Stefan Marciniak
@Prof_Marciniak
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Professor of Respiratory Science @Cambridge_Uni . Lung doctor @CUH_NHS & @RoyalPapworth . Fellow @Catz_Cambridge . For science & medicine see @MarciniakLab
Cambridge, England
Joined November 2012
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Pinned Tweet
When we talk about the NHS, it’s worth remembering these words of its creator
“Illness is neither an indulgence for which people have to pay, nor an offence for which they should be penalised, but a misfortune, the cost of which should be shared by the community”
Aneurin Bevan
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Both I and Cristiano Ronaldo can play football.
Both the vaccinated and unvaccinated can spread the virus.
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Could Johnson write a column on why junior aide Charlotte Owens deserves a peerage more than the chief medical officer, chief scientist, creator of the vaccine, or any number of doctors, nurses or physios who put themselves in harm’s way to save patients?
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This is truly shocking
It appears the then chancellor, Sunak, was antagonistic to the government scientists, perhaps having them excluded from key meetings & wanting them “handled”
Following the science, indeed
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MPs, like Sir Desmond Swayne, who oppose masks because they contain “gaps 5000 times bigger than the virus” shouldn’t be so fearful. We don’t respire, cough or sneeze individual virions, which are in much larger droplets. Worry not, & wear a mask.
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I disagree with the phrasing of this.
The public don’t have a “love hate” relationship with the NHS. Polls consistently show overwhelming support (dare I say love) for the NHS.
What the public hates is the effect of a decade of NHS-underfunding.
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I didn’t feel this would ever need saying but please NEVER share your prescription medications
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Thank you to everyone voluntarily continuing to wear masks in hospitals following the end of mask mandates. Your act of kindness speaks well of you.
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I find myself needing to repeat this after glancing at Twitter today:
I don’t know any doctor who gains financially from promoting vaccines. We do it to save lives & reduce suffering.
By contrast, many of those opposing vaccines are trying to sell you their book, diet, film etc
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If you went to medical school when it was free
If you do private work
Or if you no longer see NHS patients
perhaps you should refrain from criticising the striking NHS junior doctors for their of morals or ethics
They paid
They don’t have private income
They work very hard
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My ward round today was about 50% patients with covid. While the presentation has definitely changed from earlier in the pandemic thanks to increased immunity, the minimising language of this article surprised me. Covid remains a significant illness.
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Study finds
1. The NHS is highly efficient but under resourced. It isn’t the model that’s broken, but the under-resourcing
2. Below-average spending has led to fewer staff & equipment than other countries
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If we learned nothing else from the pandemic it should have been that going to work while virally ill is bad. You might be able to ‘battle through’ but those you infect might not be so lucky. Sick days are not lazy nor a luxury, they are necessary for public health.
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People think the pandemic is over.
It’s not. We’re only in October & are looking at a rocky few months ahead.
Please wear a mask, get vaccinated, distance, & ventilate rooms.
This isn’t political, it’s about people’s health & survival.
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We trained when the pay was better. We didn’t accumulate enormous university debt.
These young doctors have been pushed to this by a decade of being guilt-tripped into subinflation pay.
Be brave and admit that.
Apologise and help restore the profession you were once part of.
As a former NHS doctor, it makes me sad and angry to see doctors involved in action which I believe to be unethical and unforgivable, given the harm being done to patients and the NHS itself
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@carolecadwalla
And here it is. The entire segment is excellent and can be found on
@iplayer
#MashReport
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Emmanuel Macron put a mask back on today saying that it’s necessary to “get back to habit” of doing so when faced with a rise in the Covid-19 and other respiratory viruses
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I intend to continue sensible viral control precautions for the time being: I’ll mask, distance, aerate, self-test. If I’m infected I’ll isolate. The lives of others matter to me.
We are getting there, but denial will slow the recovery.
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Why do I still mask in meetings? Welcome to the third wave in 6 months. BA.4 & BA.5 in June.
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Just checking:
Are you ok for medical staff to see vulnerable people in clinic without knowing our COVID19 status?
Are you ok for the bus or taxi driver not knowing theirs while driving the vulnerable person home?
How about the shop keeper serving the vulnerable person?
