Moved to tears tonight by thankyou email.1 of 2 of my
#lupus
#patients
who had long long awaited babies this w/end
Not all plain sailing but the absolute honour & privilege of my career to have facilitated >1000
#pregnancies
in
#women
with
#KidneyDisease
disease
Never gets old
39 years wedded today, 44.5yrs together
How it started
How itโs going!
Still laughing together#
(& couldnโt resist the one showing we still scrub up well!)
๐๐
@WhitHealth
Sorry but what message are you sending here? If youโre sick enough to need ICU, you should not be expected / encouraged or supported to do exams
He should be allowed to fully recover and then be assessed. Real support would be finding way for him to do exams later.
Our wonderful,funny, brilliant friend
@SevdaHassan
has died ๐
Sevdaโs laugh would light up a room, her wicked sense of humour captivating
Sevda we will toast you often & remember you well. The
#kidney
community has lost a star
Sending love & strength to Sevda's beloved family
So I had to leave the
#RCPEGM
early as off to the theatre.
But it was appalling
Will tweet at length later but questions ignored, not answered even when not & what seemed a deliberate ploy to filibuster
@RCPhysicians
@DrSarahClarke
1
Moved to tears tonight by thankyou email.1 of 2 of my
#lupus
#patients
who had long long awaited babies this w/end
Not all plain sailing but the absolute honour & privilege of my career to have facilitated >1000
#pregnancies
in
#women
with
#KidneyDisease
disease
Never gets old
Surprised how emotional...
2 yrs ago welcomed home after axillary clearance with โboob muffinsโ made by DD. So much has changed
Today v v happy & thankful to get 2 year all clear
Well aware Iโve had an easy
#breastcancer
journey so far-sending good vibes to all those on theirs
Hamas Official Ghazi Hamad: We Will Repeat the October 7 Attack Time and Again Until Israel Is Annihilated; We Are Victims - Everything We Do Is Justified
#Hamas
#Gaza
#Palestinians
Spending the day with my dear sister
@hospicedoctor
- a year ago today our world changed forever.
Phoebe would approve - not working; a spa day and an ice cream tea
๐๐๐
Honoured to have been elected deputy chair of Western European region of
@ISNkidneycare
and to be Presidentโs choice to be member of the
#ISN
exec. Excited to help further the amazing work already being done to address
#kidneyhealthinequity
globally.
#kidneyhealth
for all
#ISNWCN
@DrAseemMalhotra
Omgโฆ please just go away! I do t understand why
@gmcuk
have not revoked your registration.
The lives of millions of people been saved by
#vaccines
including
#kidney
#patients
who died in their 1000s in the 1st wave of
#covid
- they (& we) fought for early access to vaccines
Celebrating the good things in life: Blessed to have reached our 38th wedding anniversary (nearly 43yrs together since Nov 78
@Cambridge_Uni
#medsoc
ball!!). The weather is not as hoped, but a lovely weekend planned & thankful to be here to enjoy it with the man, & fam, I love!
Too tired tonight after a v long day to write my ๐งตon all that was wrong with how
@RCPhysicians
officers dealt with
#RCPEGM
But 0 of my online ? were asked & we couldnโt see other questions posted
So:
1: will the RCP post all the online ?s
2: everyone post their submitted ?sโฆ
Hi! Iโm a
#nephrologist
. You may know me from greatest hits including โNo, kidneys donโt mind how much alcohol you drink, thatโs your liverโ, โNo a simple renal cyst on US does not require referral to renalโ; โAn 89 year old with an eGFR of 45 will prob live longer than meโ
Hi! Iโm a Haematologist. You may know me from my greatest hits including โPlease donโt transfuse patients with iron deficiency but give IV ironโ & โNo you canโt have FFP the patient isnโt bleeding & their APTT is only 1 sec over normal range, just get on with inserting the lineโ
When a Sunday vaccinating session gives you a chance to see your daughter - she volunteered to help with admin and ushering. Happy mummy.
