Associate Prof of Vascular Medicine & Associate Director (Ops) @UoL_LICAMM Vascular Specialist @LeedsHospitals | Aneurysms | Lipids | PAD | Food | Music | #MUFC

Leeds, England
Joined July 2016
Marc Bailey retweeted
Guilty, guilty, sham and shame. How on earth can Manchester City appeal a verdict as devastating and damning as the one passed down by the independent commission investigating breaches of financial regulations? City will appeal, of course, and it’s their right under Premier League rules. They clearly will appeal, claiming the verdict is “unsafe” but they are surely simply delaying the inevitable punishment, making themselves even more unpopular, damaging their club and the game further. For justice to truly prevail in this case, punishment has to be swift. For City to start the long journey back on the road to redemption, they have to take their medicine. These are dark days in the history of the Premier League and they are darkest at the Etihad. City's owners have to see the light, accept their guilt and begin the process of rehabilitation. An appeal involving deny, deny, delay, delay, shreds any sporting integrity this season has. The thought of this taking years to resolve – doubtless via the High Court - feels potentially ruinous, certainly deeply damaging, for the sport. How many people will be turned off by a league stained by a constantly updated asterix, by a sport effectively run by lawyers. City have to take their medicine now. For sporting competitions to survive and thrive, there has to be a willingness on all parties to play fair on and off the field. That may sound naive, an outdated purist principle, but it matters to many. A few engaged in the game will take short-cuts but one of the reasons why the Premier League is so followed around the world is because of the perception of its essential honesty. Players give everything from first minute to last. Promoted teams can occasionally trouble the established order. But industrial-level cooking of the books highlighted in the independent commission’s report, effectively allowing City, regular champions, to spend more on players will shake confidence in the competition. City’s owners have to think very carefully, not least about their own and their famous club’s reputational damage. Read the room. Read the statement. How can they possibly answer the powerful, damning language used in detailing the offences devised to circumvent FFP. Others were playing by the rules, City were bending them, the commission found. City fans can argue that FFP/PSR/SCR rules are anti-competitive, and protect the “cartel” as they see it, but City signed up to the rules. And, then, in the words of the Premier League CEO Richard Masters, “systematically broke” those rules for “nearly a decade”. Masters deserves to feel vindicated for his quiet, firm leadership of the league in this long, tense case against such a wealthy, self-confident member. Many of the 40 pages of findings in the "core decision" contain blow after blow to City. If the Premier League versus Manchester City were a boxing bout, the referee would have stepped in. “Sham contracts”, “misstated accounts”, “concealed the true state of its finances from its auditors and football regulators”. “Egregious acts of non-cooperation”. Basically, deception writ large. A phrase that will now pass into the annals of footballing infamy is the “Disguised Funding Scheme” whereby companies “were only required to pay a portion of the relevant sponsorship fees. The remainder was funded by Abu Dhabi United Group Investment & Development Ltd”. ADUG. City’s owners. The “Disguised Funding Scheme” basically overstated sponsorship income by £830.69m. A staggering amount. This is now not about Manchester City the club, but Manchester City the ownership, including the chief executive Ferran Soriano. They have to stop embarrassing the club and the sport. They have to stop letting down their fans. City’s owners have to consider the relentless abuse coming the way of fans, players and coaching staff in games to come, starting when entering what will be a bear-pit at Anfield on October 11. Soriano, assuming he attends, can expect a particularly uncomfortable afternoon in his seat and in the Liverpool boardroom. It’s hard to see how he keeps his job – if City’s appeal fails. Fit and proper person? In continuing to protest their innocence, City claim they have “irrefutable evidence” to defend themselves. If so, why weren’t three independent judges persuaded? City have had long enough, employed exceptional briefs, and still lost. Having been found guilty of doing the wrong thing, City now have to do the right thing and that is accept the inevitability of sanctions and seek some form of settlement with the Premier League. They will not, of course: too proud, too defiant, still too convinced of their innocence despite the weight of this report. They will become outcasts even without yet being cast out. That is to come. City's owners have to acknowledge the impact their activities had on other clubs, and accept the considerable compensation claims flooding their way from other clubs they pipped to trophies, possibly even from players. If they’re sensible they will look for a settlement that includes substantial compensation, running into hundreds of millions of pounds, to aggrieved clubs who missed out on trophies, on prize money. Maybe that £830.69m should be the figure considered in any settlement. Fitting. City's owners have to see sense. The alternative is years and fortunes spent in the courts. Nobody wins. Except the lawyers. Football loses, because the game remains on hold until City are punished.
