R (@Ramku14) header
R (@Ramku14) profile picture

Interventional Cardiologist, Cricket fanatic.

Joined June 2015
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This is fine but then the system should run without IMGs. Creating a two tier system with IMgs for service and local grads for training is not acceptable.
Replying to @BMAResidents @FT
NHS specialist training programmes should be allowed to prioritise UK medical graduates over IMGs.
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Complex PCI Live case from Sunderland. #BCISACI @DrNPJenkins @STSFTrust @Dr_MickeyJ
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Waiting for that primary
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A blocked artery is just a blocked tube. May be we could train dynorod to do ppci and I could stay in bed.
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Waiting for that Primary to arrive, that's still waiting for an ambulance....
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Correlation does not mean causation as it appears to be implied here.
Replying to @WSussexBrexit
Since statins were introduced in 1987, the incidence of congestive heart failure has more than doubled, now the #1 reason people age 65 and older are in the hospital.
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Do not take advice regarding lipid management from random voices on X
He consulted with me regarding high triglycerides of 630 mg/dl on carnivore diet, I advised him to follow my advice & repeat the lipid panel tests after 10 days. Triglycerides dropped down from 630 to 107 mg/dl.
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Name a movie you have seen more than 7 times with a GIF.
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Miss Kaif from the pavilion end. Right arm off break.
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🤮
With the passing of Henry Kissinger we have lost a giant of diplomacy and strategy - and peacemaking. The world needs him now. If ever there was an author of peace and lover of concord that man was Henry Kissinger.
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Do not take random advice from twitter regarding how to treat Cholesterol. Discuss with your primary care doc or cardiologist.
🩸 Cholesterol. Healthy newborns are born with an LDL level of 70.5 +/- 23.9 mg/dl. Yet all the targets for adults are getting lower and lower to the point where some are advocating for an LDL as close to zero as possible 😳 Newborns aren't dying of heart attacks despite their LDL. What changes? Inflammatory damage to the arteries - caused by lifestyle. Then and only then do plaques form. The continued pathologising of normal physiology whilst ignoring underlying causes is extremely concerning.
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Don't stop your statins bcos a chap on X says its a good idea. Discuss with your primary care doctor or specialist.
High cholesterol doesn't cause heart disease. And there is a good chance you can get off your statins (cholesterol medication). Let me explain why & how. THREAD
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It happens sometimes. Saved by ping pong guide from the other side and SWL to prox lad to allow telescope to go down to the burr site and retrieve it intact. Then stent all the way back.
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Any one planning to do 5 years CCT Cardiology PhD/MD, TAVI fellow ship?.
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Washburn Valley. Swinsty.
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Replying to @Dr_MickeyJ
@Dr_MickeyJ How long have we done this at @STSFTrust ?
'This is just the start' - the heart nurses breaking down professional boundaries | News from St Bartholomew's - Barts Health NHS Trust bartshealth.nhs.uk/news-from…
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