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@DesmondSwayne
As a respiratory doctor and academic I see no sense in your tweet. What evidence do you have? Masks are a helpful measure in reducing viral spread. Please consider deleting your tweet.
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@GordonDougan1
@iturnbull79
I went to a state comprehensive in Nottingham. Grew up in a council estate. Now a professor in the Department of Medicine in the University of Cambridge. If I’m damaging Oxbridge so be it.
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Antivaccine misinformation isn’t harmless rebellion. It isn’t “sticking it to the establishment”. It causes real harm.
During the previous 7 days, I’ve cared for real people who have suffered harm from Covid, young people frightened off protective vaccination by fake claims.
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Would the media stop bashing GPs now? They’ve been traduced repeatedly this year. As a hospital doctor, I have huge respect for what GPs have done & continue to do during the pandemic. If you struggle to see a GP because there aren’t enough GPs, don’t blame your GP.
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Tomorrow marks the first anniversary of Dr Li Wenliang’s death. He alerted colleagues to a potential SARS outbreak on 30 Dec 2019. This subsequently proved to be a new disease, COVID-19. He died of that same illness a little over a month later on 7 Feb 2020. He was 33.
Des milliers de Chinois ont rendu hommage samedi sur les réseaux sociaux au médecin Li Wenliang, l'un des premiers à avoir alerté sur la dangerosité du nouveau coronavirus apparu à Wuhan (centre), à l'occasion du premier anniversaire de son décès du Covid-19 en février 2020
#AFP
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.
@BBCr4today
, please don’t let contributors get away with comments suggesting that vaccination doesn’t reduce spread of COVID19
Vaccinated people can still be infected & spread the virus, but at much lower rates than the unvaccinated
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If we believed getting infected were a necessary part of remaining well “we would still have open sewers and be drinking from water contaminated with cholera if this idea were followed to its logical conclusion.” Delaying RSV infection may be beneficial.
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A colleague of mine, a ‘junior doctor’, who is also a clinical academic with many years of clinical experience & a PhD will work nights all next week so won’t see her child during Christmas week.
She’s not moaning, it’s the medical job.
It does deserve appropriate pay though.
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"It was one thing to take your foot off the brake - but another to put your foot on the accelerator".
Most would now accept that Eat Out To Spread COVID was at best ill-conceived, at worse negligent
#DrDeath
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Seeing frightened patients regretting their decision not to be vaccinated is heartbreaking.
Please get your vaccine now.
And remember, nothing provides 100% protection so for now continue using masks, distancing, & ventilation while community levels are so high.
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Did Lord
@JimBethell
just say on
@BBCr4today
that “people made money by working in hospitals during the pandemic”?
Did he dare suggest moral equivalence between NHS staff and PPE profiteers who used the Tory VIP lane?
We volunteered for extra shifts for no additional pay.
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Is it really that unreasonable to suggest that avoidable deaths should be avoided?
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Will people who are obviously quite ill with viral infections _please_ stop going to work to spread their virus?
Please
Let the awfulness of the pandemic have led to at least one good societal change.
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Good start to the day.
Very nice chap just offered to let me go ahead of him in coffee queue because I’m nhs staff. I declined, but it’s wonderful that people still do think well of us nhs staff, in spite of what some newspapers would have us believe. 😀
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Am the son of an immigrant & am a consultant & professor.
On my ward round yesterday, the excellent junior doctor had been born overseas. He & I will be managing the ward again today, Sunday.
This is our hospital’s flag celebrating the many nationalities who work together here.
“In fact immigration and immigrants are part of the reason you CAN get an appointment with your GP”
@DrAmirKhanGP
uses facts and figures to demolish claims about immigration and the NHS made by Nigel Farage in last night’s episode of
#ImACeleb
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The virus isn’t democratically accountable. It’s a virus. Scientists must feel able to share information with the public.
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An appropriately robust response from the Royal College of Nursing. Politicians cannot make such accusations without challenge.
Our General Secretary and Chief Executive
@patcullen9
has written to
@Mike_Fabricant
over his comments today on nurses drinking in staff rooms during
#COVID19
.
