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19 Nov, 13 tweets, 9 min read
1/
From @Hludders

🔴 What are the late GI effects of radiotherapy❓

#RTLateeffects Image
2/
⚫️ How could I recognise the late effects of radiotherapy to the bowel❓

Evidence base and the screening tool: sciencedirect.com/science/articl…

#RTLateeffects Image
3/
🟠 How could I manage the GI symptoms of pelvic radiation disease❓

macmillan.org.uk/_images/practi…

#RTLateeffects Image
4/
🟣 How about in more detail❓

fg.bmj.com/content/flgast…

#RTLateeffects Image
5/

Main areas that patients are most concerned about:

#RTLateeffects Image
6/

Future research questions:

#RTLateeffects Image
7/
From @DrLisaDurrant

➡️ Acute, long, and late effects of radiotherapy on the female pelvis

Normal cells are damaged causing friable angiogenesis, fibrosis and loss of elasticity

#RTLateeffects Image
8/
➡️ Bladder and vagina late effects of radiotherapy

There things that patients can do to help themselves but some will need referral

#RTLateeffects Image
9/
➡️ Impacts on bone health, lymphoedema, nerves

@DrLisaDurrant: some patients have found the late effects more distressing than their actual cancer treatment

#RTLateeffects Image
10/
37% felt that the support received met only some or very few of their needs.

@JoTrust publication: jostrust.org.uk/sites/default/…

#RTLateeffects Image
11/
Thank you to @RheaCrighton1 for giving your personal perspective 🙏🏽 #RTLateeffects

We've got some reading to do: Radiation-Induced Lumbar Plexopathy:

emedicine.medscape.com/article/316604…
12/
For any patients affected by the webinar or suffering in silence. Help available:

@HealthUnlocked forum – healthunlocked.com/prda

☎️: 01372 744338
11.00am to 1.00pm on MONDAYS, WEDNESDAYS, FRIDAYS

📩: info@actionradiotherapy.org

🐦: @ActionRTherapy

#RTLateeffects
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More from @DipeshGopal

Dipesh Gopal Profile picture
28 Nov
1/
🧵

MEGA THREAD about the @BJGPOpen Special Issue | #RacisminPrimaryCare

🔗: bjgpopen.org/page/race-and-…
2/

Editors' note: Dr @HDambhaMiller (Editor in Chief), Dr Umar Chaudhry (@StGeorgesUni), Dr Peter Adams (@uwicave_hill)

They explain how they will be taking on diversity/inclusion by looking at:

outreach / mentoring students
diversity at submission

bjgpopen.org/content/early/…
3a/

Our group work looks at how race and racism affects the working life of a GP: bjgpopen.org/content/early/…

When it comes to issues of race / racism, is it comfortable to ignore them?

@v_silverwood @EbMulla @olamide_dada @salmanWaqar
Read 39 tweets
Dipesh Gopal Profile picture
26 Nov
THREAD on @RoySocMed ONP51: Health inequalities: what can healthcare professionals do?"

1/
Dr Chad Hockey talks about how the original game of monopoly which originally had wealth distribution that is no longer part of the game

bbc.com/worklife/artic…
2/
🗣️ "The poverty of our century is unlike that of any other. It is not...the result of natural scarcity, but of a set of priorities imposed upon the rest of the world by the rich. Consequently, the modern poor are not pitied … but written off as trash.” John Berger
3/
Healthcare provision is based on the fact that we all have the same healthcare needs but this is not the case.
Read 15 tweets
Dipesh Gopal Profile picture
13 Sep
1/
🧵

THREAD about why race is in the @NICEComms hypertension (blood pressure) guidelines and why it should go: nice.org.uk/guidance/ng136

@MedCrisis and I read #AngelaSaini's book "Superior" and were horrified at the inclusion of race without clear scientific basis:

#FOAMed
2/
The @NICEComms specifically implies that Black people are inherently different (assumption: biological/genetic) compared to White people.

Why? @DoctorMayJay

Suggestions: Black people are inherent salt retainers due to salt deficiency, etc: ncbi.nlm.nih.gov/pmc/articles/P…
3a/

This article from @American_Heart is a long reach arguing that there are inherent genetic differences between Black people and White people citing small genetic studies: ahajournals.org/doi/full/10.11…
Read 14 tweets
Dipesh Gopal Profile picture
3 Sep
Thank you to the @bmj_latest for hosting the
#BMJCovid

@PaulGarnerWoof: #LongCovid was way long than the 2 weeks

blogs.bmj.com/bmj/2020/06/23…
@Dr2NisreenAlwan - "why aren't we measuring #LongCovid?"

#LongCovid - often has a wide range of symptoms: body ache, chest pressure, tiredness, rash. The symptoms do not completely go - relapsing and remitting. #BMJCovid

Read her article here: blogs.bmj.com/bmj/2020/07/28…
@trishgreenhalgh - "you do not necessarily need a positive test to have #LongCovid"

Let's not get too caught up with this - we weren't testing at the beginning of the pandemic. #BMJCovid

How do we manage #LongCovid. Great patient resources here: bmj.com/content/370/bm…
Read 14 tweets
Dipesh Gopal Profile picture
26 Jul
🧵THREAD on Hardouin et al (2020) #MedBikini article #MedTwitter

1/

Editors' response:

Unconscious bias = implicit bias
Conscious bias = explicit, intentional

So in this is essentially misogyny and conflicts with human rights to free speech/private life. Image
2/

Methodological concerns: unspecified definition of 'controversial'. There needs to a validated definition.

🗣️ "Controversial political and religious comments were
...directed toward...faith.

Controversial social comments...on abortion and gun control."
3/

Moral concerns: clinicians performed searches on social media to conduct their research.

To be fair this is what patients could/would do. I'm not condoning this methodology.

I've had patients tell me that "I'm established" when I first met them from Googling me. 😳
Read 15 tweets
Dipesh Gopal Profile picture
28 Jun
1a/

THREAD 🧵 on why #BlackLivesMatter

This week I presented to my GP practice about this topic covering:

Socio-economic/health differences
Genetics/Race science
History @DavidOlusoga
Being anti-racist/education
@jhalakprize

🔗: youtube.com/watch?v=0SQJz3…
1b/

It's designed to start conversations and be concise. You have to put the work in to work on yourselves to be anti-racist.

Please feel free to distribute.

If there are parts that are wrong, I am happy to amend/take down. @MelaninMedics @olamide_dada @KhadijaOwusu
1c/

Please circulate if it resonates @Dr_Ayan @OrthopodReg @yvonnecoghill1 @trishgreenhalgh @AmeenKam @omaromalleykhan @aftertheletters @RoshanaMN @parthaskar @JohnBoyega @SoniaAdesara @raceandhealth

Also call me out if I've got stuff wrong too/can be better.
Read 42 tweets

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