Discover and read the best of Twitter Threads about #cervicalcheck

Most recents (8)

A small thread.
No 1 of 3
The 25 Nov 2022 marks 2 years since my lovely wife Trish passed away having battled with cervical cancer. Her cancer was missed in a smear test, like many others, and by the time we got a diagnosis, it was too far gone.
#cervicalcheck #cervicalcancer
No 2 of 3
There are no words of comfort that will help me and my children, Trish’s dad and siblings and our families and wider circle of friends with the reality that is the devastating loss of Trish. Her life cannot be in vain. In the name of Trish Carrick today & in her memory,
No 3 of 3.
I will ask one thing of you all; please go and get a smear test and phone your sisters and tell them to get one too. Don’t wait until next week or next month or after Christmas. GO AND GET A SMEAR NOW! It may save your life.
Please Retweet as I have a small following
Read 3 tweets
How enduring use of 150-year-old speculum puts women off smear tests #cervicalcheck #pain independent.co.uk/life-style/wom…
I was invited by @NHSEngland for routine #cervicalscreening and despite the efforts of my practice #nurse, even the smallest available #speculum caused me greatest amount of #pain and we had to stop the #procedure within a minute after insertion.
I have been in pain for 9hrs now. 😑 No test designed for #screening #population should be thus. It is hardly conducive for #uptake. Why has #gynaecology stuck with this 'instrument of torture', despite advances in #medicalinstrumentation? Could it be #apathy? @MamaDoctorJones
Read 5 tweets
There's widespread confusion over false results in both #COVID19 tests and #cervicalcheck. Medical testing can be deeply counterintuitive: A HIV test is 99.99% accurate, yet for most of us, a positive test is only 50% likely to imply HIV - is it clear why?
..confusion is understandable; first we need to understand three key ideas in testing. The first is SENSITIVITY: This is how likely a test is to correctly identify a disease if you have it. A sensitivity of 90%, for example, means that the test catches 9/10 cases (2/n)
..the second idea is SPEICIFICTY: How likely a test is to give you a clear if you don't have the condition. A specificity of 95% means, for example, that if you have a totally healthy group, the test will still tell you 5% have the disease when they don't (3/n)
Read 15 tweets
Yesterday Irish supreme court upheld "absolute confidence" bar on negative results from #CervicalCheck - by chance, preprint by @donalb5, @CiaranORiain, & several others on false positives / negatives just dropped. So let me explain why most scientists & docs unhappy (1/n)
First off, the idea behind screening is that you cast a wide net, and over a population, you catch some warning signs before they become a problem. The net is inherently imperfect - but on AVERAGE it saves lives. So what defines a test's reliability? These things (2/n)
So what do you want in an ideal screen? Some test with high sensitivity (correctly identifies the thing) and high specificity (doesn't accidentally say the thing is there when it's not). But prevalence matters too - take LBC, the standard modality. (3/n)
Read 12 tweets
I interviewed Emma Mhic Mhathúna before she died of last year. The last text she sent me read:

"Don't worry Luke, God and love always win".

Simon Harris is a liar.

I have followed the #CervicalCheck scandal closely and want to make some observations...

{Thread}
Wednesday 3rd April 2019... Simon Harris insists he was not warned offering more smear tests a mistake - @IrishTimes
A mere 3 days later, April 6th, the @irishexaminer released text messages that had been sent to Simon Harris, which prove that he was warned.

#SimonHarris is a liar.

irishexaminer.com/breakingnews/v…
Read 5 tweets
The Scally Inquiry details some of the ways that women and families were told about the #CervicalCheck audits - the inquiry found the disclosures were handled anywhere from well to badly, to 'very badly indeed'
Dr Scally said: "In my view, the manner in which they were eventually told of their situation in many cases varied from unsatisfactory and inappropriate, to damaging, hurtful and offensive." Here are some examples from his report ... #CervicalCheck
The inquiry was told that at least three of these disclosure meetings were held in the same room where the women had originally been informed of their cancer diagnosis. #CervicalCheck
Read 13 tweets
Dr Scally has arrived to give reporters a briefing on his review #CervicalCheck
Scally says this review came about due to the "extraordinary determination of Vicky Phelan not to be silenced". Says he found issues with every area he looked at, describing it as "a whole system failure".
Dr Scally says he found no evidence of a conspiracy or cover-up, he had no issues interviewing the people he wanted to interview and he was given access to all of the documents he required #CervicalCheck
Read 16 tweets
Short thread on #CervicalCheck (CC) - there's an abundance of emotive misinformation doing the rounds that needs to be challenged. There's an ugly story here of a disconnect between evidence, politics, and law. It's confusing but important to understand. So, let's delve (1/n)
...I wrote an explainer on this for the @IrishTimes way back in May, and while the facts haven't hugely changed since then, the rhetoric has. Firstly, CC saves lives. It has pushed down the national rate of cervical cancer, and as a screening programme has been a success (2/n)
..but it's EXTREMELY important to understand a screening test is NOT a diagnostic test. CC is not a diagnostic for cancer - it's a wide-net that looks for indicators in healthy people that might indicate an increased cancer risk in he future. It is *not* a cancer test. (3/n)
Read 21 tweets

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