Dr. Otte's 3 pearls for Peripheral edema #DrugEvidence25 #edema #MedEd

- We acknowledged the limitations - We never said cause - Our patients tell us this works

First sentence: "Millions of men are set to be denied routine prostate screening" How about: "Millions of men are set to avoid harm and NHS to avoid wasted money through poorly evidenced screening programme"?

once more I am begging everyone to do policy based on evidence, not on vibes from the loudest-shouting pressure groups. What the NHS is leaning towards - targeted screening for those most at risk - is the right way to do this. Blanket screening with an unreliable test causes harm.

The vaccine is pretty astonishing. Just look at that green line.

Australia just recorded zero cervical cancer cases in women under 25 for the first time since records began in 1982. The amazing result of HPV vaccination.

Pluribus - in case you've not - is absolutely brilliant theory-driven sci fi. The central concept is a gloriously versatile projection screen for Big Thoughts About Life. Is it better to be efficient and happy, or a messy human schlong? Etc. Also: every frame a photograph!

Interesting report on how statins may cause myopathic symptoms medicalxpress.com/news/2025-11... @nationallipid.bsky.social @aspcardio.bsky.social @escardio.bsky.social @familyheartfdn.bsky.social

Huge respect to the papers for finding both an 88 year old worried about the tax bill on her 6 bedroom Kensington house and a 20 year old fretting about only being able to save £12k a year tax free. Top work all around. These are not easy case studies to find.

In the early days of all working from home in 2020, person A was sharing their screen. Person B was talking absolute bollocks. I sent Person A a Teams message - it popped up as a notification with my name at the bottom of his desktop, "She's talking absolute crap, yet again 🥱".

Ooh look at @thetimes.com sports books of 2025. @lilycanter.bsky.social and I did not know this was happening until I started getting WhatsApp messages as Granny had spotted it. Not bad for a book that was rejected by multiple publishers who weren't interested in women's stories.

The PCUK argument leans heavily on public opinion and says almost nothing about the statistical evidence. That's a spectacular sign of a bad argument.

Too right. And the polarising effect on public option especially when respected public figures- who dare I say it are biased towards screening for their own reasons- join in. This is not how unbiased, evidence led decision making works- or at least should work.

This is what happens when as a single condition health charity you’re overly focused on those who die of your condition and you don’t consider outcomes for those who don’t, or the opportunity costs involved for NHS. PCUK are particularly guilty but they’re not alone. www.thetimes.com/article/4487...

🚨FORTY MILLION APPOINTMENTS🚨 2/3 of the population in one month 🤯 ‘Lazy, laggards, stuck in the 20th century’ Wes GPs & their teams are not getting thanks but worse they are not getting the resources & criticised for asking for help 🚨FORTY MILLION APPOINTMENTS🚨 digital.nhs.uk/data-and-inf...

In low-risk patients with MI and early complete revascularization, stopping aspirin after 1 month and continuing P2Y12 monotherapy was noninferior to dual antiplatelet therapy for ischemic outcomes and led to reduced bleeding at 1 year. Full TARGET-FIRST trial results: nej.md/3UKJxS7 #MedSky

How to get things done in a world where our devices work for Big Tech, not for us: timharford.com/2025/11/our-...

Amazing how many pertinent lipid/lipoprotein issues my RVA-located neighbor, Cynthia Thurlow & I tackled on an important topic. Viewers also see a word for word transcription for review podcasts.apple.com/us/podcast/e... @nationallipid.bsky.social @aspcardio.bsky.social @familyheartfdn.bsky.social

💡 New booklet! Helping reduce #stigma for people who receive #opioid substitution treatment, and empower them in their interactions with pharmacy staff 💬 Read the blog by @vic-carlisle.bsky.social about how they co-produced the booklet 👉 arc-w.nihr.ac.uk/how-we-co-pr... @capcbristol.bsky.social

All integrated care boards or health boards should have a lead paediatric palliative care pharmacist role, according to the Royal Pharmaceutical Society’s updated palliative care policy #ukpharmacy #palliativecare #paediatrics

Definitely worth a listen- @janeshanahan.bsky.social is an incredible #pharmacytechnician and her work speaks volumes 🙌🏻🙌🏻🙌🏻

Tomorrow's #TalkingMeds sees Jonathan Underhill chats to expert guests Sundus Jawad & Jane Shanahan about prescribing & medicines management in care homes & the national #FindYourEvelyn campaign. find out more: https://www.prescqipp.info/our-resources/prescqipp-podcast-talking-meds/

MHRA issues reassurance on vaccine safety in children buff.ly/wAMLzmd #MHRA #vaccines #vaccinesafety #childhoodvaccine #pharmacy #UKpharmacy

Vaccines really do work !! How we beat cancer…

⏰This Friday! 11am-12pm 💻Webinar: Benzodiazepines/Z-drugs and Opioid Co-use: Research and Recommendations💊 Hear presentations from our colleagues Jo Kesten @jokesten.bsky.social, Gabriele Vojt, Hannah Family @hannah-family.bsky.social and Jenny Scott @jscottuob.bsky.social Sign up!👉 bit.ly/43QBSXr

Vaccinating boys and girls. It works bitches.

