Rheumatology consultant (ex-SpR)

I don’t want to hear it again! The Complete Fall from Illusory Grace of the US Government I don’t want to hear a word about your vengeful democracy About your principles About your human rights About your civility About your values I don’t want to see you aghast at what you consider deplorable. You are the epitome of deplorable. I don’t want to hear your moralizing I don’t want to hear you preaching I don’t want to hear you defending I don’t want to hear you denouncing I don’t want to read your stupid and hypocritical statements about others’ violations. You are the apex of violation. I don't want to read it in articles, hear it in University lectures, watch it on the news, or witness it in public space. You are done. You are done. Clean up your own mess henceforth. Fix your own. Fix yourself first. I don’t want to ever stop affirming the need to defend the victims of your hypocrisy, not just in Palestine. [This is not a hot take. It’s a sober take, for 100s of millions of people. It eschews Western European and Arab governments because they are impotent and dependent. It eschews Israel because, well Israel, and, no one really takes its supremacist quests seriously except its ardent supporters—hence the above—who are bereft of principles and doomed to be completely alone in their racist tirades, in good time Partially tweeted in November 2023. Finalized on Christmas day, a few days after the US derailed another cease-fire at the UN] Merry Christmas

Love when people say "the data speaks for itself" as if we didn't spend centuries specifically developing statistical methods because data absolutely does not speak for itself.

I feel utterly sick. There are no words.

Are you looking to submit your research to RMD Open? 🤔📝 🔸Social Media Editor @cristianasieiro joins Professor Laura Coates , senior editor for RMD Open to share insights on: 👉 What we’re looking for in submissions 👉To demystify the editorial process 👉Advices for younger rheumatologists looking to submit to the journal #ACR24 #Rheumatology #RMDOpen

@rudi_shukla @Kellgrencentre @MFTnhs Congrats, Rudi.... Well deserved.

Outcome 6 at ARCP is a sweet thing. ✅CCT in Rheumatology Very pleased to be joining excellent colleagues at @Kellgrencentre and the wider @MFTnhs as a consultant. A big thank you to all who have played a vital role in shaping me as a Rheumatologist. 🙏🙏🙏 ❤️AK❤️

✅ Classification of cutaneous #lupus in 2024 ⬇️ #dermatology

🚨REACTION: Oxfam and 38 aid agencies warn that Northern Gaza is "being erased", and urge global leaders to immediately end Israel’s atrocities. Read our joint statement 👉oxf.am/3YzLZxL

“A system will always fail at its most stressed component” This principle is true not only for the lung, but also true for your workplace, your lab, your hospital, your family, your country. 🙏🏼 @atzouvelekis for recording this 🙏🏼

Israel is committing a Holocaust on Palestinians. We will never forgive or forget. I'll not stand for it nor ever accept this as a 'right to self-defence'. Children, patients, civilians exterminated everyday in the most unjust horrific inhumane evil way possible! Zionism is evil

🚨🇮🇱 If any other nation did what Israel is doing EVERY DAY, we’d already have WW3.

I. In times of war, hospitals schools, places of worship were safe. Refugee camps were safe. Aid workers & aid were allowed for both sides. & allowed safe passages But not for the last year in Gaza I did not think I would witness this There are no redlines anymore. @KaminskiMed

What we witness unfolding in Lebanon mirrors the tragedy of Gaza. Israel’s strategy, as always, is built upon disinformation and manipulation. The same government that fabricated stories of beheaded infants will undoubtedly peddle similar falsehoods about missiles being concealed within civilian infrastructure.

A literature review summarizes existing research to provide context and identify gaps. Here's a simple guide to do one:⬇️

insane aura 51-yr old Yusuf Dikec of Turkey shows up to the Olympics for shooting without special lenses… without ear protection… hand in his pocket & both eyes open… and casually takes home a silver medal

I feel seen

Rct of > 200 patients with knee OA treated with usual care plus mtx vs pbo. Mtx titrated to 25mg weekly and showed improvement in pain score c/w PBO at 6 months w/o significant AEs! @Tuhina_Neogi @AM_Malf —will this change OA management?