#COVID19
separates;
#CovidVaccine
reunites in unexpected ways
@natgoodman_
@amateuradam
Adam this is very special. I couldn't watch beyond the 1st 2 episodes - it was too true to life & the sad thing is I was a trainee dr years before you; how awful that so little had changed
Planting Shruti's tree is a truly lovely thing.
Please continue fighting the good fight
We are bereft-our darling purple haired kind funny witty generous niece Phoebe died unexpectedly in her sleep on Sunday. Phoebe was integral to the concept of "our family". Heartbroken for my sister Ros
@hospicedoctor
& my nephew Sammy. Will be forever missed but never forgotten
Please read
@trishgreenhalgh
๐งต.
@RCPhysicians
officers appear to have acted in bad faith - the raw data from survey in NO way reflects summary slides presented at
#RCPEGM
Releasing data midway during voting is wrong
Has not been sent to all
#FRCPs
@CivicaUK
shld allow vote toโฆ
BREAKING
The senior officers of the Royal College of Physicians commissioned a survey of MRCPsโ views on physician associates (PAs). They have today released the actual findings, but the back story is shocking. Iโll link to the raw data at the end of this ๐งต.
1/
Feeling very blessed tonight -
#FND
to celebrate our sonโs engagement to a wonderful young woman. Tonight we hosted her parents & 1 of her 7 siblings. Very very jolly evening - first FND not in the kitchen in a v long timeโฆ
๐พ๐ฅ๐ฅ๐๐๐ฅณ๐
#ShabbatShalom
1 yr ago I could barely walk 200yds because of my crumbling knees: Aug & Oct 2
#newknees
Feb-April 21 worsening exertional angina - ltd to 10 mins walking max. April 4
#newstents
Today in the Lakes the sun shone & I could do this; huffed & puffed a lot but still... so ๐๐ป๐๐ป
Ok here goes
2011-2021
52-62
#10yearphotochallenge
(no filter)
Much has happened, not all good
V few pics back then
Cameras much better
Make up skills much better
But also am in a better place thanks to many wonderful people
Wishing everyone a much better year & decade ahead
#COVID19
Admissions unsurprisingly rising in London hospitals but why arenโt they all going to
@NightingaleLDN
- shouldโve been adapted to take acutes & rehab & allow rest of
#NHS
to function as normal in second wave. Canโt afford another NHS shutdown.
@MattHancock
@DHSCgovuk
2 posts today proving so clearly why the
#global
protests are all about
#Jewhatred
#antisemitism
& zero to do with the state of
#Israel
apart from denying its right to exist
The first is absolutely worth 10 mins of your time. Calm, rational, thoughtful
#RobertHabeck
1/
Dead chuffed -weโre now a 2 Prof household! Mazal tov to my v impressive OH-Prof Ian Goodman, newly minted Prof of Strategic Development of
#PrimaryCare
@Bruneluni
Medical School. Goodness how his GP dad & GP grandpa would have kvelled! Hope not too long til we can party! ๐ฅ๐ฅ๐ฅ
A good day to thank my Palestinian cardiologist who takes such care of me & my heart, the innumerable foreign born nurses & drs whoโve seen me through my breast cancer & knee surgeries & stents; the Filipina & Roumanian nurses who cannulated my one good vein so well recently.
A good day to thank the Portuguese nurse who found a vein for my chemotherapy when nobody else could, and the Spanish surgeon who did the emergency operation that saved my life.
Excellent thread from
@doctor_oxford
taking apart
@wesstreeting
โs shameful attack on
@NHS
staff at a time when huge numbers leaving or retiring early because itโs just so soul destroying trying to make it work
Must read.
#NHS
Many thanks,
@wesstreeting
.
Have to say I really didn't have "stop exploiting those patients you see dying in corridors in horrifically overwhelmed A&Es" on this year's Christmas list.
Please consider reading this short thread in response to your Sunday Times interview. 1/n
Online I asked:
1) Please clarify how a PA adds to the MDT - itโs clear what doctors, nurses, pharmacists, dieticians add but what does the PA add that a doctor canโt?