I'm very frustrated by the rise in TRT. Of course testosterone "works". But, generally, in the way any other recreational drug "works". Most people don't have a genuine need, they just want an excuse to take anabolic steroids. www.statnews.com/2025/08/25/o...

The latest generation of tech is overwhelmingly so awful that I am holding onto my older kit longer than ever. Anything with “AI” at its heart is awful, from Apple Intelligence to CoPilot to the rubbish that’s put in cars. The concept of enshittification is alive and well in oversold AI rubbish.

🚀Unlock career growth with valuable insights on professional networking. Join Practice Plus 1-2pm on 4 Dec for tips on building networks, boosting confidence, accessing leadership pathways & creating supportive peer communities. Sign up 👉 https://www.prescqipp.info/learning/practice-plus/

If you'd like to learn more about how OpenSAFELY works - and how we solved the privacy and efficiency challenges, to make national GP data securely accessible - here's a 5 minute video! www.youtube.com/watch?v=GRjR...

I'm delighted to say we have won the Queen Elizabeth Prize for Education with our work on OpenSAFELY, inventing new methods that let researchers analyse NHS GP data while protecting everyone's privacy, and with complete transparency, in a hugely productive platform! www.ox.ac.uk/news/2025-11...

The 250 new neighbourhood health services look likely to be delivered by PFI-style funding. www.hsj.co.uk/finance-and-...

I posted a thread at the weekend about my concerns regarding men taking super-normal testosterone supplementation and cardiovascular risk. I thought it was important enough to make into a short vid: nebula.tv/videos/medli...

Also available on youtube: youtu.be/FPsKTfFQFqc?...

As this story largely doesn’t affect rich people, nepo-babies, or those in other roles with influence, this government and the ones to come will ignore it. After the Industrial Revolution there was intense destitution with the newly jobless and it took decades for the state to respond. 1/3

NEW: If you have *any* interest in the Nathan Gill story, you need to look at this. We’ve put all the dates into a timeline & it’s incredibly revealing. 1/ www.thenerve.news/p/nathan-gil...

How do we weave prevention into the heart of medical education? FPH’s latest blog shares practical ideas from public health educators on embedding prevention and public health within clinical curricula. www.fph.org.uk/blog/weaving...

Misinformation is one of the world's biggest threats to public health. And governments are not doing enough to protect us. Social media companies should be held accountable for spreading harmful misinformation in that same way we hold manufacturers responsible for spreading harmful chemicals.

NEWS: I spent the past 24 hours going through major MAGA accounts on Twitter, and a bombshell development has become clear: most of the right-wing ecosphere is being fed propaganda from foreign actors. This impacts elections. This impacts discourse. This is major. Subscribe to support my work:

Fuck you, I won't do what you tell me! Fuck you, I won't do what you tell me! Fuck you, I won't do what you tell me! Fuck you, I won't do what you tell me! Fuck you, I won't do what you tell me! Fuck you, I won't do what you tell me! Fuck you, I won't do what you tell me! Motherfucker!

I will be your father figure (Oh, baby) Put your tiny hand in mine (I'd love to) I will be your preacher, teacher (Be your daddy) Anything you have in mind I will be your father figure (Very happy) I have had enough of crime I will be the one who loves you 'Til the end of time (Of time)

Now everybody from the 313 Put your muthafuckin hands and follow me Everybody from the 313 Put your muthefuckin hands up Now while he stands tough Notice that this man did not put his hands up This free world got you gased up Now who's afraid of the big bad wolf

The amount of shit medicine on TikTok and instagram. Heart rate variability will fix your bad back Your vagus nerve needs a “reset” TikTok constantly “do you feel tired - CANDIDA EVERYWHERE” “Little finger hurts - BAD GUT BIOME”

I am encountering yet more men on testosterone having huge heart attacks. Bear in mind I’m only on call 1/12th of the time (ie my rota has 12 consultants) and yet I’ve now seen 5 men in the last couple of months who’ve had STEMIs in their 40s and 50s. All very fit and *externally* in great shape

Please hear me when I say that 1) these anti-medical woo birth movements have been a primary feeder into anti-vaxx eugenic movements 2) they pre-date the age of social media 3) they exist because we have not addressed medical sexism and specifically obstetric violence

No industry is perfect. But the imbalance is hard to miss. One sector must prove its products are safe & effective. The other profits by avoiding that responsibility. If we care about transparency and accountability, scrutiny shouldn’t be one-sided. (Source: For The Greater Glory of Science) #EpiSky

As community pharmacy teams have increasing opportunity to enter data into the patient record, accuracy is critical, as data flows. Systems have to help support users too

I can’t bring myself to read this, but one day I hope there is as much time and energy devoted to the problem of the online radicalisation of vulnerable pregnant people and parents, as there is to the online radicalisation of young white men.

www.theguardian.com/world/ng-int... Why does someone not sue these charlatans for damages for peddling lies and misinformation.

This is an astonishing and maddening and sad story, just incredible work from Sirin Kale. It’s also downstream of many of the things @aliceemmalouise.bsky.social has talked about on @skepticswithak.org for a decade - medical mistrust as a result of medial bias, exploitation of women as empowerment.