NHS Consultant Physician and Rheumatologist; interest in the PMR/LVV spectrum and diagnostic reasoning. Lover and photographer of the awe-inspiring Cosmos.

Manchester, England
Joined August 2011
A selection of photographs taken from my home in North West England this year. #Astrophotography
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Rikesh Patel retweeted
For some godawful reason and against my better judgement, I feel like weighing in on the Liver Doc vs Vidit debate. It is hurtful for Vidit to have someone discredit his family online. Although, liver doc did not know say his father is a bad Ayurvedic migraine specialist, or his mother is a bad cosmetologist. That would've been a personal attack. He only clarified that they are not doctors. Now, one can say what's the big deal even if Vidit called them doctors, what is the need for so much anger. But that's where we miss the context of a physician. People die due to these treatments and therapies. There is no other way to put it. People distrust real doctors, avoid taking the right treatment, and in a lot of cases permanently damage their health, in worst cases they die. When the consequences of something are so dire, it is important to educate, to use the right vocabulary, to be informed. Unfortunately, the government doesn't do its job in this matter. If anything, this is as important as the polio vaccination program. We don't see the repercussions of this unfold in our every day lives but physicians do. That is their context.
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Milky Way from Kos. Shot at 3am on 10/6/25 from a remote, isolated, dark corner on the island of Kos, Greece (Bortle 2/3). Captured using an astromodified Canon 6D and Sigma 24mm f/1.4 lens. @skyatnightmag #landscapeastro
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Cosmic Drama 12 hours of integration at f/3.9 from Bortle 6 skies in the North West of England. M82 captured in detail—my most refined image in 5 years of astrophotography.   #astrophotography
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After a long stint of using clear nights to attempt to sleep instead of stargaze I managed to make it happen this week. Here’s M101—the Pinwheel Galaxy from my back garden in NW UK. It’s 21 million light-years away and nearly twice the size of the Milky Way #Astrophotography
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We are looking for #Rheumatology patients to tell us their views about clinic letters, and who us clinicians should write to - patient or GP? Please see details below to take part - we're recruiting from across the UK 👀 Pls RT @NRAS_UK @vascuk @wren_project @VersusArthritis
Are you a current patient of a #Rheumatology outpatient department in the UK NHS/HSC? We want to know your views on clinic letters and who they are written to. For information on our interview and focus group study, please visit: sites.manchester.ac.uk/writi…
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#AuroraBorealis Timelapses from NW UK last night All shot with Canon EOS R8 and sigma 24mm f1.4 Art @BBCNews @skyatnightmag
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new kurzgesagt video is great, pls watch youtu.be/c1nYtX-NUsc?feature…
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Rikesh Patel retweeted
Devastating results from the @UKHSA annual report on HIV in England: 6,008 new HIV diagnoses in 2023, up 56% from 3,859 in 2019. Evidence of the cuts which have decimated our services. gov.uk/government/statistics…
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Diagnosis is the art of seeing what everyone has seen, but thinking what no one has thought.
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‘The Darzi Review reveals the true extent of an NHS in crisis. Sadly for the medical workforce, its stark findings will come as no surprise...We call on government to address these issues systematically in its promised 10-year plan.’ @Mumtaz_Patel_1 Read our full response to Lord Darzi’s #NHS review: ow.ly/UAUF50Tm8gh
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If AI becomes a default solution for tasks that require mental effort, there is a huge risk of diminishing the very abilities that distinguish human intelligence. Worrying for our future generations
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Timelapse of the Auroral Corona North west UK @BBCNews @metoffice @itvnews
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Coronal explosion overhead. 11.45pm Rivington Pike Canon 6d, 14mm Samyang lens. #aurora @BBCNews @metoffice @itvnews
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#aurora over Rivington Pike last night. Canon 6d + 14mm Samyang lens @BBCNews @itvnews
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What a display from Rivington Pike! #canon6d + #samyang 14mm lens @BBCNews
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Offering women in labour a placebo for pain when placebo is not offered in any other clinical context in UK healthcare is very worrying. Even if somewhat evidence-based, in practice, it risks acting as a distraction for proper analgesia when it is actually needed.
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What is the use of science? The full episode is here: youtu.be/jY_hJUm__78 #thepoetryofrealitypodcast #richarddawkins #universe #faraday
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