Hello. I'm an independent prescribing Paramedic working within Primary Care teams. Wide interests; engineering background.

UK
Joined June 2013
A 40-year-old woman has had these skin lesions for 1 year. Similar lesions are also present on the feet. What’s your diagnosis?
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My dad died of glioblastoma on Friday. Two things that are significant when you get diagnosed with this at age 72: You're not going to live very long and much of the time you have left is going to be unpleasant. I've been struck my how *little* attention was paid to these things.
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People of Glasgow: Next week I'm coming from Boston to your neck of the woods and reporting a story about the recent twinning of our cities. If you'd like to meet up for a walk, pint, and/or a conversation along the Forth and Clyde canal paths, let me know! I'll be walking there.
Well, it's happening. I'm going to Scotland as a card-carrying Boston resident to walk from Edinburgh to Glasgow, our new sister city, via the canal paths that link the two. Dates/deets TBD, but I'm going to have to start doing longer walks to train for this.
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It’s Dying Matters Awareness Week. Here are five recent papers that you should be aware of… #DyingMattersAwarenessWeek 🧵
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Chronic Pain in Elderly Patients: Pathophysiology, Pharmacologic and Non-Pharmacologic Therapies, and Interventional Management. dovepress.com/article/downlo… #MedEd #FOAMed
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My new post looks at the current meningococcal outbreak in south east England What is meningococcus? What's happening with the outbreak? What's the deal with the vaccines? open.substack.com/pub/alasda…
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Fluid restriction has no proven benefit in heart failure or cirrhosis, but can lead to anxiety and harm. Use it sparingly in patients with dilutional hyponatraemia.
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If you're not sure whether the 21 minutes are worth it, watch these 4 clips to decide The origin story of 7-14 day courses
The man, the myth, the legend in the flesh at our Division of Hospital Medicine Grand Rounds Must watch on why Shorter is Better for antibiotics 1.5x speed since he doesn't drink coffee Imagine a caffeinated @BradSpellberg ...
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Does making an advanced care plan to die outside of hospital work? Is it worth it? @LeedsFrailtyEd
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🧵 “10 Clues Your Patient’s ‘Fibromyalgia’ Might Be Hiding Another Diagnosis” Not all widespread pain is fibromyalgia. Here are 10 red flags that mean you need to look deeper 👇 #Rheumatology #MedTwitter #ClinicalPearls #Autoimmune @DrAkhilX @IhabFathiSulima @teamfibro
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How to approach a patient hospitalized for pneumonia who is not responding to treatment? ➡️Differential diagnosis ➡️Diagnostic workup ⚠️Escalating antibiotic treatment should not be the default option doi.org/10.1007/s00134-025-0…
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⭐️What takes minutes & could save 1000s of unhelpful admissions?⭐️ I often hear (usually older) patients being told "𝐘𝐨𝐮 𝐡𝐚𝐯𝐞 𝐭𝐨 𝐠𝐨 𝐭𝐨 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥". Which is rarely true. 1/11
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ABC Podcast Ep. 1 | Alex Petkas on Plutarch's Life of Pericles
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Matt Johnson released his debut studio album 'Burning Blue Soul' on this day in 1981. It was later rereleased under the moniker @thethe youtu.be/wV616hS4r8w?si
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📣 Are you a UK professional working with people near the end of life? 💥 Help shape priorities for the new Impact Centre for Palliative and End-of-Life Care. We’re inviting health & care professionals & commissioners to complete our Stakeholder Survey👇 qualtrics.kcl.ac.uk/jfe/form…
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So now the we have confirmation that this type of light is beneficial for the human body who’s going to tell them that the insides of our home are now devoid of such light. 1) no more incandescents 2) Low E glass which specifically filters this out. 3) 93% of our time spent inside Lack of infrared light is the scurvy of the 21st century.
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🧵 “ANA Positive ≠ Lupus: The Art of Interpreting Autoantibodies” ANA positivity is one of the most misunderstood findings in medicine. Here’s how to approach an ANA report systematically, clinically, and with confidence. 👇 #Rheumatology #ANA #Autoimmunity #MedEd @DrAkhilX @IhabFathiSulima #MedTwitter
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Patient-first clinic letters: join an event for clinical and administrative staff in primary care. Help decide what works for general practice. When: Thursday 26 June from 14:00-16:00 Where: @Nexer_Digital Macclesfield This is your opportunity to shape how change is implemented.
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Stuart Warwick retweeted
HCPC renewal letter got you in a cold sweat? Don’t forget, @TheResusRoom have a completely free, no catches, CPD diary on the website Log ALL your activities and get certificates for completing the questionnaire after listening to each podcast Head to: theresusroom.co.uk/trr-cpd-d…
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