@RNAppleby
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Daddy, Gastroenterologist, IBD specialist, bowel cancer screening colonoscopist, clinical information officer, veteran, cares about everyone and everything
London, England
Joined March 2013
- Tweets1.8K
- Following1.5K
- Followers1.6K
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I’m out of here, deleting the app, not the account. Maybe back, but feeling that what the world needs right now can’t be provided in 280 characters. I suspect that if Musk has anything positive left to offer Humanity, it will be falling into a volcano holding the X algorithm – at South West, England
Richard Appleby retweeted
Absolutely amazing NHS elective theatre productivity by this team who work at a ridiculously busy “hot” emergency site, all the hard work paid off 💪 @WestMidHospital @ChelwestFT #hipreplacement #enhanced recovery #GIRFT
Richard Appleby retweeted
✳️ Chicago 4.0 (c) algorithm for esophageal motility disorders✳️
✅ Disorders of EGJ outflow (Achalasia and EJGOO)
✅ Disorders of peristalsis
#GITwitter
Richard Appleby retweeted
Several stakeholders have advocated for minimising placebo controlled RCTs. We analysed the harms [Adverse Events,[AEs]] associated with placebo in inflammatory bowel diseases (IBD) RCTs. @alex_ford12399 @Bealoquebea @Jonathansegal85 @JonnyBlackwell @DrCJBlack @GastroRes_Leeds
Richard Appleby retweeted
In Lynch Syndrome, CADe does not provide any benefit in comparison with white light endoscopy. The high ADR in the control arm indicates that HUMANs have the key for High Quality endoscopy! @aegastro @my_ueg @ESGE_news @frankbalaguer thelancet.com/journals/langa…
– at South West, England
West Bromwich welcomes new ophthalmology and gastroenterology hospital. healthtechdigital.com/west-b… #Digitalhealth #NHS #Healthcare@chec_eyecare
73% of OGDs were for low yield symptoms and only 10% had any significant pathology. But how do we stop doing them? Patients expect and it’s increasingly difficult to say no when GPs refer, until we have the UGI equivalent of a FIT things will never change – at South West, England
#GUTBlog by @davidbeaton87 on "Diagnostic yield from symptomatic gastroscopy in the UK: BSG analysis using data from the National Endoscopy Database" via bit.ly/4fLVeBw
Paper: bit.ly/3M5VXQe
@MoThoufeeq @BrianDNicholson @thomas_rosch @Rutter_Matt @BritSocGastro
This isn’t a failure of regulation of PAs, I’ve seen many Jr doctors make the same mistake, it’s a failure of local governance of who and where ascitic drains are done – at Saint-Denis, France
Learning how to do a procedure isn't all that's needed. A doctor can understand the full clinical picture and when (and why) risks outweigh benefits.
Here, a PA put in an *unnecessary* ascitic drain, at the wrong time, for too long. Patient died of SBP.
manchestereveningnews.co.uk/…
Being abroad for the Olympics makes you really appreciate the BBC, the way things are going, French TV won’t show the 100m final if there’s not a Frenchman in it – at Enghien-les-Bains, France
The reverse is also true, all conservative supporters came out to vote because they knew how vital it was, many Labour would have stayed at home – at South West, England
It seems to me that the portrayal of the Labour win as shallow because of the vote share is misleading. This was a ‘get the tories out’ election. For different people that generally meant voting Labour, Lib Dem, Green or Reform. But in doing so they all knew they’d get a Labour government and did it deliberately. In reality even Reform voters actually voted for Keir Starmer to be PM.
Richard Appleby retweeted
Respect to Jeremy Hunt, who held his seat (just) but is out as Chancellor: this is a decent speech
CAAAAAAAAAAVVVV!!!!!!! #TDF2024 – at South West, England
A cautionary tale for polling day: LibDem voter, but in east London had no impact. In 2015 was living in a ‘safe’ LibDem seat, so I got creative, checked a policy website and voted Green. Vince Cable lost by 2000 votes. Tomorrow: think big picture, we need a change of government – at South West, England
I’ve long been critical of the restrictions on training places, but seeing the data nationally is eye watering. The result: every Trust I know has a vacancy for a consultant gastroenterologist, with not enough trainees coming through and we’re told the solution are MAPs – at South West, England
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Not a gastroenterologist? No one’s perfect, but you can still choose a slice of the good life in North Devon if you’re an Endocrinologist 👇 – at South West, England
🔵📽️ Why North Devon || Insights from Antonia, consultant in diabetes, endocrinology & general medicine.
🧵1/4
@youngdiabendo @Soc_Endo @ABCDiab @DiabetesUK
I’m starting to consider the possibility that the disastrous Tory campaign is internal sabotage by an insider betting racket – at Birmingham, England
BREAKING: Second Tory candidate facing betting probe is married to party's head of campaigns
news.sky.com/story/laura-sau…
At #BSGlive today. Heartened to hear much love for this thread from my colleagues. Apparently people I’ve never met talk about ‘doing an Appleby’’ so if you want to ‘do an Appleby’ get in touch! – at Birmingham, England
A thread about medical taboo #101: Moving jobs as a consultant: After 5 happy years in London, I took the momentous decision to leave. It was almost as mochas a shock to me as it was to my colleagues, I thought I would stay forever, so why did I do it, and what did I learn? 1/11
Mind blown! Often see press hail medical breakthroughs, and I’m left underwhelmed, but this is the real deal! Congratulations @Dr_James_Lee theguardian.com/society/arti… – at South West, England
