Laurence Pearmain

Respiratory doctor @MFTnhs. @NIHR Clinical Lecturer researching #lunginjury #IPF #pulmonaryfibrosis @UoM_official. Proud owner of Baloo (labrador).

[Laurence Pearmain @LPearmain]

Hugely excited to share our paper (@mannlab) out in #ERJ (@ERSpublications) showing monocyte immune profiles identify unique features of #longCOVID symptoms and define acute hospitalised #COVID19 severity. Interested? 🧵of key messages for scientists, clinicians and patients 1/10

[Laurence Pearmain @LPearmain]

@ls39767284 @drokane I’m sure there are other professions with similar issues- but unsurprisingly that isn’t the focus of a resident doctor industrial dispute?

[Laurence Pearmain @LPearmain]

@ls39767284 @drokane All of the contradictory statements I put in the message above..,,

[Laurence Pearmain @LPearmain]

@ls39767284 @drokane Issue is poor pay was accepted due to education (at state expense) and opportunities. They’ve collapsed- I’m sure residents would accept no student debt and returning training and career opportunities to yesteryear. No one is offering that. So pay is lightning rod to compensate.

[Laurence Pearmain @LPearmain]

@ls39767284 @drokane @ls39767284 you haven’t actually addressed any of the direct contradictions I highlighted either, despite asserting you have. Just what your strategy would be and why. Yes, some are self-evidently contradictory.

[Laurence Pearmain @LPearmain]

@ls39767284 @drokane There’s much I don’t agree with in current industrial action. But, no resident doctor is thinking of a long game, because future pay increases don’t help them. They’re interested in their experience today, and they are rightly cross about their debt, training and opportunities.

[Laurence Pearmain @LPearmain]

@ls39767284 @drokane A lot of contradictions in this thread from you: husbands pay was awful, but today’s residents should be ok with it; BMA should focus on securing jobs not pay, but no one owes Drs a job; HCPs heading for strike limits is bad, but resident Drs should have number limited to 15….

[Laurence Pearmain @LPearmain]

@ls39767284 @drokane Not really, I have no idea what the daily working life or experience of foundation doctors is- and I was one 15 years ago.

I also have no idea of the daily working life of a NQ pharmacist and would never presume to say I do, or interject in their strikes 🤷….

[Laurence Pearmain @LPearmain]

@ls39767284 @drokane Pay is relatively low historically, esp. prior to industrial action-it’s just a fact. Each generation has/had their own challenges- different, not less or greater. “In my day” attitudes always unhelpful to society/progress, and usually without knowledge of current issues. 2/2

[Laurence Pearmain @LPearmain]

@ls39767284 @drokane Im not doing anything, not a resident doctor. The dispute isn’t about terms and conditions, it is about pay so will only be resolved by it. You maybe shouldn’t be surprised that a trade union doesn’t conduct a dispute based on your perception of your husband’s job 1/2

[Laurence Pearmain @LPearmain]

@ls39767284 @drokane That’s my exact point. Wages were approximately the same. You’re sighting 1998 as some kind of nadir of terms and conditions. Junior doctors today probably put up with stuff your hubby didn’t have to and vice versa. But…. wages have regressed to 1998- after strike driven wage ⬆️

[Laurence Pearmain @LPearmain]

@ls39767284 @drokane I’d argue any such comparison is pointless as world has changed so much. But, if you are going to then I would point out that £24000 after on calls would be equivalent to an FY1 today earning £54800 after on calls…. And if you look at fy1 basic of 33800 in 1998 would be 17k…

[Laurence Pearmain @LPearmain]

@DrNickTwit @TheBMA Needs acceptance 1) strike is primarily about pay and 2) can only be fixed by it. Negotiated settlement *should* be straight-forward as everyone is losing money. Needs compromise and agreement about what agreed destination is. Too much politics>clear-eyed thinking by both.

[Bavi @bavi_Kumar28]

Join as at the Manchester Interstitial Lung Diseases (MILD) 2026 on 26th/27th March @ConalHayton @LeonardColm @CristinaAvram8 @JBlaikley

Booking link below!

[Pulmonary Cell News @pulmonary_news]

🏁 And the countdown begins, starting with our 5th top post of 2025!

This review by Drs. @RichardJHewitt, @LPearmain, and colleagues dives into the perfect storm created by epithelial damage and aging with regards to idiopathic pulmonary fibrosis.

https://t.co/hQcu3pUHAK

[ThoraxBMJ @ThoraxBMJ]

Interstitial lung disease
Epithelial damage and ageing: the perfect storm.
https://t.co/Pux7WZaQgl @RichardJHewitt @LPearmain

[Pilar Rivera-Ortega @PilarRiveraOrt1]

Dear #ILD community,
It is a pleasure to share with you our recently published book chapter:

“All in the Family: Role for Precision Medicine in Screening and Disease Course Prediction"

Authors: @LPearmain #JackCallum @scstanel @PilarRiveraOrt1
#FPF 🫁🧬

https://t.co/F8N7a4jsvD

[Pulmonary Cell News @pulmonary_news]

Drs. @RichardJHewitt, @LPearmain, Elisavet Lyka, & Jennifer Dickens highlight how, with increasing age, the alveolar epithelium becomes vulnerable to exogenous insults.

⛈️ Learn how epithelial damage and aging creates the perfect storm: https://t.co/2Yu1AaLVVZ

[Richard Hewitt @RichardJHewitt]

New postdoc position investigating interstitial lung abnormalities (ILA) and mechanisms driving early lung fibrosis
@kingsmedicine @RBandH @GSTTnhs @TheCrick

Please do consider applying:
https://t.co/kVZ31ENgsR

Closing date 18th Feb.

[Dominic Sykes @Sykesy5]

A fantastic couple of days spent in Manchester for the annual UK ILD Early Career meeting! Great to hear some fantastic work and ideas being shared by the best and brightest clinicians, scientists, and AHPs working in the ILD space.

[John Blaikley @JBlaikley]

We have a fully funded PhD opportunity investigating how biological clocks regulate cardiac surgical outcomes for #biology, #Maths, #Chemistry. Following our recent publications in JCI and Lancet Resp Medicine. Full details: https://t.co/R6vHlnrFUZ @h_durrington @FBMH_UoM