Interested in thrombotic microangiopathy?
Slides from talk I gave today👇(.pptx file above the README)
github.com/toates19/TMA-t…
The 2nd part of the talk is practical advice for the UK NHS so may not be relevant to you
Thanks to Roger Rodby for sending updated literature my way

Finished a gruelling week of acute general medicine yesterday

Today I took a day off and collected my second The MICHELIN Guide star of the month having lunch with two great friends

Look after yourself and enjoy it, your work doesn’t care about you

Exciting opportunity for doctors to join Team ACCU Royal London Hospital. Please share with people who might be interested! #criticalcare #phem #anaesthesia #emergencymedicine #trauma

NHS consultants running to drop Gen Med post take ward rounds

The level of vitriol in the name of U.K. medicine on here can be quite shocking at times

Giving a talk at the Royal Free tomorrow morning if anyone wants to buy me a coffee
Looking at you Jon Potts

Thing I care less and less about: CRP

Trying to think of a good, non offensive, qn to ask ppl giving talks on #AI & ML to show that they know very little about it (medics & start ups)

I only know tabular data so could be something like “what alternative measures of utility do you have?” (When showing ROC)

Ideas?

My anecdotal experience of use of D-mannose (and hiprex), admittedly in a specific population; long term kidney transplant recipients, has never been impressive so not surprised to see this

What happens to the discharge of a well patient when an unnecessary Troponin result comes back

Work, iron shirts, dinner for one, repeat

Weekend oncall: bad
Canteen Sunday lunch: good

Christ everyone is still going with the Meredith thing

Congratulations to everyone who’s received positive MRCP PACES results this week
Despite the troubles of Royal College of Physicians having that post nominal should still be seen as a real achievement and big step in your medical journey

Me, scrolling through all the Meredith memes

Being middle aged and doing inpatient medicine is just spending your whole time wondering if the headache and heavy limbs is exhaustion or a virus you’ve picked up

New work supporting a clinically important role of heat in exacerbating eGFR loss in CKD of all causes.
How best to protect vulnerable kidney patients in a warming world?
thelancet.com/journals/lanpl…
Malcolm N. Mistry
Dorothea Nitsch
Glenn Chertow
David C Wheeler
UCL Renal
The Lancet Planetary Health

If you care about this, or frankly the general erosion of curiosity and clinical priority as the drivers of U.K. medicine, you should read “Can Medicine Be Cured?” By Seamus O’Mahony
I loved it so much I wrote to him via his publisher to tell him

Rewatching it now in tribute
Properly joyful film
I’d def be a games guy lol