Freddie Jarvis (@fredo4681) header
Freddie Jarvis (@fredo4681) profile picture
East of England
Joined August 2022
Photo by Freddie Jarvis (@fredo4681)Photo by Freddie Jarvis (@fredo4681)Photo by Freddie Jarvis (@fredo4681)
We did it! Absolutely thrilled to share the results of the ASPEN trial published today in @NEJM Brensocatib(10mg and 25mg vs placebo) reduced exacerbations over 52 weeks and slowed lung function decline A new treatment for bronchiectasis patients nej.md/4lBHwUr
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Freddie Jarvis retweeted
🫁 ⏰ When do you perform bronchodilator reversibility testing to help support a diagnosis of asthma? We had a 👀 at the what effect time of day and season has on responsiveness @HLRI_Cambridge @CUH_NHS Results published in @ThoraxBMJ today! thorax.bmj.com/content/early…
Do our body clocks affect how well diagnostic tests work? Researchers @HLRI_Cambridge @CUH_NHS @RoyalPapworth have shown that a routine test for diagnosing asthma works better in the morning, becoming less reliable throughout the day. The reliability of the spirometry test also differs significantly in winter compared to autumn. Find out more 👇 cam.ac.uk/research/news/rout…
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⁦New Episode out today! We are back ⁦@DrBenLovell⁩ with a great Internal Medicine case that will get us all thinking. Ben reminisces on his medical school years and I forget all the causes of clubbing 😄 Happy listening #MedEd #MedTwitter podcasts.apple.com/gb/podcas…
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Freddie Jarvis retweeted
Some might remember my proposed education initiative to improve feedback and the general education experience for doctors in acute medicine last year. Well, I have now been running the ‘feedback clinic’ for a year, and I wanted to share my learning/experiences
In spirit of sharing ideas: I’m piloting a new education initiative in Aug for trainees in acute med. I hope to improve clinical feedback for docs & give more opportunities for them to get the WPBAs they need for portfolios by removing their need to ‘hustle’ to get them completed
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A thread about consultants about giving feedback. 🧵 Consultants: Have you ever looked at feedback from rotating doctors - either end of rotation surveys or GMC survey data - that highlight a lack feedback in your department? And thought ‘but I give feedback all the time?!’ 🤨
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For surgical history nerds: Here is the main figure from Seldinger's 1953 paper showing what later became known as the Seldinger technique. There seem to be 2 extra things that Seldinger did that most people probably don't do these days, as we'll see next: (1/ )
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Cigarettes were commonly used as a 'treatment' for asthma in the 19th and early 20th century #histmed #historyofmedicine #asthma #asthmacigarettes #pastmedicalhistory
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Freddie Jarvis retweeted
A day late, but no less exciting, here is this week’s #ThoracicThursday #SCE style quiz question. We’re focusing on pharmacology! Not sure of the answer? Why not ask your friendly Respiratory pharmacist? Answers Sunday or Monday dependant on train wifi signals! #RespEd
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The stethoscope is the image of medicine, a commonly used tool, and its importance in the field is immeasurable. But what is its past, present, and future? A short thread
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Physicians! You need to know the figures from this study when you talk about lumbar puncture with your headache patient. A negative CT means a low post-test probability. How many LPs do we need to do to identify one SAH? What will the patient accept? @acutemedicine
The SHED study is published! Thanks to the 100s of contributors around the UK... This paper raises a lot of questions - how will it influence your work? What post test probability of SAH and aneurysmal SAH are you, and your patients, comfortable with? emj.bmj.com/content/early/20…
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A fantastic brand new episode with ⁦@DrBenLovell⁩. We discuss breathlessness and I have absolutely no idea what the diagnosis is. Will you? #MedEd #MedTwitter podcasts.apple.com/gb/podcas…
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Freddie Jarvis retweeted
Good morning pals! It's Thursday which means it's #ThoracicThursday! What would your management plan be for this patient? Why not ask your teams on the wards for their opinions? Share your thoughts. Answer & explanation at the weekend #RespEd #RespIsBest
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Freddie Jarvis retweeted
when I held family discussions on ICU, I always felt that being upfront—& even _blunt_—about a pt’s outlook/risk of dying was the kindest thing I could do. giving false hope by omission, and denying loved ones the ability & time to say goodbye, might feel nice, but is so unkind.
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A superb resource which helped me get through the respiratory SCE a few years ago, and now continues to be fun and educational. Learnt a lot about PH this week. Thank you!
Replying to @KingsResp
Hi there lung fans! It's time for to reveal that the answer to Q47 was D right heart catheterisation. There were some great comments on this one, so let's dig deeper into the diagnosis of PH....
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Freddie Jarvis retweeted
Great case of hybrid ECLS (VA ➡️ VAV ECMO) as a bridge to thrombectomy in massive PE, complicated by pulmonary haemorrhage. Nice work @PBSherren and team @GSTT_ICU
Massive PE with McConnell's sign presented in extremis to local hospital on high dose inopressors & brief IHCA → no response to tPA → mobile pVA-ECMO → retrieval → thrombectomy x2 → reperfusion injury/DIC/pulmonary haemorrhage → VAV-ECMO → Recovery after 12days hybrid ECLS
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Freddie Jarvis retweeted
The best party in town! Book your early bird ticket today! If you’ve not been before we can give you the lowdown on how to make the most of the conference - from selecting sessions to finding the best food, & bumping into the biggest names in resp! #RespEd #research #RespIsBest
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Freddie Jarvis retweeted
I remember being out till 4am with the other new FY1s celebrating my first week as a doctor so it seems apt that I’m celebrating my ten year doctorversary by splitting an overpriced cheese toastie with a two year old while I wait for Halfords to patch my tyres
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