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After reading a little Twitter today
I struggle to understand why so many Labour supporters vehemently dislike
@Keir_Starmer
, who unlike their previous leader actually came from a working class family and has a good chance of ejecting the Conservatives from power. He’s electable
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Mask-wearing cuts Covid incidence by 53%, new meta-analysis in BMJ
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Boris Johnson ‘clearly bamboozled’ and ‘confused’ about science, Patrick Vallance notes reveal
Turns out that electing an entertaining buffoon with a casual relationship with truth isn’t such a great approach
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My barbershop conversation this weekend in Cambridge
Barber 💈: I see you still opt for a mask
Me 😷: Yes, I just spent 7 days on the wards & saw patients with COVID19. It’s different (fewer severe cases thanks to vaccination) but not gone yet. I don’t want to spread it.
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Post-acute COVID-19 syndrome
I don’t think uncontrolled spread is such a great idea, all things considered
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Posted to help
@BBCr4today
, which seems confused
No, strikes haven’t caused the problem. Juniors (including docs with 8+ experience) are striking to fix the problem. They’re trying to help gov see that retaining doctors in UK medicine is essential for the NHS’s existence
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Would it be helpful if news outlets were always to attach “55 Tufton Street” to the name of each group based there so as to highlight their closeness?
55 Tufton Street Migration Watch UK
55 Tufton Street Taxpayers' Alliance
55 Tufton Street Vote Leave
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The NHS is 75 years today
It began with these words “There are no charges, except for a few special items. There are no insurance qualifications. But it is not a charity. You are all paying for it, mainly as tax payers, and it will relieve your money worries in time of illness”
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A calm, logical response
Guilt tripping docs into a decade of subinflation pay deals got us here. It must stop or we’ll lose of our best young colleagues
Would your plumber work for £14/hour at night?
Of course not, and your plumber doesn’t have £100k of university debt.
Rob delivers a good interview despite the interviewers best efforts to guilt trip.
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Masks have NO effect on oxygen saturation
You still breathe 21% oxygen. Paper & fabric can’t filter out oxygen.
There’s no CO2 build up either. The volume of gas in a mask is tiny compared to a breath.
If your sats drop, your finger moved or you’ve held your breath.
Relax 😷
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Fully agree with
@trishgreenhalgh
.
Covid admissions are rising once more, wards are turning red again, staff are being affected. The health system requires some covid control in the community otherwise less non-covid care can be given.
'Let's get used to wearing masks until the pandemic is actually over.'
Dr Trisha Greenhalgh disagrees and believes now is not the right time to lift restrictions.
She asks why the risk should be taken and says 'wearing a mask isn't going to stop you traveling.'
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Medical education is not about training students just to have the minimum skills to work on day one. Instead it provides a solid foundation of knowledge for a career in a complex, ever-changing scientific discipline.
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Some years ago
@Jeremy_Hunt
seemed unaware that we already work weekends - leading to a series of
#iminworkjeremy
tweets
To help avoid similar misunderstanding by
@wesstreeting
, the hashtag
#iminworkwes
was born
Glad to help Wes (am day 2 of 7 including alternate nights 👍)
8/9 year ago
@Jeremy_Hunt
told drs he would only give them a pay-rise if they agreed to work weekends - leading to a series of
#iminworkjeremy
tweets! Now
@wesstreeting
says he will only give the NHS more £££ if medics agree to work weekends… Well guess what?
#iminworkwes
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Depressing. As someone who has cared for patients dying from Covid and having telephoned their loved ones unable to be with them, I find these protests against coronavirus restrictions nauseating. The protesters should feel ashamed.
#TrafalgarSquare
As an NHS Doctor, I can't cope seeing these pics
#antilockdown
#londonprotest
right now. Most of you will not have had to see people dying from
#COVID19
or spoken to loved ones of those who have. Why can't we just keep each other safe?
(Pics from Twitter)
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We cancelled our lab Christmas party.
Really sad about this, but everyone agreed it’s not worth risking those with vulnerable family. The team deserve a good party, but they’re wonderful people and want to put others first. Am so proud of them
@MarciniakLab
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I’m for innovation education, but the sheer amount that medical students need to learn in their first 5 or 6yrs makes me suspicious of this headline. Medicine is already an apprenticeship, but it takes years of learning just to reach the apprentice point.