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Seismic ruling by independent commission on Manchester City. Found guilty of artificially overstating income + reducing costs by £900m between 2009-18. “Evidence given by number of important factual witnesses on behalf of club was false in key aspects.” nytimes.com/athletic/7643269…
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Marc Bailey retweeted
🩺 How do you manage lipids in patients with PAD? 📊 Vascular surgeons & trainees: help us understand current approaches to dyslipidaemia and lipid-lowering therapy! ⏱️ 14 questions ⏳ 5 minutes Have your say 👇 forms.gle/HF1GVFGm8bhMK6En6 #VascularSurgery #LipidManagement
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Marc Bailey retweeted
Apparently concert venues are having a hard time getting Millennials to fill the seats. Well, hello. Millennial here. I think I can help. DEAR CONCERT VENUES: 🎟️ Just tell me what the ticket costs. I do not want to select a $79 ticket and discover at checkout that it is actually $146 because of a facility fee, service fee, processing fee, and a fee for having successfully paid the other fees. 📱 Stop making ticket buying a military operation. I should not need three apps, a verified fan code, a presale password from a credit card I don’t own, and 11:00 AM availability on a Tuesday to buy two seats. 💺 Assigned seats. We did our time standing shoulder-to-shoulder at shows in 2008. Some of us have mortgages now. Some of us have sciatica. 🕖 Start earlier. A 7 PM show is not embarrassing. In fact, I would like to formally recognize whoever invented the 7 PM show. ⏰ And tell us the actual times. “Doors at 7” is not useful information if the opener starts at 8:15 and the person I came to see appears at 10:07. 🚗 Parking instructions written for a normal person. Tell me which garage to use, what it costs, and whether I will spend 55 minutes trying to leave it afterward. I am willing to pay $20 for certainty. 🍺 I will buy your $14 beer. I have accepted this. But if I miss three songs waiting for it, you have broken the social contract. 🚽 Enough bathrooms. We are in our 30s and 40s. Half of us have had children. This is now infrastructure. 🔉 It can still be loud. We are Millennials, not the Greatest Generation. But some of us are bringing earplugs now and we are no longer ashamed of it. DEAR ARTISTS: ⏰ Please go on roughly when you said you would. We have babysitters. The babysitter has an end time. This is now a logistics problem involving several adults. 🎤 Play the songs from 2004–2014. You know which ones. We know which ones. Nobody needs to pretend otherwise. 🎶 Play some new stuff. Absolutely. We support your continued artistic development. But there is a point in the evening when you need to play the song that was on our iPod Nano while we drove to high school. 📵 You can tell us to put our phones away. We secretly want someone to make us do this anyway. 🪑 An intermission would not offend us. We can use the bathroom, answer the babysitter, check whether the dog has destroyed anything, and look at Zillow for eight minutes. And please understand: Millennials still like concerts. We have disposable income now. We are nostalgic. We will absolutely spend irresponsible amounts of money to hear a band we first discovered on LimeWire. But we also have jobs, children, dogs, mortgages, lower-back problems, and a very clear memory of when concert tickets cost $35. You want Millennials back? Make it easy to buy the ticket. Tell us when the show actually starts. Give us somewhere to sit. Play the song from 2007. We’ll be there. We just need to be home by 11.
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Marc Bailey retweeted
Let me say this very directly. Football does not belong to investors. It belongs to the people who fill the stands and who stand on the touchline week in, week out, rain or shine. The World Cup is not a product. It is the greatest competition in world sport, and it was never anyone's to sell. Dress the deal up however you like. Once you have sold a piece of it, you have sold out. Football belongs to the fans. It always has, and it always will.