#RCPEGM
2/
Was such a lovely day - we partied!! Hoping all the negative lateral flows hold good!! Garden doors open whole time. Tea outside all afternoon for our friends & family & then their close friends came and partied.. a very good end to a challenging year! Bring on the wedding! ๐๐ฅณ
@Katy_potatie
Iโm 61, a prof, have children aged 27 and 25 both of whom have travelled the world extensively and lived abroad. Neither lives at home. Yesterday my son was flying to Bologna on hols. I thought it wise to remind him re passport etc. His reply...
#alwaysmychild
#parentsworry
1/
Ashamed to be a member of
@TheBMA
after all these years. This letter is as far from a statement of neutrality as can be imagined
NO mention of
#hostages
which include children and women who have been held for over 100 days without any access to
@ICRC
NO mention of theโฆ
"It is vital that the UK stands up for human rights and medical neutrality during this crucial period if, for no other reason, than it is the right thing to do."
@DrPhilBanfield
&
@DrLatifaPatel
have written to Govt requesting urgent support to the humanitarian crisis in Gaza.
A cheering thread: with permission from Vaccine Task Force, & as part of
@UKCICstudy
to assess immunity post
#CovidVaccine
, it was wonderful to offer
@AstraZeneca
vaccine to all patients in 1 of our
@ImperialNHS
#dialysis
units. Huge volunteer effort at no notice on sat & sun 1/
My parents zโl married today 67yrs ago-thatโs them on L & on R with my dadโs parents & his 6 siblings & spouses-my beloved aunties & uncles who filled my childhood.All dead but a legacy of 18 close 1st cousins whoโve had 51 children-current ages 1-51yrs!next gens ~96 & so far ~9
A good day - no longer have
#LockdownHair
(still lockdown grey!) & cycled up and down country roads for 1.25 hours - got a little lost but pleasantly so...
2) Why is the
@RCPhysicians
focusing on PAs who will create work for their supervising drs and detract from training for trainees? Surely the Collegeโs role is to support drsโ - their development, their career progression and their workload as consultants
#RCPEGM
3/
In midst of unimaginable tragedy,
#LucyDee
zโl family gave permission for the murdered mother of 5 to
#donate
her
#organs
. Such a positive, brave & altruistic act in the face of such loss
#MaiaLee
zโl
#RinaLee
zโl
May their memories be for a blessing
Surrounded by f***ing morons not wearing
#masks
on
@tfl
- sorry but Iโve had enough.
They would be fined or worse if didnโt wear a safety belt when driving
Itโs to protect others not just yourself
When did
#londoners
become so bloody selfish?
@MayorofLondon
sort this
@matthaig1
Possibly the happiest thread Iโve ever seen on twitter. Just lovely. Hereโs ours - July 24th 1983 - one week before I started working as a newly qualified doc. This is my favourite photo - my dear late parents, my fatherโs advice to my husband โCourage mon braveโ!!!
Chose
#nephrology
aged 26; โof course you can do it but canโt be part-timeโ
At 29 chose my PhD supervisor as his opening line was โgreat time to have a babyโ
Didnโt succeed til my post doc
Worked full time++ til they were 7 & 9
2 fine young humans despite my benign neglect
I became a mum twice during my doctoral studies. Work could wait. These fine young men are the product of day nursery care and โdoing the juggleโ. Also shout out to Spouse.
Goodness:landed nearly on time despite delays in TelAviv. Welcomed with flowers (๐๐ป
@EL_AL_AIRLINES
!), VIP welcome courtesy of
@ISNkidneycare
(๐๐ป!) & thro immigration, got checked bag & into my own bus (!) in 40mins! V efficient airport
Feeling v welcome in
#Thailand
โบ๏ธ
#ISNWCN
Thanks
@doctor_oxford
Huge thanks to all my cosignatories on this Statement of Concern sent to
@RCPhysicians
- years of failings leading to need for
#RCPEGM
& more during & since
Action needed now to sort scope & regulation of PAs, AND sorting governance & function of
#RCP
1/
In the wake of the
#RCPEGM
scandal, 29 Fellows of โฆ
@RCPhysicians
โฉ - 11 of whom are Professors of their field - have sent the following open letter to the College.
