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.

This might be one of the most disturbing pieces I’ve ever read. Staggering investigative work from Sirin Kale and Lucy Osbourne www.theguardian.com/world/ng-int...

I just read this article and it's so similar to many other health grifts. There's good evidence that planning home births, working with doulas etc. is healthy and corrects some of the issues you mention with the mainstream offer, which the NHS as an evidence based provider engaged >

Anyone who's read me ranting about screening will know I'm all for thinking critically about health care. But there's a reason maternal mortality has more than halved in the last 40 years. There's a reason maternal mortality is used as a proxy for health care quality globally.

Dangerous shortage of medics threatens safe patient care in England, top GP says

Influencers made millions pushing ‘wild’ births – now the Free Birth Society is linked to baby deaths around the world

Nothing has convinced me more that my next computer will either be a Mac or run Linux than this I do not want an LLM all over my operating system, I want a computer that runs programs!

Pure evil.

Clinical guidelines are always changing – in 2023, NICE released 48 new & 28 updated guidelines – but there’s no reliable system for keeping doctors updated, leading to gaps in knowledge & care. Our review underlines a need for more #research. Full paper: ths.im/47wye5T THIS summary: ths.im/4pj12X5

Today we had a great day training our Pharmacy Technicians on the crucial task of calculating #anticholinergic burden on the wards & discussed polypharmacy/ deprescribing & tomorrow we're proud to be connecting with #PharmacyTechnicians across the globe in New Zealand 🇳🇿 to learn from each other 🤝 ​

Wonderful www.theguardian.com/technology/2...

I am by no means a prominent public intellectual, but my inbox is increasingly filled with messages from people who have been convinced by sycophantic chatbots that they have discovered revolutionary theories that entirely upend our scientific understanding of the universe.

Oh FFS...should have stayed in bed. A summary England 172 all out. 32.5 overs Starc 7-58 Brook 52 All out and it is still dark...not even sunrise in the 🇬🇧 yet. A Starc day indeed. Time to unleash Jofra Archer & Mark Wood. #theashes #cricket #engaus 🏏

A new #BMJInvestigation finds that thousands of locally employed doctors are trapped in insecure NHS contracts with no access to training, career progression, or national safeguards. Experts warn that the NHS is effectively “behaving like a gig economy employer” www.bmj.com/content/391/...

Just ask - "Could it be Caffeine?" #AnaesthesiaSky

Prozac ‘no better than placebo’ for treating children with depression, experts say

Looking for ways to reduce anticholinergic burden and tools to talk about this topic with your patients? The @england.nhs.uk launched a hub with many clinician + patient-facing resources (some of which were inspired by CADeN resources!) to support safer use of anticholinergics: tinyurl.com/mr3adr6c

Incredible headline.

What is problematic is lack of joined up management. With HF teams managing HF fabulously. Then same patients admitted with side effects, having medications stopped, and decompensating. Not sure medicine has got care right for this group of people. Also intrigued by trials quoted given CHART.

I mean my read of it is not sure the HF side are getting what is meant by severe frailty here. Obviously important and often neglected that patients don't get all 4 pillars of treatment. But man I see a lot of people started on an SGLT 2 who immediately start falling.

Just seen in the world of UK medicine- that the British Geriatric society and the British Society for Heart failure have been in a very polite disagreement over prescribing HF meds in frail patients. Which appears to be the medical version of the 'Do you bite your thumb at us?' scene

🚨ICYMI - TI #BestEvidence webinar Addressing medications that are ineffective & potentially harmful for patients with alcohol & other substance use disorders 💊🍻🚬 ti.ubc.ca/harms-aud-sud/ Speaker: Dr. Evan Wood #polypharmacy #alcohol #substanceusedisorder

Paid my tax today and reflecting on how well the money is spent. Answer re: NHS is poorly. At least 20% of NHS spend is waste: over diagnosis and over treatment, low value treatments and processes, provider capture of the market, unwarranted variation. Did anyone spot any of this in the 10YP?

I asked grok who was the better role model for humanity, Jesus Christ or Elon Musk. GUESS WHAT.

#Klebsiella infections are a serious & growing #PublicHealth threat For #AntimicrobialAwarenessWeek, @josebengoechea.bsky.social discusses the dangers of bacterial infections, antimicrobial resistance & the global efforts to tackle it. @lshtmamrcentre.bsky.social www.lshtm.ac.uk/newsevents/e...

Recommended read 📖 NHSE Update from Richard Cattell at PCPA Leadership Conference www.england.nhs.uk/publication/... #PCPAevents

Large randomized trial of a GLP-1 pill, orforglipron, in people with diabetes and obesity shows significant weight loss. GLP-1 drugs achieve less weight loss in people with diabetes compared with obesity, and that remains unexplained thelancet.com/journals/lan...

@pcpa-uk.bsky.social ANNUAL LEADERSHIP CONFERENCE Welcome address by Minesh Parbat & UKPPLAB Update from @grahamstretch.pharmsky.app #PCPAevents

💊 New CADeN Infographic: Do I Really Need an Antibiotic? For World Antimicrobial Resistance Awareness Week (Nov 18-24), help us promote appropriate use of antibiotics! Check out our new public-friendly infographic with key info on antibiotic resistance and how to prevent it: tinyurl.com/29sdwwmr

Always good to get updates from Philip Newland-Jones on diabetes care. New NICE updates on the horizon. SGLT2i value highlighted for new diagnosis of T2DM + CVD risk. Challenges the clinical inertia with SGLT2i for patient who are frail, female and from ethnic minority backgrounds #PCPAevents

70 teaspoons placed in tearooms around the institute & observed weekly over 5 months. 80% of spoons disappeared; spoon halflife~81 days. Communal room halflife lower than in specific labs. 250 spoons annually required to maintain 70 spoon population. pmc.ncbi.nlm.nih.gov/articles/PMC...

BJGPLife: Pathways of Hope: co-creating a public information comic with a recovery community bjgplife.com/pathway... #GeneralPractice #PrimaryCare #FamilyMedicine

Postural hypotension poses significant risks such as falls & mortality. Awareness of guideline-recommended indications for screening remains low & adherence to correct measurement techniques is inconsistent in #GeneralPractice. Time & clarity on measuring methods are needed doi.org/10.3399/BJGP...