🚨🇬🇧 RISHI SUNAK LIES A moment ago, Rishi Sunak declared the next British General Election In this speech, he lied at least 5 times - and in this thread I will expose them and the real numbers Attached is his speech, and I'll give timestamps in each post 1/7 ⬇

I work in a large teaching hospital and rarely see a medical student. We have set them up to fail. No apprenticeship. Poorly considered curriculum designed (at KCL anyway). No real longitudinal time with clinical teams. Constant interruptions. No “on call” experience.

#NewPaper from @AdeleKFielding and colleagues 'Pre-B acute lymphoblastic leukemia presenting with NPM1 and FLT3 mutations' #bloodcancer #research onlinelibrary.wiley.com/doi/10.1002/aj…

I tweet quite a bit - but this one is different and perhaps the most important I’ve ever written I hope it gets shared as much as possible, so new parents don't make the same mistake I nearly made (even as a dad of five, having worked in A&E for 23 years and someone who teaches

I'll be voting to accept this. No it's not full pay restoration but it's a decent way towards it. There has to be compromise on both sides and clearly with this offer there has been from government.

Female gender was removed from CHADS-VASc score in new ESC guidelines for management of AF. Rationale : female gender is a risk modifier rather than risk factor for stroke. Now we have a CHADS-VA score.

Doctors in training programs (in particular foundation doctors) : If you have lunchtime teaching, you should be taking a lunch break on top of that teaching. Scheduling teaching at lunchtime is a scam designed to maximise your service provision to the trust

Dr Linda Dykes has moved to Bluesky You can use colchicine for as long as you want in gout. The 6mg in total is nonsense. Go TDS for 3-7 days, BD for 3-7 days and then OD. Start early and slow wean. It induces lactose intolerance which is why it causes diarrhoea (that resolves w avoidance of dairy)

We probably do too many LPs. According to this study, if you have a negative CT within 24 hours of headache onset, the chance of you actually having an aneurysmal bleed is 0.1%. That's approaching the complication rate of a lumbar puncture.

Gonna yap for a second, because I'm honestly really bothered by this. I'm not even really much of a Daniel fan, but seeing this play out, you're not human if it doesn't upset you. The more I think about it, the way the Ricciardo situation has been handled is nothing short of

Some might remember my proposed education initiative to improve feedback and the general education experience for doctors in acute medicine last year. Well, I have now been running the ‘feedback clinic’ for a year, and I wanted to share my learning/experiences

I would suggest the correct response to this is for all doctors to immediately stop agreeing to doing overtime for waiting list clearing AT ALL. That may refocus the minds of NHS England. They can’t get those waiting lists down without senior doctors giving up their free time.

🩸 Another interesting case that we’re excited to finally publish - coexistence of CML and CLL requiring dual tyrosine kinase inhibition! #hematology onlinelibrary.wiley.com/doi/full/10.11…

PA Stephen Nash You wouldn’t allow a neurosurgeon to run a cardiology clinic, or a gynaecologist to run a rheum clinic. GP is one of the hardest specialties and by thinking any doctor can work in it shows a complete lack of understanding of the job role, training and post graduate exams.

We have patients queuing outside hospitals and GP practices, with millions on waiting lists and the 8am rush for a GP appointment. Come August, we may also have c20k doctors queuing outside job centres. This is what catastrophic workforce “planning” from NHS England Workforce, Training and Education looks like.

chest X-rays in textbooks vs. the one you desperately need on a night shift, alone with a person NEWSing 2,000

Amazing piece of work by Simon Craig & colleagues A caregiver's concern their child is getting worse is an independent risk factor for ICU admission A number of really important take-aways from this study so it isn't mis-interpreted. Thread 1/n 🧵 thelancet.com/journals/lanch…

Is this the end of rivaroxaban for acute VTE? Lana Castellucci presenting the COBBRA trial - 1st RCT comparing apixaban to riva over 3 months. 56% reduction in bleeding risk with apixaban. A safer Rx with the same efficacy. #ISTH2025

An excellent paper looking at an increasingly important aspect of medical education. Everyone in medical education should read and reflect on this 👇