Cathy Cooke

@Jennife10651535 Ah, not surprised, everybody seems to be an expert about everything these days 😏

@Cleverestcookie It's a bit of a single issue place at the moment....everybody's an expert about this war

Good morning xx

@DrSdeG I don’t come here often now, but occasionally I like to catch up with the lovely people like you xx

@Cleverestcookie Lovely to see you here xx

Now Obesity in Older Adults The most worrying phenotype is sarcopenic obesity (low muscle mass with higher fat) @EASO

@sib313 @prospectivetACP @SallyMi83941850 IME the NHS isn’t particularly efficient. That’s where the money’s going

@prospectivetACP @SallyMi83941850 And has been tested and proved false. The NHS got a lot more money post 2020, spent it on staff and achieved very little. The hypothesis that the problem was that money was diverted to private profit is clearly not true.

There is money in the NHS but it’s not going to patients…. Years ago when I first worked as a physio there was no private organisation in health, every penny went on clinical care. Then it started. First with the cleaners. 1/5

@theveindoc That’s a very small fire in a very large grate!

No way the French would outlaw their wood fires like they are doing in England

@DrSdeG Seems sensible

We need to be aware of this when we use GLP-1 in older adults. Do we need to consider increasing resistance exercise and muscle mass before treating? (This is just my thought, not the words of the author)

@Burnt2020 @RobSetters @InvCoriolis @Molly2323232323 @TheSnoozeDoctor Health professionals have overlapping skill sets but none are identical. The question to ask when replacing with a different profession is "what skills are missing, how critical, and what's the risk level?"

@RobSetters @InvCoriolis @Molly2323232323 @TheSnoozeDoctor So a questions for @RobSetters is what do you think an ODP should do to work as a physio? What should you do to work as a pharmacist?

Thoughts? 🧐

When I post reservations on #AssistedDying, the response from its supporters is always the same: choice. As if nothing more needs to be said. I’ve heard the same from Parliamentarians. It’s a good argument, individual choice matters, but does it outweigh everything else? 1/6

@Matt_Pinner Eva

Name ideas? 👵

@DocEmUK @wesstreeting Yes, overdue for DECADES

@wesstreeting Please review the medical exemptions. People with an underactive thyroid get ALL their prescriptions free, related or not. People with asthma - which kills - don’t even get their inhalers. It’s a joke. Change medical exemption.

Last year we froze prescription charges for the first time in years. We’re freezing prescription charges AGAIN - and we’ve kept all the exemptions for those who need them.

@DrSdeG Yippee!

And all is well again

Professor Alastair Denniston: The future regulation of AI in healthcare gov.uk/government/new…

@jamie_wallis Everyone thinks they're an expert on everything these days, Jamie, I empathise with your frustration

Thank you for all your supportive messages. I didn’t expect to be jumped upon for following evidence based medicine and I have muted thread for my own sanity. I will always try to do the best for my pts and try to guide them towards what they need following evidence of experts.

@Molly2323232323 @parthaskar Exactly. Doctors won't understand in depth the particular spectrum of knowledge and skills of other professions. All professional individuals are accountable to the standards of their own profession. Supervision of non-professionals would be a task involving significant resource

@parthaskar But those who claim their role is 'advanced practice in the base profession' also claim to work independently & autonomously So no supervision should be required If supervision and/or oversight are required, this should come from those in the base profession NOT DOCTORS

Lesser trained people (aka ‘Differently trained’ as per some) runs high risk of safety issues UNLESS the supervision is good and effective Problem? Anyone who tells you that senior clinicians have enough time in their job plans to supervise effectively? Either doesn’t work in the NHS Or are lying.

I have retired from seeing patients now but most days I think about it I think about what I got wrong. Usually in the diagnosis Diagnosis is difficult. Algorithms pick up common presentations. Rarely is this real life. This is why training, experience and supervision are vital

Highlighting the importance of careless words

@CarlBovisNature It is Somerset

What is the most beautiful county for nature in the UK? I'm obviously a bit biased, but Somerset takes some beating... 😍

Mind your own business @elonmusk , leave Britain alone

@wonkyalison Ooh, take care!

It had to happen. I've kept myself safe through all four months of the house ridiculousness, carpet cutting and carpet gripper removing. 'Fell' (lost balance) on the stairs coming down from coffee with a friend. Pride dented. Bum bruised. Knees and shoulder jarred. Ouch.🤦‍♀️

@VertueKarin @alisonleary1 Yes!

@alisonleary1 And yet research shows us that end user involvement has much greater success rates. So why don’t we do it? Is it because we don’t ask the questions that we know we won’t like the answer to?