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.
@BBCr4today
Please properly balance your repeated playing of a sportsman’s vaccine hesitancy with well-informed expert explanation. Some people will mistakenly believe the sportsman is particularly expert. Every time you play the interview, please provide fact checking.
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I didn’t realise until part way through today’s ward round that the doctor who introduced herself as my SHO is in fact a redeployed urology registrar. People are mucking in and just getting on with it. NHS staff are simply wonderful!
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I’m concerned by the progressive loss of secretarial support for doctors. Fewer secretaries means doctors do more admin, which isn’t an efficient use of skill. Secretaries do much more than type letters. Shifting all admin to consultants is a false economy
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Apparently we haven't got enough money to spend £2 billion a year to restore junior doctors’ pay to 2008 equivalence
But we do have the £8 billion a year needed to cut inheritance tax for the few rich people who pay it
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@Mike_Fabricant
He partied while I was looking after patients suffering with Covid, ringing their distraught relatives, helping the say goodbye.
That you should consider him suitable for any office, let alone the highest, disgusts me.
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Raising the salary threshold for immigration to £40K would prevent many junior doctors from coming to the UK. Other parts of the social & healthcare sector would be decimated.
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I don’t know a single doctor who profits from promoting vaccination. We do it because our calling is to improve health & minimise suffering. By contrast, many of those against vaccines are trying to sell you something.
#VaccinesWork
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To the antivaccine/conspiracy crowd out in force today
1. Covid is real & horrible
2. Vaccination is safe & effective
3. Covid in pregnancy without vaccination is risky
4. No one is hiding treatments. We use them all the time. HCQ and IVM, however, don’t work for this disease
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Done. Out of office activated 📧
On vacation from tomorrow 😎
Expect subsequent 2 weeks of tweets to be mainly about France and wine and French wine 🍷
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If you’re in a position of authority do NOT be mean or snarky to juniors. As someone who picks up the pieces, I see such comments cause harm & distress. If you’ve had a bad day, talk to a friend, don’t snap at subordinates. 1 min for you can be a sleepless night for an innocent.
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Vaccinated! Didn’t feel a thing.
Thank you
@CUH_NHS
for protecting your frontline staff.
Now it’s up to my cells to express Spike protein so that my immune system can mount a protective response.
#DocsforVax
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Ok. At my age, I’m planning to learn to use R so I’m no longer reliant on students & postdocts (excellent though they R) for scRNAseq analysis & for making UMAP figures.
Any tips?
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Real respiratory doctors, infectious disease specialists & immunologists are telling you, vaccination is far far safer than infection. The vaccines are real. Less than 100% doesn’t equal “ineffective”. There is no global conspiracy. It’s that simple.
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💈: Isn’t it seasonal?
😷: We’re in August and yet we’ve had 3 waves in the last 6 months. So I’d say, no, not yet. It’s less bad than last month but I’m thinking about next month & the one after. Reducing spread still makes sense to me personally.
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💈: Hmm, I’ll probably wear a mask again when the weather changes.
😷: See you next time. Nice haircut, thanks.
5/5
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NHS registrar refused entry onto evacuation flight to UK
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Have a question about drugs for ER stress? Read our new paper in Nature Reviews Drug Discovery
@SpringerNature
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💈: I know someone with COPD who was fine
😷: Great. I’m glad they were fine. It’s all about probability. Knowing someone who was ok isn’t the same as looking across the population. It’s serious for some & a small % of a large number is a large number
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If fines are issued then lockdown parties were held.
If lockdown parties were held then lies were told.
If lies were told then politicians must resign.
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Does everyone now press lift buttons with knuckles in these COVID-days?
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@sharrond62
Respiratory doctor here. Please don’t discourage influenza vaccination for children. This is a very serious condition and gaining immunity to it by infection is a dangerous approach. These vaccines save lives.
