Kade 🧑🏻‍🔬🌌

Clinical Scientist (Biochemist) 🧑🏻‍🔬. Also bit of a space nerd 🌌 Like/repost/follow ≠ always agree.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

Got It! How beautiful! #Sar2667 #Asteroid

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@Dr_Afo You're right, that is an unpopular opinion.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@nosoupforgeorge And yet we can't even predict if a train will actually arrive let alone the time accurately

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@fionahtweet @NadiaWhittomeMP None of those are allowances specific to doctors and therefore is not an argument that doctors have it good. Overtime is more hours for doctors than other public professions. Of course F2 is higher than F1 as they're more experienced. Are you suggesting F1 pay forever?

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@sophielouisecc What if it's full time hours over four days (compressed hours)? If done correctly, this may be much more efficient for some people, and efficiency for every tax pound spent is the priority.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@ShoooTsw @NadiaWhittomeMP According to whom? Please don't use the 'compared to the average salary' argument as that's not a valid point.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@fionahtweet @NadiaWhittomeMP Sorry, what allowances do doctors get apart from a longer 'full time' working week, having to pay extortionate examination and registration fees as well as travel fees for being sent to Narnia for a placement? Let alone extra fees for portfolio stuff to compete for jobs.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@drkeithsiau @DslashRay @ElizaGlass1972 @drokane Nicely explained. Fun fact - the FOBT actually tests for peroxidase activity and not haem specifically. Haem has peroxide activity, but so does horseradish which can cause a false positive FOBT result if you eat enough of it! FIT obviously is not subject to this interference.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@Martin777warrio Good point and certainly worth discussion. Every drug comes with risks, but the benefit of a drug may outweigh the risks. As we are living longer, there is a good argument in favour of population level statins to hugely reduce CVD risk with minimal population level side effects.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@Martin777warrio Martin, please don't comment on things that you don't understand, especially so confidently. Cystic fibrosis has absolutely nothing to do with environment and is literally caused by a genetic mutation and effects very young children. Cancer can also be caused by mutations.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@Martin777warrio @MichaelAlbertMD @tietotaitoa You stated the human body does not make mistakes. Is cystic fibrosis, a purely genetic disease, not a mistake? Are genetic causes of cancer not a mistake? Your points may have some truth to them if you don't make incorrect statements.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@melanied333 @MichaelAlbertMD @Rwill235 No, LDL (low-density lipoprotein) refers to lipoprotein particle that contains LDL-C (LDL cholesterol). LDL particle number can be estimated by Apo-B 100 as there is one per LDL parictle. LDL-C is the content of cholesterol in LDL and is what's measured or calculated by the lab.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@Martin777warrio @MichaelAlbertMD @tietotaitoa The human body does not make mistakes? Tell that to patients suffering from inherited metabolic conditions, haemochromatosis, auto-immunity, cancer, familial hypercholesterolaemia, cystic fibrosis, etc.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

I cannot eay this enough. A 'negative' tumour marker result NEVER excludes malignancy and a 'positive' never diagnoses malignancy in its self. And yes, this includes CA 125 and PSA. Tumour marker fishing is also a bad idea. Pre-test probability is extremely important.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@Doc_IonaCollins @Microbedoc2 This is genius! How do you set up the auto delete function? Is it within Outlook?

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@medicalmodelbri "Can sometimes help bridge the gap during doctor shortages". So if ACPs can just slot into doctor roles, that must mean that doctors are overtrained and they're not required?? This hubris would be funny if it wasn't so dangerous for patients.

[Life in the slow lane @drokane]

For doctors, most diagnoses come from the history and examination. In many non-medical pathways, it can feel like the reverse: very little diagnosis from history/exam, and a heavy reliance on tests or onward referral, sometimes with no working diagnosis at all. If someone doesn’t understand what history and examination are for, it’s easy to skip them and default to “do tests” or “admit/refer so a specialist can diagnose”.

The problem is that tests are then interpreted without a Bayesian “a priori” anchor. Without a pre-test probability built from a good story, a focused exam, and an understanding of how common conditions are so you’re left with results that can mislead, over-diagnose, or generate incidental findings. And if you don’t have a detailed grasp of disease patterns, you don’t know which questions to ask or what to look for to diagnose dementia or depression or diabetes or diphtheria. You can’t form a meaningful differential if you don’t know what’s common, what’s dangerous, and what’s discriminating.

So the whole process drifts into secondary referrals and scanning as the default route to certainty. In parallel, some non-medical exams don’t require a deep knowledge base, so people are expected to “look it up” in real time under pressure. That isn’t the same as understanding, and it’s hard to expect consistently good outcomes from it.

The final issue is that often one doesn't know what one doesn't know. This can lead to overconfidence or a very defensive position.

Finally if you want to be seeing patients and making good diagnoses there is course for this called Medicine. Exams do expect knowledge.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@dru_jlh This is peak achievement! What a lovely thing to do 🎄

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@LittleOleMeMe @medicalmodelbri @rockridge63 But thats exactly the problem. What you have just said is "low level" may not be. The education, training and experience of doctors is required to determine what is "low level" as safely as possible. Paramedics are amazing as paramedics, not as doctors.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@AJamesMcCarthy @ShawnChittle This is huge.

[Kade 🧑🏻‍🔬🌌 @KadeF96]

@SuperMarv74 An engineer is not a trade. Production staff that assemble defibrillators are amazing but they do not require degrees and a decade of training. This is not a race to the bottom. Other professions should have strong trade unions to fight against similar pay and conditions erosion.