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Mamas A. Mamas Profile picture
@mmamas1973
May 28, 2021 • 5 tweets • 8 min read • Read on X
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What happened to HF admissions during #COVID in England? our an analysis led by @DrAhmadShoaib ➡️bit.ly/3c0iEng with @hvanspall @foziaahmedMD @cpgale3 @TheresaMcDonag3 #JohnCleland shows 40%⬇️in HF admissions @GiuseppeGalati_ @DrNasrien @JJheart_doc @ShelleyZieroth
2. This was accompanied by a ⬇️in hospital HF deaths, but ⬆️⬆️ in community and residential home deaths. we estimate 280 excess deaths from heart failure, and an excess of 2,165 heart failure related deaths (HF anywhere on death certificate) @doc_ccc @onco_cardiology @ncurzen
3. Despite restructuring of services during #COVID19, standard of care appears maintained for ps hospitalised with heart failure with similar adjusted in-hospital mortality rates, but higher 30-day mortality rates compared to the Pre-COVID-19 period. @mirvatalasnag @ShrillaB
4. Gaps in post-discharge care due to closure of ambulatory care centres during COVID-19 pandemic may have contributed to suboptimal care and increased risk of death following hospitalization @CardioIAN @HeartOTXHeartMD @JJheart_doc @CarlChiefCard @DrSaritaRao2 @DrRajivsankar
5. Final thoughts- COVID has impacted our CV services significantly. the decline in hospital admissions has caused ⬆️ death in community. changes in OP services during COVID has worsened outcomes of long term conditions. A visual asbtract @DrNasrien @ShelleyZieroth @hvanspall

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More from @mmamas1973

Mamas A. Mamas Profile picture
Jul 2
1. Think about this when you vote

When Labour left office in 2010, there were 2.5 million people on the NHS waiting list.

Now there are 7.5 million people on NHS waiting lists following 14 yrs of conservative government.

I have worked in the NHS for the last 24 years and as an NHS consultant for 12 years.

I have never known the situation to be so dire. People are dying on NHS waiting lists, doctors are being replaced by individuals with no medical training (PAs) and doctors are leaving the NHS to work abroad en-mass.Image
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2. The UK has amongst the worst access to healthcare in Europe.

Our cardiovascular and cancer outcomes are worse than most countries in Europe. The treatments that we are offering patients are not fit for purpose and there is a widening gap between those with financial means and those without
3. The NHS is being set up to fail, with the generation of a two tier system. If you want to see someone like me in the future, you will have to pay privately.
People of lesser means will have to see individuals with no medical training, who are replacing our GPs

This is not why I became a doctor, and have never done a days private work in my life.
Read 5 tweets
Mamas A. Mamas Profile picture
Feb 13
1. This is an important debate for all FRCPs to attend and vote on. It is your opportunity to impact the how medicine is delivered in the next generation and by whom. Have your say on patient safety.
The 5 motions to be debated are:
1) Physician associates are not doctors. They should not be regarded as replacements for doctors, and they should never replace a doctor on a rota. They are valued healthcare professionals who participate in patient care in addition to the rest of the wider multi-disciplinary team
2. Motion 2: This EGM notes the current legal restrictions on who can prescribe medication or request ionising radiation and reminds all medically qualified membership categories of the College that they remain responsible for any such decisions by others that they may be asked to endorse
Motion 3: This EGM calls on the RCP to contribute actively to generating an evidence base and evaluation framework around the introduction of PAs, addressing (for example) clinical outcomes, cost effectiveness, safety, the patient experience, staff wellbeing and interrelationships, and implications for the healthcare workforce.
Read 8 tweets
Mamas A. Mamas Profile picture
Jan 5
1. Medicine is rapidly becoming an expensive hobby- working class people can no longer afford to become doctors given the poor salaries and huge debts on graduation.

I am the son of immigrants - I couldn't speak English until i was 5-i was born/ brought up in longsight, Manchester- in the top 3% of the most deprived areas in England.
2. My father had to work two jobs to support us. I went to a state school. My friend ended up in prison for holding up an off-licence with a gun.

I am the first person / only person in my family that has received an education over the age of 16 and to get into university (oxford)- the only reason I was able to do this was that I received a grant of around 2-3000£ from my council every year.
3. When I studied medicine we didn't have to pay fees, received financial grants if you were underprivileged, and had free accommodation in the hospitals. The salaries 23 yrs ago. When I qualified weren't too bad- I saved enough for a house. In contrast....
Read 8 tweets
Mamas A. Mamas Profile picture
Jul 20, 2023
1. #ConsultantStrikes #NHS
➡️Today the press will be full of stories about fat cats, private practice, made up salaries, gold-plated pensions etc.

➡️ it will say that waiting lists are up and patients are being put at risk.

Please read this 🧵 and make your own minds up.
2. It is true that waiting lists are the highest they have ever been, there are excess deaths.

➡️ waiting lists have been climbing for 13 years - 12 yrs before any NHS strikes were in place

➡️ the increase in waiting lists is a political choice of the conservative government -… https://t.co/0om58ILijktwitter.com/i/web/status/1…

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3. Politicians will say that they support the NHS.

➡️ Many of our politicians work for private healthy companies as consultants or are shareholders. Is that supporting the NHS?

➡️ look at the expansion of private healthcare services delivering"NHS services" (red dots) and MPs… https://t.co/jP9gSeY6cYtwitter.com/i/web/status/1…
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Read 5 tweets
Mamas A. Mamas Profile picture
Jul 19, 2023
1. Tomorrow i will be supporting the NHS #ConsultantsStrike
About Me:
➡️ I am a cardiology consultant / professor @UHNM_NHS
➡️ i was from a working class background, i went to a state comprehensive. My dad left school at 16, mum at 12. I am the first / only member of my family… twitter.com/i/web/status/1…
2. When I qualified (2000) we had no debt, stayed in hospital accommodation for free

➡️ junior drs leave with 100k of debt
➡️ earn less that i did 20 yrs ago
➡️ have had a real term pay cut of 20% over the past 13 yrs

Many are struggling to afford rent.

We are losing… twitter.com/i/web/status/1…
3. Many will say that Drs have great pensions, earn money doing private practice etc

➡️ future pensions when you're 67 wont help you buy a house, pay your rent, feed your kids
➡️ most of don't do private practice
➡️ most of us will work for free- I have covered many on calls… twitter.com/i/web/status/1…
Read 7 tweets
Mamas A. Mamas Profile picture
May 26, 2021
Another day another Hike. This time starting at eigiau dam en.m.wikipedia.org/wiki/Llyn_Eigi… that burst in 1925 and flooded millions of gallons of water - you can see break in 1st pic @DrMarthaGulati @saraceciliamtz @bes502 @DBelardoMD @ShaziaTHussain1 @KTamirisaMD @ncurzen @nolanjimradial
Walking up towards the summit of wales 2nd highest mountain Carnedd Llewelyn- didn't make it to top, got to 900m. If you go to Wales come here and don't bother with the Snowden. I literally saw one other couple, rather than hundreds of ppl in snowden @DrRajivsankar @VijayKunadian
3. On the way down, a 15km hike, with a climb of over 100 floors according to my app lolol @Umair2017 @Uqayyum123 @iamritu @willsuh76 @SukhNijjer @atunuguntla1 @jedicath @mirvatalasnag @kollsrini @ovidiogarciav @VictorDayan1 @Argenscore @ecrsfd @DrFerNunez @EkateriniL
Read 5 tweets

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