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Tweetorial for UK docs using @CernerUK PowerChart (not sure if this format will be useful but here goes)
First a question: how would you rate yourself as a PowerChart user?
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Hugo Farne ๐ซ
6.6K posts
Hugo Farne ๐ซ
@HugoResp
Respiratory ๐ซ doctor. Specialist interest in asthma
London, England ๊ฐ์
์ผ Ocak 2013
517 ํ๋ก์1.9K ํ๋ก์
@ModernMilkMan youโve left your bike blocking the entirety of where the curb dips (double yellow for a reason), making it quite hard to cross the road with small kids on scooters - and itโs a bit of a tricky crossing as it is. Please be more careful next time.
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@TfL your driver LJ17 WRR just now going past stop CC Battersea Park / Chelsea Gate has run a red light and almost hit me as a pedestrian! Looked at me as well so clearly saw me, unapologetic.
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This data from the charity @asthmalunguk was kindly highlighted to the public by @tobithomas_ and @guardian.
Asthma and COPD remain common and major causes of ill health and death both in the UK and globally, yet both are underfunded (especially COPD).
NHLI@ImperialNHLI
โA stark and avoidable injustice in respiratory healthโ โ๏ธ This, in the words of @HugoResp, is the situation laid bare by a recent analysis of NHS admissions data by @asthmalunguk ๐ซ Dr Farne was interviewed as part of @guardian coverage of the study: theguardian.com/society/2025/dโฆ
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@AmazonHelp @AmazonAlexa Disappointed that an Echo Show I gifted my sister for Christmas mainly for the drop in function (to use with my ageing not tech savvy parents and my young kids with no phones) does not support drop in currently. Theyโve now unplugged it โน๏ธ
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Hugo Farne ๐ซ ๋ฆฌํธ์ํจ
โA stark and avoidable injustice in respiratory healthโ โ๏ธ
This, in the words of @HugoResp, is the situation laid bare by a recent analysis of NHS admissions data by @asthmalunguk ๐ซ
Dr Farne was interviewed as part of @guardian coverage of the study: theguardian.com/society/2025/dโฆ
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Hugo Farne ๐ซ ๋ฆฌํธ์ํจ
We have a one year clinical fellow post (maternity cover) available. Study looking at human viral challenge in bronchiectasis. Would suit IMT or specialist respiratory trainee. Details: imperial.ac.uk/jobs/search-joโฆ Grateful for retweets. Please DM/email if interested.
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@AmazonHelp @AmazonAlexa Yes if you saw the screenshots on my first message youโll have seen that your team have recognised there is a problem with Drop In that the technical team are working on and will address in a future software update. Not a user error.
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@HugoResp @AmazonAlexa @HugoResp
Hello, we're sorry you're having trouble with the Drop In feature. The following page provides troubleshooting steps if Drop In wonโt connect or cannot access a specific device: amzn.to/4pXBDml. -Conor
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They were sceptical about its usefulness as โit doesnโt do anything you canโt do with a phoneโ - but โdrop inโ is different.
Would appreciate an update when the software fix is ready so I can tell them to plug it back in.
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Hugo Farne ๐ซ ๋ฆฌํธ์ํจ
Restricting access to suicide methods is one of the best evidenced approaches to prevention.
Barriers on bridges, limits on paracetamol & in developing countries, a ban on pesticides.
New review by my Manchester colleagues & friends. 1st author @SarahESteeg
BMJ Mental Health@BMJMentalHealth
๐ข New Research ๐๐ผ Does restricting access to lethal means prevent suicide? An umbrella review in @BMJMentalHealth finds strong evidence for physical barriers, pesticide bans & reduced paracetamol pack sizes, though study quality varies & LMIC data are scarce. Read more ๐๐ผ mentalhealth.bmj.com/content/28/1/eโฆ #SuicidePrevention #PublicHealth #MentalHealth #MeansRestriction
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Hugo Farne ๐ซ ๋ฆฌํธ์ํจ
Really coool. And very relevant to Pulmonary Fibrosis
#ScienceMatters
#CurePF4All
science.org/doi/10.1126/scโฆ
H/T @HaoYin20
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@ProfJDChalmers @donsin4 Agree but difficult to do a trial ethically when I suspect we all give T2 biologics for their comorbid asthma and wouldnโt want to randomise to pred? And would be open label given sc vs oral.
Is this a trial for a resource-limited setting? Also ethically challenging
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@donsin4 I use them and they work but itโs totally lacking in evidence.
Guidelines still say long term steroids as first line
Itโs an anomaly because this is just a subtype of t2 inflammation = of course it will response to anti-t2 biologics !
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Given the success of new anti-inflammatory biologics, is it time to retire chronic oral steroid therapy. What would be a clinical indication for chronic oral steroid therapy in respiratory medicine?
The Lancet Diabetes & Endocrinology@TheLancetEndo
Individuals on long-term oral #glucocorticoid treatment display an estimated prevalence of #osteoporosis or fractures as high as 30โ50%, rendering glucocorticoid therapy the most common cause of secondary and iatrogenic osteoporosis thelancet.com/journals/landiโฆ .
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The nearest stop (junction of Wood Lane and Westway) has been closed for 3 weeks to re-lay paving slabs. This has added yet another 10mins to my commute! Another reason for a stop closer to the Hammersmith Hospital campus.
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@TfL @ImperialNHS @imperialcollege @ImperialNHLI @ImperialCharity
0.6 miles / 13 min walk from the nearest Santander Cycle stop to Hammersmith / Queen Charlotte Hospital & Imperial Collegeโs site there.
Lots of staff!
Any chance of a stop on site?
Help us exercise!
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Worse today - last day of tube strikes.
I can only report 5 of these.
When will you make this a non parking zone @limebike?
When will you create an e-bike parking area @CityWestminster?
Disruptive for @ImperialNHS
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@CityWestminster @limebike @TfL
Ongoing problem with Lime bikes obstructing TfL cycle docks on South Wharf Road.
I report as often as I can and have time.
Please consider making this a โno parkingโ zone for Lime bikes obstructing TfL+/- creating a dedicated space for them.
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@TheRAC_UK I wanted to thank Justin, your excellent engineer who replaced the battery in our car this morning. He rang in advance, was punctual, quick and friendly, and provided useful advice to prevent recurrence. Couldnโt have asked for more. Thanks!
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Hugo Farne ๐ซ ๋ฆฌํธ์ํจ
Closing the Early Career Symposium, impressive work from Rebecca Hull @beccahull_ @dundeeuni showing positive results from the GREAT2 trial of anti-P.aeruginosa mAb in bronchiectasis, no resistance development, and improved microbiome #BTSWinter2025 @BTSrespiratory @asthmalunguk
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@doclip1 Same duration of expiration and flow rate though?
Find this is what most of my patients who canโt do it struggle with the most, but suspect it is an insurmountable obstacle given NO levels are proportionate to flow rate and need a certain amount of time to reach a plateau (?)
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@HugoResp seems to me that itโs a better all round experience in terms of user interface and graphics and display, but youโd have to ask the company if you want more granular information
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Got my FeNO measured this morning at BTS with the new Niox Pro
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@theveindoc You can argue about pay - how close it should get to which year using which inflation figures, over how long.
But there arenโt enough jobs throughout training & as GPs & consultants. Doctors being unemployed was unthinkable 5y ago let alone in your day.
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How much do junior doctors earn? The BMAโs claims examined
thetimes.com/article/ca2f8cโฆ
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