Rick Linforth

Consultant Oncoplastic Breast Surgeon Surgical Innovator and National trainer for Association of Breast Surgery.Medico-legal expert,BWFC fan.

[Rick Linforth @RICKLIN4TH]

@drraja_ Absolutely ridiculous.if the trust HR had any sense of common sense she would have been given time off. Another example of a clueless GMC depriving patients of a very skilled doctor.

[Rick Linforth @RICKLIN4TH]

Millions of breast cancer patients could safely avoid chemotherapy, study suggests https://t.co/Dtz3jqrv5r

[Rick Linforth @RICKLIN4TH]

BWFC for the win

[Rick Linforth @RICKLIN4TH]

Sea life

[Sky Sports Football @SkyFootball]

Watch the full highlights here! https://t.co/ilJytYbMZZ

[Rick Linforth @RICKLIN4TH]

@HawkesworthAnne @BWFCST Great thanks Anne, hope u r 2.

[Rick Linforth @RICKLIN4TH]

Just like to thank the stewards @BWFCST for helping my Dad and I using a wheelchair to access the East stand . First class help and support
Well done team .. see you next season.

[Artur Nadolny @ArturNadol7566]

THE INSPECTOR WHO INSPECTED TOO HONESTLY

Dr Shyam Kumar @ukorthopod is an orthopaedic surgeon. A good one. Unblemished record. So the Care Quality Commission (@CareQualityComm) recruited him as a part-time inspector to help hold NHS hospitals to account.

He took the job seriously. Too seriously, it turns out.

Between 2015 and 2019 he raised concerns about botched hospital inspections, a bullying culture inside the CQC itself, and a surgeon at Morecambe Bay whose hip replacement on an elderly patient left her unable to walk.

He asked the CQC to review that surgeon's cases. He was told the trust did not want to do so for reputational reasons.

A Royal College of Surgeons review later found problems with 26 out of 46 of that surgeon's operations.

The CQC's response to Kumar? They called his concerns fanciful. They dug for dirt on him. Then they sacked him.
In September 2022 a Manchester Employment Tribunal ruled he had been unfairly dismissed.

The tribunal found his safety disclosures had directly influenced the decision to get rid of him. The judgment noted that CQC officials spent their energy gunning him down rather than focusing on patient safety.

He was awarded £23,000 for injury to feelings.

Not damages for a ruined career. Not accountability for the officials who ran the smear operation. Just £23,000 and a declaration.

The CQC issued a statement saying it had learnt from the case and improved its processes. A decade earlier it said exactly the same thing after the Mid Staffordshire Public Inquiry found it had victimised its own whistleblowers then too.

The system that was built to protect patients ran a seven-year campaign against the man raising the alarm.

Then it said sorry and carried on.

Source: @BBCNews, The Guardian, BMJ, Westminster Confidential (@davidhencke)

[Rick Linforth @RICKLIN4TH]

@kalturnbull @doctorcaldwell Had a time out day on exactly this. We reduced it to 5 . By the end of the month it was back up again as those with little understanding felt the risk management demand the return.
Nursing care is not filling in junk data, but by the bedside.

[Rick Linforth @RICKLIN4TH]

Anthracyclines rise again

[Dr Preetam Jain @PreetamJainOnco]

Anthracycline Benefit in High-Risk Breast Cancer

1) Is it time to reconsider the role of Anthracyclines in HR+ HER2- Breast Cancer?

New data from the FLEX study reveals a striking 10.7% absolute iDFS benefit for a specific subset of patients. Here is why genomic subtyping matters more than ever.
🧵
#BreastCancer #Oncology #PrecisionMedicine

2) The study focused on patients identified by MammaPrint as High Risk 2 (MP2) and BluePrint as Luminal B .

For years, we’ve debated if TC is "enough." In this ultra-high-risk genomic group, the data suggests it might not be.
#OncTwitter #FLEXStudy

3) The Results (3-Year iDFS):

✅ ACT (Anthracycline-based): 100%
⚠️ TC (Non-Anthracycline): 89.3%

That’s a 10.7% absolute benefit at a median 3.2-year follow-up. In oncology, an absolute gain of this magnitude is a practice-changing signal.

4) Why does this matter?
Precision medicine isn't just about de-escalation; it’s about right-escalation.

5) By identifying MP2/Luminal B signatures, we can pinpoint patients who derive maximum benefit from more intensive regimens, ensuring we don't undertreat aggressive biology.

While we await longer-term follow-up, the FLEX data reinforces that genomic profiling is essential for tailoring adjuvant therapy.

2026 NCCN Guidelines Now Support This Approach

The NCCN now recognizes MammaPrint + BluePrint to identify which HR+/HER2- patients benefit most from anthracycline. Consequently, this marks the first endorsed genomic tool for this decision.

Individualized care = Better outcomes. 🎗️

Dr Preetam Jain
Medical Oncologist |
Director, OncoWorld Cancer Centre
#Mumbai #MedOnco

Here is the Link :

https://t.co/GMqubD4Nbv

@oncodaily
@OncoAlert @TheBreastOnline @ESMO_Open @oncologytube

[Rick Linforth @RICKLIN4TH]

@ImtiazMadmood This is the common sense this country appears to be lacking . Chapeau Sir.

[Rick Linforth @RICKLIN4TH]

@ArturNadol7566 @drbeatt @croydonhealth Another managerial waste of 1 million.
Another doctor facing unwarranted accusations. Sort it out @wesstreeting

[Rick Linforth @RICKLIN4TH]

@TheGriftReport Hopeless GMC thinks he should be a vet instead. No talking required

[Rick Linforth @RICKLIN4TH]

@Keir_Starmer Utter bollocks … we are not Amazon, hairdressers or some other convenience store… we save and preserve life. We provide services 7 days a week and emergency care 24/7 despite a reduction in real term wages , increasing demands and poor management.

[Rick Linforth @RICKLIN4TH]

@RealDonKeith One day some common sense will return to stop this gross stupidity of HR managers who attack doctors ,nurses and whistleblowers trying to do their jobs.

[Rick Linforth @RICKLIN4TH]

@mancunianmedic @cpeedell The surgical vocation. In reality whilst dedication to the art and needy is required, life has to be balanced with relaxation pleasure and financial renumeration in order for it to be sustainable. HO job 1992-96 hours ( 1 in 4 with internal cover)
SHO 93-98 ( average 72 hrs +).

[Yakup Ergün @dr_yakupergun]

Physical activity reduces all-cause mortality in patients with cancer

According to this meta-analysis including 13 RCTs👇

Exercise reduces all-cause mortality in cancer patients by 26%.

Not with drugs—through exercise!

https://t.co/KOeBxEFZhy

[ABS @ABSGBI]

Did you join us for our Beyond the Scalpel: Planning the Next Chapter webinar? ABS Members can now catch up on demand on the ABS Information Hub. Thanks again to our fantastic speakers Rishi Parmeshwar and Katherine Rogers. Watch here: https://t.co/G1bHsNa9oV

[Entisar saleh @Entisar_kilani]

Pathologic response and prognosis in HER2 + and TNBC .
#oncology #medtwitter