Tom Butler

Great #FGGuidelineReview by @tomdbutler @Jonathansegal85 - this one is on #UlcerativeColitis The other part is on #CrohnsDisease via fg.bmj.com/content/early/… Covering the @BritSocGastro 2025 #IBD guideline published in @Gut_BMJ via gut.bmj.com/content/74/Sup… @FrontGastro_BMJ

If you have a few moments to listen to this interview as a parent with your child. Possible one of the best post race interviews I have ever watched #PlayOn

@DrBenLovell I saw one in a museum once

Look what I found on the medical take office A question for people working in general or acute medicine: does this tool play any role in your current clinical practice?

@MemeRegOnCall Paeds and adult medicine. “They’re just small adults.”

Excited to see what services are going to be merged and what new specialties will emerge. Ortho-Resp. Renal-MaxFax. ENT-Podiatry. Interventional Cardio and Non interventional Cardio.

Your kindness can kill a bumblebee 💔 📢 Please share! Bumblebee queens are starting to emerge from hibernation. British weather isn’t always ideal and people with the best intentions can cause more harm good. Let’s change that. 🧵1/5

Are there any indications left for a rectal exam..?

@leicdan @JTA_Endo @anjan_dhar6 @JonnyBlackwell @RichardPollok @BSG @BSGTrainees @BritSocGastro Gastro regs are desperate to train in endoscopy and provide service lists. We need support of BSG and senior gastro to improve endoscopy training. BSG advocating the addition of PAs to training mix suggests they value cheaper, less skilled labour rather than prioritising trainees

@JTA_Endo @anjan_dhar6 @JonnyBlackwell @RichardPollok @tomdbutler @BSG @BSGTrainees @BritSocGastro But I don’t see people being so against nurse clinical endoscopists, only PA clinical endoscopists. Surely both take away training opportunities from doctors training??

Can’t quite believe @bsg have decided to support PA training in endoscopy. Gastro registrars everywhere scrapping to get endoscopy signed off pre-CCT. How is PA endoscopy within their scope of practice? How is this helping to improve our training opportunities? @BSGTrainees

@RichardPollok @BSG @BSGTrainees Gastro trainees are desperate to train in endoscopy, achieve timely sign off, train the next cohort of registrars and contribute to endoscopy service. @BritSocGastro statement has damaged my trust that those leading Gastroenterology in the UK want us to succeed as trainees

@RichardPollok @BSG @BSGTrainees I don’t know a world without CNS endoscopists, and I owe the vast amount of my endoscopy training to them. The current endoscopy service ecosystem seems to work. Ultimately, my worry is not really PA ability to perform endoscopy, it’s about why they need to. 1/

@nidhi_sagar84 @JonnyBlackwell @RichardPollok @BSG @BSGTrainees Yep, common practice unfortunately. Trainees with the time, enthusiasm and logistical ability to come in on their days off should be free to explore specialist interests eg research, advanced techniques rather than collection of core competencies.

Just spent over 1 hour on the phone to @BritSocGastro President @andymveitch - he is not good on twitter but is seeing the tweets, but as you can see from his 88 posts, this is not his preferred way to communicate. 1/x

@DisneyBen @drkeithsiau One way to cross a border I suppose

@drkeithsiau You could learn how to treat that at #ECCO2024

Apparently these are 10,000 years old tunnels made by giant ground sloths in Brazil, but they remind me of something else 😅

@tony_breu Fantastic as always. Could colonoscopy with O2 insufflation halt C. diff growth eg in resistant CDI?

1/18 🤔Why does Clostridioides difficile infection (CDI) so rarely cause bacteremia? Patients with CDI are some of the sickest I've cared for. And yet, the causative bacterium is rarely seen in the blood. This is rare among the severe infections I see. 👀Let's have a look.

A great opportunity to join us exploring the influence of rhythms in the body clock and microbiome on host immunity. Tick tock, time to get in touch!

@richardosman Mmm bop

Without any further information, can you can what this man's darts nickname is?

@MemeRegOnCall Thankfully nothing serious then

@tomdbutler On the original excel sheet it alternates light blue/dark blue but it got jumbled when I ordered it in number order

Hey #Medtwitter Today on my last Med Reg shift of ST5 I've hit 900 clerk ins. Here is a list of all the presentations I have seen since st3 and the number of patients with that presentation.

Excited to contribute to the circadian content at the BSI @bsicongress ! If you’re interested in how the clock regulates the immune system, come and see posters from the Gibbs lab including mine (p-581), @tomdbutler ‘s (p-211) and @DevinASimpkins’s (p-593)!

Are you a night owl or an early bird? 🦉🐦Either way, you can help researchers at the University of Manchester find out if human body clocks and sleep play a role in IBD. Find out more and take the questionnaire 👇 crohnsandcolitis.org.uk/research/resea… @OfficialUoM