Devan Sinha
@DevanSinha
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Neuroradiologist | Molecular Medicine | into science and data | via Oxford Med | https://t.co/V1TDFk8fVq
Joined September 2013
This CT scan is definitely the most traumatic during lockdown I've been shown. Archery accident. Arrow through the heart. Miraculously and thankfully the patient survived. Let's look at all the ways they were lucky:
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RT @sebatlab: On behalf of the CNV analysis workgroup of the @PGCgenetics I'm pleased to share our latest paper "Psychiatric disorders conv….
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RT @MaxWarnerIFS: There are reports that the government is considering changing student loans or pensions for resident doctors. We've writt….
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Trump-Epstein maelstrom popping random things onto TL like this @guardiannews special investigation from.*5 years ago*. They literally describe an instance of Trump arranging trafficking of girls to Mar-a-Lago in 1993 for Epstein. Wasn't this all known & horrifically discounted?
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RT @DrDLittle: Statement from @RCRadiologists following @lengreview . - No role for PAs in Diagnostic Radiology. - There may be a limited,….
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Not sure it's cheaper for govt than a negotiated pay settlement either. Outstanding debt across doctors with Plan1+Plan2 student loans will be in the order of ~£6 Billion, and expected future return to student loan company ~2X that from high interest accumulation before paid off.
I feel trading lack of pay for those in student loan debt is very silly. For the following reasons: .- those who are Scottish that work in England will not benefit.- those that came to uk to study and paid international fees will not benefit .- some people will have been trying.
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Now this is proof of the decline and fall of British civilisation.
In My Opinion: “The sooner we get rid of queuing, the better.”. Esme Gordon-Craig is a journalist and she says that technology is finding so many ways to get rid of queuing. What do you think?
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RT @KerriBaker20: Fascinating watching unscripted interaction, authentic debate and live decision-making by physician/radiologist teams at….
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RT @mvaduganathan: Just 5 years ago, HFpEF was described as the “stepchild” of HF with no approved therapies. Today, there are 5 US FDA th….
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Whilst I still don't agree with his overall 10yr plan and taskification of healthcare it entails. Imho, on this PA issue, he's been a more responsible and responsive Health Secretary than any other for 15 years.
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And must fix it all within budgetary constraints, whilst keeping multiple stakeholders on side & preserving the govts/his political support. But he did sign up for the task. He is in politics, in parliament, in cabinet. He sought the power & should be accountable for its use.
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Tbh Streeting deserves sympathy for the clusterf*cks left in his intray:. ▪️PA deregulation of healthcare standards.▪️ Training bottlenecks pushing UK docs out.▪️ Simultaneous lack of GPs & specialist docs but unemployed docs post CCT.▪️Anger over 14yrs of real pay cuts 2009-23.
I took seriously the concerns being raised with me about physician associate roles and commissioned Gillian Leng to do a proper review that followed the evidence. Now I will act - starting immediately.
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RT @Mike88881221: The @lengreview tells @gmcuk they must revise Good Medical Practice "to provide distinct categories for PAs.and AAs". Was….
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Leng hasn't/can't resolve inherent logical inconsistencies & risk with PA project given how DHSC wants to train/deploy them. Considering where DHSC, NHSE, GMC, NHS MD, CMO, RCGP & RCP leadership were. It's more than I cynically expected. Vibe has shifted but we hv more to do.
1/ Now the embargo has lifted, I’ve had time to read the @lengreview in full. While some celebrate minor cosmetic wins, I see the formal entrenchment of a parallel, underqualified medical workforce — built without medical training.
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RT @Doc_HLE: @medicalmodelbri @bmj_latest @Clin_Med Do physician associates and medical graduates have comparable knowledge? A re-analysis….
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Ultimate troll move would be for the Nobel committee to give Melania the peace price if she gets him to stop Russia.
Trump on Putin: “I go home and I tell the First Lady, ‘you know I spoke to Putin today, we had a wonderful conversation,’ she says ‘oh really? Another [Ukrainian] city was just hit.’”
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Concur with this sentiment. Still disorietating realising I was nodding to some sentences written by Melanie Phillips. P.S. won't be cheaper tho. Dutch universal social insurance model whilst superior with better health outcomes and accessibility costs £1,100 more per person.
Having worked in the NHS for 15 years, I concluded this a long time ago. 👇. I went into medicine because I wanted to care for people & provide a good service. The NHS healthcare model is clearly failing & it’s time politicians were honest about this.
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GP led primary care is so under resourced that a £20 co-pay would boost total funding by 80%. If DHSC doesn't take it as an opportunity to cut their primary care contribution further and presuming inelastic demand (highly probable).
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Will be sad to see this kind of discovery come to an end or become rarer once Trump Admin's cuts to NASA and LIGO's NSF grants are fully implemented reducing the capabilities of the sys.
We are excited to announce the discovery of #GW231123, a gravitational-wave signal from the merger of two high-mass black holes to form one about 190–265 times the mass of our Sun. #O4IsHere
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