Every fitness lesson I’ve learned after a decade in the gym: 1. Eggs are a superfood. Not a food to avoid. 2. Progressive overload is king. If you’re not constantly improving, you’re not going to grow, and you’re not going to get any closer to your goals. 3. Drink 1-2 cups of black coffee per day. You’ll suppress your appetite, burn more fat, and will optimize your mental and physical performance. 4. Hitting 10,000 steps a day is the most under-utilized yet effective fat-loss habit. 5. Eat protein first at every meal. It’s highly satiating, which means you’re less likely to overeat. 6. Minimize alcohol consumption. It wrecks your sleep, sabotages your weight loss efforts, and leads to many other unhealthy habits. 7. The quantity of food you eat affects how much you weigh. The quality of the food you eat affects your body composition. 8. Avoid liquid calories. They add up quickly. Stick to water, black coffee, and unsweetened tea. 9. Stop snacking. Eat enough high-quality food at each meal, and you won’t be hungry between meals. 10. Eat within a 12-hour window. For example, eat breakfast at 8 am and stop eating at 8 pm. 11. Do your workouts in the morning. Your willpower is high, and nothing can get in the way. 12. You don’t need to eat healthfully 100% of the time. Aim for 80%, and you’ll be fine. 13. Don’t worry about cardio. Get your steps in and lift weights. 14. Remove junk food from your house. If it's not in the house, you can't eat it. 15. Less is more. You don’t need to work out every day for hours at a time. Work out with intention and focus on recovery. That’s how you see the best progress. 16. The two-day rule is your friend. Don’t miss twice. If you didn’t get your workout done yesterday, you must get it done today. 17. You don’t need a pre-workout. They’re full of crap. Salted water, honey, and coffee are the greatest pre-workout. 18. A workout doesn’t need to be perfect to be worthwhile. 19. You need to eat more protein. Aim for 1g per pound of body weight each day. 20. Don’t wing it. You need to find a structured plan for your goal and commit to it. 21. Lifting weights is the best way to start changing your body. Whether your goal is fat loss or muscle gain, lift weights every week. 22. Avoid domino foods. These are foods that are hard to stop eating once you start. 23. Your identity directly impacts your actions. Decide who you want to become and determine what that person would do. Act accordingly. 24. Don’t drink coffee or energy drinks after lunch. You’ll wreck your sleep. 25. Inadequate sleep messes with your hunger hormones and makes you more likely to eat junk food. You need to sleep 8+ hours each night. 26. Increase the weights you’re lifting in the gym. Don’t stick with the same weight forever. 27. Manage your stress levels. Stress impacts insulin, testosterone, and many other hormones in the body. It blunts your ability to lose fat and put on muscle. 28. Track your workouts and body weight. Seeing progress will keep you motivated and will ensure you’re on the right track. 29. Great results come from consistency. Find a plan and stick to it. 30. Get into the habit of meal prepping. You’re way less likely to eat junk food when you have healthy meals ready to go. 31. Don’t cut out your favorite foods. Minimize them instead. It won’t be sustainable to cut out your favorite foods because you won’t stick with it. 32. Limit sugar. A little bit is okay, but too much will lead to inflammation and fat gain. 33. Drink more water. Aim for 2-3 liters every day. 34. Eat slowly. It takes about 20 minutes for the message that we’re full to get to our brains. Most people have already finished their whole plate by this point. 35. Go for a quick walk after every meal. This will help you get your steps in and will significantly decrease blood sugar spikes. 36. Progress won’t be linear. Don’t get discouraged if you sometimes go backward. Trust the process. -- If you want to get in shape this year, and: • Shed body fat • Build lean muscle • Optimize your metabolism In as little as 90 minutes per week, DM me "Interested" and I'll tell you more about how I can help you.

IT workers reporting to work this morning after the global outage

Delighted to share details of our 2nd Rheumatology Ultrasound Course in Manchester. Endorsed by the BSR. Lots of hands on scanning opportunity, small groups with a great faculty and lots of excellent real life pathology. @mskultrasound @BasuW27 @RheumatologyUK

Kid plays like he just got divorced and she took everything from him