Share this page!

Enter URL or ID to Unroll

You can paste full URL like: https://x.com/threadreaderapp/status/1644127596119195649
or just the ID like: 1644127596119195649

How to get URL link on X (Twitter) App

  1. On the Twitter thread, click on or icon on the bottom
  2. Click again on or Share Via icon
  3. Click on Copy Link to Tweet
  4. Paste it above and click "Unroll Thread"!
  5. More info at Twitter Help
Dipesh Gopal Profile picture
Dipesh Gopal
@DipeshGopal
Doctor (GP) | @QMUL_WIPH research in cancer survivorship & health inequalities #survonc #lwbc | @SURECANstudy | @GPPACT | Own views. RT≠end.
Jun 14, 2023 • 12 tweets • 12 min read
🧵 THREAD about long COVID and experience of people from ethnic minority backgrounds

We present our stakeholder event findings:
blog.westminster.ac.uk/hicovestudy/hi…

@Dr2NisreenAlwan @damienridge @TomKingstone @EthnicHealthRes @profhelenward @LongCovidOrg @LongCovidAdvoc Ashish from the patient adv... We interviewed 30 participants about their experiences of living with Long Covid: blog.westminster.ac.uk/hicovestudy/

15 men and 15 women from different, ethnic minority backgrounds, from occupational and social backgrounds, and different parts of England.
May 14, 2023 • 19 tweets • 16 min read
🧵 THREAD on psychology, cancer and ethnic minority health and our theory of 'affective relationality': journals.plos.org/plosone/articl…

* it was psychological as well as physical activity / work support too if needed. See @SURECANstudy: surecanstudy.qmul.ac.uk

@damienridge How would you adapt a psych... It took 10 researchers, across 5 institutions, 5 years.

So how long would it have taken 1 reseacher ... probably 250 years? 😂

@QMUL_WIPH @KingsIoPPN @UniWestminster @OxPsychiatry @portsmouthuni
May 8, 2023 • 24 tweets • 11 min read
🧵 THREAD - on trauma / trauma-informed care (TW)

@Dr_Manuela_ @danielnbutler @dodghq @nigelhart @drgkearney @dnblane and I wrote in @BJGPjournal about trauma and trauma-informed care: bjgp.org/content/73/730… ‘After trauma the world is ... ❓What is trauma?

💡Trauma is defined as an event (or series of events) that has long-lasting negative impacts on a person’s physical, mental, or emotional/social wellbeing after the event has ended.

From @samhsagov: store.samhsa.gov/product/SAMHSA…
Jul 23, 2022 • 14 tweets • 9 min read
Debunking this Telegraph article from it's source, and it's theory (some of the data is sound tbf, but the analysis is wrong) 🧵

The article authors all seem to think that healthcare is fully responsible for/creates health which is wrong.

Article ⬇️ UK’s ‘runaway’ health spending costs £10k per househoIt shows where patients are most likely to face a long wait This was the largest increase of all 19 comparable countriesPoliticians should ‘face up to the reality’ Tim Knox, th 1/

The article cites 'research' but really it's a bizarre ranking exercise with lots of missing data: civitas.org.uk/publications/i…
Jul 7, 2022 • 13 tweets • 9 min read
I've been thinking about legacy for a while now.

Not being able to thank the founders of @sapcacuk which started 50 years ago for creating the amazing platform for primary care research is heartbreaking.

This is my journey: people who helped me in my career 🧵 At @BSMSMedSchool I had a fantastic mentor @deffley_paul back in 2009 who showed me what General Practice is and really inspired me...that I could do the job and make a difference. I still think you can.

@zoeschaedel confirmed that GP was for me in my final year of med school.
Jul 6, 2022 • 4 tweets • 6 min read
Prof Hugh Alberti tells us about @SophieParkUCL and colleagues' seminal work about the role of the GP as a clinical teacher on undergraduate placement: tandfonline.com/doi/full/10.31…

#sapcasm @SophieParkUCL GPs teach A LOT! Prof Alberti asks perhaps what could GPs not cover?!

