Phil Smith

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Virtual hepatology clinics: convenient for some — but are they working for everyone? 💻🩺🤔 In @FrontGastro_BMJ, patients and clinicians from a regional hepatology unit share their experiences of virtual clinics in light of the Long-Term Plan. 🏥💬 A timely read on access, equity, communication and what “modern” outpatient care should look like. Read more: fg.bmj.com/content/early/… #Hepatology #VirtualClinics #OutpatientCare #DigitalHealth #PatientExperience #FrontlineGastro #GItwitter #LiverTwitter #HealthcareInequalities #ClinicalService @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @EASLnews @AASLDtweets @DrLChina @acv69cardenas @GeriKeane @jamesbmaurice @drobeirne @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

Subcutaneous infliximab monotherapy in IBD: does it persist in the real world? 💉📊 In @FrontGastro_BMJ, this real-world study examines treatment persistence and efficacy of subcutaneous infliximab monotherapy in patients with inflammatory bowel disease. 🧑‍⚕️🔬 Important data as IBD services consider convenience, adherence, drug levels and long-term treatment strategy. Read more: fg.bmj.com/content/early/… #IBD #Infliximab #SubcutaneousInfliximab #CrohnsDisease #UlcerativeColitis #FrontlineGastro #GItwitter #InflammatoryBowelDisease #IBDTreatment #ClinicalResearch @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

Paediatric IBD is rising fast — but what does this look like in the UAE? 🧒🌍📈 This @FrontGastro_BMJ single-centre study explores the accelerating burden of paediatric IBD in the UAE from 2012–2024, examining phenotypes and treatment patterns in a rapidly evolving clinical landscape. 🩺🔬 Important real-world data for understanding global variation in childhood IBD. Read more: fg.bmj.com/content/early/… #PaediatricIBD #IBD #CrohnsDisease #UlcerativeColitis #UAEHealth #FrontlineGastro #GItwitter #InflammatoryBowelDisease #PaediatricGastroenterology #ClinicalResearch @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESPGHANSociety @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

@StMarksHospital I am so sorry to hear this terrible news. Vats was a great person and doctor. Our paths crossed a number of times. He published with pride in FG many times. He will be sadly missed. Rest in peace. Love to his family and friends x

It is with deep sadness that we announce the passing of our colleague Dr Srivathsan Ravindran. Vats was a dedicated and highly respected physician, educator, and researcher in the field of gastroenterology; a loving husband, son and brother. We remember him not only for his outstanding professional achievements, but for his kindness, humility, and unwavering dedication to patients, colleagues, and the wider community. His legacy will live on through the many lives he touched. Full Obituary - stmarksacademicinstitute.org.uk/obituary-dr-sr… @Doc_Wot @LNWH_NHS

Colonoscopy under pressure — can AI help close the quality gap? 🤖🔎 This @FrontGastro_BMJ article asks whether artificial intelligence can support quality in insourced colonoscopy practice, where service pressures, demand and variation in performance all matter. 📈🏥 A timely read for endoscopy units thinking about innovation, governance and maintaining high standards at scale. Read more: fg.bmj.com/content/early/… #Colonoscopy #ArtificialIntelligence #Endoscopy #QualityImprovement #PolypDetection #FrontlineGastro #GItwitter #Gastroenterology #DigitalHealth #EndoscopyTraining @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

BREAKING: Nigel Farage bought a £1.4 million property in cash, shortly after receiving a £5m personal gift from billionaire donor Christopher Harborne, Sky News learns. Sky's political correspondent @AliFortescue has this exclusive story ⬇️  trib.al/1bMRCCs

So @wesstreeting has pressed the red button. Glad he is no longer SoS for Health. I hope, if there is a leadership contest he loses it, and hope if a general election is called he loses his seat. Otherwise, I wish him well. #ToryInDisguise #NotToBeTrusted

“But bread causes my symptoms…” 🍞🤔 How should clinicians approach this common consultation? In @FrontGastro_BMJ, this practical piece explores possible clinical scenarios behind bread-related symptoms — from coeliac disease to wheat allergy, IBS, FODMAP sensitivity and beyond. 🔎🩺 A useful read for turning a familiar patient concern into a structured, evidence-based conversation. Read more: fg.bmj.com/content/early/… #CoeliacDisease #IBS #FODMAPs #Nutrition #GutBrainAxis #FrontlineGastro #GItwitter #Gastroenterology #ClinicalPractice #PatientCentredCare @mnz_francesca @shefgastro @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

Just a thought. Wes Streeting owes his political status to the support he’s received over years from Peter Mandelson & Morgan McSweeney at Labour Together. He wouldn’t make a move against Keir Starmer without Mandelson’s say so. So look on this as Mandelson’s & Morgan’s revenge.

