Julian Simcox

practising Patient Leader and Deming-influenced Improvement Scientist --- interested in evidencing outcomes in real-time -- L&Rs are for later reflection

[Julian Simcox @JulianSimcox]

@MatthewRehrl @ConscienHealth Given that individual’s often dismiss the notion that they can make a personal difference to global warming, or to the problem of lost planetary diversity, I like to suggest they can increase their own inner diversity by nurturing their inner rain forest: their microbiome

[Matthew Syed @matthewsyed]

The Palestine Action protesters have been characterised as warm, decent, cuddly. I went to talk to them and the mask slipped. Just a question or two about what they really think exposed the increasingly potent and assertive antisemitism in the UK

https://t.co/Xti8mZjc7t

[Julian Simcox @JulianSimcox]

@DanNeidle There are lots of ways to reduce inequity without pretending to be Robin Hood

[The Centre for Social Justice @csjthinktank]

⭐️Brilliant panel taking questions at our #LostBoys event ⭐️ @AndyBurnhamGM @MPIainDS @miriam_cates @SShaljean @dallaglio8

[Dr David Unwin @lowcarbGP]

Many of my patients are ‘depressed’ for a reason; Debt, relationship problems, housing issues, a bad boss and so on Giving antidepressants is unlikely to help much. Bit like a high blood sugar for someone with T2diabetes is likely to be caused by; bananas, toast, rice and so on Before we medicate perhaps investigate causation ???

[Julian Simcox @JulianSimcox]

If the NHS is to continue to meaningfully evolve, every patient contact should invite self-engagement with aim of initiating self-empowerment.

[Patients Know Best @patientsco]

“Traditionally, we have been the aggregators of data, but the goal is to shift the focus from simply allowing patients to see their data to actively engaging with it and empowering them to take action”

@idiopathic at today’s panel @Arab_Health ‘The Front Door to Healthcare - Primary Care Delivery in an Insurance Led System’

#personalhealthrecord

[Patients Know Best @patientsco]

“Traditionally, we have been the aggregators of data, but the goal is to shift the focus from simply allowing patients to see their data to actively engaging with it and empowering them to take action”

@idiopathic at today’s panel @Arab_Health ‘The Front Door to Healthcare - Primary Care Delivery in an Insurance Led System’

#personalhealthrecord

[Julian Simcox @JulianSimcox]

@lowcarbGP @BrownAdey @rcgp @BDA_Dietitians @KenDBerryMD @KetoCarnivore @drjasonfung @Mangan150 @DrEenfeldt @mgtmccartney I’m using the ‘NHS Model for Improvement’. Sadly, few people in primary care are aware of it.

[Julian Simcox @JulianSimcox]

@lowcarbGP Before I had the continuous feedback I was a frequent flyer at my GP practice. Nowadays, 3 of my 7 long term conditions are in medication free remission, and two more are improved. I haven’t been to a doctor for 3 years

[Julian Simcox @JulianSimcox]

@lowcarbGP Without continuous feedback, experimentation feels like shooting in the dark.

[Julian Simcox @JulianSimcox]

@lowcarbGP @BrownAdey @rcgp @BDA_Dietitians @KenDBerryMD @KetoCarnivore @drjasonfung @Mangan150 @DrEenfeldt @mgtmccartney To change your mind-body behaviour, you need continuous feedback. By spending just 20p per day, pricking my finger before breakfast, I have enough data to tell me if my recent food, drink and exercise choices are keeping my diabetes at bay .. now 57 months and counting.

[Julian Simcox @JulianSimcox]

@lowcarbGP @timspector @hormonedietdoc @zoeharcombe @SBakerMD @KenDBerryMD @nicknorwitz @lowcarb_aus @rcgp @ElieJarrougeMD @DrEenfeldt Since diagnosed with T2 Diabetes 5 years ago, I decided that merely ‘annual’ NHS feedback on dietary changes could be supplemented by a daily finger prick early each morning. Cost just 20p.
I achieved signs of remission within 6 months, and soon full self-evidenced remission.

[Dr David Unwin @lowcarbGP]

Plant based junk food is still junk food &is associated with increased mortality Implications of food ultra-processing on cardiovascular risk & plant origin foods: an analysis of the UK Biobank cohort - The Lancet ⁦@SBakerMD⁩ ⁦@DoctorChrisVT⁩ https://t.co/LTfUB1AnNQ

[Julian Simcox @JulianSimcox]

The NHS was originally set-up to Prevent, Diagnose and Treat. It has done these things in reverse order. A more proactive approach would have been to focus on prevention which might have avoided being now so overwhelmed.

[Julian Simcox @JulianSimcox]

NHS Says: “We Cannot Treat Our Way Out of Obesity” - ConscienHealth https://t.co/yi5l4KVWgj

[Julian Simcox @JulianSimcox]

@timspector Political discourse also steers clear of discussing Personal Responsibility and vitally how it underpins Public Responsibility.

[Dr David Unwin @lowcarbGP]

It was about 2016 that we stopped worrying about dietary cholesterol !! Dietary cholesterol in my experience has very little relationship to serum cholesterol

[Dr David Unwin @lowcarbGP]

Note a low carb diet improves both fasting triglyceride and HbA1c for this patient over many years 👏👏😊

[Dr David Unwin @lowcarbGP]

I really worry about the conflicts of interest in our ‘leading food science departments’ like this revealed by The Financial Times involving Reading University and Mars and Pepsi Also that there may be a coordinated policy to ‘Deny, Denounce &Delay to protect Junk food. Rather like cigarettes all over again 😥https://t.co/o11Kifuibi @HenryDimbleby @DoctorChrisVT @UKLabour

[Julian Simcox @JulianSimcox]

Thus data needs numbers over time before any political judgments get made

[ALASTAIR CAMPBELL @campbellclaret]

This government and the party that gave it to us deserve to be gone for good.

[Julian Simcox @JulianSimcox]

@campbellclaret I’d like to see how this chart has changed over time before making any political judgement