@EPC_Journal: tandfonline.com/doi/full/10.10…

#sapcasm #ASME2022 Table 1. Number of medical schools teaching RCGP provisionalTable 2. Number of medical schools teaching additional topi
Jul 4, 2022 • 8 tweets • 6 min read
Pre COVID

A woman with a learning disability will likely die 18 years before a woman without a learning disability.

A man with a learning disability will likely die 13 years before a man without a learning disability.

What can we do about it?

@Amy_M_Russell @sapcacuk #sapcasm Image Coding in primary care for learning disability isn't always consistent. Are they carried over from childhood appropriately?

Missing coding means no annual health check and no priority for vaccination

#sapcasm Image
May 29, 2022 • 26 tweets • 19 min read
🧵 THREAD for healthcare professionals to get people more active:

@DrDionisioIzq @krmarino1 David Whittaker, Ray Leung wrote something for primary care, published here in @BJGPjournal: bjgp.org/content/72/719…

Full text: researchgate.net/publication/36…

Guidance👇🏼 thanks @krmarino1 🙏🏼 Figure 1. UK guidelines on ... Before we start let's dispel a myth... there is no evidence that the Olympics improve population physical activity levels.

E.g. @London2012: ncbi.nlm.nih.gov/books/NBK53275…

Sorry @TeamGB, it's more about infrastructure than inspiration 😂 Plain English summary What ...
Nov 4, 2021 • 12 tweets • 5 min read
THREAD on our new paper:

Systematic review on vaccination uptake amongst older adults from minority ethnic backgrounds with @cinibhanu @Dr_UmarChaudhry @KRW_UCL

Paper: journals.plos.org/plosmedicine/a…

Blog: dipeshgopal.medium.com/how-do-we-impr…

@crageshri @fhussain73 @Azeem_Majeed @BinitaKane Young men and women arrived from Eastern Europe, the Caribbean and the Indian subcontinent to the UK in search of better life from the late 1940’s onwards. Many arrived with little money and thick coats to protect themselves against the bitter cold.

Image: @8thsensemedia
Oct 31, 2021 • 23 tweets • 13 min read
THREAD of my journey from burnout, meeting @AmandipSidhu2 @DoctorsDistress, mentoring @medic_cd who presented internationally and wrote a paper which was published this week!

Paper: content.iospress.com/articles/work/…

Blog:
dipeshgopal.medium.com/juggling-fire-…

Full Text:
researchgate.net/publication/35… I remember working as a junior doctor and on one particular rotation I ‘fell out of love’ with medicine.

For the senior doctors I didn’t think I mattered or existed to them.

Everyday, I was unsupported and went home feeling tearful, hopeless and the ready to quit medicine.
Sep 10, 2021 • 10 tweets • 7 min read
@RaoMala @GraceOkoli and I write in @JHHypertension: nature.com/articles/s4137…

🧵 THREAD on why we need to seriously re-consider race in the @NICEComms hypertension guidance: Image 1️⃣ There is a small difference in ACE inhibitor blood pressure response between Afro-Caribbean and White people.

bmcnephrol.biomedcentral.com/articles/10.11…

bmj.com/content/371/bm… Image
Aug 30, 2021 • 21 tweets • 19 min read
Going through @dylanwiliam's plenary and pulling out the nuggets!

1⃣ There are no perfect solutions to anything. There are trade-offs. You need to decide which trade-offs you are willing to accept from new/old solutions. (Chesterton's fence)

#AMEE2021 #FOAMed 2⃣ Time spent on one thing means you miss out time on another thing.

Which things are worthy of inclusion and exclusion in the curriculum?

#AMEE2021
Aug 30, 2021 • 9 tweets • 9 min read
Excited to be at @AMEE_Online at this workshop on teaching students during remote consultations @RoaaUK @Dr_UmarChaudhry

#AMEE2021 Interesting discussion about what students felt about remote consultations: @AcademicGP

ethics of consenting patients
usefulness for OSCEs
higher clinical risk so less exposure to them
⬆️ growth of verbal cues
⬇️ growth of gut feeling

#AMEE2021
Jul 25, 2021 • 17 tweets • 9 min read
I read all 288 pages @food_strategy, and this is what I learnt

🧵 THREAD

1/
TL;DR - our food system needs multi-level intervention to improve our health, healthcare systems, biodiversity and climate emergency

14 recommendations and the govt has 6 mths to respond. 2/
Deforestation, climate change and overfishing is all linked...to food production.

