lesley handyside💙

@AMAZlNGNATURE Mephistopheles

If this was your dog, what would you name him?

@alb_giraldo @DrAkhilX Thank you

@fatfetus @DrAkhilX Laboratory tests in rheumatology: A rational approach Ernest Suresh, MD, FRCP (London) blogs.the-hospitalist.org/content/labora…

Doctors — tell me one medical test you would never order for a patient, even if you were put in this situation. Why?

@alb_giraldo @DrAkhilX Interesting! Can you supply reference for this. I teach nursing post grad studies and would be interested to read this finding.

Ordering a rheumatoid factor (RF) test in a patient with no suspected rheumatoid arthritis (RA) or other autoimmune disorder is problematic. Although the name "rheumatoid" leads many doctors to associate it with RA, RF testing is not a suitable screening technique for RA in the general population and can be positive in several other chronic conditions (autoimmune and other types, especially infectious), as well as in the normal general population (5% in healthy 50-year olds and 10-25% in healthy 70-year olds). A significant amount of time is wasted in rheumatology clinics due to positive RF results ordered for diseases with which it is not even associated. Yesterday, for example, I saw such a result from a test ordered for a patient with lower back pain.

@Janeajnet @RoyLilley Err… I think that’s the plan.

@RoyLilley They’re making such a mess of the NHS that it will be easier to scrap it than sort it. Then those who can’t afford to get doctor care will have to take what they can get. Ignoring standards, promoting under qualified over qualified will destroy U.K. healthcare entirely.

in 2016 the NHS tried to cut headcount; managers, admin, back office. redundancy cheques were huge the work didn’t go away. It came back as consultants on day-rates, interims and agency cover. Consultancy spend trebbled to £22.65m in just two years.

@juliaisobela NNLS nearly broke me

These dummies are how I feel having just finished a day of ALS training (I passed! Managed 93% on the MCQ paper so very happy!!)

@cazzrhughes @DrRobgalloway Biologically speaking you’re right but most girls and women wouldn’t have an education and employment in their most fertile years.

@DrRobgalloway I honestly dont think this is talked about enough. We should be encouraging people to have babies earlier in life.

I’ve written a lot over the years — but my latest piece, published today in the Mail's health section, is the hardest thing I’ve ever written. It isn’t really about medicine. It’s about my daughter. Earlier this year, she was diagnosed with an ultra-rare genetic condition called DeSanto-Shinawi syndrome. Only around 200 people in the world have it. One single letter in her six-billion-letter genetic code is wrong — just one — and that tiny change has transformed everything about the life I imagined for her. It causes learning disability, mobility and speech issues, autistic features and various other health issues. Writing about it meant confronting something I’d been trying to avoid: grief. Not grief for her — because she is happy, loved, and full of life — but for the life I thought she’d have. The milestones I’d dreamt about — flying the nest, walking down the aisle, having children of her own — all disappeared in a single moment. And then there’s the guilt that comes with that grief. Guilt that I wish to my core that she didn’t have this condition but then knowing that If I took away the condition, I’d be taking away her. At the same time, I’d been reading a study in Nature showing that as men get older, our sperm accumulates more mutations — and I was 47 when she was born. As a doctor, I found that fascinating; as a father, unsettling and upsettling. But the truth is, that question no longer matters. What matters is the child in front of me — the one who claps to music, blows kisses, and laughs at her siblings, a full and happy part of our family. I wrote this article because so little is known about rare genetic conditions. When your child is diagnosed with a rare genetic condition, you can feel completely alone — torn between love, sadness, and hope, all at once. But it’s possible to hold all those emotions together. As a family, we want to use what’s happened for good: by talking openly, by raising awareness of rare genetic conditions, and by helping drive research so that one day, there may be treatments for people like her. I’ll share more in the next few weeks. Her name is Frankie. And she fills our lives with light. You can read the full piece here: dailymail.co.uk/health/article…

Practice nurses ‘influential and clinically vital’ part of the NHS, finds report nursinginpractice.com/latest-news/pr…

@charliersmith1 Glad to hear this, lass. One day at a time.

Because of my poor mental health, I haven’t been able to work in almost five months… Well, tomorrow that changes and I have my first shift back… wish me luck!! 😃

@amd4_ann She was a formidable journalist and made the bbc believable and trustworthy. It’s lovely to see her in person.

@fatfetus She had her ear-rings with her! She didn’t put them in as she has to wear two hearing aids.She had to come up close for questions.Caroline who works for Oxfam flew in from Germany to hear her.She was AMAZING! 🤩

So excited. Off to the Big Smoke to hear Kate Aidie,brilliant BBC journalist speak, as I was given the opportunity by the “Extreme medics” humanitarian organisation.💙It was a busy shift in the ambulance car last night but plenty of coffee should keep me going.🤞

@BrennanSurgeon That action alone reduces their stress and opens doors to chat about their worries. It takes us a corridor out of our way but enhances patient trust.

Today I helped a lost patient find their way, walking with them along this long corridor to make sure they reached the right clinic Working in a hospital, we should never forget just how intimating, scary & disorientating they can be for patients & visitors

@CBTofficial Childrens Burns Trust Kirstina Stiles speaking about first aid in burns the first 20 minutes is crucial for salvaging skin and preventing scarring 20crw.org @BCUAdultNursing

@BCUAdultNursing Burns conference at Seacole campus today. Excellent speakers and content addressing Burns: the global burden, first aid first, and our invited speaker Kelvin Okafor hyper realistic artist drawing people with skin differences. @MyBCU

@MyBCU Burns conference Dr Basiru Gai speaking on the ‘global burden of burns’. #publichealth #adultnursing. Brings to life the horrifying statistics associated with who carries the burden of burns injuries, death from burns underscored by social inequalities.

To highlight the important protection provided by vaccines offered in pregnancy, NHS England and UKHSA have produced a new joint maternal vaccines toolkit and creative campaign to encourage uptake among pregnant women. campaignresources.dhsc.gov.uk/campaigns/vacc…

@MyBCU Burns conference today at bcu. Our invited speaker and artist Kelvin Okafor who draws hyper realistic art featuring people with skin differences.

@EliMcCann We invite my colleague’s pug to stay for long weekends .. have never extended that invite to his owner lol. He always has a good time!

Our friends took our dogs for a hike today. We were not invited.

@BrennanSurgeon Looking forward to hearing about any new thinking or perspectives that emerge from your collaborative work ( not that we’ve mastered the initial findings mind you!)

Delighted to be in the South West with my British Airline Pilots Association (BALPA) colleague to run a human factors training day for the extended dental team Lots to cover including how errors happen, building great teams, situational awareness & decision making 😀

@RCRadiologists Sorry to hear of this loss to his wider family and friends and to his colleagues who will be shocked and saddened by this event.

We're deeply saddened that Dr Prateek Joshi, consultant radiologist at Royal Derby Hospital, and his family were on board the Air India flight which tragically crashed yesterday. Our thoughts are with his family, friends and colleagues, and all those impacted by this tragedy.

@NurseinPractice addressing antipsychotic weight gain in general practice. Eat less move more is not working , stigma , is there a long term cure? Dr Jo Howe