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If the tactics of COVID deniers & minimisers seem familiar, they should, they’re the same tactics as used by the tobacco industry to oppose actions against smoking
H/t
@gregggonsalves
&
@GYamey
for pointing out this paper
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The new “Kent” strain of SARS-CoV-2 (officially named VUI 202012/01 for Variant Under Investigation, year 2020, month 12, variant 01) was identified as have multiple spike protein mutations
1/n
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Please don’t put off getting vaccinated. So many of us respiratory doctors have had sad and frightening conversations with young patients who couldn’t believe it’s happened to them. Vaccines are extraordinarily safe. Covid isn’t.
"I'm 23, I didn't get vaccinated, I didn't think it would happen to me"
"I'm 70, I'm vulnerable, I've barely left my house for 18 months, I've had both vaccines, I did everything they told me to do, I've been so careful, I don't understand"
The two faces of covid right now.
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Health Secretary spends £55,000 on virtual tours of “40 new hospitals” that don't exist
@SteveBarclay
arranged headsets to allow people pretend they’re getting treated in new facilities
This isn’t satire
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Off to work to cover junior colleagues so they make their legitimate protest knowing their patients are safe. Time for the gov to stop their intransigence and admit they were wrong, stop ‘limping towards the election ‘, and negotiate in good faith. Junior doctors deserve better.
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A long week. Tired. Slightly longer than expected because Covid impacting rotas. Thinking of my colleagues dealing w/ full hospitals, relentless covid, & knowledge that it’s only the beginning of November.
Please vaccinate, mask, distance & aerate. Not much to ask & will help.
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When will Wordle peak and should we fear a second wave?
1/97
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Scientists go into science because we are aware of uncertainties and want to find out more
This makes arguments with people who are plagued by certainty very difficult
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While masks aren’t perfect they do have proven benefit, FFP3 is best, surgical masks are better than nothing, we need to put them on to gain any benefit, if your nostrils are showing you’re wearing it wrong, no they don’t increase CO2 nor reduce O2.
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@KwasiKwarteng
Before attacking organisations that defend workers’ rights, have a think. Imagine that they hadn’t existed and you weren’t already wealthy.
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Worth keeping an eye on these data. Am not liking the trends in my neck of the woods.
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65% of voters say EU withdrawal has gone badly, poll finds
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It might be helpful if the House of Lords only renewed peerages annually based on performance
They could call it peer review
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💈: Manmade or natural?
😷: Natural, obviously. There are lots of nonhuman animal coronaviruses so transmission to humans is almost inevitable when we encroach on habits. Spread can then be very fast because of international travel. We need to be prepared.
3/5
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🚨Nuance alert
People are asking why I recommend masks when so many will ignore this guidance and even those following the guidance (including me) will occasionally not wear masks, say in a restaurant.
1/5
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When I was at school, I was told “children from this school don’t go to university”.
Careers classes used a cartoon that mocked a kid for being overly ambitious.
This messaging was wrong then.
It’s wrong now.
There’s nothing wrong with aiming high.
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Clear account of what happened because “too much airtime” was given to contrarians whose arguments were not supported by data.
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Southend Hospital oxygen supply reaches critical situation
More evidence that this isn’t a normal year. Would the armchair experts care to lecture me on this being a typical winter crisis event? No, it’s not.
My ward work today was ALL COVID.
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Child 1 finished university. An excuse to open the good stuff.
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Oh dear.
@BBCr4today
has Prof Sunetra Gupta on right now. She is suggesting that the new variant is NOT more transmissible, but also saying it is out competing the other variants. How? She seems to suggest it’s increased spread is promoted by herd immunity. Did I mishear?
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UK medical education is truly world class but the pay we offer our doctors, especially during the first 10 years post qualification, is not
The answer is not to cheapen medical education so graduates can’t emigrate
The answer is to pay our young colleagues enough so they won’t
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Again today consultants will cover the wards so our junior colleagues can strike knowing their patients will be safe
Their pay is 25% lower in real terms than a decade ago
Finance industry where
@RishiSunak
@SteveBarclay
worked hasn’t suffered
We need to value people
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Some misleading tweets being circulated abt coronavirus testing in University of Cambridge. Truth is extremely good news.
In wk 9 of asymptomatic testing, not a single student was a true positive. Control measures (distancing, masks & yes, asymptomatic testing) had worked!
1/4
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