Ed

The Marina-Rolls-Royce is a one-off racer that uses a 6 ¼-litre Rolls-Royce V8 engine and a multi-tubular spaceframe chassis! Have you ever heard of a racing car that uses a Rolls-Royce engine? #80MM #RollsRoyce

Can’t be more proud…Royal Liverpool Liver Unit has been accredited as @IQILS_Liver level 2, first in the North and 8th all over UK @LivHospitals @edbritton83 @DrTimCross1 @jamessumnerNHS

@omar_elshaarawy one for journal club

The ESGE guidelines on the management of esophagogastric variceal hemorrhage are now available. Very nice discussions among hepatologists and endoscopists bring this complete document! thieme-connect.de/products/ejour… @ESGE_news @iangralnek @jcgarciapagan @liverunitclinic @hospitalclinic

ASEPTIC: another landmark trial in the making From Alistair O’Brien Cotrimoxazole (Bactria DS) versus placebo for primary prophylaxis of SBP Trial design paper now online doi.org/10.1186/s13063… #livertwitter

Continuous infusion antibiotics might be better than intermittent dosing in #cirrhosis academic.oup.com/cid/advance-ar… Cheaper. Looks more effective. I think about this often. Sadly I forget when I am rounding. Remind me next time, #livertwitter

Have a pt with cirrhosis and aortic stenosis? Check out this collaborative effort with @doctornikkid for an approach to navigating AS and CLD in Hep Comm! #LiverTwitter @AASLDtweets doi.org/10.1002/hep4.2…

@ClinicLiver @sterndrnick @MaggieCorrigan @DrTHydes @BASLedu @GutsCharityUK @merseygastro @edbritton83 @LivHospitals

Solid advice!! @PhD_Genie @PhDVoice @PhDMemes

@audsies @RajivJalan1 Transplant for ACLF - is this the tail wagging the dog. Are we better focussing on a networked approach ITU care for ACLF pts across the county.

"Go early, go hard" is message from @RajivJalan1 on treatment for ACLF and "give up" if not getting better within 7 days if not for transplant. #basl2022 hard conversations to be had sometimes with ICU colleagues and also with transplant surgeons!

Dr Alex Gimsom suggesting we need to evaluate outcomes (for both populations and individuals) from liver transplant to expand indications. #BASL2022

Off too Leeds tomorrow for @basl_events conference. Looking forward to catching up with people having missed EASL due to trains strikes #BASL2022

@ebtapper @serperm Be careful what you wish for. Works well if used appropriately. Lots on inappropriate non specialist use goes on

@serperm Amen

18 months later, Terli approved

Not long to go now - book online cheshiresportive.co.uk #cheshiresportive #cyclingsportive #cyclingevent #cycling #sportive #cheshirecycling #CHESHIRE

Freedom 🚴 Where will you be riding next weekend? Join us on the @CheshireSportiv 11.9.22 for 68 miles (or 30 miles) of Cheshire’s best lanes, climbs and descents - don’t forget to book! This was #troughofbowland in #Lancashire, evening sunshine ☀️ #cheshire #sportive

4 DAYS TO GO AND WE'RE EXCITED! THIS SUNDAY, join us for the 6th annual @CheshireSportive - Le Route (68 Miles) takes in the full route, with a food stop around the Cat & Fiddle. Le Demi-Route (30 Miles) cuts back before the #GoytValley section. #sportive #cheshire #knutsford

@HillsideFethiye 1st tweet in a longtime! Booked for next summer and can’t wait to return after a 3 year gap

Feel Good

@AtoosaRabiee @FahdRana3 @BritSocGastro Agree with this continue anti vitals and search for other causes. HDV status?

Case: 27/M. HBsAg +ve e Ag -ve HBV DNA undetectable ALT 55❗️ Fibro: 5.7 Kpa (patient not keen on biopsy) USS: no cirrhosis, no evidence of fatty liver on TAF 25mg OD for 18/12 as e antigen was +ve In view of raised ALT should we continue TAF? @AtoosaRabiee @BritSocGastro