Unemployed GPs whilst patients are forced to see lesser trained substitutions. You know this is happening and you know what you are doing (as the Tories did), but you don't care as you know you will never see the substitute. You are not to be trusted. Sadly.

And I say that as someone who historically has always supported Labour. So it is sad for me to feel like this. 2/2

If you think @wesstreeting is the answer to @UKLabour's woes, you have not understood the problem. You might as well put a Tory into @10DowningStreet. Wes can't even get a decent majority in his own constituency. Not to be trusted, completely superficial. A narcissist. 1/2

@LostDazes That one didn't

@PhilSmithIsBack Do rheumatology consultants see the "easy" asthma patients in A&E?

"They can see the easy Asthma patients in A&E" - Prof Jane Dacre, Past PRCP #MedicineIsBrilliant - slow claps all round 👏👏👏👏 #TheyWereWarned #TheyChoseToIgnoreTheWarnings #TheyEnabledThis #SheDidNotEvenDoGIMorVisitAEHerself

Sexually transmissible proctitis: are current guidelines up to the job? 📋🧐 This @FrontGastro_BMJ study uses the AGREE II toolkit to evaluate clinical guidelines for sexually transmissible proctitis — highlighting variation in quality and opportunities to improve guidance for real-world care. 🔬✅ Important reading for gastroenterology, sexual health and infectious diseases teams. Read more: fg.bmj.com/content/early/… #Proctitis #SexualHealth #Guidelines #AGREEII #Gastroenterology #FrontlineGastro #GItwitter #ClinicalGuidelines #InfectiousDiseases #QualityImprovement @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @BASHH_UK @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

Choledocholithiasis prediction: is stone size only part of the story? 🪨🔎 In @FrontGastro_BMJ, this letter looks beyond stone size, exploring how clinical severity and sphincter motility may help predict choledocholithiasis. 🧪📊 A thought-provoking read for clinicians balancing imaging, risk assessment and ERCP decision-making. Read more: fg.bmj.com/content/early/… #Choledocholithiasis #Gallstones #ERCP #BiliaryDisease #Endoscopy #FrontlineGastro #GItwitter #Gastroenterology #ClinicalResearch #MedEd @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

@lascapigliata8 Yep. That was the PRCP at the time advocating for PAs

@PhilSmithIsBack So dangerous! There are no "easy asthma patients" in A&E. Poor patients!

@debzly Exactly. When she said it to me and the trainees section of the RCP, I was aghast. I remain, aghast. That was the PRCP showing a complete lack of insight. That's who was leading the medical profession. That's (partly) why we are were we are now

@PhilSmithIsBack Asthma patient bowls up to A&E it's not going to be "simple" !

Post-op Crohn’s disease: how do we prevent recurrence — and catch it early when it happens? 🔁🩺 This practical review in @FrontGastro_BMJ covers prevention and monitoring of disease recurrence after Crohn’s surgery, highlighting the importance of risk stratification, surveillance and timely treatment escalation. 🔎📋 A key read for IBD teams, surgeons and anyone managing patients after ileocolonic resection. Read more: fg.bmj.com/content/early/… #CrohnsDisease #IBD #PostoperativeCrohns #DiseaseRecurrence #FrontlineGastro #GItwitter #InflammatoryBowelDisease #IBDTreatment #Gastroenterology #ClinicalPractice @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

@Srisha_Hebbar @BritSocGastro @ESGE_news @FrontGastro_BMJ

Proud to share this work. Complications are inevitable in endoscopy, but how we respond to them, support our teams, and learn from them is a choice. I hope this is a useful read.@BritSocGastro @ESGE_news @PhilSmithIsBack