This is true medical leadership - thank you all ๐
@arghavan_salles
Itโs beautiful & my darling niece, who died 2 wks ago, would applaud - โpurple is a state of mindโ was her motto). I had a temp blue streak & wore a lot of colour to honour her at her funeral on Wed. V tempted to get a permanent blue fringe - it wonโt make less of a nephrologist
@laurenhb18
I was honoured to stand by Christina - a non Jewish woman from South London, carrying an
#Israeli
flag
She said she could not have not comeโฆ
#antisemitism
must end
I told her how much her support means - she was surprised
๐๐ป๐๐ป๐๐ป๐๐ป
#MarchagainstAntisemitism
The long trek to
#BuenosAires
via Frankfurt begins
V excited heading to
#ISNWCN
Topped up
#blue
โ
New ๐โ
Bit ๐ (couldnโt turn up too pale ๐)
Bit of work to do on the flight! ๐ณ
So looking forward to meeting up with friends from around ๐๐๐
๐ฌ๐ง๐ซ๐ฌ๐ฆ๐ท
@AviMayer
I would suggest
@bbclysedoucet
reads your clear analysis & reflects on the appalling piece she wrote on
@BBCNews
on Sat am - she made out that the main aggressor is Israel rather than Iran; barely mentioned Iranโs massive support for Hamas (highlighted just this week by theโฆ
Todayโs the day I part with my gallbladder
Pre-op distraction therapy: Binge watched
#MiC
& cleared
heaps of papers in home office til stupid oโclock
Short sleep but up for โlight early breakfastโ
Bit more sleep & now due hibiscrub shower
Long wait now til that blissful sleep..
#IamOK
#ImnotOK
I'm over my
#sepsis
- started on Fri; contained by Sun tg as able to get home from
#Israel
without burdening a hospital. Admitted Mon, surgery Tues, home wed with a drain for at least 2 weeks.. Delays my radiotherapy but it is what it is. I'm alive, I'm OK
1/
So, did a bike ride. Not a biggie but a) 1st time on any bike since fall in Oct 21; b) 1st time on non ebike in forever; c) itโs 35o C here!
OH was v patient, I overheated & had to walk a bit but cycled 4 miles, walked 1.
LOT of work to do on fitness but itโs a start..
V pink!
Iโm getting too used to this..nice pjs tooโฆ shame only 6 hr flight! First world problems to be sureโฆ
Been a good week. Mad one aheadโฆ& as a night owl jet lag going home kills. Hope to get some sleep tonightโฆ
Safe travels to all going home from
#KidneyWk
@RCPhysicians
3) I think I posted this too:
Why would an 18 year old choose to be a dr given what our colleague just said. No responsibility. Much less debt. Better pay
#RCPEGM
4/
Oh the irony that the most concerning part of my 6 month check up
#oncology
visit is the train journey homeโฆ.
Surrounded by the
#unmasked
- donโt the f**ckers know itโs the law?
No energy to challenge butโฆ
V much hoping my 6 month old
#Cov_Boost
vaxx strutting its stuff
#Rafa
!!!
Iโve never been such a fan but he won me over at the start of this tournament - of course he was
#vaccinated
- โthe world has suffered enoughโ.
He so earned this -
#truegrit
๐พ๐ฅ๐๐ป๐๐ป๐๐ป๐๐ป
Very bizarre anxiety waiting to give my pre recorded talk on โAddressing the challenges posed by
#pregnancy
in
#CKD
โ in gold plenary session
#ERAEDTA2020
#eraedta20
- enjoying the the other talks tho!
Going off twitter for now. Surgery in a couple of hours and whilst feeling the love from so many, I want a break from the hate.
Be well
Be safe
And
#PrayForPeace