They should pay you to take it, actually
BJGPLife: The shame of patient complaints
bjgplife.com/the-sha...
🚨TI #BestEvidence webinar:
Thyroid Testing for Primary #Hypothyroidism:
Practical approaches for Health Professionals
👉REGISTER: ti.ubc.ca/2025/04/16/t...
✅ recognize indications for different thyroid lab tests
✅ apply thyroid lab tests appropriately
#MedEd #diagnosis
Guava Heartburn, pretty sure that's an actual band
I'm a big fan of USPSTF screening recommendations and cite them regularly, e.g., when teaching primary care providers about depression, anxiety disorders, and substance use.
This editorial, however, raises valid concerns about some of these screening recommendations.
Important reading.
#medsky
Evidence Considerations for Recent USPSTF Recommendations www.aafp.org/pubs/afp/iss...
Rubio terminated 5800 USAID contracts – more than 90% of its foreign aid programs – in defiance of the courts.
Here’s a list of just some of the lifesaving awards that were terminated. Nearly all were Congressionally mandated. They’ve saved millions of lives. 🧵
These people are literal fucking lunatics.
✅ Approaching 45
3 cups of coffee in the morning decreasing mortality like a GLP1RA yet having zero effect if you drink them in the afternoon seems a bit fishy for a pharmacological effect of something in the coffee
#AMR is a risk to antibiotic failure & death, but if this happens, do we record it on death certificates? Our centre data = NO!
👉In 1 year, 4% of deaths were AMR-attributed & NONE were recorded on death certificates!👈
Need to quantify this better to increase awareness! #IDSky @jac-amr.bsky.social
Antimicrobial resistance (AMR) is a major threat to human health.
Bur it's GROSSLY under reported
This study showed 4% of ALL deaths at a major London hospital were actually caused AMR but NONE were on the death certificate as cause of death.
I'm an epidemiologist and a father. I'm not overly concerned about COVID-19 and my daughter's health now in 2025.
Here's why:
gidmk.substack.com/p/children-a...
About a million people die every year due to antimicrobial resistance. Causes:
- Excessive and inappropriate use of antibiotics
- 70% of antibiotics are given to livestock
- No financial incentive to develop new antibiotics
- no new antibiotic classes since 1980
www.theguardian.com/society/2025...
But this post is just "the evidence was not strong enough for me to recommend prophylaxis for all babies < 8 months" which seems like a fairly mainstream position? We sure don't do that...
I found one of my twins over at X @mikejohansenmd.bsky.social
x.com/5_utr/status...
If you've been wondering where I went: my team in Oxford (60 of us!) build beautiful tools for NHS data. We help researchers work on the whole nation's GP records while protecting - provably - everyone's privacy. It's big potatoes!
www.youtube.com/watch?v=GRjR...
Closely related: 67.32% of clinical practice is based on a paper from 1967 where a doctor made measurements on 18 patients, drew a line through the data points, and calculated a slope.
True, although they might come back with a new one later...
Knee or ankle gout flare
Caput radii subluxation 😅
Acute otitis externa is pretty good
Kinda think the watches should be a kid with a plastic shovel in this picture
To celebrate the advent of threads on Bluesky, here is a tweetorial
When to use azithromycin as first line treatment of respiratory tract infections in children (who aren’t penicillin allergic)
1/🧵
Here is the recording of the talk for anyone who might be interested.
www.youtube.com/watch?v=S-xT...
Or cephalexin (🇫🇮)
BALANCE is an RCT of 3,608 pts with bloodstream infections randomized to 7 vs 14 days antibiotics
Excl: Staph aureus, S lugdunensis, fungi, deep seated infections, severe immunocompromise
No dif in 90d mortality or relapse
Firmly establishes 7d as SOC
#IDSky
www.idsociety.org/news--public...
