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Toby Richards

@TobyRichardsUEL

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Professor of Surgery, interested in clinical trials, collaboration and challenging opinion: Triathlete and wine enthusiast. Views (often strong) my own

London
Joined July 2016
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@TobyRichardsUEL
Toby Richards
1 day
In females Iron Deficiency Anaemia is the leading cause of years of life lost due to disability.
@ONTraC10
ONTraC
1 day
Diagnosis and management of iron deficiency in females
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@TobyRichardsUEL
Toby Richards
3 days
RT @UEL_News: Menstruation is impacting education and no one’s talking about it. New @HEPI_news report reveals 70% of students struggle to….
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@TobyRichardsUEL
Toby Richards
14 days
RT @UEL_News: Iron deficiency is one of the most common - but overlooked - health issues affecting young women. At @UEL_News, the Shine Pr….
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@TobyRichardsUEL
Toby Richards
16 days
Is this the first RCT suggesting better outcomes after Robotic surgery?.
@JAMA_current
JAMA
16 days
Robotic surgery for middle or low rectal cancer demonstrated lower 3-year locoregional recurrence rates and improved functional outcomes compared with conventional laparoscopic surgery.
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@TobyRichardsUEL
Toby Richards
18 days
The real issue now is one of cost effectiveness. The 15+ RCTs show no benefit so is the investment in tech better than the investment in staff?.
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@TobyRichardsUEL
Toby Richards
18 days
Symptoms of iron deficiency can mimic those of ADHD
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@TobyRichardsUEL
Toby Richards
22 days
Half of young women with Heavy Menstrual Bleeding have iron deficiency. In women < 25years with onset of HMB from the start with a history of nose bleeds or their mother had HMB or bleeding then there may well be an underlying problem with how their blood clots (Von Willebrand's)
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@TobyRichardsUEL
Toby Richards
24 days
This is the same principle of team work when holding wires and devices in endovascular surgery - everyone works together in the flow of production to one goal
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@TobyRichardsUEL
Toby Richards
25 days
This week 4 students screened 233 women 1 in 3 had heavy periods and 21% anaemia - yet there is no national screening program - anywhere - what if men had periods ?
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@TobyRichardsUEL
Toby Richards
1 month
spot the issue - wrong answers only @RoyalMailHelp @RoyalMail
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@TobyRichardsUEL
Toby Richards
1 month
I passed 200 original manuscripts published. Fortunately, due to great PhDs & colleagues, we get to publish in high end journals. BUT looking at the building blocks in IF3-5 journals - with APC today these would cost us >$250,000: I really fear for new academics and trainees
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@TobyRichardsUEL
Toby Richards
1 month
Pays to think ahead and buy a pension (30 years later) can now retire as and when i want
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@TobyRichardsUEL
Toby Richards
1 month
More importantly now is which journal can you publish in without $3-5000 charges ??.
@NicoGagelmann
Nico Gagelmann
1 month
I know you say Impact Factor is not everything, but we all know it is something!. Here are top hematology journals by preliminary IF. @BloodPortfolio.@TheLancetHaem .@Hemasphere_EHA .@BloodCancerJnl .@BCD_AACR
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@TobyRichardsUEL
Toby Richards
1 month
Returned to the UK two years ago - much happier
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@TobyRichardsUEL
Toby Richards
1 month
I do enjoy the bariatric meetings they always have the best food - first time I have had lobster on a conference menu!
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@TobyRichardsUEL
Toby Richards
1 month
Feeling redundant as our fellows work hard
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@TobyRichardsUEL
Toby Richards
2 months
Vit D is often low in iron deficiency and supplementation has no impact on iron levels. Another trial confirming Vit D as a marker of illness but not a treatment target
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cambridge.org
Effect of supplementation with vitamin D on biochemical markers of iron status and erythropoiesis in older people: BEST-D trial
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@TobyRichardsUEL
Toby Richards
2 months
Exercise - cures. .
@NEJM
NEJM
2 months
Original Article: Structured Exercise after Adjuvant Chemotherapy for Colon Cancer (CHALLENGE phase 3 trial) . #ASCO25 | @ASCO
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@TobyRichardsUEL
Toby Richards
2 months
TXA reduced bleeding in vascular surgery HR 0.85 n=1399: realistically there will not be a more specific study so vascular surgeons need to learn from cardiac surgeons and use TX. tranexamic acid in vascular surgery- a sub-study of the POISE-3 RCT
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academic.oup.com
AbstractBackground/Introduction. In the POISE-3 trial involving patients undergoing noncardiac surgery, tranexamic acid (TXA) reduced the incidence of the
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