Food production contributes to 33% and 20% of UK of global greenhouse gas emissions.

(air travel = 3.5% global emissions)

There is a huge biomass of farm animals for food production.
Jul 21, 2021 • 18 tweets • 9 min read
🧵 THREAD on @TheBMA report on medical staffing in England which did not get much airtime last week:

bma.org.uk/advice-and-sup…

Whilst the numbers are increasing, we just don't have enough doctors, esp GPs. #NHS #medtwitter

Here's the evidence:

@sbattrawden
@ShaunLintern 2/
We have some the lowest number of doctors per population in Europe. Image
May 2, 2021 • 11 tweets • 4 min read
1/
🧵 THREAD on critiquing lifestyle medicine from

article from @dnunan79 @dnblane @mgtmccartney just published in @BJGPjournal: bjgp.org/content/71/706… 2/
🗣️ "... we focus on the unintended consequences of uncritical endorsement and application of lifestyle medicine including the infiltration of pseudoscience, profiteering, and the potential for widening health inequalities by a continued focus on the ‘individual’."
Mar 25, 2021 • 8 tweets • 7 min read
1/ 🧵 THREAD on "Treating poverty by prescribing money"

Fascinating talk from @Gary_Bloch @UofT_DoM on

after the invite from @DecolonisingMed Image 2/
Enough talk about the link between poverty and health. The evidence is clear.

@bristolpoverty: bristol.ac.uk/poverty/health… Image
Mar 21, 2021 • 26 tweets • 19 min read
🧵 THREAD on BIAS in MEDICINE #MedTwitter #FOAMed

1a/

BIAS:

➡️ is integral to how we see people/make diagnoses: can't be removed

➡️ affects research questions that get asked, who gets funded, what gets published and in which journal

@FutureHealthJ: rcpjournals.org/content/future… 1b/

Bias training:

➡️ increases bias awareness

➡️ doesn't decrease biases (no evidence base)

➡️ bias training ignores communication, provides no debiasing interventions, doesn't measure motivation

➡️ doesn't address structural problems

Read: ncbi.nlm.nih.gov/pmc/articles/P…
Mar 20, 2021 • 12 tweets • 9 min read
🧵 on #COVID19 in Pregnancy / Breastfeeding

1/
Prof @thangaratinam:

Pregnant women at increased risk of severe COVID (ITU admission), thus earlier delivery

Risk factors: obesity, advancing maternal age, non-white ethnic origin #GlobalPregCov

🔗: bmj.com/content/372/bm… 2/

Animation here:

Read more about the research here: birmingham.ac.uk/research/who-c…

#GlobalPregCov
Mar 19, 2021 • 4 tweets • 6 min read
🧵 THREAD on "good men" #NotAllMen #MeToo

🗣️ What is the pass we give ourselves when we call ourselves "good men"?

Full video from @wayfarerstudios @justinbaldoni:

feat. @TonyPorterACTM @acalltomen @jameyjaz 🗣️ The language used to objectify women is problematic.

Full video from @wayfarerstudios @justinbaldoni:

featuring @TonyPorterACTM @acalltomen
Mar 3, 2021 • 10 tweets • 5 min read
🧵

1/
THREAD on @BMJLeader study: bmjleader.bmj.com/content/early/…

➡️ Gender and racial CONFERENCE PANEL KEYNOTE SPEAKER representation at Royal College conferences 2015-2019

➡️ Publicly available data: 20 of the 70 conferences 2/

At 60% (n=12) of conferences in our sample, there
was a predominance of male speakers.

Median percentage of female speakers: 35 - 46%.

In 15% (n=3) of conferences, there were an equal number of male and female keynote speakers.

No #manels detected! 🤯 @medicalwomenuk