay #WRAD #OneVoiceForRadiotherapy

Ref: jpneylon.github.io/ABR/PDFs/Artic…
Mike Henley 🤨 (@trentconsultant) 's Twitter Profile Photo

One of the problems in the current hospital drs pay row is the total lack of trust Drs have in the DDRB and government to do the right thing. Eg the non pay promises from the last action have not been delivered, exception reporting/rotations not happened, the promised mitigations

One of the problems in the current hospital drs pay row is the total lack of trust Drs have in the DDRB and government to do the right thing. Eg the non pay promises from the last action have not been delivered, exception reporting/rotations not happened, the promised mitigations
Dr Aadam Aziz (@aadam_aziz) 's Twitter Profile Photo

1 in 3 med students plan to leave the NHS within 2 years of graduating. They see £18.62/hr for life-saving work. They see burnout, rota gaps, and being sent miles from home. They see doctors striking, just to be heard. They ask: Is this really the future I trained for?

1 in 3 med students plan to leave the NHS within 2 years of graduating.
  
They see £18.62/hr for life-saving work.

They see burnout, rota gaps, and being sent miles from home. 
They see doctors striking, just to be heard.

They ask: 
Is this really the future I trained for?
Lung Cancer Europe (@lungcancereu) 's Twitter Profile Photo

🚫 People with #lungcancer are excluded from clinical trials more than any other cancer group. LuCE Clinical Trials Policy Briefing highlights how barriers like age, other health conditions, gender & genomic subtype are still keeping people out of research. In many parts of

🚫 People with #lungcancer are excluded from clinical trials more than any other cancer group.

LuCE Clinical Trials Policy Briefing highlights how barriers like age, other health conditions, gender & genomic subtype are still keeping people out of research.

In many parts of
Tejas Patil (@tejaspatilmd) 's Twitter Profile Photo

I am not a statistician. However, this paper does an EXCEPTIONAL job outlining some of the KEY pitfalls in interpreting continuous vs categorical variables in clinical research. PD-L1 thresholds in #lungcancer are a great example of the fallacy of linearity. Let me explain 🧵

BHRUT NHS 🏥 (@bhrut_nhs) 's Twitter Profile Photo

Surgeons at Queen’s Hospital livestreamed a course on a less invasive ear surgery technique which is speeding up patient recovery. Read more here: bhrhospitals.nhs.uk/news/surgeons-…

Surgeons at Queen’s Hospital livestreamed a course on a less invasive ear surgery technique which is speeding up patient recovery.

Read more here: bhrhospitals.nhs.uk/news/surgeons-…
CARESbhrut (@caresbhrut) 's Twitter Profile Photo

🎉 Big milestone! We've recruited our first patient at KGH today!Huge shoutout to PI Dr. Mandeep Phull, Anaesthetist Dr. J Garg, Co-PI Mr. Nauman Hussain, and our amazing research nurses Tatiana Pogreban, Giya Reji, and Aparna George. Research and Innovation at BHRUT Rajesh Jain 𝕋 𝔸𝕞𝕒𝕝𝕖𝕤𝕙

Ewan Gibbs (@ewangibbs) 's Twitter Profile Photo

Male life expectancy in Glasgow is also 73, meaning if the pension age were to rise to 74 that the average Glaswegian man wouldn't even claim a state pension. There's massive class injustices in these proposals, including the forms of work we'd be asking folk to do in their 70s.

Lung Cancer Europe (@lungcancereu) 's Twitter Profile Photo

Surprising findings from a 🆕 study: hay fever linked to a 26% lower risk of #lungcancer. A meta-analysis of nearly 4M people found an unexpected connection between allergic diseases & reduced lung cancer risk. 🔗 frontiersin.org/journals/medic… #LCSM

Surprising findings from a 🆕 study: hay fever linked to a 26% lower risk of #lungcancer.

A meta-analysis of nearly 4M people found an unexpected connection between allergic diseases & reduced lung cancer risk.

🔗 frontiersin.org/journals/medic…
#LCSM
platinumpizza™ (@xeon4f145d96s1) 's Twitter Profile Photo

It’s difficult to think one could be this clueless running one of the largest employers in the world, but striking residents make virtually no money from “clearing backlogs” or via WLIs as is being suggested.

It’s difficult to think one could be this clueless running one of the largest employers in the world, but striking residents make virtually no money from “clearing backlogs” or via WLIs as is being suggested.