Charlie Hall

The Funduscope was invented in 1847. Neurologists in 1846:

@JohtChandan @DrBS_Bernstein @RoyalFreeNHS I shall be riding on your coat tails Prof!!! Very proud of you

@DrBS_Bernstein Mate thank you so much and I was reminisicing with @CharlesHallMD that this all started with ipads at the @RoyalFreeNHS 🙏

So proud of you @JohtChandan , what a G

Rishi Sunak: not the son of a toolmaker

I submitted an FOI request to the GMC asking them about the tax they pay. Turns out, the GMC do not pay tax. They class doctors' fees as charity. They take £500/yr from doctors, pay zero tax on it, and use it to give their staff £250k salaries and private healthcare.

You can't operate as a gardener without a big 4x4 apparently... 100kg in the front (which will also take a lawnmower). Even more with the trailer. (which was loaded with rubble when I saw it!)

"So the activated C1 cleaves C4 into C4a and C4b, which binds to the microbial surface. C4b then binds C2, which is cleaved by C1s into C2a and C2b, forming the C4b2b complex, also known as C3 convertase, which cleaves C3 into C3a and C3b."

@KColyerKirk Ambulatory care? That's just a direct line to @dannymcg

When you see it...

I paraphrase but ‘The reason we check BP on hospital inpatients is to monitor for *hypotension*, which can herald many medical problems. Asymptomatic hypertension should not be treated with extra STAT anti-hypertensives as this is associated with *harm*’

H/t @scullingmonkey

@Roxytonin 🧘‍♂️

@CharlesHallMD Patience young Padawan

Very exciting news kidney trainees interested in data... details coming soon 😄

@Roxytonin ☹️

@CharlesHallMD Ah sadly not for you - but in a few years....

Professor Magdi Yaqoob has been Michael’s renal consultant at the Royal London Hospital for the past 15 years, and has seen him through his recent successful transplant. #NHSHeroes 💙

@dannymcg @anandachap @drschaudhri @DrGavinDreyer @drsimongreen @amanjit @ralphcoulbeck @trissnrnurse Great work Danny

@Roxytonin @PrimeHydrate Ghastly stuff

Raging about @PrimeHydrate energy drinks They have captivated a young market with normal #Prime and now Prime #Energy is all children want It contains 142mg caffeine, 3x that in a can of Diet Coke There is no legislation on energy drinks for kids My 10yr old is begging for some

@Medic_Russell Antibiotic stewardship > romance. Proud of you

“Are you saying my family doctor who’s treated me for years and always given me antibiotics for every throat infection is wrong?” Yes. But it sounds like you’re exhausting and they just gave them to avoid this exact conversation.

lmao I’ve just had a lad on a dating app mansplain tonsillitis to me and insist I need antibiotics because “I’ve never ever had a viral throat infection, they’re always bacterial, I’m telling you it needs antibiotics” NOT TODAY SUNSHINE DON’T GET ME STARTED unmatched

@JohtChandan @KrishnaGokhale @Nirantharakumar @JClinPath_BMJ @thayakaran75 @rcgp @bmj_latest @UoB_IAHR @unibirm_MDS @dnepo What is so great about this is that we can start to question the reaction of stopping RAAS-i medications. When we only really have 2 medicines in nephrology, to stop one of them when it might not be necessary is illuminating. Do you have much in the way of subgroup for ckd

@JohtChandan @KrishnaGokhale @Nirantharakumar @JClinPath_BMJ @thayakaran75 @rcgp @bmj_latest @UoB_IAHR @unibirm_MDS @dnepo Joht this is fascinating and fantastic!!

🧵: The Impact of Seasonal Variation on Potassium Measurements and Prescribing Practice Did you know that potassium levels can vary throughout the year? Check out our recent study on this which explores its implications on prescribing practice. jcp.bmj.com/content/early/… See👇🏽

@JohtChandan Do you have any idea of how spurious hypokalemia came about. I can understand hyper, due to lysis of blood within the tubes, but hypo intrigues me

2/6 During winter, serum potassium levels peaked, while they hit a low point during summer. This seasonal variation has been observed in previous studies as well. So, why does it matter? Let's find out! #WinterPeaks #SummerTroughs

@ellennelsonrowe Headspace. You are likely to find the switch from student to working doctor quite hard, or at least i did. Give yourself some space to decompress from it. You get it for free with an NHS email too.

Right then any other useful apps for f1? #MedTwitter