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Dear @B_Fernandes8 My 11 year old son Monty used his school task to write a thank you letter to write and thank you. Thought I should share with you for him.
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🧠💊 Statins: Separating Evidence from Noise This landmark Lancet review examines the true efficacy and safety of statins using large-scale randomized controlled trials — not anecdotes or biased observational data. 📉 How effective are statins? For every 1 mmol/L reduction in LDL cholesterol, statins reduce major vascular events (heart attack, stroke, revascularization) by about 25% per year after the first year of treatment. Lower LDL by 2 mmol/L for 5 years in 10,000 high-risk patients and you prevent: ✔ ~1,000 major vascular events (secondary prevention) ✔ ~500 events in higher-risk primary prevention The benefit scales with baseline risk and LDL reduction. ⚖️ What about harms? Randomized evidence shows that serious statin-related adverse effects are rare: • Myopathy: ~5 cases per 10,000 over 5 years • New diabetes: ~50–100 cases • Hemorrhagic stroke: ~5–10 cases Crucially, most muscle symptoms attributed to statins in routine care are not caused by the drug — placebo-controlled trials demonstrate strong misattribution (nocebo effect). 📊 The paper strongly emphasizes that large randomized trials are far more reliable than observational studies when assessing drug safety. Many alarming side-effect claims arise from biased data sources. 🔍 Bottom line: The cardiovascular benefits of statins substantially outweigh their risks in appropriately selected patients. Underuse driven by exaggerated safety concerns may cause preventable heart attacks and strokes. Evidence matters. And in the case of statins, the evidence is robust.
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I’m allowed to share an anonymised WhatsApp post. Nothing more to say, except I’m with you, resident doctor colleagues and other doctors working in the NHS. Enough is enough.
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This is a great opportunity to join a thriving academic surgical community in Leeds, supporting ACFs in translational and clinical research in vascular surgery @coughlin_pa @LeedsVascular @RouleauxClub yorksandhumberdeanery.nhs.uk…
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2025 Focused Update of 2019 ESC/EAS Guidelines for the management of dyslipidaemias - Extreme Risk target - Better use of combination therapy - Use of combination therapy at index point of ACS - manage TGs with Icosapent Ethyl or Volanesorsen (>8.5) #ESCCongress #LipidLowering
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Why would anyone want to be a scientist? Check out our new Essay from Martin Schwartz: journals.biologists.com/jcs/…
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Cardiovascular disease (CVD) is responsible for 25% of UK premature deaths. Up to 80% of these deaths are preventable. It’s estimated that the burden of CVD costs £29 billion each year. But CVD prevention is not currently being prioritised by government at the scale needed.
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Marc Bailey retweeted
"We fight once more for a regulator that can clearly define who can, and who cannot, practice medicine. Today I’m announcing for the first time in over 150 years, we are launching a new BMA register solely for doctors." @DrPhilBanfield addresses #BMAARM25 calling for doctors to act now and sign the BMA register 👇 activism.bma.org.uk/page/172…
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Had a great time at Basic Vascular Science 2025 in Lucerne for the last few days. Great science, great collaborations and great culture. Thoroughly recommend the meeting and the city🇨🇭🏔️
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If you do one thing today, make sure you watch this.
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Really enjoyable to talk to the Cardiology Trainees at @TheBJCA #BJCACore2025 in Leicester on peripheral and aortic diseases and what cardiologists need to know in 2025. Thanks for the invite @DrMikeDrozd
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Introducing the CardioVascular Residual Risk Reduction (CVR³) guidelines in the UK. A game changer in addressing risk beyond LDL-C with practical strategies developed by a MDT from Yorkshire to tackle metabolic, thrombotic & inflammatory risk. Elevate the prevention game. #CVRM
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Marc Bailey retweeted
Breaking news Introducing the first pragmatic CVD residual risk reduction guideline in the UK. A game changer in addressing CV risk beyond LDL-C, this pathway from a multidisciplinary team in Yorkshire gives practical advice on tackling metabolic, inflammatory, & thrombotic risk
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