Chemical Pathologist - Clin Biochem, Obesity, Nutrition, Inherited Metabolic Diseases. Personal profile; all views my own. Tweets are not medical advice.

United Kingdom
Joined May 2012
We have a long way to go with medical awareness and treatment of #POTS, and especially with provision of specialist services. But good to see this patient-authored article about the impact of weather on POTS in @bmj_latest. bmj.com/content/395/bmj-2026…
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Thought-provoking letter reflecting on the power imbalance inherent in the doctor-patient relationship. The doctor-patient relationship can be complex, and can vary depending on both the doctor and the patient. (continues)
Latest Letter: ‘Coercive control: Recognising relational patterns that affect patient wellbeing’; overlaps with patient healthcare experiences In December, my friend & fellow patient, Jo sent me a paper. Despite being on opposite sides of Earth, it was like we read it in sync 🧵
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In my experience, the doctor-patient relationship works best when it’s a partnership based on mutual respect. I can’t claim always to get everything right in this regard. Sometimes things go wrong, in which case it’s important to reflect on what could have been done differently.
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And, to get back to the point of this letter, always to be mindful of the power imbalance.
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We have new signs at work and they’re my favourite signs ever.
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I was reminded recently of this quote: “It’s amazing what can be achieved if you don’t care who gets the credit.” (Ironically, I can’t remember who said it, so if anyone knows please tell me and I’ll be delighted to give them the credit.)
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Replying to @acap
@ACAP conference thanks Dr Kevin Deans delivering an informative workshop on the impact of Obesity & Weight Reduction for our delegates #advancedpractice2026
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A warm welcome all 👋 #TeamGrampian
👋🧑‍⚕️ Welcome to all our new resident doctors joining NHS Grampian today, and best wishes to those rotating into new specialties. We’re delighted to have you with us and look forward to supporting you on the next stage of your journey. #ProudToBeNHSG #TeamGrampian
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A pleasure to have Gabriela with us in clinic last week.
The Medical Education Team would like to congratulate Gabriela, a visiting medical student from Palacký University Olomouc, following her placement with @NHSGrampian. Read the full article at: ow.ly/m2wi50ZvKor #ProudtobeNHSG #TeamGrampian #TeamNHSG
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Impressed with the expectations of this organisation: Email received 9.05am today: “XXXX has applied for a position with our organisation. Please return the attached reference by 3.8.26.” Message from XXXX at 1.18pm: “I’ve been contacted by Y to chase your reference.”
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Enjoyed spending time meeting our Laboratory Team today. Good to listen and learn. So much great work happening and ideas for improvement 🙏 #TeamGrampian #ProudToBeNHSG – at Aberdeen, Scotland
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MCAS is often (in my experience) under-recognised, and even when it’s recognised, the diagnosis can be met with (sometimes aggressive) rejection. However, this fascinating historical deep dive shows that it’s probably been around for a lot longer than might be thought.
Earlier this year, Afrin et al. published the updated mast cell activation syndrome (MCAS) Consensus 2 guidelines 👇 xitter.cf/angryhacademic/status/… I felt this was a perfect opportunity to pay homage to the historical precedent of MCAS, published here: degruyterbrill.com/document/… 🧵
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When the worlds of #ChemicalPathology and Fun Facts collide.
Replying to @angryhacademic
Fun fact: we secrete some cholesterol through our skin, and in some cases (e.g. if blood levels get too high) the fatty deposits can be visible 👇🏻 pubmed.ncbi.nlm.nih.gov/4430… ncbi.nlm.nih.gov/books/NBK56… jamanetwork.com/journals/jam… sciencedirect.com/science/ar… sciencealert.com/mans-carniv…
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They grow up so fast these days! #SeagullsOnTheRoof – at Aberdeen, Scotland
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Does Intermittent Nutrition Enterally Normalise hormonal & metabolic responses to feeding in critically ill adults sciencedirect.com/science/ar… Interesting paper asking whether continuous enteral feeding in ICU poses metabolic risk, since our body runs on daily rhythms @DeansKevin
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Delighted and honoured to take up the role of President Elect of the Association for Laboratory Medicine. Spent this afternoon meeting the fantastic LabMed staff team and making some plans. labmed.org.uk/our-resources/…
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Recently, I’ve seen examples of patient and public involvement & engagement done well: patients being central to the process from the start. I’ve also seen PPIE done badly: tokenistic involvement, often late in the process. This article gives pointers about how to do it well.
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WE HAVE A SEAGULL BABY!!!! #SeagullsOnTheRoof – at Aberdeen, Scotland
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Progress in mast cell activation syndrome: the global consensus-2 diagnostic criteria at six years degruyterbrill.com/document/…
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If you're a Clinical Scientist and are considering your next move, you may be interested in this permanent Band 7 Clinical Scientist Aberdeen-based post that we're currently advertising in @NHSGrampian. #ClinicalBiochemistry #HealthcareScience apply.jobs.scot.nhs.uk/inter…
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