Pharmacist back living in Nottingham. Interested in crit care, football, logic and science. Not always in that order... 👪⚽️🚴‍♂️🏃‍ All views my own. #TeamSFH

UK
Joined May 2011
I cant believe you have been gone 5 years. Seems like eternity and no time at all. It makes sense there is an england match on tonight. There is, and always will be, a spot on the sofa on match day for you @danbellj.
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And it begins..
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1/18 🤔Why is the BUN/Cr elevated in upper gastrointestinal bleeding? This question has been covered by @AdamRodmanMD and @WilliamAird4 but the literature is SO FASCINATING that I had to review it myself.
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Congratulations on undermining lawful industrial action conducted by our hardworking junior doctor colleagues. It would be regrettable if those pharmacists have been compelled to act outside of their scope of practice or job description.
Really productive day @barnshospital for our 'Pharmacy Discharge Team' (formed to help facilitate patient flow during the #JuniorDoctorsStrike). 17 TTO's written by our Pharmacist Prescribers... 29 in total over the last 3 days. Equivalent to a full ward worth of beds! 👏
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A recurring theme on #MedTwitter is frustration with #LookAlike medications. We get angry at drug companies & demand they fix what we think is a simple problem. But it’s not. It’s very complex, even bordering on “wicked”. I’m hoping this 🧵 might help tease that out. 1/
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Tom Bell retweeted
If you are as unhappy as i am at the new look medicines.org.uk and hate having to open multiple stems try just see the whole #spc I have found if you select the [print] option you can then scroll through the whole drug spc as before. #medicinescompendium
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One more redo🧵for the students... Here I will explain what is meant by 'French' when we are talking about Foleys and NG tubes and such. Also we will cover what the 'Gauge' of an IV means. (1/ )
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Two words, each hundreds of years old, that are still worth holding on to: ‘respair’: fresh hope, and ‘resipiscence’: a return to a better frame of mind. Here’s to both in 2023. Happy New Year.
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It's go time on Christmas 🦃
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1/9 The satisfaction I get from swapping bendroflumethiazide to indapamide (while trying to sound clever by muttering something about longer half life) may be coming to an end. Sigh. A reasonably niche 🧵 about thiazides for hypertension in the UK.…👇
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7 ways the EMPA-KIDNEY trial will impact clinical care in CKD A Thread 🧵 Sources @NEJM @NephJC @DiabetesCanada @AmDiabetesAssn @goKDIGO @ESC_Journals @hswapnil @kidney_boy
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World Anti-Microbial Awareness Week
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1/15 🤔Why do antibiotics reduce the risk of rebleeding after acute variceal hemorrhage? I understand why antibiotics reduce infections, but the mechanism by which they reduce rebleeding is not immediately apparent. Let's have a look.
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Pls share. There's a little known benefit for grandparents who look after their grandchildren while parents work. If ur a parent of an under 12, if your parent (ie childs grandparent) do childcare so you can work, u can apply to get em "Specified Adult Childcare Credit" /contd
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The @nationaltrust are giving away free family passes this week 🍃 These can be used up until 30th November. They allow up to 2 adults and 4 children free entry to one of their sites this autumn. 👇👇👇👇👇👇👇👇👇👇👇👇 nationaltrust-tickets.org.uk…
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The important questions for ICU clinicians : Who to treat and in whom is it possible to avoid unnecessary antifungals without risk? 🆕⚡⚡Review The Changing Landscape of Invasive Fungal Infections in ICUs A Need for Risk Stratification #IDTwitter #MedEd mdpi.com/2309-608X/8/9/946/h…
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This is a ⚡fantastic article⚡ by super 🌟s Dr. Bassetti & @davidvanduin @jac_amr We really need more adoption to RDTs coupled with stewardship programs Early appropriate diagnostics and treatment of MDR Gram-negative infections #IDTwitter #MedEd academic.oup.com/jacamr/arti…
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Ever wondered how a QR code works? No, me neither but it's low-key fascinating. (Warning, there is some extremely nerdy shit here.👇 )
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