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
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…
4. The government/press will tell you that the strikes are pushing up waiting lists and putting patients at risk.
➡️ waiting lists have been increasing over the past 13 years.
This is data from NHS England- this is Way before the strikes happened.
5. Over the past 13 years the NHS has been grossly underfunded. The increase in waiting list / falling apart of the NHS is a political choice. Look at annual changes in spending when the waiting list has increased
The government has so far refused to meet with the @TheBMA - disrupted services lie completely at their door.
@TheBMA 7. I am not striking to line in my pockets. I could easily move to outside of the UK and increase my salary 3-5 fold.
I support the strikes: 1) improve the working conditions of our junior doctors so that they will want to stay and work in the NHS
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…
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…
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
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. #WorldCancerDay The greatest incidence of AMI in cancer pts is within 30d of Ca diagnosis, many treatments can ⬆️risk aswell as shared risk factors. We sought to study whether STEMI pts with cancer are less likley to get PPCI & whether they benefit academic.oup.com/ehjacc/advance…
1. Clickbait title but content worth discussing- my thoughts over the next few tweets
➡️Questions around AMI definition.
Dr Taggart and others were part of the discussions that agreed to AMI definition. I think it was right because- see2. medscape.com/viewarticle/93… via @medscape
2. an endpoint should have same prognostic impact in each trial arm. EXCEL definition does, UDMI doesnt
however:
➡️Should probably only include spontaneous AMI post procedure (>72 hrs), whatever definition you use, CABG better in long term
3. ➡️I personally dont think perceived COI have had any impact on the running / outcomes of the trial. Without industry support this trial would never have happened, nor would have many other fundamental trials. This is a smoke screen